Isilonda siyisifo esibi noma isilonda esakhiwa emgqeni wesisu noma i-duodenum, okuyingxenye yokuqala yomathumbu amancane. Izilonda esiswini zisuke zibizwa ngokuthi izilonda zesisu noma isisu kanye nalawo ase duodenum abizwa ngokuthi izilonda . Bobabili bangabizwa ngokuthi izilonda ze-peptic.
Uma izilonda zingelashwa noma ukwelashwa akuphumelelanga, izinkinga ezinkulu zingase zenzeke.
Izinkinga ezivame kakhulu zihlanganisa ukuphuma kwegazi, ukukhishwa kwesisu noma izindonga ze-duodenal, nokuvinjelwa kwendlela yokugaya ukudla.
Ukuphuza
Njengoba isilonda siphuca izidumbu zesisu noma udonga olubili, imithwalo yegazi nayo ingonakaliswa, okudala ukuphuma kwegazi. Uma izitsha zegazi ezithintekayo ziyingcosana, igazi lingase lingene kancane kancane endleleni yokugaya. Esikhathini eside, umuntu angase abe nesifo esiyingozi. Uma isitsha segazi esonakele sikhulu, ukuphuma kwegazi kuyingozi futhi kudinga ukwelashwa ngokushesha. Izimpawu zokuphuma kwegazi zihlanganisa ukuzwela buthakathaka nokuzihlaziya lapho umile, igazi lokuhlanza noma ukuphelelwa amandla. I-stool ingaba i-tarry, umbala omnyama egazini. Izilonda eziningi ezingelaphayo zingelashwa endoscopically ngokuthola isilonda futhi ihlinzekwe isitsha segazi ngensimbi yokushisa noma ukuyijova ngezinto zokuyeka ukuyeka igazi. Uma ukwelashwa kwe-endoscopic kuphumelelanga, ukuhlinzwa kungadingeka.
I-Perforation
Ngezinye izikhathi isilonda sidla umgodi odongeni lwesisu noma i-duodenum. Ama-bacterium kanye nokudla okugayiwe kancane kungadlulela ekuvuleleni emgodini oyinyumba wesisu (peritoneum). I-ulcer perforated ingabangela i-peritonitis, ukuvuvukala kwesigxobo somzimba nodonga. Izimpawu zesilonda esine-perforated zihlanganisa ubuhlungu obunzima, obubukhali, obunzima.
Ngokushesha esibhedlela kanye nokuhlinzwa ngokuvamile kuyadingeka.
Ukwehlisa nokuvimbela
Ama-ulcers asekupheleni kwesisu lapho i-duodenum ifakwe khona ingabangela ukuvuvukala nokukhwabanisa. Lezi zilonda zinganciphisa noma zivale ukuvulwa kwamathumbu futhi zingavimbela ukudla ekushiyeni esiswini bese kungena emathunjini amancane. Ngenxa yalokho, umuntu angahlanza okuqukethwe kwesisu. I-endoscopic balloon dilation ingenziwa. Inqubo ye-balloon endoscopic isebenzisa ibhaluni ukuphoqa ukuvula i-passage encane. Uma ukuhlanjululwa akukwenzi ukuxazulula inkinga, khona-ke ukuhlinzwa kungadingeka.
Yini Ebangela Izilonda ZasePeptic?
I-ulcers ifomu lapho i-lining block of the stomach noma i-duodenum (eyaziwa ngokuthi i-mucosa ne-submucosa) ishintshwe. Izilonda ezincane zingase zingabangeli izimpawu, kodwa izilonda ezinkulu zingabangela ukuphuma kwegazi okukhulu. Izilonda eziningi zenzeka ezingxenyeni zokuqala zangaphakathi. Uma isilonda sidabula ngaphesheya kwalokho, imbobo ingavuleka ehamba emathunjini, ebizwa ngokuthi i-perforation yamathambo emathumbu. I-perforation yisimo esiphuthumayo sezokwelapha.
Naphezu kwenkolelo evamile yokuthi izilonda zamapayipi zibangelwa ukudla okunezicucu noma ukucindezeleka, iqiniso liwukuthi isikhathi esiningi, izilonda zamapulisi zibangelwa ukutheleleka nge-bacterium ebizwa ngokuthi iHelicobacter pylori ( H pylori ).
Izilonda eziningi zingelashwa ngemithi, kuhlanganise namagciwane. Kodwa ukuhlinzwa kungadingeka kwezinye izimo.
Imithombo:
"Izinkinga ezivamile ze-GI: Umqulu 1." I-American College of Gastroenterology. 22 Aug 2007
> "H. Pylori no-Ulcer Peptic." I-NIH Publication No. 05-4225 Okthoba 2004. I-National Digestive Clearinghouse Information Clearinghouse (NDDIC). 22 Aug 2007
> "Lokho engikudingayo ukuze ngazi mayelana nama-ulcers e-Peptic." Ukushicilelwa kwe-NIH No. 05-5042 Okthoba 2004. I-National Digestive Clearinghouse Information Clearinghouse (NDDIC). 22 Aug 2007
> William D. Chey, MD, FACG, AGAF, FACP, uBenjamin CY Wong, MD, Ph.D., FACG, FACP, " Ikhomishana yaseMelika yeGastroenterology Guideline ekuphathweni kweHelicobacter pylori Infection. " Doi: 10.1111 / j. 1572-0241.2007.01393.x. I-American College of Gastroenterology. 22 Aug 2007