He aha ka Pangastritis?

Anter

• Hōʻike Overview
• Nā ʻōuli o ka panapitis
• Nā kumu weliweli o ka panastritis
• 1. Nā maʻi maʻi ʻōpū
• 2. ʻO nā lāʻau lapaʻau hōʻoluʻolu
• 3. Hoʻohana nui loa i ka waiʻona
• 4. Kaumaha koʻikoʻi
• 5. Nā kūlana pilikino
• ʻIke o ka panastritis
• Lapaʻau no ka panapitis
• Ka mālama ʻana i kekahi maʻi maʻi mua
• Hoʻihoʻi hou i nā meaʻai momona
• Hoʻoemi i ka waikawa ʻōpū me nā lāʻau
• Hoʻololi nā meaʻai
• Pākuʻi hou
• ʻO Outlook no ka panastritis
• Kāohi ʻana i ka panastritis

Hōʻike Overview

ʻO Gastritis kahi kūlana o ka digestive tract kahi e wela ai ka mucosa (ka uhi o ka ʻōpū). Aia ʻelua ʻano mua o ka gastritis: gastritis huehue a me ka gastritis mau. ʻO ka gastritis huehue ka hikiwawe, ka hoʻohaunaele wā pōkole, ʻoiai ka gastritis maʻi mau loa.

ʻO Pangastritis ka ʻano maʻamau o ka gastritis mau. Hoʻopili ia i ka uhi ʻana o ka ʻōpū holoʻokoʻa, e like me ka mucosa antral a me nā oxyntic o ka antrum (ʻāpana haʻahaʻa o ka ʻōpū) a me fundus (ʻo luna o ka ʻōpū).

ʻOkoʻa ʻo Pangastritis i ka gastritis mau no ka mea pili i ka ʻōpū āpau, ma kahi o kahi ʻāpana.

E nānā pono i nā ʻōuli, nā kumu, ka ʻike, a me ka mālama ʻana i ka pangastritis, a me ke kuanaʻike no kēia ʻano.

Nā ʻōuli o ka panapitis

ʻO nā ʻōuli o ka panapitis like me nā mea i loaʻa i ka gastritis mau. Pākuʻi ʻia lākou:

• abdominal eha
• ʻōhūhū
• nausea
• ka luaʻi
• poho ʻai
• māʻona ma hope o ka ʻai ʻana

ʻAʻole wale ʻo Pangastritis ke kumu o kēia mau ʻōuli, no laila he mea nui e ʻike i ke kauka inā ʻike pinepine ʻoe iā lākou.

Nā kumu weliweli o ka panastritis

Hiki i kekahi mau kumu ke hōʻino i ka pale o kou ʻōpū a hoʻonui i kou makaʻu i ka hoʻomōhala ʻana i ka pangastritis.

1. Nā maʻi maʻi ʻōpū

Helicobacter pylori kahi ʻano bacteria i ʻike ʻia no ke kumu o nā maʻi o ka digestive tract. ʻO kekahi o nā maʻi maʻamau a pinepine loa o ka pangastritis a me nā maʻi kōpū. Manaʻo ʻia kekahi e pili ana i ka maʻi ʻaʻai gastric.

2. ʻO nā lāʻau lapaʻau hōʻoluʻolu

Hoʻohana pinepine ʻia o nā lāʻau hōʻoluʻolu ʻeha, ʻo ia hoʻi nā lāʻau anti-inflammatory nonsteroidal (NSAIDs), kahi mea pilikia no ka hoʻomohala ʻana i ka pangastritis. Lawe pinepine i ka NSAID i ka uhi mucosal a hiki ke hoʻopili i nā huna ʻōpū. Hiki i kēia mau mea ʻelua ke alakaʻi i ka pehu.

3. Hoʻohana nui loa i ka waiʻona

Hiki i ka hoʻohana nui ʻana o ka waiʻona i nā hopena maikaʻi ʻole i kou kino, keu hoʻi i ka wā o ka digestive tract. Hiki i ka hōʻino ʻana i ka waiʻona ke alakaʻi i ka gastritis huehue a no nā mea inu mau, hiki ke alakaʻi ʻia i ka pangastritis pū kekahi.

4. Kaumaha koʻikoʻi

Hiki i ke koʻikoʻi ke hoʻopili i kou kino ma nā ʻano like ʻole. Hana ʻia nā loli Hormonal i nā wā pilikia, me kahi ma nā pae o ka acetylcholine a me ka histamine. Hiki i kēia ke hoʻololi i nā huna ʻōpū a alakaʻi i ka pangastritis i hoʻokomo ʻia i ke koʻikoʻi.

