Eminye imithi ingabangela izinkinga esiswini
Kubantu abathile, imishanguzo ethile noma imithi eminingi engabangela ukuthi isisu sithukuthele, ubuhlungu noma ukucasuka. Kubantu abanesifo sofuba (IBD) , ukugwema imithi engabangela izinkinga ngesisu kubalulekile, ikakhulu uma ngabe sekuvele umlando wemithi obangela ukucasuka kwesisu. Nakuba izinkinga zesisu zingase zibangele izimpawu, ngezinye izikhathi zingabonakala kodwa zingabangeli noma yiziphi izimpawu.
Eminye yemithi eyaziwa ukuthi ibangele izinkinga zesisu ihlanganisa izidakamizwa ezingekho-steroidal ezilwa nokuvuvukala (ama-NSAID), ama-antacids, ama-anticholinergics, nama-antagonist H2.
Ama-NSAID
Mhlawumbe ngoba zivame ukusetshenziselwa ubuhlungu bansuku zonke futhi zingathengwa ngaphezu kwe-counter, i-NSAID yizidakamizwa ngokuvamile ezibangelwa ukucasuka kwesisu. Isizathu sokuthi ukuthi ama-NSAID asithinta yini ubhedu besisu, i-mucosa. Ama-NSAID asebenza ukunciphisa ubuhlungu nokuvuvukala ngoba benza inqubo evimbela ukudalwa kwamakhemikhali abizwa ngokuthi i- prostaglandins . I-Prostaglandins ihileleke enkambisweni yokuvuvukala, ngakho ngaphandle kwabo, ubuhlungu nokuvuvukala kuncishisiwe. Kodwa-ke, nazo ziyisihluthulelo kwenye inqubo ebalulekile eqhubekayo esiswini: ukudalwa nokugcinwa kwesilonda sangaphakathi sesisu, okuthiwa i-mucosa.
I-mucosa iqukethe amangqamuzana akhiqiza i- mucus , into ehlanzekile ephuzi ephuzi ephuzi esiswini futhi ivikeleke kumajusi we-digestive.
Ama-NSAID aphazamisa ukukhiqizwa kwe-mucus, okuholela ebuthakathakeni emgqeni we-mucosa. Lokhu kuncibilika kwendwangu yamangqamuzana kubangela izinyimba ezivamile zokugaya ukudla ukuze zicasule noma zishaye ubhedu besisu. Uma kukhona ukuvuvukala esiswini sokugaya, kubizwa ngokuthi i- gastritis . Lapho ukuvuvukala kuqhubeka kungabangela ukuphuma kwegazi, izilonda (izilonda esiswini esiswini), noma ngokungajwayelekile, i-perforation (umgodi esiswini).
Abanye abantu basengozini yokuthuthukisa ukucasuka kwesisu ngemuva kokuthatha ama-NSAID, futhi lokhu kubandakanya abantu asebekhulile noma labo abanomlando wezinkinga zesisu. Abantu asebekhulile abathatha ama-NSAID ngezikhathi zonke ubuhlungu nokuvuvukala kwe-arthritis noma ezinye izimo zisengozini yokucasula isisu. Umlando wezilonda zamathambo noma i-gastritis nayo ihlobene nengozi enkulu yezinkinga ngemuva kokuthatha ama-NSAID. Kwezinye izimo, imithi ingahle ibekwe ukuthi ingasiza ekuvikeleni uketshezi kwesisu kusuka kumphumela omubi we-NSAID.
