Chilonda chachikulu - kumaliseche

Zilonda zam'mimba ndi zilonda zotseguka kapena zobiriwira mkatikati mwa m'mimba (chapamimba chilonda) kapena kumtunda kwamatumbo ang'ono (duodenal ulcer). Nkhaniyi ikufotokoza momwe mungadzisamalire mutachiritsidwa ndi omwe amakuthandizani ndi izi.

Muli ndi matenda a zilonda zam'mimba (PUD). Muyenera kuti munayesedwapo kuti mupeze zilonda zanu. Chimodzi mwayeserochi mwina ndikuti mufufuze mabakiteriya m'mimba mwanu otchedwa Helicobacter pylori (H pylori). Matendawa amayamba chifukwa cha zilonda zam'mimba.

Zilonda zamatenda ambiri zimachira mkati mwa milungu 4 mpaka 6 mankhwala atayamba. Musasiye kumwa mankhwala omwe mwapatsidwa, ngakhale zizindikiro zitatha msanga.

Anthu omwe ali ndi PUD ayenera kudya chakudya chopatsa thanzi.

Sizothandiza kudya pafupipafupi kapena kuwonjezera kuchuluka kwa mkaka ndi mkaka womwe mumadya. Kusintha kumeneku kumatha kubweretsa asidi m'mimba.

• Pewani zakudya ndi zakumwa zomwe zimakusowetsani mtendere. Kwa anthu ambiri izi zimaphatikizapo mowa, khofi, soda ya caffeine, zakudya zamafuta, chokoleti, ndi zakudya zonunkhira.
• Pewani kudya zokhwasula-khwasula usiku.

Zinthu zina zomwe mungachite kuti muchepetse matenda anu ndikuthandizira machiritso ndi awa:

• Mukasuta kapena kutafuna fodya, yesetsani kusiya. Fodya ichepetsa kuchepa kwa zilonda zanu ndikupangitsa kuti chilondacho chibwerere. Lankhulani ndi dokotala wanu za kupeza thandizo losiya kusuta.
• Yesetsani kuchepetsa kupsinjika kwanu ndikuphunzira njira zothanirana ndi kupsinjika.

Pewani mankhwala monga aspirin, ibuprofen (Advil, Motrin), kapena naproxen (Aleve, Naprosyn). Tengani acetaminophen (Tylenol) kuti muchepetse ululu. Imwani mankhwala onse ndi madzi ambiri.

Chithandizo chokhazikika cha zilonda zam'mimba ndi H pylori Matendawa amagwiritsidwa ntchito kuphatikiza mankhwala omwe mumamwa kwa masiku 5 mpaka 14.

• Anthu ambiri amatenga mitundu iwiri ya maantibayotiki ndi proton pump inhibitor (PPI).
• Mankhwalawa amatha kuyambitsa nseru, kutsegula m'mimba, ndi zovuta zina. Osangoreka kuzitenga osalankhula ndi omwe akukuthandizani kaye.

Ngati muli ndi chilonda chopanda H pylori Matenda, kapena omwe amayamba chifukwa cha kumwa ma aspirin kapena ma NSAID, mungafunike kutenga proton pump inhibitor kwamasabata asanu ndi atatu.

Kutenga maantacid ngati pakufunika pakudya, kenako pogona, kungathandizenso kuchira. Funsani omwe amakupatsani mwayi wokhudza kumwa mankhwalawa.

Lankhulani ndi omwe amakupatsirani zamankhwala anu ngati zilonda zanu zimayambitsidwa ndi aspirin, ibuprofen, kapena ma NSAID ena. Mutha kumwa mankhwala ena otsutsa-kutupa. Kapena, omwe amakupatsani mwayi atha kukutengani mankhwala otchedwa misoprostol kapena PPI kuti mupewe zilonda zamtsogolo.

Mukhala ndi maulendo obwereza kuti muone m'mene zilonda zanu zilili makamaka ngati chilondacho chinali m'mimba.

Wothandizira anu angafune kupanga endoscopy yapamwamba mutalandira chithandizo ngati chilondacho chinali m'mimba mwanu. Izi ndikuwonetsetsa kuti machiritso achitika ndipo palibe zisonyezo za khansa.

Muyeneranso kuyesa kutsata kuti muwone ngati H pylori mabakiteriya apita. Muyenera kudikirira osachepera masabata awiri mutatha mankhwala kuti muyesenso. Zotsatira za mayeso isanafike nthawiyo mwina sizingakhale zolondola.

Pezani chithandizo chamankhwala nthawi yomweyo ngati:

• Khalani ululu wam'mimba mwadzidzidzi
• Khalani ndi mimba yolimba, yolimba yomwe imakhudza kukhudza
• Khalani ndi zizindikiro zakukhumudwa, monga kukomoka, kuchita thukuta kwambiri, kapena kusokonezeka
• Muzisanza magazi
• Onani magazi mu mpando wanu (maroon, mdima, kapena malo akuda obisika)

Itanani omwe akukuthandizani ngati:

• Mumamva chizungulire kapena wopepuka
• Muli ndi zilonda zam'mimba
• Mumamva kukhala okhuta mutadya pang'ono
• Mumakhala ndi kutaya mwangozi
• Mukusanza
• Umataya njala

Zilonda - peptic - kumaliseche; Chilonda - mmatumbo - kumaliseche; Chilonda - chapamimba - kumaliseche; Chilonda cha mmatumbo - kumaliseche; Chilonda cham'mimba - kutulutsa; Dyspepsia - chilonda - kutulutsa; Zilonda zam'mimba zam'mimba

(Adasankhidwa) Chan FKL, Lau JYW. Matenda a zilonda zam'mimba. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 53.

Kuipers EJ, Blaser MJ. Matenda a peptic. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 139.

Vincent K. Gastritis ndi matenda a zilonda zam'mimba. Mu: Kellerman RD, Rakel DP, olemba., Eds. Therapy Yamakono ya Conn 2019. Philadelphia, PA: Elsevier 2019: 204-208.