Umlobi: Lewis Jackson
Usuku Lokudalwa: 10 Mhlawumbe 2021
Ukuvuselela Usuku: 17 Unovemba 2024
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Izilonda zokopha

Izilonda ze-Peptic yizilonda ezivulekile kumgudu wakho wokugaya ukudla. Lapho zitholakala ngaphakathi esiswini sakho, zibizwa nangokuthi izilonda zesisu. Lapho zitholakala engxenyeni engenhla yamathumbu akho amancane, zibizwa ngokuthi izilonda ze-duodenal.

Abanye abantu abazi nokuthi banesilonda. Abanye banezimpawu ezifana nesilungulela nobuhlungu besisu. Izilonda zingaba yingozi enkulu uma zigcobisa amathumbu noma zopha kakhulu (okwaziwa nangokuthi ukopha).

Qhubeka ufunde ukuze ufunde kabanzi mayelana nezimpawu nokwelashwa kwezilonda, kanye nokuthola izinganekwane ezimbalwa zezilonda.

Ziyini izimpawu zesilonda?

Izilonda azibangeli njalo izimpawu. Eqinisweni, cishe ingxenye eyodwa kwezine yabantu abanezilonda iba nezimpawu. Ezinye zalezi zimpawu zifaka:

  • ubuhlungu besisu
  • ukuqunjelwa noma umuzwa wokugcwala
  • ukubopha
  • isilungulela
  • isicanucanu
  • ukuhlanza

Izimpawu zingahluka kancane kumuntu ngamunye. Kwezinye izimo, ukudla ukudla kungadambisa izinhlungu. Kwabanye, ukudla kwenza izinto zibe zimbi kakhulu.


Isilonda singopha kancane kancane uze ungasinaki. Izimpawu zokuqala zesilonda esopha kancane yizimpawu ze-anemia, ezibandakanya:

  • umbala wesikhumba okhanyayo
  • ukuphefumula okuncane ngomsebenzi womzimba
  • ukungabi namandla
  • ukukhathala
  • ubumhlophe

Isilonda esopha kakhulu singadala:

  • indle emnyama futhi enamathelayo
  • igazi elibomvu elimnyama noma lemaroni elinesihlalo sakho
  • ukuhlanza okunegazi nokuvumelana kwezizathu zekhofi

Ukopha ngokushesha okuvela esilondeni kungumcimbi osongela impilo. Uma unalezi zimpawu, funa usizo lwezokwelapha ngokushesha.

Yini ebangela izilonda?

Kukhona ungqimba lwamafinyila kumgudu wakho wokugaya ukudla okusiza ukuvikela ulwelwesi lwamathumbu. Uma kune-asidi eningi kakhulu noma i-mucus eyanele, i-acid igugula ubuso besisu sakho noma amathumbu amancane. Umphumela uba yisilonda esivulekile esopha.

Kungani lokhu kwenzeka njalo ngeke kunqunywe. Izimbangela ezimbili ezivame kakhulu yilezi I-Helicobacter pylori kanye nezidakamizwa ezingezona ezokulwa nokuvuvukala.


I-Helicobacter pylori (H. pylori)

H. pylori yibhaktheriya eliphila ngaphakathi kwe-mucus egazini lokugaya ukudla. Ngezinye izikhathi kungadala ukuvuvukala esiswini, okuholela esilondeni. Ingozi ingaba nkulu uma ungenwe yilesi sifo H. pylori futhi nawe uyabhema.

Izidakamizwa ezingezona ukuvuvukala (ama-NSAID)

Le mithi yenza kube nzima ngesisu sakho namathumbu amancane ukuzivikela kuma-acid esiswini. Ama-NSAID futhi anciphisa ikhono legazi lakho lokugcwala, okungenza isilonda esophayo sibe yingozi kakhulu.

Izidakamizwa kuleli qembu zifaka:

  • i-aspirin (iBayer Aspirin, iBufferin)
  • ibuprofen (Advil, Motrin)
  • i-ketorolac (Acular, Acuvail)
  • i-naproxen (Aleve)
  • oxaprozin (Daypro)

I-Acetaminophen (iTylenol) akuyona i-NSAID.

