Kutupa m'mimba? Osati gastritis! Tiyeni tiphunzire bwino za zilonda zam'mimba (Peptic Ulcer Disease)

Kodi nthawi zambiri mumamva kupweteka m'mimba, kupweteka m'mimba, monga gastritis? Ili ndi vuto lomwe anthu ambiri m'dziko lathu ali nalo. Ngakhale kuti nthawi zambiri timatcha izi "gastritis", nthawi zina lingakhale vuto lomwe limafunika chisamaliro chowonjezereka. Umenewo ndi vuto lomwe tikukamba lero, Peptic Ulcer Disease (PUD). Mwachidule, izi zimachitika pamene zilonda zimapangika pa khoma lamkati la dongosolo lathu logaya chakudya.

Mwachidule, kodi chilonda cha m'mimba n'chiyani?

Tangoganizirani, m'mimba mwathu, ndiko kuti, m'mimba, ma asidi amphamvu kwambiri ndi ma enzyme amapangidwa kuti azigaya chakudya chomwe timadya. Chimodzi mwa zazikulu ndi pepsin. Mawu oti "peptic" amachokeranso ku pepsin iyi. Ma asidi ndi pepsin awa amagwira ntchito limodzi kuti agawe chakudya chomwe timadya ndikutithandiza kuchigaya. Izi ndi zamphamvu kwambiri kotero kuti ngakhale zitagwera pakhungu labwinobwino, zimatha kuvulaza.

Kenako mungaganize kuti, "Ngati pali zinthu zovuta chonchi, bwanji makoma athu a m'mimba sakuwonongeka?" Chifukwa chake ndi chakuti khoma lamkati la m'mimba ndi duodenum lathu lili ndi mucous membrane wokhuthala, ngati chishango choteteza. Ichi ndi chishango chomwe chimateteza makoma a m'mimba ku ma acid amphamvu amenewo.

Komabe, mu matenda a zilonda zam'mimba (PUD), chitetezo ichi, nembanemba ya mucous, chimakhala chofooka pazifukwa zina. Kenako, asidi woopsa ndi pepsin zimatha kuwononga mwachindunji khoma la m'mimba. Pakapita nthawi, madera amenewo amayamba kupweteka. Ndicho chimene timatcha zilonda zam'mimba kapena zilonda zam'mimba.

Kodi zilonda zimenezi zingachitike kuti?

Zilonda zimenezi zimachitika makamaka m'magawo awiri a m'mimba mwathu.

1. Zilonda za m'mimba: Duodenum ndi gawo loyamba la matumbo athu ang'onoang'ono. Chakudya chimapita kuno pambuyo pa mimba. Pafupifupi 80% ya zilonda zam'mimba zimapezeka m'derali.

2. Zilonda za m'mimba / Zilonda za m'mimba: Izi ndi zilonda zomwe zimapangidwa m'makoma a m'mimba. Mtundu uwu umapezeka pafupifupi 20% ya milandu .

Kuwonjezera pa malo awiri akuluakulu awa, nthawi zambiri, kuvulala kotereku kungachitikenso m'malo ena.

• Zilonda za m'mimba: M'mero ​​ndi chubu chomwe chimanyamula chakudya kuchokera pakhosi kupita m'mimba. Tikakhala ndi acid reflux (GERD) kwa nthawi yayitali, asidi m'mimba amatha kukwera ndikuwononga makoma a chubu ichi.
• Zilonda za Jejunal: Zilondazi zimatha kuchitika pambuyo pa opaleshoni ya m'mimba (monga gastrojejunostomy).

Kodi mungadziwe bwanji ngati muli ndi vutoli? (Zizindikiro)

Chodabwitsa n'chakuti, anthu pafupifupi 7 pa 10 omwe ali ndi zilonda zam'mimba sasonyeza zizindikiro zilizonse. Komabe, ngati zizindikirozo zichitika, izi ndi zizindikiro zodziwika kwambiri.

N’chifukwa chiyani zilonda zam’mimba ngati zimenezi zimachitika? Zifukwa ziwiri zazikulu!

