Indlela isisu esenza ngayo isiteji se-Ulcer-kubangela ibhakteria
Abandezelekayo bachaza isilonda njengomlilo ovuthayo, oqhaqhaqhazelayo, oguguzelayo, okanye osihlungu kwisisu esisondela kumaza, iintsuku ezintathu ukuya kwezine ngexesha, kodwa unokuphelisa ngokupheleleyo iiveki okanye iinyanga. Ubuhlungu bubi kakhulu ngaphambi kokutya nangesikhathi sokulala xa isisu sisinalutho. Isilonda ngokwawo sisifo esivulekile kwisilonda sesisu (isisu sesisu) okanye kwindawo engaphezulu yamathumbu amancinci, okanye i-duodenum (isilonda esiswini).
Zombini iindidi nazo zibizwa ngokuba zizilonda zamapulp .
Isisu se-Acidic: Ukubeka iSiteji se-Ulcers
Isisu sisona sinxalenye esichukumisayo somzimba, sibeka isigaba sesibini ukuphuhliswa kwesilonda kunye nosulelo. Iintlobo ezintathu zeeseli zipompoza izithako zesantya sesisu: iiseli ezifihlakeleyo zamangcwaba, iiseli ezikhulu ezikhupha ii-enzyme zokugaya, kunye neeseli zeparietal ezivelisa i- hydrochloric acid . Iiseli ezifihlakeleyo zomsundu zivelisa i-histamine, ezenza ukuba iiseli zeparietal zikhulule i-asidi. Isisu sidinga indawo yendalo ye-asidi ye-enzyme ye-digestive digestive pepsin ukuphula amaprotheni ekudleni.
Ubungakanani be-Acidity bunokusetyenziswa ngokusebenzisa isikali se-pH. I-pH engathathi hlangothi ayikho i-asidi okanye isiseko-inenani eli-7; ii-acids zingaphantsi kwe-7, kunye neziseko (ezibizwa ngokuba yi-alkaline substances) zikhulu kunama-7 amaninzi omzimba, kuquka igazi, iinyembezi, ijusi ye-pancreatic kunye ne-bile, ziphakathi kwe-7 ukuya kwe-8. Ijusi yesisu, ngokuchaseneyo, ine-pH ye-1.6 ukuya ku-1.8.
Okubaluleke kakhulu kunejusi lemon, iziphuzo ze-cola kunye nekhofi. Ingqongileyo emathunjini amancinci amancinci kakhulu kunesisu, kodwa ngenxa yokuba ifumana umxube we-acidic wokutya okwesibini okusuka kwisisu, kuya kufumaneka nesilonda.
Isisu esisisigxina esiswini, i-mucosa, siyikhusela ekudleni.
I-mucosa iqulethe iiseli zeseli, izicubu ezixhumeneyo kunye nezihlunu. Isilonda siba buhlungu xa singena kwi-mucosa singena kwi-submucosa engaphantsi, enezithambiso ezinomdla kunye nemithambo yegazi.
Ulcer-Kubangele ibhaktheriya
I-hoop ye-goop ye-acidi ingabonakali indawo yokubamkela izilwanyana, kodwa uhlobo olubangela izilonda ( H. pylori ) zikhula kwimeko ephantsi ye-pH. Uthi: "Zineenkcukacha ezibizwa ngokuba yi-flagella ezivumela ukuba bangene kwi-humus layer of the stomach, apho i-pH ikhathazeka ngakumbi." Utsho uDkt. Gallo-Torres uthi: "Ukupheliswa kwezi bhaktheriya akulula. Isiza se-antibiotics kufuneka sikwazi ukubulala iibhaktheriya, kodwa nxamnye nokuchasana kwiindawo ezizenzekelayo.
Abaphandi abaqinisekanga ukuba abantu bafumana njani ibhaktheriya. Nangona kunjalo, ukuhanjiswa komuntu ngomntu kukholelwa ukuba yindlela ehamba phambili kumazwe athuthukileyo. Emazweni asathuthukayo, ukudluliselwa ngomlomo kungadlala indima ebalulekileyo, efana neendlela umntu othengisa ngayo i- kolera ne-hepatitis A.
Ukunyanga i-Ulcers, Ngelo xesha kwaye ngoku
Ekuqaleni kwekhulu lama-20, umyalelo wesilonda wawuphumla ukulala kunye nokutya kwebland, esibhedlele ukuba isiguli singakwazi ukusifumana. I-Antacids zongezwa kwi-regimen yonyango xa abaphandi befumene ukuba izigulane zesilonda zivelisa i-acid esiswini.
Ngowe-1971, indawo yokulawula ye-acid secretion yafunyanwa-i-histamine (H2) i-receptors kwiiseli zeparietal.
Xa i-histamine ibopha i-receptors enjalo, i-acid output isanda. Izidakamizwa ezine ezivunyiweyo zesilonda - i- Zantac (ranitidine), i- Tagamet (cimetidine), i- Pepcid (i-famotidine) kunye ne-Axid (nizatidine) -bloki i-receptors ye-H2, isithintela uphawu kwi-secrete acid. Uhlobo lwesibili lwesilonda sesilonda, esibizwa ngokuba yi-acidi- okanye iproton-pump inhibitor, isebenza kwinqanaba elithile kwi-digestion, ukuvimbela iiseli zeparietal ukukhulula i-acid. I-Prilosec (i-omeprazole) yiyo kuphela i-acid-pump inhibitor evunyelwe e-United States ngeli xesha kunyango lwezilonda.
Ingxaki kwizidakamizwa ezikhoyo kukuba ziphucula iimpawu zesikhashana; isilonda sinokubuyela. Yingakho i-antibiotics yindlela yokuqala yokukhusela izilonda. Ukuba iibhaktheriya ezibangela ezinye izilonda ziyaqedwa, kunjalo, ukuhlaselwa kwakhona kwesilonda kuncinci kuba ingxaki ihlaselwa kumthombo wayo.
Umthombo:
> I-National Digestive Diseases Information Clearinghouse (NDDIC) Yintoni endiyifunayo Ngokuzifumana Ngezilonda ZasePeptic? I-NIH Yokupapashwa uNombolo 11-5042 - Ipapashwe ngo-Oktobha 2012.