Chii chinonzi Pangastritis?

Zvemukati

• Mhedziso
• Zviratidzo zvepangastritis
• Njodzi zvinhu zvepangastritis
• 1. Zvirwere zvemudumbu
• 2. Marwadzo ekuderedza mishonga
• 3. Kunwisa doro
• 4. Kushungurudzika kusingaperi
• 5. Autoimmune mamiriro
• Kuongororwa kwepangastritis
• Kurapa kwepangastritis
• Kurapa chero hutachiona hwekutanga
• Kudzorera zvakashata zvinovaka muviri
• Kuderedza dumbu acid nemishonga
• Kuchinja kwekudya
• Zvimwe zvinowedzera
• Maonero epangastritis
• Kudzivirira kwepangastritis

Mhedziso

Gastritis ndiwo mamiriro enzira yekugaya umo mucosa (iyo dumbu rechipfuva) inotsva. Kune maviri epamoyo mhando dzegastritis: acute gastritis uye chisingaperi gastritis. Acute gastritis inongoerekana yaitika, kwenguva pfupi-kuzvimba, nepo chisingaperi gastritis chiri chenguva refu kuzvimba.

Pangastritis ndiyo yakajairika mhando yechirwere gastritis. Iyo inokanganisa dumbu rese kupfekedzwa, kusanganisira zvese antral uye oxyntic mucosa yeantrum (yakaderera chikamu chedumbu) uye fundus (chikamu chepamusoro chedumbu), zvichiteerana.

Pangastritis yakasiyana neyakajairika gastritis nekuti inosanganisira iyo yese dumbu, pane kungova nzvimbo imwe chete.

Ngatinyatsoongororai zviratidzo, zvinokonzeresa, kuongororwa, uye kurapwa kwepangastritis, pamwe nemaonero echimiro ichi.

Zviratidzo zvepangastritis

Zviratidzo zvepangastritis zvakafanana neaya anowanikwa mune yenguva dzose gastritis. Zvinogona kusanganisira:

• marwadzo emudumbu
• kuzvimba
• kusvotwa
• kurutsa
• kuda kudya
• kuzara mushure mekudya

Pangastritis inogona kunge isiri iyo yega yechikonzero chezviratidzo izvi, saka zvakakosha kuti uone chiremba kana uchinge uchinge uchisangana navo kazhinji.

Njodzi zvinhu zvepangastritis

Zvimwe zvinhu zvinogona kukuvadza mudumbu rako uye nekuwedzera njodzi yako yekukura pangastritis.

1. Zvirwere zvemudumbu

Helicobacter pylori imhando yebhakitiriya inozivikanwa nekukonzeresa hutachiona hwedumbu. Icho chimwe chezvinyanya kuzivikanwa zvepangastritis uye maronda emudumbu. Inofungidzirwawo kuti yakabatana nekenza yemudumbu.

2. Marwadzo ekuderedza mishonga

Kugara uchishandisa marwadzo-ekudzora mishonga, kunyanya nonsteroidal anti-inflammatory drug (NSAIDs), ndiyo njodzi yekuvandudza pangastritis. Kutora maNSAID kazhinji kazhinji kune mucosal lining uye kunogona kukanganisa gastric secretions. Zvese izvi zvinhu zvinogona kutungamira mukuzvimba.

3. Kunwisa doro

Kunyanyisa kunwa doro kunogona kuve nemhedzisiro yakawanda pamuviri wako, kunyanya kana zvasvika padumbu rekugaya. Kunwa doro zvisina mwero kunogona kutungamira kune acute gastritis uye kune vasingagumi vanonwa, kunogona kutungamira kupangastritis futi.

4. Kushungurudzika kusingaperi

Kushungurudzika kunogona kukanganisa muviri wako nenzira dzinoverengeka. Hormonal shanduko inoitika panguva yekushushikana, kusanganisira iri muzvikamu zveacetylcholine uye histamine. Izvi zvinogona kukonzera shanduko mune gastric zvakavanzika uye zvinotungamira kunetseka-kunokonzera pangastritis.

