Ukuvuvukala kwesisu? Kungaba isilonda esiswini! (Isilonda Sesisu) Ake sixoxe ngalokhu!

Ingabe ngezinye izikhathi uzwa ukushisa okungajwayelekile noma ubuhlungu esiswini sakho? Ingabe uzizwa sengathi isisu sakho sivela endaweni ethile esifubeni sakho? Noma uzizwa ungakhululekile ngesisu esigcwele uma udla? Mhlawumbe lokhu kungenxa yesilonda esiswini, okungukuthi, isilonda esiswini . Ungakhathazeki, lesi yisimo esithinta abantu abaningi futhi singelashwa. Ake sixoxe ngalokhu ngokuningiliziwe nangokulula.

Kuyini isilonda esiswini?

Kalula nje, isilonda esiswini siwukudabuka okuncane olwelwesini lwesisu sakho. Kufana nesilonda esikhumbeni sethu. Yilokhu okubangela ubuhlungu obukhulu esiswini sakho, ngokuvamile obuhambisana nomuzwa wokusha noma wokuhlaba . Kodwa-ke, akuzona zonke izilonda zesisu ezibangela izimpawu ezinkulu, futhi ezinye zingathula.

Lesi silonda esiswini uhlobo lwesilonda oluyingxenye yesigaba esikhulu esibizwa ngokuthi 'isifo sesilonda se-peptic'.

Kuvame kangakanani lokhu kulimala?

Eqinisweni, lezi zilonda zesisu zivame kakhulu kunalokho ocabanga. Uyazi ukuthini? Kunezimbangela ezimbili eziyinhloko zalokhu, zombili ezivame kakhulu emphakathini wethu. Esinye sezidakamizwa zobuhlungu esivame ukuzithenga ekhemisi. Esinye isifo esibangelwa amagciwane esibizwa ngokuthi i-'H. pylori' (Helicobacter pylori) . Lezi ezimbili zibangela cishe amaphesenti angamashumi ayisishiyagalolunye nesishiyagalolunye ezilonda zesisu.

Ziyini izimpawu zezilonda zesisu?

Uphawu oluyinhloko lwesilonda esiswini ubuhlungu besisu. Lokhu kuvame ukuzwakala endaweni ephakathi kwethambo lesifuba sakho kanye nembambo yakho, kancane ngakwesobunxele.

Lobuhlungu bungazwakala ngezindlela ezahlukene:

• Kufana nomuzwa wokushisa , njengokusha kwe-asidi esiswini .
• Kuzwakala sengathi kukhona okukudlayo esiswini sakho .

Lo muzwa awusiwo nje umuzwa. Empeleni okwenzekayo ukuthi ama-asidi esiswini nama-enzyme esiswini enza inxeba libe libi kakhulu.

Abantu abaningi babhekana nokungagayeki kokudla ngesikhathi esisodwa. Lokhu kusho umuzwa wokugcwala kanye nomuzwa oshisayo esiswini. Ungase uzizwe usuthi ngokushesha nje lapho uqala ukudla, noma ungase uzizwe usuthi isikhathi eside ngemva kokudla.

Izimpawu abanye abazibikayo yilezi:

• I-acid reflux kanye nokushisa kwenhliziyo.
• Isicanucanu nokuhlanza.
• Ukuqunjelwa, ukubhoboza, kanye nobuhlungu begesi.

Lezi zimpawu zivame ukuhlotshaniswa nezimo ezibangele isilonda esiswini sakho.

Ukulimala buthule kanye nezimpawu eziyingozi

Kodwa, ngokumangazayo, abanye abantu abaqapheli nokuthi banalezi zilonda zesisu. Lezi sizibiza ngokuthi 'izilonda ezithule'. Ungase ungabi nazimpawu nhlobo, bese ngokuzumayo uba nenkinga enkulu, njengokuphuma kwegazi noma ukubhoboka.Uyazi kuphela ukuthi kwenzeka nini into efana naleyo.

