Gaastiriko

Gaastiriko waxay dhacdaa marka dahaarka caloosha uu bararo ama bararo.

Gaastiriko wuxuu socon karaa oo keliya waqti gaaban (gastritis daran). Waxa kale oo laga yaabaa inay raagto bilo illaa sannado (gaastiriko dabadheeraad ah).

Sababaha ugu badan ee keena Gaastiriko waa:

• Daawooyinka qaarkood, sida aspirin, ibuprofen, ama naproxen iyo dawooyin kale oo la mid ah
• Cabbitaan khamri culus
• Infekshinka caloosha oo leh jeermis la yiraahdo Helicobacter pylori

Sababaha ugu yar ayaa ah:

• Xanuunada isdifaaca jirka (sida halista dhiig yaraanta)
• Dib-u-soo-shubidda caloosha ee caloosha (bile reflux)
• Ku xadgudubka kookaha
• Cunista ama cabitaanka maaddooyinka dillaacsan ama sunta ah (sida sunta)
• Cadaadis daran
• Infekshinka fayraska, sida cytomegalovirus iyo herpes simplex virus (badanaa waxay ku dhacdaa dadka leh nidaam daciif ah)

Naxdin ama xanuun daran, lama filaan ah sida qalliin weyn, kelyo xanuun, ama la dhigo mashiinka neefsashada ayaa sababi kara gaastiriko.

Dad badan oo qaba gaastiriko ayaan lahayn wax calaamado ah.

Calaamadaha aad ku ogaan karto waa:

• Cunto xumo
• Lalabbo iyo matag
• Xanuun qeybta sare ee caloosha ama caloosha

Haddii gaastiriko uu sababayo dhiig ka imanaya dahaarka caloosha, astaamaha waxaa ka mid noqon kara:

• Saxaro madow
• Matag dhiig ama qaxwaha sida sheyga

Tijaabooyinka laga yaabo in loo baahdo waa:

• Tirinta dhiigga oo dhammeystiran (CBC) si loo hubiyo dhiig-yaraan ama dhiig-yare
• Baadhitaanka caloosha ee loo yaqaan endoscope (esophagogastroduodenoscopy ama EGD) oo laga qaado biopsiga dahaarka caloosha.
• H pylori baaritaanka (tijaabada neefta ama saxarada)
• Baaritaanka saxarada si loo hubiyo in yar oo dhiig ah oo saxarada ku jira, taas oo astaan ​​u noqon karta calaamadaha dhiig baxa caloosha

Daaweyntu waxay kuxirantahay waxa dhibaatada keena. Qaar ka mid ah sababaha ayaa waqti ka dib socon doona.

Waxaad u baahan kartaa inaad joojiso qaadashada asbiriin, ibuprofen, naproxen, ama daawooyin kale oo laga yaabo inay sababaan gaastiriko. Had iyo jeer la hadal daryeel caafimaad bixiyahaaga kahor intaadan joojin wax daawo ah.

Waxaad isticmaali kartaa dawooyinka kale ee lagaa iibsado iyo kuwa dhakhtar qoro ee yareeya xaddiga aashitada ee caloosha, sida:

• Dawooyinka lidka ku ah
• H2 antagonists: famotidine (Pepsid), cimetidine (Tagamet), ranitidine (Zantac), iyo nizatidine (Axid)
• Proton pump inhibitors (PPIs): omeprazole (Prilosec), esomeprazole (Nexium), iansoprazole (Prevacid), rabeprazole (AcipHex), iyo pantoprazole (Protonix)

Antibiyootikada ayaa loo isticmaali karaa in lagu daaweeyo gaastariga raaga ee uu keeno infekshinka Helicobacter pylori bakteeriyada.

Aragtida ayaa kuxiran sababta, laakiin badanaa aad ayey ufiican tahay.

Dhiigbax iyo halista sii kordheysa ee kansarka caloosha ayaa dhici kara.

Wac adeeg bixiyahaaga haddii aad horumariso:

• Xanuun qaybta sare ee caloosha ama caloosha oo aan tagayn
• Saxaro madow ama tarry ah
• Matag dhiig ama wax bun u eg

Ka fogow isticmaalka muddada-dheer ee walxaha ka xanaajin kara calooshaada sida aspirin, daroogada anti-bararka, ama aalkolada.

• Qaadashada dawada asiidhka

• Nidaamka dheefshiidka
• Caloosha iyo xuubka caloosha

Feldman M, Lee EL. Gaastiriko. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger iyo Cudurka Mindhicirka iyo Beerka ee Fordtran: Pathophysiology / Diagnosis / Management. 10aad ed. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 52.

Kuipers EJ, Blaser MJ. Cudurka 'peptic acid'. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 25aad. Philadelphia, PA: Elsevier Saunders; 2016: cutubka 139.

Vincent K. Gaastiriko iyo cudurka ulcer. Gudaha: Kellerman RD, Rakel DP, eds. Daaweynta Conn ee hadda 2019. Philadelphia, PA: Elsevier; 2019: 204-208.