Ke loaʻa iā mākou ka ʻeha o ka ʻōpū a i ʻole ka mumū, manaʻo pinepine mākou i ka gastritis. Akā i kekahi manawa ʻo ke kumu o kēlā ʻeha he ʻōpū ʻōpū a i ʻole he ʻōpū ʻōpū (Stomach Ulcer / Gastric Ulcer). E like me ka ʻeha ma ko mākou ʻili, he ʻōpū kēia e hana ʻia ma ka paia o loko o ka ʻōpū. He kūlana maʻamau loa kēia a hiki ke mālama ʻia a ho'ōla ʻia. Eia naʻe, inā ʻaʻole mālama pono ʻia, hiki iā ia ke alakaʻi i nā kūlana koʻikoʻi. No laila, he aha ka ʻōpū ʻōpū? No ke aha e hana ʻia ai? He aha nā hōʻailona? He aha nā ʻano lapaʻau a me ka pale ʻana? E kamaʻilio mākou e pili ana i kēia mau mea a pau ma kēia ʻatikala.

He aha kēia ʻōpū ʻeha? (ʻIke piha)

Pehea e ulu ai nā ʻōpū ʻōpū?

Loaʻa i ko kākou ʻōpū ka waikawa hydrochloric a me nā enzymes e kōkua i ka hoʻoheheʻe ʻana i ka meaʻai. He ikaika loa kēia mau mea. No laila, no ka pale ʻana i nā paia o ka ʻōpū mai kēia mau waikawa, aia kahi uhi ʻōpū pale i hana ʻia me ka mucus mānoanoa. Akā inā no kekahi kumu i hōʻino ʻia kēia uhi pale, hiki i kēlā waikawa ikaika ke ʻai i ka paia o ka ʻōpū. ʻO kahi 'ʻeha hāmama' i hana ʻia ma ka ʻai ʻana iā ia ua kapa ʻia he ʻōpū ʻōpū.

Pehea ka maʻamau?

He ʻano maʻamau loa kēia. He mea maʻamau nō hoʻi ia ma Sri Lanka. ʻO ke kumu nui o kēia, ʻo ia nā kumu nui ʻelua o nā ʻōpū ʻōpū he mea maʻamau loa ia i ko kākou kaiāulu. ʻO lākou kēia:

1. Ka hoʻohana nui ʻana i nā lāʻau ʻeha ʻeha ma luna o ke kauka ( NSAID ) .
2. Ka nui o ka maʻi H. pylori .

Nā ʻōpū ʻōpū vs nā ʻōpū peptic

Hiki i kēia mau inoa ʻelua ke huikau. ʻO ka "Peptic Ulcer Disease " kahi kūlana i hōʻino ʻia ai ka uhi o ka ʻōpū a i ʻole ka hapa mua o ka ʻōpū liʻiliʻi ( duodenum) e ka waikawa ʻōpū.) he inoa maʻamau no nā ʻōpū. No laila, ʻo nā ʻōpū e kū mai ana i loko o ka ʻōpū (Gastric Ulcer / Stomach Ulcer) he ʻano ʻōpū peptic. ʻO nā ʻōpū e kū mai ana ma ka ʻāpana mua o ka ʻōpū ua kapa ʻia ʻo "Duodenal Ulcers". Ua like loa nā kumu a me nā lāʻau lapaʻau o nā mea ʻelua.

Nā Hōʻailona a me nā Kumu

He aha nā hōʻailona o ka ʻōpū ʻōpū?

