Ingxaki yonyango eqhelekileyo esoloko iphosakele ngesifo senhliziyo isifo sesifo sesilonda . Izilonda ze-Peptic zivame ukuvelisa iimpawu ezinokuba ngumngeni ukuhlula kwi- angina , okanye nokuba neempawu zesifo senhliziyo .
Ziziphi Izifo Zengqondo Zengqondo?
Kwi-epptic isifo sesilonda, izilonda okanye izilonda ziveliswa kwisibilini sesisu, okanye se-duodenum (esiyinxalenye yokuqala yesisu esincinci).
Ezi zilonda zihlala zibuhlungu. Ngokuqhelekileyo, iintlungu ezivela kwisifo sezilonda zesilonda zibonwa njengentlungu yesisu - kaninzi, intlungu emgodini - kodwa ngamanye amaxesha inokubangela intlungu yesifuba.
Iziganeko zobuhlungu obuvela kwi-Peptic Ulcer Disease
Iintlungu eziveliswa zizilonda ze-peptic zivame ukuchazwa njengento yokutshisa okanye yokugaya. Ngokuqhelekileyo ukukhululeka ngokutya ukutya, kwaye kaninzi kuqhutywe kakubi ngokusela utywala, ukutshaya okanye ukutywala i-caffeine. Inokuthi ihambisane neempawu zokuqhaqha, i-gas, isicasuliso kunye nokuhlanza. Ukuguquka komzimba kuqhelekile kubantu abaneengxaki zesilonda sezilonda.
Iingxaki zePeptic Ulcer Disease
Izilonda ze-Peptic ziyakwenzeka xa i-mucus ekhusela umgca wephepha eliphezulu lokugaya iyancipha, okanye ukuba ukuveliswa kwesisu kwe-asidi kuyanda. Iimeko ezivelisa izilonda zamaphepheni zixhaphake kubantu abaxhamla amaphecana okugaya i- Helicobacter pylori bhakteria.
Kwakhona, abasebenzisi abaqhelekileyo bokunciphisa ubuhlungu be-NSAID banomngcipheko ophezulu wezilonda zamapulisi.
I-Peptic Ulcer Disease vs. Angina - Vavanyo
Ngokuqhelekileyo akunzima kakhulu ugqirha ukukwahlula intlungu yesifuba esibangelwa isifo sesilonda esisuka kwi-angina ebangelwa yi- coronary artery disease (CAD) .
Impawu yeentlobo ezimbini zeentlungu zivame kakhulu. Ubuhlungu besilonda se-Peptic abukholwanga ngumzimba kwaye lukhululekile ngokuphumla, kwaye intlungu yokugaya ihamba kunye nokubethekisa isisu iyahluke kakhulu neyoyi-angina.
Nangona kunjalo, ngenxa yokuba ngezinye izikhathi i-angina ngokwayo ingaba neentetho ezinobungozi kakhulu, kunokubaluleka ukwenza iimvavanyo eziqinisekisiweyo zokukhawuleza ukuxilongwa.
I-Endoscopy (ukuhlola iphetshana le-GI ngeendawo ezikhethekileyo eziguquguqukayo) yindlela ekhethiweyo yokuxilongwa kwesifo sezilonda zesilonda, ikakhulukazi kubantu abanobungqina bokuphuma kwegazi okanye abanempawu ezinzima. Ukuvavanya ubukho be-Helicobacter pylori kunokuba luncedo. I-ray ye-ray ye-digestive ye-digestive ingaphakanyiswa.
Ukuba ugqirha ukhuphazelekayo malunga neCAD, uvavanyo loxinzelelo lunokuba luncedo ekuhlukaniseni phakathi kwezi ngxaki ezimbini.
Unyango lwee-Peptic Ulcer Disease
Ukunyangwa kwesifo sesilonda esiswini ngokuqhelekileyo kubandakanya:
- Amayeza okubulala i-Helicobacter pylori ibterteria. Iikhosi ezimbini zeeveki ze-antibiotic zomlomo zisetyenziswa rhoqo.
- Iziyobisi ukuvimba ukuveliswa kwesisu esiswini. Ezi zinto ziquka rhoqo iproton pump inhibitors ezifana ne-omeprazole (Prilosec), kunye ne-histamine (H2) njenge-ranitidine (iZantac).
- I-Antacids yokunciphisa isisu esiswini.
Ngezihlandlo ezinqabileyo isilonda sesisu singaphumeleli ukuphulukisa ngeendlela ezinjalo, kwaye unyango luya kufuneka luqwalaselwe. Nangona kunjalo, ngamachiza aphuhlisiwe kwiminyaka embalwa edlulileyo, imfuneko yokwenza utyando lwe-peptic isifo sesilonda ngoku ayiqhelekanga kakhulu kunokuba yayisetyenziswa.
> Imithombo:
> Barkun A, i-Leontiadis G. UkuHlola okuHlolo kweSmptom Burden, i-Quality of Life of Distress and Costs Ihlanganiswe ne-Peptic Ulcer Disease. Ngomhla wama-2010; 123: 358.
> Gururatsakul M, Holloway RH, Talley NJ, Holtmann GJ. Umbutho Phakathi kweeNtsholongwane zeZiklinikhi ze-Ulcer eziyinkimbinkimbi kunye nezingenangxaki kunye ne-Visceral Sensory Dysfunction. J Gastroenterol Hepatol 2010; 25: 1162.