Ukuvimbela Umdlavuza Wesisu

Ulwazi Olujwayelekile Ngomdlavuza Wesisu

Umdlavuza wesisu (gastric) yisifo lapho amaseli abulalayo (umdlavuza) akheka esiswini.

Isisu siyisitho esimise okwe-J phezulu kwesisu.Iyingxenye yesimiso sokugaya ukudla, esicubungula imisoco (amavithamini, amaminerali, amakhabhohayidrethi, amafutha, amaprotheni, namanzi) ekudleni okudliwayo futhi kusize ukukhipha udoti emzimbeni.Ukudla kuhamba kusuka emphinjeni kuya esiswini ngeshubhu elingenalutho elinemisipha elibizwa ngokuthi umminzo.Ngemva kokuphuma esiswini, ukudla okugaywe ngokwengxenye kudlulela emathunjini amancane bese kungena emathunjini amakhulu.

Umdlavuza wesisuowesineumdlavuza ovame kakhulu emhlabeni.

Ukuvimbela Umdlavuza Wesisu

Okulandelayo yizici ezisengozini yomdlavuza wesisu:

1. Izimo ezithile zempilo

Ukuba nanoma yiziphi izimo zezokwelapha ezilandelayo kungandisa ingozi yomdlavuza wesisu:

• I-Helicobacter pylori (H. pylori) ukutheleleka kwesisu.
• I-metaplasia yamathumbu (isimo lapho amangqamuzana agudle isisu athathelwa indawo amaseli avame ukuhlanganisa amathumbu).
• I-Chronic atrophic gastritis (ukuncipha kolwelwesi lwesisu okubangelwa ukuvuvukala kwesisu isikhathi eside).
• I-anemia eyingozi (uhlobo lwe-anemia olubangelwa ukuntula kwe-vitamin B12).
• I-polyps yesisu (isisu).

2. Izimo ezithile zofuzo

Izimo zofuzo zingandisa ingozi yomdlavuza wesisu kubantu abananoma yikuphi kwalokhu okulandelayo:

• Umama, ubaba, udadewethu, noma umfowethu onomdlavuza wesisu.
• Thayipha igazi A.
• I-Li-Fraumeni syndrome.
• I-Familial adenomatous polyposis (FAP).
• Umdlavuza wekoloni we-Hereditary nonpolyposis (HNPCC; i-Lynch syndrome).

3. Ukudla

Amathuba okuba nomdlavuza wesisu angakhula kubantu aba:

• Yidla ukudla okuphansi kwezithelo nemifino.
• Yidla ukudla okunosawoti omningi noma okubhenyiwe.
• Yidla ukudla okungaphekwanga noma okungagcinwanga ngendlela okufanele kube ngayo.

4. Izimbangela zemvelo

Izici zemvelo ezingase zandise ingozi yomdlavuza wesisu zihlanganisa:

• Ukuchayeka emisebeni.
• Ukusebenza embonini yenjoloba noma yamalahle.

Amathuba okuba nomdlavuza wesisu ayanda kubantu abavela emazweni lapho umdlavuza wesisu uvame khona.

Okulandelayo yizici ezivikelayo ezinganciphisa ingozi yomdlavuza wesisu:

1. Ukuyeka ukubhema

Ucwaningo lubonisa ukuthi ukubhema kuhlotshaniswa nengozi eyengeziwe yomdlavuza wesisu.Ukuyeka ukubhema noma ukungalokothi ukubhema kunciphisa ingozi yomdlavuza wesisu.Ababhemayo abayeka ukubhema banciphisa amathuba okuba nomdlavuza wesisu ngokuhamba kwesikhathi.

2. Ukwelapha i-Helicobacter pylori

Ucwaningo lubonisa ukuthi ukutheleleka okungapheli nge-Helicobacter pylori (H. pylori) amagciwane kuhlotshaniswa nengozi eyengeziwe yomdlavuza wesisu.Lapho igciwane le-H. pylori lingena esiswini, isisu singase sivuvukele futhi sibangele izinguquko kumaseli agudle isisu.Ngokuhamba kwesikhathi, la mangqamuzana aba nokungajwayelekile futhi angase abe umdlavuza.