• ʻO ka hōʻailona nui: ʻEha kuni : ʻO ka hōʻailona nui a ka hapa nui o ka poʻe e manaʻo nei he ʻeha kuni a ʻeha paha ma ka ʻōpū o luna (ma lalo pono o waenakonu o ka umauma, ma luna o ka piko, a ʻoi aku ke kaumaha ma ka hema). Manaʻo paha kēia e like me ka ʻakika e kuni ana, a i ʻole e like me ka mea e ʻai ana i loko (he ʻano nahu). ʻAʻole wale kēia manaʻo he manaʻo, akā ʻo ka waikawa a me nā enzymes e ʻai ana i ka ʻeha. Hiki ke ʻoi aku ka ʻino o kēia ʻeha ma ka ʻōpū hakahaka, ʻoi aku hoʻi i ka pō. ʻIke kekahi poʻe ua hoʻomaha ʻia ka ʻeha ma ka ʻai ʻana, akā no kekahi poʻe (ʻoi aku hoʻi me nā ʻōpū ʻōpū), ʻoi aku ka ʻino o ka ʻeha ke ʻai lākou.
• ʻAʻai ʻole a me ka Piha: Nui ka poʻe me nā ʻōpū ʻōpū e ʻike i nā hōʻailona o ka ʻai ʻole. He manaʻo kēia o ka piha me ka ʻeha wela i loko o ka ʻōpū. Hiki iā ʻoe ke manaʻo ua piha ʻoe i ka wā e hoʻomaka ai ʻoe e ʻai, a i ʻole e manaʻo paha ʻoe ua piha no ka manawa lōʻihi ma hope o ka ʻai ʻana.
• ʻO nā hōʻailona maʻamau ʻē aʻe: Ma waho aʻe o kēia mau mea, ʻo nā hōʻailona e pili ana i nā kūlana i hoʻokumu ai i ka ʻeha e komo pū me:
  • ʻO ka reflux waikawa a me ka puʻuwai
  • Ka luaʻi a me ka luaʻi
  • ʻO ka pehu ʻana, ka belching, a me ka ʻeha kinoea
• Nā ʻUlu Leo ʻole a me nā Hōʻailona o nā Pilikia: ʻO ka mea kupanaha, loaʻa i kekahi poʻe nā ʻulu ʻōpū akā ʻaʻole lākou e ʻike i kekahi ʻeha a i ʻole nā ​​hōʻailona. Ua kapa ʻia kēia mau mea he "ʻulu leo ​​ʻole." ʻAʻole paha lākou e ʻike he ʻulu ko lākou a hiki i ka wā e loaʻa ai kahi pilikia koʻikoʻi, e like me ke kahe ʻana o ke koko a i ʻole ka perforation. E ʻimi koke i ke kōkua lapaʻau inā loaʻa iā ʻoe kekahi o kēia mau hōʻailona:
  • Ka ʻili keʻokeʻo (pallor)
  • ʻO ka poniuniu, ka nāwaliwali a i ʻole ka maule - ma muli paha o ke kahe ʻana o ke koko.
  • ʻEleʻele, ʻeleʻele nā ​​​​​​ʻōpala - ma muli o ke koko i hoʻoheheʻe ʻia.
  • ʻO ka luaʻi e like me ke kofe lepo - ma muli o nā ʻūpā koko i loko o ka ʻōpū.
  • ʻO ka ʻeha ʻōpū koʻikoʻi a koke ʻole e nalo - he hōʻailona paha ia o kahi perforation.

Pehea ke koʻikoʻi o nā pilikia?

Inā ʻaʻole mālama ʻia, hiki i nā ʻōpū ʻōpū ke hana i nā pilikia koʻikoʻi:

• Nā ʻeha koko: Hiki i ka ʻeha ke kahe mau ke koko, lohi a koke paha. Inā kahe mālie ke koko, i ka hala ʻana o ka manawa, hiki ke emi ka lako koko o ke kino, e alakaʻi ana i ka anemia. Inā kahe nui ke koko, hiki i ke kino ke komo i ka haʻalulu a make paha.
• ʻO nā ʻōpū ʻōpū: He pilikia kakaikahi akā koʻikoʻi kahi e haki loa ai ka ʻōpū ma ka paia o ka ʻōpū a hana i lua. Hiki i kēia lua ke ʻae i ka waikawa o ka ʻōpū a me nā bacteria e komo i loko o ka lua o ka ʻōpū, e hana ana i kahi maʻi koʻikoʻi (peritonitis). Hiki i kēia maʻi ke laha i ke kahe koko, e hana ana i kahi maʻi hoʻoweliweli ola i kapa ʻia ʻo sepsis.

