Kuze kube manje, ukwelashwa kwesisu nesisu se-duodenum kwenziwa ngokuyinhloko ngemithi, njengokudla, ukuhambisana nemigomo kanye nokwelashwa kwe-herbal kungukuvimbela. Nokho, ekwelapheni izilonda ngemithi, akukho ukungafani okususelwa endaweni yesifo. Futhi ukunqotshwa kwesisu, nokunqotshwa kwe-duodenum kunganqotshwa nemithi efanayo.
Ukwelashwa kwesisu nesilonda se-duodenal ngemithi
Kunezinhlobo eziningana zezidakamizwa ezisetshenziselwa ukwelapha ulcer. Nazi okuyinhloko:
- izidakamizwa ezingekho emthethweni;
- kusho okuqukethe i-bismuth;
- ama-antibiotic kanye nama-antiprotozoal agents;
- i-prokinetics;
- antacids .
Izidakamizwa ezihlukunyezwayo zenzelwe ukunciphisa ukukhiqizwa kwejusi esiswini ne-bile, ngaleyo ndlela kudala indawo enhle yokuphulukiswa kwesilonda. Izakhiwo ezifanayo zine proton pump inhibitors, i-M-cholinolytics nezivimbela izidakamizwa ze-H2-histamine-receptors. Kuze kube manje, abameleli besigaba esilandelayo basebenzisa njalo. Lezi izidakamizwa ezifana ne-Ranitidine ne-Famotidine. Njengoba i-M1-holinolitikov ivame ukusebenzisa i-Pirenzepin, kanye ne-inhibitor esemqoka yepompo ye-proton-Omeprazole. Isidakamizwa sesibili esithandwa kakhulu kulolu hlobo yiPariet.
Ama-bismuth namalungiselelo aqukethe lokhu okuvimbela umsebenzi we-Helicobacter pylori bacterium, okuyinto eyimbangela enkulu yokuthuthukiswa kwesilonda sesilonda. Ukwelapha izilonda zesisu ngezidakamizwa kulokhu kukuvumela ukuba wenze ngaphandle kwama-antibiotic. Uma, ngenxa yezizathu ezithile, i-Bismuth ayikwazi ukusetshenziselwa, izidakamizwa ezijwayelekile zokulwa namagciwane ziyasetshenziswa:
- Amoxicillin;
- I-Clarithromycin;
- I-Metronidazole;
- Tetracycline;
- Tinidazole.
Izilonda ze-Trophic azitholakali ukwelashwa ngemithi, ngakho-ke ama-prokinetics asetshenziselwa ukwelapha - izidakamizwa ezithuthukisa umsebenzi wamathumbu nesisu. Ngenxa yalokho, ukuhlunga kwesiphuzo esiswini somzimba kunciphisa njalo, ukudla akuhlali isikhathi eside, ukusheshisa inqubo yokuphulukisa.
Imithi-antacids inezikhukhula ezikhukhulayo nokuphulukisa emagqumeni amancane. Inhloso yabo ukuqeda izimpawu ezifana nokushaya, ukushaya isisu nobuhlungu. Isidakamizwa esidume kakhulu esivela kuleli qembu i-Almagel.
Uhlelo lokuphathwa kwesilonda esiswini ngemithi
Sekuyisikhathi eside, isilonda sesisu kanye ne-duodenum sathinteka ngokuyinhloko ngamalungiselelo e-bismuth. Imithi yanamuhla iye yaqhubeka futhi manje ukwelapha kwezifo ezinjalo kuhlanganisa ukusetshenziswa okuyinkimbinkimbi kwezidakamizwa zezinhlobonhlobo. Kubalulekile hhayi kuphela ukulwa ngokuphumelelayo imbangela yalesi sifo, kodwa futhi ukuqeda zonke izimpawu ezingathandeki zesifo ukuze kuphuthumise ukutakula.
Imithi eyisisekelo ihlanganisa:
- Ranitidine;
- I-Famotidine;
- Omeprazole;
- Amapayipi;
- Esomeprazole.
Ngaphezu kwabo kungabelwa:
- I-Maalox;
- I-Phosphalugel;
- I-Gastal;
- I-Motilium nabanye.
Lapho ukwelapha izilonda ngemithi, indima ebaluleke kakhulu idlala yi-taxonomy. Iqiniso liwukuthi ngesifo esingelashwa, izimali ezazisetshenziswa ekuqaleni zingasebenzi. Udokotela uzophoqelelwa ukuba
Kwakukhona amacala lapho izilonda ezincane zibambezeleka ngokuzimela, noma kunjalo, ukuzivocavoca nokungazinaki lesi sifo akunakwenzeka. Okungenani, uzodinga i- prokinetics ne-antacids ukusiza umzimba. Lezi zidakamizwa azikho ukuphikisana nemiphumela emibi, okwesabisa iziguli eziningi ezihlinzekwe ukwelashwa kwama-antibiotic.