Vuto lachipatala lomwe nthawi zambiri limadwala matenda a mtima ndi matenda a zilonda zam'mimba . Zilonda zam'mimba nthawi zambiri zimabala zizindikiro zomwe zingakhale zovuta kusiyanitsa ndi angina , kapena zizindikiro za matenda a mtima .
Kodi Matenda a Ulcer a Peptic N'chiyani?
Mu chilonda cha zilonda zam'mimba, zilonda zam'mimba kapena zilonda zimapangidwira m'mimba, kapena kuti duodenum (yomwe ndi gawo loyamba la matumbo).
Zilondazi nthawi zambiri zimakhala zopweteka kwambiri. Kawirikawiri, kupweteka kwa matenda a zilonda zam'mimba kumawoneka ngati ululu m'mimba - nthawi zambiri, kupweteka m'mimba - koma nthawi zina kumayambitsa kupweteka pachifuwa.
Zizindikiro za Ululu Wochokera ku Matenda a Ululu wa Peptic
Ululu wopangidwa ndi zilonda zam'mimba zimatchulidwa kuti ndikutentha kapena kugunda. Nthawi zambiri amamasuka akamadya chakudya, ndipo nthawi zambiri amamwa mowa kwambiri, amasuta fodya kapena amamwa tiyi. Zikhoza kutsatidwa ndi zizindikiro zowonongeka, mpweya, kunyoza ndi kusanza. Kutentha kwapakhosi kumakhalanso kofala kwa anthu omwe ali ndi matenda a zilonda zam'mimba.
Zimayambitsa Matenda a Peptic Ulcer
Zilonda zamtundu zingathe kuchitika pamene ntchentche yomwe imateteza chigawo chakumtunda kwachepa, kapena ngati kupweteka kwa mimba kumachepa. Zinthu zomwe zimabweretsa zilonda zam'mimba zimapezeka kwambiri mwa anthu omwe mathirakiti a m'mimba amawongolera ndi mabakiteriya a Helicobacter pylori .
Komanso, ogwiritsira ntchito nthawi zonse kupweteka kwa NSAID ali ndi chiopsezo chowonjezereka cha zilonda zam'mimba.
Matenda a Peptic Ulcer vs. Angina - Kuunika
Kawirikawiri sizingakhale zovuta kwa dokotala kuti azindikire kupweteka kwa chifuwa choyambitsa matenda a zilonda zam'mimba kuchokera ku angina chifukwa cha matenda a mitsempha yambiri (CAD) .
Zizindikiro za mitundu iwiri ya ululu nthawi zambiri zimasiyana. Kupweteka kwa ululu wa Peptic sikunapangidwe ndi masewera olimbitsa thupi komanso kumasulidwa ndi kupumula, ndipo ululu wopweteka womwe ukuphatikizidwa ndi kupweteka ndi kusuta ndi kosiyana kwambiri ndi momwe angina amachitira.
Komabe, chifukwa nthawi zina angina yokha akhoza kukhala ndi zochitika zowonongeka kwambiri, zingakhale zofunikira kupanga mayeso ovomerezeka kuti atsimikizidwe.
Endoscopy (kuyesa thirakiti la GI ndi chidziwitso chapadera) ndi njira yokondweretsera matenda a zilonda zam'mimba, makamaka kwa anthu omwe ali ndi umboni wakupha magazi kapena ali ndi zizindikiro zoopsa. Kuyesera kukhalapo kwa Helicobacter pylori kungathandizenso. Zida zam'mimba zam'mimba zimatonthozedwa.
Ngati dokotala akudandaula za kuthekera kwa CAD, mayesero otha kupanikizika angakhale othandiza posiyanitsa mavuto awiriwa.
Kuchiza kwa matenda a Peptic Ulcer
Kuchiza matenda achilonda nthawi zambiri kumaphatikizapo:
- Maantibayotiki kuti athetse mabakiteriya a Helicobacter pylori. Maphunziro a milungu iwiri yogwiritsira ntchito mankhwala ophera tizilombo nthawi zambiri amagwiritsidwa ntchito.
- Mankhwala osokoneza bongo kuti athetse mimba ya asidi. Izi nthawi zambiri zimaphatikizapo proton pump inhibitors monga omeprazole (Prilosec), ndi histamine (H2) ngati block ranitidine (Zantac).
- Antacids kuti achepetse mimba ya asidi.
Nthawi zambiri chilonda cha m'mimba sichidzachiritsidwa ndi zowonongeka, ndipo opaleshoni iyenera kuganiziridwa. Komabe, ndi mankhwala omwe apangidwa kwa zaka makumi angapo apitayo, kufunika kochita opaleshoni ya matenda a zilonda zam'mimba tsopano sikunali kozolowereka kuposa kale.
> Zotsatira:
> Barkun A, Leontiadis G. Kukambitsirana Kwachidziwitso kwa Chizindikiro Kulemedwa, Moyo Wopweteka Kuwonongeka ndi Ndalama Zogwirizana ndi Peptic Ulcer Matenda. Am J Med 2010; 123: 358.
> Gururatsakul M, Holloway RH, Talley NJ, Holtmann GJ. Kusakanikirana Pakati pa Zochitika Zamakono zachipatala Zowoneka zovuta komanso zosavuta za Ulcer Peptic ndi Visceral Sensory Dys functionction. J Gastroenterol Hepatol 2010; 25: 1162.