I-gastritis enzima ye-biliary: izimpawu kanye nokwelashwa

Siyakwamukela, msebenzisi we-inthanethi, kubhulogi mayelana nempilo yokugaya ukudla. Uma uzwa umuzwa wokushisa ongapheli ngemithi yokunciphisa i-asidi evamile, kungenzeka ukuthi ubhekene ne -gastritis enzima ye-biliary . Ngaphambi kokuba ukukhungatheka kuqale, ngikukhuthaza ukuthi ukhulule ukucindezeleka entanyeni yakho bese uphefumula ngokuthula.

Ukuqonda ukuthi inkinga yakho akuyona i-asidi eningi, kodwa ukuba khona kwe-bile, kuyisinyathelo sokuqala sokuthola impumuzo yangempela.

Ngaphansi kwesiqondiso sikaDkt. Jorge Delgado, sizohlola ukuthi kungani lokhu kubuyela emuva kwenzeka nokuthi imithi yesimanje ingakubuyisela kanjani ukuthula kwengqondo yakho ngenkathi udla. Inhlalakahle yakho ifanelwe ukuxilongwa okunembile.

Kuyisifo esithinta isisu futhi sibangelwa yi-bile reflux, okungukuthi, ukubuya kwe-bile kusuka ku-duodenum (indawo lapho i-common bile duct eyithuthayo ikhipha khona).

Kungabangelwa izinkinga zokuhlinzwa, izinqubo zesisu, noma izilonda zesisu. Ukungasebenzi kahle kwe-valve ye-pyloric nakho kungasiza ekuthuthukisweni kwe-gastritis ye-biliary.

Manje sizophendula uchungechunge lwemibuzo iziguli noma imindeni yazo evame ukuyibuza odokotela ngesikhathi sokubonisana noma emakamelweni ezimo eziphuthumayo esibhedlela:

Ukukhathazeka okuvamile

Kulesi sihloko, "esibhalwe ngabantu, ngenxa yabantu" , sizohlola izimbangela, izimpawu, kanye nezinketho zokwelapha lesi simo esingavamile.

Uma kukhona ukungakhululeki esiswini, kufanele kuthathwe umlando ophelele wezokwelapha, okuhlanganisa uhlobo lobuhlungu, izici ezihlobene nesikhathi nohlobo lokudla, izinto ezibangela lokhu kudla okufana namafutha amaningi nokudla okuthosiwe, kanye nomkhuba wokuphuza utshwala nogwayi.

Sizoxoxa nangezinhlobo ezahlukene ze-gastritis, okuhlanganisa i-bile reflux gastritis, i-alkaline gastritis, kanye ne-biliary gastritis. Ukuqonda izimpawu ze-biliary gastritis kubalulekile ekuxilongweni nasekulashweni okufanele. Qhubeka ufunda ukuze ufunde kabanzi ngalesi simo nokuthi ungasiphatha kanjani ngempumelelo.

Ngakho-ke jabulela inkomishi yetiye eliluhlaza elishisayo elivuselelayo ukuze uthuthukise ukugxila kwengqondo nokunaka esikhathini samanje, umyalezo wentuthuko yakho, ngaleyo ndlela ugcine isimo sengqondo sokuthatha isinyathelo sokuhlukanisa ukuphuthuma kokufuna usizo lwezokwelapha endaweni, kungakhathaliseki ukuthi ngohlelo lwezempilo lukahulumeni noma oluzimele.

I-Gastritis Enzima Ye-Biliary

I-gastritis yenyongo yisimo esingavamile kodwa esibi kakhulu esingathinta abantu abanamatshe enyongo noma ezinye izifo zesimiso senyongo.

Kwenzeka lapho ama-bile acid nama-enzyme avela ku-duodenum engena esiswini ngenxa yokungalawuleki kwe-reflux noma i-pyloric, okubangela ukuvuvukala okukhulu kwamakhemikhali kanye nokucasuka kolwelwesi lwesisu.

Nakuba kuvame ukuba nzima ukukubona, ukuvama kwako kungatholakala ngezifundo eziveze izibalo eziguquguqukayo phakathi kuka-0.6% no-2.8% weziguli ezisezibhedlela ezibonisa izimpawu ze-epigastric (indawo engenhla ephakathi yesisu).

Izimbangela eziningi zingaholela ekuguleni kwesisu, njengokuhlinzwa okuthinta i-duodenum kanye ne-bile ducts, kodwa labo abangase babe nalesi simo ngabantu abanezinkinga zesisu ezikhona kakade, abesifazane abakhulelwe, kanye nabantu asebekhulile.

