Ukudumba kwesisu? Kusenokuba sisilonda esiswini! (Isilonda sesisu) Masithethe ngale nto!

Ngaba ngamanye amaxesha ukhe uzive utshile okanye uneentlungu ezingaqhelekanga esiswini sakho? Ngaba uziva ngathi isisu sakho sivela kwindawo ethile esifubeni sakho? Okanye uzive ungakhululekanga xa usitya? Mhlawumbi oku kungenxa yesilonda esiswini, oko kukuthi, isilonda esiswini . Ungakhathazeki, esi sisifo esichaphazela abantu abaninzi kwaye sinokunyangwa. Makhe sithethe ngale nto ngokweenkcukacha nangokulula.

Yintoni isilonda esiswini?

Ngamafutshane, isilonda esiswini sisilonda esincinci esikwindawo engaphakathi kwesisu sakho. Sifana nesilonda eluswini lwethu. Oku kubangelwa yintlungu ebukhali esiswini sakho, edla ngokuhamba nokutsha okanye ukurhawuzelelwa . Nangona kunjalo, ayizizo zonke izilonda zesisu ezibangela iimpawu ezinkulu, kwaye ezinye zinokuthi zingabi namsindo.

Esi silonda sesisu lolunye uhlobo lwesilonda olukudidi olukhulu olubizwa ngokuba yi-'peptic ulcer disease'.

Ziqheleke kangakanani ezi zingozi?

Enyanisweni, ezi zilonda zesisu zixhaphake kakhulu kunokuba ucinga. Uyazi ukuba yintoni? Zimbini izizathu eziphambili zoku, zombini ezixhaphake kakhulu kuluntu lwethu. Enye yezinye zezonyango zentlungu ezithengiswa ngaphandle kwemvume kagqirha esizithenga rhoqo kwivenkile yezonyango. Enye yintsholongwane yebhaktiriya ebizwa ngokuba yi-'H. pylori' (Helicobacter pylori) . Ezi zimbini zibangela malunga namashumi alithoba anesithoba ekhulwini zezilonda zesisu.

Zithini iimpawu zezilonda zesisu?

Uphawu oluphambili lwesilonda esiswini ziintlungu zesisu. Oku kudla ngokuvakala kwindawo ephakathi kwesifuba sakho kunye nembambo yakho, kancinci ngasekhohlo.

Le ntlungu ingavakala ngeendlela ezahlukeneyo:

• Kufana nokutsha , njengokutsha kwe-asidi esiswini .
• Kuvakala ngathi kukho into etya isisu sakho .

Olu luvo aluyomvakalelo nje kuphela. Okwenzekayo ngokwenene kukuba ii-asidi zesisu kunye nee-enzymes ezisesiswini zenza inxeba libe libi ngakumbi.

Abantu abaninzi bafumana ukungagayi kakuhle kokutya ngaxeshanye. Oku kuthetha ukuziva ugcwele kunye nokutsha esiswini. Usenokuziva ugcwele kwangoko xa uqala ukutya, okanye uzive ugcwele ixesha elide emva kokutya.

Iimpawu ezixelwa ngabanye zezi:

• I-acid reflux kunye ne-heartburn.
• Isicaphucaphu nokuhlanza.
• Ukudumba, ukubhoboza, kunye nentlungu yegesi.

Ezi mpawu zihlala zinxulumene neemeko ezibangele isilonda esiswini sakho.

Ukulimala okuthe cwaka kunye neempawu eziyingozi

Kodwa, okumangalisayo kukuba, abanye abantu abazi nokuba banazo ezi zilonda zesisu. Ezi sizibiza ngokuba 'zii-ulcers ezithuleyo'. Usenokungabi nazimpawu konke konke, uze ngequbuliso ube neengxaki ezinkulu, ezifana nokopha okanye ukugqobhoka.Uyazi kuphela xa into efana naleyo isenzeka.

