Izinketho zokuphila kwe-Lifestyle kanye ne-Ulcer Treatment Options Okufanele Uyazi
Isilonda siyisifo esibi noma isilonda esakhiwa emgqeni wesisu noma i-duodenum, okuyingxenye yokuqala yomathumbu amancane. Ngenye yezinkinga ezivame kakhulu zomzimba ezitholakala odokotela. Kucatshangwa ukuthi amaphesenti angu-5 kuya kwengu-10 kubo bonke abantu abazobhekana nakho esikhathini sokuphila kwabo. Okusho ukuthi, uma uthola owodwa, udokotela wakho angase akhulume ngalezi zikhetho ezilandelayo zokwelashwa nawe.
Yeka ukubhema
Ukubhema kuboniswe ukulibazisa ukuphulukiswa kwesilonda futhi kuhlotshaniswe nokuphindaphinda kwesilonda. Ngakho-ke, uma ubhema, kufanele uzame ukuyeka.
Shintsha Ukudla Kwakho
Odokotela esikhathini esidlule babeluleka abantu abanezilonda ukuze bagweme ukudla okunezici ezinamafutha, amafutha, nama-acidic. Kodwa-ke, kuboniswe ukuthi ukudla okubizayo akusizi ngalutho ekuphatheni noma ekugwemeni izilonda. Lokhu akusho ukuthi ukudla okubizayo kuyingozi kubagulayo besilonda. Eqinisweni, kungenza uzizwe ungcono.
Ukudla ukudla kwebhanana, isinkwa, nelayisi, ngeke kusize isimo sakho esikhathini eside. Esikhundleni salokho, gcwalisa ukudla kwakho ngokudla okungasiza ekuthuthukiseni isimo sakho. Ngokwesibonelo, ukudla okuhlanganiswe njenge-flavonoids noma i-polyphenols ingase ibe yisivikelo sepheshana le-GI.
Ngokwenhlolovo yesayensi eyanyatheliswa kuyi- Journal of Pharmacy & Bioallied Sciences , ukudla okuqukethe izinhlanganisela ze-polyphenolic ezifana ne-quercetin-etholakala emafutheni omnqumo, amagilebhisi, ama cherry omnyama, namajikijolo amnyama njenge-blueberries, ama-blackberries, nama-bilberries-nesinamic acid -fake amafutha omnqumo, ama-strawberries, nama-cranberries-angavimbela futhi anciphise izilonda ezithile.
Ukwengeza i-yogurt, i-kefir, nezinye izinto ezivutshiwe eziqukethe ama-bacterium aphilayo okuthiwa ama-probiotics, angasiza ukwenza imvelo yokugcoba ikwazi ukuphulukisa isilonda sakho ngokulwa noHelicobacter pylori (H. pylori) . Lezi zingqamuzana ziyimbangela enkulu yezilonda.
Ngokuvamile, ukudla okucebile amavithamini namaminerali kuzosiza umzimba wakho.
Nokho, ngenxa yesilonda sakho, ukudla okunye kungakunikeza inkathazo enkulu kunabanye. Okunye ukudla okuvamile okweqile izimpawu zesilonda yikhofi, ubisi, uphuzo oludakayo, nokudla okuthosiwe.
H2-Blockers
Lezi izidakamizwa zokucindezela i-acid ukuthi odokotela abaningi baphatha izilonda. Banciphisa inani le-asidi isisu esisenza ngokuvimbela i-histamine, isisusa esinamandla se-acid secret. Banciphisa ubuhlungu kakhulu emva kwamasonto ambalwa.
