Kodi mumakhala ndi ululu wa m'mimba pafupipafupi? Ichi chikhoza kukhala zilonda zam'mimba (Peptic Ulcer Disease)! Tiyeni tikambirane za izi.

Kodi nthawi zambiri mumamva kutentha m'mimba mwanu, kusasangalala m'mimba mwanu? Ambiri aife timaiwala kuti izi ndi zachilendo, mwina poganiza kuti ndi "gastritis". Komabe, nthawi zina kusasangalala kumeneku kungakhale koopsa pang'ono. Umenewo ndi mkhalidwe wa zilonda zam'mimba, kapena monga momwe madokotala amautcha, `Peptic Ulcer Disease (PUD). Chifukwa chake, lero tikambirana za izi mwatsatanetsatane, ngati kuti tikuuza mnzanu. Chifukwa kudziwa izi kungakhale kofunikira kwambiri kwa inu.

Kodi Matenda a Zilonda za M'mimba ndi Chiyani? Mwachidule...

Mwachidule, matenda a zilonda zam'mimba ndi chilonda chotseguka chomwe chimapangika pakhungu la dongosolo lathu logaya chakudya, gawo la njira yogaya chakudya komwe timagaya chakudya ndi zakumwa. Mawu oti "peptic" amatanthauza "zokhudzana ndi kugaya chakudya." Amachokera ku mawu oti "pepsin," omwe ndi enzyme yayikulu yogaya chakudya yomwe imapangidwa m'mimba mwathu.

Tangoganizirani, m'mimba mwathu muli asidi m'mimba ndi enzyme iyi yotchedwa pepsin. Izi ziwiri ndi zomwe zimatithandiza kuswa chakudya chomwe timadya ndikuchigaya mwa mankhwala. Madzi awa ndi acid kwambiri, kunena zoona, amawononga. Madzi awa nthawi zina amapita ku gawo loyamba la matumbo athu ang'onoang'ono (duodenum).

Tsopano taonani, njira yathu yonse yogayira chakudya ili ndi nembanemba yoteteza, ngati chishango chomwe chimateteza makoma ku zinthu zovuta mkati. Nembanemba yotetezayi ndi yolimba kwambiri m'mimba ndi gawo loyamba la matumbo ang'onoang'ono. Komabe, mwa munthu amene ali ndi matenda a zilonda zam'mimba, njira yotetezayi imafooka . Kenako madzi ouma a m'mimba amatha kudya makoma.

Chilonda ndi kukokoloka kwa nthaka komwe kumafika pansi mokwanira kulowa m'zigawo zonse zitatu za m'mimba. Nthawi zambiri, zilondazi zimachitika m'mimba kapena gawo loyamba la matumbo ang'onoang'ono (duodenum), chifukwa ndi komwe madzi ogaya chakudya amagwira ntchito kwambiri. Koma nthawi zambiri, zimatha kuchitika m'malo ena.

Kodi mabala amenewa angachitike kuti? Kodi pali mitundu ina iliyonse?

Inde, zilonda zimenezi zimapezeka makamaka m'mimba mwathu ndi gawo loyamba la matumbo ang'onoang'ono (duodenum).

• Zilonda za m'mimba: Izi ndi zomwe zimapezeka kwambiri, zomwe zimakhala pafupifupi 80%.
• Zilonda zam'mimba: Izi zimapezeka pafupifupi 20% ya milandu.

Komabe, nthawi zina, asidi m'mimba amatha kutuluka m'malo ena, zomwe zimayambitsa zilonda. Mwachitsanzo:

• Chilonda cha m'mimba: Anthu ena amakhala ndi vuto la asidi m'mimba, lomwe limachitika pamene asidi m'mimba amakwera pakhosi. Ngati izi zipitirira, chigawo cha m'mimba chimatha pang'onopang'ono, zomwe zimayambitsa zilonda. Izi zili choncho chifukwa chigawo cha m'mimba sichimalimbana ndi asidi monga chigawo cha m'mimba.
• Chilonda cha Jejunal:Jejunamu ndi gawo lapakati la matumbo athu ang'onoang'ono. Maopaleshoni ena (monga gastrojejunostomy - opaleshoni yomwe imalumikiza mimba mwachindunji ndi jejunamu) angayambitse kuvulala kwa gawoli.

