6 Kusintha kwa moyo ndi Ulcer Chithandizo Chakuyenera Chimene Mukuyenera Kudziwa
Chilonda ndi zilonda kapena zilonda zomwe zimapanga m'mimba kapena m'mimba, yomwe ndi gawo loyamba la m'mimba. Ndi imodzi mwa matenda omwe amapezeka m'mimba ambiri omwe amadedwa ndi madokotala. Zikuganiziridwa kuti 5 mpaka 10 peresenti ya anthu onse adzalandira imodzi m'moyo wawo. Izi zikutanthawuza, ngati mutapeza nokha, dokotala wanu angakambirane ndi njira zotsatirazi.
Siyani Kusuta
Kusuta kwawonetsedwa kuti imachedwa kuchepetsa kuchiritsa kwa zilonda ndipo zakhala zikugwirizana ndi zilonda zobwezeretsa zilonda. Choncho, ngati mumasuta, muyenera kuyesetsa kusiya.
Sinthani Zakudya Zanu
Madokotala m'mbuyomo adalangiza anthu omwe ali ndi zilonda kuti azipewa zakudya zokometsera zonenepa, mafuta, ndi acidic. Komabe, tawonetsedwa kuti zakudya zopweteka ndizosafunikira kuti tipewe zilonda zam'mimba kapena kupewa. Izi sizikutanthauza kuti zakudya zopweteka ndi zoipa kwa odwala zilonda. Ndipotu, zingakupangitseni kuti mukhale bwino.
Kudya nthochi, mkate, ndi mpunga, sizingakuthandizeni mkhalidwe wanu nthawi yayitali. M'malo mwake, lembani zakudya zanu ndi zakudya zomwe zingakuthandizeni kuti mukhale ndi moyo wabwino. Mwachitsanzo, zakudya zomwe zimakhala ngati flavonoids kapena polyphenols zingakhale zotetezera kapepala ka GI.
Malinga ndi zomwe asayansi anafufuza m'nyuzipepala ya Journal of Pharmacy & Bioallied Sciences , zakudya zomwe zili ndi mankhwala a polyphhenolic monga quercetin-amapezeka m'maolivi, mphesa, yamatcheri amdima, ndi zipatso zakuda monga blueberries, blackberries, ndi bilberries-ndi sinamic acid -mafuta a mafuta, strawberries, ndi cranberries-amatha kuchepetsa ndi kuchepetsa zilonda zina.
Kuwonjezera pa yogurt, kefir, ndi zakudya zina zokazinga zomwe zimakhala ndi mabakiteriya amoyo omwe amatchedwa probiotics, zingathandize kuti matumbo azitha kuchiza zilonda zanu pomenyana ndi Helicobacter pylori (H. pylori) . Mabakiteriya amenewa ndi omwe amachititsa zilonda zam'mimba.
Kawirikawiri, zakudya zopatsa mavitamini ndi mchere zimathandiza thupi lanu.
Komabe, chifukwa cha zilonda zanu, zakudya zina zingakupangitseni mavuto ambiri kuposa ena. Zakudya zina zomwe zimadwalitsa zizindikiro za chilonda ndi khofi, mkaka, zakumwa zoledzeretsa, ndi zakudya zokazinga.
H2-Blockers
Izi ndi mankhwala osokoneza asidi omwe madokotala ambiri amachiza zilonda. Amachepetsa kuchuluka kwa asidi m'mimba imatulutsa poletsa mbiri ya histamine, yomwe imathandiza kuti asidi azikhala osakaniza. Amachepetsa ululu kwambiri pambuyo pa milungu ingapo.
Kwa masiku oyamba ochiritsira, madokotala amalimbikitsanso kutenga nthendayi kuti athetse ululu. Mankhwalawa amatha masabata asanu ndi limodzi kapena asanu ndi atatu. Zilonda zambiri zomwe zimapangitsidwa ndi H. pylori sizibwereranso pambuyo pochotsedwa. Komabe, kwa odwala ena, zilonda zawo zimabwerera, ndipo ziyenera kupitirizabe kuchiritsa kwa zaka zambiri. H2-blockers amagwiritsidwa ntchito pochizira zilonda zam'mimba ndi zam'thupi. Izi ndi:
Proton Pump Inhibitors (PPIs)
Proton pump inhibitors amachititsa kusintha kwa mimba kwa asidi mwakumangirira kwathunthu mwa kuletsa mmimba wa asidi pampu-sitepe yotsiriza ya kusungidwa kwa asidi. Prilosec (Omeprazole ) ndipo wakhala akugwiritsidwa ntchito pofuna kuchiza matenda a chilonda. Mankhwala ofanana, kuphatikizapo Prevacid (Iansoprazole ), angagwiritsidwe ntchito.
Mankhwala Oteteza Mucosal
Mankhwala oteteza mucosal amateteza mimba m'mimba mwa asidi, koma mankhwala owateteza amateteza kuti asiye m'mimba. Mmalo mwake, amateteza mimba m'mimba mwachisawawa kuwonongeka kwa asidi.
Maofesi awiri omwe amatchulidwa kuti:
- Carafate (Sucralfate): Mankhwalawa amamatira zilonda, zomwe zimapangitsa kuti chilondachi chichiritse komanso chimachepetsa kuwonongeka kwa m'mimba mwa asidi. Sucralfate imavomerezedwa kuti azitha kuchiritsidwa kwa nthawi yayitali ya zilonda za duodenal komanso mankhwala ochiritsira.
- Cytotec (Misoprostol): Iyi prostaglandin yokhala ndi thupi, yomwe imapangidwa ndi thupi, imateteza mimba m'mimba mwa kuwonjezeka kwa ntchentche ndi bicarbonate komanso kupititsa magazi m'mimba. Zimavomerezedwa kokha pofuna kupewa zilonda zamtundu wa NSAID.
Mankhwala awiri otetezedwa omwe si oyenera ndi awa:
- Antacids: Mankhwalawa amatha kupatsa kanthawi kochepa kupweteka kwa zilonda mwa kulepheretsa asidi m'mimba. Angakhalenso ndi chitetezo cha mucosal. Mitundu yambiri ya antacids imapezeka popanda mankhwala.
- Bismuth Subsalicylate: Bismuth subsalicylate ili ndi chitetezo komanso antibacterial motsutsana ndi H. pylori.
Maantibayotiki
Kutulukira kwa mgwirizano pakati pa zilonda ndi H. pylori kwachititsa njira yatsopano yothandizira. Tsopano, kuphatikizapo chithandizo chofuna kuchepetsa kupangika kwa m'mimba acid, madokotala angapereke mankhwala opha tizilombo kwa odwala H. pylori. Pochotsa H. pylori amatanthauza kuti chilonda chikhoza kuchiza ndipo sichidzabwerera.
Zotsatira:
Sumbul S, Ahmad MA, Mohd A, Mohd A. Udindo wa phenolic mankhwala mu peptic ulcer: Mwachidule. J Pharm Bioallied Sci. 2011 Jul; 3 (3): 361-7. do: 10.4103 / 0975-7406.84437.
Safavi M, Sabourian R, Foroumadi A. Kuchiza kwa matenda a Helicobacter pylori: Maganizo a pakali pano komanso amtsogolo. Mavuto a World J Clinic. 2016 Jan 16; 4 (1): 5-19. lembani: 10.12998 / wjcc.v4.i1.5