I-Peptic Ulcer Disease: Izimbangela, Ukwelashwa kanye Nendlela Yokuvimbela

Ku-PUD noma I-Peptic Ulcer Disease, uthola izindawo ezibuhlungu ezibuhlungu esiswini sakho noma emathunjini amancane. Ngokujwayelekile, uma welashwa ngendlela efanele, izilonda ze-peptic zingelapheka. Ake sazi okwengeziwe nge-PUD, izimbangela zayo, indlela yokubhekana nayo, nezimpawu okufanele siziqaphele.

Iyini I-Peptic Ulcer?

I-peptic ulcer indawo ebuhlungu ebonakala lapho ulwelwesi esiswini sakho noma i-duodenum. Lokhu kuvumela amajusi esisu ukuthinta isikhumba esibucayi ngaphansi, okubangela ubuhlungu nokucasuka. "I-Peptic" ihlanganisa i-pepsin, a ukugaya umsizi ophula amaprotheni ekudleni abe yizicucu ezincane.

Izindawo ze-Peptic Ulcer

Izilonda ze-Peptic zingenzeka kuwo wonke uhlelo lokugaya ukudla, okuhlanganisa:

• Isisu (izilonda zesisu) - ngokuvamile ekugobeni okuncane kwesisu
• I-Duodenum (ingxenye yokuqala yamathumbu amancane) - (izilonda ze-duodenal): ngokuvamile phakathi kwamasentimitha ambalwa we-duodenum
• Isiphetho esingezansi somphimbo (izilonda ze-esophagal)
• I-Peptic izilonda Kungenzeka futhi ngale kwe-duodenum noma ngisho nase-jejunum yamathumbu amancane.

Uyombona Nini Udokotela?

Bonana nodokotela ngokushesha uma uhlangabezana nanoma yiziphi izimpawu eziyisixwayiso ezifana nalezi:

• Izimpawu zezilonda ezinzima noma eziqhubekayo
• Mnyama noma ukuhlanza okunegazi  
• Okumnyama, ukunyakaza kwamathumbu okulindile 
• Ubunzima bokugwinya ukudla
• Ukulahlekelwa kwesisindo esingachaziwe

Prevention

Izinketho zokuvimbela zokunciphisa ingozi yokuphinda izilonda zihlanganisa:

• H. Pylori Eradication Therapy 
  • Ukususa ukutheleleka kuvimbela izilonda eziningi, ikakhulukazi emaqenjini asengozini enkulu
  • Qinisekisa ukuqedwa kokutheleleka ngokuhlolwa kokuphefumula kwe-urea  
• Ukugwema Izinto Ezibangeli
  • Yeka noma ubeke umkhawulo ekusebenziseni utshwala nogwayi
  • Sebenzisa i-NSAID ehlolwe udokotela 
• Ukucindezeleka Ukucindezeleka 
  • Prakthiza amasu okuphumula njengokuzindla, ukwelapha umculo, i-Tai Chi
• Ukuhlolwa Kwezempilo Okuvamile
  • Ukuhlola ukuphinda utheleleke nge-H. Pylori noma ezinye izimbangela  

Ukwelashwa Nokuphatha  

Amasu okwelapha agxile ekuqedeni ukutheleleka kwe-H. pylori uma kukhona, ukusiza ukuphulukiswa kwesilonda, nokulawula izimpawu ezibuhlungu. Zihlanganisa:

1. Ukwelashwa Kwamagciwane

• Inhlanganisela enamandla yama-antibiotic ama-2 noma ngaphezulu amasonto amabili 
• Ingase futhi ihlanganise imithi yokunciphisa i-asidi noma equkethe i-bismuth
• Amazinga aphezulu okwelapha e-H. pylori

2. Imithi Yokunciphisa I-Acid  

• I-Proton pump inhibitors - i-Omeprazole, i-esomeprazole, i-pantoprazole
• I-Histamine (H2) blockers - i-Famotidine, i-ranitidine
• Ama-antacid 

3. Ama-ejenti Okuvikela Izilonda

• Siza ekwelapheni izilonda kanye nokuqeda ubuhlungu
• Izibonelo: I-Sucralfate, i-bismuth subsalicylate

