Gastritis

Hana ʻia ka Gastritis ke lilo ka pale o ka ʻōpū i mea wela a pehu paha.

Hiki i ka Gastritis ke hala no ka manawa pōkole wale (gastritis huehue). Lōʻihi paha ia i mau mahina i mau makahiki (gastritis mau).

ʻO nā kumu maʻamau o gastritis ka:

• ʻO kekahi mau lāʻau, e like me aspirin, ibuprofen, a i ʻole naproxen a me nā lāʻau like ʻē aʻe
• Inu waiʻona nui
• ʻO ka maʻi o ka ʻōpū me kahi bacteria i kapa ʻia Helicobacter pylori

ʻO nā kumu liʻiliʻi liʻiliʻi ka:

• Nā maʻi Autoimmune (e like me anemia anemia)
• Backflow o ka bile i loko o ka ʻōpū (bile reflux)
• Hana ʻino kokain
• ʻO ka ʻai ʻana a inu ʻole paha i nā mea caustic a i ʻole corrosive (e like me nā mea ʻawahia)
• Kaha koʻikoʻi loa
• ʻO ka maʻi viral, e like me cytomegalovirus a me herpes simplex virus (ʻoi aku ka pinepine i nā poʻe me ka ʻōnaehana pale nawaliwali)

Trauma a i ʻole ʻeha, maʻi hikiwawe e like me ka ʻoki ʻana nui, hoʻokō ʻole ʻana o ke kōkō, a i ʻole kau ʻia ma luna o kahi mīkini hanu e hiki ai i ka gastritis.

ʻAʻole loaʻa nā ʻōuli he nui i ka poʻe gastritis.

ʻO nā ʻōuli āu e ʻike ai paha:

• Loaʻa ka ʻai ʻole
• ʻO Nusea a me ka luaʻi
• ʻEha ma ka ʻaoʻao o luna o ka ʻōpū a i ʻole ka ʻōpū

Inā gastritis ke kumu o ke kahe ʻana mai ka pale o ka ʻōpū, e komo pū nā ʻōuli me:

• Nā noho ʻeleʻele
• ʻO ka inu ʻana i ke koko a i ʻole ka papa kope e like me nā mea

ʻO nā hoʻāʻo e pono ai paha:

• Helu piha ke koko (CBC) e nānā no ka anemia a i ʻole ka helu haʻahaʻa o ke koko
• ʻO ka hoʻokolokolo ʻana o ka ʻōpū me kahi endoscope (esophagogastroduodenoscopy a i ʻole EGD) me ka biopsy o ka uhi ʻana o ka ʻōpū
• H pylori nā hoʻāʻo (hoʻāʻo hanu a i ʻole ka hoʻāo hoʻoholomua)
• ʻO ka hoʻāʻo Stool e nānā i nā liʻiliʻi o ke koko i loko o nā pahu, ʻo ia paha ka hōʻailona o ke kahe ʻana i ka ʻōpū

Pili ka mālama ʻana i ka mea e pilikia ai. E hala kekahi o nā kumu i ka hala ʻana o ka manawa.

Pono paha ʻoe e hōʻoki i ka lawe ʻana i ka aspirin, ibuprofen, naproxen, a i ʻole nā ​​lāʻau ʻē aʻe e hoʻomaka ana i ka gastritis. E kamaʻilio mau i kāu mea mālama ola ma mua o ka hoʻōki ʻana i nā lāʻau.

Hiki iā ʻoe ke hoʻohana i nā lāʻau ʻokoʻa aʻe a me nā lāʻau e kuhikuhi ana e hoʻēmi i ka nui o ka waikawa i loko o ka ʻōpū, e like me:

• ʻAnakini
• H2 antagonists: famotidine (Pepsid), cimetidine (Tagamet), ranitidine (Zantac), a me nizatidine (Axid)
• Nā mea kūpale Proton pump (PPI): omeprazole (Prilosec), esomeprazole (Nexium), iansoprazole (Prevacid), rabeprazole (AcipHex), a me pantoprazole (Protonix)

Hiki ke hoʻohana ʻia nā lāʻau antibiotic e mālama i ka gastritis mau ma muli o ka maʻi Helicobacter pylori koʻohune.

Aia ka nānā i ke kumu, akā maikaʻi pinepine pinepine.

Hiki i ke kahe o ke koko a hoʻonui i ka makaʻu no ka maʻi ʻaʻai gastric.

Kāhea i kāu mea hāʻawi inā hoʻomohala ʻoe:

• ʻEha ma ka ʻaoʻao o luna o ka ʻōpū a i ʻole ka ʻōpū i hele ʻole
• ʻO nā noho ʻeleʻele a i ʻole hoʻomaha
• ʻO ka inu ʻana i ke koko a i ʻole mea kope-like

Hōʻalo i ka hoʻohana wā lōʻihi o nā mea i hiki ke hoʻonāukiuki i kou ʻōpū e like me ka aspirin, nā lāʻau anti-inflammatory, a i ʻole ka waiʻona.

• Lawe i nā antacids

• ʻŌnaehana Digestive
• ʻŌpū a me ka ʻōpū o ka ʻōpū

ʻO Feldman M, ʻo Lee EL. Gastritis. I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi Liver: Pathophysiology / Diagnosis / Management. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 52.

Kuipers EJ, Blaser MJ. Maʻi maʻi peptic I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 139.

ʻO Vincent K. Gastritis a me ka maʻi peptic ulcer. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier; 2019: 204-208.