5. Nā kūlana pilikino

Kū ka gastritis autoimmune ke hoʻouka ke kino i nā huna parietal o ka ʻōpū. ʻO ka gastritis autoimmune kahi pangastritis, no ka mea aia wale nā ​​hunaola parietal i ke kupapaʻu (ʻāpana nui, ma waena o nā ʻaoʻao luna a me lalo) a me fundus (ʻaoʻao kiʻekiʻe) o ka ʻōpū. Eia nō naʻe, hiki i ka holomua o ka gastritis autoimmune ke hopena i ka pangastritis inā lilo hou ka mucosa i mea hōʻino ʻia i ka manawa.

ʻIke o ka panastritis

Nui a hewahewa nā kauka i hiki i kāu kauka ke hoʻohana e ʻike pono i ka maʻi maʻi. Pākuʻi ʻia kēia mau mea:

• Nā hoʻāʻo o ke koko, ka hanu, a i ʻole ka stool no ka mea h pylori. Hiki i kāu kauka ke hoʻohana i kekahi o kēia mau hōʻoia ʻekolu e hoʻoholo inā loaʻa iā ʻoe h pylorimaʻi maʻi:
  • Hiki i kahi hoʻokolohua koko ke ʻae i ke kauka e ʻike inā ʻeleu ʻoe a i ʻole ua maʻi ʻia ma mua.
  • Hiki i kahi hōʻike hanu urea ke hōʻike inā loaʻa ʻoe i kahi maʻi maʻi.
  • E ʻae kahi ʻōkuhi i ke kauka e ʻike inā aia kekahi h pyloriaia nā antigens i loko o kou kino.
• Hōʻike moʻo noho no ka kahe gastric. Hiki i ka Pangastritis a me nā ʻōpū ʻōpū hoʻonāukiuki ke kū ke koko i loko o ka pahu. E like me ka nānā ʻana i ka pahu holoi no ka h pylorimaʻi, hiki i ke kauka ke nānā i kāu pahu no ke koko i hoʻokumu ʻia e gastritis.
• Hōʻike kokono ka anemia. ʻO Pangastritis kekahi o nā kumu pilikia no ka hoʻomohala ʻana i ka anemia. I ka lilo ʻana o ka mucosa o ka digestive tract i mea hōʻino loa, lilo ia i mea paʻakikī ke omo i nā meaʻai mai ka meaʻai. Hiki i kēia ke hopena i ka B-12 deficit (pernicious) anemia a i ʻole ka anemia iron-deficit. Hiki i kāu kauka ke kauoha i kahi helu piha o ke koko (CBC) e hōʻoia no ka ʻulaʻula o ke koko, ke koko keʻokeʻo, a me nā pae hemoglobin.
• Papa moʻo GI luna a i ʻole endoscopy no ka poino. ʻO kahi papa GI kiʻekiʻe kahi hōʻike kahi e ʻike ai ke kauka i ka uhi o kou ʻōpū me nā pono kiʻi. ʻO kahi endoscopy kahi hana hoʻouka hou aku kahi i hiki ai i ke kauka ke nānā i ka loko o ka digestive tract me kahi paipu liʻiliʻi kāmele. Hiki i nā hoʻāʻo ʻelua ke kōkua i ka hoʻoholo inā ua hōʻino ʻia ka mucosa mai ka pangastritis.

Lapaʻau no ka panapitis

Inā ua hōʻoia ʻia ʻoe me ka pangastritis, aia kekahi mau ʻano lapaʻau like ʻole e makemake ai kāu kauka e lawe pū me ʻoe.

Ka mālama ʻana i kekahi maʻi maʻi mua

Inā ua hoʻokumu ʻia kāu pangastritis e ka maʻi maʻi me h pylori, he mea nui e mālama mua i ka maʻi. Wahi a ka, ke regimen no ka mālama ʻana iā an h pylori hiki ke hele i ka maʻi maʻi ma kahi o 10 a 14 mau lā.

Kauoha paha kāu kauka i hoʻokahi a ʻoi aku paha o nā lāʻau, e laʻa me:

• antibiotics (e like me amoxicillin a i ʻole tetracycline)
• ranitidine bismuth citrate
• mea pale lāʻau proton (PPI)

He mea nui e hoʻomaopopo ma muli o kēia hana lapaʻau, aia paha ma waena o ka hoʻohana a PPI a me ka hōʻino mucosal.

Ma kahi mai 2017, ua ʻimi nā kānaka noiʻi he 13 mau noiʻi kahi i waiho ʻia ai kēlā me kēia kanaka ma lalo o kahi hoʻolōʻihi PPI lōʻihi. Ua ʻike lākou he ʻoi aku ke kiʻekiʻe o ka hui PPI therapy o ka hoʻomōhala gastritis ma mua o ka pūʻulu kaohi.