Kwiimeko ezinzima ezifana nale, hlala ujonge ezi mpawu zilandelayo:

• Umbala wolusu okhanyayo (umthubi).
• Ukuba nesiyezi, ubuthathaka, okanye ukuquleka.
• Ukuba unegazi elimnyama esitulweni sakho (oku kunokubonakala ngathi yitar).
• Ukuba ukuhlanza kubonakala ngathi kukutya ikofu.
• Intlungu yesisu engapheliyo, eqatha nengalindelekanga.

Kubalulekile: Ukuba unayo nayiphi na kwezi mpawu, kufuneka ubone ugqirha ngokukhawuleza, kulungile? Ezi zinokuba ziimpawu zesifo esinzulu.

Zingakanani iingxaki ezibangelwa zizilonda zesisu?

Ukuba ayinyangwa, izilonda zesisu zinokubangela iingxaki ezinkulu.

• Izilonda eziphuma kwisisu: Ukopha kwesisu kunokuba ncinci okanye kube nzima. Ukuba kuqhubeka nokopha ixesha elide, i-anemia inokukhula. Ukuba kopha kakhulu ngaxeshanye, kunokukhokelela ekuthukeni kwaye kube yingozi ebomini.
• Izilonda ezivuvukileyo: Le yimeko engaqhelekanga kakhulu, kodwa yimeko engxamisekileyo yezonyango! Ukuba udonga lwesisu lonakele kwaye kwenziwa umngxuma, i-asidi yesisu kunye neebhaktheriya zinokuvuza zize zibangele usulelo kwisisu. Ukuba olu sulelo lusasazeka luye egazini, lunokukhokelela kwimeko eyingozi kakhulu, esongela ubomi ebizwa ngokuba yi-'sepsis' .

Zithini izizathu eziphambili zezilonda zesisu?

Njengoko besitshilo ngaphambili, kukho izizathu ezibini eziphambili:

1. Usulelo lwebhaktiriya oluthi `H. pylori`:

I-H. pylori (i-Helicobacter pylori) yintsholongwane exhaphakileyo. Malunga nesiqingatha sabemi behlabathi sinale ntsholongwane esiswini. Kubantu abaninzi, ayibangeli ngxaki. Kodwa ngamanye amaxesha, le ntsholongwane ikhula kakhulu esiswini ize iqale ukutya ulwelo lwesisu. Kulapho kuvela khona ukudumba okungapheliyo , ekugqibeleni okukhokelela kwizilonda zesisu.

2. Ukusetyenziswa kakhulu kwee-painkillers (NSAIDs):

`Ii-NSAID` (amayeza angengo-steroidal alwa nokuvuvukala) ziipilisi zokuthomalalisa iintlungu esinokuzithenga kwivenkile yezonyango. Imizekelo ibandakanya `ibuprofen` (Ibuprofen), `naproxen` (Naproxen) kunye `aspirin` (Aspirin) . La mayeza achaphazela ngokuthe ngqo ulwelo lwesisu, oko kuthetha ukuba ayasicaphukisa . Akwathintela ukuveliswa kweekhemikhali ezibalulekileyo ezikhusela kwaye zilungise ulwelo lwesisu.

Ngokwesiqhelo, ulwelo lwethu lwesisu lwenzelwe ukukhusela ezi ngxwelerha zincinci kwaye luphilise ngokukhawuleza. Kodwa ukuba uthatha ii-NSAID ezininzi kakhulu, isisu ekugqibeleni asikwazi ukuzilungisa. Njengoko ulwelo olukhuselayo luphela, luya lungakwazi ukuzilungisa, kwaye kuvela izilonda.