Izimpawu zokucasuka kwesisu kusuka kuma-NSAID zingabandakanya:
- Igazi kulesi sikhundla
- Igazi emanzini
- Ukuvutha umuzwa esiswini noma ngemuva
- Uhudo
- Ukuguquka kwenhliziyo (ukuhlushwa)
- Ubuhlungu esiswini
- Tarry noma black stools
Amathiphu okusiza ukuvimbela ukulimala kwesisu ekuthatheni ama-NSAID afaka:
- Ungaphuzi utshwala ngenkathi uthatha ama-NSAID
- Ukunamathela esilinganisweni esinqunyiwe hhayi ukuthatha okungaphezu kokushiwo
- Thatha ama-NSAID kanye nokudla, ubisi, noma amanzi
- Thatha ama-NSAID kamuva ngosuku (hlola nodokotela kuqala)
- Thatha amaphilisi e-NSAID aqoshiwe (hlola nodokotela kuqala)
Ukuxoshwa kwe-Gastric edikibele
Ezinye izinhlobo eziningi zemithi zingabangela ukubambezeleka kwesisu esiswini. Ukwehliswa kwegastric okudabukile kusho ukuthi izidumbu esiswini ezithwala ukuphuma zihamba kancane, futhi ukudla akukhiphi esiswini ngesilinganiso okufanele.
Kulabo abatholwa ukuthi banesifo se- gastroparesis , okuyinto isifo esenza ukuba isisu siphuze ukukhipha, izidakamizwa ezandisa le nsalela yokunciphisa ingabangela izinkinga ezinkulu.
Ezinye zezinhlobo zezidakamizwa ezingabangela ukubambezeleka ekudleni kokudla esiswini kufaka phakathi:
- Aluminium hydroxide. Amanye ama-antacids aqukethe i-aluminium hydroxide njengenye yezithako ezisebenzayo eziyinhloko. Ama-antacids asebenza isikhathi esifushane, imizuzu engu-30 kuya kwezingu-60, futhi kukhona amandla okubuyisela emuva ngemva kokugudluka, lapho kunezinye izidakamizwa zesisu ezikhiqizwa ngayo. Imithi equkethe lesi sidakamizwa ingase iholele nasekuqotheni uma isetshenziswa isikhathi eside.
- Imithi ye-Anticholinergic. Le mithi isetshenziselwa ukuphatha ukucindezeleka, ukuphazamiseka kokulala, nokungaziphathi kahle. Ezinye izidakamizwa zibandakanya yi- Benadryl (diphenhydramine) , ama-anti-depressants ama-tricyclic, ama-barbiturates, ama-relaxant muscle, nama-benzodiazepines.
- Abaphikisi be-H2 . Eminye imithi kuleli klasi yezidakamizwa, esetshenziselwa ukwelapha isifo se-reflux ye-gastroesophageal (GERD) , ingase ibambezele ukuphuma kokudla esiswini. Kodwa-ke, abanye abaphikisana nabakwaH2 bangase babe nomthelela ohlukile futhi bakhulise isilinganiso sokudla okuvela esiswini. Umthelela oqondile wezidakamizwa ngabanye kuleli klasi usengaphansi kokucwaninga.
Inothi Kusuka
Kukhona izingozi nanoma imuphi umuthi, ngisho nalawo atholakala ngaphezu kwe-counter. Yingakho kubalulekile ukuvumela udokotela ukwazi yonke imithi esetshenzisiwe, ngisho nalabo esiyicabanga ukuthi iyinhlonipho, noma ukuthi siyakhohlwa ngoba siyithenga esitolo semithi futhi siyithathe njalo. Kubantu abaningi, ama-NSAID nezidakamizwa zokuphuza izinhlungu ngeke zibangele izinkinga ezinkulu, kodwa uma izinkinga zesisu zikhula, uma kusetshenziswa lezi zidakamizwa njalo, kungaba yinkomba mayelana nokuthi yini engabangela izimpawu .
> Imithombo:
> I-American College ye-Gastroenterology. "Gastroparesis." Isikhungo semfundo kanye nesisetshenziswa sezilonda. 2015.
> Wallace JL. "Izindlela, ukuvimbela kanye nomthelela wesifo se-anti-inflammatory anti-inflammatory drug-enteropathy." I-World J Gastroenterol . 2013 Mashi 28; 19: 1861-1876. doi: 10.3748 / wjg.v19.i12.1861