5. Autoimmune mamiriro

Autoimmune gastritis inoitika kana muviri uchirwisa masero eparietal emudumbu. Autoimmune gastritis yakafanana nepangastritis, nekuti masero eparietal anongowanikwa mu corpus (chikamu chikuru, pakati pezvikamu zvepamusoro nechepasi) uye fundus (chikamu chepamusoro) chedumbu. Zvisinei, kufambira mberi kwe autoimmune gastritis kunogona kukonzera pangastritis kana iyo mucosa ikanyanya kukuvara nekufamba kwenguva.

Kuongororwa kwepangastritis

Pane bvunzo dzinoverengeka dzinogona kushandiswa nachiremba wako kuongorora pangastritis. Izvi zvinogona kusanganisira:

• Ropa, mweya, kana stool bvunzo nokuti h. pylori. Chiremba wako anogona kushandisa chero eaya matatu bvunzo kuti aone kana iwe uine h. pylorihutachiona:
  • Kuongororwa kweropa kunogona kubvumira chiremba kuti aone kana uri kushingaira kana kuti wakambotapukirwa.
  • Iyo urea yekufema bvunzo inogona kuratidza kana uine hutachiona hutachiona.
  • Chiyero chestool chinobvumira chiremba kuti aone kana paine chero h. pylorimaantigen anowanikwa mumuviri wako.
• Chitsiko bvunzo yekubuda ropa mudumbu. Pangastritis uye zvimwe zvinopisa mudumbu mamiriro zvinogona kukonzera kuti ropa rivepo pachigaro. Zvakafanana nekutarisa chigaro che h. pylorihutachiona, chiremba anogona kutarisa chigaro chako cheropa rinokonzerwa negastritis.
• Kuongorora ropayekushaya ropa. Pangastritis ndechimwe chezviitiko zvine njodzi mukukura kweanemia. Sezvo mucosa yegwara rekugaya inova yakanyanya kukuvara, zvinowedzera kuoma kutora zvinovaka muviri kubva muchikafu. Izvi zvinogona kukonzera B-12 inoshaya (yakaipa) anemia kana iron-kushomeka anemia. Chiremba wako anogona kuraira yakazara yeropa kuverenga (CBC) bvunzo kuti utarise tsvuku sero reropa, chena ropa sero, uye hemoglobin mazinga.
• Kumusoro GI akateedzana kana endoscopy yekukuvara. Yekumusoro GI dzakateedzana bvunzo umo chiremba anoona lining yedumbu rako nemidziyo yekufungidzira. Endoscopy ndiyo inopinza nzira iyo chiremba anogona kuona mukati mechikamu chekugaya nekamu kadiki-yakatemerwa chubhu. Dzese miedzo inogona kubatsira kuona kana mucosa yakakuvara kubva pangastritis.

Kurapa kwepangastritis

Kana iwe wakamboonekwa uine pangastritis, kune nzira dzakasiyana dzekurapa idzo chiremba wako angangoda kutora newe.

Kurapa chero hutachiona hwekutanga

Kana pangastritis yako yakonzerwa nehutachiona ne h. pylori, zvakakosha kutanga utachiona. Zvinoenderana neiyo, iyo regimen yekurapa iyo h. pylori hutachiona hunogona kutora chero kubva pamazuva gumi kusvika gumi nemana.

Chiremba wako anogona kunyorera imwe kana yakawanda mishonga, inosanganisira:

• mishonga inorwisa mabhakitiriya (yakadai se amoxicillin kana tetracycline)
• ranitidine bismuth citrate
• proton pombi inhibitor (PPI)

Izvo zvakakosha kuti uzive kuti kunyangwe iyi nzira yekurapa, panogona kunge paine pakati pePPI kushandiswa uye mucosal kukuvara.

