Amanye amayeza angabangela iingxaki kwisisu
Kwabanye abantu, imithi ethile okanye imithi ekhuselekileyo ingabangela ukuba isisu siphukise, intlungu, okanye ukucaphuka. Kubantu abanesifo sesibindi sokugula (IBD) , ukuphepha imichiza engakhokelela kwiingxaki ngesisu kubalulekile, ingakumbi ukuba sele sele yimbali yamachiza ebangela ukucasula isisu. Ngexa ngezinye iingxaki zesisu zenza izibonakaliso, zingaphona kwaye zingabangeli naziphi na iimpawu.
Amanye amayeza ayaziwa ukuba abangela iingxaki zesisu zibandakanya izidakamizwa ezingekho-steroidal ezichasayo (i-NSAID), i-antacids, i-anticholinergics, kunye ne-H2-receptor antagonists.
NSAID
Mhlawumbi ngenxa yokuba ixhaphake rhoqo kwiintlungu zemihla ngemihla kwaye ingathengwa ngaphezu kwe-counter-counter, i-NSAID ziyingozi izidakamizwa ezivame ukubangela ukucasuka kwesisu. Isizathu sokuba kutheni ukuba ii-NSAID zithintela umbane wesisu, i-mucosa. Ii-NSAID zisebenza ukunciphisa intlungu kunye nokuvuvukala ngenxa yokuba zinegalelo kwinkqubo ephazamisa ukuveliswa kweemveliso ezibizwa ngokuthi i- prostaglandins . I-Prostaglandins ibandakanyeka kwinkqubo yokuvuvukala, ngoko ke ngaphandle kwabo, intlungu kunye nokuvuvukala kuncitshiswa. Nangona kunjalo, ziyimpumelelo kwenye inkqubo ebalulekileyo eqhubekayo esiswini: indalo kunye nokugcinwa kwesigxina sangaphakathi sesisu, esibizwa ngokuba yi-mucosa.
I-mucosa iqulethe iiseli ezivelisa i- mucus , into egciniweyo emhlophe ephuzi enxiba isisu kwaye ikhusele kwi-juice yokutya.
Ii-NSAID ziphazamisa umveliso we-mucus, ekhokelela ekubuthathaka kwi-mucosa layer. Ukuxutywa kwembumba yokubumba kubangela ukuba i-enzymes evumelekileyo yokugaya isicasule okanye ifuthe iimbombo zesisu. Xa kukho ukuvuvukala kwimbilini yesisu, kuthiwa yi- gastritis . Xa ukuvuvukala kuqhubela phambili kunokukhokelela ekuphumeni kwegazi, izilonda (izilonda kwisisu esiswini), okanye ngokungafanekiyo, i-perforation (umhadi kwisisu).
Abanye abantu basengozini yokukhupha isisu emva kokuthatha ii-NSAID, kwaye oku kubandakanya abantu abadala okanye abo sele benembali yengxaki yesisu. Abantu abadala abakhathalela ii-NSAID rhoqo ngeentlungu kunye nokuvuvukala kwi-arthritis okanye ezinye iimeko zisesichengeni sokuvutha kwesisu. Imbali yezilonda zesilonda okanye i-gastritis idibaniswe nomngcipheko omkhulu weengxaki emva kokuthatha ii-NSAID. Kwezinye iimeko, amayeza anokumiselwa ukuba anokunceda ukukhusela isisu esiswini kwisiphumo esibi se-NSAID.
