Contents
Kumburi na mucosa na ciki yana daya daga cikin cututtukan da aka fi sani da mutane. Kusan 80-90% na mutane a lokacin rayuwarsu suna da aƙalla kashi ɗaya na wannan cuta. A cikin tsufa, har zuwa 70-90% na mutane suna fama da nau'ikan gastritis daban-daban. Na kullum nau'i na gastritis iya canza zuwa peptic ulcer, ciki ciwon daji.
Menene gastritis?
Gastritis wani kumburi ne na mucous Layer na ciki, yana haifar da rashin aiki na wannan sashin jiki. Lokacin da gastritis ya faru, abinci yana farawa da rashin narkewa, wanda ke haifar da raguwa da rashin ƙarfi. Gastritis, kamar yawancin cututtuka, yana da m kuma na kullum. Bugu da kari, akwai gastritis tare da low, al'ada da high acidity na ciki.
A halin yanzu, gastritis za a iya riga an kira cutar ta karni. Sun cutar da manya da yara. Kuma bisa ga kididdigar kiwon lafiya, a Rasha game da 50% na yawan jama'a suna da gastritis a wasu nau'i.
Gastritis yana da nau'o'in dalilai na waje da na ciki wanda ke haifar da ci gaban pathology. A asibiti, yana faruwa a cikin nau'i na kumburi (m ko na kullum). M kumburi yana da ɗan gajeren rayuwa. Lalacewa ga mucous membranes na ciki tare da maida hankali acid, alkalis da sauran sinadarai ne mai hadarin gaske m.
Cutar da ke gudana na dogon lokaci (na yau da kullun) yana rage ingancin rayuwa kuma yana bayyana kansa a cikin nau'in ciwo, haka kuma:
Nauyi a cikin ciki;
ƙwannafi;
Belching;
amai;
Zawo da/ko maƙarƙashiya;
Kumburin ciki;
Ciwon ciki - fitar da iskar gas;
Warin baki.
Tsarin na yau da kullun yana da haɗari atrophy na mucosa na ciki. A sakamakon haka, gland na ciki ya daina aiki kullum. Kwayoyin da ba su da kyau suna samuwa a madadin ƙwayoyin lafiya. Rashin daidaituwa a cikin tsarin warkar da kai na kwayoyin mucosa na ciki yana daya daga cikin abubuwan da ke haifar da ulcers da ciwon daji na gastrointestinal tract.
Ciki shine sashin mafi rauni na tsarin narkewa. Akalla matakai uku masu rikitarwa na narkewa suna faruwa a cikinsa: wannan shine haɗawar coma na abinci, rushewar sinadarai na abinci, da kuma ɗaukar abubuwan gina jiki.
Bangon ciki na ciki, mucosa, ya fi lalacewa sau da yawa, inda aka samar da nau'o'in nau'i biyu na narkewa - ruwan 'ya'yan itace na ciki da ƙwayar karewa.
Narkewa a cikin ciki shine ingantaccen tsarin sinadarai na jiki. An tabbatar da wannan ta al'ada acidic pH na ruwan 'ya'yan itace na ciki (babban bangarensa shine hydrochloric acid), amma kuma ta hanyar bambancin ma'aunin acidity a sassa daban-daban. Ana lura da babban acidity (pH 1,0-1.2) a farkon ɓangaren ciki, da ƙananan (pH 5,0-6,0) - a mahaɗin ciki tare da ƙananan hanji.
Babban abin da ke faruwa shi ne cewa a cikin mutum mai lafiya, ciki ba kawai ya narke kansa ba, har ma da ruwan ciki da gland ya samar a sassa daban-daban na jiki yana da halaye daban-daban. A lokaci guda, yanayin pH a cikin esophagus yana da tsaka tsaki, kuma a cikin duodenum (sashe na farko na ƙananan hanji) shine alkaline.
