Isilonda esiswini sikwaziwa ngabantu abangu-14% emhlabeni wonke. Phakathi kwabagulayo baningi amathuba okuhlangana nabantu abaneminyaka engu-20-50 ubudala. Inkambo yezibonakaliso ezingapheliyo, eziyinkimbinkimbi yizici zokwindla kanye nezinkathi zentwasahlobo. Ukuntula ukwelashwa kuzosheshisa ukuqhuma kwesilonda, okungabangela ukufa.
Izimbangela zesilonda esiswini
Lesi sifo siqala ngenxa yezici ezilandelayo:
- I-Helicobacter pylori - ngenxa ye-bacterium kuze kufike ku-75% amacala okuqala kwesifo. Ihlamba ngemikhiqizo yomsebenzi obalulekile wodonga lombutho, emva kwalokho i-ulcer esiswini iqala. Ukutheleleka kungenxa yamathe, ukudla, izinto ezivamile zendlu, ku-utero.
- Imithi (izidakamizwa ezingenayo i-steroidal inflammatory) yi-aspirin, ibuprofen, i-indomethacin. Ingozi iyanda ngokweminyaka engaphezu kwengu-65, imithi emikhulu yemithi, ukuvunyelwa kanyekanye ngama-anticoagulants kanye nemithi yokwelapha ngayinye, ukuphuma kwegciwane lesisu. Kokubili izidakamizwa ezinezidakamizwa ezinamandla nezingozi zengozi.
- Umphumela wezinye izinkinga - isifo sikashukela, i-oncology yamaphaphu, izinkinga zamathunjini, isifo se-syphilis.
- Umonakalo wangaphakathi - i-sepsis, izimo zokuphazamiseka, ukuhlukunyezwa komzimba, ukushisa okubandayo noma okujwayelekile.
- I-Genetics - amathuba okuthuthukisa isifo aphezulu uma ekhona ezihlotsheni eziseduze. Futhi izibalo ziqinisekisa ukuthi isilonda esiswini singama-40% amathuba okuba abe nabantu abaneqembu lokuqala legazi.
- Ukucindezeleka, imikhuba emibi, ukudla okungalingani. Ngokwezinga elithile, ngisho nokuhlukunyezwa kwekhofi kungadala le nkinga.
Izinkinga zesilonda se-peptic
- Isisu somlindisango. Umnyango wezokudla uyancipha, ukudla kudlula. Ngamafomu okuqala kukhona ibhande kanye nobunzima kule ndawo. Isigaba sokugcina siholela ekuhlanzeni masinyane emva kokungenisa, ukulahlekelwa isisindo, ukuphelelwa yisisu, ukuguquka kwemisipha. Isisu asikwazi ukuphuthelwa noma yini emathunjini ngenxa yokunciphisa kokugcina.
- I-Perforation. Isisu sesisu siphumelela ekubukeni komgodi odongeni, lapho okuqukethwe komzimba kuphuma khona. Umphumela ubuhlungu kanye ne-peritonitis.
- Ukuphuza. Amathuba omphumela obulalayo uphakeme. Kukhona ukuhlanza, ukulinda, isitokisi esimnyama, ukwehla kokucindezela, ukuphefumula, ukujuluka okukhulu, nokuhluleka kwenhliziyo.
- Ukungena. Indawo yegobolondo elimele le esiswini lithathwe isitho esiseduze nayo - ama-pancreas, amathumbu, isilonda sesibindi, isibindi. I-asidi iqala ukulimaza lesi sitho, okuholela ekuphazamiseni umsebenzi wayo.
- Ukuhlukunyezwa. Kubonakala ngamacala angu-3%, kusho ukuguqulwa kube ngumdlavuza. Lokhu kufinyelela emfundweni ye-calles. Ngalolu shintsho, umuntu uqala ukulahlekelwa isisindo, ulahlekelwe ukudla, ukuhlanza njalo nomkhuhlane.
Isilonda esiswini - izimpawu nokubonakaliswa
Uma usola isifo, kufanele uhambe ngokushesha kudokotela, ukuxilongwa ngesikhathi esifanele kuzokwenza nge -rapy. Ngama-25-28% amacala, izibonakaliso zesilonda zesisu azizizwanga, ziyazi ukuthi lesi sifo siba yinkqubo yokuzimela. Ngenxa yalesi sizathu, kuyadingeka ukuba uhlolwe njalo uma kukhona ingozi eyengeziwe yokuthuthukisa isifo kule ngxenye yomzimba.