Izimpawu ezivame kakhulu ubuhlungu besisu esishisayo, obutholakala epigastrium (umgodi wesisu), isicanucanu nokuhlanza ngokweqile, ngezinye izikhathi umbala oluhlaza okotshani, ukuntuleka kwesifiso sokudla kanye nokwehla kwesisindo okungachazeki.

Uma kungelashwa isikhathi eside, kungavela izinkinga ezinkulu njengezilonda noma ukubhoboka kodonga lwesisu. Kubalulekile ukuqaphela izimpawu kanye nokungakhululeki okuhambisana nalesi simo ukuze kutholakale ngokushesha futhi izinkinga zempilo yokugaya ukudla ezingaba zimbi zingagwenywa.

👉 ISAZISO: Lesi sihloko senzelwe ulwazi kuphela. Ukuze uthole iseluleko sezokwelapha noma ukuxilongwa, xhumana nochwepheshe wezempilo endaweni yakini.

I-gastritis ye-biliary

I-gastritis ye-biliary yisimo sokugaya ukudla esiveza ulwelwesi lwesisu ekukhishweni kwe-bile okuphindaphindekile , uketshezi olukhishwa yisibindi bese lugcinwa enyongweni, lapho luqongelela khona futhi lukhishwe khona ukuze lusize ekugayeni amafutha emathunjini amancane.

Uma ivalvu ye-pyloric ingasebenzi kahle , i-bile ingabuyela emuva ingene esiswini, icasule ulwelwesi futhi ibangele ukuvuvukala okukhulu kwe-bile, futhi ekugcineni, isimo.

Nakuba kungavamile njenge-acid gastritis, i-biliary (alkaline) gastritis ingabangela ukungakhululeki kanye nezinkinga uma ingelashwa. Kubalulekile ukuqonda izimbangela, izimpawu, kanye nokwelashwa okutholakalayo kwalesi simo.

Labo abahlushwa yi -gastritis ngenxa yokuphuma kwe-bile ngokweqile bangase babe nezimpawu ezahlukahlukene, njengokucasuka , ukuhlanza, ubuhlungu esiswini esingaphezulu kanye nokwehla kwesisindo okungachazeki, okuvame ukubangelwa yi-bile reflux kanye nokucasuka kwesisu okune-alkaline.

Njengezinye izimo zokugaya ukudla, i-gastritis ye-biliary ingaba nzima ukuyithola ngenxa yokufana kwezimpawu zayo.

Kodwa ngaphandle kokunakekelwa kwezokwelapha ngesikhathi esifanele, kungaholela ezinkingeni ezinkulu kakhulu, njengezilonda zesisu kanye nezinye izinkinga zokugaya ukudla, njenge- biliary gastropathy (ukuvuvukala kwesisu okubangelwa yi-bile reflux).

Ngenxa yalokho, kubalulekile ukuqaphela izimbangela eziyinhloko zalesi sifo nokufuna usizo lwezokwelapha ezibhedlela noma emitholampilo yezempilo, ngohlelo lwezempilo lukahulumeni noma oluzimele, ngokuya ngendawo yesiguli, uma kwenzeka noma yiziphi izimpawu ezihlobene naso.

Izimpawu ze-gastritis ye-biliary

I-gastritis ye-biliary ukuvuvukala okukhulu nokubuhlungu kwe-mucosa yesisu okubangelwa ukuphinda kwe-bile acid esiswini.

Izimpawu ze-gastritis yenyongo zingafaka isicanucanu, ukuhlanza, ubuhlungu besisu, umuzwa oshisayo esifubeni nasemphinjeni, ukuqunjelwa okubuhlungu ngemva kokudla, kanye nesicanucanu esihambisana nokuhlanza okuqhubekayo nokubhoboza. Ngokuvamile kuhambisana nesifo se-gastroesophageal reflux (GERD).

Ukuxilongwa kuvame ukuhilela i-endoscopy ene-biopsy ukuqinisekisa ukuthi kukhona umonakalo we-bile acid reflux, owaziwa nangokuthi i-alkaline gastritis.

Ukwelashwa kuvame ukuba nemithi yokunciphisa izimpawu, njengezithibi ze-proton pump, noma ukuhlinzwa kwe-band okulungisekayo ukusiza ukuvimbela ukuphindaphinda okwengeziwe kwe-bile acid esiswini.