4. Ukumisa ama-NSAID 

• Shintshela kweminye imithi yezinhlungu njenge-acetaminophen ngaphansi kokuqondisa kwezokwelapha
• Uma ama-NSAID edingeka ngempela, thatha umthamo ophansi kakhulu osebenza kahle ngokudla kanye nama-antacid

5. Ukuhlinzwa

• Izimo ezimbalwa kakhulu lapho izilonda ezophayo zingaphenduli ekwelashweni kwe-endoscopic  
• Ukuhlinzwa kwe-vagotomy okusebenzayo kakhulu kuyatholakala 

Ngaphezu kwalokho, izindlela zokuphila ezifana nokuyeka ukubhema, ukunciphisa utshwala, izindlela zokunciphisa ingcindezi nokudla ukudla okuncane izikhathi eziningi nakho kusekela ukululama okusheshayo.

Ukubhekana Nezifo Zezilonda Zesisu

Isifo se-Peptic ulcer singase singakhululeki futhi siphazamise. Nakuba imithi oyinikezwa udokotela ibalulekile, ukwenza izinguquko endleleni yokuphila nakho kungasiza ekulawuleni izimpawu zakho. Lokhu kukuvumela ukuthi uphile impilo yakho ngokunethezeka ngenkathi isilonda sakho siphola.

• Nciphise ukucindezeleka
  • Ukucindezeleka kungaba semqoka ekubangeleni isifo se-peptic ulcer. Ukufunda ukuphatha ukucindezeleka kubalulekile.
  • Zama ukuvivinya umzimba kwengqondo njengokuzindla, ukuphefumula okujulile, i-yoga, i-tai chi, nokumasaja. Lokhu kungasiza ukuphumuza ingqondo nomzimba.
  • Cabangela ukusebenza nomelaphi uma udinga usizo lokuthuthukisa izindlela ezinempilo zokubhekana nesimo. (Izinketho ze-inthanethi ezifana ne-Talkspace noma i-BetterHelp zenza lokhu kube lula).
  • Ukuzivocavoca kuthuthukisa ama-endorphin, izinciphisi zemvelo zomzimba wakho. Hamba ngezinyawo, thatha ikilasi le-yoga, noma ujoyine iqembu le-tai chi.
  • Zinike isikhathi semisebenzi yokuphumula njengokufunda, ukuzilibazisa, umculo, nokugeza okufudumele. Ukuxhumana nabantu obathandayo nakho kunganciphisa ukucindezeleka.
• Lungisa Imikhuba Yakho Yokudla
  • Yidla ukudla okuncane nokuvamile kunokuthathu okukhulu. Lokhu kuvimbela ukugcwala ngokweqile futhi kunciphisa ingcindezi esiswini sakho.
  • Gwema ukudla okucunula isilonda sakho, njengokudla okubabayo, okunamafutha, noma okune-asidi. Gcina idayari yokudla ukuze ubone ngokunembile ukudla okuyinkinga.
  • Ungadli amahora amabili ngaphambi kokulala. Ukulala phansi ngemva kokudla kungabangela i-reflux. Ukulala kusekelwe uma ulala ngemva kokudla.
  • Nciphisa noma ugweme utshwala nokubhema. Kokubili kukhuthaza ukukhiqizwa kwe-asidi, okungase kubhebhethekise isilonda.
• Amathiphu Okuxhumana
  • Namathela ekudleni kwakho okunempilo uma kungenzeka lapho uzivakashele. Gwema ukuzitika ngokudla okuyinkinga notshwala.
  • Thatha ama-antacid ngaphambi kokuphuma ukuze usize ukuvimbela izimpawu. Phatha ama-antacids nawe, uma kwenzeka.
  • Gqoka izingubo ezixegayo, ezinwebekayo uma uvame ukuqunjelwa. Lokhu kuvimbela ukungakhululeki kusuka kumabhande okhalo aqinile.
  • Lalela umzimba wakho. Phuma kusenesikhathi emsebenzini uma uqala ukuzizwa ungaphilile. Ungeqisi.
  • Nikeza ukusingatha noma ukuphakamisa imibuthano ezindaweni ezihambisana nokudla kwakho. Imnyuziyamu, imuvi, noma ipaki ingasebenza.
  • Uma ubuzwa ukuthi kungani ungaphuzi noma udla izitsha ezithile, yabelana ngesizotha ukuthi unomkhawulo wokudla wezokwelapha. Ayikho eminye imininingwane edingekayo.
  • Zama ukuletha ukudla kwakho emicimbini. Zinikele ngokunikela ngokudla okwaziyo ukuthi ungakudla.