Monga tafotokozera kale, zilonda zam'mimba zimachitika pamene chiwalo choteteza cha m'mimba chafooka. Pali zifukwa ziwiri zazikulu zomwe chiwalo chotetezachi chimafooka. Zifukwa ziwirizi ndi zomwe zimayambitsa zilonda zam'mimba zoposa 90%.

1. Matenda a bakiteriya a Helicobacter pylori

• Kodi H. pylori ndi chiyani?

Uwu ndi mtundu wapadera wa mabakiteriya omwe amatha kukhala m'mimba ndi m'matumbo mwathu. Anthu opitilira theka la anthu padziko lonse lapansi ali ndi mabakiteriya awa m'mimba mwawo. Koma anthu ambiri alibe zizindikiro zilizonse. Koma mwa anthu ena, mabakiteriyawa amakula kwambiri ndipo amayamba kuwononga chiwalo choteteza m'mimba. Pakapita nthawi, izi zingayambitse zilonda zam'mimba.

2. Kugwiritsa ntchito mankhwala oletsa kutupa omwe si a steroidal (NSAIDs)

• Kodi ma NSAID awa ndi chiyani?

Uwu ndi mtundu wa mankhwala ochepetsa ululu omwe nthawi zambiri timagwiritsa ntchito. Mwachitsanzo, mankhwala monga Aspirin, Ibuprofen (monga Brufen), ndi Diclofenac Sodium (monga Voltaren) . Timagwiritsa ntchito izi pazinthu monga kupweteka kwa mafupa, kupweteka kwa msana, ndi mutu.

• Kodi izi zimayambitsa bwanji zilonda zam'mimba?

Mankhwalawa akamwedwa kwa nthawi yayitali kapena pa mlingo waukulu, kuchuluka kwa mankhwala omwe amathandiza kumanga chiwalo choteteza m'mimba kumasokonekera. Zotsatira zake, chiwalo chotetezacho chimakhala chocheperako, zomwe zimapangitsa kuti ma acid awononge khoma mosavuta.

Zina zomwe sizichitika kawirikawiri

Kuwonjezera pa zifukwa ziwiri zazikulu zomwe zatchulidwa pamwambapa, zilonda zam'mimba zimathanso kuchitika chifukwa cha zifukwa zina, zomwe sizichitika kawirikawiri.

• Matenda ena
• Chemotherapy ya khansa
• Chithandizo cha radiation
• Matenda monga matenda a Crohn
• Matenda osowa monga Zollinger-Ellison syndrome
• Kupsinjika kwakukulu kwa thupi (monga, pambuyo pa opaleshoni yayikulu, kupsa kwambiri)

Kodi izi zingakhale zoopsa ngati zitasiyidwa zokha? (Zovuta)

Inde. Zilonda za m'mimba si chinthu chongofunika kuchitenga mopepuka. Ngati sizikuchiritsidwa bwino, zingayambitse mavuto oopsa.

1. Kutuluka Magazi M'mimba: Ngati bala lili lozama ndipo mtsempha wamagazi ukuphulika, kutuluka magazi kudzayamba kulowa m'mimba.

2. Kuboola kwa m'mimba:Izi ndi zoopsa kwambiri. Chilondacho chimadutsa pakhoma la m'mimba kapena m'matumbo, ndikupanga dzenje. Kenako, asidi m'mimba ndi chakudya zimatha kutuluka m'mimba, zomwe zimayambitsa matenda oopsa (peritonitis). Imeneyi ndi ngozi yaikulu kwambiri yomwe imafuna opaleshoni yadzidzidzi.

Kodi dokotala amazindikira bwanji matendawa molondola?

Pambuyo pomvera zizindikiro zanu, ngati dokotala akukayikira kuti ichi chikhoza kukhala zilonda zam'mimba, adzalamula kuti ayesedwe kangapo.