Ezimweni ezimbi kakhulu, ukwelashwa ngokuhlinzwa kungadingeka ukuze kuxazululwe izinkinga eziyisisekelo ezibangela i-gastritis ye-biliary.

Ukuqongelela kwe-bile esiswini

I-gastritis ye-biliary ebukhali yisimo esibangelwa ukunqwabelana kwe-bile esiswini. Ingabangela ubuhlungu obukhulu besisu, isicanucanu nokuhlanza.

Inyongo ikhiqizwa yisibindi futhi isiza ekugayeni amafutha ohlelweni lokugaya ukudla; ​​noma kunjalo, lapho lolu ketshezi luqoqana esiswini, lungabangela izimpawu eziningi ezingajabulisi.

Imbangela eyinhloko yalokhu kwakheka kwamathumbu ibonakala iwukuvinjelwa noma ukungasebenzi kahle komunye wemigudu eminingi ethwala inyongo isuka esibindini iye emathunjini, okubangela izinga elithile lenyongo libuyele esiswini.

Kwezinye izimo, i-gastritis enzima ye-biliary ingase ibangelwe ukungasebenzi kahle kwe-gallbladder noma ezinye izinkinga ze-metabolic eziyisisekelo.

Uma usola ukuthi unesifo esibi kakhulu se-biliary gastritis, kubalulekile ukukhuluma nodokotela wakho ezibhedlela noma emitholampilo yezempilo, ngohlelo lwezempilo lukahulumeni noma oluzimele, ngokushesha okukhulu, mayelana nezinketho zokuxilonga kanye nokwelashwa.

Ngenhlanhla, ukwelashwa okufana nemithi kanye nezinqubo ze-endoscopic kuyatholakala okungasiza ekunciphiseni ukuvuvukala nokubuyisela ukugeleza kwenyongo okuvamile. Ngokunakekelwa okufanele kwezokwelapha, iziguli ezine-gastritis enzima yenyongo zingathola impumuzo ezimpawini zazo.

Ungadla yini nge-gastritis ye-biliary?

I-gastritis yenyongo, ukuvuvukala kwemigudu yenyongo, kuyisimo esibuhlungu, esishisayo, nesingathandeki. Abantu abaningi bahlushwa yilesi sifo, kodwa ngokuvamile abazi ukuthi bangenzani ukuze balawule izimpawu zabo.

Okusiza nge-gastritis yenyongo ukushintsha kwendlela yokuphila ngokudla okusekelwe ekudleni okulula ukugayeka okungakukhulisi ukuvuvukala.

Lokhu kufaka phakathi amaprotheni anamafutha aphansi njengenkukhu nenhlanzi; imifino ephekiwe; umhluzi nesobho; ilayisi elimhlophe; i-oats; ubhanana noma okunye ukudla okucebile nge-fiber yokudla.

Kungaba wusizo futhi ukufaka amanani amancane amafutha anempilo ekudleni, njengamafutha omnqumo nama-nut butters.

Okufanele ukugweme ukukudla ukudla okuthosiwe noma okuqinile, ushukela omningi kanye noshukela wokwenziwa (otholakala ku-petroleum), izinongo ezibabayo, kanye nemikhiqizo yobisi enamafutha amaningi.

Ukudla izingxenye ezincane usuku lonke, esikhundleni sokudla okukhulu, kungasiza nasekuvimbeleni ukuqubuka okubuhlungu. Ukudla ngokucophelela, ngezithako ezisezingeni eliphezulu, kuzokwenza umehluko ekuphathweni kwesikhathi eside kwezimpawu ze-biliary gastritis.

Izimpawu zokuntuleka kwe-bile

Lona umbuzo abantu abaningi abangase bazibuze wona lapho bebhekene ne-gastritis enzima ye-biliary okokuqala. I-Bile ikhiqizwa esibindini, igcinwe enyongweni, futhi isiza ekugayeni amafutha ohlelweni lokugaya ukudla.

Uma inani lale nto linganele, lingabangela izimpawu ezifana nokucanuzela kwenhliziyo, ukuhlanza, ubuhlungu besisu, ngisho nokukhathala. Ezinye izimpawu ezivamile zifaka phakathi ukuqunjelwa kwesisu, ukungagayi kahle kokudla, ukwanda kokuqunjelwa, umchamo omnyama, indle ephaphathekile, kanye ne-jaundice.

