Gastritis

Gastritis inoitika kana bota remudumbu rikatsva kana kuzvimba.

Gastritis inogona kugara kwenguva pfupi chete (acute gastritis). Inogona zvakare kunonoka kwemwedzi kusvika kumakore (chisingaperi gastritis).

Zvinonyanya kukonzera gastritis ndezvi:

• Mimwe mishonga, yakadai seaspirin, ibuprofen, kana naproxen nemimwe mishonga yakafanana
• Kunwa doro zvakanyanya
• Kubatwa nedumbu nehutachiona hunodaidzwa Helicobacter pylori

Zvishoma zvikonzero zvinozivikanwa ndezvi:

• Kuzvimiririra autoimmune kusagadzikana (sekuparadza anemia)
• Kudzoka kwe bile mudumbu (bile reflux)
• Kushungurudzwa kwecocaine
• Kudya kana kunwa zvinokonzeresa kana zvinokanganisa zvinhu (zvakadai sehupfu)
• Kunyanya kunetseka
• Utachiona hwehutachiona, hwakadai secytomegalovirus uye herpes simplex virus (zvinowanzoitika kune vanhu vane immune system isina kusimba)

Kushungurudzika kana chirwere chakakomba, chakangoerekana chakadai sekuvhiyiwa kukuru, itsvo kutadza, kana kuiswa pamushini wekufema kunogona kukonzera gastritis.

Vanhu vazhinji vane gastritis havana chero zviratidzo.

Zviratidzo zvaunogona kuona ndeizvi:

• Kupererwa nechido
• Kusvotwa uye kurutsa
• Marwadzo muchikamu chepamusoro chedumbu kana dumbu

Kana gastritis iri kukonzera kubuda kweropa kubva mukati memukati medumbu, zviratidzo zvinogona kusanganisira:

• Zvitema nhema
• Kusvipa ropa kana kofi-pasi senge zvinhu

Miedzo inogona kudikanwa ndeiyi:

• Pedzisa kuverenga ropa (CBC) kutarisa kushomeka kweropa kana kuwanda kweropa
• Kuongorora kwedumbu ne endoscope (esophagogastroduodenoscopy kana EGD) ine biopsy yemudumbu
• H pylori bvunzo (mweya wekufema kana chestool bvunzo)
• Chitsiko kuyedza kutarisa mashoma eropa muzvituru, izvo zvinogona kunge zviri chiratidzo chekubuda ropa mudumbu

Kurapa kunoenderana nezviri kukonzera dambudziko. Zvimwe zvezvikonzero zvinopera nekufamba kwenguva.

Ungangoda kumira kutora aspirin, ibuprofen, naproxen, kana mimwe mishonga inogona kunge ichikonzera gastritis. Gara uchitaura nemupi wako wezvehutano usati wamisa chero mushonga.

Iwe unogona kushandisa imwe pamusoro-iyo-piritsi uye mishonga yemishonga inoderedza huwandu hweacid mudumbu, senge:

• Antacids
• H2 vanopikisa: famotidine (Pepsid), cimetidine (Tagamet), ranitidine (Zantac), uye nizatidine (Axid)
• Proton pump inhibitors (PPIs): omeprazole (Prilosec), esomeprazole (Nexium), iansoprazole (Prevacid), rabeprazole (AcipHex), uye pantoprazole (Protonix)

Mishonga inorwisa mabhakitiriya inogona kushandiswa kurapa chisingaperi gastritis inokonzerwa nehutachiona ne Helicobacter pylori mabhakitiriya.

Maonero anoenderana nechikonzero, asi kazhinji chakanyanya kunaka.

Ropa kurasikirwa uye yakawedzera njodzi yekenza yemudumbu inogona kuitika.

Fonera mupiki wako kana iwe uchikura:

• Marwadzo muchikamu chepamusoro chedumbu kana chedumbu chisingapere
• Dema kana yekumhara zvituru
• Kusvipa ropa kana kafi-pasi-kunge zvinhu

Dzivisa kushandiswa kwenguva yakareba kwezvinhu zvinogona kutsamwisa dumbu rako senge aspirin, anti-anogumbura zvinodhaka, kana doro.

• Kutora antacids

• Kugaya chirongwa
• Dumbu uye mudumbu

Feldman M, Lee EL. Gastritis. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chirwere: Pathophysiology / Diagnosis / Management. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 52.

Kuipers EJ, Blaser MJ. Acid peptic chirwere. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 139.

Vincent K. Gastritis uye peptic ulcer chirwere. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2019. Philadelphia, PA: Elsevier; 2019: 204-208.