Wani rashin jin daɗi, jin zafi na mutumin da ke da gastritis - ƙwannafi - shine da farko sakamakon cin zarafi na ma'auni na acid-base a daya daga cikin sassan gastrointestinal tract. Bugu da ƙari, ƙetare ma'auni na acid daga al'ada a wasu sassa na ciki yana haifar da pathogenesis na gastritis tare da ƙananan ko babban acidity.
Babban tasiri akan tsarin narkewa: abinci ko guba na sinadarai, sakin bile a cikin ciki, cututtukan hanji, shan wasu magunguna na yau da kullun, abubuwan sha na carbonated, barasa da sauran abubuwan da ke haifar da mummunan tasiri akan yanayin mucosa na ciki. An tabbatar da tasiri mai tsanani na ƙananan ƙwayoyin cuta a kan ci gaban gastritis.
Tasirin gaggawa na ɗan gajeren lokaci akan tsarin narkewa yana iyakance ga bayyanar asibiti a cikin nau'in kumburin kumburin yanayi mai zuwa:
Catarrhal;
fibrinous;
Necrotic;
Phlegmonous.
Catarrhal gastritis yana hade da rashin abinci mai gina jiki da kuma guba mai laushi. Fibrinous da necrotic gastritis yawanci ana haifar da su ta hanyar guba tare da gishiri na karafa masu nauyi, acidic acid da alkalis. Gastritis na phlegmonous yana haifar da rauni mai rauni ga bangon ciki.
Tsawaita bayyanarwa ga kwayoyin da ke da rauni ya ƙare tare da haɓakar cututtukan cututtuka na yau da kullum, wanda ya tsananta ta hanyar cututtuka na ulcerative a kan ganuwar ciki. Gastritis na iya zama harbingers na oncological tafiyar matakai a cikin gastrointestinal fili.
An tabbatar da nau'ikan bayyanar cututtuka na gastritis na ciki a cikin mutane ta hanyar rarrabuwar su. Cikakkun alamun bayyanar cututtuka na gastritis yana da mahimmanci ga masu ilimin gastroenterologists lokacin da suke tsara hanyoyin magani. A cikin yanayinmu, wannan shine kwatanci na nau'ikan nau'ikan cutar don samar da ra'ayi na gaba ɗaya na gastritis a cikin mai karatu.
Wani rukuni na gastritis ba shi da alaƙa da ƙananan ƙwayoyin cuta, ko da yake a wasu matakai wannan haɗin zai iya bayyana.
Gastritis marasa microbial sun kasu kashi da yawa:
Barasa. Cutar tana tasowa a ƙarƙashin tasirin amfani da giya mai ƙarfi na yau da kullun (giya yana da pH na alkaline) akan bangon wasu abubuwan da yawa waɗanda ke da alaƙa da babban tasirin babban allurai na barasa ethyl a jiki;
NSAID-induced gastritis. NSAIDs su ne wadanda ba steroidal anti-inflammatory kwayoyi da ake amfani da su a yawancin cututtuka kamar antipyretic, analgesic da antiplatelet kwayoyi. Shahararrun magungunan wannan rukunin magunguna sune acetylsalicylic acid (aspirin), analgin, diclofenac, indomethacin, ketoprofen, ibuprofen, piroxicam. Yin amfani da NSAIDs ba tare da kulawa ba yana ƙarfafa ci gaban gastritis, sannan kuma ya canza shi zuwa gyambon ciki.
Bayan-resection. Irin wannan gastritis yana tasowa bayan tilasta cire wani sashi na ciki.
Chemically ya haifar da gastritis. Suna haɓaka ne sakamakon haɗari ko na musamman na sinadarai waɗanda ke da ƙayyadaddun kaddarorin ga furotin na mucous membranes na ciki.
Gastritis na asali ba a sani ba.
