Isilonda Sesisu: Izimpawu, Izimbangela, Ukwelashwa kanye Namakhambi Asekhaya

Izilonda zesisu yizilonda ezibuhlungu ezingavela olwelweni lwesisu. Lawa manxeba aphikelelayo, afakwe esicutshini, angase athinte abantu abambalwa. Lapho i-mucosa ihluleka ukuzivikela ngokwanele ngokumelene nama-acids okugaya, ukuguguleka kwenzeka. Izimpawu ezijwayelekile ziba nobuhlungu besisu, ukuvuvukala, kanye nesicanucanu. Imiphumela emibi efana nokopha ingase yenzeke uma ukuphulukiswa kubambezeleka. Ngokujabulisayo, izinhlelo zokwelapha ezihlanganisa imithi kadokotela kanye nokuguqulwa okuthile kwendlela yokuphila ngokuvamile kuyaphumelela ekwelapheni lesi simo.

Siyini Isilonda Sesisu?

Isilonda esiswini noma isilonda esiswini siyisilonda, isilonda esivulekile esiguguleka olwelweni lwesisu. Izilonda zesisu wuhlobo lwe i-peptic ulcer; ezinye zihlanganisa izilonda zomphimbo kanye ne-duodenal.

Izilonda ezinjalo zaziwa ngokuthi yi-peptic ngoba zibangelwa ukusebenza kwe-pepsin acids esiswini nayo iqukethe i-hydrogen chloric acid. Ngokuvamile, ulwelwesi lwesisu ngokwalo aluvumeli ukuguguleka kwala majusi aqinile okugaya ukudla. Kodwa-ke, uma ulwelwesi selonamele noma luguguleka, lawa ma-asidi angashisa izicubu ezingaphansi futhi adale izilonda zezilonda. Ekugcineni, izilonda ziyakhula futhi ekugcineni zijule, zijwayele ukopha. 

Izimpawu Zezilonda Zesisu

Izimpawu ze-Classic ulcer esiswini zihlanganisa:

• Ukuvutha noma ukuququda ubuhlungu besisu
• Ubuhlungu obuzwakala bendawo endaweni ethile yesifunda sesisu
• Impumuzo yesikhashana ngokudla
• Ubuhlungu buvame ukuba bubi kakhulu lapho isisu singenalutho, ikakhulukazi phakathi kokudla noma ebusuku
• Ukuvimbela
• I-nausea
• Ukuvota
• Ukulahlekelwa kwesifiso
• Ukuzithoba
• Ukukhathala
• Ubuthakathaka noma isiyezi ngenxa ye-anemia ngenxa yezilonda ezophayo

Izimbangela Zezilonda Zesisu

Ngenkathi izilonda zesisu kwakucatshangwa ukuthi zinjalo okubangelwa ukucindezeleka, ukudla okubabayo, noma ezinye izici zendlela yokuphila, ucwaningo lwezokwelapha emashumini ambalwa eminyaka adlule lubonisa ngezimbangela ezimbili eziyinhloko zezinto eziphilayo:

Ukutheleleka ngegciwane nge-H. pylori: 

• Lokhu manje sekubhekwa njengembangela ehamba phambili yezilonda ze-peptic.
• Leli gciwane livamise ukuhlala ohlelweni lokugaya ukudla kodwa ngezinye izikhathi lidala izinkinga ezinjengokuvuvukala nezilonda. 

Ukusetshenziswa ngokweqile kwemithi yobuhlungu ye-NSAID: 

• Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) njenge-aspirin, ibuprofen ne-naproxen zicasula ulwelwesi lwesisu. 
• Basebenza ngokumelene nekhono lomzimba lokuvikela nokulungisa ulwelwesi lwesisu.

Nakuba kungavamile, ezinye izimbangela zezilonda zesisu zihlanganisa:

• I-Zollinger-Ellison Syndrome: Lesi simo esingavamile siholela isisu ukukhiqiza ngokweqile i-gastric acid, eguga ulwelwesi oluyisivikelo ngokushesha.
• Ukucindezeleka Okukhulu Komzimba: Ukucindezeleka okukhulu komzimba okuvela ezifweni, izifo ezinzima, ukusha, ukuhlukumezeka, noma ukuhlinzwa nakho kungandisa ingozi yokuguguleka kwesisu. Lezi zilonda zokucindezeleka okukhulu zivela ngokushesha kakhulu kunezilonda ze-peptic ezivamile.

Zixilongwa Kanjani Izilonda Zesisu?

