Peptic ulcer chirwere - kubuda

Peptic ulcer inzvimbo yakavhurika kana yakasviba munzvimbo yemudumbu (gastric ulcer) kana chikamu chepamusoro chemukati mudumbu (duodenal ulcer). Chinyorwa ichi chinotsanangura maitiro ekuzvitarisira iwe mushure mekurapwa nemupi wako wezvehutano weichi chiitiko.

Iwe une peptic ulcer chirwere (PUD). Unogona kunge wakave nemiedzo yekubatsira kuongorora urikanwi hwako. Imwe yeiyi bvunzo inogona kunge yaive yekutsvaga mabhakitiriya mudumbu mako anonzi Helicobacter pylori (H pylori). Rudzi urwu rwehutachiona chikonzero chinowanzoitika chemaronda.

Mazhinji maronda eronda anopora mukati memasvondo mana kusvika matanhatu mushure mekutanga kurapwa. Usamire kutora mishonga yawakarairwa, kunyangwe zviratidzo zvikapera nekukurumidza.

Vanhu vane PUD vanofanirwa kudya zvine hutano zvine hutano kudya.

Izvo hazvibatsire kudya kakawanda kana kuwedzera huwandu hwemukaka uye zvigadzirwa zvemukaka zvaunodya. Shanduko idzi dzinogona kutokonzeresa mudumbu acid.

• Dzivisa zvekudya uye zvinwiwa zvinokugumburisa. Kune vanhu vazhinji izvi zvinosanganisira doro, kofi, caffeine soda, chikafu chine mafuta, chokoreti, uye chikafu chinonaka.
• Dzivisa kudya pakati pehusiku tudyo.

Zvimwe zvinhu zvaunogona kuita kurerutsa zviratidzo zvako uye kubatsira kuporesa zvinosanganisira:

• Ukasvuta kana kutsenga fodya, edza kurega. Fodya inononoka kupora kwechironda chako uye inowedzera mukana wekuti ronda racho ridzoke. Taura nachiremba wako nezve kuwana rubatsiro rwekurega kushandisa fodya.
• Edza kudzikisira kushushikana kwako uye dzidza nzira dzekugadzirisa zvirinani kushushikana.

Dzivisa zvinodhaka zvakadai saaspirin, ibuprofen (Advil, Motrin), kana naproxen (Aleve, Naprosyn). Tora acetaminophen (Tylenol) kubvisa marwadzo. Tora mishonga yese ine mvura yakawanda.

Iyo yakajairwa kurapwa kwechironda peptic uye H pylori hutachiona hunoshandisa musanganiswa wemishonga yaunotora kwemazuva mashanu kusvika gumi nemana.

• Vanhu vazhinji vanotora mhando mbiri dzemishonga inorwisa mabhakitiriya uye proton pump inhibitor (PPI).
• Iyi mishonga inogona kukonzera kusvotwa, manyoka, uye mimwe mhedzisiro. Usangorega kuzvitora usati wataura nemupi wako kutanga.

Kana iwe uine ulcer isina iyo H pylori hutachiona, kana iyo inokonzerwa nekutora maaspirin kana maNSAID, iwe ungangoda kutora proton pombi inhibitor kwemavhiki masere.

Kutora maantacid sezvinodiwa pakati pekudya, uyezve panguva yekurara, zvinogona kubatsira kupora zvakare. Kumbira mupiki wako nezve kutora mishonga iyi.

Taura nemupi wako nezve yako sarudzo yemushonga kana chironda chako chakakonzerwa neaspirin, ibuprofen, kana mamwe maNSAID. Iwe unogona kukwanisa kutora akasiyana anti-anogumbura mushonga. Kana, mupi wako anogona kuti iwe utore mushonga unonzi misoprostol kana PPI kudzivirira maronda emangwana.

Uchave uine kwekutevera-kushanya kuti uone maronda ako ari kupora kunyanya kana iyo ulcer yaive mudumbu.

Wako mupi angangoda kuita yekumusoro endoscopy mushure mekurapwa kana ulcer yaive mudumbu rako. Izvi ndezvekuona kuti kupora kwaitika uye hapana zviratidzo zvecancer.

Iwe zvakare uchada yekutevera-kuyedza kuti uone kuti iyo H pylori mabhakitiriya aenda. Iwe unofanirwa kumirira kweanenge mavhiki maviri mushure mekunge kurapwa kwapera kuti udzokezve. Mhedzisiro yebvunzo nguva iyoyo isati yasvika inogona kunge isiri yechokwadi.

Wana rubatsiro rwechiremba ipapo kana iwe:

• Kukura kamwe kamwe, kwakapinza kurwadziwa mudumbu
• Iva nedumbu rakaomarara, rakaoma iro rakapfava kune iro rinobata
• Iva nezviratidzo zvekuvhunduka, sekufenda, kudikitira zvakanyanya, kana kuvhiringidzika
• Rutsa ropa
• Ona ropa muzvigaro zvako (maroon, rima, kana tarry zvituru zvituru)

Fonera mupiki wako kana:

• Iwe unonzwa dzungu kana kureruka-musoro
• Une maronda zviratidzo
• Iwe unonzwa uzere mushure mekudya chidimbu chidiki chekudya
• Unonzwa kurasikirwa nemaune nemaune
• Uri kurutsa
• Unorasikirwa nechido chako

Chironda - peptic - kubuda; Chironda - duodenal - kubuda; Chironda - gastric - kubuda; Duodenal ulcer - kubuda; Gastric ulcer - kubuda; Dyspepsia - ulcer - kubuda; Peptic ulcer kubuda

Chan FKL, Lau JYW. Peptic ulcer chirwere. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits.

Kuipers EJ, Blaser MJ. Acid peptic chirwere. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 25th ed. Philadelphia, PA: Elsevier Saunders; 2016: chits. 139.

Vincent K. Gastritis uye peptic ulcer chirwere. Mune: Kellerman RD, Rakel DP, eds. Conn Yazvino Therapy 2019. Philadelphia, PA: Elsevier 2019: 204-208.