He aha nā kumu nui o nā ʻōpū ʻōpū?

ʻO nā kumu nui ʻelua o nā ʻōpū ʻōpū ma Sri Lanka a puni ka honua:

• ʻO ka maʻi bacteria H. pylori (Helicobacter pylori): He maʻi bacteria maʻamau kēia. Ua manaʻo ʻia aia ma kahi o ka hapalua o ka heluna kanaka o ka honua he bacteria kēia e noho ana i loko o ko lākou ʻōpū. No ka hapa nui o ka poʻe, ʻaʻole pilikia kēia bacteria. Eia nō naʻe, i kekahi poʻe, ulu nui kēia bacteria i loko o ka ʻōpū a hoʻomaka e ʻai i ka uhi pale o ka ʻōpū. Hoʻoulu kēia i ka mumū mau, kahi e hiki ai ke alakaʻi i nā ʻōpū ʻōpū i ka hala ʻana o ka manawa.
• Ka hoʻohana ʻana i nā lāʻau ʻeha NSAID: ʻO NSAID (Nonsteroidal Anti-inflammatory Drugs) kahi ʻano lāʻau ʻeha a mākou e kūʻai pinepine ai mai ka hale kūʻai lāʻau. ʻO nā hiʻohiʻona e like me Ibuprofen, Naproxen, Diclofenac, Aspirin.No kēia hui nā lāʻau lapaʻau e like me kēia. (ʻAʻole ʻo Paracetamol kahi lāʻau lapaʻau i loko o kēia hui). Ke komo kēia mau NSAID i loko o ka ʻōpū, hoʻonāukiuki iki lākou i ka paia o ka ʻōpū, a pale pū lākou i ka hana ʻana o kekahi mau kemika e pale a hoʻoponopono i ka paia o ka ʻōpū. ʻO ka maʻamau, hiki i ko mākou paia o ka ʻōpū ke hoʻōla mai nā pōʻino liʻiliʻi e like me kēia. Akā inā lawe pinepine mākou i kēia mau NSAID, ʻaʻole lawa ka manawa o ka paia o ka ʻōpū e hoʻoponopono iā ia iho. Mālie, mae ka papa pale a hana ʻia nā ʻeha.

Nā kumu kakaikahi ʻē aʻe

Ma waho aʻe o kēia mau kumu nui ʻelua, hiki ke hana ʻia nā ʻōpū ʻōpū e kēia mau mea, he mea kākaʻikahi loa:

• Nā maʻi ʻē aʻe: He mea kākaʻikahi loa, hiki i nā maʻi bacteria, viral, a fungal paha ke hoʻopilikia i ka ʻōpū a hana i nā ʻōpū.
• ʻO ka maʻi Zollinger-Ellison: He ʻano laha loa kēia kahi e hana ai ka ʻōpū i ka nui o ka waikawa gastric, e hōʻino ana i ka uhi ʻōpū.
• Ke kaumaha koʻikoʻi o ke kino: ʻO nā loli hormonal a me nā kemika e kū mai ana i ka wā e hoʻāʻo ai ke kino e hoʻōla mai kahi maʻi e hoʻoweliweli ana i ke ola (e like me ke kuni nui, ke ʻoki kino nui) a i ʻole kahi ulia pōpilikia hiki ke hoʻonui i ka waikawa o ka ʻōpū, e alakaʻi ana i ka ulu ʻana o ka mea i kapa ʻia ʻo "stress ulcer." ʻAʻole kēia ke kaumaha noʻonoʻo a mākou e ʻike ai i ke ola o kēlā me kēia lā.

