Isilonda sesisu sino-14% sobemi behlabathi. Phakathi kwabagulayo banako ukufumana amadoda angama-20-50 ubudala. Inkambo yeziganeko ezingapheliyo, ezibonakalayo ziyimpawu ekwindla nakumaxesha entwasahlobo. Ukungabi nonyango kuya kukhawuleza ukuqhubela phambili kwesilonda, esinokuphumela ekufeni.
Isilonda sesisu sesibangela
Esi sifo sikhula ngenxa yezi zinto ezilandelayo:
- I-Helicobacter pylori - ngenxa yebhaktiriya ukuya kwi-75% yeziganeko zokuqala kwesi sifo. Ityhefu ngeemveliso zento ebalulekileyo yodonga lombutho, emva koko isilonda sesisu siphula. Usulelo lwe-Infection luba ngumthi, ukutya, izinto eziqhelekileyo zendlu, kwi-utero.
- Imithi (izidakamizwa ezingenayo i-steroidal ukuvuvukala) yi-aspirin, ibuprofen, i-indomethacin. Umngcipheko ukwanda xa uneminyaka engaphezu kweminyaka engama-65, iindleko ezinkulu zamachiza, ukungeniswa kwamanye amayeza kunye namayeza omzimba ngamnye, ukuphaphaka kwephepha lomzimba. Ezi zi yobisi ezinobungozi begazi kunye ne-potassium ziyingozi.
- Isiphumo sezinye iingxaki - isifo sikashukela, i-oncology yemiphunga, iingxaki zesisu, i-syphilis.
- Umonakalo wangaphakathi - i-sepsis, iimeko zokutshatyalaliswa, ukuxhatshazwa komzimba, ukushisa okubandayo okanye okuqhelekileyo.
- I-Genetics - amathuba okuphuhlisa isifo siphezulu xa ikhona kwizihlobo ezifutshane. Kwaye izibalo ziqinisekisa ukuba isilonda esiswini sinama-40% amathuba okuba afakwe kubantu abakwiqela lokuqala legazi.
- Ukuxinezeleka, imikhwa emibi, ukutya okunokulinganisela. Kwinqanaba elithile, kwanokusetyenziswa kakubi kwekhofi kunokususa le ngxaki.
Iingxaki zezilonda zesilonda
- Stenosis yomgcini wesango. Isebe lokutya liyancipha, ukutya kudlula. Ngefomu yokuqala kukho ibhande kunye nobunzima kule ndawo. Isigaba sokugqibela sikhombisa ukuhlanza ngokukhawuleza emva kokungcinywa, ukulahleka kwesisindo, ukunyuka kwamanzi, ukuguquka kwemisipha. Isisu asinakuphuthelwa nayiphi na into emathunjini ngenxa yokunciphisa kokugqibela.
- Ukugqithiswa. Isilonda sesisu siphumela kwimbonakalo yodonga eludongeni, apho iziqulatho zomzimba zityhumela ngaphandle. Isiphumo sibuhlungu kunye ne-peritonitis.
- Ukuhlamba. Ubungakanani bomphumo obulalayo buphezulu. Kukhona ukuhlanza, ukulinda, isitulo esimnyama, ukuwa kweengcinezelo, ukuphefumula okufutshane, ukujuluka okukhulu, kunye nokuhluleka kwentliziyo.
- Ukungena. Indawo yegobolondo eyonakalisiweyo yesisu iqhutywe lilungu elikulo - i-pancreas, intumbo, i-gall bladder, isibindi. I-asidi iqala ukuguqula eli lilungu, elikhokelela ekuphazamiseni umsebenzi walo.
- Ukunyaniseka. Ukugcinwa kwi-3% yamatyala, kuthetha ukutshabalaliswa ngumhlaza. Oku kulungelelaniswa nemfundo ye-calle. Ngolu tshintsho, umntu uqala ukunciphisa umzimba, ulahlekelwa ngumdla, ukuhlanza rhoqo kunye nomkhuhlane.
Isilonda esiswini - iimpawu kunye nokubonakaliswa
Ukuba ukrokreza isifo, kufuneka uhambe ngokukhawuleza ugqirha, ukuxilongwa ngokufanelekileyo ngexesha eliza kuyenza ngonyango. Kwi-25-28% yamatyala, iimpawu zesilonda zesisu azizenzekanga, ziyaziwa ngesifo sifana kuphela kwinkqubo yokuzimela. Ngenxa yoko, kuyinqweneleka ukuba uviwo oluqhelekileyo ukuba kukho ingozi eyongeziweyo yokuphuhliswa kwengxaki kule nxalenye yomzimba.
