Pangastritis: Zoyambitsa, Zizindikiro, Kuzindikira Ndi Chithandizo

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Gastritis ndimkhalidwe wam'mimba momwe mumakhala kutupa kwa m'mimba ^[1] . Itha kukhala yovuta kapena yayitali. Pakhoza kukhala zifukwa zosiyanasiyana zomwe zimayambitsa izi, monga kumwa mowa mopitirira muyeso, kugwiritsa ntchito mankhwala ena ndi kusanza kosalekeza. Pachimake gastritis chimachitika mwadzidzidzi ndi kutupa kwakanthawi pomwe gastritis yayitali ndikutupa kwanthawi yayitali ^[ziwiri] . Ngati gastritis siyichiritsidwa, imatha kubweretsa kutaya magazi kwambiri ndipo itha kuonjezera chiopsezo chokhala ndi khansa yam'mimba.

Imodzi mwa mitundu yofala kwambiri ya gastritis yayikulu ndi pangastritis. Werengani kuti mudziwe zambiri za vutoli, zoopsa komanso chithandizo.

Kodi Pangastritis ndi Chiyani?

Pangastritis imakhudza m'mimba lonse. Vutoli limakwiyitsa antral ndi oxyntic mucosa wa antrum (kumunsi kwam'mimba) komanso fundus (kumtunda kwa m'mimba) ^[3] . Matendawa ndi osiyana ndi gastritis wamba. Izi ndichifukwa choti dera lonse lam'mimba limakhudzidwa pano osati gawo limodzi lokha.

Zizindikiro za Pangastritis

Zizindikiro zake ndizofanana ndi gastritis wamba ndipo zimaphatikizapo izi ^[4] :

• Kusanza

• Kupweteka m'mimba

• nseru

• Kuphulika

• Kukhuta utatha kudya

• Kutaya chakudya

Ndikofunika kuti mukakumana ndi katswiri wanu wamankhwalawa akangoyamba kuwonetsa zizindikilozi. Izi zili choncho chifukwa chakuti matenda a pangastritis amatha kukhala ofanana ndi matenda ena. Ndikofunika kwambiri kuti mudziyese nokha ngati mukukumana ndi izi nthawi zambiri.

Zoyambitsa Pangastritis

Zinthu zingapo zitha kuwononga kuyika kwa m'mimba mwako, motero kuwonjezera chiopsezo chotenga pangastritis.

1. Mankhwala ochepetsa ululu: Kugwiritsa ntchito mankhwala ochepetsa kupweteka, makamaka ma NSAID (mankhwala osagwiritsa ntchito ma antisteroidal), ndi chimodzi mwazifukwa zomwe zimapangitsa kuti pangastritis ichitike ^[5] . Mukatenga ma NSAID nthawi zambiri, amatha kuvulaza utomoni wa mucosal ndipo ingakhudze zotsekemera zam'mimba. Nkhani zotere zimayambitsa kutupa.

[chithunzi cha mankhwala a pangastritis]

2. Matenda am'mimba: Matenda a bakiteriya am'mimba ndi omwe amayambitsanso zilonda zam'mimba ndi zilonda zam'mimba. ^[6] . Mtundu uwu wamatenda amathanso kulumikizidwa ndi khansa ya m'mimba.

3. Zizindikiro zodziyimira zokha: Kupitilira kwa autoimmune gastritis ^[7] zimatha kuyambitsa pangastritis ngati mucosa yawonongeka kwambiri. Autoimmune gastritis imachitika thupi likaukira maselo am'mimba am'mimba.

4. Kumwa mowa mopitirira muyeso: Kumwa mowa kwambiri kumatha kuyambitsa matenda am'mimba kwambiri ndipo ngati munthu amamwa mowa mwauchidakwa, kumatha kuyambitsa matenda a pangastritis ^[8] .

5. Kupsinjika kwakanthawi: Nthawi yamavuto, thupi lanu limasintha mahomoni. Pali kuwonjezeka kwa milingo ya histamine ndi acetylcholine ^[9] . Izi zitha kubweretsa kusintha kwa zotsekemera zam'mimba zomwe zimayambitsa kupsinjika kwa pangastritis.