Ke hoʻopilikia nei anei ke ʻano o ka nohona iā ia?

Manaʻo ka poʻe he nui ʻo ka ʻai ʻana i nā mea ʻala a me ke kaumaha ke kumu o nā ʻōpū pala. ʻO ka ʻoiaʻiʻo, ʻo nā mea e pili ana i ke ʻano o kēlā me kēia lā (e like me kāu mea e ʻai ai a inu ai, ke kaumaha maʻamau) ʻaʻole ia e hoʻoulu pololei i nā ʻōpū pala. Eia nō naʻe, inā loaʻa iā ʻoe kahi ʻōpū pala, hiki i kēia mau mea ke hoʻonui i kou mau hōʻailona . ʻO kēia no ka mea e hoʻonui lākou i ka waikawa o kou ʻōpū, e hoʻonui ana i ka ʻōpū pala.

• Puhipaka
• Ka hoʻohana ʻana i ka waiʻona
• Nā meaʻai ʻala
• nā meaʻai waikawa e like me nā tōmato a me nā hua citrus
• Nā mea inu caffeine e like me ke kofe a me ke kī

Nā Hōʻailona a me nā Hoʻāʻo

Pehea ʻoe e ʻike ai i kahi maʻi ʻōpū?

Ke hele ʻoe e ʻike i ke kauka, e nīnau mua lākou e pili ana i kāu mau hōʻailona, ​​inā ʻoe e lawe mau ana i nā NSAID, a inā ua loaʻa iā ʻoe kahi maʻi H. pylori ma mua. Inā hōʻike kāu mau hōʻailona i kahi ʻōpū ʻōpū, pono paha lākou e nānā i loko o kou ʻōpū e hōʻoia.

He aha ke ʻano o nā hoʻokolohua āu e hana ai?

ʻElua mau mea nui e pono ai ke kauka e ʻike:

1. Loaʻa iā ʻoe ka maʻi H. pylori?
2. He ʻōpū palapū kou? Pehea kona ʻano?

ʻO ke ala maikaʻi loa e hana i kēia mau mea ʻelua i ka manawa like, ʻo ia ka hoʻohana ʻana i ka endoscopy .

• Hoʻāʻo Endoscopy Kiʻekiʻe / EGD: Pili kēia i ke komo ʻana i kahi ʻōmole lōʻihi, lahilahi, a palupalu (endoscope) me kahi kāmela a me ke kukui ma ka hopena ma kou waha a i lalo o kou puʻu e nānā i loko o kou ʻōpū a me ka ʻōpū liʻiliʻi. E hāʻawi ʻia ʻoe i ka hoʻomaha e kōkua iā ʻoe e ʻoluʻolu. Hiki i ke kauka ke hoʻohana i ke kāmela e nānā i ka paia o ka ʻōpū ma kahi pale e ʻike ai inā he mau ʻeha a he kahe koko paha. Hiki iā ia ke hoʻohana i kahi mea hana liʻiliʻi e lawe i kahi ʻāpana liʻiliʻi o ka ʻiʻo (biopsy) mai kahi wahi kānalua a i ʻole ka ʻeha e hoʻāʻo ai no ka bacteria H. pylori. Inā he kahe koko mai kahi ʻeha, hiki ke hāʻawi ʻia ka lāʻau lapaʻau e hoʻōki koke i ke kahe koko (no ka laʻana, ke kau ʻana i ke kīʻaha koko) i ka wā o kēia endoscopy.
• Nā Hoʻāʻo ʻē aʻe: ʻOiai ʻo ka endoscopy ke ʻano maikaʻi loa, hiki ke hoʻohana ʻia kekahi mau ʻano hana ʻē aʻe i kekahi manawa:
  • ʻO ke kiʻi X-ray o ka ʻōpū kiʻekiʻe (Barium Swallow): Ma kēia, ua moni ʻia kahi wai i kapa ʻia ʻo barium a lawe ʻia nā kiʻi X-ray. Ma muli o ka uhi ʻana o ka barium i ka ʻōpū, hiki ke ʻike ʻia nā ʻeha ma ka X-ray. Eia naʻe, ʻaʻole pololei kēia e like me ka endoscopy, a hiki ke hala ʻia nā ʻeha liʻiliʻi.
  • Nā hoʻāʻo H. pylori: Aia nā hoʻāʻo kaʻawale e nānā i ke alo o ka bacteria:
    • Hoʻāʻo Hanu Urea: Hāʻawi ʻia ʻoe i kahi wai kūikawā e inu, a laila hoʻāʻo ʻia kāu ea i puka aku ai.
    • Hoʻāʻo Koko: Hoʻāʻo kēia i nā antibodies e kūʻē iā H. pylori. Eia naʻe, ʻaʻole hiki ke ʻike maopopo inā ua loaʻa iā ʻoe ka maʻi i kēia manawa a i ʻole ua loaʻa mua iā ʻoe ka maʻi.
    • Hoʻāʻo Antigen Noho: Hoʻāʻo ʻia kahi hāpana noho no ke alo o nā antigens bacteria.