Ezinye izizathu ezingaqhelekanga:

• Ezinye izifo: Amaxesha amaninzi, ezinye izifo ezibangelwa yibhaktiriya, iintsholongwane, okanye imingxunya zinokubangela ukudumba kwesisu (i-erosive gastritis) kunye nezilonda.
• Isifo sikaZollinger-Ellison: Esi sisifo esingaqhelekanga kakhulu. Kule meko, isisu sivelisa i-asidi eninzi kakhulu esiswini. Le asidi igqithisileyo iyayigugisa ingaphakathi lesisu kwaye ibangele izilonda.
• Uxinzelelo olukhulu lomzimba: Xa umzimba wakho usokola ukuchacha kwisifo okanye ukwenzakala okusongela ubomi, oko kuthetha ukuba uphantsi koxinzelelo olukhulu, 'isilonda soxinzelelo' sinokuvela. Ngamaxesha anje, i-pH yomzimba iyatshintsha kwaye i-asidi yesisu iyanda.

Ngaba indlela esiphila ngayo iyayichaphazela izilonda zesisu?

Amanqanaba oxinzelelo lwemihla ngemihla esijongene nawo kubomi bethu bemihla ngemihla, kunye noko sikutyayo nesikuselayo, akuzibangeli ngqo izilonda zesisu. Oko kukuthi, ukutya kakhulu okanye ukuxinezeleka kancinci akuyi kubangela izilonda zesisu.

Nangona kunjalo, ukuba sele unesilonda, ezi zinto zingenza iimpawu zibe zimbi ngakumbi. Kuba nantoni na eyonyusa i-asidi yesisu ayilunganga kwisilonda kwaye iya kusenza sibe sibi ngakumbi.

Kungcono ukuba uqaphele izinto ezinje:

• Ukutshaya
• Utywala
• Ukutya okuneziqholo kunye ne-asidi

Wazi njani ukuba unesilonda esiswini?

Xa ubona ugqirha, uza kuqala akubuze ngeempawu zakho kunye nembali yakho yezonyango. Baza kuzama ukufumanisa izinto ezifana nokuba usebenzisa ii-NSAID rhoqo na nokuba ukhe wanayo na i-H. pylori ngaphambili. Ukuba kukho nantoni na ekrokrelayo yokuba unokuba nesilonda, inyathelo elilandelayo kukujonga ngaphakathi esiswini sakho.

Uvavanyo lokufumanisa izilonda zesisu

Ugqirha kuya kufuneka aqale ajonge ukuba akanayo na intsholongwane ye-H. pylori, aze emva koko akhangele izilonda esiswini. Zininzi iindlela zokwenza oku.

• Uvavanyo lwe-Upper Endoscopy / EGD:

Le yeyona ndlela ixhaphakileyo nechanekileyo. Oku kuquka ukufaka ikhamera encinci (i-'endoscope') ekupheleni kombhobho omncinci, oguquguqukayo ngomlomo wakho uze wehle umphimbo wakho uye esiswini sakho nakwinxalenye yokuqala yamathumbu akho amancinci (i-duodenum). Uza kunikwa amayeza okukwenza uzive ulele okanye unomsindo ngexesha lale nkqubo, ukuze ungaziva ungonwabanga.

Le khamera ivumela ugqirha ukuba abone ngaphakathi esiswini. Ukuba kukho isilonda, sinokubonwa. Kwakhona, izixhobo ezincinci zinokudluliselwa kule tube kwaye iqhekeza elincinci lezicubu (i-biopsy) linokuthathwa kwilweyile yesisu kwaye livavanywe i-H. pylori. Ngamanye amaxesha, ukuba kukho ukopha kwesilonda, sinokunyangwa khona apho.

• Ezinye iimvavanyo:

Nangona i-endoscopy iyeyona ndlela ilungileyo, ngamanye amaxesha uvavanyo lomfanekiso olufana noluhlu lwe-GI X-ray oluphezulu lunokufumanisa isilonda esiswini. Nangona kunjalo, oku akuchanekanga njenge-endoscopy.

Kukho iimvavanyo ezithile zokujonga usulelo lwe-H. pylori:

• Uvavanyo lokuphefumla lwe-Urea: Olu luvavanyo olulula kakhulu, olungenabuhlungu.
• Uvavanyo lwegazi: Olu vavanyo lwee-antibodies eziveliswa emzimbeni nxamnye ne-H. pylori.
• Uvavanyo lwe-antigen yendle: Isampuli yendle iyavavanywa ukuze kubonwe ukuba ikhona na intsholongwane ye-H. pylori.