A cikin ƙwararrun likitocin, ana amfani da wasu nau'ikan cututtukan gastritis, gami da, bisa ga nau'in yaduwar pathogenesis:
Autoimmune gastritis (nau'in A);
Exogenous gastritis (nau'in B), tsokanar Helicobacter pylori;
Mixed gastritis (nau'in A + B);
Gastritis (nau'in C) wanda NSAIDs ke tsokane shi, abubuwan da ke haifar da haushi ko bile;
Siffofin musamman na gastritis;
Gastritis a kan bango na raguwa da karuwa a cikin ɓoye na hydrochloric acid;
Sauran nau'o'in ilimin halittar jiki da bayyanar cututtuka na gastritis.
Bambance-bambancen su ya haɗa da yin amfani da hadadden dakin gwaje-gwaje na likita ko dabarun kayan aiki a matakin gano cutar. Sabili da haka, bayanin gastritis, wanda ke da kusan alamun asibiti iri ɗaya, amma ya bambanta a cikin hanyoyin da ke tattare da cututtuka, ba shi da sha'awa ga yawancin masu karatu.
Bari mu zauna daki-daki a kan manyan alamomi da alamun bayyanar cututtuka na gastritis, wanda zai iya zama tushen tushen mutum don tuntuɓar ma'aikatan kiwon lafiya don taimako.
Alamomi da alamun gastritis na ciki
Gastritis yana da alamun bayyanar cututtuka daban-daban, amma zai iya faruwa ba tare da bayyananniyar bayyanar ba. Alamar da ta fi dacewa ita ce jin zafi a cikin hasken rana, wanda ya tsananta bayan shan wasu nau'o'in abinci, ruwa da magunguna, musamman ma wadanda suka kara tsanantawa ga mucosa na ciki. Wani lokaci ciwon yana kara tsananta tsakanin abinci. Tare da gastritis, abinci mai yaji, barasa, abubuwan sha na carbonated da sauran abinci, amfani da abin da ke haifar da haɓakar gastritis, an hana su.
Mahimmanci, amma ƙananan alamun gastritis na yau da kullum sune ƙwannafi, amai, da belching. A wasu lokuta cutar kan bayyana ta hanyar kumburi da yawan fitar da iskar gas. Bayyanar biyu ko fiye daga cikin alamun da ke sama a kan bangon ciwon ciki shine dalili don zargin gastritis.
Hakanan ana nuna cutar ta hanyar cin abinci mai yaji, da magunguna da kuma ruwa mai tsauri jim kaɗan kafin fara jin zafi.
Zai fi wuya a gano alamun cututtukan gastritis na kullum. Na dogon lokaci, alamun cutar sun iyakance ga stools na yau da kullun, plaque a kan harshe, gajiya, hayaniya da ambaliya a cikin ciki tsakanin abinci, tashin zuciya, zawo mai maimaitawa ko maƙarƙashiya.
Gastritis na yau da kullum ba ya da wani tasiri mai mahimmanci akan yanayin asibiti na majiyyaci, ban da raguwa a cikin ingancin rayuwa. A cikin nau'i mai laushi, gastritis na yau da kullum yana da alamun maƙarƙashiya da zawo. A cikin nau'i mai tsanani, sai dai waɗanda aka nuna - yawan fitar da iskar gas na hanji, anemia, barci, gumi mai sanyi, ƙãra peristalsis, halitosis.
Alamun high acidity
Mafi yawan alamun gastritis tare da babban acidity, ban da bayyanar cututtuka na gaba ɗaya (amai, tashin zuciya):
Jin zafi mai tsawo a cikin hasken rana, bace bayan cin abinci;
Yawan zawo;
ƙwannafi bayan cin abinci mai tsami;
Yawan sha'awar wuce iskar gas daga baki - belching.
Alamun rashin acidity
Mafi yawan alamun gastritis tare da low ko sifili acidity:
Dagewar mummunan dandano a baki
nauyi a cikin ciki bayan cin abinci;
"Kuna" ruɓaɓɓen qwai;
Guguwa;
Tashin zuciya da safe;
Matsaloli tare da daidaituwar hanji;
Wari mai banƙyama daga baki.