Kodi vutoli ndi lofala bwanji?

Padziko lonse lapansi, pakati pa 5% ndi 10% ya anthu adzadwala matenda a zilonda zam'mimba (PUD) nthawi ina m'miyoyo yawo. Ngakhale kuti zingachitike pa msinkhu uliwonse, zimachitika kwambiri mwa anthu azaka zapakati komanso amuna.

Kodi zizindikiro za izi ndi ziti? Kodi mumazindikira bwanji?

Chodabwitsa n'chakuti, pafupifupi 70% ya anthu omwe ali ndi vutoli sasonyeza zizindikiro zilizonse . Komabe, zinthu zomwe anthu ambiri omwe ali ndi zizindikiro amanena ndi izi:

• Ululu wa m'mimba: Kunena zoona, ululu umachokera pakati pa mimba , pansi pa chifuwa.
• Dyspepsia: Kusagwira bwino ntchito kwa m'mimba komwe kumachitika munthu akadya. Izi zikuphatikizapo kupweteka m'mimba, kutentha thupi , kumva kukhuta thupi akadya, komanso kumva kukhuta thupi nthawi zonse.

Kumva kutentha kumeneku kuli ngati kumva kwa asidi m'mimba ndi ma enzyme akudya mkati mwa mimba. Anthu ena amanena kuti "ngati chinachake chikukumba mkati mwa mimba." Muthanso kudziwa komwe ululu uli.

Ngakhale kuti n'zovuta kudziwa ngati chilondacho chili m'mimba kapena m'matumbo ang'onoang'ono, pali zizindikiro zina:

• Ngati muli ndi zilonda zam'mimba , ululu ukhoza kukulirakulira mutangodya (mkati mwa mphindi 30), chifukwa nthawi imeneyo madzi ambiri am'mimba amatuluka.
• Pankhani ya chilonda cha m'mimba , ululu ukhoza kuchepa mutadya. Komabe, patatha maola awiri kapena atatu, ululuwo ukhoza kukulirakulira pamene chakudya ndi madzi osakaniza m'mimba zimalowa m'matumbo ang'onoang'ono. Anthu ena amaganiza kuti izi ndi njala, chifukwa kudya kumapereka mpumulo. Kudzuka usiku chifukwa cha ululu n'kofalanso kwa anthu omwe ali ndi zilonda zam'mimba zazing'onozi.

Kuwonjezera pa izi, mutha kuwonanso zinthu zina monga:

• Mimba yotupa
• Kuboola kapena kupukuta pafupipafupi
• Kutaya chilakolako
• Kusanza ndi kusanza

Kodi chimachitika ndi chiyani ngati sichilandira chithandizo? Kodi mavuto ake ndi otani?

Anthu ena amayamba zizindikiro pambuyo poti matendawa ayamba kukhala ndi mavuto ena. Izi zimachitika ngati sanachiritsidwe kwa nthawi yayitali. Kupanda kutero, mabala amatha kuyamba kutuluka magazi , kapena khoma likhoza kuzama kwambiri ndikupanga dzenje .