Izimpawu zesilonda esiswini - izimpawu zokuqala
- Ubuhlungu esiswini sangaphezulu. Kubonakala ku-75% weziguli, kungaba namandla ahlukene. Ngesinye isikhathi izinzwa ziba lula ngemva kokuphuza utshwala, ukungenisa ukudla okubabayo, ngokuzikhandla ngokwenyama noma ukuphumula isikhathi eside phakathi kokudla.
- Ukuguquka kwenhliziyo. Ngokuvame ukuxhaswa ngezimpawu zesilonda esiswini ekuqaleni kwezinyathelo. Iqala ngenxa yokucasuka kwe-esophagus nge-asidi. Kwenzeka kuma-80% wamacala, kwenzeka amahora angu-1-2 ngemva kokudla.
- Ukuthuthukiswa kwesimo segesi.
- Nausea, ngezinye izikhathi ukuhlanza. Kubonakala ngenxa yokwephulwa komzimba womzimba, kuqala amahora angu-1.5-2 ngemva kokudla. Ihamba ngokukhululwa kwesisu, okuvusa ukuhlanza okuzenzekelayo.
- Ukungena kokudla. Uma isiguli sinesilonda esiswini, izimpawu zokuqala zingahambisana nokuziphatha okunjalo. Kuchazwa ukwesaba ukuzwa ubuhlungu noma izinkinga ezintsha nge-motility yepheshana lomzimba.
- Ukuzwa ukhathazeka ngemva kokudla.
- Ukubhinca nge-aftertaste emuncu noma emunyu.
- Ukuzizwa okusheshayo kokukhathala.
- Izinkinga nge-stool. Isilonda esiswini senza ukuqotshwa, isifo sohudo kubangela kancane.
- Ukugqoka okumhlophe ngolimi.
- Ubuhlungu bendawo ye-epigastric ngenkathi kukhulunywa.
Ukuhlaselwa kwezilonda zesisu - izimpawu
- Ubuhlungu obunzima.
- Ukungezwani kwe-muscle kule ndawo.
- Ukuvota.
- Ukuqokwa.
- Ukujuluka okukhulu.
- I-nausea, inzima.
Ubuhlungu uma kwenzeka isilonda esiswini ngesikhathi sokukhukhuma singabangelwa ngu:
- isimo sezulu sonyaka sishintsha;
- ukusetshenziswa kweziphuzo eziphuza utshwala;
- ukungazinaki imenyu ephakanyisiwe yesilonda esiswini;
- ukudla ngokweqile;
- ukubhema;
- umsebenzi okwenyuka ngokomzimba.
Ukuguqulwa kwezilonda zesisu - izimpawu
Lesi sifo sisongela impilo ngenxa yokuthuthukiswa kwe- peritonitis , okudinga ukungenela okusheshayo ngokushesha. I-ulcer perforated yesisu kanye ne-duodenum, izimpawu zazo ezivezwe ngokucacile, zivela kaningi emadodeni, abesifazane bavikelwa yi-estrogens evimbela umsebenzi wemfihlo. Ukubuyela emuva kuvele ngamacala angu-6%. Kunezikhathi ezintathu zamanje, ngayinye inezici zayo.
Amakhemikhali. Ukulala amahora angu-3-6:
- ubuhlungu obude, obukhulu;
- ukuhlukumeza kwemisipha yomzimba; ukuphefumula okusheshayo;
- ukuqoqwa kwegesi.
Amabhaktheriya. Iqala amahora angu-6 ngemuva kwenkinga:
- izinga lokushisa;
- ukwanda kwentando yenhliziyo;
- ukuboshwa kwe-peristalsis;
- ulimi olomile ngeqhwa elimpunga;
- ukunciphisa ubuhlungu kanye nesimo sokujabula.
Cihla. Iqala amahora angu-12 emva kokuqala kwesifo, cishe akunakwenzeka ukusindisa isiguli:
- ukuhlanza okungazinzile;
- ukuphelelwa amanzi;
- isikhumba esomile;
- umehluko wokushisa;
- ukuxhuma;
- ukuqoqwa kwamagesi neziphuzo;
- ukwephula ukuchama.
Indlela yokuphatha isilonda esiswini?
Ukusebenza kusetshenziselwa kuphela ifomu elibi kakhulu, kwezinye izimo izindlela zokwelapha zisetshenziswa. Isifo sesilonda se-Peptic sidinga indlela edidiyelwe, ikhambi elilodwa akufanele liqede. Okokuqala, umsebenzi webhaktheriya we-pathogenic uqedwa, bese usebenza ekuvuseleleni izilonda. Ukwelapha izilonda zesisu kungadinga ukuphathwa kwezidakamizwa ukuqeda imiphumela yokucindezeleka. Inqubo yonke yokutakula ithatha amasonto angu-2-6, kuye ngokuthi ubukhulu benkinga buyini.
