Inkinga evamile yezokwelapha ngokuvamile ephutha ngesifo senhliziyo yisifo se- ulcer peptic . Izilonda ze-Peptic ngokuvamile ziveza izimpawu ezingase zibe yinselele ukuhlukanisa kusuka ku- angina , noma ngisho nezimpawu zesifo senhliziyo .
Kuyini Ukugula Kwama-Ulcer Peptic?
Esifweni sesilonda esiyisifo sofuba, izilonda noma izilonda zikhiqizwa emgodini wesisu, noma i-duodenum (okuyingxenye yokuqala yomathumbu amancane).
Lezi zilonda ngokuvamile zibuhlungu kakhulu. Ngokuvamile, ubuhlungu obuvela esibhedlela sesilonda sesifo sesisu kubonakala sengathi ubuhlungu besisu - ngokuvamile, ubuhlungu emgodini wesisu - kodwa ngezinye izikhathi kungabangela ubuhlungu besifuba.
Izimpawu Zobuhlungu Ezivela Ezifweni Zama-Ulcer Peptic
Ubuhlungu obuvezwa izilonda ze-peptic kuvame ukuchazwa njengesimo sokushisa noma sokugaya. Kuvame ukukhululeka ngokudla ukudla, futhi ngokuvamile kuvame ukuphuza ngokuphuza utshwala, ukubhema, noma ukudla i-caffeine. Kungenziwa ihambisane nezimpawu zokuvimbela, i-gas, i-nausea nokuhlanza. Ukuphuza isisu kuvamile kakhulu kubantu abanezifo zesilonda esiswini.
Izimbangela ze-Peptic Ulcer Illness
Izilonda ze-Peptic zingenzeka uma i-mucus evikela uketshezi lwegciwane lokugaya eliphezulu iyanciphisa, noma uma ukukhiqizwa kwesisu kwe-asidi kwanda. Izimo ezikhiqiza izilonda zamapayipi zivame kakhulu kubantu abasebenzisa amapheshana abo okugaya amakhemikhali yi- Helicobacter pylori bacteria.
Kanti futhi, abasebenzisi abavamile be- NSAID ukuphulukisa ubuhlungu banengozi eyengeziwe yezilonda zamapulpress.
Isifo sama-Ulcer Peptic vs. Angina - Ukuhlola
Ngokuvamile akulona nzima kakhulu udokotela ukuhlukanisa ubuhlungu besifuba obubangelwa yisifo sezilonda esiswini esivela ku-angina esibangwa yi- coronary artery disease (CAD) .
Izici zezinhlobo ezimbili zobuhlungu ngokuvamile zihluke kakhulu. Ubuhlungu be-ulcer i-Peptic abukethwanga ngokuzivocavoca futhi kukhululeka ngokuphumula, futhi ubuhlungu be-gnawing obuhambisana nokuqedwa nokusikhipha isisu kuhluke kakhulu kweyinto ejwayelekile ye-angina.
Noma kunjalo, ngoba ngezikhathi ezithile i-angina ngokwayo ingaba nesethulo esivelele kakhulu, kungase kubalulekile ukwenza izivivinyo zokuqinisekisa ukuthi uphazamise ukuxilongwa.
I-Endoscopy (ukuhlola ipheshana le-GI ngesimo esivumelana nezimo ezikhethekile) iyindlela ehlonishwayo yokuxilongwa kwesifo se-ulcer peptic, ikakhulukazi kubantu abanokufakaza kokuphuma noma abanesifo esinzima. Ukuhlola ukutholakala kweHelicobacter pylori kungase kube usizo. I-X-ray yesistimu yokugaya ingenhla ingabuyekezwa.
Uma udokotela ekhathazekile ngokuthi kungenzeka i-CAD, ukuhlolwa kokucindezeleka kungasiza ekuhlukaniseni phakathi kwalezi zinkinga ezimbili.
Ukwelashwa Kwe-Peptic Ulcer Illness
Ukwelapha isifo sesilonda sesifo sofuba ngokuvamile kuhlanganisa:
- Ama-antibiotics ukuqeda amabhaktheriya e-Helicobacter pylori. Isifundo samasonto amabili senhlanganisela yama-antibiotic ngomlomo ngokuvamile sisetshenziswa.
- Izidakamizwa ukuvimbela ukukhiqizwa kwesisu esiswini. Lezi zivame ukuhlanganisa i-proton pump inhibitors njenge-omeprazole (Prilosec), kanye nabavimba be-histamine (H2) njenge-ranitidine (iZantac).
- Ama-antacids ukuvimbela isisu esiswini.
Ngezikhathi ezingavamile isilonda esiswini ngeke siphumelele ukuphulukisa ngezinyathelo ezinjalo, futhi ukuhlinzwa kuyodingeka kucatshangelwe. Kodwa-ke, ngemishanguzo eyakhiwe kule minyaka embalwa edlule, isidingo sokwenza ukuhlinzwa kwesifo sesilonda se-peptic manje sejwayelekile kakhulu kunalokho esasikhona.
> Imithombo:
> Barkun A, Leontiadis G. Ukubukezwa Okuhlelekile Kwempawu Zomonakalo, Ikhwalithi Yokukhubazeka KwezeMpilo kanye Nezindleko Ezihlangene Nezifo Zase-Peptic Ulcer. Am J Med 2010; 123: 358.
> Gururatsakul M, Holloway RH, Talley NJ, Holtmann GJ. Ukuhlangana Phakathi Kokutholwa Kwemitholampilo Ye-Ulcer Eyinkimbinkimbi Neyinkimbinkimbi Ye-Ulcer ne-Visceral Sensory Dysfunction. J Gastroenterol Hepatol 2010; 25: 1162.