Amakhambi we-Gastric ulcer: ayini nokuthi athathwe nini

-Delile

• Izidakamizwa eziyinhloko zokulwa nesilonda
• Ukuthatha nini

Imithi elwa nezilonda yilezo ezisetshenziselwa ukunciphisa i-asidi esiswini futhi, ngaleyo ndlela, zivimbela ukuvela kwezilonda. Ngaphezu kwalokho, zisetshenziselwa ukwelapha noma ukwenza lula ukuphulukiswa kwezilonda nokuvikela noma ukwelapha noma yikuphi ukuvuvukala ku-mucosa wepheshana lamathumbu.

Isilonda yisilonda esivulekile esakha esiswini esingadalwa yizimo ezahlukahlukene, njengokungadli kahle nokutheleleka ngamagciwane, ngokwesibonelo, futhi kungadala ubuhlungu besisu, isicanucanu nokuhlanza. Imithi elwa nesilonda ikhonjiswa ngudokotela wesisu ngokuya ngesizathu se-asidi nesilonda, okunconyelwa kakhulu yi-Omeprazole neRanitidine.

Izidakamizwa eziyinhloko zokulwa nesilonda

I-Omeprazole ngesinye sezidakamizwa eziphambili esikhonjiswe ngudokotela wamathumbu ukwelapha nokuvimbela izilonda zesisu, njengoba sisebenza ngokuvimbela ipompo leproton, elibhekele i-asidi yesisu. Ukuvinjelwa okukhuthazwa yilo muthi akunakuhlehliswa, okunomphumela ohlala isikhathi eside maqondana neminye imithi. Lo muthi ungaholela nasekubonakaleni kwemiphumela emibi futhi ehlehlisekayo futhi kufanele uphuze ekuseni esiswini esingenalutho noma ngokuyalelwa ngudokotela.

I-Cimetidine ne-famotidine nayo iyimithi elwa nezilonda enganconywa ngudokotela, njengoba inciphisa ubumsulwa besisu futhi yenza lula ukuphulukiswa kwesilonda. Imiphumela emibi kakhulu ehlotshaniswa nokusetshenziswa kwalo muthi yisiyezi, ukozela, ukuqwasha kanye ne-vertigo.

Esinye isidakamizwa esingavezwa yi-gastroenterologist yi-sucralfate, esisebenza ngokudala umgoqo phezu kwezilonda, sizivikele e-asidi esiswini futhi sigqugquzele ukwelashwa kwazo.

Kubalulekile ukuthi le mithi ikhonjiswe ngudokotela ngokusho kwezimpawu nezimpawu ezethulwe ngumuntu futhi isetshenziswe ngokwesiqondiso esinikeziwe.

Ukuthatha nini

Izidakamizwa ze-antiulcer zinconywa yi-gastroenterologist uma kwenzeka:

• Isisu esibuhlungu, ezingaba nezimbangela eziningana, kufaka phakathi i-gastritis kanye negesi eyeqile. Bona ukuthi yiziphi izimbangela eziyinhloko nokuthi unjani ukwelashwa kobuhlungu besisu;
• Isilonda, lokho kwakheka lapho kunoshintsho oluthile kumshini wokuvikela isisu ekulweni ne-asidi esiswini. Qonda ukuthi isilonda sakha kanjani;
• Isisu, lapho kukhona ukuvuvukala kwezindonga zesisu;
• Isifo se-ulcerative gastroduodenal, lapho kukhona ukulimala kwe-mucosa yesisu okuvela ekusebenzeni kwama-enzyme nesisu esiswini.
• I-Reflux, lapho okuqukethwe yisisu kubuyela khona, kubangele ubuhlungu nokuvuvukala;
• Isilonda se-duodenal, okuyisilonda ku-duodenum, okuyingxenye ephezulu yamathumbu amancane;
• I-Zollinger-Ellison syndrome, ebonakala ngokushisa okushisayo noma ubuhlungu emphinjeni, ukuncipha kwesisindo ngaphandle kwesizathu esibonakalayo nobuthakathaka obedlulele.

Ngokuya ngezimpawu, udokotela ukhombisa umuthi ngendlela efaneleke kakhulu yesenzo ngalesi simo, okungaba yi-proton pump blocker noma izivikeli zesisu sesisu, ngokwesibonelo.