Kodi Pangastritis ndi Chiyani?

Zamkati

• Chidule
• Zizindikiro za pangastritis
• Zowopsa za pangastritis
• 1. Matenda m'mimba
• 2. Kupweteka kochepetsa mankhwala
• 3. Kumwa mowa kwambiri
• 4. Kupsinjika maganizo
• 5. Zinthu zodziyimira zokha
• Matenda a pangastritis
• Chithandizo cha pangastritis
• Kuchiza matenda aliwonse oyamba
• Kubwezeretsa michere yoperewera
• Kuchepetsa asidi m'mimba ndi mankhwala
• Kusintha kwa zakudya
• Zowonjezera zowonjezera
• Chiyembekezo cha pangastritis
• Kupewa pangastritis

Chidule

Gastritis ndimkhalidwe wam'mimba momwe mucosa (akalowa m'mimba) amatupa. Pali mitundu iwiri yoyambirira ya gastritis: pachimake gastritis ndi matenda am'mimba. Pachimake gastritis mwadzidzidzi, kutupa kwakanthawi kwakanthawi, pomwe gastritis yayitali ndikutupa kwanthawi yayitali.

Pangastritis ndi mtundu wofala kwambiri wa gastritis. Zimakhudza m'mimba monse, kuphatikiza antral ndi oxyntic mucosa wa antrum (gawo lotsika m'mimba) ndi fundus (gawo lalikulu la m'mimba), motsatana.

Pangastritis ndiyosiyana ndi gastritis wamba chifukwa imakhudza gawo lonse la m'mimba, osati gawo limodzi lokha.

Tiyeni tiwone bwino za zomwe zimayambitsa, zomwe zimayambitsa, kuzindikira, komanso kuchiza kwa pangastritis, komanso malingaliro a vutoli.

Zizindikiro za pangastritis

Zizindikiro za pangastritis ndizofanana ndi zomwe zimapezeka mu gastritis wamba. Zitha kuphatikiza:

• kupweteka m'mimba
• kuphulika
• nseru
• kusanza
• njala
• kukhuta mutatha kudya

Matenda a Pangastritis sangakhale chifukwa chokhacho cha zizindikilozi, chifukwa chake ndikofunikira kuwona dokotala ngati mukukumana nawo pafupipafupi.

Zowopsa za pangastritis

Zinthu zingapo zitha kuwononga m'mimba mwanu ndikuwonjezera chiopsezo chotenga pangastritis.

1. Matenda m'mimba

Helicobacter pylori ndi mtundu wa mabakiteriya omwe amadziwika kuti amayambitsa matenda am'mimba. Ndi chimodzi mwazofala kwambiri za zilonda zam'mimba ndi zilonda zam'mimba. Amaganiziranso kuti amalumikizidwa ndi khansa ya m'mimba.

2. Kupweteka kochepetsa mankhwala

Kugwiritsa ntchito pafupipafupi mankhwala ochepetsa kupweteka, makamaka mankhwala osagwiritsa ntchito zotupa (NSAIDs), ndi chiopsezo chotenga pangastritis. Kutenga ma NSAID nthawi zambiri kupita kumtunda wa mucosal ndipo kumatha kukhudza zotsekemera zam'mimba. Zinthu zonsezi zimatha kubweretsa kutupa.

3. Kumwa mowa kwambiri

Kumwa mowa mopitirira muyeso kumatha kukhala ndi zotsatira zoyipa mthupi lanu, makamaka zikafika pagawo lakugaya chakudya. Kumwa mowa mopitirira muyeso kumatha kudzetsa matenda am'mimba komanso omwe amamwa mowa mwauchidakwa, kumayambitsanso matenda a pangastritis.

4. Kupsinjika maganizo

Kupsinjika kumakhudza thupi lanu m'njira zingapo. Kusintha kwa mahomoni kumachitika munthawi yamavuto, kuphatikiza mu acetylcholine ndi histamine. Izi zitha kuyambitsa kusintha kwa zotsekemera m'mimba ndipo zimayambitsa kupsinjika kwa pangastritis.