Alamun exacerbation na gastritis
Maimaituwar cututtukan gastritis na yau da kullun yana da alamun bayyanar cututtuka iri-iri, alamun da aka fi sani da su sune:
Ciwo na yau da kullun ko na lokaci-lokaci a cikin plexus na rana, wanda ke ƙaruwa nan da nan bayan cin abinci, ko akasin haka, tare da tsawaita azumi;
Belching tare da iska, ƙonewa a cikin sternum, ƙwannafi bayan cin abinci, dandano na ƙarfe a bakin;
Tashin zuciya, amai da safe na abinci mai narkewa tare da halayyar ɗanɗano mai tsami, wani lokacin amai na bile;
Ƙara salivation, ƙishirwa, rauni;
Bayyanar cututtuka na dyspepsia (maƙarƙashiya, zawo);
Dizziness, bugun jini, ciwon kai.
Alamomin da ke haifar da haɓakar nau'ikan cututtukan gastrosive (mai tsanani) suna haɓaka ta hanyar amai tare da gudan jini, wani lokacin amai tare da launin duhu na amai. Zubar da ciki yayin motsi na hanji yana bayyana ta baƙar fata. Wasu lokuta ana iya tantance zubar jinin ciki ta hanyoyin dakin gwaje-gwaje. Babban zub da jini na ciki yana bayyana ta pallor fata da mucous membranes kuma ana iya ƙaddara shi cikin sauƙi ta launin sclera na idanu, dizziness, da tinnitus.
Ciwo a cikin ciki tare da gastritis
Gastralgia - zafi a cikin bango na ciki (kogo) - muhimmiyar alama na gastritis. A halin yanzu, ciwo yana tare da wasu cututtuka na gabobin ciki, waɗanda ake kira "cikin ciki mai tsanani". Ana nuna alamun rashin jin daɗi a cikin nau'i na ciwo, da kuma sokewa, dannawa, harbi, konewa da sauran nau'in ciwo.
Ciwo mai kama da gastralgia na iya zama alamar ciwon zuciya na zuciya, kumburin membranes na zuciya da huhu, da kuma karaya. Za a iya lura da ciwo a cikin ciki tare da kwayar cutar kwayar cuta, kwayoyin cuta da cututtuka na parasitic a cikin hanji, matsalolin mata na musamman, neurosis, ciwon sukari.
A gida, zaku iya gane ciwon da ya haifar da gastritis daidai. Mafi halayyar gastritis da kuma bambanta shi daga sauran pathologies na "m ciki" sune raɗaɗin da ke karuwa bayan:
Cin abinci, musamman kayan yaji da shan taba;
Yin amfani da barasa ko wasu magunguna, musamman magungunan anti-inflammatory marasa steroidal;
Tsawon hutu daga cin abinci.
Zaɓuɓɓukan da suka rage don abin da ke faruwa na ciwo a cikin ciki a cikin rashin ƙwarewar asibiti da kuma ikon yin amfani da dakin gwaje-gwaje da hanyoyin bincike na kayan aiki na iya zama sauƙin rikicewa tare da alamun wasu cututtuka.
Abubuwan da ke haifar da gastritis
Babban abin sha'awa shine abubuwan da ke haifar da nau'in gastritis na yau da kullun. Ware abubuwan waje da na ciki waɗanda ke haifar da ci gaban cutar. Abin sha'awa shine, a wasu mutane, gastritis yana tasowa da yawa a hankali kuma ba ya da wani tasiri a jiki. Wato, mafi mahimmanci, abubuwan da ke haifar da gastritis suna ɓoye a bayan abubuwa da yawa da haɗuwa.