Ngati muli ndi vuto la magazi m'mimba, mukhoza kuona zizindikiro monga:

• Magazi mu ndowe ( zakuda, ndowe yochedwa )
• Kusanza kwa khofi wophwanyidwa
• Chizungulire kapena kukomoka
• Khungu lotumbululuka (lotumbululuka)
• Kugunda kwa mtima mwachangu

Ngati dzenje m'mimba (kubowoka kwa m'mimba) lapezeka, zizindikiro monga:

• Kupweteka kwadzidzidzi, kwakukulu, komanso kwamphamvu m'mimba
• Kutupa m'mimba ndi ululu wosapiririka
• Malungo ndi kuzizira

Ngati sanalandire chithandizo kwa nthawi yayitali, zilondazo zimatha kuchira kenako n’kubwereranso. Mwa anthu ena, zipsera ndi kutupa m’mimba kumatha kuwonjezeka, zomwe zimapangitsa kuti m’mimba mutsekeke . Izi zingayambitse zizindikiro monga:

• Kutupa, kutupa, ndi ululu
• Kusanza ndi kusanza
• Kutaya chilakolako cha chakudya ndi kuchepetsa thupi
• Kusadziletsa komanso kudzimbidwa

N’chifukwa chiyani timadwala zilonda zam’mimba zimenezi? Kodi zifukwa zazikulu ndi ziti?

Chipinda choteteza cha m'mimba mwathu chimapangidwa kuti chizitha kupirira ma acid ndi ma enzyme amphamvu komanso kuti chidzikonzekere chokha ngati chawonongeka. Izi zimachitika makamaka m'mimba ndi gawo loyamba la matumbo ang'onoang'ono. Komabe, zilonda zimachitika pamene chinachake chikusokoneza chitetezo chachilengedwechi.

Kuti chitetezochi chichepe komanso kuti chilonda chikhale chozama mokwanira kuti chilowe mu mucosa, payenera kukhala vuto la nthawi yayitali kapena lopitirira . Asayansi apeza zifukwa ziwiri zazikulu zomwe zimayambitsa ma PUD ambiri awa:

1. Matenda a Bakiteriya a H. pylori (Helicobacter pylori): Bakiteriya iyi imakhala m'mimba ndi/kapena m'matumbo ang'onoang'ono a pafupifupi theka la anthu padziko lonse lapansi. Kwa anthu ambiri, siimayambitsa mavuto. Komabe, ngati mabakiteriya akukula kwambiri, amatha kusokoneza bwino mabakiteriya ena omwe alipo ndikuyamba kutupa . Kutupa kwa nthawi yayitali kumeneku kumafooketsa khoma ndikuchepetsa mphamvu yake yodzikonza yokha. Nthawi zina, mabakiteriya amatha kuukira khoma mwachindunji.

2. Kugwiritsa ntchito mopitirira muyeso mankhwala oletsa kutupa (NSAIDs): Awa ndi mankhwala ochepetsa ululu omwe timagula ku pharmacy popanda mankhwala, monga aspirin ndi ibuprofen. Chifukwa amatengedwa popanda upangiri wa dokotala, anthu ambiri amawamwa pafupipafupi kuposa momwe amafunikira. Izi zimakhudza bwino momwe mankhwala amagwirira ntchito m'mimba mwathu komanso m'matumbo ang'onoang'ono. Mankhwala a NSAID amagwira ntchito pochepetsa kupanga mankhwala otchedwa prostaglandins, omwe amakonza kuwonongeka kwa matumbo a m'mimba.

Kuwonjezera pa zifukwa ziwiri zazikuluzi, palinso zifukwa zina zomwe sizidziwika bwino:

• Matenda ena
• Kuchepa kwa magazi (`Ischemia`)
• Kupsinjika maganizo kwambiri (nthawi zambiri chifukwa cha matenda oopsa kapena ngozi)
• Chemotherapy kapena chithandizo cha radiation
• Matenda a Zollinger-Ellison - vuto lomwe m'mimba mumatulutsa asidi wambiri
• Matenda a Crohn - matenda otupa m'mimba
• Khansa ya m'mimba

Ndani ali pachiwopsezo chachikulu chotenga matendawa?

Ngati muli ndi matenda a H. pylori kapena mumagwiritsa ntchito NSAID pafupipafupi, muli ndi mwayi waukulu wopeza zilonda zam'mimba izi. Chiwopsezo chake chimakhala chachikulu makamaka ngati muli ndi zinthu zonsezi zomwe zimayambitsa matendawa.