1. Mayeso a H. pylori: Pali njira zosavuta zowunikira kupezeka kwa mabakiteriyawa.

• Kuyesa Mpweya wa Urea: Mumapatsidwa madzi apadera kuti mumwe, ndipo mpweya wanu umayesedwa pakapita nthawi yochepa.
• Kuyesa kwa Antigen ya Chimbudzi: Chitsanzo cha chimbudzi chimatengedwa kuti chione ngati pali mabakiteriya amenewa.

2. Endoscopy (Endoscopy Yapamwamba):

Iyi ndi njira yabwino kwambiri yotsimikizira ngati muli ndi chilonda cha m'mimba. Izi zimaphatikizapo kulowetsa chubu chopyapyala komanso chosinthasintha chokhala ndi kamera kudzera pakamwa panu kupita m'mimba ndi m'mero, komwe mungathe kuwona zomwe zili mkati pa sikirini. Mudzapatsidwa mankhwala ochepetsa ululu kuti muchepetse ululu pamene mukuchita izi.

• Ubwino: Mutha kuona bwino ngati pali zilonda, komwe zili, komanso kukula kwake. Muthanso kutenga chidutswa cha minofu (biopsy) nthawi yomweyo kuti muwone ngati pali H. pylori.

Kodi mankhwala ochizira izi ndi otani?

Nkhani yabwino ndi yakuti zilonda zam'mimba ndi matenda omwe amatha kuchiritsidwa kwathunthu ndi mankhwala . Chithandizo chimadalira chomwe chikuyambitsa zilonda zanu.

• Chithandizo cha matenda a H. pylori:

Ngati muli ndi kachilombo ka H. pylori, dokotala wanu adzakupatsani mankhwala ophatikizika a maantibayotiki awiri kapena atatu ndi mankhwala oletsa kupopera a proton pump (PPI) kwa milungu 1-2. Ndikofunikira kwambiri kumwa mankhwalawa nthawi yonse.

• Ngati chifukwa cha kugwiritsa ntchito NSAID:

Ngati zilonda zanu zimayambitsidwa ndi mankhwala ochepetsa ululu, choyamba muyenera kusiya kumwa mankhwalawa. Kenako, mungafunike kumwa mankhwala a PPI kwa mwezi umodzi kapena iwiri kuti muchepetse asidi m'mimba ndikuthandiza zilondazo kuchira.

• Mankhwala ena:
• Mankhwala Oletsa H2: Awa ndi mtundu wa mankhwala omwe amachepetsa kupanga asidi m'mimba.
• Mankhwala oteteza ku matenda a m'mimba: Izi zimapanga utoto woteteza pakhoma la m'mimba ndipo zimathandiza kuti bala lipole.

Nthawi zambiri zimatenga pafupifupi miyezi iwiri kuti zilondazo zichiritsidwe kwathunthu. Pambuyo pa chithandizo, dokotala wanu angayesenso kuti aone ngati zilondazo zachira ndipo mabakiteriya a H. pylori achotsedwa.

Kodi mungathawe bwanji vutoli?

Ndikofunikira kwambiri kuchepetsa chiopsezo chanu chokhala ndi zilonda zam'mimba kuposa kuvutika nazo. Pali zinthu ziwiri zazikulu zomwe mungachite kuti muchite zimenezo.

1. Kudziwa za matenda a H. pylori:

Ngati muli ndi vuto la m'mimba pafupipafupi, pitani kwa dokotala ndipo mukayezetse H. pylori. Ngati muli ndi vuto, pezani chithandizo choyenera kuti muchire.

2. Samalani ndi mankhwala ochepetsa ululu (NSAIDs):

• Gwiritsani ntchito pokhapokha ngati pakufunika kutero. Musamwe mankhwala amphamvu ngati amenewa pa ululu wochepa.
• Musamwe mankhwalawa kwa nthawi yayitali popanda kufunsa dokotala.
• Ngati munakhalapo ndi zilonda zam'mimba kale, mungafunike kusiya kumwa mankhwalawa. Kapena, dokotala wanu angakulangizeni kuti muwamwe pamodzi ndi mankhwala ena omwe amateteza m'mimba mwanu.