Mune imwe kubva muna2017, vatsvaguriri vakaferefeta zvidzidzo gumi nematanhatu umo vanhu vakaiswa pasi penguva refu kurapwa kwePPI. Vakaona kuti iro PPI rerapi boka raive nemukana wakakura wekuvandudza gastritis kupfuura iro rinodzora boka.

Kudzorera zvakashata zvinovaka muviri

Kana pangastritis yako yakonzeresa kushomeka kwehutano, chiremba wako anozoda kudzoreredza ako ehutano huwandu nekukurumidza sezvazvinogona.

Mune vanhu vane pangastritis, kushomeka mune zvese iron uye vhitamini B-12 inowanzo kutungamira kune anemia. Chiremba wako angangoda neyakareba-iron iron, B-12, kana multivitamin yekuwedzera.

Kuderedza dumbu acid nemishonga

Vanhu vane pangastritis vane mashoma masevhisi mune yekugaya nzira yekubatsira kuchengetedza lining kubva mudumbu asidi. Kurapa pangastritis kazhinji kunosanganisira kushandiswa kwemishonga inogona kubatsira kudzikisa dumbu rako asidi mazinga.

Acid-inoderedza mishonga iyo inogona kupihwa nachiremba wako inosanganisira:

• Antacids. Basa reantacid kutapudza mudumbu asidhi. Mhando nhatu dzemhando dzemishonga inorwisa mabhakitiriya inosiyana zvichienderana nechinhu chavo chinoshanda - magnesium, calcium, kana aluminium. Kazhinji zita-zita antacids ndiAlka-Seltzer, Rolaids, Mylanta, uye Tums.
• H2 blockers. H2 blockers anoshanda nenzira yakati siyanei kupfuura maantacid. Panzvimbo pekudzikamisa mudumbu asidi, maH2 anovharira anodzivirira maseru ari munzira yekugaya kuti asaburitse yakawandisa mudumbu asidi. Izvi zvinogona kubatsira kudzivirira kumwe kukuvara kune inoomarara mucosa.
• Proton pump inhibitors (PPIs).Zvakafanana nenzira iyo H2 blockers inoshanda, proton pump inhibitors inoderedzawo kusevha kwedumbu acid. Nekudaro, maPPI anoonekwa seakawanda esarudzo yenguva refu sezvo vachigona kutora nguva yakareba kuti vabudirire.
  Iyo inowanzozivikanwa PPIs yakatemwa ndeye Prilosec uye Prevacid. Nekuti kushandiswa kwenguva refu kwePPIs kunogona kunge kuri kwepangastritis, chiremba wako anogona kutaura nekushandisa kwavo nekuchenjerera.

Kuchinja kwekudya

Kugadzira shanduko yekudya kwakakosha kune vanhu vane pangastritis yekubatsira kudzora kumwe kutsamwa kune iyo dumbu remudumbu. Izvo zvakakosha kuti utarise pane:

• chikafu chine fiber yakawanda, senge zviyo nemiriwo
• chikafu chine mafuta mashoma, senge yakaonda mapuroteni
• chikafu chisinganyanyi kukwidza mudumbu acid mazinga
• zvinwiwa zvisina kabhoni kana caffeine

Izvo zvakakoshawo kuti udzivise izvo zvinotevera chikafu zvakanyanya sezvinobvira:

• doro, zvine caffeine, uye zvinwiwa zvine kabhoni
• zvakanyanya acidic chikafu
• chikafu chine mafuta kana chakakangwa zvakanyanya
• zvikafu zvinonaka

Zvimwe zvinowedzera

Kune zvekare mamwe maitiro, epamba mishonga iwe yaungade kuisa mune yako nzira yekurapa. Izvi zvinosanganisira:

