Gastrit aniden (akut gastrit) veya zamanla yavaşça ortaya çıkabilir (kronik gastrit). Bazı durumlarda, ülserlere ve mide kanseri riskinde artışa neden olabileceği bildirilmektedir.
GASTRİT NEDİR?
Gastrit kısaca mide zarının(gastrik mukoza ) iltihaplanmasıdır. Gastrit iltihabı çoğu zaman mide ülserlerine neden olan Helicobacter pylori (HP) bakterisi ile enfeksiyonun sonucudur. Gastrit mide yüzey dokusunun (mukozanın), mide asidinin fazla salgılanmasından dolayı aşınması nedeniyle iltihaplanması sonucu ortaya çıkar. Gastrointestinal bakteriyel bir enfeksiyon da gastrite neden olabilir. Buna neden olan en yaygın bakteriyel enfeksiyon Helicobacter pylori’nin. Midenin yüzeyinde enfeksiyona neden olur. Enfeksiyon genellikle kişiden kişiye bulaşır, ancak bu bakteri ile bulaşık yiyecek veya su yoluyla da bulaşabilir. Bazı koşullar ve aktiviteler gastrit gelişme riskinizi artırabilir.
Gastrit için risk faktörleri;
– Alkol tüketimi
– Aspirin benzeri steroid olmayan antienflamatuar ilaçların (NSAID’ler) (ağrı kesici ilaçlar)kullanımı( ilaç kutusunun üzerinde “antienflamatuar” veya “antiflojistik” yazısı görürseniz “analjezik” yazmasa da bu ilaçlar NSAİ sınıfında anılır.Bu ilaçlar her zaman kullanıyor olsanız da günün birinde mide kanamasına bile yol açabilir)
– Yaş, yaşın artmasıyla birlikte ( daha çok atrofik Gastrit şeklinde ) mide mukozasının incelip aist salgılayan hücrelerin azalamasıyla birlikte , gastrit görülme oranı artar.
– Tütün kullanımı
-Safra ( ince bağırsaktan mide içine geri gelen safralı sıvı) ( safra gastriti-safra gastritine -alkalen gastrit ) neden olur.
-Aşırı baharatlı, acılı yiyecekler
– Ciddi yaralanma, hastalık veya ameliyattan kaynaklanan stres
– Otoimmün bozukluklar
– Crohn hastalığı gibi sindirim bozuklukları
– Viral enfeksiyonlar
GASTRİT BELİRTİLERİ NELERDİR?
Gastrit herkeste belirgin semptomlara neden olmaz. Çoğunlukla belirti vermez.
En yaygın belirtiler:
– Midede rahatsızlık, dolgunluk ve yanma hissi
– Mide bulantısı
– Kusma
– Özellikle yemeklerden sonra dolgunluk hissi
– Hazımsızlık
– Göbek ve alt kaburgalar arasında hissedilen kalıcı ağrı
– İlerlemiş gastrit düzeyinde mide mukozasının çok fazla aşınmasından dolayı kanlı kusma (Kusmadan dolayı ortaya çıkan sıvı çoğunlukla kahve kıvamındadır.)
GASTRİT TEDAVİSİ
Genellikle belirti vermediğinden tedavi gerekmez.
Neden biliniyorsa , nedene yönelik tedavi yapılır.
NSAID’lerin veya diğer ilaçların neden olduğu gastritiniz varsa, bu ilaçlardan kaçınmak semptomlarınızı hafifletmek için yeterli olabilir. H. pylori’nin bir sonucu olan gastrit, rutin olarak bu bakterilere karşı etkili antibiyotiklerle tedavi edilir.
Antibiyotiklere ek olarak, gastrit tedavisinde birkaç başka ilaç türü kullanılır.
Omeprazol, lansoprazol, rabeprazol ve pantoprazol içeren ilaçlar bu ilaçlardandır. Ayrıca mide asidini nötralize eden antasitler de tedavi için kullanılan ilaçlar arasındadır. Bu ilaçların kullandırılmasının amacı mide asidinin nötralize ederek asiditenin düşürülmesi sağlanarak belirtilerin ortadan kaldırılmasıdır. Ancak en etkili tedavi yöntemi hastaların yaşam tarzlarını ve beslenme alışkanlıklarını değiştirmeleridir. Daha az ve sık öğünlerle beslenmek mide asidinin etkilerini azaltacaktır. Aşırı baharatlı, asidik, kızarmış veya yağlı besinleri daha az tüketmek, aşırı alkol tüketiminden kaçınmak, ağrı kesicilerin mutlaka kullanılması gerekiyorsa ,değiştirilmesi gastritin önüne geçecektir.
Önerilebilen;
Gastrit Diyeti
Özellikle mide rahatsızlıklarının tedavisinde tüketilen gıdalara dikkat etmek ve disiplinli bir diyet uygulamak çok önemlidir.
- Ekşi, tuzlu ve baharatlı yiyeceklerden kaçının.
- Su biriken toksinleri vücuttan temizlemeye yardımcı olur, her gün en az 8-9 bardak su için.
- Gazlı içecekler, çay, kahve ve alkolden uzak durun.
- 30-45 dakika boyunca düzenli yürüyüş rahatlama sağlayabilir.
- İşlenmiş ve fermente (sucuk,salam,sosis,pastırma gibi) gıdalardan kaçının.
- Öğünlerinize nar, muz, elma, üzüm, Hindistan cevizi suyu gibi meyveleri ekleyin.
- Öğünlerinize zencefil, zerdeçal gibi bitkileri ekleyin.
Gastrit Bitkisel Tedavisi (diyet uzmanı tarafından öneriler)
Gastrit bitkisel tedavisi rezene tohumu
Yemekten sonra yarım çay kaşığı rezene tohumunun düzenli çiğnenmesi midede yanma hissini hafifletmeye yardımcı olur.
Gastrit bitkisel tedavisi kimyon tohumu
Kimyon tohumlarını ince bir toz haline getirin. 1 litre suya yarım çay kaşığı kimyon tohumu ekleyin ve suyu 2 dakika kaynatın ve filtreleyin. Bu suyu normal su yerine düzenli olarak içirin. Ancak, her gün taze su hazırlayın.
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