Kuphatikiza apo, kusuta fodya, kumwa mowa, ndi mankhwala ena omwe mumamwa nawonso angathandize pa izi. Ngakhale kuti zinthuzi zokha sizili zolimba mokwanira kuyambitsa zilonda, zikaphatikizidwa ndi matenda a H. pylori kapena kugwiritsa ntchito NSAID, zimawonjezera mwayi wokhala ndi zilonda zam'mimba.

Kodi madokotala amazindikira bwanji izi?

Ngati dokotala wanu akukayikira kuti muli ndi chilonda cha m'mimba kutengera zizindikiro zanu ndi zoopsa zanu, choyamba adzayang'ana zilonda za m'mimba mwanu. Adzayesanso matenda a H. pylori.

Kwa anthu ambiri, endoscopy ya upper esophageal (EGD test) ndiyo njira yomaliza yodziwira matenda. Izi zimaphatikizapo kuyika chubu chopyapyala chokhala ndi kamera kakang'ono kumapeto kudzera pakamwa ndikuyang'ana m'mero, m'mimba, ndi gawo loyamba la matumbo ang'onoang'ono. Panthawiyi, chidutswa chaching'ono cha minofu (biopsy) chingachotsedwenso m'mimba kuti chiwone ngati pali H. pylori.

Endoscopy ndi yothandiza kwambiri chifukwa sikuti imakulolani kuwona zithunzi zokha, komanso imakulolani kudutsa zida kudzera mu chubu ngati pakufunika kutero ndikuchita chithandizo. Mwachitsanzo, ngati bala likutuluka magazi, mutha kulichiza nthawi yomweyo kuti lisiye.

Mayeso ena:

• Kujambula kwa `CT scan (Computed Tomography scan)` kapena `GI series X-ray exam` kungachitike kuti azindikire zilonda zazikulu.
• Kuyesa mpweya wa urea kapena "kuyesa chopondapo" kungachitike kuti adziwe matenda a "H. pylori".

Kodi mankhwala ake ndi otani?

Chithandizo chachikulu cha zilonda zam'mimba ndi kuphatikiza mankhwala omwe amachepetsa asidi m'mimba, kuteteza mkati mwake, ndikuthandiza kuti muchiritse . Ngati muli ndi matenda, mungafunikenso maantibayotiki . Chofunika kwambiri ndikupeza ndikuchiza chomwe chimayambitsa zilondazo.

Nthawi zambiri, mabala amatha kuchiritsidwa ndi mankhwala okha. Komabe, ngati pali mavuto, monga bala lotuluka magazi kapena bala lobowoka, chithandizo china chingafunike. Mavuto ambiriwa amatha kuthetsedwa ndi njira zosavuta zachipatala, monga endoscopy.

Mankhwala

• Mankhwala Opha Mabakiteriya: Ngati muli ndi kachilombo ka H. pylori kapena bakiteriya wina, dokotala wanu adzakupatsani mankhwala opha mabakiteriya osiyanasiyana. (Chitsanzo: Amoxicillin, Clarithromycin, Metronidazole)
• Mankhwala oteteza maselo a khansa: Mankhwalawa amagwira ntchito pophimba ndi kuteteza mkati mwa mimba mpaka itachira. (Mwachitsanzo: `Sucralfate`, `Misoprostol`, `Bismuth subsalicylate`)
• Mankhwala oletsa histamine receptor (H2 blockers): Mankhwalawa amachepetsa asidi mwa kuletsa mankhwala omwe amauza m'mimba kuti mupange asidi. (Mwachitsanzo: `Famotidine`, `Cimetidine`)
• Mankhwala oletsa kupopera kwa proton (PPIs): Mankhwalawa amachepetsa asidi m'mimba ndipo amathandiza kuti m'mimba muchiritsidwe mwa kuuteteza. (Mwachitsanzo: Omeprazole, Pantoprazole, Esomeprazole)
• Mankhwala ena ochepetsa ululu m'malo mwa NSAID: Ngati nthawi zambiri mumatenga NSAID, mungafune kulankhula ndi dokotala wanu za njira ina. Acetaminophen (paracetamol) si mankhwala a NSAID ndipo alibe zotsatira zofanana pa m'mimba.