I-NSAIDS ifakiwe nakweminye inhlanganisela yemithi esetshenziselwa ukwelapha ukucasuka kwesisu noma imikhuhlane. Uma usebenzisa imishanguzo eminingi, kunethuba elihle lokuthi uthatha ama-NSAID amaningi kunokuba ubona.


Ingozi yokuthuthukisa isilonda esibangelwa ama-NSAID inkulu uma:

  • thatha isilinganiso esingaphezu kwesivamile
  • bathathe kaningi
  • uphuze utshwala
  • asebekhulile
  • sebenzisa i-corticosteroids
  • ngike ngaba nezilonda esikhathini esedlule

Izici zobungozi ezingeziwe

I-Zollinger-Ellison syndrome ngesinye isimo esingaholela ezilondeni. Kubanga i-gastrinomas, noma izicubu zamaseli akhiqiza i-asidi esiswini sakho, okudala i-asidi eyengeziwe.

Olunye uhlobo lwesilonda olungajwayelekile lubizwa ngokuthi yiCameron’s ulcer. Lezi zilonda zenzeka lapho umuntu enenkinga enkulu yokuzala futhi evame ukudala ukopha kwe-GI.

Yini ukwelashwa kwezilonda?

Uma unezimpawu zezilonda, bheka udokotela wakho. Ukwelashwa ngokushesha kungavimbela ukopha ngokweqile nezinye izinkinga.

Izilonda zivame ukutholakala ngemuva kwe-endoscopy ephezulu ye-GI (EGD noma i-esophagogastroduodenoscopy). I-endoscope yishubhu elide eliguquguqukayo elinokukhanya nekhamera ekugcineni. Ishubhu lifakwa emphinjeni wakho, bese liya emphinjeni, esiswini, nasengxenyeni engenhla yamathumbu amancane. Funda ukuthi ungayilungiselela kanjani i-endoscopy lapha.

Ngokuvamile kwenziwa njengenqubo yokugula, kuvumela udokotela ukuthi abone futhi abone izinkinga esiswini nasemathunjini aphezulu.

Izilonda zokopha kufanele zilungiswe ngokushesha, futhi ukwelashwa kungaqala ngesikhathi se-endoscopy yokuqala. Uma ukuphuma kwezilonda kutholakala ngesikhathi se-endoscopy, udokotela anga:

  • jove umuthi ngqo
  • cauterize isilonda ukumisa ukopha
  • bamba isitsha esopha

Uma unesilonda, uzohlolwa H. pylori. Lokhu kungenziwa kusetshenziswa isampula lezicubu ezithathwe ngesikhathi se-endoscopy. Kungafezwa futhi ngezivivinyo ezingezona ezokuhlasela ezifana nesampula yendle noma ukuhlolwa komoya.

Uma unesifo, ama-antibiotic nezinye izidakamizwa zingasiza ekulweni namagciwane futhi zinciphise izimpawu. Ukuze uqiniseke ukuthi uyayisusa, kufanele uqede ukuthatha umuthi njengokuyalelwa, noma ngabe izimpawu zakho ziyama.

Izilonda zilashwa ngemithi evimba i-asidi ebizwa nge-proton pump inhibitors (PPIs) noma i-H2 blocker. Zingathathwa ngomlomo, kepha uma unesilonda esophayo, nazo zingathathwa ngemithambo yegazi. Izilonda zeCameron zivame ukwelashwa ngama-PPIs, kepha ukulungisa i-hernia yokubeletha.

Uma izilonda zakho zingumphumela wokuthatha ama-NSAID amaningi kakhulu, sebenza nodokotela wakho ukuthola omunye umuthi wokwelapha ubuhlungu.

Ama-antacids angaphezu kwamakhompiyutha kwesinye isikhathi aqeda izimpawu. Buza udokotela wakho ukuthi kulungile yini ukuthatha ama-antacids.

