Zizindikiro, Kuzindikira ndi Chithandizo
Madokotala ena amakhulupirira kuti ana sakhala ndi zilonda zam'mimba . Umboni wosiyana ndiwu umanena kuti ana angathe kupeza zilonda zam'mimba.
Malingaliro otchuka omwe amapezeka kuti zilonda zam'mimba zimayamba chifukwa chokhala ndi nkhawa yambiri kapena nthawi zambiri kudya zakudya zonunkhira. Komabe, panopa akatswiri ambiri amavomereza kuti mabakiteriya otchedwa Helicobacter pylori ( H. pylori ) ndiwo amene amachititsa kuti zilonda zam'mimba zikhale zazikulu.
Pomwe maphunziro ndi zochitika zatsimikiziranso kuti ana angakhalenso ndi zilonda zam'mimba, zinapezeka kuti, mosiyana ndi zilonda zomwe zimachitika mwa akuluakulu, H. pylori sanali amene amachititsa nthawi zambiri zilonda zam'nyamata. Madokotala ena amasiyanitsa pakati pa zilonda zam'thupi , zomwe zimagwirizanitsa ndi matenda a H. pylori , ndi zilonda za m'mimba , zomwe zimachokera ku zifukwa zina ndipo zimawoneka ngati njira yowonongeka ya chilonda kuti ikhale ndi ana.
Zochitika zina zachipatala zingathandizire kuti chitukuko cha zilonda zakuthupi chikhalepo kwa ana. Mwachitsanzo, ana omwe amawotcha kwambiri angathe kukhala ndi zilonda zam'mimba zomwe zimapangitsa kuti azivutika. Kugwiritsiridwa ntchito kwa mankhwala osagwiritsidwa ntchito ndi anti-inflammatory drugs (NSAIDs ), monga aspirin, ibuprofen, ndi sodium naproxen, kungachititse kuti mimba ikhale yotetezeka ku zotsatira zoopsa za asidi ndi pepsin ndipo zingathandizire kukula kwa zilonda zam'mimba.
Zizindikiro ndi Zizindikiro za Ulcers Ana
Zizindikiro zotsatirazi ndizofala ndi matenda ena ambiri aubwana; osati zilonda zonse.
Ngati mwana wanu akukumana ndi zizindikirozi, lankhulani ndi dokotala wanu kuti mudziwe bwinobwino.
- Kupsya mtima m'mimba pakati pa mfupa ndi batani
- Nausea
- Kuthamanga
- Kudyetsa mavuto
- Kutaya njala
- Kutaya thupi
- Magazi mu masanzi kapena kusuntha
Mmene Ulcers Amadziwira
Chipangizo chapamwamba chotchedwa restoscopy ndi barium x-ray ndi mayesero awiri omwe amagwiritsidwa ntchito kwambiri kuti apeze zilonda zam'mimba.
M'chipinda chapamwamba chotchedwa endoscopy , dokotala amagwiritsa ntchito mapeto osinkhasinkha kuti aone ngati m'mimba mwake muli mimba, m'mimba, ndi duodenum - gawo loyamba la matumbo aang'ono. Endoscope imalola dokotala kuti awone makoma ndi minofu ya kapamwamba kakang'ono kakudya, ndipo amatha kupeza matenda kuchokera kumeneko.
A Barium X-ray yomwe imatchedwanso "Barium swallow" kapena "GI series", imakhala yochepa kwambiri. Mudzayenera kumwa madzi obiriwira omwe ali ndi mankhwalawa. The barium amavala makoma a m'mimba ndi m'mimba, ndipo amawonekera kudzera X-ray. Dokotala akhoza kupeza zilonda zam'mimba, zizindikiro za hiatal, zokopa ndi zina zosavuta pokhapokha poyang'ana x-ray.
Ngati chilonda chipezeka, adokotala ayesa H. H. Pylori . Ngakhale H. pylori kawirikawiri si chifukwa cha zilonda m'mabanja, amayenera kuwonedwa ngati chifukwa, chifukwa chithandizo cha chilonda chopangidwa ndi H. pylori n'chosiyana ndi chithandizo cha chilonda choyambitsa matendawa.
Kuchiza Ululu M'mabanja
Ngati chilondacho ndi H. pylori -chigwirizanitsa, adokotala amapereka mankhwala oletsa tizilombo toyambitsa matenda. Maantibayotiki awa amafunika kutengedwa monga momwe akutsogoleredwa ndi dokotala wa mwana wanu. Mofanana ndi ma antibayotiki onse, muyenera kumaliza mankhwala, ngakhale kuti zizindikiro zimatha msanga.
Ngati chilonda ndi mankhwala okhudza mankhwala, dokotala wa mwanayo akukulangizani kuti musapatse mwana wanu NSAIDs, monga ibuprofen kapena aspirin, kapena mankhwala aliwonse omwe ali ndi ibuprofen kapena aspirin. Dokotala angapereke mankhwala ochepetsa kuchepetsa asidi. Izi ziyenera kuperekedwa malinga ndi momwe adanenera.
Madokotala ambiri sadzalangize zakudya zina zazikulu pokhapokha ngati zakudya zina zimadziwika kuti zimayambitsa mavuto kwa mwanayo. Komabe pali zakudya zina zomwe zimapangitsa kuti asidi apite m'mimba ndipo amatha kupangitsa chilonda kukhala choipa kwambiri. Izi zikuphatikizapo zakudya ndi zakumwa zilizonse zomwe zili ndi caffeine, monga zakumwa zofewa ndi chokoleti.
Zovuta za Ululu ndi Mavuto Odzidzimutsa
Itanani dokotala mwamsanga ngati mwana wanu akukumana ndi zizindikiro izi:
- Kupweteka mwadzidzidzi m'mimba
- Magazi m'matumbo (zozizwitsa zomwe zimawoneka zakuda kapena zimakhala)
- Magazi mu masanzi
- Vomit yomwe ikuwoneka ngati malo a khofi
Zizindikiro izi zingasonyeze mavuto aakulu otsatirawa:
- Kulimbitsa thupi: Chilonda chimakhala chakuya kwambiri komanso chimathyola m'mimba kapena kumadzulo.
- Kudumpha: Mimba yamchere kapena chilonda chimathyola chotengera cha magazi.
- Kuwonongedwa: Chilonda chimatseka chakudya chimene sichidutsa m'mimba.
Zilonda m'mabanja zingakhale zovuta kwa makolo ndi mwana, koma ndi mankhwala oyenera komanso oyenera, pafupifupi zilonda zonse zikhoza kuchiritsidwa.
> Zotsatira:
> Mohammad Issa El Mouzan ndi Asaad Mohammad Abdullah, "Matenda a Peptic Ulcer kwa Ana ndi Achinyamata." Oxford University.
> "Zilonda za m'mimba ndi zam'mimba (Peptic Ulcers)." 2004 50 (6): 328-330; do: 10.1093 / tropej / 50.6.328. Journal of Matenda a Tropical - Matenda a Ana a Hospital Boston - Harvard Medical School.
> William D. Chey, MD, FACG, AGAF, FACP, Benjamin CY Wong, MD, Ph.D., FACG, FACP, "American College of Gastroenterology Guideline pa Utsogoleri wa Helicobacter pylori Infection." lembani: 10.1111 / j.1572-0241.2007.01393.x. American College of Gastroenterology.