Isilonda sophuphu isifo esibucayi besisu sakho noma i-duodenum. Ngokuvamile, isilonda se-peptic singase siphume nje ngenhla kwesisu sakho endaweni yakho. Odokotela babiza lolu hlobo lwesilonda se-peptic isilonda esophageal.
Isizathu seziningi zezilonda ze-peptic yi-H. pylori, ukutheleleka kwama-bacterial okutholakala ngo-1982 ngabacwaningi ababili, uBarry Marshall noRobin Warren wasePerth, e-Australia.
bekuyikholo lesikhathi eside ekufundiseni nasekwenzeni imithi yezokwelapha ukuthi ukucindezeleka nezindlela zokuphila kwakuyizimbangela ezinkulu zesifo sezilonda zesilonda. Nokho, njengoba kushiwo ngenhla, ukwelashwa ngama-antibiotic kanye neminye imithi ngokuvamile kuphulukisa izilonda zamapulpus. Kunezinhlobo eziningana zemithi esetshenziselwa ukwelapha isilonda se-peptic. Udokotela wakho uzothatha isinqumo sokwelapha okungcono kakhulu esekelwe imbangela yesilonda sakho se-peptic.
Ezimweni eziningi, ukwelashwa ngama-antibiotic kanye neminye imithi kuphulukisa izilonda ngokushesha nangempumelelo. Ukuqedwa kukaHl pylori kuvimbela izilonda eziningi ekuphindaphindiwe. Ukungenelela kokuhlinzwa akuvamile. Kodwa-ke, abanye abantu abaphenduli kuma-antibiotic anqunyelwe ukuphulukisa isilonda, noma bahlakulela izinkinga ezivela ezilonda ezifana ne-perforation, ukuphuma kwegazi nokuvinjelwa. Kungadinga ukungenelela okuhlinzekwayo.
Izinkinga Ezivela Ezilwaneni
I-Perforation iyimbobo odongeni lwesisu sakho noma emathunjini amancane.
I-ulcer perforated yisimo esibi kakhulu lapho isilonda esingaphenduliwe singashisa odongeni lwesisu (noma ezinye izindawo zomgudu wamathumbu), okuvumela amajusi wokugaya nokudla ukuba bangene emgodini wesisu.
Ukukhipha isisu kwenzeka uma kukhona isitsha segazi esiphukile esiswini noma emathunjini amancane.
Isilonda sidle indlela yaso singene esikebheni segazi. Lokhu kuzobangela igazi elibomvu noma elimnyama ekuhlanzeni noma esitokisini sakho.
Ukuvinjelwa kwenzeka uma ukudla kuvinjelwa ekuhambeni kusuka esiswini sakho kuya ku-duodenum yakho. Ama-ulcers asekupheleni kwesisu, lapho i-duodenum (ukuqala komathumbu omncane) ifakwe, ingabangela ukuvuvukala nokukhwabanisa, okungabangela ukuvala noma ukuvala ukuvulwa kwamathumbu emathunjini. Ukudla kuvinjelwa ekushiyeni isisu, okuholela ekuhlanzeni okuqukethwe kwesisu.
Izinhlobo Zokuhlinzwa Zitholakalayo
Izinhlobo zokwelapha ezingase zenzelwe izilonda zamapulpoma yi-vagotomy, i-pyloroplasty, ne-antrectomy.
Vagotomy
Kulokhu kuhlinzwa, amagatsha owodwa noma amaningi we-vagus nerve, adlulisa imiyalezo evela ebuchosheni kuya esiswini, anqunywe. Ukuphazamisa le milayezo kunciphisa ukufihla kwe-asidi. Kodwa-ke, kungaba nemiphumela emibi njengezinhlungu ezinzima, eziqhubekayo zesisu, ukuhlanza noma uhudo. Ukuhlinzwa kungase kuphazamise nokuthutha kwesisu. Ukuhluka okusha kakhulu kwalokhu kuhlinzekwa kuhilela ukusika izingxenye kuphela zezinzwa ezilawula amangqamuzana e-asidi-ukuvimba isisu. Lokhu kugwema izingxenye zesibindi ezithonya ukuphuma kwesisu.
I-Antrectomy
Kulo msebenzi, ingxenye engezansi yesisu (antrum) isusiwe.
Lesi sigaba sesisu senza i-hormone eshukumisa isisu ukufihla ama-juice wokugaya. Ngezinye izikhathi udokotela ohlinzayo angasusa futhi ingxenye yesisu esisondelene esithembisa i-pepsin ne-asidi. I-vagotomy ivame ukwenza ngokuhlanganyela ne-antrectomy.
I-pyloroplasty
Lokhu kuhlinzekwa kwandisa ukuvulwa kwe-duodenum ne-intestine encane (pylorus), okwenza okuqukethwe kwesisu kudlule ngokukhululekile ngaphandle kwesisu. I-vagotomy ingenziwa futhi i-pyloroplasty.
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