Yintoni ekufuneka uyazi malunga neasidi ephezulu yesisu

Umxholo

• Yintoni enokubangela iasidi ephezulu yesisu?
• Ziintoni iimpawu?
• Zithini iziphumo zecala lesisu esiphakamileyo?
• Ngaba zikhona izinto ezinobungozi?
• Zithini iindlela zokhetho zonyango?
• Umgca wezantsi

Umsebenzi wesisu sakho kukunceda ukwetyisa ukutya okutyayo. Enye indlela yokwenza oku kukusetyenziswa kwesisu esiswini, esaziwa njenge-gastric acid. Icandelo eliphambili lesisu esiswini yihydrochloric acid.

Umtya wesisu sakho ngokwemvelo ufihla isisu esiswini. Oku kuyimfihlo kulawulwa zombini ziihomoni kunye nenkqubo yemithambo-luvo.

Ngamanye amaxesha isisu sakho sinokuvelisa iasidi eninzi yesisu, enokuthi ikhokelele kwiimpawu ezininzi ezingathandekiyo.

Yintoni enokubangela iasidi ephezulu yesisu?

Kukho iimeko ezininzi ezinokukhokelela kwisisu esiphakamileyo seasidi. Rhoqo, le meko ikhokelela ekuvelisweni kakhulu kwehomoni yegastrin. I-Gastrin yincindi yedlala exelela isisu sakho ukuba sivelise iasidi engaphezulu yesisu.

Ezinye zezizathu eziqhelekileyo zibandakanya:

• Ukuphindaphindeka kwe-acid hypersecretion: I-H2 blockers luhlobo lonyango olunokwehlisa isisu esiswini. Ngamanye amaxesha, abantu abaphuma kula mayeza banokonyuka kwisisu esiswini. Kukho ubungqina bokuba oku kunokwenzeka kwakhona emva kokuphuma kwiproton pump inhibitors (PPIs), nangona kunjalo.
• Isifo seZollinger-Ellison: Ngale meko inqabileyo, amathumba abizwa ngokuba yifastrinomas kwifomathi yakho kunye namathumbu amancinci. I-Gastrinomas ivelisa amanqanaba aphezulu e-gastrin, ebangela ukwanda kwesisu esiswini.
• Helicobacter pylori usulelo:H. pylori luhlobo lweebhaktiriya olunokuthi lubangele isisu kwaye lubangele izilonda. Abanye abantu abane H. pylori Usulelo lunokuba ne-asidi ephezulu yesisu.
• Ukuthintela ukuphuma kwesisu: Xa indlela ekhokelela esiswini iye emathunjini amancinci ivaliwe, inokubangela ukwanda kwesisu esiswini.
• Ukusilela kwezintso okungapheliyo: Kwezinye iimeko ezinqabileyo, abantu abanesifo sezintso okanye abo bafumana i-dialysis banokuvelisa amanqanaba aphezulu e-gastrin, ekhokelela kwimveliso eyandisiweyo yesisu esiswini.

Kwakhona kubalulekile ukuba uqaphele ukuba ngamanye amaxesha isizathu esithile se-asidi ephezulu yesisu asikwazi ukuchongwa. Xa unobangela wale meko engenakuchazwa, kubhekiswa kuwo njenge-idiopathic.

Ziintoni iimpawu?

Ezinye zeempawu ezinokuthi ube neasidi ephezulu yesisu zibandakanya:

• ukungaphatheki kakuhle esiswini, okunokuba kubi ngakumbi kwisisu esingenanto
• isicaphucaphu okanye ukugabha
• ukudumba
• isilungulela
• urhudo
• ukunciphisa ukutya
• ukwehla kobunzima obungachazwanga

Iimpawu zesisu esiphakamileyo se-asidi ziyafana kakhulu nakwezinye iimeko zokwetyisa.

Kuhlala kungumbono olungileyo ukubona ugqirha wakho ukuba ukhula okanye uvela rhoqo kwiimpawu zokwetyisa. Ugqirha wakho unokusebenza kunye nawe ukunceda ukufumanisa unobangela weempawu zakho kunye nokwenza isicwangciso sonyango.

Zithini iziphumo zecala lesisu esiphakamileyo?

