Kuzvimba kweGanda reMudumbu: Zvaunofanira Kuziva NezveGastritisi

Asidhi Yemukati Memudumbu uye Nzira dzekudzivirira
Mudumbu, inogadzira mvura ine asidhi yakasimba inotora basa guru mukugaya chikafu. Asidhi iyi inobuda kubva mumagland akawanda ari mukati memudumbu. Kuti mudumbu risakuvadzwa, mukati maro rakafukidzwa necheka chakatetepa chine mukus chinobva kumasero akakosha. Asi mune dzimwe nguva, dzingangoita kukuvadza iyi mukus kana kuti kukonzera kugadzirwa kweasidhi yakawandisa. Pakupedzisira, mukati memudumbu unogona kuzvimba uye mamiriro aya anonzi gastritisi.
Chii chinonzi Gastritisi?
Gastritisi zvinoreva kuzvimba kwecheka chinofukidza mukati memudumbu (mukoza). Kazhinji chinokonzerwa nekuwanda kweasidhi kana kukuvadzwa kwecheka chinodzivirira. Panguva iyi, asidhi yemudumbu inobata zvakananga matishu emudumbu uye inokuvadza masero. Gastritisi inogona kutanga nekukurumidza (akuti) kana kuti zvishoma nezvishoma uye ikagara kwenguva refu (kroniki).
Akut gastritisi inowanzoratidza marwadzo akasimba mudumbu, kusvotwa, kurutsa uye kusada kudya. Kroniki gastritisi kazhinji haina zviratidzo kana kuti inoratidza kusagadzikana kudiki, kusagaya zvakanaka, kuzvimba mudumbu uye kunzwa kuzara mushure mekudya.
Zvikonzero zveGastritisi
Chikonzero chikuru chegastritisi kutapurirwa nebhakitiriya inonzi Helicobacter pylori inogara mudumbu. Asi pane zvimwe zvakawanda zvinogona kukonzera kuzvimba kwemukati memudumbu:
Kushandisa fodya
Kunwa doro rakawandisa
Kushandisa kwenguva refu mishonga isiri yesiteroidi inorwisa kuzvimba yakaita seaspirin, ibuprofen
Zvirwere zvakakomba, kuvhiyiwa kukuru, kukuvara kwakanyanya uye kupiswa kwakanyanya
Kushushikana kwakanyanya mupfungwa
Zvimwe zvirwere zvinokonzerwa nebhakitiriya, mavhairasi kana fungi
Kudya kunokonzeresa allergy
Kurapwa neRadyotherapy
Kukwegura
Kupindwa nechokudya chine uturu
Mamiriro apo immune system inorwisa matishu emudumbu (autoimmune gastritisi kana A type gastritisi)
Zviratidzo zveGastritisi ndezvipi?
Zviratidzo zvegastritisi zvinogona kusiyana pakati pevanhu. Vamwe havaratidzi zviratidzo, vamwe vanonzwa kusagadzikana kwakanyanya.
Zviratidzo zveAkut Gastritisi
Marwadzo anobata pakarepo, anowanzonzwa pakati kana pamusoro pemudumbu (anowedzera pakadzvanywa)
Marwadzo anopfuurira kumusana
Kusvotwa uye kurutsa
Kurasikirwa nechido chekudya
Kugunun'una kazhinji
Kuzara uye kuzvimba mudumbu
Kurutsa ropa kana kurutsa kwakaita ruvara rwekapani
Kubuda ropa kana kuti chigunwe chine ruvara rwakasviba (melena)
Kupisa kana kutsva mudumbu
Zviratidzo zveKroniki Gastritisi
Kazhinji hapana zviratidzo zvinoratidzwa mukroniki gastritisi. Zviratidzo zvidiki zvinogona kusanganisira kuzvimba mushure mekudya, kugunun'una kwenguva refu uye kusagaya zvakanaka kudiki. Asi kana isina kurapwa, kroniki gastritisi inogona kuwedzera njodzi yekuwanda kweulcer mudumbu kana mudumbu mudiki uye gomarara remudumbu.
Mhando dzeGastritisi: Maererano nenzvimbo uye Zvikonzero
Gastritisi inonziwo mazita akasiyana zvichienderana nenzvimbo inobata mudumbu:
Antral Gastritisi: Inobata chikamu chekupedzisira chemudumbu (antrum), ndiyo inonyanya kuwanikwa uye inowanzobatana neH. pylori.
Pangastritisi: Inobata nzvimbo yakakura yemukati memudumbu.
Korpus Gastritisi: Inotanga muchikamu chepakati pemudumbu (korpus).
Kroniki gastritisi inopatsanurwa kuita zvikamu zvitatu zvikuru zvinoenderana nechikonzero:
1. Autoimmune Gastritisi (A Type): Inokonzerwa nekupindura zvisirizvo kweimmune system kumasero emudumbu. Inowanzobatana nekushomeka kwevitamin B12.