Iimpawu zokucaphuka kwesisu ezivela kwi-NSAID zingabandakanya:
- Igazi kwi-stool
- Igazi kumanzi
- Ukuvutha kwisisu okanye ngasemva
- Uhudo
- Ukuguquka (ukunyanzelisa)
- Ubuhlungu besisu
- Ukulinda okanye izitulo ezimnyama
Iingcebiso zokunceda ukukhusela umonakalo wesisu ngokuthatha ii-NSAID ziquka:
- Ungaphuzeli utywala ngelixa uthatha ii-NSAID
- Ukunamathela kumyinge omiselweyo kwaye ungathathi ngaphezu kokumiselwa
- Thatha ii-NSAID kunye nokutya, ubisi, okanye amanzi
- Thatha ii-NSAID kamva ngosuku (hlola nogqirha kuqala)
- Thatha iipilisi ze-NSAID ezambethe (tshekisha ugqirha kuqala)
Ukulahlwa kweGastric Exptying
Ezinye iindidi zamachiza zingenza ukubambezeleka kwentsholongwane. Ukulilahla isisu sokugcoba kuthetha ukuba izidumbu esiswini esisisigxina sokukhupha ziyancipha, kwaye ukutya akuphelelwanga ngesisu ngesantya esifanele.
Kubantu abafumene i- gastroparesis , yinto eyimingcipheko eyenza isisu siphumeze ukukhupha, iziyobisi ezandisa ukonakala kwezinto zingabangela iingxaki ezibalulekileyo.
Ezinye zeentlobo zeziyobisi ezingabangela ukulibaziseka ekudleni ukutya ukusuka esiswini zibandakanya:
- Aluminium hydroxide. Ezinye i-antacids ziqukethe i-aluminium hydroxide njengenye yezithako eziphambili. I-Antacids isebenza ixesha elifutshane, imizuzu engama-30 ukuya kweyesi-60, kwaye inokuthi ifumaneke umonakalo emva kokugqithisa, apho i-acid isisu ikhiqizwa khona. Amachiza anokuqulethekisa izidakamizwa angakhokelela ekuqotheni xa kusetyenziswa ixesha elide.
- Iziyobisi zeAnchocholinergic. Ezi zonyango zisetyenziselwa ukuphatha ukudandatheka, ukuphazamiseka kokulala kunye nokungaziphathi. Ezinye zeziyobisi zibandakanya iBenadryl (diphenhydramine) , i-tricyclic antidepressants, i-barbiturates, i-muscle relaxants kunye ne-benzodiazepines.
- Abaphili be-H2 . Eminye yemichiza kule klasi yeziyobisi, ezisetyenziselwa ukhathaza isifo se-reflux ye-gastroesophageal (GERD) , sinokulibazisa ukuphuma kokutya kwisisu. Nangona kunjalo, abanye abaphikisana ne-H2 bafumana umphumo ochaseneyo kwaye bandise izinga lokuba ukutya kuphuma kwisisu. Impembelelo ngqo yonyango ngalinye kwiiklasi isaphantsi kokufunda.
Inqaku esuka
Kukho umngcipheko kunye nawaphi na amachiza, nakwezinto ezifumaneka kwi-counter-counter. Yingakho kubalulekile ukuvumela ugqirha ukuba awazi onke amayeza asetyenziswayo, nokuba loo nto esiyicinga njengento enobungozi, okanye ukuba siyayikhohlwa ngenxa yokuba siyithenga kwi-drugstore kwaye siyithatha rhoqo. Kwabaninzi abantu, ii-NSAID kunye neziyobisi ukukhwaza i-heartburn aziyi kubangela imiba enzulu, kodwa xa iingxaki zesisu zisityalo, xa kunokusetyenziswa kwezi zonyango ngokuqhelekileyo, kunokuba yintoni into ebangela ukuba iimpawu .
> Imithombo:
> Ikholeji yaseMerika yaseGastroenterology. "Gastroparesis." Iziko lemfundo kunye neZibonelelo zeMpilo. 2015.
> Wallace JL. "Iinkqubo, ukuthintela kunye nemiphumo yeklinikhi yokungabi namachiza okungafuni ukutshaya izidakamizwa." Ihlabathi J Gastroenterol . 2013 Matshi 28; 19: 1861-1876. i-doi: 10.3748 / wjg.v19.i12.1861