Ukubuyela esimweni sesilonda

Kuzofanele uphuze imithi okungenani amasonto ambalwa. Kufanele futhi ugweme ukuthatha ama-NSAID ukuya phambili.

Uma unezilonda ezopha kakhulu, udokotela wakho angafuna ukwenza enye i-endoscopy esikhathini esizayo ukuze aqiniseke ukuthi uphulukiswe ngokuphelele nokuthi awunazo izilonda eziningi.

Yiziphi izinkinga ezingaba khona?

Isilonda esingalashiwe esikhukhulayo noma isibazi singavimba umgudu wakho wokugaya ukudla. Kungaphinde kugcwalise isisu sakho noma amathumbu amancane, kuthelele umgogodla wakho wesisu. Lokho kudala isimo esaziwa njenge-peritonitis.

Isilonda esophayo singaholela ekushoneni kwegazi, ekuhlanzeni okunegazi, noma ezihlalweni ezinegazi. Isilonda esophayo sivame ukuholela esibhedlela. Ukopha ngaphakathi ngaphakathi kusongela impilo. Ukugcotshwa noma ukopha okungathi sína kungadinga ukungenelela kokuhlinzwa.

Umbono

Izilonda zingelashwa ngempumelelo, futhi abantu abaningi belapha kahle. Uma welashwa ngama-antibiotic neminye imithi, izinga lokuphumelela lingamaphesenti angama-80 kuye kwangama-90.

Ukwelashwa kuzosebenza kuphela uma uthatha yonke imithi yakho njengoba kunqunyiwe. Ukubhema nokuqhubeka nokusetshenziswa kwama-NSAID kuzophazamisa ukwelashwa. Futhi, ezinye izinhlobo ze- H. pylori amelana nemithi elwa namagciwane, enza inkinga yakho yesikhathi eside ibe nzima.

Uma ungeniswe esibhedlela ngenxa yesilonda esophayo, isilinganiso sokufa sezinsuku ezingama-30 simayelana. Ubudala, ukuphuma kwegazi okuphindaphindayo, kanye ne-comorbidity kuyizici kulo mphumela. Izibikezelo eziyinhloko zokufa kwesikhathi eside zifaka:

  • ukuguga
  • comorbidity
  • i-anemia enamandla
  • ukusetshenziswa kukagwayi
  • ukuba ngowesilisa

Izinganekwane eziqhamukayo zezilonda

Kunemininingwane eminingi engeyona mayelana nezilonda, kufaka phakathi ukuthi zibangelwa yini. Isikhathi eside, bekucatshangwa ukuthi izilonda zibangelwa:

  • ukucindezeleka
  • khathazeka
  • ukukhathazeka
  • ukudla okunothile
  • ukudla okubabayo noma okune-asidi

Abantu abanezilonda belulekwe ukuthi benze izinguquko endleleni yabo yokuphila njengokunciphisa ukucindezelwa nokwamukela ukudla okungenamsoco.

Lokho kwashintsha lapho H. Pylori kwatholakala ngo-1982. Odokotela manje sebeyaqonda ukuthi nakuba ukudla nendlela yokuphila kungacasula izilonda ezikhona kwabanye abantu, ngokuvamile azizibangeli izilonda. Ngenkathi ingcindezi ingakhuphula i-asidi esiswini nayo ecasulayo i-mucosa yesisu, ukucindezeleka akuvamile ukuba imbangela enkulu yesilonda. Okuhlukile kubantu abagula kakhulu, njengalabo abasesibhedlela esibhedlela.

Enye inganekwane ende ukuthi ukuphuza ubisi kulungele izilonda. Lokho kungenxa yokuthi ubisi limboza ulwelwesi lwesisu sakho futhi luqeda ubuhlungu besilonda, okungenani okwesikhashana. Ngeshwa, ubisi lukhuthaza ukukhiqizwa kwama-acid nejusi yokugaya ukudla, okwenza izilonda zibe zimbi kakhulu.

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