• MaProbiotic. MaProbiotic zvinhu zvinobatsira zvinowanikwa mumatumbu izvo zvinogona kubatsira kuchengetedza rako rekugaya kugwinya. Kutsvagurudza kwakaratidza kuti probiotic kurapwa kungave iri sarudzo yakanaka kune avo vane gastritis. Mune imwe, vaongorori vakaedza kushandiswa kweBIFICO probiotic (iine Enterococcus faecalis, Bifidobacterium longum, uye Lactobacillus acidophiluson h. pylori-akakonzera gastritis mumakonzo. Vakaona kuti kurapwa neprobiotic cocktail kwakaderedza gastric kuzvimba. Nekudaro, iko kutsvagurudza kuchiri kungogumira pakushandiswa kweprobiotic senzira yekurapa gastritis muvanhu.
• Glutamine. Glutamine yakakosha amino acid. Rimwe remabasa egutamine seyakatangira kune imwe yeanonyanya antioxidants mumuviri, glutathione. akataura kuti glutamine inogona kutamba chinodzivirira kukuvara kwemucosal zvisinei, kumwe kutsvagisa mumakiriniki ekuedzwa kuchiri kudikanwa.
• Antioxidants. Mamwe emakomputa akakosha mumuviri wemunhu ma antioxidants. Antioxidants inobatsira kudzivirira muviri kubva kuDNA-inokuvadza oxidative kusagadzikana. Mune vanhu vane pangastritis, kuzvimba kwemucosal lining kunogona kutungamira mukushushikana kweiyo oxidative mumasero edumbu.
  Mune imwe, vaongorori vakawana kuti kurapwa neiyo antioxidant resveratrol yakadzikira H. pylori-kukonzera gastric kuzvimba mumakonzo. Zvakadaro, kumwezve kuyedzwa kwevanhu kunodiwa kuti uone chaiyo basa re antioxidant yekuwedzera ye pangastritis.
• Omega-3 mafuta acids. Polyunsaturated fatty acids ave achishandiswa pakurapa kwekudya kubva munhoroondo nekuda kweanopokana-nekurwisa mhedzisiro, pakati pezvimwe zvakanaka. Munguva pfupi yapfuura muna 2015 yakawana kuti n-3 PUFA yekuwedzera inogona kudzikisira kuzvimba uye kukuvara kunokonzerwa ne gastritis. Uye zvakare, zvinogona zvakare kudzora njodzi yekuwedzera hosha dzakakomba, senge kenza yemudumbu.
• Zvimwe zvekudya zvigadzirwa.Garlic, ginger, uye turmeric zvese zvikafu zvinogona kuiswa mukudya kudzivirira kukura kwebhakitiriya yakaipa mudumbu.

Maonero epangastritis

Pangastritis rudzi rwechirwere chisingaperi gastritis, zvichireva kuti kurapwa uye manejimendi zvinogona kunge zvichidikanwa munguva refu.

Chisingaperi, chisina kurapwa gastritis chinhu chengozi mukukudziridzwa kwezvirwere zvakawanda. Izvi zvinosanganisira:

• maronda emudumbu
• kubuda ropa mudumbu
• kupererwa neropa
• kenza yemudumbu

Kurapa iwo mamiriro epasi uye kuporesa dumbu akakosha matanho ekutanga mukuderedza njodzi yemamiriro anoenderana.

Nezvikonzero izvi, zvakakosha kuti uongororwe nachiremba wako uye mokurukura chirongwa chekurapa.

Kudzivirira kwepangastritis

Kudzivirirwa kwepangastritis kunotanga nemararamiro ane hutano. Heano mamwe matanho aunotora:

• Ive neshuwa yekugeza maoko ako kazhinji kudzivirira kupararira kwe h. pylorikwauri nekune vamwe.
• Dzivisa kunwisa doro, nekuti izvi zvinogona kutsamwisa kumeso kwedumbu rako.
• Deredza NSAID uye mushonga wemarwadzo kushandisa kudzivirira kuzvimba kwemukati wedumbu.