Ezinsukwini ezimbalwa zokuqala zokwelashwa, odokotela bavame ukuphakamisa futhi ukuthatha isifo sokulwa nesifo sokulwa nobuhlungu. Ukwelashwa ekuqaleni kuqhubeka amasonto ayisithupha kuya kwangu-8. Izilonda eziningi ezibangelwa u-H. pylori aziphindaphindi ngemva kokuqedwa ngempumelelo. Kodwa-ke, kwezinye iziguli, izilonda zazo zibuya, futhi kufanele ziqhubeke nokwelapha ukwelashwa iminyaka. Ama-H2-blockers asetshenziselwa ukwelapha izilonda zombili zesisu kanye ne-duodenal. Lezi izi:
I-Proton Pump Inhibitors (i-PPIs)
Ama-proton pump inhibitors ashintsha ukukhiqizwa kwe-asidi ngokumvimbela kakhulu ngesimiso se-acid esiswini-isinyathelo sokugcina se-acretion. I-Prilosec (Omeprazole ) futhi isetshenziselwe ukwelashwa okwesikhashana kwesifo sesilonda. Imithi efanayo, kuhlanganise ne- Prevacid (Iansoprazole ), ingasetshenziswa futhi.
Imithi yokuvikela i-Mucosal
Imithi yokuvikela i-Mucosal ivikela i-asidi yesisu esiswini, kodwa imithi yokuzivikela ayivimbeli ukukhululwa kwesisu esiswini. Esikhundleni salokho, zivikela isikhumba sangasese esiswini emonakalweni ye-asidi.
Amakhemikhali amabili avame ukuzivikela athi:
- I-Carafate (i-Sucralfate): Le mithi ihambisana nesilonda, ikhiqiza isivinini esivimbelayo esivumela isilonda ukuba siphulukise futhi sivimbele umonakalo owengeziwe nge-asidi esiswini. I-sucralfate ivunyelwe ukwelashwa kwesikhashana esifushane kwezilonda ze-duodenal kanye nokwelashwa kwesondlo.
- I-Cytotec (Misoprostol): Le prostaglandin yokwenziwa, into ejwayelekile eyenziwa ngumzimba, ivikela isisu esiswini ngokukhula kwe-mucus kanye nokukhiqizwa kwe-bicarbonate nangokuthuthukisa ukugeleza kwegazi kuya esiswini. Kuvunyelwe kuphela ukuvimbela izilonda ezibangelwa i-NSAID.
Imithi emibili ejwayelekile engavamile yokuzivikela yilezi:
- Ama-Antacids: Lezi zingoma ezihamba phambili zinganikeza ukuphumula kwesikhashana kusuka ebuhlungu besilonda ngokunciphisa i-asidi yesisu. Bangase babe nendima evikelayo ye-mucosal. Imikhiqizo eminingi ye-antacids iyatholakala ngaphandle kwemithi.
- I-Bismuth Subsalicylate: i-abismicylate ye- Bismuth inomphumela wokuzivikela kanye nomphumela wokulwa nokulwa noHl pylori.
Ama-antibiotics
Ukutholakala kwesixhumanisi phakathi kwama ulcers noHl pylori kuye kwabangela ukhetho olusha lwezokwelapha. Manje, ngaphezu kokwelashwa okuhlose ukunciphisa ukukhiqizwa kwesisu esiswini, odokotela bangase banikeze ama-antibiotics ngeziguli ezine-H. pylori. Ngokuqeda u-H. pylori kusho ukuthi isilonda singase siphulule futhi cishe ngeke sibuyele emuva.
Imithombo:
Sumbul S, Ahmad MA, Mohd A, Mohd A. Indima yamakhemikhali e-phenolic e-peptic ulcer: Ukubuka konke. J Pharm Bioallied Sci. 2011 Jul; 3 (3): 361-7. doi: 10.4103 / 0975-7406.84437.
USafavi M, uSabourian R, Foroumadi A. Ukwelashwa kwe-Helicobacter pylori ukutheleleka: Ukuqonda kwamanje nokuzayo. I-World J Clin Cases. 2016 Jan 16; 4 (1): 5-19. doi: 10.12998 / wjcc.v4.i1.5