Isifo se-Peptic ulcer - ukukhipha

I-peptic ulcer yindawo evulekile noma eluhlaza endaweni yolwelwesi lwesisu (i-gastric ulcer) noma ingxenye ephezulu yamathumbu amancane (i-duodenal ulcer). Lo mbhalo uchaza ukuthi ungazinakekela kanjani ngemuva kokuthi welashwe ngumhlinzeki wakho wezokunakekelwa kwempilo ngalesi simo.

Unesifo i-peptic ulcer disease (PUD). Kungenzeka ukuthi uvivinyelwe ukusiza ukuxilongwa kwesilonda sakho. Olunye lwalezi zivivinyo kungenzeka kwaba ukubheka amabhaktheriya esiswini sakho okuthiwa I-Helicobacter pylori (H pylori). Lolu hlobo lokutheleleka luyimbangela evamile yezilonda.

Izilonda eziningi ezine-peptic zizophulukiswa kungakapheli amasonto amane kuya kwayisithupha ngemuva kokwelashwa. UNGAYEKISI ukuthatha imishanguzo oyinikiwe, noma ngabe izimpawu zisheshe ziphele.

Abantu abane-PUD kufanele badle ukudla okunempilo okunempilo.

Akusizi ukudla kaningi noma ukwandisa inani lobisi nemikhiqizo yobisi oyidlayo. Lezi zinguquko zingadala i-asidi yesisu eyengeziwe.

• Gwema ukudla neziphuzo ezikubangela ukungaphatheki kahle. Kubantu abaningi lokhu kufaka phakathi utshwala, ikhofi, isoda ene-caffeine, ukudla okunamafutha, ushokoledi nokudla okubabayo.
• Gwema ukudla ukudla okulula ebusuku.

Ezinye izinto ongazenza ukunciphisa izimpawu zakho nokusiza ukuphulukiswa kufaka phakathi:

• Uma ubhema noma uhlafuna ugwayi, zama ukuyeka. Ugwayi uzokwehlisa ukwelashwa kwesilonda sakho futhi wandise namathuba okuthi lesi silonda sibuye. Khuluma nodokotela wakho ngokuthola usizo lokuyeka ukusebenzisa ugwayi.
• Zama ukunciphisa izinga lakho lokucindezeleka futhi ufunde izindlela zokuphatha kangcono ukucindezeleka.

Gwema izidakamizwa ezifana ne-aspirin, ibuprofen (Advil, Motrin), noma naproxen (Aleve, Naprosyn). Thatha i-acetaminophen (iTylenol) ukudambisa izinhlungu. Thatha yonke imithi enamanzi amaningi.

Ukwelashwa okujwayelekile kwesilonda se-peptic kanye ne H pylori ukutheleleka kusebenzisa inhlanganisela yemithi oyiphuzayo izinsuku ezinhlanu kuya kweziyi-14.

• Iningi labantu lizothatha izinhlobo ezimbili zama-antibiotic ne-proton pump inhibitor (PPI).
• Le mithi ingadala isicanucanu, isifo sohudo, neminye imiphumela emibi. UNGAvele uyeke ukuzithatha ngaphandle kokukhuluma nomhlinzeki wakho kuqala.

Uma unesilonda ngaphandle kwe- H pylori ukutheleleka, noma okubangelwa ukuthatha ama-aspirin noma ama-NSAID, kuzodingeka ukuthi uthathe iproton pump inhibitor amasonto ayi-8.

Ukuthatha ama-antiacid njengoba kudingeka phakathi kokudla, bese kuthi ngesikhathi sokulala, kungasiza nokwelashwa. Buza umhlinzeki wakho mayelana nokuthatha le mithi.

Khuluma nomhlinzeki wakho mayelana nokukhetha kwakho umuthi uma isilonda sakho sibangelwa i-aspirin, ibuprofen, noma amanye ama-NSAID. Ungahle ukwazi ukuthatha umuthi ohlukile wokulwa nokuvuvukala. Noma, umhlinzeki wakho kungenzeka ukuthi uthathe umuthi obizwa nge-misoprostol noma i-PPI ukuvikela izilonda ezizayo.

Uzoba nokuvakashelwa kokulandelela ukubona ukuthi isilonda sakho siphola kanjani ikakhulukazi uma isilonda besisesiswini.

Umhlinzeki wakho angafuna ukwenza i-endoscopy ephezulu ngemuva kokwelashwa uma isilonda besisesiswini sakho. Lokhu kwenzelwa ukuqinisekisa ukuthi ukwelashwa sekwenzekile futhi azikho izimpawu zomdlavuza.

Uzodinga nokuhlolwa okulandelayo ukuze ubheke ukuthi ngabe H pylori amabhaktheriya aphelile. Kufanele ulinde okungenani amasonto ama-2 ngemuva kokuthi ukwelashwa kuqediwe ukuphinda kuhlolwe. Imiphumela yokuhlolwa ngaphambi kwalesi sikhathi kungenzeka ingabi enembile.

Thola usizo lwezokwelapha ngokushesha uma:

• Thuthukisa ubuhlungu obungazelelwe, obubukhali besisu
• Yiba nesisu esiqinile, esinzima esithambile ekuthinteni
• Yiba nezimpawu zokwethuka, njengokuquleka, ukujuluka okweqile, noma ukudideka
• Hlanza igazi
• Bona igazi esitokisini sakho (izitulo ezimnyama, ezimnyama, noma ezimnyama)

Shayela umhlinzeki wakho uma:

• Uzizwa unesiyezi noma unekhanda elikhanyayo
• Unezimpawu zezilonda
• Uzizwa ugcwele ngemuva kokudla ingxenye encane yokudla
• Uhlangabezana nokuncipha kwesisindo ungahlosile
• Uyahlanza
• Uphelelwa isifiso sokudla

Isilonda - i-peptic - ukukhishwa; Isilonda - duodenal - ukukhishwa; Isilonda - isisu - ukukhishwa; Isilonda se-duodenal - ukukhishwa; Isilonda sesisu - ukukhishwa; I-Dyspepsia - isilonda - ukukhishwa; Ukukhishwa kwesilonda se-Peptic

UChan FKL, uLau JYW. Isifo sesilonda se-Peptic. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 53.

IKuipers EJ, uBlaser MJ. Isifo se-acid peptic. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 139.

UVincent K. Gastritis nesifo sezilonda. Ku: Kellerman RD, Rakel DP, ama-eds. Ukwelashwa Kwamanje kwe-Conn 2019. IPhiladelphia, PA: Elsevier 2019: 204-208.