2. Bacterial Gastritisi (B Type): Inokonzerwa nehutachiona hwebhakitiriya, kunyanya H. pylori.
3. Chemical Gastritisi (C Type): Inokonzerwa nekushandiswa kwemishonga kwenguva refu (kunyanya NSAID), kunwa doro rakawandisa kana kuti dzimwe nguva reflux yesafra.
Gastritisi Inoonekwa Sei?
Patanho rekutanga, nyaya yemurwere inotaurwa zvakadzama. Zvinonetsa, mishonga inotorwa, maitiro ekudya, kushandiswa kwefodya nedoro uye nhoroondo yehutano zvinotariswa. Chiremba anoongorora mudumbu kuti aone nzvimbo dzinorwadza.
Kana zvichidiwa, nzira dzekuona dzakaita sekuskanwa kwemudumbu (ultrasound) dzinoshandiswa. X-ray inongoshandiswa kana kuchifungidzirwa dambudziko rakakura semudumbu rakabvaruka. Nzira yakavimbika yekusimbisa gastritisi uye kuongorora chikonzero chiri pasi ndeye endoscopy yemudumbu. Panguva yeendoscopy, biopsy yemukati memudumbu inogona kutorwa kana zvichidiwa.
Pamusoro pezvo, bvunzo dzemvura yeropa dzinogona kushandiswa kutsvaga zviratidzo zvekuzvimba, hutachiona kana autoimmune response. Kana kuchifungidzirwa autoimmune gastritisi, maantibodies chaiwo anotsvakwa. Bvunzo yeguru inoratidza kana paine ropa muchigunwe.
Nzira dzekurapa Gastritisi
Kune vanhu vakawanda, gastritisi inogona kutongwa nekuchinja maitiro ehupenyu uye kutarisira kudya. Asi kana zvichidiwa, mishonga inopihwa.
Nhanho dzekutanga dzinokurudzirwa ndedzidzi:
Kudzivirira kofi, doro uye fodya zvinokuvadza mudumbu
Kudzivirira chikafu chine munyu wakawandisa kana asidhi
Kana zviratidzo zvakanyanya, kuderedza kudya kwechinguvana kana kusarudza chikafu chakareruka chinonyatsogayika
Kudzora kushushikana (semuenzaniso maekisesaizi ekuzorora, meditation)
Mishonga inonyanya kushandiswa kurapa:
Antiasidhi, proton pump inhibitors (PPI) uye H2 receptor blockers zvinoderedza asidhi yemudumbu
Kuwedzerwa kwevitamin B12 muautoimmune gastritisi
Chikamu chakakosha chekurapa kutonga chikonzero chiri pasi (semuenzaniso hutachiona hweH. pylori, kushandiswa kwemishonga kwenguva refu, autoimmune mechanisms) pasi pekutariswa nachiremba. Kutevedzera kurapwa uye kuongororwa nguva nenguva kwakakosha kudzivirira matambudziko akakura anogona kuitika mberi.
Mazano ekudya kune Varwere veGastritisi
Kudya kunotora basa guru mukurapa gastritisi uye kuderedza zviratidzo. Zvikafu zvinofadza mudumbu, zvine fiber yakawanda uye zvinoderedza kuzvimba zvinofanira kusarudzwa. Zvidzidzo zvinoratidza kuti chikafu chine probiotics chakaita seyogurt yakaitirwa pamba uye sauerkraut zvinogona kudzivirira mamwe marudzi ebhakitiriya. Zvakare broccoli, ginger, garlic, carrot uye ti yemiti zvinogona kubatsira kuderedza zviratidzo zvegastritisi.
Zvikafu nezvinwiwa zvinokurudzirwa:
Miriwo nemichero mitsva (semuenzaniso apuro, karoti, broccoli)
Zvigadzirwa zvine fiber yakawanda zvakaita setumbu dzakazara, oatmeal, bhinzi
Nyama isina mafuta yakawanda (huku, turkey, hove)
Mafuta ekokonati
Zvikafu zvine probiotics yakawanda (tarhana, yogurt, sauerkraut)
Zvinofanira kudzivirirwa:
Chokoreti, kofi, doro
Matomatisi nezvikafu zvine asidhi yakawandisa
Zvikafu zvakagadzirwa, zvine mafuta akawanda uye shuga yakawanda
Zvikafu zvakanyanya munyu uye zvakabikwa nemafuta akawanda
Zvikafu zvakagadzirwa uye zvakachengetedzwa mufiriji
Artificial sweeteners uye additives
Chinofanira kurangarirwa ndechekuti munhu wese ane kusiyana kwekugadzikana kwemudumbu. Zvakakosha kubvunza nyanzvi yezvehutano usati wachinja kudya kana kutanga kurapwa.
Mibvunzo Inonyanya Kubvunzwa
1. Gastritisi inopera yoga here?
Mune dzimwe nguva, kunyanya kana chikonzero chabviswa (semuenzaniso kurega mishonga kana kurega doro nefodya), gastritisi inogona kuderera. Asi kana zviratidzo zvikagara kwenguva refu kana kuti zvakanyanya, zvinofanira kuongororwa nachiremba.