ʻO nā kūlana ʻē aʻe i hiki ke kuhihewa ʻia no ka ʻōpū ʻōpū

Inā hōʻoia nā hoʻokolohua ʻaʻohe ou ʻōpū ʻōpū, hiki i ke kumu o kāu mau hōʻailona ke lilo i mea ʻē aʻe, e like me:

• GERD (Maʻi Reflux Gastroesophageal): Inā hoʻi hou mai ka waikawa mai ka ʻōpū i loko o ka puʻu (acid reflux), hiki iā ia ke hana i nā hōʻailona e like me ka ʻeha puʻuwai, ka indigestion, a me ka nausea.
• ʻO ka Dyspepsia Hana: He ʻano kēia kahi e loaʻa ai nā hōʻailona mau o ka indigestion (ʻeha o ka ʻōpū, heartburn, piha) me ke kumu kino ʻole. ʻOiai ua like nā hōʻailona me nā ʻōpū ʻōpū, ʻaʻohe ʻōpū i ʻike ʻia ma ka paia o ka ʻōpū.
• Ka maʻi ʻōpū: He mea kākaʻikahi loa kēia, akā hiki ke hana i nā hōʻailona e like me ka ʻōpū ʻōpū (ʻeha ʻōpū, pohō kaumaha, nalowale o ka makemake). ʻO ia ke kumu he mea nui e kiʻi i kahi biopsy i ka wā o kahi endoscopy.

Ka Hoʻokele a me ka Lapaʻau ʻana

Pehea e ho'ōla koke ai i ka ʻōpū?

Ke hoʻopau ʻia ke kumu o ka ʻōpū, e hoʻomaka mālie ka ʻōpū o ka ʻōpū e ho'ōla. No ka laʻana, inā ua hoʻokumu ʻia kou ʻōpū e kahi NSAID, inā ʻoe e hoʻōki i ka lawe ʻana i ka lāʻau lapaʻau, hiki i ka ʻōpū ke ho'ōla me ka ʻole o kekahi lāʻau ʻē aʻe. Eia nō naʻe, inā loaʻa iā ʻoe kahi maʻi H. pylori, pono ʻoe e lawe i nā antibiotics e pepehi i ka bacteria. Eia kekahi, hiki i ke kauka ke kuhikuhi i nā lāʻau lapaʻau ʻē aʻe e hōʻemi i ka waikawa o ka ʻōpū a pale i ka ʻōpū o ka ʻōpū a hiki i ka ho'ōla ʻana o ka ʻōpū. ʻO ka lawe pono ʻana i kēia mau lāʻau lapaʻau e hiki ke kōkua i ka ho'ōla wikiwiki ʻana o ka ʻōpū.

