Izimpawu, Ukuxilongwa Nokunakekelwa
Abanye odokotela bakholelwa ukuthi izingane azihlakuli izilonda zesikhumba . Ubufakazi obuphambene nalokho kuthiwa izingane zingathola izilonda ezincane.
Umbono odumile owawusetshenziswa ukuthi lezo zilonda zamapulpus zibangelwa ukuhlala nokucindezeleka okukhulu noma ukudla ukudla okunomsoco njalo. Kodwa-ke, manje, ochwepheshe abaningi bavumelana uhlobo lwebhaktheriya okuthiwa u- Helicobacter pylori ( H. pylori ) yiyona imbangela eyinhloko yezilonda zamapulisi kubantu abadala.
Lapho izifundo kanye nesipiliyoni siphetha ngokuthi izingane nazo zingahlushwa izilonda, kwafunyanwa ukuthi, ngokungafani nezilonda ezenzeka kubantu abadala, uHl pylori wayengesiyena ozobhekana nezilonda ezinganeni. Abanye odokotela benza umehluko phakathi kwezilonda ze-duodenal , ezivame ukuhlotshaniswa nokutheleleka kwe-H. pylori , nezilonda zesisu esiswini , okungenzeka zivela kwezinye izimbangela futhi zibonakala sengathi ziyindlela ejwayelekile kakhulu yesilonda se-peptic esenzeka ezinganeni.
Izimo ezithile zezokwelapha zingasiza ekuthuthukiseni izilonda zamapulangwe ezinganeni. Isibonelo, izingane ezinokushisa okukhulu zingase zihlakulele izilonda eziseceleni kokucindezeleka kokulimala kwazo. Ukusetshenziswa kwezidakamizwa eziphikisana nezidakamizwa (anti-inflammatory drugs ) (i-NSAID ), njenge-aspirin, ibuprofen, ne-sodium naproxen, kungenza isisu sithinteke emiphumeleni eyingozi ye-asidi ne-pepsin futhi ingabangela ekuthuthukiseni izilonda.
Izimpawu Nezibonakaliso Zama-Ulcers Ezinganeni
Izimpawu ezilandelayo zibuye zivame nezinye izifo eziningi zobuntwana; hhayi izilonda njalo.
Uma ingane yakho ihlangabezana nalezi zibonakaliso nezimpawu, khuluma nodokotela wakho ukuze uthole ukuxilongwa okuqondile.
- Ubuhlungu obuvuthayo esiswini phakathi kwesifuba nesibinzana sesisu
- I-nausea
- Ukuvota
- Ukuncelisa ubunzima
- Ukulahlekelwa kwesifiso
- Ukulahlekelwa kwesisindo
- Igazi emanzini okuhlanza noma ukuhamba kwamathumbu
Indlela Ulcers Ethola Ngayo
I-endoscopy ne-rayum ye-ray ephezulu yizo ezimbili zokuhlolwa okuvame ukusetshenziswa ukuhlola izilonda.
E- endoscopy engenhla , udokotela usebenzisa i-endoscope ukuhlola izimbangela zesisu, isisu, ne-duodenum - ingxenye yokuqala yamathumbu amancane. I-endoscope ivumela udokotela ukuthi abone izindonga nezicubu zegciwane eliphezulu, futhi bazokwazi ukuxilongwa kusuka lapho.
Ibhayisikobho ye-barium ebizwa nangokugwinya kwe-barium noma uchungechunge oluphezulu lwe-GI, luyingozi kakhulu. Kuzodingeka uphuze uketshezi olunemibala olunezinhlamvu eziqukethe i-chemical barium. Ama-barium agqoka izindonga zesisu nesisu, futhi kubonakala nge-x ray. Udokotela angathola izilonda, i-hiatal hernias, izinkinga nezinye izinto ezingavamile nje ngokubuka i-x ray.
Uma isilonda sitholakala, udokotela uzobe esehlola i-H . pylori . Nakuba i- H. pylori ngokuvamile ingebona imbangela yezilonda ezinganeni, kufanele idalwe njengesizathu, njengoba ukwelashwa kwesilonda esibangelwa u- H. pylori kuhluke nokwelashwa kwesilonda esibangelwa ama-NSAID.
Ukwelapha I-Ulcers Ezinganeni
Uma isilonda singuHl pylori- ehlobene, udokotela uzobe ebeka ama-antibiotics. Lezi antibiotics zidinga ukuthathwa njengoba ziqondiswa udokotela wengane yakho. Njengawo wonke ama-antibiotics, kufanele uqede imithi, ngisho noma izimpawu ziphela ekuqaleni.
Uma izilonda zihlobene nemithi, udokotela wengane uzokwazisa ukuthi unganiki ingane yakho ama-NSAID, njenge-ibuprofen noma i-aspirin, nanoma yimiphi imithi equkethe ibuprofen noma i-aspirin. Udokotela cishe uzoba nomuthi wokunciphisa i-asidi. Lezi kufanele zinikezwe njengoba kunqunywe udokotela.
Odokotela abaningi ngeke batusa noma yiziphi izithiyo ezinkulu zokudla ngaphandle uma ukudla okunye kuyaziwa ukuthi kungabangela izinkinga ingane. Kodwa kukhona ukudla okunye okwenza ukuba kusetshenziswe i-asidi esiswini futhi kungenza isilonda sibi nakakhulu. Lezi zihlanganisa noma yikuphi ukudla nokuphuza okuqukethe i-caffeine, njengeziphuzo eziphuzo nechocolate.
Izinkinga ze-Ulcer nezimo eziphuthumayo
Shayela udokotela wakho ngokushesha uma ingane yakho ihlangabezana nanoma iyiphi yalezi zimpawu:
- Ukuhlupheka okungazelelwe nokuphikelela esiswini
- Igazi emzimbeni wesisu (ukuhamba kwamathumbu okubonakala okumnyama noma okulindile)
- Igazi ngokuhlanza
- Vomit ukuthi kubukeka njengezizathu zekhofi
Lezi zimpawu zingabonisa izinkinga ezinkulu ezilandelayo:
- I-Perforation: Isilonda siba sijule kakhulu futhi siphula ngesisu noma udonga olubili.
- Ukweqa: Isisu esiswini noma isilonda siphuca isitsha segazi.
- Ukuvimbela: Isilonda sivimbela ukudla okungenakukwazi ukudlulela emathunjini.
Ama-ulcers ezinganeni angaba nesipiliyoni esidabukisayo kubazali nengane, kodwa ngokuphathwa ngendlela efanele futhi efanele, cishe zonke izilonda zingelashwa.
> Imithombo:
> U-Mohammad Issa El Mouzan no-Asaad Mohammad Abdullah, "I-Peptic Ugcer Ulcer In Children and Adolescents." I-Oxford University.
> "Izilonda Zesisu Nezidakamizwa (Ulcers Peptic)." 2004 50 (6): 328-330; doi: 10.1093 / tropej / 50.6.328. I-Journal ye-Tropical Pediatrics - Isibhedlela Sezingane I-Boston - I-Harvard Medical School.
> William D. Chey, MD, FACG, AGAF, FACP, uBenjamin CY Wong, MD, Ph.D., FACG, FACP, "Ikhomishana yaseMelika yeGastroenterology Guideline ekuphathweni kweHelicobacter pylori Infection." i-doi: 10.1111 / j.1572-0241.2007.01393.x. I-American College of Gastroenterology.