Mafi mahimmancin abubuwan waje na gastritis:
Tasiri kan bangon ciki na ƙwayoyin cuta Helicobacter pylori, ƙasa da yawa sauran ƙwayoyin cuta da fungi. Kimanin kashi 80% na marasa lafiya da aka gano tare da gastritis suna ɓoye kwayoyin acid-resistant waɗanda ke rayayye shiga cikin bangon mucosa na ciki, ɓoye takamaiman abubuwan da ke fusatar da ƙwayar mucous, tada canjin gida a cikin pH na bangon da kumburin su. Amsar ƙarshe, dalilin da yasa waɗannan ƙwayoyin cuta ke haifar da babbar illa ga wasu mutane, ba ga wasu ba, har yanzu ba a san su ba;
Rashin cin abinci. An tabbatar da cewa rashin abinci mai gina jiki shine abin da ke haifar da gastritis. Maganar gaskiya ce ga duka cin abinci da rashin abinci. Wajibi ne don sarrafa abinci tare da kayan abinci na shuka mai wadatar bitamin da fiber na shuka, wanda ke daidaita peristalsis. Duk da haka, tare da ci gaban matakan farko na gastritis, ya zama dole don guje wa abinci da ke dauke da fiber na kayan lambu masu yawa, da abinci mai mai, kayan yaji, gwangwani da pickled abinci;
An keɓe shan barasa a matsayin wani dalilin daban na gastritis na ciki. Ethanol a cikin ƙananan adadi shine muhimmin sashi na tsarin tafiyar da kwayoyin halitta a cikin jiki, duk da haka, yawan barasa yana haifar da rashin daidaituwa na acid-base a cikin jiki. Bugu da ƙari, barasa a cikin manyan allurai tare da amfani na yau da kullum yana cutar da sauran gabobin narkewa - hanta, pancreas, kuma yana da tasiri mai tasiri akan tafiyar matakai na rayuwa a cikin jiki;
An lura cewa wasu kwayoyi da aka yi amfani da su sosai a magani a matsayin anti-clotting (antiplatelet), analgesic da anti-inflammatory kwayoyi suna da mummunar tasiri - suna fusatar da mucosa na ciki. Mafi sau da yawa, gastritis yana haifar da magungunan anti-inflammatory marasa hormonal (aspirin, analgin) da glucocorticoid hormones (prednisone). Ana ba da shawarar waɗannan magungunan don amfani da su sosai don dalilai na likita, a juzu'i, a cikin ƙananan allurai, bayan abinci;
Wasu masu bincike lura da tasiri a kan ci gaban gastritis na helminthic invasions, m danniya, m sunadarai, hadiye bazata ko ganganci.
Babban ciki (dangane da cin zarafi na homeostasis) abubuwan da ke haifar da gastritis:
Haihuwar ɗan adam ga cututtukan gastrointestinal;
Duodenal reflux - pathological amai na bile daga duodenum zuwa ciki. Bile, shiga cikin rami na ciki, yana canza pH na ruwan 'ya'yan itace kuma yana fusatar da mucous membrane. Da farko kumburin antrum na ciki yana tasowa, sannan sauran sassansa sun shiga ciki;
Ayyukan autoimmune, lalacewa a matakin rigakafi na kaddarorin kariyar ƙwayoyin ƙwayoyin cuta na mucosa na ciki. Sakamakon haka, sel suna daina aiki akai-akai kuma suna rasa ainihin kaddarorin su. Wannan al'amari yana haifar da raguwa na ƙananan halayen da ke canza pH na ruwan 'ya'yan itace, kuma yana haifar da haushi na bangon ciki akai-akai. Akwai maye gurbi da kuma cin zarafi na juriya na mucosa zuwa yanayin m na ruwan 'ya'yan itace na ciki;
Rashin cin zarafi na hormonal da bitamin metabolism, sakamako na reflex na pathogenesis na gabobin da ke kusa da ciki.