Ezimweni ezinzima kakhulu ezifana nalezi, qaphela lezi zimpawu:

• Umbala wesikhumba okhanyayo (ophuzi).
• Isiyezi, ubuthakathaka, noma ukuquleka.
• Uma unegazi elimnyama esitulweni sakho (lokhu kungase kubukeke njengethayela).
• Uma ukuhlanza kubukeka sengathi kufakwe ikhofi.
• Ubuhlungu besisu obungazelelwe, obukhulu, obuqhubekayo.

Okubalulekile: Uma unezinye zalezi zimpawu, kufanele ubonane nodokotela ngokushesha, kulungile? Lezi kungaba izimpawu zesimo esibucayi.

Zingakanani izinkinga ezibangelwa izilonda zesisu?

Uma ingelashwa, izilonda zesisu zingadala izinkinga ezinkulu.

• Izilonda eziphuma igazi: Ukopha okuvela esilondeni kungaba kuncane noma kube kubi kakhulu. Uma kuqhubeka nokopha isikhathi eside, kungavela i-anemia . Uma kopha kakhulu ngesikhathi esisodwa, kungaholela ekushaqekeni futhi kube yingozi empilweni.
• Izilonda ezibhobozekile: Lesi yisimo esingavamile kakhulu, kodwa kuyisimo esiphuthumayo sezokwelapha! Uma udonga lwesisu lonakele futhi kwakheka imbobo, i-asidi yesisu namabhaktheriya kungavuza futhi kubangele ukutheleleka emgodini wesisu. Uma lokhu kutheleleka kusakazekela egazini, kungaholela esimweni esiyingozi kakhulu, esisongela ukuphila esibizwa ngokuthi 'i-sepsis' .

Yiziphi izimbangela eziyinhloko zezilonda zesisu?

Njengoba sishilo ngaphambili, kunezizathu ezimbili eziyinhloko:

1. Ukutheleleka kwebhaktheriya ethi `H. pylori`:

I-H. pylori (i-Helicobacter pylori) iyibhaktheriya evame kakhulu. Cishe ingxenye yabantu emhlabeni inaleli bhaktheriya esiswini. Kwabaningi, akubanga zinkinga. Kodwa ngezinye izikhathi, leli bhaktheriya likhula kakhulu esiswini bese liqala ukudla ulwelwesi lwesisu. Yilapho ukuvuvukala okungapheli kwenzeka khona, ekugcineni kuholele ezilondeni zesisu.

2. Ukusetshenziswa ngokweqile kwemithi yobuhlungu (ama-NSAID):

Ama-'NSAID' (imithi elwa nokuvuvukala engeyona eye-steroidal) ayimithi yokuqeda ubuhlungu esingayithenga ekhemisi. Izibonelo zifaka phakathi i-'ibuprofen' (Ibuprofen), i-'naproxen' (Naproxen) kanye ne-'aspirin' (Aspirin) . Le mithi ithinta ngqo ulwelwesi lwesisu, okusho ukuthi iyasicasula . Iphinde ivimbele ukukhiqizwa kwamakhemikhali athile abalulekile avikela futhi alungise ulwelwesi lwesisu.

Ngokuvamile, ulwelwesi lwethu lwesisu luklanyelwe ukuvikela kulezi zingozi ezincane futhi luphiliswe ngokushesha. Kodwa uma uthatha ama-NSAID amaningi kakhulu, isisu sigcina singasakwazi ukuzilungisa. Njengoba ungqimba oluvikelayo luphela, luya lungakwazi ukuzilungisa, bese kwakheka izilonda.