He aha nā lāʻau lapaʻau i loaʻa?

ʻO ka hapa pinepine, mālama ʻia nā ʻōpū ʻōpū me ka hui pū ʻana o nā lāʻau lapaʻau. ʻO kēia mau lāʻau lapaʻau:

1. Hoʻemi i ka nui o ka waikawa i loko o ka ʻōpū.
2. Uhi, pale, a kōkua ia i ka ho'ōla ʻana o ka ʻeha.
3. Inā he maʻi (H. pylori), e hoʻopau ʻia.

I kekahi manawa pinepine ʻole, pono paha ke kaʻina hana lapaʻau e hoʻōki i ke kahe ʻana o ke koko a pani paha i kahi lua.

• Nā lāʻau lapaʻau:
  • Nā lāʻau antibiotic : Inā loaʻa iā ʻoe kahi maʻi H. pylori a i ʻole kekahi maʻi bacteria ʻē aʻe, e kuhikuhi paha kāu kauka i ʻelua a ʻekolu mau lāʻau antibiotic i ka manawa hoʻokahi no 7-14 mau lā e pepehi loa i ka bacteria. ʻO nā lāʻau antibiotic i hoʻohana pinepine ʻia: Tetracycline, Metronidazole, Clarithromycin, a me Amoxicillin. He mea nui e lawe i ka papa holoʻokoʻa o ka lāʻau i kuhikuhi ʻia e kāu kauka no ka lōʻihi o ka papa, a i ʻole e hoʻi hou mai ka maʻi.
  • Nā mea hoʻomalu cytoprotective: Hana kēia mau lāʻau lapaʻau ma ka hana ʻana i kahi papa pale (ʻaʻahu) ma luna o ka paia o ka ʻōpū, e pale ana iā ia a hiki i ka ho'ōla ʻana o ka ʻōpū. Hoʻohana pinepine ʻia lākou e mālama a pale aku i nā ʻōpū i hoʻokumu ʻia e nā NSAID. Nā laʻana: Sucralfate, Misoprostol, Bismuth subsalicylate.
  • Nā mea pale H2 (Nā mea pale histamine receptor / nā mea pale H2): Ke pale nei lākou i kahi kemika i kapa ʻia ʻo histamine, ka mea e hōʻailona i ke kino e hana i ka waikawa i loko o ka ʻōpū, a hōʻemi i ka hana ʻakika. Nā Laʻana: Famotidine, Cimetidine, Nizatidine.
  • Nā mea pale o ka pamu proton (PPI): He mau lāʻau lapaʻau ikaika kēia e hōʻemi ana i ka hana ʻana o ka waikawa i loko o ka ʻōpū. Mālama pū lākou i ka uhi ʻōpū a hoʻolalelale i ka ho'ōla ʻana o nā ʻeha. ʻO kēia nā lāʻau lapaʻau i hoʻohana nui ʻia no nā ʻeha ʻōpū. Nā laʻana: Omeprazole, Esomeprazole, Lansoprazole, Pantoprazole, Rabeprazole.
• Nā Kaʻina Hana Lapaʻau: Pono e mālama pololei ʻia kahi ʻeha paʻakikī (ke kahe ʻana o ke koko, ka puka ʻana o ka ʻōpū) e ke kauka . Hiki ke hana pinepine ʻia kēia i ka manawa like me ka endoscopy. Hiki ke hoʻōki ʻia kahi ʻeha kahe koko ma ka hoʻokomo ʻana i ka lāʻau lapaʻau a i ʻole ke kuni ʻana iā ia. Inā he puka ʻana o ka ʻōpū, pono e pani ʻia ma ke ʻoki ʻana.
• ʻO ke ʻoki kino no nā ʻeha mau loa:He mea kākaʻikahi loa, hiki i nā ʻōpū ʻōpū o kekahi poʻe ke hoʻomau me ka ʻole o ka lāʻau lapaʻau, a i ʻole e ho'ōla a hoʻi hou mai. Hiki i kēia ke hana i ka ʻeha lōʻihi a me ka ʻeha o ka ʻōpū. I kekahi manawa hiki i kēia ʻiʻo ʻeha ke ālai i ka puka mai ka ʻōpū a i nā ʻōpū. I ia mau hihia, pono paha ke ʻoki ʻana, e like me:
  • Ke wehe ʻana i nā ʻiʻo ʻeha a i ʻole ka wehe ʻana i ke ala i ālai ʻia (Pyloroplasty).
  • ʻO Vagotomy ka ʻoki ʻana o ke aʻalolo vagus, kahi e hoʻoulu ai i ka hana ʻana o ka waikawa o ka ʻōpū.

