Isilonda se-duodenal: siyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yini ebangela i-duodenal ulcer
• Yelashwa kanjani

I-duodenal ulcer yisilonda esincane esivela ku-duodenum, okuyingxenye yokuqala yamathumbu, exhuma ngqo esiswini. Isilonda sivame ukukhula kubantu abangenwe yileli gciwane H. pylori, esusa ukuvikelwa kwe-mucosa yesisu futhi ibangele ukuvuvukala kodonga lwe-duodenum.

Izimpawu ezivame kakhulu zalolu hlobo lwesilonda ngokuvamile zifaka phakathi ubuhlungu besisu obungapheli, isicanucanu nokuhlanza njalo, okuba kubi kakhulu ngemuva kokudla noma lapho ungadlanga isikhathi eside.

Isilonda esise-duodenum singaziwa nangokuthi isilonda se-peptic, esisebenza ukuchaza noma yiluphi uhlobo lwesilonda esivela esiswini noma ku-duodenum. Abantu abanezilonda esiswini kanye nase-duodenum bavame ukutholakala benesifo se-peptic ulcer.

Izimpawu eziyinhloko

Ngokuvamile, izilonda ze-duodenal zibangela izimpawu ezifana nalezi:

• Ubuhlungu obuqhubekayo esiswini, ikakhulukazi ngesimo sokusha;
• Ukushisa umphimbo;
• Ukuzizwa kwesisu esigcwele noma esiqhakazile;
• Kunzima ukugaya ukudla okunamafutha;
• Isicanucanu nesifiso esiqhubekayo sokuhlanza;
• Ukwehla kwesisindo.

Lezi zimpawu zingaba zimbi kakhulu ngemuva kokudla okunzima kakhulu, ngenxa yokwanda kwe-asidi esiswini, kodwa futhi zingakhula uma ungadli isikhathi eside, njengoba kungekho kudla esiswini ukuvikela izindonga isenzo se-gastric acid.

Ngaphezu kwezimpawu ezethulwayo, lapho isilonda sesithuthuke kakhulu, kungavela ezinye izimpawu ezibucayi, ezinjengobuhlungu obukhulu obungathuthuki, ukuhlanza ngegazi noma indle emnyama nephunga elibi kakhulu. Lokhu kuvamise ukukhombisa ukuthi isilonda siyopha nokuthi, uma ukwelashwa kungenziwa ngokushesha, i-perforation kungenzeka. Bona ezinye izimpawu ezingakhombisa ukopha emathunjini.

Ungakuqinisekisa kanjani ukuxilongwa

Indlela engcono kakhulu yokuqinisekisa ubukhona besilonda se-duodenal ukubonisana nodokotela wezifo zesisu. Udokotela uvame ukuhlola izimpawu ezilethwayo kanye nomlando wesiguli, noma kunjalo, kujwayelekile ukuthi udinga ukuhlolwa kokuxilongwa, okufana ne-endoscopy yokugaya ukudla, ukuqinisekisa ubukhona besilonda nokuphenya ukuthi ngabe lukhona yini olunye uhlobo lwesilonda esiswini.

Ngaphezu kwalokho, i-endoscopy futhi ivumela i-biopsy, lapho kukhishwa khona isiqeshana sesicubu bese sithunyelwa elabhorethri, ukuzama ukuthola ukuthi ngabe kukhona yini amabhaktheriya abangela ukutheleleka.

Bona ukuthi i-endoscopy yenziwa kanjani nokuthi ungalungiselela kanjani ukuhlolwa.

Yini ebangela i-duodenal ulcer

Ukubonakala kwesilonda se-duodenal kwenzeka ngenxa yesenzo se-gastric acid odongeni lwesisu namathumbu. Yize kubantu abaningi lolu donga lunokuvikelwa kwemfucumfucu kwemvelo, uma kukhona ukutheleleka nguH. Pylori, ngokwesibonelo, le ntuthu iyancipha futhi, ngakho-ke, i-asidi isebenza ngqo ezindongeni zamathumbu nasesiswini, ilimaze kuyo.

Yize ukutheleleka kukaH. Pylori kuyimbangela evame kakhulu, ukuvikelwa kwesisu kwemvelo nakho kungakhubazeka kubantu abahlala bethatha imishanguzo elwa nokuvuvukala, njenge-Ibuprofen ne-Aspirin, kanye nabantu ababhemayo, abaphuza iziphuzo ezidakayo kaningi. Noma bahlupheke kusuka ekucindezelekeni okungapheli.

Yelashwa kanjani

Ukwelashwa kuvame ukuqala ngokusetshenziswa kwemithi elwa namagciwane noma isivikeli se-mucosa esiswini, njenge-Omeprazole, isibonelo. La makhambi kufanele athathwe esiswini esingenalutho futhi asize ukuvikela isisu nodonga lwamathumbu, okuvumela isilonda se-duodenal ukuba siphume.

Kodwa-ke, uma kutholakala, ngemuva kwe-biopsy, ukuthi kukhona ukutheleleka okuvela ku-H. Pylori, udokotela uzophinda anikeze izinhlobo ezi-2 zemithi elwa namagciwane okumele ithathwe ngokwemikhombandlela, ukuqinisekisa ukuthi amagciwane ayakhishwa. Uma ukusetshenziswa kwanoma imuphi umuthi kungumsuka wesilonda, kunconywa ukuthi usebenzise lowo muthi.

Ngaphezu kwalokho, kuselulekwa ukuthi ulandele indlela yokudla eguqulwe ngokwengeziwe ukunciphisa ukuvuvukala kwesisu nokuqeda izimpawu. Eminye imihlahlandlela ejwayelekile ifaka phakathi ukugwema imikhiqizo esezimbonini, ukunciphisa inani lamafutha nokungazidli iziphuzo ezithambile, ngokwesibonelo. Bona konke ongakudla nokuthi yini okungafanele uyidle.