Kuzindikira Kwa Pangastritis

Pali mayesero ambiri omwe dokotala angachite kuti adziwe pangastritis. Ena mwa iwo ndi awa:

• Kuyesa chopondapo: Amachita izi kuti afufuze m'mimba mwazi. Mimba yotupa monga pangastritis imatha kubweretsa magazi m'mipando. Kuyesedwa kwa chopondapo kumayendetsedwanso kuti aone ngati kuli Helicobacter pylori ^[10] .

• Kuyezetsa magazi ndi kupuma ngati ali ndi kachilombo: Izi ndi kuyang'ana kupezeka kwa Helicobacter pylori. Kuyezetsa magazi kumathandizira kudziwa ngati mwadwala matenda ^{[khumi ndi chimodzi]} . Kuyesedwa kwa urea kumatha kuwonetsa ngati munthu ali ndi matenda opatsirana.

• Kuyezetsa magazi magazi m'thupi: Pangastritis ndi vuto lomwe limatha kuyambitsa kuchepa kwa magazi ^[12] . Pamene mucosa wam'mimba amawonongeka, zimapangitsa kuti kuyamwa kwa michere mu chakudya kukhale kovuta. Izi zitha kubweretsa kuchepa kwa magazi m'thupi.

• Endoscopy: Magulu apamwamba a GI amachitidwa ndi dokotala kuti awone kuyika kwa m'mimba pogwiritsa ntchito zida zojambula. Kachubu kakang'ono kam'manja kamagwiritsidwira ntchito kuwona mkati mwa thirakiti kuti muwone zowonongera zomwe zitha kuwonetsa pangastritis.

Chithandizo cha Pangastritis

Dokotala wanu angatenge njira iliyonse yomwe tatchulayi:

• Chithandizo choyambilira: Ngati vutoli lidayambitsidwa chifukwa chodwala kwa H. pylori, ndiye kuti ndikofunikira kuti matendawa akalandire chithandizo chamankhwala choyamba. Pochiza, dokotala wanu akhoza kukupatsani mankhwala amodzi kapena angapo, omwe atha kuphatikizira zotsatirazi ^[13] :

◦ Ranitidine bismuth citrate

Proton pump inhibitor

◦ Maantibayotiki (tetracycline kapena amoxicillin)

• Kubwezeretsanso zakudya zoperewera: Ngati pakhala kuti pali zoperewera zama michere chifukwa cha vutoli, dokotala wanu angafune kubwezeretsa michere yanu mwachangu momwe angathere. Zofooka zachitsulo ndi vitamini B12 zimatha kubweretsa kuchepa kwa magazi. Chifukwa chake kwa wodwala yemwe ali ndi vutoli, kuwunika kuchepa kwa michere ndikofunikira kwambiri. Dokotala wanu akhoza kukupatsani zowonjezera kuti athane ndi zofookazo.

• Kugwiritsa ntchito mankhwala ochepetsa asidi m'mimba: Nthawi zambiri mankhwala amaperekedwa kuti achepetse asidi m'mimba. Dokotala wanu akhoza kukupatsani mankhwala ochepetsa acid awa:

◦ Maantacid: Izi zimaperekedwa kuti muchepetse asidi wam'mimba. Zosakaniza zomwe zilipo zimatsimikizira mitundu yosiyanasiyana ya maantacid. Maantacids amagawidwa m'magulu potengera kupezeka kwa calcium, aluminium kapena magnesium ^[14] .

◦ Proton pump pump zoletsa ^{[khumi ndi zisanu]} : Izi zimachepetsa kutulutsa kwa asidi m'mimba. Komabe, amatenga nthawi yayitali kuti ayambe kuwonetsa zotsatira ndipo chifukwa chake amasankhidwa ngati chithandizo chanthawi yayitali.

◦ Oletsa ma H2 ^[16] : Samachepetsa zidulo zam'mimba, m'malo mwake zimalepheretsa maselo omwe amapezeka mgawo kutulutsa asidi wochuluka wam'mimba. Izi zimalepheretsa kupezeka kwa mtundu uliwonse wa kuwonongeka kwa mucosa wovuta.

