Uma uqala ukubona izimpawu ekatini lakho njengokudinwa , ubuvila, nokuhlanza igazi , kungcono ukuliyisa kudokotela wezilwane ngokushesha okukhulu, njengoba ikati lakho lingase libe nesilonda esiswini.
Lokhu kulimala okubhoboza izicubu zesisu kwenzeka lapho ulwelwesi lwesisu lulahleka ngenxa yama-asidi esiswini.
Kodwa yini ebangela izilonda esiswini? Esinye sezimbangela eziyinhloko ukusetshenziswa kwemithi, njengemithi yokulwa nokuvuvukala. Yingakho lesi simo sivame kakhulu emakati ahlushwa yi-arthritis engapheli.
Ziyini izilonda zesisu futhi kungani zenzeka emakati?
Isilonda sesisu yisici esijulile olwelwesini lwesisu esingaphuma igazi futhi, ezimweni ezimbi kakhulu, sibhoboze udonga lwesisu. Ngokuvamile asiveli sodwa: ngokuvamile silandela ezinye izifo noma imithi ephazamisa isithiyo semvelo sokuvikela isisu.
Izimbangela ezivame kakhulu nezici zobungozi
- Imithi: Izidakamizwa ezingezona ukuvuvukala (ama-NSAID) kanye ne-corticosteroids yehlisa i-prostaglandin evikelayo; ezithile ama-antibiotics Zibuye zicasule isisu.
- Izifo zesistimu: ukwehluleka okungapheli kwezinso, isifo sesibindi, i-hyperthyroidism kanye nezifo ezimbi kakhulu (sepsis) zandisa ingozi.
- Ama-neoplasms kanye nokuphazamiseka kwe-hyperacidity: umdlavuza wesisu (njenge-lymphoma), i-gastrinoma kanye ne-systemic mastocytosis (i-histamine eyeqile) yandisa i-asidi.
- Izici zangaphandle: ukucindezeleka okukhulu, imizimba engajwayelekile elimaza i-mucosa kanye ukutheleleka ngegciwane (kuhlanganise nezinhlobo ze Helicobacter).
- Ukuyekethisa kokujikeleza: Ukushaqeka isikhathi eside noma i-hypotension kungaholela ku-ischemia kanye nezilonda.
Izimpawu okufanele uziqaphele
- Ukopha: ukopha lapho uhlanza futhi lapho uphuma ngaphandle.
- Ukuphelelwa isifiso sokudla: Ngaphezu kokuthi ikati lethu alikuthandi ukudla, ngeke libe namandla okudlala futhi lizohlala lilele phansi isikhathi esiningi.
- Ubuhlungu besisu: Isilwane sakho esifuywayo singase sibonise ubuhlungu lapho sithintwa endaweni yesisu.
- Ukuqhafaza njalo; okuqukethwe kungase kube bomvu, nsundu ngokumnyama, noma kube yimpuphu Izinkundla zekhofi.
- Indle emnyama, enamathelayo (melena), okubonisa ukopha okuphezulu kokugaya.
- Ukweqa amathe ngokweqile (i-sialorrhea), ukulahlekelwa isisindo, ukukhathala nokuziphatha kokugwema.
- Ezigabeni ezithuthukile: izinsini eziphaphathekile, okuphawulwe ubuthakathaka futhi ukuphelelwa amandla kwamanzi.
Ukuxilongwa okunembile kwezilwane
Ukuxilongwa kuhlanganisa ukuhlolwa ngokomzimba kanye nokuhlolwa okuhambisanayo: ukuhlolwa kwegazi (ukuhlolwa kwe-anemia kanye nokusebenza kwezinso/kwesibindi), ukuhlolwa kwendle, ama-x-ray kanye ne -ultrasound yesisu ukuze kutholakale ukuthi azikho yini izidumbu zangaphandle noma ukuqina kodonga.
I-endoscopy ye-fibre optic ivumela ukubona ngeso lengqondo i-mucosa ngqo kanye nokuthatha ama-biopsy , okuqinisekisa i-gastritis noma isilonda futhi kuqondise imbangela (isibonelo, ukutheleleka kwe-Helicobacter noma izinqubo ze-neoplastic).