Njira zachipatala

Ngati muli ndi bala lovuta komanso lotuluka magazi, dokotala wanu ayenera kulichiza mwachindunji. Izi nthawi zambiri zimachitika panthawi ya endoscopy. Kutuluka magazi kumayimitsidwa poika chilondacho kapena kubaya mankhwala. Ngati pali dzenje, limasokedwa.

Kawirikawiri, ngati chilonda chatseka m'mero, pangafunike njira zina kuti chitsegulidwenso. Izi zingaphatikizepo kuyamwa zomwe zili m'mimba kapena, kawirikawiri, opaleshoni.

Kodi tiyenera kuchita chiyani kuti tidziteteze ku vutoli? (Kupewa)

Zinthu zofunika kwambiri zomwe mungachite kuti mudziteteze ku matenda a zilonda zam'mimba ndi izi:

1. Yesani matenda a H. pylori ndi kulandira chithandizo: Anthu ambiri ali ndi matenda a H. pylori koma sakudziwa. Mutha kudziwa ngati muli nawo poyesa mpweya wa urea mosavuta. Ngati muli nawo, landirani chithandizo mavuto asanayambe. Ngakhale mutalandira chithandizo kale, ndi bwino kukayezetsanso, chifukwa nthawi zina amatha kubwereranso.

2. Gwiritsani ntchito NSAIDs monga momwe mwalangizidwira: Ngati mwazolowera kumwa NSAIDs pa ululu wochepa tsiku lililonse, samalani kuti musamwe mankhwala opitirira mlingo woyenera. Ngati muli ndi mbiri ya zilonda zam'mimba, ndi bwino kupewa kuzigwiritsa ntchito. Ngati kuli kofunikira, muzimwe ndi mankhwala ena omwe amateteza matumbo a m'mimba.

Kodi mabala awa adzachira popanda mankhwala?

Ngati chifukwa cha chilondacho chachotsedwa, chilondacho chingachiritse. Komabe, nthawi zambiri pamafunika kufufuza kwa dokotala kuti adziwe chomwe chimayambitsa. Ngati chifukwa chake ndi matenda a H. pylori kapena matenda ena, chithandizo chidzafunika kuti chichotsedwe.

Ngati chifukwa chake ndi mankhwala a NSAID okha, chilondacho chingachiritse chokha ngati mutasiya kuwamwa. Komabe, muyenera kuonana ndi dokotala kuti atsimikizire izi. Mutha kukhalanso ndi matenda a H. pylori, ndipo mankhwala a NSAID amatha kukulitsa matenda omwe kale anali osavulaza.

Kodi chimachitika ndi chiyani munthu akalandira chithandizo? Zimatenga nthawi yayitali bwanji kuti achire?

Zilonda zambiri zam'mimba zimachira mkati mwa milungu ingapo . Anthu ambiri amafunika kumwa mankhwalawa kwa miyezi iwiri. Mankhwalawa ndi othandiza kwambiri. Komabe, anthu omwe ali ndi matenda a nthawi yayitali monga Zollinger-Ellison syndrome angafunike kumwa mankhwalawa moyo wawo wonse.

Pambuyo pa chithandizo, dokotalayo adzayesanso kuti atsimikizire kuti chilondacho chachira bwino ndipo matendawo atha. H. pylori ndi bakiteriya wovuta ndipo nthawi zina angabwererenso. Komanso, ngati matenda omwe adayambitsa chilondacho apitirira, chilondacho chingabwererenso.

