Isilonda esiswini nesilonda se-duodenal yisifo esivamile esingavamile. Kubonakala ukubunjwa kweziphambeko zendawo ngaphakathi mucosa emathunjini, okuthiwa izilonda ze-peptic. Ukuziqhenya kwalesi sifo ukuthi kunomkhuba wokuphindaphinda nokuthuthuka, okubandakanya izitho ezihlukahlukene zokugaya inqubo yokwelapha.
Ukuthuthukiswa kwesifo sesilonda se-peptic
I-pathogenesis eyinhloko yesilonda se-peptic yesisu kanye ne-duodenum iqala njalo ngokungena emzimbeni we-bacterium Helicobacter pylori nokuphazamiseka kokudla, okushiwo ngo:
- ukuvinjelwa njalo futhi okunzima kakhulu kunoma yikuphi ukudla;
- ukwamukelwa kwemikhiqizo yokuzidla nokudla;
- ukudla ngokudla kusihlwa.
Ekuthuthukiseni okusheshayo kwalesi sifo kuholela ekwephuleni kwemfihlo yama-hormone e-GIT, amahomoni wegciwane kanye nokuqothulwa kwe-neuropsychic ehlukahlukene. Kwezinye izimo, lesi sifo sibonakala ngemuva kokuthatha imithi ethile. Lezi zihlanganisa izidakamizwa ezifana nalezi:
- Butadiene;
- I-Acetylsalicylic acid;
- Isiqhingi;
- ama-horticone e-corticosteroid.
Izimpawu zesilonda se-peptic
Izimpawu zesilonda se-peptic zesisu nesifo se-duodenum sincike eminyakeni yobugulane, yiliphi isigaba nobude bokutheleleka, futhi lapho kugxila khona ukugula. Iningi leziguli zinempawu ezinjalo:
- I-syndrome yezinhlungu - nge-aggravation yesifo sobuhlungu, i-paroxysmal noma ihlala isikhathi eside futhi ikhula, ingase ivele ngemva kokudla noma ngesisu esingenalutho, zonke izinzwa ezingathandeki ziyancipha ngemva kokuthatha ama-anticholinergics noma ama-antispasmodics. Kule nkinga engapheli yesifo, ubukhulu bezinhlungu buyehla kancane futhi buzuze uhlamvu lomsindo.
- I-Dyspeptic syndrome yisenzo esiphundu, ukuhlanza nokusikhipha isisu, ukuguquka kwenhliziyo, ngokuvamile isifo esinjalo sibonakala esigabeni esiyinkimbinkimbi.
- Ukudakwa ngokweqile kungenhliziyo ekhanda kakhulu, ukuphazamiseka kwemifino, ukuphazamiseka okuqhubekayo kokulala, ukukhwabanisa nokucindezeleka ngokomzwelo.
Izimpawu zesilonda se-peptic zesisu nesine-duodenum cishe azibonakali ngesikhathi sokuxolelwa. Ubude bayo buhluka. Ingahlala iminyaka eminingana.
Ukuxilongwa kwesilonda se-peptic
Uma lesi sifo singelashwa, kuholela ekuthuthukiseni okusheshayo imiphumela emibi kakhulu, engenakuqedwa. Izinkinga ezivame kakhulu nezingathí sina ze-peptic ulcer yesisu kanye ne-duodenum yilezi:
- i-fatty hepatosis ;
- i-dyskinesia ye-gallbladder;
- i-pancreatitis esebenzayo;
- ukuwohloka kwesilonda ekubunjweni kwesisu;
- ukuphuma kwegastroduodenal;
- uhlobo lwe-pyloroduodenal lwe-stenosis.
Ukuxilongwa kwesilonda se-peptic yesisu kanye ne-duodenum kufanele kwenziwe ngendlela yokuzwa isisu (i-fractional).
Ukwelashwa kwesilonda se-peptic
Kuzo zonke izimo, isilonda se-peptic sinomqondo omuhle ngokomzimba. Ngokuyinhloko, ngokuphathwa okwanele ngesikhathi esifanele, amandla omsebenzi wesiguli avuselelwe ngokugcwele. Umthamo wezinyathelo zokwelapha kuxhomeke endaweni yokulonda nezilingo.
Ububanzi bezidakamizwa ezibekwe ezigulini bukhulu kakhulu. Ngokuqinisekile, zonke iziguli kufanele zithathe i-antibiotics eyodwa noma ngaphezulu. Kungaba:
- I-Clarithromycin ;
- I-Metronidazole;
- Amoxicillin.
Ukunciphisa ukusetshenziswa kwe-acidity:
- abavimba be-histamine receptors (Ranitidine);
- amalungiselelo anonya (Almagel noma Fosfalugel);
- i-inhibitors yepompo ye-proton (i-Omez noma i-Nexium).
Ukuze i-mucous iphulukiswe masinyane, kufanele uthathe izidakamizwa, into esebenzayo ye-sucralfate noma i-actovegin.
Ukuvimbela isifo sesilonda sesisu nesisu, kufanele ulandele ukudla, uthathe izidakamizwa zokulonda izilonda futhi uvakashele i-gastroenterologist okungenani kanye ngonyaka.