Isilonda sesipilisi sinxeba kwisitya sakho esiswini okanye i-duodenum. Ngokuqhelekileyo, isilonda se-peptic singakhula ngaphezu kwesisu sakho kwisigxina sakho. Oogqirha bambiza olu hlobo lwesilonda se-peptic isilonda esiswini.
Isizathu sesininzi sezilonda zezilonda ze-ulpers yiH H. pylori, intsholongwane yebhaktheriya eyafunyanwa ngo-1982 ngabaphandi ababini, uBarry Marshall noRobin Warren wasePerth, e-Australia.
kwakukho inkolelo ede emininzi kwimfundiso yezokwelapha kunye nokusebenza okubandezelekayo kunye nemeko yokuphila kwakuyizona zimbangela ezibangela izifo zesilonda se-peptic. Nangona kunjalo, njengoko kuchaziwe ngasentla, unyango kunye namayeza aqhelekileyo uphilise izilonda zamaphilisi. Kukho iintlobo ezininzi zamachiza asetyenziselwa ukunyanga isilonda se-peptic. Ugqirha wakho uya kugqiba isigqibo esona siphumo esisezantsi esekelwe kwisizathu sesilonda sakho sezilonda.
Kwimeko ezininzi, unyango kunye namayeza kunye namanye amayeza aphilisa izilonda ngokukhawuleza nangempumelelo. Ukuxothwa kweH. H. pylori kuvimbela izilonda ezininzi ukuba ziqhubeke. Ingenelelo yokuphanda ayinqabile. Nangona kunjalo, abanye abantu abaphenduli kwii-antibiotics ezimiselweyo ukuphilisa isilonda, okanye zihlakulela iingxaki ezivela kwizilonda ezinjenge-perforation, i-bleeding, kunye neziphazamiso. Basenokufuna ukungenelela ngophengululo.
Iingxaki Ezivela Kwii-Ulcers
I-Perforation ngumngxuma eludongeni lwesisu okanye emathunjini amancinci.
Isilonda esisisigxina sisimo esibi kakhulu apho isilonda esingaphendulwanga sitshisa ngodonga lwesisu (okanye ezinye iindawo zesigxathu somzimba), ukuvumela iisero zokutya kunye nokutya ukuba kungene emgodini wesisu.
Ukuhlamba kwenzeka xa kukho isitya esiphukileyo segazi kwisisu okanye emathunjini amancinci.
Isilonda sidlile indlela yaso kwisitya segazi. Oku kuya kubangela igazi elibomvu okanye elimnyama ekuhlanzeni okanye kwisigxina sakho.
Ukukhusela kwenzeka xa ukutya kukuthintelwa ukuhamba ukusuka esiswini sakho ukuya kwi-duodenum yakho. Izilonda zifumaneka ekupheleni kwesisu, apho i-duodenum (ukuqala kwesisu esincinci) sinamathele, ingabangela ukuvuvukala kunye nobunzima, obunokunciphisa okanye ukuvalela ukuvulwa kwamathumbu emathumbu. Ukutya kuthintela ukuba ushiye isisu, okubangelwa ukuhlanza okuphakathi kwesisu.
Iintlobo zoPhando olufumaneka
Iindidi zonyango ezingenziwa kwizilonda zezilonda ze-ulpers yi-vagotomy, i-pyloroplasty, kunye ne-antiretomy.
Vagotomy
Kulo vavanyo, enye okanye ngaphezulu kwamagatsha e-vagus nerve, ehambisa imiyalezo esuka ebuchosheni ukuya esiswini, inqunywe. Ukuphazamisa le miyalezo kunciphisa ukugcinwa kwe-acid. Nangona kunjalo, kunokubakho iziphumo ezinjengeziqhamo ezinzima, eziqhubekayo, ukuhlanza okanye uhudo. Utyando luyakwazi ukuphazamisa isisu sokukhupha. Uhlobo olutsha lwale ntsebenzo luquka ukusika iindawo eziphela zentsimbi elawula iiseli zokufihla isisu zesisu. Oku kugwema iinxalenye zesibindi esichaphazela isisu.
I-Antrectomy
Kule ngqesho, inxalenye engezantsi yesisu (intonga) isuswe.
Eli candelo lesisu lenza i-hormone evuselela isisu ukuba ikhuphe i-juice digestive juices. Ngamanye amaxesha ugqirha ungasusa inxalenye yesisu esenza i-pepsin kunye ne-asidi. I-vagotomy idla ngokubambisana kunye ne-antrectomy.
Pyloroplasty
Olu hlobo lonyango lwandisa ukuvula kwi-duodenum kunye nesisu esincinci (pylorus), esenza ukuba isisu siphume ngokukhululeka ngaphandle kwesisu. I-vagotomy ingenziwa kunye ne-pyloroplasty.
Imithombo:
Iingxaki eziqhelekileyo ze-GI: Umqulu 1. "Ikholeji yaseMerika yaseGastroenterology. 22 uAgasti 2007
> "H. pylori kunye ne-Ulcer Ulcer." Ukupapashwa kwe-NIH ka-05-4225 Oktobha 2004. I-National Digestive Diseases Information Clearinghouse (NDDIC). 22 uAgasti 2007
> "Into endiyifunayo ukuba ndiyazi malunga ne-Peptic Ulcers." Ukupapashwa kwe-NIH no-05-5042 Oktobha 2004. I-National Digestive Diseases Information Clearinghouse (NDDIC). 22 uAgasti 2007
> UWilliam D. Chey, MD, FACG, AGAF, FACP, uBenjamin CY Wong, MD, Ph.D., FACG, FACP, " Ikholeji yaseMerika yeGastroenterology Guideline kwi-Helicobacter pylori Infection. ": 10.1111 / j. 1572-0241.2007.01393.x. Ikholeji yaseMerika yaseGastroenterology. 22 uAgasti 2007