Isifo sesilonda Peptic - ukubhobhoza

I-peptic ulcer sisifo esivulekileyo okanye indawo ekrwada esiswini (esiswini) okanye kwinxalenye ephezulu yamathumbu amancinci (duodenal ulcer). Eli nqaku lichaza indlela yokuzikhathalela emva kokuba unyangwe ngumboneleli wakho wezempilo wale meko.

Unesifo se-peptic ulcer (PUD). Usenokuba kuvavanyiwe ukunceda ukufumanisa isilonda sakho. Olunye lolu vavanyo inokuba kukujonga ibhaktiriya esiswini sakho esibizwa Helicobacter pylori (H pylori). Olu hlobo losulelo ngunobangela oqhelekileyo wezilonda.

Uninzi lwezilonda ezisemzimbeni luza kuphola ngaphakathi kwiiveki ezi-4 ukuya kwezi-6 emva kokuba unyango luqale. SUKUYEKE ukuthatha amayeza onikwe wona, nokuba iimpawu zihamba ngokukhawuleza.

Abantu abane-PUD kufuneka batye ukutya okusempilweni okunempilo.

Akuncedi ukutya rhoqo okanye ukwandisa inani lobisi kunye neemveliso zobisi ozityayo. Olu tshintsho lusenokubangela isisu esongezelelweyo.

• Kulumkele ukutya neziselo ezibangela ukungonwabi kuwe. Kubantu abaninzi oku kubandakanya utywala, ikofu, isoda ene-caffeine, ukutya okunamafutha, itshokholethi kunye nokutya okunezipayisi.
• Kuphephe ukutya ukutya okulula ebusuku.

Ezinye izinto onokuzenza ukunciphisa iimpawu zakho kunye nokunceda ukuphilisa kubandakanya:

• Ukuba uyatshaya okanye uhlafuna icuba, zama ukuyeka. Icuba liyakukucotha ukunyanga isilonda sakho kwaye lonyuse nethuba lokuba isilonda siza kubuya. Thetha nogqirha wakho malunga nokufumana uncedo lokuyeka ukusebenzisa icuba.
• Zama ukunciphisa inqanaba loxinzelelo kwaye ufunde iindlela zokulawula ngcono uxinzelelo.

Gwema iziyobisi ezifana ne-aspirin, ibuprofen (Advil, Motrin), okanye naproxen (Aleve, Naprosyn). Thatha i-acetaminophen (iTylenol) ukunciphisa iintlungu. Thatha onke amayeza ngamanzi amaninzi.

Unyango olusemgangathweni lwesilonda sepeptic kunye H pylori Usulelo lusebenzisa indibaniselwano yamayeza owathathayo iintsuku ezintlanu ukuya kwezili-14.

• Uninzi lwabantu luya kuthatha iintlobo ezimbini ze-antibiotics kunye ne-proton pump inhibitor (PPI).
• La mayeza anokubangela isicaphucaphu, urhudo, kunye nezinye iziphumo ebezingalindelekanga. SUKUYEKE ukubathatha ungakhange uthethe nomboneleli wakho kuqala.

Ukuba unesilonda ngaphandle kwe H pylori Usulelo, okanye olo lubangelwa kukuthatha iiasprini okanye ii-NSAID, kuya kufuneka uthathe iproton pump inhibitor kangangeeveki ezisi-8.

Ukuthatha ii-antacids njengoko kufuneka phakathi kokutya, kwaye emva kwexesha lokulala, kunokunceda ukuphilisa nako. Buza umboneleli wakho malunga nokuthatha la mayeza.

Thetha nomboneleli wakho malunga nokukhetha kwakho amayeza ukuba isilonda sakho sasibangelwa yi-aspirin, ibuprofen, okanye ezinye ii-NSAID. Unokwazi ukuthatha iyeza elahlukileyo lokuchasana. Okanye, umboneleli wakho unokuthatha iyeza elibizwa ngokuba yi-misoprostol okanye i-PPI ukukhusela izilonda ezizayo.

Uya kuba notyelelo olulandelayo ukuze ubone ukuba isilonda sakho siphola njani ingakumbi ukuba isilonda besisesiswini.

Umboneleli wakho unokufuna ukwenza i-endoscopy ephezulu emva konyango ukuba isilonda besisesuswini sakho. Oku kukuqinisekisa ukuba unyango lwenzekile kwaye akukho zimpawu zomhlaza.

Uya kudinga uvavanyo olulandelayo ukukhangela ukuba H pylori Iibhaktheriya ziphelile. Kuya kufuneka ulinde ubuncinci iiveki ezi-2 emva kokuba unyango lugqityiwe ukuze uphinde uphonononge. Iziphumo zovavanyo ngaphambi kwelo xesha zisenokungachaneki.

Fumana uncedo lwezonyango ngokukhawuleza ukuba:

• Ukuphuhlisa ngequbuliso, iintlungu ezibukhali zesisu
• Unesisu esiqinileyo, esomeleleyo nesithambileyo ekuchukumiseni
• Yiba neempawu zokothuka, njengokuphelelwa ngamandla, ukubila kakhulu, okanye ukudideka
• Hlanza igazi
• Jonga igazi kwisitulo sakho (imaroon, emnyama, okanye izitulo ezimnyama ezilindileyo)

Fowunela umnikezeli wakho ukuba:

• Uziva unesiyezi okanye ukhaphukhaphu
• Unempawu zesilonda
• Uziva ugcwele emva kokutya ukutya okuncinci
• Ufumana ukulahleka kwesisindo ngokungazi
• Uyagabha
• Uphelelwa ngumdla wokutya

I-ulcer - i-peptic - ukukhutshwa; Isilonda - duodenal - ukubhobhoza; Isilonda - esiswini - ukubhobhoza; Isilonda duodenal - ukubhobhoza; Isilonda esiswini - ukukhutshwa; IDyspepsia - isilonda - ukukhutshwa; Ukukhutshwa kwezilonda zesilonda

UChan FKL, uLau JYW. Isifo sesilonda Peptic. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 53.

I-Kuipers EJ, iBlaser MJ. Isifo se-Acid peptic. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Umhla wama-25. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 139.

UVincent K. Gastritis kunye nesifo sezilonda. Ku: Kellerman RD, Rakel DP, ii-eds. Unyango lwangoku lukaConn 2019. IPhiladelphia, PA: Elsevier 2019: 204-208.