Kawirikawiri, anthu ena amakhala ndi zilonda zam'mimba zomwe sizimachira ndi chithandizo. Izi zingayambitse mavuto monga kupweteka kwa nthawi yayitali komanso zipsera zazikulu. Pazochitika zotere, opaleshoni ingafunike (monga kuchotsa minofu ya zipsera (pyloroplasty), kapena kudula mitsempha yomwe imalamulira kupanga asidi m'mimba (vagotomy)).

Kodi muyenera kusintha zakudya zanu ndi moyo wanu?

Chakudya ndi zakumwa sizimayambitsa zilonda zam'mimba, koma ngati muli ndi zilonda zam'mimba, zakudya ndi zakumwa zina (makamaka zakudya zokometsera, zowawasa) zimatha kuipitsa . Ngati muli ndi zizindikiro kapena munakhalapo ndi zilonda zam'mimba kale, muyenera kupewa mowa ndi kusuta fodya konse .

Lankhulani ndi dokotala wanu za mankhwala onse omwe mumamwa (makamaka NSAIDs). Mankhwala ena angayambitse mavuto akamwedwa pamodzi.

Kodi izi sizingathetsedwe pogwiritsa ntchito mankhwala oletsa asidi kunyumba?

Mankhwala oletsa asidi amagwira ntchito pochepetsa asidi ndikuchepetsa zizindikiro monga kutentha pamtima, kutentha pamtima, ndi kusagaya bwino chakudya. Angapangitse zilonda kumva bwino kwakanthawi, koma sachiritsa zilondazo . Ngati mudadwalapo zilonda zam'mimba kale, mankhwala oletsa asidi angathandize kuti zisabwererenso.

Kodi nthawi zabwino zokaonana ndi dokotala ndi ziti?

Ngati mukuganiza kuti muli ndi zilonda zam'mimba, onetsetsani kuti mwaonana ndi dokotala . Ngakhale kuti mankhwala operekedwa ndi dokotala angathe kuchepetsa zizindikiro zanu kwakanthawi, sachiza zilondazo. Choyambitsa chake chiyenera kudziwika ndikuchiritsidwa.

Chilonda chosachiritsidwa, ngakhale mutakhala kuti mulibe zizindikiro zoopsa, chingayambitse mavuto aakulu. Kutenga kachilombo ka H. pylori, komwe ndi komwe kumayambitsa zilonda zam'mimba, kungayambitsenso mavuto ena (monga chiopsezo chotenga khansa yam'mimba).

Ngati mukuona zizindikiro za mavuto aakulu ngati awa, pitani kuchipatala mwamsanga:

• Ululu wopitirira komanso woopsa.
• Zizindikiro za magazi m'chimbudzi (ndowe zakuda) kapena kusanza magazi.
• Zizindikiro za kutaya magazi kwambiri (kutupa, kukomoka).

Zinthu zofunika kwambiri zomwe tiyenera kukumbukira (Uthenga Wopita Nawo Kunyumba)

Matenda a Zilonda Zam'mimba ndi matenda oopsa omwe amakhudza kugaya chakudya. Amayamba pamene chitetezo chanu chachilengedwe cha thupi chafooka. Matendawa amatenga nthawi kuti ayambe ndipo nthawi zambiri amafunika chithandizo chamankhwala kuti achire.

Zilonda zam'mimba ndi matenda ofala komanso ochiritsika. Komabe, ndikofunikira kufunafuna chithandizo ngakhale mutakhala kuti mulibe zizindikiro zoopsa.Ngati simulandira chithandizo, mabalawo akhoza kukhala aakulu kwambiri. Choncho, musazengereze kulankhula ndi dokotala za zizindikiro zanu. Thanzi lanu ndi lofunika!

Zilonda zam'mimba , zilonda zam'mimba, kutupa kwa m'mimba, H. pylori, NSAID, gastritis, kusagaya bwino chakudya