Ezinye izizathu ezingavamile:

• Ezinye izifo: Akuvamile ukuthi ezinye izifo ezibangelwa amagciwane, amagciwane, noma isikhunta nazo zingabangela ukuvuvukala kwesisu (i-gastritis ekhukhulayo) kanye nezilonda.
• I-Zollinger-Ellison syndrome: Lesi yisimo esingavamile kakhulu. Kulesi simo, isisu sikhiqiza i-asidi eningi kakhulu esiswini. Le-asidi eningi kakhulu igugisa ulwelwesi lwesisu futhi ibangele izilonda.
• Ukucindezeleka okukhulu ngokomzimba: Uma umzimba wakho ulwela ukululama esifweni noma ekulimaleni okusongela impilo, okusho ukuthi ungaphansi kokucindezeleka okukhulu, 'isilonda sokucindezeleka' singakhula. Ngezikhathi ezinjengalezi, i-pH yomzimba iyashintsha futhi i-asidi yesisu iyakhuphuka.

Ingabe indlela yethu yokuphila iyathinta izilonda zesisu?

Amazinga okucindezeleka kwansuku zonke esibhekana nawo ekuphileni kwethu kwansuku zonke, nalokho esikudlayo nesikuphuzayo, akuzibangeli ngqo izilonda zesisu. Okusho ukuthi, ukudla kakhulu noma ukucindezeleka kancane ngeke kubangele izilonda zesisu.

Kodwa-ke, uma usuvele unesilonda, lezi zinto zingenza izimpawu zibe zimbi kakhulu. Ngoba noma yini ekhulisa i-asidi yesisu ayilungile esilonda futhi izosenza sibe sibi kakhulu.

Kungcono ukuqaphela izinto ezinjengalezi:

• Ukubhema
• Utshwala
• Ukudla okubabayo nokune-asidi

Wazi kanjani ukuthi unesilonda esiswini?

Uma ubona udokotela, uzoqala ngokukubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Bazozama ukuthola izinto ezifana nokuthi usebenzisa ama-NSAID njalo yini nokuthi uke waba nokutheleleka kwe-H. pylori ngaphambilini. Uma kukhona okusolakala ukuthi unesilonda, isinyathelo esilandelayo ukubheka ngaphakathi esiswini sakho.

Ukuhlolwa kokuxilonga izilonda zesisu

Udokotela kuzodingeka aqale ahlole ukutheleleka kwe-H. pylori, bese ebheka izilonda esiswini. Kunezindlela eziningana zokwenza lokhu.

• Ukuhlolwa kwe-Upper Endoscopy / EGD:

Lena yindlela evame kakhulu futhi enembile kakhulu. Lokhu kuhilela ukufaka ikhamera encane (i-'endoscope') ekugcineni kwepayipi elincane, eliguquguqukayo ngomlomo wakho bese wehla ngomhubhe wakho uye esiswini sakho kanye nengxenye yokuqala yamathumbu akho amancane (i-duodenum). Uzonikezwa imithi yokwenza uzizwe ulele noma ukhathazekile phakathi nale nqubo, ukuze ungazizwa ungakhululekile.

Le khamera ivumela udokotela ukuthi abone ngaphakathi esiswini. Uma kukhona isilonda, singabonakala. Futhi, izinto ezincane zingadluliswa ngaleli payipi futhi kungathathwa ingcezu encane yezicubu (i-biopsy) olwelwesini lwesisu bese kuhlolwa i-H. pylori. Ngezinye izikhathi, uma kukhona ukuphuma kwegazi esilonda, singelashwa khona lapho.

• Ezinye izivivinyo:

Nakuba i-endoscopy iyindlela engcono kakhulu, ngezinye izikhathi ukuhlolwa kwezithombe njengochungechunge lwe-GI X-ray oluphezulu kungabona nesilonda esiswini. Kodwa-ke, lokhu akunembile njenge-endoscopy.

Kunezivivinyo ezithile zokuhlola ukutheleleka kwe-H. pylori:

• Ukuhlolwa Kokuphefumula Kwe-Urea: Lokhu ukuhlolwa okulula kakhulu, okungenabuhlungu.
• Ukuhlolwa kwegazi: Lokhu kuhlolwa kwama-antibodies akhiqizwa emzimbeni ngokumelene ne-H. pylori.
• Ukuhlolwa kwe-antigen yendle: Isampula yendle ihlolwa ukuthi ikhona yini i-H. pylori bacteria.