2. Pane mukana here wekuti gastritisi inokonzera gomarara remudumbu mune ramangwana?
Kroniki gastritisi, kunyanya kana yagara kwenguva refu uye isina kurapwa, inogona kuwedzera njodzi yegomarara remudumbu. Saka kutevedzera kurapwa uye kuongororwa kwakakosha.
3. Helicobacter pylori chii uye inokanganisa sei gastritisi?
Helicobacter pylori imhando yebhakitiriya inogara pamukozasi wemudumbu. Inogona kukonzera kuzvimba pamatissue emudumbu, zvichikonzera gastritis. Pakurapa kwayo, kazhinji anoshandiswa mabiotiki nemishonga inoderedza asidhi yemudumbu.
4. Munhu ane gastritis anofanira kuenda kuna chiremba rini?
Kana uine kurwadziwa mudumbu, kusvotwa, kurutsa, kurutsa ropa kana kurutsa kwakaita mutema, kana ropa muchimbuzi, zvinokurudzirwa kuti uende kuna chiremba pasina kunonoka. Kunyangwe zviratidzo zviripo kwenguva refu asi zviri nyore, zvinoda ongororo yezvokurapa.
5. Ndeipi nzira inonyanya kushanda pakurapa gastritis?
Kurapwa kunoenderana nechikonzero chiri pasi. Nzira inonyanya kushanda ndeyekuchinja mararamiro, kudzivirira zvinhu zvinokuvadza mudumbu uye kushandisa mishonga yakatarwa nachiremba nguva dzose.
6. Gastritis inopora zvachose here?
Nekurapwa kwakakodzera uye matanho ekudzivirira, gastritis inowanzopora. Asi kana chikonzero chisina kubviswa inogona kudzoka zvakare. Muzviitiko zvenguva refu, kuongororwa nguva nenguva nachiremba kunobatsira.
7. Mishonga inodzivirira mudumbu inogona kushandiswa zvakachengeteka here pa gastritis?
Proton pump inhibitors nemaantacids zvinogona kushandiswa zvakachengeteka kana zvakarairwa nachiremba. Kuzvishandisa wega uye kwenguva refu kunogona kuwedzera njodzi yemigumisiro isingadiwi.
8. Kudya kwe gastritis kunofanira kuitwa kwenguva yakareba sei?
Nguva yekutevedzera kudya kunoenderana nemunhu uye rudzi rwegastritis. Kazhinji, zvinokurudzirwa kuchengetedza mararamiro ekudya ane hutano kusvikira zviratidzo zvaderera, uye dzimwe nguva kwenguva refu.
9. Zvekudya zvine maprobiotic zvinoporesa gastritis here?
Zvekudya zvine maprobiotic, sekuratidzwa mune dzimwe tsvakiridzo, zvinogona kubatsira hutano hwekugaya uye kubatsira pakurapa gastritis, kunyanya mukurapa hutachiona hweH. pylori.
10. Ndeipi zvinwiwa zvinofanira kudzivirirwa pa gastritis?
Kofi, doro, zvinwiwa zvine gasi uye majusi emichero ane asidhi yakakwira hazvikurudzirwi sezvo zvinogona kukuvadza mudumbu.
11. Gastritis ine ngozi panguva yekuzvitakura here?
Zviratidzo zve gastritis panguva yekuzvitakura zvinogona kukonzeresa kusagadzikana, asi kazhinji hazviuyisi kumatambudziko makuru. Munyaya dzese, zvinokurudzirwa kubvunza chiremba wezvechikadzi.
12. Kushushikana kunogona kukonzera gastritis here?
Hongu, kushushikana kukuru kunogona kuwedzera kugadzirwa kweasidhi yemudumbu uye kukuvadza zviratidzo zve gastritis. Kutonga kushushikana kunogona kubatsira.
13. Gastritis inotapuriranwa here?
Hutachiona hweHelicobacter pylori hunogona kutapuriranwa kubva kumunhu kuenda kune mumwe, asi kwete mhando dzese dze gastritis dzinotapuriranwa. Kutevedzera hutsanana hwemunhu pachake kwakakosha.
14. Vana vanogona kuwana gastritis here?
Hongu, gastritis inogona kuitikawo kuvana. Inoratidzika nezviratidzo zvakafanana uye inoda ongororo nachiremba.
Zvinyorwa
Sangano reHutano Pasi Pose (World Health Organization), Helicobacter pylori uye Gastric Cancer Fact Sheets
Centers for Disease Control and Prevention (CDC), Ruzivo nezve Helicobacter pylori
American Gastroenterological Association (AGA), Mirayiridzo yeKurapa Gastritis
Mayo Clinic, Ongororo ye Gastritis
European Society of Gastrointestinal Endoscopy (ESGE), Mirayiridzo yeKurapa Gastritis