Pehea e pale aku ai? (Kāohi ʻana)

Pehea e pale ʻia ai nā ʻeha ʻōpū mai ka hoʻokumu ʻana a i ʻole ka hoʻi hou ʻana mai?

Eia kekahi mau mea hiki iā ʻoe ke hana e pale aku i ka hoʻokumu ʻana o kahi ʻōpū ʻōpū, a i ʻole e pale aku i kona hoʻi hou ʻana mai ma hope o kona ho'ōla ʻia ʻana:

• Ka hoʻopau ʻana i ka maʻi H. pylori: He nui ka poʻe i loaʻa i ka maʻi H. pylori akā ʻaʻole ʻike. Hiki iā ʻoe ke ʻike inā loaʻa iā ʻoe me kahi hoʻāʻo hanu maʻalahi a i ʻole ka hoʻāʻo ʻana i ka ʻōpala. Inā loaʻa iā ʻoe, hiki iā ʻoe ke hoʻopau iā ia me nā antibiotics ma mua o ka hoʻoulu ʻana i nā pilikia.
• Ka hoʻohana pono ʻana i nā NSAID: Inā ʻoe e lawe mau ana i nā NSAID mai ka hale kūʻai lāʻau lapaʻau no nā ʻeha kino a me nā poʻo, e hōʻoia ʻaʻole ʻoe e lawe ma mua o ka nui i ʻōlelo ʻia. Inā ʻoe e hoʻomau i ka lawe ʻana i nā NSAID ma ke aʻo a ke kauka no kekahi maʻi ʻē aʻe (e.g. arthritis), inā hiki, e hoʻemi i ka nui, e hoʻololi i kahi lāʻau lapaʻau ʻē aʻe, a i ʻole e kamaʻilio me kāu kauka e pili ana i ka lawe ʻana i kahi lāʻau lapaʻau ʻē aʻe e pale ana i ka ʻōpū (e like me ka PPI) i ka manawa like.
• E hōʻemi i nā ʻano hana ʻino ʻē aʻe: Inā loaʻa iā ʻoe ka maʻi H. pylori a i ʻole ke lawe nei ʻoe i nā NSAID, ʻo ka puhipaka a me ka inu ʻana i ka waiʻona e hoʻonui i kou pilikia o ka loaʻa ʻana o nā ʻōpū ʻōpū. No laila he mea nui e haʻalele i kēia mau ʻano.

Pehea ka lōʻihi e hoʻōla ai? (Outlook / Prognosis)

ʻEhia ka lōʻihi o ka ho'ōla ʻana o ka ʻōpū?

Inā ʻoe e lawe i kāu mau lāʻau lapaʻau e like me ke kauoha a pale i nā mea e hoʻonui ai i ka ʻeha (NSAID, puhi paka, ʻona), pono e ho'ōla loa ka ʻeha i loko o kekahi mau pule . Hiki i kāu kauka ke hana hou i kahi endoscopy a i ʻole kekahi hoʻāʻo ʻē aʻe e hōʻoia i ka ho'ōla loa ʻia o ka ʻeha a ua nalowale loa ka maʻi H. pylori.