Ngisho noma ucabanga ukuthi kuyisilonda esiswini, yini enye engaba yiso?

Uma izimpawu zakho zingabangelwa isilonda esiswini, ezinye izimo zingaba imbangela, njenge:

• Isifo se-Gastroesophageal Reflux (GERD): Uma i-asidi iqhubeka nokugeleza iye emphinjeni, ingabangela isilungulela, ukungagayi kahle ukudla, kanye nesicanucanu.
• I-dyspepsia yokusebenza: Lokhu kungukungagayi kahle kokudla okungapheli ngaphandle kwembangela ebonakalayo ebonakalayo (njengesilonda noma i-gastritis). Izimpawu zifana nezesilonda esiswini, kodwa azibangelwa yi-asidi, futhi akukho silonda esibonakalayo olwelwesini lwesisu.
• Umdlavuza wesisu (`Umdlavuza wesisu` / `Umdlavuza wesisu`): Nakuba lokhu kungavamile, ngezinye izikhathi kungabangela izimpawu ezifana nezilonda zesisu (ubuhlungu besisu, ukwehla kwesisindo, ukulahlekelwa yisifiso sokudla). Yingakho kubalulekile ukuthola ukuxilongwa okufanele.

Ungasiphulukisa kanjani isilonda esiswini ngokushesha?

Ingxenye engcono kakhulu ukuthi, uma imbangela yesilonda isiphelile, ulwelwesi lwesisu sakho luzoqala ukuphola.

Cabanga ukuthi uma imbangela yokulimala kwakho bekuwukusetshenziswa okuqhubekayo kwama-NSAID (ama-painkillers), kunethuba elihle lokuthi ukulimala kuzophola ngaphandle kokwelashwa okukhethekile uma uyeka ukuthatha imithi.

Kodwa-ke, uma unegciwane le-H. pylori, kuzodingeka nakanjani uthathe ama-antibiotic kudokotela ukuze uliqede .

Ngaphezu kwalokho, udokotela angakunikeza eminye imithi yokunciphisa i-asidi yesisu nokuvikela ulwelwesi lwesisu, okuzosiza inxeba ukuthi liphilise ngokushesha nangcono.

Yiziphi izindlela zokwelapha izilonda zesisu?

Odokotela bavame ukwelapha izilonda ngenhlanganisela yemithi. Lokhu kufaka phakathi imithi enciphisa i-asidi yesisu, emboza futhi ivikele isilonda kuze kube yilapho siphola, futhi ibulale noma yikuphi ukutheleleka, njenge-H. pylori. Akuvamile ukuthi kwenziwe inqubo encane yokuvimba ukopha noma ukuvala imbobo esiswini.

Imithi

Izinhlobo eziyinhloko zemithi enikezwa izilonda zesisu yilezi:

• Ama-antibiotic: Uma une-H. pylori noma olunye ukutheleleka ngamagciwane, udokotela wakho uzokunikeza umuthi owodwa noma ngaphezulu wama-antibiotic ukubulala amagciwane, ngokuvamile izinsuku eziyi-7 kuya kweziyi-14. Ama-antibiotic asetshenziswa kakhulu yilawa:
• `I-Amoxicillin`
• `I-Clarithromycin`
• `I-Metronidazole`
• `I-Tetracycline`
• Ama-Proton Pump Inhibitors (PPI):Le mithi isebenza ngokunciphisa kakhulu ukukhiqizwa kwe-asidi esiswini. Iphinde ivikele ulwelwesi lwesisu futhi isheshise ukuphulukiswa kwenxeba. Ama-PPI avame kakhulu ukunikezwa yile:
• 'I-Omeprazole'
• `I-Lansoprazole`
• I-Pantoprazole
• `I-Esomeprazole`
• `I-Rabeprazole`
• 'I-Dexlansoprazole'
• Ama-histamine blocker (H2): Le mithi inciphisa nokukhiqizwa kwe-asidi esiswini, kodwa ayinamandla njenge-PPI. Izibonelo:
• `I-Famotidine`
• 'I-Cimetidine'
• `I-Nizatidine`
• Ama-cytoprotective agents: Le mithi imboza ulwelwesi lwesisu, isivikele kuma-asidi nezinye izinto eziyingozi. Isiza inxeba ukuthi liphole. Inikezwa ukwelapha nokuvimbela izilonda ezibangelwa ukusetshenziswa kwama-NSAID. Izibonelo:
• 'I-Sucralfate'
• `I-Misoprostol`
• I-Bismuth subsalicylate (etholakala emithini efana nePepto-Bismol)