Nau'in gastritis:
Tare da taimakon kayan aiki da hanyoyin aiki, yawancin bambance-bambancen gastritis an gano su. Duk da haka, kowa ya rabu zuwa gastritis tare da:
Al'ada ko ƙara yawan acidity;
Zero ko low acidity.
Alamun gastritis tare da ƙananan acidity ko babban acidity za a iya bambanta gabaɗaya, duk da haka, ana yin ganewar asali ta ƙarshe akan nazarin ruwan 'ya'yan itace na ciki da aka samu ta hanyar bincike, da kuma pH-metry na intragastric ta amfani da na'urori masu auna firikwensin da aka saka cikin ciki. Hanya ta ƙarshe ta dace a cikin cewa kulawa na dogon lokaci na sigogi na ruwan ciki yana yiwuwa. A wasu lokuta, ana ƙayyade pH na abubuwan ciki a kaikaice, a cikin nazarin pH na fitsari.
Gastritis acid
Yana da yanayin zafi mai tsanani a cikin plexus na hasken rana ko a cikin cibiya, yawanci na yanayin paroxysmal. Ciwon yana raguwa bayan cin abinci na abinci, yana ƙaruwa tsakanin abinci. Jin zafi a cikin hypochondrium na dama shine shaida na shigar da ruwan ciki a cikin duodenum. Pathology yana da ƙwannafi, rashin lafiyan safiya, ɓarna belching, rumbling a cikin ciki, zawo (maƙarƙashiya ya fi dacewa ga gastritis tare da ƙananan acidity), dandano na karfe a cikin baki.
A wasu lokuta, cutar ta ci gaba da jujjuyawar bayan shan barasa, kwayoyi na ƙungiyar NSAID, glycosides na zuciya (digitis), shirye-shiryen potassium, hormones (prednisolone, dexamethasone, hydrocortisone). Ana iya haifar da harin ta hanyar amfani da abinci "nauyi". Nau'in gastritis an ƙaddara ta hanyar binciken likita.
Gastritis tare da low acidity
Acid ɗin da ke cikin ciki yana shiga cikin rushewar farko na zaruruwan abinci.
Gastritis tare da ƙarancin acidity yana bayyana sau da yawa ta hanyar nauyi a cikin ciki, saurin jin daɗi bayan cin abinci, haɓakar iskar gas na hanji. A wasu lokuta, ana iya gyara cutar ta hanyar shan enzymes masu narkewa (festal, gastal). Kuna iya magance gastritis anacid a gida, yana da sauqi. Tun da ruwan 'ya'yan itace na ciki ya rage kaddarorin, ya kamata ku ci abinci na dogon lokaci. Nika coma na abinci a hankali a cikin rami na baka da sarrafa shi da miya hanya ce mai inganci wacce ba ta magani ba don magance gastritis.
Gastritis mai tsanani
Catarrhal gastritis yana tasowa a ƙarƙashin rinjayar kwayoyi masu haɗari (aspirin, sauran NSAIDs), abubuwan sha masu cutarwa (giya, lemonade carbonated tare da amfani da yawa) da abinci mai nauyi (mai, gishiri, kyafaffen, pickled). Gastritis kuma an san shi a kan bangon cututtuka masu guba (salmonellosis da sauransu), da kuma baya ga gazawar koda da hanta. M siffofin gastritis za a iya tsokane ta da pathologies da ba kai tsaye alaka da gastrointestinal fili ( ciwon huhu, frostbite). Wannan ya faru ne saboda tarin samfuran da ba a cika su ba a cikin jini yayin tsananin kumburin huhu, wanda ke haifar da kumburin bangon ciki. Bayyana kuma m gastritis a kan bango na danniya.
Phlegmonous gastritis - sakamakon rauni na ganganci ko na bazata ga bangon ciki (fili, gilashi, kusoshi). Ana nuna cutar ta hanyar purulent fusion na ganuwar ciki.
