Isilonda esiswini kunye nesilonda sesibini sinesifo esingaqhelekanga. Ubonakaliswe ngokubunjwa kweempazamo zendawo kwi-mucosa yesisu, ezibizwa ngokuba yizilonda zezilonda. Ubungqina beli gciwane kukuba unomdla wokuphindaphinda kunye nenkqubela phambili, ebandakanya iinkalo ezahlukeneyo zokugcoba kwinkqubo yokugula.
Ukuphuhliswa kwesifo sesilonda
I-pathogenesis ephambili yesilonda sesisu sesisu kunye ne-duodenum iqala rhoqo ngokungenelela emzimbeni webteriyo i-Helicobacter pylori kunye nokuphazamiseka kokutya, oku kuchazwe ngo:
- ngokukhawuleza kwaye kunqamle ukukhawulelana kwabo nakuphi na ukutya;
- ukufumana iimveliso ezizimeleyo kunye nokutya;
- ukutya ngokuhlwa.
Ukuphuhliswa okukhawulezileyo kwesi sifo kubangele ukuphulwa kwemfihlo ye-hormone ye-GIT, ihomoni ze-thyroid kunye ne-neuropsychic ephezulu. Kwezinye iimeko, esi sifo sibonakala emva kokuthatha amayeza athile. Ezi ziquka iziyobisi ezifana:
- Butadiene;
- Acetylsalicylic acid;
- Reserpine;
- ii hormone ze-corticosteroid.
Iimpawu zezilonda zesilonda
Iimpawu zezilonda zesisu zesisu kunye ne-duodenum kuxhomekeke kwisiguli somdala, yeyiphi inqanaba kunye nobude bentsholongwane, kunye nalapho kugxininiswa kwengqondo. Uninzi lwezigulane zinempawu ezinjalo:
- I-syndrome ye-Pain - nge-aggravation yesifo seentlungu, i-paroxysmal okanye i-long and aching, ingavela emva kokutya okanye kwisisu esingenalutho, yonke into engathandekiyoyo yehla emva kokuthatha i-anticholinergics okanye i-antispasmodics. Kwimeko engapheliyo yesifo, ubukhulu beentlungu buye buthathaka kwaye bufumane umlingisi omsindo.
- I-Dyspeptic syndrome yinkqubo ebuhlungu, ukuhlanza kunye neentlanzi, ukutshabalalisa, ngokuqhelekileyo isifo esinjalo sibonakalisa kwisigaba esibucayi.
- Ukutywala kakubi kakhulu kunesifo esibuhlungu kakhulu, ukuphazamiseka kwezityalo, ukuphazamiseka okuqhubekayo kokulala, ukukhubazeka nokunyamekela.
Iimpawu zesilonda se-peptic zesisu kunye ne-duodenum cishe asizange ibonakale ngexesha lokuxolelwa. Ubude balo buhluka. Ingadlulela iminyaka emininzi.
Ukuxilongwa kwezilonda zesilonda
Ukuba le sifo ayiphathwa, ikhokelela ekuphuhliseni okukhawulezayo kwimiphumo emibi kakhulu, engayi kupheliswa. Iingxaki eziqhelekileyo kunye ezinzulu zesilonda esiswini seesisu kunye ne-duodenum zi:
- i-hepatosis ;
- i-dyskinesia ye gallbladder;
- i-pancreatitis
- ukuguqulwa kwesilonda kwisakhiwo somzimba;
- ukuphuma kwegastroduodenal;
- uhlobo lwe-pyloroduodenal lwe-stenosis.
Ukuxilongwa kwezilonda zesisu seesisu kunye ne-duodenum kufuneka kwenziwe ngeendlela zokuva isisu (i-fractional).
Unyango lwezilonda zesilonda
Kuzo zonke iziganeko, isilonda se-peptic sinesigxina esifanelekileyo. Eyona ndlela, ngokunyango olufanelekileyo ngexesha elifanelekileyo, umgangatho wesigulane somsebenzi ubuyiselwe ngokupheleleyo. Umthamo wemilinganiselo yokwelapha ixhomekeka kwindawo yokulonda kunye nobukho beengxaki.
Uluhlu lwezilwanyana ezimiselweyo kwizigulane lukhulu kakhulu. Ngokuqinisekileyo, zonke izigulana kufuneka zithathe enye okanye amaninzi amagciwane. Kungaba:
- Clarithromycin ;
- Metronidazole;
- Amoxicillin.
Ukunciphisa ukusetyenziswa kwe-acidity:
- abavimba be-histamine receptors (i-Ranitidine);
- amalungiselelo angamaphepha (Almagel okanye iFosfalugel);
- i-inhibitors yepompo yampu (i-Omez okanye i-Nexium).
Ukuze uguqulwe ngokukhawuleza, ufanele usebenzise iziyobisi, into esebenzayo ephikisayo okanye e-actovegin.
Ukuthintela isifo sesilonda sesisu nesisu, kufuneka ulandele ukutya, uthathe izidakamizwa zesilonda kwaye u tyelele i-gastroenterologist ubuncinane kanye ngonyaka.