Zakudya Kwa Anthu Omwe Ali Ndi Pangastritis

Anthu omwe ali ndi pangastritis ayenera kusintha zina ndi zina pazakudya zawo ^[17] . Izi ndizofunikira kuti muteteze mkwiyo m'mimba. Kwa munthu wodwala pangastritis, zakudya zake ziyenera kukhala ndi izi:

• Zakudya zopanda mafuta ambiri (monga mapuloteni owonda)

• Zakudya zokhala ndi michere yambiri (monga masamba ndi mbewu)

• Zakudya zomwe sizikulitsa asidi m'mimba

• Imwani opanda tiyi kapena khofi kapena kaboni

• Garlic, ginger ndi turmeric (izi zimatha kuletsa kukula kwa mabakiteriya oyipa m'mimba)

Munthu wodwala pangastritis ayenera kupewa izi:

• Zakudya zopatsa acid

• Zakudya zonunkhira

• Zakudya zamafuta kapena zokazinga kwambiri

• Zakumwa zoledzeretsa

Kugwiritsa Ntchito Zowonjezera

Kudya mankhwala otsatirawa kwapezeka kuti ndi kothandiza kwa munthu amene ali ndi pangastritis.

• Probiotic: Thandizo la maantibiotiki ^[18] amaonedwa kuti ndi abwino kwambiri kwa munthu amene ali ndi gastritis. Kafukufuku akuwonetsa kuti kugwiritsa ntchito maantibiotiki kumatha kuchepetsa kutupa kwam'mimba.

• Glutamine: Ichi ndi amino acid wofunikira. Kafukufuku akuti glutamine amateteza ku kuwonongeka kwa mucosal ^[19] .

• Antioxidants: Anthu omwe ali ndi vuto la pangastritis amafunikira ma antioxidants chifukwa amatha kuteteza thupi ku DNA yowononga kupsinjika kwa okosijeni ^{[makumi awiri]} . Ma antioxidants amatha kuthandizira kuchepetsa kutupa kwa mucosal komwe kumabweretsa kupsinjika kwama oxidative m'maselo am'mimba.

• Omega-3 fatty acids: Zotsutsana ndi zotupa zama polyunsaturated mafuta acids zimawapangitsa kukhala oyenera kugwiritsidwa ntchito pazakudya zodyera. Kafukufuku akuwonetsa kuti zowonjezera izi zimatha kuchepetsa kutupa ndi kuwonongeka komwe kumayambitsidwa ndi gastritis.

Kupewa Matenda a Pangastritis

Khalidwe labwino limatha kupewa pangastritis. Onetsetsani kuti mukutsatira malangizo ali pansipa:

1. Pewani kumwa mowa mopitirira muyeso chifukwa izi zimatha kukwiyitsa m'mimba mwanu.

2. Sambani m'manja nthawi zambiri kuti mupewe kufalikira kwa H. pylori.

3. Chepetsani kugwiritsa ntchito mankhwala opweteka.

1. [1]Veldhuyzen, V. Z. S., & Sherman, P. M. (1994). Matenda a Helicobacter pylori monga chifukwa cha gastritis, zilonda zam'mimba, khansa yam'mimba ndi nonulcer dyspepsia: kuwunika mwatsatanetsatane.CMAJ: Canadian Medical Association journal = journal de l'Association medicale canadienne, 150 (2), 177.
2. [ziwiri]Chow, C. M., Leung, A. K., & Hon, K. L. (). Pachimake gastroenteritis: kuchokera kuzitsogolere kupita ku moyo weniweni.Clinic and experimental gastroenterology, 3, 97-112.
3. [3]Sipponen, P., & Maaroos, H. I. (2015). Magazini yaku Scandinavia ya gastroenterology, 50 (6), 657-667.
4. [4]Warren, J. R., & Marshall, B. (1983). Bacilli wosadziwika yemwe ali ndi gastric epithelium mu gastritis yogwira yayikulu.
5. [5]Teck, V. O. S. PAINKILLERS.PHARMACYBULLETIN, 6.
6. [6]Rodríguez, L. A. G., Ruigómez, A., & Panés, J. (2007). Kugwiritsa ntchito mankhwala opondereza acid komanso chiopsezo cha bakiteriya gastroenteritis.Clinical Gastroenterology and Hepatology, 5 (12), 1418-1423.
7. [7]Kulnigg-Dabsch S. (2016). Yimitsani auto gastritis. Wiener Medical Wochenschrift (1946), 166 (13-14), 424-430.
8. [8]Roberts, D. M. (1972). Matenda a gastritis, mowa, komanso osakhala zilonda dyspepsia. Gut, 13 (10), 768-774.
9. [9]Ock, C.Y., Hong, K. S., Choi, K. S., Chung, M. H., soo Kim, Y., Kim, J. H., & Hahm, K. B. (2011). Njira yatsopano yopweteketsa matenda am'mimba yochokera ku anti-oxidative komanso anti-inflammatory zochita za 8-hydroxydeoxyguanosine. Biochemical pharmacology, 81 (1), 111-122.
10. [10]Gatta, L., Vakil, N., Ricci, C., Osborn, J. F., Tampieri, A., Perna, F., ... & Vaira, D. (2004). Zotsatira za ma proton pump inhibitors ndi ma antacid therapy pa 13 C urea kuyesa kupuma ndi chopondapo poyesa matenda a Helicobacter pylori. Magazini aku America a gastroenterology, 99 (5), 823.
11. [khumi ndi chimodzi]Vaira, D., & Vakil, N. (2001). Magazi, mkodzo, chopondapo, mpweya, ndalama, ndi Helicobacter pylori. Gut, 48 (3), 287-289.
12. [12]Nahon, S., Lahmek, P., Massard, J., Lesgourgues, B., De Serre, N. M., Traissac, L., ... & Delas, N. (2003). Helicobacter pylori - yokhudzana ndi gastritis yayikulu komanso kusowa kwachitsulo kosazindikirika: mgwirizano wodalirika? Helicobacter, 8 (6), 573-577.
13. [13]Safavi, M., Sabourian, R., & Foroumadi, A. (2016). Chithandizo cha matenda a Helicobacter pylori: Kuzindikira kwamtsogolo komanso kwamtsogolo. Magazini yapadziko lonse yazachipatala, 4 (1), 5-19.
14. [14]Kaehny, W. D., Hegg, A. P., & Alfrey, A. C. (1977). Kutulutsa m'mimba kwa aluminiyamu kuchokera ku ma antiacid okhala ndi aluminium. New England Journal of Medicine, 296 (24), 1389-1390.
15. [khumi ndi zisanu]Yang, Y. X., Lewis, J. D., Epstein, S., & Metz, D. C. (2006). Proton pump pump inhibitor therapy komanso chiopsezo chophwanya mchiuno. Jama, 296 (24), 2947-2953.
16. [16]Xue, S., Katz, P. O., Banerjee, P., Tutuian, R., & Castell, D. O. (2001). Ogona H2 blockers amasintha masana masana gastric acid ku odwala a GERD pa proton pump inhibitors. Pharmacology yoyamba & Therapeutics, 15 (9), 1351-1356.
17. [17]Fontham, E., Zavala, D., Correa, P., Rodriguez, E., Hunter, F., Haenszel, W., & Tannenbaum, S. R. (1986). Zakudya komanso matenda atrophic gastritis: kafukufuku wowongolera milandu. JNCI: Zolemba pa National Cancer Institute, 76 (4), 621-627.
18. [18]Nthaka, H.H, Rouster-Stevens, K., Woods, C. R., Cannon, M. L., Cnota, J., & Shetty, A. K. (2005). Lactobacillus sepsis yokhudzana ndi mankhwala a probiotic. Matenda a ana, 115 (1), 178-181.
19. [19]Rao, R., & Samak, G. (2012). Udindo wa glutamine poteteza matumbo olimba am'mimba. Journal of epithelial biology & pharmacology, 5 (Suppl 1-M7), 47.
20. [makumi awiri]Dennog, C., Hartmann, A., Frey, G., & Speit, G. (1996). Kuzindikira kuwonongeka kwa DNA pambuyo pa chithandizo cha hyperbaric oxygen (HBO) .utautagenesis, 11 (6), 605-609.

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