Alamun catarrhal (mai sauƙi) m gastritis mai tsanani suna bayyana sa'o'i 5-8 bayan bayyanar da yanayin rikici. Pathogenesis yana farawa tare da jin zafi a cikin yankin epigastric (masu ma'anar: a cikin rami na ciki, a cikin hasken rana). Ciwo yana tasowa a wannan yanki, tashin zuciya, amai, dandano na ƙarfe a baki. Gastritis mai guba mai kamuwa da cuta yana cike da zazzabi, amai mai tsayi da gudawa. Wani yanayi mai tsanani yana da alamun zubar da jini - wannan shi ne mai lalacewa (necrotic) gastritis. Gastritis phlegmonous yana bayyana ta abubuwan mamaki na peritonitis: bangon ciki mai tsauri, yanayin girgiza.
Na kullum gastritis
A cikin matakan farko, cutar ta ci gaba ba tare da bayyanar cututtuka ba. Rashin hankali ga wasu nau'ikan abinci yana bayyana lokaci-lokaci ta hanyar ƙwannafi da kumburin ciki. Sau da yawa akwai jin nauyi tare da cikakken ciki, ana samun plaque da wani tsari na musamman akan harshe.
Na kullum nau'i na gastritis iya ci gaba a kowane zamani: daga shekaru 20 zuwa tsufa. Cutar tana da alaƙa da lokutan haɓakawa da haɓakawa. A lokacin lokacin tashin hankali, alamun gastritis na yau da kullum ba su bambanta da bayyanar cututtuka na mummunan nau'in cutar ba - zafi, hade da tashin zuciya, wani lokacin amai. Abubuwan da ba su da daɗi suna ƙaruwa bayan shan wasu nau'ikan abinci. Yawancin lokaci wannan wasu samfuran samfuran ne waɗanda yakamata ku tuna kuma kuyi ƙoƙarin ware su daga abinci ko iyakance amfani.
Pallor na mucous membranes na iya zama alamar wata cuta - atrophic gastritis. Yana faruwa a bayan rashi a jikin bitamin B12. Wannan bitamin yana da matukar muhimmanci ga samuwar jini. Atrophic gastritis ba zai iya samun wasu alamu masu ban mamaki ba, sai dai na pallor. Haɗarin cutar shine cewa yana da harbinger na ci gaban ciwon daji a cikin epithelium na ciki. Gano anemia a kan bangon alamun gastritis lokaci ne don bincika yanayin lafiya sosai.
Jikin ɗan adam yana da manyan albarkatu masu kariya, don haka canjin salon rayuwa, cin abinci da abinci da ƙayyadaddun magani da aka tsara yadda ya kamata yana ƙara yuwuwar magani ga kowane nau'in gastritis.
Ta yaya za ku taimaki kanku a gida?
Babban dalilin gastritis shine yawan amfani da abubuwa biyu masu zuwa:
Aspirin (acetylsalicylic acid);
Barasa (ethyl barasa, ethanol).
asfirin sannan likitocin zuciya sun ba da kwatankwacinsa na tsawon lokaci na yau da kullun kuma dole ne a yi amfani da shi don hana ciwon zuciya da bugun jini. Dubun dubatar mutane a kullum suna shan aspirin a matsayin hanyar hana samuwar gudan jini, wanda ke sa matsalar rashin lafiyar amfani da NSAIDs cikin gaggawa.