Isilonda esiswini - ukwelashwa, izidakamizwa
- Imithi ye-antibacterial - Clarithromycin , i- Amoxicillin , i-Tetracycline.
- Ama-gastroprotectors imithi yezilonda zesisu ukuvikela nokubuyisela izitho zangasese. I-Ventoksol, i-Kaved-s, i-Solkoseril, i-Biogastron.
- Kusho ukuthola ukugqoka okuvikela nokuvimbela amabhaktheriya - Sucralfate no De-nol.
- Antacids - Kael, Almagel, Gastal, Maalox. Ukukhulula ubuhlungu, ukunciphisa ama-asidi.
- Ama-proton pump blockers - Omeprazole, Nexium, Rabelok.
- I-Holinotics - I-Gastrotsepin ne-Metacin. Nciphise ubuhle be-asidi, ukhulule ubuhlungu nomlomo owomile.
- Spasmolytics - Drotaverin, No-shpa. Nciphisa ubuhlungu kanye ne-spasm yezindonga zesisu.
- Prokinetics - Ipripride, i-Motilium. Khuthaza amakhono emoto, uvimbele ukujula kokudla esiswini.
- Ama-probiotics - Amakholomu, ama-Bifiform. Kudingekile ukuvuselelwa kwe-microflora, uma ukwelashwa kwe-antibacterial of ulcer gastric isetshenziswa.
- I-Sedatives - i-Valocordin, i-Validol, iCodeine phosphate.
- Ama-anti-depressants - Amitriptyline , i-Elenium, i-Tazepam.
Isilonda esiswini - ukwelashwa ngamakhambi abantu
- I-potato ijusi. Udinga ukuthatha kathathu isigamu sehora ngaphambi kokudla ku-20 amagremu ngesonto. Phakathi nezinsuku eziyisikhombisa ezilandelayo, umthamo uphindwe kabili, wesithathu - kathathu. Khona-ke, kuze kube sekupheleni kwenyanga, kufanele uphuze amagremu angu-100 ngesikhathi.
- Ukumnika of plantain. Ukwelashwa kwabantu ngezilonda zesisu kusho ukudla nsuku zonke emagqabeni owomile wesitshalo, abilisiwe ngamanzi abilayo (isipuni esingu 1 ngesilazi).
Isilonda esiswini - ukusebenza
Akuwona njalo ukwelashwa okusemandleni, ngezinye izikhathi ukwelashwa kwesilonda esiswini kuyadingeka ukuba kwenziwe ngokuhlinzwa. Lokhu kwenziwa kwamacala alandelayo:
- i-degree yesithathu ye-stenosis;
- ukubukeka kwezinhlelo ezimbi;
- isilonda esiswini esiswini;
- ukuphuma.
Ukusebenza kungabelwa uma:
- ukungena;
- ukuguqulwa kwesisu ngesisindo somzimba;
- i-second degree of stenosis;
- akukho mphumela wokwelapha;
- ukuphindaphinda njalo;
- amafomu angenangqondo.
Ukudla ngesilonda esiswini
Lesi sifo sidinga ukukhishwa kwemikhiqizo emangcwaba ecasulayo futhi unikeze ukudla okudliwayo okungenani izikhathi ezingu-5 ngosuku. Kumele futhi ukwazi ukuthi ungadla ngesilonda esiswini:
- inyama enamafutha aphansi;
- ipulazi elichotshoziwe;
- isobho esivela elayisi, semolina, oats;
- amaqanda abilisiwe, amaqanda aphuziwe;
- i-compotes ne-kissels;
- uju;
- hhayi amafutha e-cottage shizi nokhilimu.
Ukudla uma kwenzeka isilonda esiswini kufanele singabandakanyi:
- imikhiqizo yokubhema;
- ukudla okunamafutha okuthosiwe;
- imikhiqizo yefulawa;
- utshwala;
- utamatisi;
- ubhontshisi;
- ugqumugqumu;
- iklabishi;
- izinsuku;
- isithombo;
- izithelo ze-citrus;
- ikhofi;
- izidakamizwa ezinemibala;
- ama-sauces;
- ukudla okusemathinini;
- i-cocoa;
- ocebile inyama broths.