Ukuhlola izilonda zesisu, odokotela ngokuvamile:

• Buza imibuzo enemininingwane mayelana nezimpawu zakho, izimbangela zobuhlungu, izici eziyingozi, umlando womndeni, kanye nemikhuba yokuphila. Zilungiselele ukuxoxa nganoma yikuphi ukusetshenziswa kwama-NSAID noma imithi efanayo.
• Yenza ukuhlolwa kwelebhu ukuze uhlaziye ukwakheka kwamangqamuzana egazi ukuze uthole i-anemia futhi uhlole ukutheleleka kwe-H. pylori. Indle eyengeziwe noma amasampula okuphefumula angase aqoqwe ukuze kutholwe i-H. pylori esebenzayo.
• Hlela izivivinyo zokucabanga njengama-endoscopies noma uchungechunge lwe-GI ephezulu ukuze uhlole umugqa wakho wokugaya ukudla ukuze uthole umonakalo. Lokhu kungase kuhlanganise ukugwinya isisombululo se-barium ukuze uthole umehluko othuthukisiwe ezithombeni zokuskena.
• Yenza i-biopsy ukuze uhlole amasampula ezicubu uma kusolwa umdlavuza. Ama-Biopsies aqoqwe ngesikhathi sezinqubo ze-endoscopic athunyelwa ukuze kuhlaziywe elabhorethri.

Udokotela wakho uyobe esekwenza ukuxilonga okusekelwe ekuhlobaneni phakathi kwezimpawu zakho, umlando wezokwelapha kanye nobufakazi bokuhlolwa obubonisa ubukhulu besilonda, ukujula, nendawo.

Ukwelapha Izilonda Zesisu

Imigomo yokwelapha eyinhloko igxile ekuvikeleni ulwelwesi lwesisu ngesikhathi senqubo yokuphulukisa nokubhekana nezici ezibangela ukuguguleka komhlabathi ngokweqile. Imihlahlandlela yokwelapha ngokuvamile ihlanganisa:

• Ukuchaza ama-proton pump inhibitors afana ne-Prilosec ukucindezela ukukhiqizwa kwe-asidi yesisu cishe amasonto angu-8. Ukunciphisa i-asidi yesisu kubalulekile ngesikhathi sokuphulukiswa.
• Ukwengeza ama-antibiotics, ngokuvamile athathwa amaviki angu-1-2, uma ukuhlola kuveza ukutheleleka kwebhaktheriya i-H. pylori. Izinketho zifaka i-amoxicillin, i-tetracycline, i-clarithromycin, i-metronidazole noma inhlanganisela yezidakamizwa. Cishe ama-85% ezilonda ze-duodenal kanye nama-80% ezilonda zesisu asabela kahle ekwelashweni ngama-antibiotic.
• Ukuba neziguli kugwema okwesikhashana izinto ezicasulayo njenge-caffeine, utshwala, iziphuzo ezine-carbonated, ushokoledi, amawolintshi ane-asidi nemikhiqizo katamatisi. Ukudla okubabayo kanye nokudla okubhenyiwe noma okwelashwa kufanele kuncishiswe.
• Ukweluleka isiguli ukuba siyeke ukubhema, uma kufanele, ukuze sinciphise ukucasuka okwengeziwe kwesisu. I-Nicotine ikhinyabeza ukuphulukiswa kanye nengozi yokuphinda kathathu kwezilonda.
• Ukuvimbela ukusetshenziswa kwe-NSAID ngaphandle uma kubaluleke kakhulu ekulawuleni ubuhlungu. Ezinye izindlela zokuqeda izinhlungu ziyanconywa uma kubonakala.
• Ukuyalela iziguli ukuthi zidle ukudla okuncane, okuvamile okugxile ekudleni okuphelele okunomsoco phezu kwezinto ezithosiwe, ezibabayo noma ezine-asidi kakhulu.

Ezimweni ezithuthuke kakhulu, ukwelashwa kwezilonda ezengeziwe kungase kuhlanganise:

• Ukulalisa isiguli esibhedlela ngenxa yobuhlungu obukhulu, ukopha izilonda noma ukubhobozwa okudinga ukuhlinzwa okuphuthumayo.
• Ukwenza izinqubo ze-endoscopic njengoba kudingekile ukumisa ukopha okusebenzayo noma ukufaka imithi yejeli yokuzivikela ngqo endaweni yesilonda.
• Ukucabangela ukuhlinzwa kwe-bariatric yokulahlekelwa isisindo uma ukukhuluphala kubangela ukukhiqizwa kwe-asidi yesisu ngokweqile.