Ngokulungiselela nokuhlela okuthile, usengakwazi ukuhlanganyela emisebenzini yezenhlalo ngenkathi ubhekene nesifo se-peptic ulcer. Amasu okuphumula, ukulungisa ukudla, namasu ahlakaniphile angakusiza ulawule ukungakhululeki. Gcina ukuxhumana okuvulekile nokwakho umhlinzeki wezempilo kanjalo. Ndawonye, ​​ningathola indlela yokwelapha eyiyo eyokuvumela ukuthi ulawule izimpawu zakho kangcono futhi uthuthukise izinga lakho lempilo.

Isibikezelo

Ngokuxilonga okunembile kanye nokwelashwa okuhambisanayo okugxile esibangeni esithile, izilonda ngokuvamile ziphola kahle, futhi iziguli eziningi zingathola ukuxolelwa okuphelele kwesikhathi eside. Ingozi yokuphinda iphezulu ngokuphinda utheleleke nge-H. pylori, ukuphuza utshwala okuvamile, ukubhema, ukuguga kanye nokwelashwa okuqhubekayo kwe-NSAID. Akuvamile, izinkinga zezilonda ezinjengokubhoboza zingadinga ukulaliswa esibhedlela noma ukunakekelwa okukhulu.

Ngokulandela iseluleko sikadokotela wakho futhi wenze izinguquko ezifanele zokuphila, ungakwazi ukulawula izimpawu ngokuphumelelayo kuze kube yilapho izilonda sezipholile ngokuphelele. Naka noma yiziphi izimpawu eziba zimbi kakhulu noma eziphindelelayo futhi uxhumane nodokotela wakho ngokushesha ukuze aphinde ahlolwe.

Imibuzo Evame Ukubuzwa

1. Yini ebangela isifo se-peptic ulcer?

I-PUD ibangelwa:

• Ukutheleleka kwamagciwane nge-Helicobacter pylori (H. pylori) kanye
• Ukusetshenziswa njalo kwezidakamizwa ezingezona ze-steroidal zokuqeda ukuvuvukala (ama-NSAID)

Ngaphezu kwezifo ezinzima, ezinye izimbangela ezingavamile zingamazinga aphezulu okucindezeleka, imithi ethile efana ne-NSAIDS, ukuhlinzwa kwesisu, kanye nezimila emgudwini wakho wamathumbu.

2. Ingabe izilonda zesisu ziyaphela?

Yebo, izilonda eziningi ziphela ngokuphelele ngokwelashwa okufanele kwama-antibiotic okutheleleka kwe-H. pylori kanye/noma ukumisa ukusetshenziswa kwe-NSAID ngaphansi kokuqondisa kwezokwelapha. Kungase kuthathe amasonto noma izinyanga ezimbalwa ukuthi izilonda ziphole ngemva kokuqala ukwelashwa.

3. Yiziphi izimpawu ezikhombisa isilonda?

Izimpawu zezilonda ezivamile zihlanganisa ubuhlungu obuphezulu besisu obuvutha, bungaba mnene kuye buqine, ukuqunjelwa, ukucanuzela kwenhliziyo, ukuhlanza, ukungakuthandi ukudla, isilungulela kanye nendle emnyama. Ubuhlungu ngokuvamile buba khona lapho isisu singenalutho okwesikhashana, futhi sikhululeka ngokudla.

4. Selashwa kanjani isilonda?

Odokotela belapha izilonda ngemithi ehlanganisa:

• Ama-antibiotics okuqeda ukutheleleka kwe-H. pylori
• I-Proton pump inhibitors ukunciphisa i-asidi yesisu
• Imithi yokuzivikela yokuvala izilonda ukuze ziphole

Ukushintsha indlela yokuphila njengokuyeka ugwayi nokugwema utshwala nakho kusekela ukuphulukiswa. Izilonda eziningi ziphola ngokuphelele emasontweni ambalwa okwelashwa.