Nokuba ucinga ukuba sisilonda esiswini, ingaba yintoni enye?

Ukuba iimpawu zakho azibangelwa sisilonda esiswini, ezinye iimeko zinokuba ngunobangela, ezinje:

• Isifo se-Gastroesophageal Reflux Disease (GERD): Ukuba i-asidi iyaqhubeka nokuphuma iye emqaleni, inokubangela isitshiso sentliziyo, ukungagayi kakuhle kokutya, kunye nesicaphucaphu.
• I-functional dyspepsia: Oku kukungagayi kakuhle kokutya okungapheliyo ngaphandle kwesizathu esibonakalayo somzimba (njengesilonda okanye i-gastritis). Iimpawu zifana nezo zesilonda esiswini, kodwa azibangelwa yi-asidi, kwaye akukho silonda sibonakalayo kwi-inwebu yesisu.
• Umhlaza wesisu (`Umhlaza wesisu` / `Umhlaza wesisu`): Nangona oku kungaqhelekanga, ngamanye amaxesha kunokubangela iimpawu ezifana nezilonda zesisu (intlungu yesisu, ukwehla kobunzima, ukuphelelwa ngumdla wokutya). Yiyo loo nto kubalulekile ukufumana uxilongo olufanelekileyo.

Ungasinyanga njani isilonda esiswini ngokukhawuleza?

Eyona nto ilungileyo kukuba, xa unobangela wesilonda uphelile, ulwelo lwesisu sakho luya kuqala ukuphola.

Khawuthelekelele ukuba ukuba unobangela wokwenzakala kwakho yayikukusebenzisa rhoqo ii-NSAID (ii-painkillers), kukho ithuba elihle lokuba ukwenzakala kuya kuphiliswa ngaphandle kolunye unyango olukhethekileyo xa uyeka ukusebenzisa amayeza.

Nangona kunjalo, ukuba une-H. pylori, kuya kufuneka uthathe amayeza okubulala iintsholongwane kugqirha ukuze uyisuse .

Ukongeza, ugqirha angakunika amanye amayeza okunciphisa i-asidi yesisu nokukhusela ulwelo lwesisu, nto leyo eya kunceda inxeba liphole ngokukhawuleza nangcono.

Zithini iindlela zonyango lwezilonda zesisu?

Oogqirha badla ngokunyanga izilonda ngokudibanisa amayeza. La aquka amayeza anciphisa i-asidi yesisu, agqume kwaye akhusele isilonda de siphole, kwaye abulale naluphi na usulelo, olufana ne-H. pylori. Amaxesha amaninzi, inkqubo encinci inokwenziwa ukuze kumiswe ukopha okanye kuvalwe umngxuma esiswini.

Amayeza

Iintlobo eziphambili zamayeza anikwa izilonda zesisu zezi:

• Iiantibiotics: Ukuba une-H. pylori okanye olunye usulelo lwebhaktiriya, ugqirha wakho uya kukunika i-antibiotic enye okanye ezingaphezulu ukubulala ibhaktiriya, ngesiqhelo kangangeentsuku ezisi-7 ukuya kwezili-14. Ii-antibiotics ezisetyenziswa kakhulu zezi:
• `I-Amoxicillin`
• `I-Clarithromycin`
• `I-Metronidazole`
• `I-Tetracycline`
• Izithinteli zeProton Pump (iiPPI):La mayeza asebenza ngokunciphisa kakhulu ukuveliswa kwe-asidi esiswini. Akwakhusela ulwelo lwesisu kwaye akhawulezise ukuphiliswa kwamanxeba. Ii-PPI eziqhele ukumiselwa zezi:
• 'I-Omeprazole'
• `I-Lansoprazole`
• `I-Pantoprazole`
• `Esomeprazole`
• `Rabeprazole`
• `Dexlansoprazole`
• Izithinteli zeHistamine (H2): La mayeza anciphisa ukuveliswa kwe-asidi esiswini, kodwa awanamandla njengee-PPI. Imizekelo:
• `I-Famotidine`
• `I-Cimetidine`
• `Nizatidine`
• Ii-cytoprotective agents: La mayeza agquma ulwelo lwesisu, esikhusela kwi-asidi nezinye izinto eziyingozi. Anceda inxeba ukuba liphole. Anikwa ukunyanga nokuthintela izilonda ezibangelwa kukusetyenziswa kwe-NSAID. Imizekelo:
• 'I-Sucralfate'
• `I-Misoprostol`
• I-Bismuth subsalicylate (efumaneka kumayeza afana nePepto-Bismol)