Ukuba namanqanaba aphezulu esisu esiswini kunokunyusa umngcipheko wokukhula kwezinye iimeko zempilo ezinxulumene nesisu. Oku kubandakanya:

• Izilonda Peptic: Izilonda ze-Peptic zizilonda ezinokuthi zikhule xa i-gastric acid iqala ukutya emgceni wesisu sakho.
• Isifo se-reflux sesifo se-Gastroesophageal (GERD): I-GERD yimeko apho isisu esiswini sibuyele kwi-esophagus yakho.
• Ukopha emathunjini: Oku kubandakanya ukopha naphi na kwindawo yakho yokwetyisa.

Ngaba zikhona izinto ezinobungozi?

Ezinye zezinto ezinokuba semngciphekweni wokuphuhlisa amanqanaba aphezulu esisu sesisu zibandakanya:

• Amayeza: Ukuba uthatha amayeza ukuhlisa isisu kwimveliso yeasidi kwaye emva koko uphume kunyango, unokuhlakulela ukubuya kwesisu esiphakamileyo. Nangona kunjalo, oku kuhlala kusombulula ngokwakho ekuhambeni kwexesha.
• H. pylori usulelo: Ukuba nokusebenza H. pylori Usulelo lwebacteria esiswini sakho lunokukhokelela ekwandeni kwesisu esiswini.
• Imfuza: Phantse ama-25 ukuya kuma-30 ekhulwini abantu abane-gastrinomas-tumors ezenzeka kwi-pancreas okanye i-duodenum-banesimo semfuzo esibizwa ngokuba yi-endocrine neoplasia yohlobo 1 (MEN1).

Zithini iindlela zokhetho zonyango?

Isisu esiphakamileyo sisoloko siphathwa ngeprotein pump inhibitors (PPIs). La mayeza asebenza ukunciphisa ukuveliswa kwesisu esiswini.

Ii-PPI zine-H2 blocker. Zihlala zinikwa ngomlomo, kodwa zinokunikwa nge-IV kwiimeko ezinzima kakhulu.

Ukuba isisu sakho seasidi ephezulu sibangelwa yi H. pylori Usulelo, uya kumiselwa i-antibiotics kunye ne-PPI. I-antibiotics isebenza ukubulala ibhaktheriya ngelixa i-PPI iya kunceda ukuvelisa isisu se-acid.

Ngamanye amaxesha utyando lunokucetyiswa, njengokususa i-gastrinomas kubantu abane-Zollinger-Ellison syndrome. Ukongeza, abantu abanezilonda ezinzima banokudinga ukuba benze utyando ukuze kususwe inxenye yesisu (gastrectomy) okanye i-vagus nerve (vagotomy).

Ukuba ukubetha kwentliziyo yenye yeempawu zakho, unokwenza utshintsho kwindlela otya ngayo ukunceda ukunciphisa iimpawu zakho:

• ukutya ukutya okuncinci kunye nokutya rhoqo
• ukulandela ukutya okune-carb ephantsi
• Ukunciphisa utywala, icaffeine, kunye neziselo ezihlwahlwazayo
• ukunqanda ukutya okusenza ukuba isilungulela sibe mbi

Umgca wezantsi

Isisu sakho esiswini sikunceda ukuba wehle phantsi kwaye wetyise ukutya kwakho. Ngamanye amaxesha, inani elingaphezulu kwesiqhelo lesisu sesisu sinokuveliswa. Oku kunokukhokelela kwiimpawu ezinjengeentlungu zesisu, isicaphucaphu, ukuqunjelwa, kunye nokuqaqamba kwentliziyo.

Zininzi izinto ezibangela isisu esiphakamileyo. Imizekelo ibandakanya H. pylori usulelo, iZollinger-Ellison syndrome, kunye neziphumo ezibi xa kurhoxiswa amayeza.

Ukuba ishiywe inganyangwa, isisu esiphakamileyo sinokukhokelela kwiingxaki ezinjengezilonda okanye iGERD. Jonga ugqirha wakho ukuba uphuhlisa naziphi na iimpawu zokugaya ukutya eziqhubekayo, eziphindaphindayo, okanye ezinxulumene noko.