5. Zinthu zodziyimira zokha

Autoimmune gastritis imachitika thupi likaukira maselo am'mimba am'mimba. Autoimmune gastritis ili ngati pangastritis, chifukwa ma cell a parietal amangopezeka mu corpus (gawo lalikulu, pakati pam'munsi ndi kumunsi) ndi fundus (kumtunda) kwa m'mimba. Komabe, kukula kwa autoimmune gastritis kumatha kubweretsa pangastritis ngati mucosa imawonongeka pakapita nthawi.

Matenda a pangastritis

Pali mayesero angapo omwe dokotala angagwiritse ntchito kuti adziwe pangastritis. Izi zingaphatikizepo:

• Magazi, mpweya, kapena chopondapo chifukwa h. alireza. Dokotala wanu akhoza kugwiritsa ntchito mayeso aliwonse atatuwa kuti adziwe ngati muli ndi h. alirezamatenda:
  • Kuyezetsa magazi kumatha kumulola adotolo kuti awone ngati mukugwira kapena mwakhala mukudwala kale.
  • Kuyesedwa kwa urea kumatha kuwonetsa ngati muli ndi matenda opatsirana.
  • Kuyezetsa chopondapo kumalola adotolo kuti awone ngati alipo h. alirezama antigen omwe amapezeka mthupi lanu.
• Kuyesa kopondapo kutuluka magazi m'mimba. Pangastritis ndi zina zotupa m'mimba zimatha kupangitsa kuti magazi azikhala pampando. Zofanana ndi kuyang'ana chopondapo ngati mukufuna h. alirezaMatendawa, adotolo amatha kuwona chopondapo chanu magazi omwe amayamba chifukwa cha gastritis.
• Kuyezetsa magazikuchepa kwa magazi m'thupi. Pangastritis ndichimodzi mwazomwe zimayambitsa chiwopsezo cha kuchepa kwa magazi m'thupi. Pamene mucosa wam'mimba amayamba kuwonongeka, kumakhala kovuta kuyamwa michere mu chakudya. Izi zitha kubweretsa kuchepa kwa magazi kwa B-12 kapena kuperewera kwachitsulo. Dokotala wanu akhoza kuyitanitsa mayeso athunthu a magazi (CBC) kuti awone ngati magazi ofiira, khungu loyera, komanso hemoglobin.
• Mndandanda wapamwamba wa GI kapena endoscopy kuwonongeka. Magulu apamwamba a GI ndi mayeso omwe dokotala amawona akalowa m'mimba mwanu ndi zida zojambula. Endoscopy ndi njira yovuta kwambiri momwe dokotala amatha kuwona mkati mwa kagayidwe kake ndi chubu chaching'ono chokhala ndi kamera. Mayeso onsewa atha kudziwa ngati mucosa yawonongeka ndi pangastritis.

Chithandizo cha pangastritis

Ngati mwapezeka kuti muli ndi pangastritis, pali njira zosiyanasiyana zamankhwala zomwe dokotala angafune kupita nanu.

Kuchiza matenda aliwonse oyamba

Ngati pangastritis yanu yayambitsidwa ndi matenda h. alireza, ndikofunika kuchiza matenda poyamba. Malinga ndi a, njira yothandizira munthu h. alireza Matendawa amatha kutenga masiku khumi kapena khumi ndi anayi.

Dokotala wanu akhoza kukupatsani mankhwala amodzi kapena angapo, kuphatikizapo:

• maantibayotiki (monga amoxicillin kapena tetracycline)
• ranitidine bismuth citrate
• proton pump inhibitor (PPI)

Ndikofunika kuzindikira kuti ngakhale njirayi yothandizira, pakhoza kukhala pakati pa PPI kugwiritsa ntchito ndi kuwonongeka kwa mucosal.