Olunye ucwaningo lubonisa ukuthi ukwelapha ukutheleleka kwe-H. pylori ngama-antibiotic kwehlisa ingozi yomdlavuza wesisu.Kudingeka ucwaningo olwengeziwe ukuze kutholwe ukuthi ingabe ukwelapha ukutheleleka kwe-H. pylori ngama-antibiotics kuyayehlisa isibalo sabantu ababulawa umdlavuza wesisu noma kugcina izinguquko olwelweni lwesisu, ezingaholela emdlavuzeni, ekubeni ubi nakakhulu.

Olunye ucwaningo lwathola ukuthi iziguli ezisebenzisa i-proton pump inhibitors (PPIs) ngemva kokwelashwa kwe-H. pylori zazisemathubeni amaningi okuthola umdlavuza wesisu kunalezo ezingawasebenzisi ama-PPI.Kudingeka ucwaningo olwengeziwe ukuze kutholwe ukuthi ingabe ama-PPI aholela emdlavuzeni ezigulini ezilashelwa i-H. pylori.

Akwaziwa ukuthi lezi zici ezilandelayo zehlisa yini ingozi yomdlavuza wesisu noma azinawo umthelela engcupheni yomdlavuza wesisu:

1. Ukudla

Ukungadli izithelo nemifino emisha eyanele kuxhunyaniswa nengozi eyengeziwe yomdlavuza wesisu.Olunye ucwaningo lubonisa ukuthi ukudla izithelo nemifino enovithamini C kanye ne-beta carotene kungase kunciphise ingozi yomdlavuza wesisu.Ucwaningo luphinde lubonise ukuthi okusanhlamvu okusanhlamvu okuphelele, ama-carotenoid, itiye eliluhlaza, nezinto ezitholakala kugalikhi zinganciphisa ingozi yomdlavuza wesisu.

Ucwaningo luveza ukuthi ukudla ukudla okunosawoti omningi kungandisa ingozi yomdlavuza wesisu.Abantu abaningi e-United States manje badla usawoti omncane ukuze behlise amathuba okuba nomfutho wegazi ophakeme.Lokhu kungase kube kungani amazinga omdlavuza wesisu ehlile e-US

2. Izithako zokudla

Akwaziwa ukuthi ukuthatha amavithamini athile, amaminerali, nezinye izithasiselo zokudla kusiza ukunciphisa ingozi yomdlavuza wesisu.E-China, ucwaningo lwe-beta carotene, uvithamini E, kanye nezithako ze-selenium ekudleni kwabonisa inani eliphansi labantu ababulawa umdlavuza wesisu.Ucwaningo kungenzeka luhlanganise abantu ababengenazo lezi zakhi ekudleni kwabo okujwayelekile.Akwaziwa ukuthi izithasiselo zokudla ezengeziwe zingaba nomphumela ofanayo yini kubantu asebevele bedla ukudla okunempilo.

Olunye ucwaningo aluzange lubonise ukuthi ukuthatha izithako zokudla ezifana ne-beta carotene, uvithamini C, uvithamini E, noma i-selenium kwehlisa ingozi yomdlavuza wesisu.

Izivivinyo zokuvikela umdlavuza zisetshenziselwa ukutadisha izindlela zokuvimbela umdlavuza.

Izivivinyo zokuvikela umdlavuza zisetshenziselwa ukutadisha izindlela zokunciphisa ingozi yezinhlobo ezithile zomdlavuza.Ezinye izivivinyo zokuvimbela umdlavuza zenziwa ngabantu abanempilo abangazange babe nomdlavuza kodwa abasengozini enkulu yomdlavuza.Ezinye izivivinyo zokuvimbela zenziwa ngabantu abake baba nomdlavuza futhi abazama ukuvimbela omunye umdlavuza wohlobo olufanayo noma ukwehlisa amathuba okuba nohlobo olusha lomdlavuza.Ezinye izivivinyo zenziwa ngamavolontiya anempilo akwaziwa ukuthi anezici eziyingozi zomdlavuza.

Inhloso yolunye ucwaningo lokuvikela umdlavuza ukuthola ukuthi izinyathelo ezithathwa ngabantu zingawuvikela yini umdlavuza.Lokhu kungase kuhlanganise ukudla izithelo nemifino, ukuzivocavoca umzimba, ukuyeka ukubhema, noma ukuphuza imithi ethile, amavithamini, amaminerali, noma izithako zokudla.

Izindlela ezintsha zokuvimbela umdlavuza wesisu ziyafundwa ezivivinyweni zomtholampilo.

Umthombo:http://www.chinancpcn.org.cn/cancerMedicineClassic/guideDetail?sId=CDR62850&type=1