Shirye-shiryen Acetylsalicylic acid suna da kyawawan kaddarorin antiplatelet, wato, suna hana haɓakar ɗigon jini a cikin tasoshin. Ciwon jini shine babban dalilin ciwon zuciya da bugun jini. Duk da haka, aspirin da sauran NSAIDs suna da sakamako mara kyau - suna fushi da mucous membranes na gastrointestinal tract. Masu fama da hawan jini suna amfani da waɗannan magungunan kullun tare da wasu magunguna. Rashin rashin daidaituwa na aspirin da analogues na iya haifar da ƙarin matsala ga marasa lafiya - gastritis. Wannan gaskiya ne ga duk mutanen da ke cikin rukunin tsofaffi waɗanda ke fama da hauhawar jini, angina pectoris, waɗanda suka sha wahala ko kuma suna cikin haɗarin haɓaka cututtukan zuciya.
barasayadu amfani da wasu rukunoni na 'yan ƙasa. A cikin mutanen da ke fama da cututtuka na gastrointestinal tract, ko da matsakaicin amfani da ethanol na iya haifar da exacerbation na gastritis. Barasa yana da kaddarorin alkaline. Rashin daidaituwa na yau da kullun na yanayin acidic na ciki tare da ethanol yana haifar da yanayi don haushin bangon.
A halin yanzu, babu wani dalili na ware aspirin da sauran magunguna masu mahimmanci (ƙarfe, potassium, hormones, da dai sauransu) daga jerin magunguna masu amfani. A hankali karanta bayanin bayanan ga magungunan kuma a sha su bisa ga tsarin da likita ya ba da shawarar.
Musamman, zaku iya rage illolin shan aspirin ta hanyoyi masu zuwa:
Rage kashi ɗaya (tuntuɓi likitan ku);
Shan miyagun ƙwayoyi a jajibirin cin abinci;
Shan ruwa mai yawa;
Canji daga aspirin zuwa analogues na harsashi na zamani (THROMBO-ASS).
Lokacin rubuta aspirin da sauran NSAIDs, ya kamata a yi taka tsantsan idan mai haƙuri yana da:
Cutar cututtuka da cututtuka na peptic a cikin m mataki;
Rashin haƙuri ga shirye-shiryen acetylsalicylic acid;
Halin zubar jini na gastrointestinal;
Ciwon ashma;
gazawar koda;
Ciki a cikin mata.
Koyaushe gaya wa likitan ku idan kuna da wasu hani akan amfani da aspirin. Wannan zai taimaka wa likita don kewayawa, zaɓi madaidaicin sashi na miyagun ƙwayoyi, maye gurbin shi da mafi dacewa analogues ko magunguna na ƙungiyar magunguna daban-daban, daidaita hanyoyin aikace-aikacen, da rage yawan amfani da aspirin.
Yin amfani da kowane kwayoyi marasa ma'ana zai iya haifar da mummunan sakamako kuma yana hana sha wasu magungunan da aka tsara. Antacids dauke da aluminum a cikin manyan allurai suna haifar da maƙarƙashiya, magunguna masu ɗauke da potassium suna rage acidity na ciki (a wasu lokuta wannan dukiya ce mai amfani). Potassium kuma yana da amfani ga mata a lokacin al'ada.
Idan akwai rashin haƙuri ga wasu rukunin kwayoyi, ana maye gurbinsu da wasu. Alal misali, masu hana histamine-H2 na iya zama irin wannan maye gurbin. Magunguna a cikin wannan rukuni (cimetidine, ranitidine) magunguna ne na kan-da-counter. Wadannan allunan an wajabta su azaman hanyar daidaita acidity a cikin ciki, kuma, a sakamakon haka, rage zafi a cikin hyperacid gastritis.
Amma ga barasa, ya kamata a watsar da shi a lokacin lokacin exacerbation na gastritis da kuma yin amfani da pharmacological jamiái da cewa suna da wani m sakamako a kan gastrointestinal fili. Yin amfani da barasa na yau da kullum shine ainihin barazana ga ci gaban gastritis na ciki.
Magunguna don gastritis na ciki
A cikin arsenal na gastroenterologists don magani da rigakafin gastritis, akwai ƙungiyoyin magunguna da yawa na magunguna, ciki har da:
Enterosorbents - carbon da aka kunna, smecta;
Antacids;
Antiseptics da disinfectants;
maganin zawo;
maganin rigakafi na tetracycline;
Antihistamines (H2 subtype).