Iimpawu zesilonda esisisu - iimpawu zokuqala
- Ubuhlungu kwisibilini esingaphezulu. Iyabonwa kwi-75% yezigulane, zinokuba namandla ahlukeneyo. Ngamanye amaxesha uvakalelo luya kukhanya emva kokusela utywala, ukungena kokutya okutyikiweyo, ngokuzikhandla okanye ukuphuka ixesha elide phakathi kokutya.
- Ukuguquka. Ngokuqhelekileyo ixhaswa ngeempawu zesilonda zesisu ekuqaleni. Iqala ngenxa yomsindo we-esophagus nge-asidi. Iyenzeka kwi-80% yamatyala, ivela kwi-1-2 iiyure emva kokutya.
- Ukuphuculwa kwegesi.
- Isihlunu, ngezinye izihlanza. Kubonakala ngenxa yokuphulwa komzimba womzimba, uqala iiyure eziyi-1.5-2 emva kokutya. Uhamba kunye nokukhululwa kwesisu, okuphazamisa ukuhlanza okuzenzekelayo.
- Ukutya kokutya. Ukuba isigulane sinesilonda sesisu, iimpawu zokuqala zihamba kunye nokuziphatha okunjalo. Kuchazwa ngoloyiko lokufumana intlungu okanye iingxaki ezintsha nge-motility yesigca esiswini.
- Ukuva ubunzima emva kokutya.
- Ukuqhayisa ngesantya esibuhlungu okanye esibuhlungu.
- Ukuzijonga ngokukhawuleza.
- Iingxaki kwi-stool. Isilonda sesisu sesibangele ukumbomboza, isifo sohudo sibangela ubuncinane.
- Ingubo ebomvu ngolwimi.
- Intlungu yendawo ye-epigastric ngexesha lokubamba.
Ukuhlaselwa kwezilonda zesisu - iimpawu
- Intlungu ebuhlungu.
- Ukuxhatshazwa kwemisipha kule ndawo.
- Ukuvutha.
- Ukutyunjwa.
- Ukukhupha okukhulu.
- Isisindo, ubunzima.
Ubuhlungu xa kwenzeka isilonda esiswini ngexesha lokugqithisa kunokubangelwa ngu:
- isimo sezulu sitshintsha;
- ukusetyenziswa kotywala obunxilisayo;
- ukungayihoyi imenyu ekhuthazwayo yesilonda sesisu;
- kutywala;
- ukutshaya;
- ukwandiswa komzimba.
Ukugqitywa kwezilonda zesisu - iimpawu
Esi sifo sisongela ubomi ngenxa yokuphuhliswa kwe- peritonitis , efuna ukungenelela kwangangoko. Isilonda esiswini seesisu kunye ne-duodenum, iimpawu zazo ezibonakaliswa ngokuphawulekayo, zivela rhoqo kumadoda, abafazi bakhuselwa yi-estrogens ezithintela umsebenzi wokubhala. Ukubuyela kwakhona kuvela kwi-6% yamatyala. Kukho amaxesha amathathu okwangoku, nganye inempawu zayo.
Amachiza. Ukulala iiyure ezingama-3-6:
- ubude, buhlungu;
- uxinzelelo lweesisu zomzimba; ukuphefumula ngokukhawuleza;
- ukuqokelela kweegesi.
Ibhaktheriya. Iqala iiyure ezingama-6 emva kokuba ingxaki ivele:
- lokushisa;
- ukwanda kwenani lentliziyo;
- ukubanjwa kwe-peristalsis;
- Ulwimi olomileyo ngeqhwaba;
- ukunciphisa intlungu kunye nesimo sovuyo.
Sharp. Ikhula emva kweeyure eziyi-12 emva kokuqala kwesi sifo, akunakwenzeka ukugcina isigulane:
- ukuhlanza okungaqinisekiyo;
- ukupheliswa kwamanzi;
- isikhumba esomileyo;
- mahluko o bushushu;
- u buqhetseba;
- ukuqokelela kweegesi kunye neelwelo;
- ukuphulwa komjikelo.
Indlela yokuphatha isilonda esiswini?