Amakhambi Asekhaya Okwelapha Izilonda Zesisu

Amakhambi athile asekhaya kanye nezinguquko zendlela yokuphila kungasiza ekulawuleni izimpawu zezilonda zesisu, okuhlanganisa: 

• Ukudla - Okufanele Ukudle Futhi Ukugweme:
  • Gcizelela ukukhetha okubandayo, okune-fiber ephansi okudinga ukugayeka kokudla okuncane njengama-smoothies, iyogathi, amaqanda, ushizi we-cottage, izithelo ezingezona ezisawolintshi nemifino eshisiwe.
  • Nciphisa izinto ezicasulayo njengokugwema ukudla okubabayo, izinto ezine-asidi, u-garlic, u-anyanisi, upelepele, i-caffeine, i-carbonation, utshwala, ushokoledi nanoma yini ethosiwe noma enamafutha.
  • Hlala uhlanzekile ngokuphuza uketshezi olupholile phakathi kokudla.
• Izindlela zokunciphisa ingcindezi:
  • Yamukela imikhuba yokuphumula njengokuphefumula okujulile, ukuzindla, i-yoga emnene, ukwelapha umculo noma ukulalela amaculo emvelo ukuze usize ukwehlisa ingcindezi yomzimba.
  • Gwema ukuvivinya umzimba okujulile okwesikhashana kuze kube yilapho isilonda sithuthuka.

Kufanele Ushayele Nini Noma Ubone Udokotela?

Funa usizo oluphuthumayo ngokushesha uma une:

• Ubuhlungu obungalawuleki obuhlala amahora
• Ukuhlanza okuphindaphindiwe kwe-projectile
• Umphalazo obonakala umnyama/obomvu noma indle ebukeka ilindile
• Kungazelelwe, ubuhlungu obunzima obulandela amasonto okuthuthukiswa
• Ukuquleka, ukudideka, ubuhlungu besifuba noma ukuphelelwa umoya

Ukuvimbela Izilonda Zesisu

Njengoba ukuphulukiswa kwezilonda zesisu kudinga isikhathi, imali, kanye noshintsho lwendlela yokuphila, ukuvimbela kungcono kakhulu kulabo abasengozini enkulu. Nansi indlela izilonda zesisu ezingagwenywa ngayo: 

• Ukugwema ukuphuza utshwala obuningi okuvamile, njengoba zonke izinhlobo zingashisa umgudu wokugaya ukudla.
• Ukufunda amasu okulawula ingcindezi asebenzayo njengengxenye yemizamo yokuphila kahle ngaphambi kokuba kuvele ukucindezeleka okukhulu ngokomzimba.
• Ukunciphisa ukudla okubabayo nokunye okucasulayo okuvamile njengemali ethosiwe, izithelo ezisawolintshi, ushokoledi, i-caffeine, neziphuzo ezine-carbonated.
• Ukwandisa ukudla kwemifino ngaphezu kwamaprotheni enyama akhiqiza ama-acid amaningi esiswini ngesikhathi sokuwohloka.
• Ukukhetha izingxenye ezincane ezisakazwa usuku lonke kunokudla okukhulu okungajwayelekile okugcwalisa ukugaya.

Isiphetho

Izilonda zesisu zivame kakhulu kodwa futhi ziyelapheka kakhulu. Ukuthola ukuxilongwa okunembile nokulandela imiyalo kadokotela yemithi noshintsho lwendlela yokuphila kubalulekile. Nakuba amakhambi asekhaya angasiza ekulawuleni izimpawu, imithi iyadingeka ukuze welaphe ngempela isilonda esiswini. Ukubamba nokwelapha isilonda esiswini ngokushesha kungavimbela izinkinga endleleni.

Imibuzo Evame Ukubuzwa

1. Zivame kangakanani izilonda zesisu?

Izilonda zesisu zivame kakhulu. Zithinta ingxenye enkulu yabantu ngesikhathi esithile ekuphileni kwabo.

2. Iyiphi indlela esheshayo yokwelapha isilonda?

Ukulandela ngokuqinile uhlelo lwemithi olunqunywe udokotela wakho, kanye nokugwema ukudla okucasulayo nezinto ezicasulayo, kungaholela ekwelapheni kwezilonda eziningi phakathi namasonto ambalwa.

3. Uselapha kanjani isilonda esiswini?

Ukwelapha kuhilela ukuphuza imithi efana nama-antibiotics, izinciphisi ze-asidi, nama-ejenti okuvikela ukuvumela isilonda ukuba siphole, kanye nokugwema izinto ezicasulayo njengama-NSAID, i-caffeine, noma utshwala.

4. Ungakwazi yini ukuphila impilo evamile unesilonda esiswini?

Abantu abaningi bayakwazi ukuqhubeka nemikhuba yabo evamile ngenkathi belulama esilonda esiswini. Kodwa izimpawu ezinjengobuhlungu nezinkinga zokugaya zingathinta impilo yansuku zonke. Ukwelashwa okufika ngesikhathi kungasiza abantu abanezilonda zesisu ukuthi baphile impilo ejwayelekile.