Iinkqubo zonyango

Ukuba unesilonda esinzima, oko kuthetha ukuba siphuma igazi okanye sinomngxuma, ugqirha wakho kuya kufuneka asinyange ngokuthe ngqo. Oku kunokwenziwa rhoqo ngexesha le-endoscopy. Izilonda eziphuma igazi zinokunyangwa ngokutshisa (unyango olushushu), ukujova amayeza, okanye ukunqumla isilonda. Ukuba kukho umngxuma esiswini, ugqirha wotyando unokufuna ukusithunga okanye ukusilungisa ngenye indlela.

Amaxesha amaninzi, abanye abantu banezilonda ezingapholiyo ngonyango kwaye zihlala zibuya. Oku kunokubangela iintlungu eziqhubekayo kunye namanxeba. Olu xinzelelo lunokuvala nomngxuma ongaphantsi kwesisu (umngxuma ophumayo). Ukuba oku kuyenzeka, utyando lunokufuneka:

• Susa izicubu ezibomvu okanye uvule indawo yokuphuma (pyloroplasty).
• Ukusika (vagotomy) imithambo-luvo evuselela ukuveliswa kwe-asidi yesisu (vagus nerve).

Ungakuthintela njani ukuba isilonda esiswini singabikho okanye singaphindi sibuye?

Ungenza ezi zinto ukuze uphephe izilonda zesisu:

1. Lahla usulelo lwe-H. pylori: Abantu abaninzi abazi ukuba bane-H. pylori. Ungafumanisa ukuba unayo na ngovavanyo olulula lokuphefumla okanye uvavanyo lwesitulo. Ukuba unayo, nokuba awunazo iimpawu, ukuyifumana unyango njengoko ugqirha wakho eyalele kunokunceda ukuthintela izilonda kwixesha elizayo.

2. Sebenzisa ii-NSAID (izithomalalisi zentlungu) njengoko kuyalelwe kwaye ngononophelo: Ukuba uqhele ukusebenzisa ii-NSAID (umz. ibuprofen, i-diclofenac, i-aspirin) kwiintlungu ezincinci zemihla ngemihla, qiniseka ukuba awuthathi ngaphezu komlinganiselo omiselweyo.Kwaye yithathe ixesha elifutshane kakhulu. Ukuba kufuneka uqhubeke nokusebenzisa ii-NSAID ngenxa yezizathu zonyango, thetha nogqirha wakho malunga nokusebenzisa idosi ephantsi, ukutshintshela kumayeza akhuselekileyo, okanye ukusebenzisa elinye iyeza, njenge-PPI, ukukhusela ulwelo lwesisu sakho.

3. Nciphisa okanye uyeke eminye imikhwa eyingozi: Ukutshaya nokusela utywala kakhulu kwandisa umngcipheko wezilonda zesisu, ingakumbi ukuba unosulelo lwe-H. pylori okanye uthatha ii-NSAID. Ngoko ke kungcono ukuba ungabandakanyeki kule mikhwa.

Kuthatha ixesha elingakanani ukuba isilonda esiswini siphole?