Izinqubo zezokwelapha

Uma unesilonda esiyinkimbinkimbi, okusho ukuthi siyopha noma sinomgodi, udokotela wakho kuzodingeka aselaphe ngqo. Lokhu kungenziwa njalo ngesikhathi se-endoscopy. Izilonda eziphuma igazi zingelashwa ngokushisa (ukwelashwa ngokushisa), ngokujova ngemithi, noma ngokusika isilonda. Uma kukhona imbobo esiswini, udokotela ohlinzayo angadinga ukusithunga noma ukusilungisa ngenye indlela.

Akuvamile ukuthi abanye abantu babe nezilonda ezingapholi ngokwelashwa futhi zihlale zibuya. Lokhu kungabangela ubuhlungu obuqhubekayo kanye nezibazi. Lokhu kuzibazi kungavimba nomgodi ongaphansi kwesisu (i-gastric outlet). Uma lokhu kwenzeka, kungase kudingeke ukuhlinzwa:

• Susa izicubu zesibazi noma uvule indawo yokuphuma (i-pyloroplasty).
• Ukusika (i-vagotomy) inzwa evuselela ukukhiqizwa kwe-asidi yesisu (i-vagus nerve).

Ungakuvimbela kanjani ukuthi isilonda esiswini singabi khona noma singaphinde sivele?

Ungenza lezi zinto ukuze ugweme izilonda zesisu:

1. Lahla ukutheleleka kwe-H. pylori: Abantu abaningi abazi ukuthi banesifo se-H. pylori. Ungathola ukuthi unaso yini ngokuhlolwa kokuphefumula okulula noma ukuhlolwa kwendle. Uma unaso, noma ngabe awunazo izimpawu, ukusithola njengoba kuqondiswe udokotela wakho kungasiza ekuvimbeleni izilonda zesikhathi esizayo.

2. Sebenzisa ama-NSAID (ama-painkiller) njengoba kuqondiswe futhi ngokuqapha: Uma ujwayele ukuthatha ama-NSAID (isib. i-ibuprofen, i-diclofenac, i-aspirin) ezinhlungwini ezincane zansuku zonke, qiniseka ukuthi awuphuzi ngaphezu komthamo onqunyiwe.Futhi yithathe isikhathi esifushane kakhulu. Uma kufanele uqhubeke nokuthatha ama-NSAID ngesizathu sezokwelapha, khuluma nodokotela wakho mayelana nokusebenzisa umthamo ophansi kakhulu, ukushintshela kumuthi ophephile, noma ukuthatha omunye umuthi, njenge-PPI, ukuvikela ulwelwesi lwesisu sakho.

3. Nciphisa noma uyeke eminye imikhuba eyingozi: Ukubhema nokuphuza utshwala ngokweqile kwandisa ingozi yezilonda zesisu, ikakhulukazi uma unegciwane le-H. pylori noma uthatha ama-NSAID. Ngakho-ke kungcono ukuyeka le mikhuba.

Kuthatha isikhathi esingakanani ukuthi isilonda esiswini siphole?