I-gastritis yenyongo yenzeka lapho lezi zinkinga ziba zimbi ngenxa yokuvuvukala noma ukutheleleka kwenyongo, okuvimbela ukugeleza kwenyongo.

Abanye abantu abahlushwa yilesi sifo bangase behle nesisindo ngenxa yokungasebenzi kahle kokugaya ukudla.

Njengoba ubona, i-gastritis enzima ye-biliary ingaba yisimo esibi kakhulu esinomthelela omkhulu empilweni yakho nasekugayweni kokudla. Kubalulekile ukukhuluma nodokotela wakho uma usola ukuthi une-gastritis ye-biliary noma unezimpawu ezihlobene nayo.

Manje sizokunikeza incazelo eningiliziwe yezimpawu, izimbangela, kanye nokwelashwa kwalesi simo esivamile sesisu esibangelwa ukuba khona kwe-bile okubangelwa yizifo:

Izimbangela ze-gastritis ye-biliary

I-gastritis ye-biliary yisimo sezokwelapha esibangelwa ukuphinda kwe-bile esiswini. Ukuqonda indlela i-biliary system yokugaya ukudla kubalulekile . Izimbangela zayo zingahlukahluka futhi zifaka phakathi izinkinga zokuhlinzwa kanye nezilonda ze-peptic (umonakalo odongeni lwamathumbu lwe-duodenum noma isisu).

Ukuhlinzwa esiswini noma enyongweni kungalimaza ivalvu ye-pyloric, okuyingxenye yokugcina yesisu exhumanisa ne-duodenum kanye ne-duodenum emathunjini amancane, okubangela i-bile reflux.

Ngaphezu kwalokho, izilonda zingadala imbobo olwelwesini lwesisu, ikakhulukazi ezingeni le-pylorus, okuvumela okuqukethwe esiswini ukuthi kuphume futhi ngaleyo ndlela kuvumele inyongo ukuthi ingene, okungadala i-gastritis evela enyongweni.

Ngakho-ke, kubalulekile ukuthola imbangela ye -gastritis, kulokhu, ukukhishwa kwe-bile ngokweqile, ukuze kwelashwe ngendlela efanele.

Esinye isizathu se-gastritis ye-biliary ukuphinda kwejusi ye-bile ene-alkaline ephuma esibindini, engafiki enyongweni ngenxa yokukhiqizwa okuphezulu kwe-bile.

Uma imisipha yevalvu ye-pyloric ingasebenzi kahle, lolu ketshezi lwe-alkaline lungangena esiswini luhlangane ne-hydrochloric acid, okubangela ukuvuvukala okukhulu kolwelwesi lwesisu.

Ukuchayeka isikhathi eside ekukhishweni kwenyongo kungabangela umonakalo wokuvuvukala kwe-mucosa yesisu, okwaziwa ngokuthi i-biliary gastropathy . Ukuhlonza imbangela ye-gastritis ngendlela efanele kubalulekile ekunqumeni uhlelo lokwelapha olufanele kakhulu nokuvimbela izinkinga ezingaba khona.

Izimpawu kanye nokungakhululeki kwe-gastritis ye-biliary

Izimpawu esiswini esingaphezulu, njengesicanucanu, ukuhlanza, ukwehla kwesisindo okungalindelekile, ukunambitheka okumuncu emlonyeni, kanye nomlomo onuka kabi, ngezinye zezimpawu ezivame kakhulu ze-gastritis ebangelwa ukukhishelwa kwenyongo ngokweqile. Abantu abanalesi simo bangase babe nokukhwehlela noma ukusha, kanye nokungakhululeki ngemva kokudla.

Ukuhlanza inyongo kuyisibonakaliso esivamile se - gastritis yenyongo. Kwenzeka lapho isisu singakwazi ukucubungula kahle ukukhishwa kwenyongo, okuholela ekuhlanzeni. Ngaphezu kwalokho, umuntu angase abe ne -jaundice (ukuphuzi kwesikhumba noma okumhlophe kwamehlo ), umchamo omnyama, kanye nendle ekhanyayo (hhayi ephuzi), okubonisa ukubandakanyeka kwesibindi.

Abantu abane-gastritis yenyongo bangase balahlekelwe yisifiso sokudla kanye nokwaneliseka kwasekuqaleni ngenxa yokungakwazi kwesisu ukugaya ukudla kahle. Ezinye izimpawu zifaka phakathi ukuqunjelwa okubangelwa ukunqwabelana kwegesi kanye nokungakhululeki kwamathumbu, okungaqedwa ngokwelashwa okufanele.