Hoʻihoʻi hou i nā meaʻai momona

Inā loaʻa i kāu pangastritis kekahi hemahema o ka momona, makemake kāu kauka e hoʻihoʻi i kāu mau pae momona i ka hiki wawe.

I ka poʻe me ka panastritis, nā hemahema i ka hao a me ka huaʻai B-12 i alakaʻi pinepine ʻia i ka anemia. Makemake paha kāu kauka me kahi hao hao kiʻekiʻe, B-12, a i ʻole multivitamin supplement.

Hoʻoemi i ka waikawa ʻōpū me nā lāʻau

ʻO ka poʻe me ka panastritis he mau huna huna liʻiliʻi loa ia i ka ʻaoʻao digestive e kōkua ai i ka pale ʻana i ka pale mai ka waikawa ʻōpū. Hoʻokomo pinepine ka mālama ʻana i ka pangastritis i ka hoʻohana ʻana o nā lāʻau i hiki ke kōkua i ka hoʻohaʻahaʻa ʻana i kāu pae acid acid.

ʻO nā lāʻau hoʻohaʻahaʻa waikawa e kuhikuhi ʻia e kāu kauka:

• ʻAnakini. ʻO ke kuleana o ka antacid e hoʻopau i ka waikawa ʻōpū. ʻOkoʻa nā ʻano kumu ʻekolu o ka antacids e like me kā lākou mea hana - magnesium, calcium, a aluminika paha. ʻO nā antacid inoa inoa inoa maʻamau ʻo Alka-Seltzer, Rolaids, Mylanta, a me nā Tums.
• Nā poloka H2. Hana nā mea pale H2 i kahi ʻano ʻokoʻa iki ma mua o nā antacids. Ma mua o ka pale ʻana i ka waikawa o ka ʻōpū, pale ka H2 i nā hunaola i ke kahawai digestive mai ka hana ʻana i ka waikawa ʻōpū. Hiki i kēia ke kōkua e pale i ka hōʻino hou ʻana i ka mucosa maʻalea.
• Nā mea kūpale Proton pump (PPI).E like me ke ala o ka H2 blockers e hana ai, proton pump inhibitors i hoʻoliʻiliʻi hoʻi i ka huna o ka ʻōpū o ka ʻōpū. Eia nō naʻe, manaʻo ʻia nā PPI he koho lōʻihi loa no ka mea hiki ke lōʻihi ka manawa e lilo i hopena.
  ʻO nā PPI maʻamau i kuhikuhi ʻia ʻo Prilosec a me Prevacid. Ma muli o ka hoʻohana lōʻihi o nā PPI kahi no ka pangastritis, hiki i kāu kauka ke hoʻokokoke aku i kā lākou hoʻohana me ka akahele.

Hoʻololi nā meaʻai

He mea nui ka hoʻololi ʻana i nā papaʻai no nā poʻe i loaʻa ka pangastritis e kōkua i ka hōʻemi ʻana i ka huhū hou i ka uhi o ka ʻōpū. He mea nui ka nānā ʻana:

• nā meaʻai i kiʻekiʻe i ka fiber, e like me nā hua a me nā mea kanu
• nā mea ʻai haʻahaʻa i ka momona, e like me ka protein protein
• nā meaʻai e hoʻoliʻiliʻi iki ai i nā kiʻekiʻe o ka acid acid
• nā mea inu me ka ʻole o ka carbonation a me ka caffeine

He mea nui nō hoʻi e hōʻalo i nā meaʻai aʻe e like me ka hiki.

• ʻalekohola, caffeine, a me nā mea inu kalapona
• mea ʻai momona loa
• nā mea momona a i ʻole nā ​​mea i hoʻomoʻa ʻia i ka hohonu
• mea ʻai nīoi

Pākuʻi hou

Aia kekahi koho ʻē aʻe, ma ka home āu e makemake ai e hoʻopili i kāu ʻano lapaʻau. Pākuʻi ʻia kēia mau mea:

• Nā Probiotics. ʻO nā Probiotics nā meaola maikaʻi i loaʻa i loko o ka ʻōpū e hiki ke kōkua i ka mālama pono ʻana i kāu wahi digestive. Ua ʻōlelo ʻia ka noiʻi he koho maikaʻi paha ka probiotic therapy no ka poʻe me ka gastritis. I hoʻokahi, ua hoʻāʻo nā kānaka noiʻi i ka hoʻohana ʻana o kahi probiotic BIFICO (loaʻa i loko Enterococcus faecalis, Bifidobacterium longum, a Lactobacillus acidophilus) ma h pylori-e hoʻoiho gastritis i nāʻiole. Ua ʻike lākou i ka mālama ʻia ʻana me ka cocktail probiotic e hoʻemi ana i ka mumū o ka ʻōpū. Eia nō naʻe, kaupalena ʻia ka noiʻi ʻana i ka hoʻohana ʻana i nā probiotics ma ke ʻano he lapaʻau no gastritis i nā kānaka.
• ʻO Glutamine ʻO ka Glutamine kahi waikawa amino nui. ʻO kekahi o nā kuleana o ka glutamine ma ke ʻano he precursor i kekahi o nā antioxidants ikaika loa i ke kino, glutathione. ua ʻōlelo ʻia e hana paha ka glutamine i kahi pale pale i ka hōʻino ʻia mucosal akā naʻe, pono hou ʻia ka noiʻi hou ʻana i nā hoʻokolohua hoʻokolohua.
• Nā Antioxidant. ʻO kekahi o nā mea nui i loko o ke kino o ke kanaka he mau antioxidant. Kōkua nā Antioxidant i ka pale ʻana i ke kino mai ka hōʻeha ʻana o ka oxidative DNA. I ka poʻe me ka pangastritis, hiki i ka mumū o ka uhi mucosal ke alakaʻi i ke koʻikoʻi oxidative i nā huna o ka ʻōpū.
  I hoʻokahi, ua ʻike nā kānaka noiʻi ua hoʻemi ʻia ka lapaʻau ʻana me ka reseratrol antioxidant H. pylori-e hoʻoiho i ka mumū o ka ʻōpū i nāʻiole. Eia nō naʻe, pono hou ʻia nā hoʻokolohua hou a ke kanaka e hoʻoholo ai i ke kuleana kikoʻī o ka hoʻoliʻi antioxidant no ka panastritis.
• ʻO nā waikawa momona Omega-3. Ua hoʻohana ʻia nā wai momona momona polyunsaturated i ka papa ʻaʻai ma loko o ka mōʻaukala ma muli o kā lākou hopena anti-inflammatory, ma waena o nā pono ʻē aʻe. I kēia mau lā i ka 2015 ʻike ʻia hiki i ka n-3 PUFA supplementation ke hiki ke hoʻopau i ka lī a me ka pōʻino i hoʻokumu ʻia e gastritis. Hoʻohui ʻia, hōʻemi paha ia i ka makaʻu o ka hoʻomohala ʻana i nā maʻi ʻoi loa, e like me ka maʻi ʻaʻai ʻōpū.
• Nā mea hoʻohui meaʻai hou aʻe.ʻO Garlic, ginger, a me turmeric nā meaʻai āpau āpau e hiki ke hoʻopili ʻia i ka papaʻai e ālai ai i ka ulu ʻana o nā bacteria maikaʻi ʻole i loko o ka ʻōpū.

ʻO Outlook no ka panastritis

ʻO Pangastritis kahi ʻano gastritis mau, ʻo ia hoʻi he pono ka mālama ʻana a me ka hoʻokele i ka wā lōʻihi.

ʻO ka gastritis hoʻomau, mālama ʻole ʻia kahi kumu pilikia no ka hoʻomohala ʻana i nā maʻi he nui. Pākuʻi ʻia kēia mau mea:

• ʻōpū o ka ʻōpū
• kahe ʻana o ka ʻōpū
• anemia
• maʻi ʻaʻai ʻōpū

ʻO ka mālama ʻana i nā kumu i lalo a me ka hoʻōla ʻana i ka ʻōpū nā mea nui i ka hoʻēmi ʻana i ka makaʻu o kēia mau ʻano pili.

No kēia mau kumu, he mea nui e kiʻi i kahi hōʻailona mai kāu kauka a kūkā e pili ana i kahi hoʻolālā hoʻomalu.

Kāohi ʻana i ka panastritis

Hoʻomaka ka pale ʻana i ka panastritis me nā ʻano nohona olakino. Eia kekahi mau kaʻina i hiki iā ʻoe ke lawe:

• E holoi pinepine i kou mau lima e pale i ka hoʻolaha ʻana o h pyloriiā ʻoe iho a me nā poʻe ʻē aʻe.
• Hōʻalo i ka inu waiʻona nui, no ka mea hiki ke hoʻonāukiuki i ka pale o kou ʻōpū.
• Ka palena o ka NSAID a me ka lāʻau ʻeha e hoʻohana ai i mea e pale ai i ka lī o ka ʻōpū o ka ʻōpū.