Uma uthatha imithi yakho njengoba uyalelwe futhi ugwema izinto ezicasula isilonda (njengokudla ukudla okungenamsoco, ukubhema, nokuphuza utshwala), isilonda sakho kufanele siphole ngokuphelele emavikini ambalwa (ngokuvamile amasonto angu-4-8). Udokotela wakho angase ancome olunye uhlolo lwe-endoscopy noma olunye ukuhlolwa ukuqinisekisa ukuthi isilonda siphole ngokuphelele nokuthi ukutheleleka kwe-H. pylori (uma kukhona) sekuqediwe ngokuphelele.

Iningi labantu liba ngcono ngokwelashwa kwesikhashana. Kodwa-ke, abantu abanezimo ezibangela ukuthi i-asidi yesisu iqhubeke nokukhiqizwa, njenge-Zollinger-Ellison syndrome, kungadingeka bathathe imithi isikhathi eside.

Yini okufanele uyenze uma ucabanga ukuthi unesilonda esiswini?

Okubaluleke kakhulu: Uma usola ngisho nokuncane ukuthi unesilonda esiswini, funa iseluleko sikadokotela.

Ungase ukwazi ukulawula izimpawu okwesikhashana ngama-antacid athengiswa ngaphandle kwemithi kadokotela (isib. i-Digene, i-Gelusil). Kodwa-ke, ngeke aphulukise isilonda. Kuzodingeka welaphe imbangela eyinhloko.

Isilonda esingalashwanga, noma ngabe awunazo izimpawu ezinkulu, singaholela ezinkingeni ezinkulu (njengokopha noma ukubhoboka) ngokuhamba kwesikhathi. Futhi, khumbula ukuthi ukutheleleka kwe-H. pylori, imbangela enkulu yezilonda zesisu, kwandisa ingozi yokuba nomdlavuza wesisu ngokuhamba kwesikhathi uma kungelashwa.

Kufanele uye nini e-Emergency Treatment Unit (ETU) ?

Uma unezinye zalezi zimpawu, hamba uye egumbini lezimo eziphuthumayo esibhedlela ngokushesha:

• Ubuhlungu besisu obungapheli, obungabekezeleleki.
• Uma indle imnyama (njengethayela) inegazi, noma uma igazi libomvu.
• Uma uhlanza igazi (njengokugayiwa kwekhofi noma igazi elisha).
• Izimpawu zokulahlekelwa igazi okukhulu (isib. ukuphaphatheka okukhulu, ukujuluka ngokweqile, ubunzima bokuphefumula, ukuquleka, ukulahlekelwa ukwazi).

Ngakho-ke, sifundeni kule ndaba? (Umyalezo Wokuya Ekhaya)

Izilonda zesisu zivamile, kodwa akufanele zithathwe kalula. Zingaba yingozi uma zingelashwa kahle. Ngezinye izikhathi izilonda zingaba khona ngaphandle kwezimpawu, ngakho-ke uma unemibuzo, kuwukuhlakanipha ukubona udokotela ukuze akuhlole.

Khumbula: Ungase uthole impumuzo ngokushintsha indlela yokuphila enempilo (njengokudla, ukuyeka ukubhema), kodwa isihluthulelo ukuthola imbangela eyisisekelo (njenge-H. pylori, ukusetshenziswa kwe-NSAID) bese uyiphatha ngendlela efanele.

Isilonda esiswini yilapho ama-asidi emvelo esiswini sakho elimaza ulwelwesi oluvikelayo lwesisu sakho. Uma lesi simo singelashwa, sizoba sibi kakhulu. Udokotela wakho angakunikeza ukwelashwa okufanele kwesimo sakho futhi akusize ululame ngokushesha. Ngakho-ke, ungesabi futhi ufune iseluleko sezokwelapha ngokushesha.

Izilonda zesisu , izilonda zesisu, i-gastritis, i-H. pylori, ama-NSAID, ukuvuvukala kwesisu, i-endoscopy