Ukwelashwa kwezilonda zesisu
Isinyathelo sokuqala sokwelapha izilonda zesisu ukuthola imbangela eyinhloko. Ngakho-ke, kufanele uvakashele udokotela wakho wezilwane ukuze akwazi ukukunikeza imithi efanele isilwane sakho. Imithi ivame ukukunikeza imithi yokunciphisa i-asidi yesisu nokukhuthaza ukuphulukiswa kolwelwesi lwesisu .
Ezimweni ezihilela ukopha noma ukuphelelwa amanzi emzimbeni, kungadingeka ukulaliswa esibhedlela , ukwelashwa ngoketshezi, ngisho nokumpontshelwa igazi . Kuye ngembangela eyinhloko, uhlelo lokwelapha lungafaka phakathi i-proton pump inhibitors , ama-H2 antagonists , i-sucralfate njenge-cytoprotective, kanye ne -misoprostol ezimweni ezithile. Ama-antibiotic ayengezwa uma kusolwa ukuthi ukutheleleka ngamagciwane kubangelwa ukutheleleka ; ukuhlinzwa kuboniswa uma kukhona umzimba wangaphandle noma ukubhoboka.
Ngaphezu kwalokho, isicanucanu nobuhlungu kuyalawulwa , futhi isikhathi esifushane sokuzila ukudla (amahora angu-6-12) siyanqunywa, kulandelwe ukudla okugayeka kalula ekudleni okuncane, okuvamile. Uma ikati lihlanza ngemva kokuqala ama-NSAID noma eminye imithi, yeka imithi bese uthintana nodokotela wezilwane.
Ukunakekelwa kwasekhaya nokondliwa
Gcina amanzi ahlanzekile etholakala, nikeza ukudla okuthambile, okunamafutha amancane , bese uhlukanisa ukudla kube yizingxenye ezincane ukuze kusize ekugayweni kokudla. Gwema ukudla okunamafutha noma izinguquko ezisheshayo ekudleni; noma yikuphi ukulungiswa kufanele kwenziwe kancane kancane futhi kuqondiswe udokotela wezilwane. Izivikelo zesisu kanye nayo yonke eminye imithi kufanele inikezwe njengoba nje kuyalelwe.
Kumakhambi ahambisanayo
Ungakhetha futhi imithi ye-homeopathic , ngaphezu kokwelapha ikati lakho, ezosiza ekuvimbeleni ukuphinda kwalesi sifo. Esinye sezithako zemvelo ezizuzisa kakhulu ekwelapheni izilonda zesisu yi -Glycyrrhiza glabra , noma i-licorice, okuthi, ngaphandle kokuqeda ubuhlungu, kuzosiza ekunciphiseni ukuvuvukala esiswini sesilwane sakho. Njengomthetho ojwayelekile, noma yimuphi umkhiqizo ohambisanayo kufanele usetshenziswe kuphela ngaphansi kweseluleko sezilwane futhi akufanele neze uthathe indawo yokwelashwa okunqunyiwe.
Ukuvimbela, ukulandelela kanye nesikhathi sokufuna ukwelashwa okuphuthumayo
- Yenza ukuhlolwa ngezikhathi ezithile futhi uphathe noma yimiphi imithi yesikhathi eside ngokucophelela.
- Nciphisa ukucindezeleka, umnikelo ukudla okunomsoco nokwelapha izifo ezihambisana nazo kusenesikhathi.
- I-Las iphindela emuva kungenzeka; udokotela wakho wezilwane angakuyalela ukuhlolwa nokulungiswa kokudla kanye nemithi.
- Hamba ngokushesha uma ubona ukuhlanza igazi, indle emnyama, izinsini eziphaphathekile, ubuthakathaka obuphawulekayo, ubuhlungu obukhulu besisu noma ukuhlanza okuphindaphindiwe.
Nakuba izilonda zesisu zingaba zimbi kakhulu, ukutholakala kusenesikhathi , ukwelashwa okuqondiswe embangela eyinhloko , kanye nokuphathwa kahle kokudla kuvumela amakati amaningi ukuba alulame futhi alondoloze izinga elihle lokuphila ngokulandelana okufanele.