Ukuba uthatha amayeza akho njengoko kuyalelwe kwaye uphepha izinto ezicaphukisa isilonda (ezifana nokutya ukutya okungenampilo, ukutshaya, nokusela utywala), isilonda sakho kufuneka siphole ngokupheleleyo kwiiveki ezimbalwa (ngesiqhelo iiveki ezi-4-8). Ugqirha wakho unokucebisa olunye uvavanyo lwe-endoscopy okanye olunye uvavanyo ukuqinisekisa ukuba isilonda siphilisiwe ngokupheleleyo kwaye usulelo lwe-H. pylori (ukuba lukhona) lupheliswe ngokupheleleyo.

Uninzi lwabantu luyaphola ngonyango lwexesha elifutshane. Nangona kunjalo, abantu abaneemeko ezibangela ukuba i-asidi yesisu iqhubeke ikhula, njenge-Zollinger-Ellison syndrome, banokufuna ukuthatha amayeza ixesha elide.

Yintoni omawuyenze ukuba ucinga ukuba unesilonda esiswini?

Okona kubaluleke kakhulu: Ukuba unesikrokro sokuba unesilonda esiswini, qiniseka ukuba ucela uncedo kugqirha.

Usenokukwazi ukulawula okwethutyana iimpawu nge-antacids ezithengiswa ngaphandle kwemvume kagqirha (umz. iDigene, iGelusil). Nangona kunjalo, aziyi kuphilisa isilonda. Kuya kufuneka unyange unobangela oyintloko.

Isilonda esinganyangwanga, nokuba awunazo iimpawu ezinkulu, sinokukhokelela kwiingxaki ezinkulu (ezifana nokopha okanye ukugqobhoka) ngokuhamba kwexesha. Kwakhona, khumbula ukuba usulelo lwe-H. pylori, oluyimbangela enkulu yezilonda zesisu, luyandisa umngcipheko wokuba nomhlaza wesisu ngokuhamba kwexesha ukuba alunyangwa.

Ufanele uye nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unayo nayiphi na kwezi mpawu, yiya kwigumbi likaxakeka esibhedlele ngokukhawuleza:

• Intlungu yesisu engaguqukiyo nenganyamezelekiyo.
• Ukuba isitulo simnyama (njengetha) sinegazi, okanye ukuba igazi libomvu.
• Ukuba uhlanza igazi (njengoko ucolile ikofu okanye igazi elitsha).
• Iimpawu zokulahlekelwa yigazi kakhulu (umz., ukuphaphatheka kakhulu, ukubila kakhulu, ubunzima bokuphefumla, ukuquleka, ukulahlekelwa zingqondo).

Ngoko ke, sifunde ntoni kweli bali? (Umyalezo oya nawo ekhaya)

Izilonda zesisu zixhaphakile, kodwa akufuneki zithathwe lula. Zinokuba yingozi ukuba azinyangwa kakuhle. Ngamanye amaxesha izilonda zinokubakho ngaphandle kweempawu, ngoko ke ukuba unamathandabuzo, kububulumko ukubona ugqirha ukuze akuhlole.

Khumbula: Unokufumana isiqabu ngokutshintsha indlela yokuphila esempilweni (njengokutya, ukuyeka ukutshaya), kodwa eyona nto ibalulekileyo kukufumana unobangela (ofana ne-H. pylori, ukusetyenziswa kwe-NSAID) uze uyinyange ngokufanelekileyo.

Isilonda esiswini kuxa iiasidi zendalo zesisu sakho zonakalisa ulwelo olukhuselayo lwesisu sakho. Ukuba le meko ayinyangwa, iya kuba mandundu. Ugqirha wakho unokukunika unyango olufanelekileyo lwemeko yakho aze akuncede uphile ngokukhawuleza. Ngoko ke, ungoyiki kwaye funa ingcebiso kagqirha ngokukhawuleza.

Izilonda zesisu , izilonda zesisu, i-gastritis, i-H. pylori, ii-NSAIDs, ukudumba kwesisu, i-endoscopy