Kuchokera mu 2017, ofufuza adafufuza kafukufuku 13 momwe anthu adayikidwa pansi pa chithandizo cha PPI chanthawi yayitali. Adapeza kuti gulu lothandizira la PPI linali ndi mwayi wambiri wopanga gastritis kuposa gulu lolamulira.

Kubwezeretsa michere yoperewera

Ngati pangastritis yanu yayambitsa kusowa kwa michere, dokotala wanu adzafuna kubwezeretsa michere yanu mwachangu momwe angathere.

Kwa anthu omwe ali ndi pangastritis, kuchepa kwa iron ndi vitamini B-12 kumayambitsa kuchepa kwa magazi. Dokotala wanu angafune kukhala ndi chitsulo chambiri, B-12, kapena multivitamin chowonjezera.

Kuchepetsa asidi m'mimba ndi mankhwala

Anthu omwe ali ndi pangastritis amakhala ndi zotsekemera zochepa m'matumbo kuti ateteze zingwe kuchokera ku asidi m'mimba. Kuchiza pangastritis nthawi zambiri kumaphatikizapo kugwiritsa ntchito mankhwala omwe angathandize kuchepetsa asidi m'mimba mwanu.

Mankhwala ochepetsa acid omwe dokotala angakupatseni ndi awa:

• Maantibayotiki. Udindo wa antacid ndikuchepetsa asidi m'mimba. Mitundu itatu yayikulu ya maantacid imasiyana malinga ndi kaphatikizidwe kake - magnesium, calcium, kapena aluminium. Maantacids odziwika bwino ndi Alka-Seltzer, Rolaids, Mylanta, ndi Tums.
• Oletsa H2. Ma H2 blockers amagwira ntchito mosiyana pang'ono ndi ma antacids. M'malo mopewetsa asidi m'mimba, ma H2 blockers amalepheretsa ma cell am'mimba kuti asatulutse asidi m'mimba. Izi zitha kuthandiza kupewa kuwonongeka kowonjezereka kwa mucosa wovuta.
• Proton pump inhibitors (PPIs).Zofanana ndi momwe ma H2 blockers amagwirira ntchito, ma proton pump inhibitors amachepetsanso kutsekemera kwa asidi m'mimba. Komabe, ma PPI amawerengedwa kuti ndi njira yayitali popeza akhoza kutenga nthawi yayitali kuti agwire bwino ntchito.
  Ma PPI omwe amadziwika kwambiri ndi Prilosec ndi Prevacid. Chifukwa kugwiritsa ntchito ma PIs kwa nthawi yayitali kumatha kukhala kwa pangastritis, dokotala wanu atha kugwiritsa ntchito mosamala.

Kusintha kwa zakudya

Kupanga zosintha pazakudya ndikofunikira kwa anthu omwe ali ndi pangastritis kuti athandizire kuchepetsa mkwiyo m'mimba. Ndikofunika kuyang'ana pa:

• zakudya zokhala ndi michere yambiri, monga mbewu ndi ndiwo zamasamba
• zakudya zopanda mafuta, monga mapuloteni owonda
• zakudya zomwe sizingakweze asidi m'mimba
• amamwa popanda kaboni kapena caffeine

Ndikofunikanso kupewa zakudya zotsatirazi momwe zingathere:

• zakumwa zoledzeretsa, zopangidwa ndi tiyi kapena khofi
• zakudya zopatsa acid
• zakudya zamafuta kapena zokazinga kwambiri
• zakudya zokometsera

Zowonjezera zowonjezera

Palinso njira zochiritsira zapakhomo zomwe mungafune kuti muphatikize nawo. Izi zikuphatikiza:

• Mapuloteni. Maantibiotiki ndi zinthu zopindulitsa zomwe zimapezeka m'matumbo zomwe zingathandize kuti gawo lanu logaya chakudya likhale labwino. Kafukufuku akuwonetsa kuti mankhwala a probiotic atha kukhala njira yabwino kwa iwo omwe ali ndi gastritis. Mmodzi, ofufuza adayesa kugwiritsa ntchito mankhwala a BIFICO (okhala ndi Enterococcus faecalis, Bifidobacterium longum, ndi Lactobacillus acidophilus) pa h. alireza-kuyambitsa gastritis mu mbewa. Adapeza kuti chithandizo chodyera ma probiotic chimachepetsa kutupa kwam'mimba. Komabe, kafukufukuyu akadali ochepa pakugwiritsa ntchito maantibiotiki ngati chithandizo cha gastritis mwa anthu.
• Glutamine. Glutamine ndi amino acid wofunikira. Limodzi mwa maudindo a glutamine lili ngati cholozera cha imodzi mwamphamvu kwambiri ya antioxidants m'thupi, glutathione. wanena kuti glutamine itha kutenga gawo loteteza ku kuwonongeka kwa mucosal komabe, kufufuza kwina m'mayesero azachipatala kukufunikirabe.
• Maantibayotiki. Zina mwazinthu zofunikira kwambiri mthupi la munthu ndizopewetsa mphamvu. Antioxidants amathandizira kuteteza thupi ku DNA yowononga kupsinjika kwa okosijeni. Kwa anthu omwe ali ndi pangastritis, kutupa kwa mucosal lining kumatha kubweretsa kupsinjika kwama oxidative m'maselo am'mimba.
  Mmodzi, ofufuza adapeza kuti chithandizo ndi antioxidant resveratrol chachepetsedwa H. pylori-kuchepetsa m'mimba kutupa mbewa. Komabe, mayesero owonjezera aumunthu amafunikira kuti adziwe gawo lenileni la antioxidant supplementation ya pangastritis.
• Omega-3 mafuta acids. Mafuta amtundu wa Polyunsaturated akhala akugwiritsidwa ntchito ngati mankhwala m'mbiri yonse chifukwa chotsutsana ndi zotupa, mwazabwino zina. Posachedwa mu 2015 adapeza kuti n-3 PUFA supplementation imatha kuchepetsa kutupa ndi kuwonongeka komwe kumayambitsidwa ndi gastritis. Kuphatikiza apo, zitha kuchepetsanso chiopsezo chokhala ndi matenda owopsa, monga khansa ya m'mimba.
• Zowonjezera zowonjezera zakudya.Garlic, ginger, ndi turmeric ndi zakudya zonse zomwe zitha kuphatikizidwa pazakudya kuti zilepheretse kukula kwa mabakiteriya oyipa m'mimba.

Chiyembekezo cha pangastritis

Pangastritis ndi mtundu wamatenda am'mimba, kutanthauza kuti chithandizo ndi kasamalidwe kake kadzafunika pakapita nthawi.

Matenda osachiritsika a gastritis ndiwowopsa pakukula kwa matenda ambiri. Izi zikuphatikiza:

• Zilonda zam'mimba
• kutuluka m'mimba
• kuchepa kwa magazi m'thupi
• khansa yam'mimba

Kuthana ndi zomwe zikuyambitsa ndikuchiritsa m'mimba ndizofunikira zoyamba pochepetsa chiopsezo cha izi.

Pazifukwa izi, ndikofunikira kuti mupeze matenda kuchokera kwa dokotala wanu ndikukambirana dongosolo lamankhwala.

Kupewa pangastritis

Kupewa kwa pangastritis kumayamba ndimakhalidwe abwino. Nazi zina zomwe mungachite:

• Onetsetsani kuti mumasamba m'manja pafupipafupi kuti mupewe kufalikira kwa h. alirezakwa inu nokha ndi ena.
• Pewani kumwa mowa mopitirira muyeso, chifukwa izi zimatha kukwiyitsa m'mimba mwanu.
• Chepetsani NSAID ndi mankhwala opweteka kuti mugwiritse ntchito kutupa m'mimba.