Ukusebenza kusetyenziswa kuphela kwifom ephezulu kunabo bonke, kwezinye iimeko iindlela zokwelapha zisetyenzisiweyo. Isifo sesilonda se-Peptic sidinga indlela edibeneyo, enye ikhambi ayiyikukuphelisa. Okokuqala, umsebenzi webhakteria ye-pathogenic uyasuswa, ke asebenze ekuhlaziyweni kwezilonda. Utyando lwezilonda zesisu lungadinga ukulawulwa kweziyobisi ukuphelisa imiphumo yoxinzelelo. Iyonke inkqubo yokubuyisela ithatha iiveki ezi-2-6, ngokuxhomekeka kubukhulu beengxaki.
Isilonda esiswini - unyango, iziyobisi
- Amachiza e-Antibacterial - Clarithromycin , i-Amoxicillin, iTetracycline.
- I-Gastroprotectors ngamachiza ezilonda zesisu ukukhusela nokubuyisela iimbumba zamanzi. Ventoksol, i-Kaved-s, i-Solkoseril, i-Biogastron.
- Iindlela zokufumana ukugqoka nokukhusela amabhaktheriya ekuvimbela i-Sucralfate ne-De-nol.
- Antacids - Kael, Almagel, Gastal, Maalox. Ukunciphisa intlungu, ukunciphisa u-asidi.
- Iproton pump blockers - Omeprazole, Nexium, Rabelok.
- I-Holinotics - iGastrotsepin kunye neMetacin. Ukunciphisa ubudibanisi, ukunciphisa intlungu kunye nomlomo owomileyo.
- Spasmolytics - Drotaverin, No-shpa. Nciphisa intlungu kunye ne-spasm yeendonga zesisu.
- Prokinetics - Itopride, Motilium. Khuthaza izakhono zezithuthi, thintela ukuxhamla kokutya esiswini.
- Iiprobiotics - IiNowks, eziBiform. Ngaba kuyimfuneko yokubuyiselwa kwe-microflora, ukuba unyango lwe-antibacterial lwesilonda esiswini sisetyenzisiweyo.
- I-Sedatives - Valocordin, Validol, i-Codeine iphosphate.
- I-Anti-depressants - Amitriptyline , i-Elenium, iTazepam.
Isilonda esiswini - unyango kunye nezilwanyana zabantu
- Ijusi lebhotile. Kufuneka uthabathe kathathu ihafu yeyure ngaphambi kokutya kwi-20 grams yeveki. Ngexesha leentsuku ezisixhenxe ezizayo, umthamo uphindwe kabini, okwesithathu-kathathu. Emva koko, de kube sekupheleni kwenyanga, kufuneka uphuze amagremu angama-100 ngexesha.
- Ukuxhamla kwe-plantain. Ukwelashwa kwezilwanyana zesilonda esiswini kuthetha ukutyiwa kweseyi kwimiqabunga eyomileyo yesityalo, abilisiwe ngamanzi abilayo (isipuni 1 ngeglasi).
Isisu esiswini
Akunjalo rhoqo unyango lunokwenzeka, ngamanye amaxesha unyango lwesilonda sesisu lufuneka luqhutywe. Oku kwenziwa kwimeko elandelayo:
- iqondo lesithathu le-stenosis;
- ukubonakala kweendlela ezimbi;
- isilonda esiswini esiswini;
- kuphuma.
Umsebenzi ungabelwa xa:
- ukungena;
- ukuguqulwa kwesisu ngesisindo somzimba;
- Isiganga sesibini se stenosis;
- akukho mpembelelo yonyango;
- rhoqo kwakhona;
- iifom.
Ukutya ngesisu sesisu
Esi sifo sidinga ukukhutshwa kweemveliso ezinonxungukisayo kunye nokubonelela ngokutya okungenani amahlanu ngosuku. Kufuneka kwakhona ukwazi ukuba ungadla ngesilonda esiswini:
- inyama ephantsi;
- i-porridge echotshoziweyo;
- iisobho ezivela kwilayisi, i-semolina, i-oats;
- amaqanda atyhidiweyo, amaqanda ahlambulukileyo;
- i-compress kunye ne-kisels;
- ubusi;
- ayinamafutha e-cottage shiese kunye nekhilimu.
Ukutya xa isilonda esiswini singabandakanyi:
- iimveliso zokutshaya;
- ukutya okunamafutha kunye okuthosiweyo;
- iimveliso zepuphu;
- utywala;
- utamatisi;
- imbotyi;
- i-gooseberry;
- iklabishi;
- imihla;
- isiti;
- izithelo ze citrus;
- ikhofi;
- izidibaniso ezicocekileyo;
- iisukisi;
- ukutya okusemgangathweni;
- icocoa;
- izilwanyana ezicebileyo.