Isisu sinengqimba zamaseli. Ama-Peptic ulcers awumonakalo wezingqimba ezine zokuqala zesisu kanye/noma ulwelwesi lwe-duodenal olubizwa ngokuthi yi-mucosa. I-duodenum iyingxenye yokuqala yesisu esincane.
Ngaphansi kwezimo ezivamile, kuba khona ukulinganisa phakathi kwe-acid akhiqizwa esiswini kanye nesivikelo se-mucosa. Ukulimala kwe-mucosa kuvela lapho lokhu kulinganisa kuphazamiseka, kudaleke isilonda.
Izimbangela kanye Nezici eziyingozi
Ama-Peptic ulcers abangelwa okukodwa noma yinhlanganisela yokulandelayo:
ukutheleleka nge-H pylori
Okuningi kubangelwa ukutheleleka ngebhaktheriya ebizwa ngokuthi yi-H pylori. I-H pylori ihlotshwaniswa no-90% we-duodenal ulcers kanye no-70% wezilonda zesisu.
Ukusetshenziswa isikhathi eside kwezidakamizwa ezithile:
- Ama-NSAID (isifushaniso selithi non-steroidal anti-inflammatory drugs) njenge-Aspirin (Grandpa, Disprin, njll), i-ibuprofen kanye nezinye izimbangela ezivamile zezilonda.
- Ukusebenzisa i-cocaine
- I-Methamphetamines (tik)
Ukubhema
Ukubhema kuhlanganise nokutheleleka nge-H pylori kwandisa ingozi futhi kubambezele ukwelapheka kwesilonda.
- Ukucindezeleka okukhulu okubangelwa ukugula
Izimpawu
Izinhlungu ezinkulu noma umuzwa ngenhla kwesisu, okubizwa ngokuthi yi-epigastrium. Kuye ngokuthi isilonda sikuphi, izinhlungu ziba zimbi nakakhulu noma zidambe ngemva kokudla
Izilonda ze-Peptic nazo zingadala:
- Ukuqunjelwa
- Isilungilela
- Ukopha
- Inkinga yokugwinya
- Ukuphalaza
- Ukuncipha kwesisindo somzimba okungachazeki
Ukuba nezinhlungu ze-epigastric ezinezimpawu ezingu-3 ezidlule kufanele kukuyalele ngokushesha esibhedlela.
Ukuhlonzwa
Ukuba khona kwezilonda kuhlonzwa ngokusebenzisa ithuluzi eliyishubhu ecijile enekhamera ebizwa ngokuthi yi-endoscope ukuze kuphenywe isisu kanye namathumbu amancane ukuze kutholwe izilonda. Lifakwa emlonyeni futhi alibuhlungu.
Ukwelashwa
Izilonda zilashwa kangcono ngokususa imbangela. Lokhu kungazuzwa ngokwenza lokhu:
- Ukugwema umuthi wezinhlungu ze-NSAID noma ezinye izidakamizwa
- Ukuze uyeke ukubhema
- Ukwelapha i-H pylori ngama-antibiotics (i-clarithromycin kanye ne-amoxicillin)
- Ukuthatha umuthi wokunciphisa i-acid esiswini njenge-omeprazole.
- Ukugwema ukusebenzisa utshwala ngesikhathi isilonda siphola
Izilonda zithatha ngokuvamile amaviki angu-6 kuya kwangu-8 ukuphola futhi i-endoscopy iyaphindwa ngemva kwamaviki angu-8 ukuze kuqinisekiswe ukuba kuyenzeka.
Izilonda zithatha ngokuvamile amaviki angu-6 kuya kwangu-8 ukuphola futhi i-endoscopy iyaphindwa ngemva kwamaviki angu-8 ukuze kuqinisekiswe ukuba kuyenzeka.
