Momwe Mimba Imakhalira Pakati pa Ulonda-Kuchititsa Mabakiteriya
Odwala amafotokoza chilonda ngati kutentha, kupweteka, kugunda, kapena kupweteka m'mimba komwe kumabwera mafunde, kwa masiku atatu kapena anai panthawi, koma amatha kugonjetsa kwathunthu kwa masabata kapena miyezi. Ululu ndi woipitsitsa pamaso pa chakudya komanso nthawi yogona pamene m'mimba mulibe kanthu. Ulonda wokhawo ndi ululu wotseguka m'mimba ya m'mimba (chapamimba chilonda) kapena pamtunda wa m'mimba, kapena duodenum (duodenal ulcer).
Mitundu yonseyi imatchedwanso zilonda zam'mimba .
Mimba ya Acidic: Kukhazikitsa Gawo la Ulcers
Mimba ndi gawo lotetezeka kwambiri la thupi, ndikuyika siteji yonse kukula kwa chilonda ndi matenda. Mitundu itatu ya maselo imatulutsa zitsulo za madzi a m'mimba: maselo osungunula m'mimba, maselo akuluakulu omwe amamasula mavitamini a m'mimba, komanso maselo a parietal omwe amachititsa hydrochloric acid . Selo-secreting cells imatulutsanso mbiri ya histamine, yomwe imapangitsa maselo achilendo kutulutsa asidi. Mimba imafuna chilengedwe cha asidi cha mavitamini a m'mimba a pepsin kuti awononge mapuloteni mu zakudya.
Acidity imayesedwa pogwiritsa ntchito pH. PH yandale si acid kapena ayi - ili ndi mtengo wa 7; zida zosakwana 7, ndi zitsulo (zomwe zimatchedwanso zamchere) zimaposa 7. Madzi ambiri a thupi, kuphatikizapo magazi, misonzi, madzi a pancreatic, ndi bile, ali pa 7 mpaka 8 pH. Madzi a m'mimba, mosiyana, ali ndi pH ya 1.6 mpaka 1.8.
Ndizosavuta kwambiri kuposa madzi a mandimu, zakumwa za cola, ndi khofi. Chilengedwe cha m'mimba mwachinyama sichimavuta kwambiri kuposa mmimba, koma chifukwa chimalandira chisakanizo cha zakudya zamkati zomwe zimadya kuchokera m'mimba, zimatha kudwala zilonda.
M'mimba mwake, mkati mwake, imatetezedwa kuti isadye.
Mucosa imaphatikizapo kuika maselo, mawonekedwe ogwirizana, ndi minofu. Chilonda chimapweteka pamene chimalowa mkati mwa mucosa kupita kumtundu wa submucosa, womwe uli ndi mitsempha ndi mitsempha ya mitsempha.
Ulonda-Zimayambitsa mabakiteriya
Mtundu wa churning goop wosamveka sungakhale malo ochereza a tizilombo toyambitsa matenda, koma mtundu umene umayambitsa zilonda zam'mimba ( H. pylori ) zimakula pansi pH chilengedwe. Dokotala Gallo-Torres anati: "Iwo ali ndi mitundu yosiyanasiyana yotchedwa flagella imene imawalola kudutsa m'mimba wosanjikiza m'mimba, kumene pH imakhala yolekerera." Kuchotsa mabakiteriya ameneĊµa si kophweka. Mankhwala oletsa tizilombo toyambitsa matenda ayenera kupha mabakiteriya, komabe tizilombo toyambitsa matenda.
Ochita kafukufuku samadziwa kuti anthu amapeza bwanji mabakiteriya. Komabe, kufalitsa kwa munthu payekha kumakhulupirira kuti ndi njira yabwino kwambiri m'mayiko otukuka. M'mayiko otukuka, kutengeka kwa mimba kungakhale ndi gawo lofunika kwambiri, mofanana ndi momwe munthu amagwiririra kolera komanso matenda a chiwindi.
Kuchiza Ulcers, Ndiye ndi Tsopano
Chakumayambiriro kwa zaka za zana la 20, mankhwala a chilonda anali kupuma pa bedi ndi zakudya zowonongeka, kuchipatala ngati wodwalayo angakhoze kuchipeza. Antacids anawonjezeredwa kuchipatala pamene ochita kafukufuku anapeza kuti odwala zilonda amapanga mchere wambiri.
Pofika m'chaka cha 1971, malo otetezedwa a asidi anali otchuka - maselo a histamine (H2) pa maselo a parietal.
Pamene histamine imamanga mapulogalamu oterewa, chiwerengero cha asidi chikuwonjezeka. Mankhwala ovomerezeka anayi - Zantac (ranitidine), Tagamet (cimetidine), Pepcid (famotidine), ndi Axid (nizatidine) - amaletsa H2 receptors, kutsegula chizindikiro kuti secrete asidi. Mtundu wachiwiri wa mankhwala osokoneza bongo, wotchedwa acid-kapena proton-pump inhibitor, amagwira ntchito mosiyana ndi chimbudzi, kutseka maselo a parietal kuti atulutse asidi. Prilosec (omeprazole) ndi yekhayo acid-pump inhibitor omwe amavomereza ku United States panthawiyi kuti athe kuchiza zilonda.
Vuto la mankhwala omwe alipo alipo ndikuti amatha kusintha zizindikiro; chilonda chikhoza kubwerera. Ndi chifukwa chake maantibayotiki ndiwo mzere woyamba wotetezera zilonda zam'mimba. Ngati mabakiteriya omwe amachititsa zilonda zina zichotsedwe, komabe, chiwopsezo cha zilonda zakutchire chimakhala chocheperapo chifukwa vuto limayambitsidwa.
Chitsime:
> Matenda a National Digestive Clevehouse Clearinghouse (NDDIC) Kodi Ndiyenera Kudziwa Chiyani Zokhudza Ululu Wopanda Peptic? NIH Publication No. 11-5042 - Kusinthidwa Oct 2012.