Nā kūlana maʻi

Pono ka hapa nui o nā kānaka i ka lāʻau lapaʻau pōkole wale nō. Eia nō naʻe, loaʻa paha i kekahi poʻe nā maʻi mau loa e hoʻoulu ai i nā ʻōpū ʻōpū. No ka laʻana, ʻo kekahi me ka Zollinger-Ellison syndrome, i ʻōlelo ʻia ma mua, he maʻi kahi e hana ai ka ʻōpū i ka nui o ka waikawa. Pono paha kēia poʻe e lawe i nā lāʻau lapaʻau (e like me nā PPI) no ka manawa lōʻihi.

He aha kāu e hana ai inā manaʻo ʻoe he ʻōpū ʻōpū? (Noho pū me)

Ke koʻikoʻi o ka ʻimi ʻana i ka ʻōlelo aʻoaʻo lapaʻau

Inā kānalua ʻoe he ʻōpū ʻōpū kou, e ʻimi pono i ke kōkua lapaʻau. Hiki i nā lāʻau lapaʻau kūʻai ʻole ʻia e like me nā antacids a i ʻole bismuth subsalicylate ke hōʻoluʻolu i nā hōʻailona no kekahi manawa, akā ʻaʻole lākou e ho'ōla i ka ʻōpū. Pono e mālama ʻia ke kumu kumu (H. pylori a i ʻole NSAIDs) e ho'ōla i ka ʻōpū.

Nā pilikia inā ʻaʻole mālama ʻia

ʻOiai inā ʻaʻole ʻoe i loaʻa i nā hōʻailona koʻikoʻi, hiki i kahi ʻōpū ʻōpū i mālama ʻole ʻia ke alakaʻi i nā pilikia koʻikoʻi, e like me ke kahe ʻana o ke koko a i ʻole ka perforation. Aia kekahi pilikia o ka maʻi ʻōpū inā ʻaʻole mālama ʻia ka maʻi H. pylori, ke kumu nui o nā ʻōpū ʻōpū, no ka manawa lōʻihi.

Āhea ʻoe e ʻimi ai i ka mālama ulia pōpilikia?

Inā loaʻa iā ʻoe kēia mau hōʻailona, ​​e hele koke i ka haukapila (ETU) :

• ʻEha ʻōpū hiki ʻole ke hoʻomanawanui, ʻeha hoʻi ke hoʻomanawanui.
• Inā he koko ʻeleʻele kou i loko o kou ʻōpala a i ʻole e luaʻi i ke koko (e like me ke kope kope).
• Nā hōʻailona o ke kahe koko nui (ʻili keʻokeʻo, poniuniu nui, nāwaliwali).

ʻO ka hope loa

He maʻi maʻamau a hiki ke mālama ʻia nā ʻōpū ʻeha. ʻO nā kumu nui ka maʻi H. pylori a me ka hoʻohana ʻana i nā lāʻau hoʻomaha ʻeha NSAID. Inā loaʻa iā ʻoe nā hōʻailona e like me ka mumū o ka ʻōpū, ka ʻeha, a me ka indigestion, he mea nui loa ia e ʻimi i ka ʻōlelo aʻoaʻo lapaʻau ma mua o ka manaʻo wale ʻana he gastritis. A laila, hiki ke ʻike ʻia ke kumu, hiki ke hoʻomaka i ka lāʻau kūpono, a hiki ke pale ʻia nā pilikia koʻikoʻi. Eia kekahi, ʻo ka hōʻemi ʻana i ka puhipaka a me ka inu ʻona, a me ka hoʻohana ʻana i nā lāʻau NSAID i ka wā e pono ai, ma ka liʻiliʻi haʻahaʻa loa, no ka manawa pōkole loa, hiki ke kōkua i ka pale ʻana i nā ʻōpū ʻeha. E noho olakino!