Ukuxilongwa kwe-gastritis ye-biliary

Ukuhlolwa okufanele kwe- gastritis ye-biliary kubalulekile ukuze kutholakale ukwelashwa okufanele. Lokhu kuvame ukwenziwa nge- endoscopy ephezulu yesisu (i-EGD). Le nqubo ihilela ukusebenzisa ithubhu elincane neliguquguqukayo elinekhamera encane ukuhlola ulwelwesi lwesisu kanye ne-duodenum.

Le nqubo ingabona izimpawu zokuvuvukala, izilonda, noma ezinye izinkinga. Ama-biopsy angenziwa futhi ukuqinisekisa ukutholakala kwalesi sifo. Okokugcina, i-endoscopy yokungenelela kwe-common bile duct ingenziwa ngesikhathi se -endoscopic retrograde cholangiopancreatography (ERCP).

Kwezinye izimo, kungadingeka ukuthi kwenziwe i-CT scan. Le ndlela yokuthwebula izithombe inikeza izithombe ezinemininingwane zesibindi, i-gallbladder, nezinye izitho zesisu. Ingathola noma yikuphi ukuvuvukala noma ukukhubazeka okungase kubangele i-gastritis ye-biliary.

Ukuze kuhlolwe kangcono isimo, ukuhlolwa kwegazi kuvame ukucelwa ukuhlola amazinga e-enzyme yesibindi, okungabonisa ukuvuvukala noma umonakalo esibindini noma enyongweni.

I -HIDA scan ingasetshenziswa futhi ukuxilonga i-gastritis ye-biliary. Lokhu kuhilela ukufaka inani elincane lezinto ezikhipha imisebe egazini nokubuka ukunyakaza kwayo esibindini kanye nemigudu ye-bile kusetshenziswa ikhamera ekhethekile. Lokhu kuhlola kuhlola ukuthi kukhona yini ukuvinjelwa okuthile noma ezinye izinkinga ezingase zibangele lesi simo.

Ukuxilongwa Okuhlukile

I-gastritis ye-biliary yisifo esingaba khona ngendlela efanayo nezinye izifo zesisu ngenxa yezimpawu ezifanayo, njengobuhlungu be-epigastric kanye nokulahlekelwa yisifiso sokudla okuphawulekayo.

Nakuba i-gastritis enzima ye-biliary ibangelwa kakhulu ukuvuvukala kwenhlanganisela ye-bile nejusi le-pancreatic elivela ku-duodenum, okubangela ukuvuvukala kwe-mucosa yesisu, kufanele kwenziwe ukuxilongwa okuhlukile ukuze kukhishwe ezinye izifo zesisu, njengezilonda zesisu, i-gastritis ebangelwa yindlala noma ukwelashwa kwesilonda se-peptic ngemithi.

Ukuze basize kule nqubo yokuxilonga ehlukile, ochwepheshe bezempilo bayangenelela, okumele bahlole umlando wezokwelapha wesiguli kanye nokutholakele kokuhlolwa okuphelele ngokomzimba, kanye nokwenza izivivinyo zelebhu ezengeziwe ze-gastritis ye-biliary, okungafaka phakathi i-endoscopy nge-biopsy noma ukuthatha amasampula ukuze kukhuliswe.

I-gastritis yenyongo ingelashwa ngemithi efana ne-proton pump inhibitors, enciphisa i-asidi esiswini, kanye nokwelashwa okungapheli okugxile ekulawuleni ezinye izimpawu.

Uma zixilongwa kahle futhi zelashwa, iziguli ezine-gastritis enzima ye-biliary zingase zibone ukunyamalala kwezimpawu zazo kanye nekhwalithi yokuphila ethuthukisiwe.

Ukwelashwa kwe-gastritis ye-biliary

Ukwelashwa kokucasuka kwesisu nenyongo kubalulekile ukulawula izimpawu nokuvimbela izinkinga ezingaba khona. Isinyathelo sokuqala ekwelapheni i-bile gastritis ukuhlonza nokwelapha imbangela eyinhloko. Isibonelo, uma i-valve ye-pyloric inephutha, kungase kudingeke ukuhlinzwa.

Uma i-gastritis ibangelwa ukuchayeka isikhathi eside ekukhiqizweni kwenyongo, ukwelashwa kuzogxila ekubuyiseleni i-mucosa yesisu, ukunciphisa ukuvuvukala, kanye nokuthuthukisa ukunyakaza kwamathumbu, konke lokhu ngokusekelwa kokudla ukuze kuthuthukiswe ukudla okunomsoco, futhi, ukuphulukiswa kwesisu.

Uma imbangela isitholakele, ukwelashwa kwe-gastritis ye-biliary kungafaka imithi yokuqeda izimpawu, kanye nokulawula isicanucanu, ukuhlanza, kanye nokuphazamiseka kwesisu.

Ama-antacid anganciphisa i-asidi yesisu, kuyilapho ama-proton pump inhibitors enganciphisa ukukhiqizwa kwayo. Ama-antibiotic anganikezwa futhi uma i- gastritis ibangelwa ukutheleleka ngamagciwane.

Ngaphezu kwemithi, izinguquko zendlela yokuphila zibalulekile ekwelapheni i-bile reflux gastritis . Iziguli zingase zelulekwe ukuthi zigweme ukudla okuzibangela ukungakhululeki, njengokudla okubabayo noma okunamafutha, iziphuzo ezine-carbonated, kanye nokunye ukudla okugcwele ukunambitheka nombala wokwenziwa.

Ukudla okuncane, okuvamile, nokunempilo kungasikiselwa ukunciphisa umthwalo womsebenzi esiswini, futhi, kugweme ukuthintana ngqo kwenyongo, ngenxa yokuvuvukala kwesisu, ne-mucosa yesisu.

Amasu okunciphisa ukucindezeleka , njenge-yoga noma ukuzindla, nawo ayanconywa ukulawula i-bile reflux kanye nezinkinga zayo zesisu, okuhlanganisa ne-alkaline gastritis; okungukuthi, i-bile iphambene nalokho okuveliswa yisisu: i-hydrochloric acid.

Ukuhlaziywa kwenani

Ukuxilongwa Okunembile:

Inzuzo eyinhloko isekususeni inganekwane "ye-gastritis ebangelwa ukudla." UDkt. Delgado unezela inzuzo ngokuchaza i-pathophysiology ye-pyloric stenosis kanye nemiphumela ye-cholecystectomy.

Umehluko Wothisha:

Njengomfundisi oqeqeshiwe , udokotela uvelele ngekhono lakhe lokuchaza ukuthi i-bile ine-alkaline, yingakho ukwelashwa kwesilungulela kuvame ukwehluleka.

Isici sayo esihlukile yindlela ephelele : ayigcini nje ngokunquma, kodwa futhi ifundisa isiguli ngezinguquko zesimo somzimba kanye nokudla, futhi uma kudingeka, ngokulungiswa kokuhlinzwa, izibeka njengochwepheshe oxazulula lokho abanye abangenakukulungisa ngokwengqondo.

Isiphetho

Okokugcina, iphuzu elibaluleke kakhulu: i-biliary gastritis yisifo esithinta uhlelo lokugaya ukudla futhi singabangelwa yizici ezahlukahlukene, njengokungasebenzi kahle kwe-valve ye-pyloric, ukuchayeka isikhathi eside ekukhiqizweni kwe-bile, kanye nezinkinga zokuhlinzwa.

Izimpawu zingasukela ebuhlungwini besisu kanye nesicanucanu kuya ekunciphiseni isisindo okungachazeki kanye nokuhlanza okubangelwa yinyongo . Ukuxilongwa kanye nokwelashwa kusenesikhathi kubalulekile ukuvimbela izinkinga nokuthuthukisa ikhwalithi yokuphila.

Ngokunakekelwa okufanele kwezokwelapha kanye nokushintsha kwendlela yokuphila, abantu abanesifo sohudo olubangelwa ukwanda kokukhiqizwa kwe-bile bangalawula izimpawu zabo futhi baphile impilo enempilo.

Kubalulekile ukubonisana nochwepheshe wezempilo wendawo uma usola ukuthi ungaba nezimpawu ze-gastritis ngenxa yokuphuma kwe-bile ngokweqile kanye nokubuyela kwayo esiswini.

Manje yithuba lokwabelana ngolwazi lokuvimbela mayelana ne-gastritis ye-biliary ezinkundleni zokuxhumana, ukuze abantu abaningi bazuze futhi, ndawonye, ​​​​sinciphise izibalo zomkhuhlane ezinkingeni.

Ngiyabonga ngokushiya amazwana akho kanye neziphakamiso zebhulogi. Kuze kube okuthunyelwe okulandelayo!

UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Intense Biliary Gastritis. 

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