Maʻi maʻi peptic ulcer - hoʻokuʻu

ʻO kahi peptic ulcer kahi ʻeha ākea a maka maka paha i ka uhi o ka ʻōpū (gastric ulcer) a i ʻole ka ʻāpana kiʻekiʻe o ka ʻōpū liʻiliʻi (duodenal ulcer). Hōʻike kēia ʻatikala pehea e mālama ai iā ʻoe iho ma hope o ka mālama ʻia ʻana e kāu kauka olakino no kēia ʻano.

Loaʻa iā ʻoe ka maʻi peptic ulcer (PUD). Ua loaʻa paha iā ʻoe nā hoʻokolohua e kōkua ai e hōʻoia i kāu ulcer. ʻO kekahi o kēia mau hoʻokolohua e nānā paha i nā bacteria i loko o kou ʻōpū i kāhea ʻia Helicobacter pylori (H pylori). ʻO kēia ʻano maʻi he kumu maʻamau o ka ulcer.

ʻO ka hapa nui o nā maʻi maʻi peptic e hoʻōla ma waena o 4 a 6 mau pule ma hope o ka hoʻomaka ʻana o ka lapaʻau. Mai hōʻoki i ka lawe ʻana i nā lāʻau i kuhikuhi ʻia iā ʻoe, ʻoiai inā hele koke nā ʻōuli.

Pono nā poʻe me PUD e ʻai i ka papaʻai kaulike olakino.

ʻAʻole kōkua ia e ʻai pinepine a hoʻonui paha i ka nui o ka waiū a me nā huahana waiū āu e ʻai ai. Hiki paha i kēia mau hoʻololi ke hoʻonui i ka waikawa ʻōpū.

• Hōʻalo i nā meaʻai a me nā mea inu e hoʻonāukiuki ai iā ʻoe. No ka poʻe he nui e pili ana i ka wai ʻona, kope, soda ʻai, nā mea momona, kokoleka, a me nā meaʻai nīoi.
• Hōʻalo i ka ʻai ʻana i nā meaʻai māmā o ka pō.

Nā mea ʻē aʻe hiki iā ʻoe ke hana e hōʻoluʻolu i kāu mau ʻōuli a kōkua i ka hoʻōla me:

• Inā puhi ʻoe a nau ʻoe i ka paka, hoʻāʻo e haʻalele. E hoʻolohi ka paka i ka hoʻōla o kāu ulcer a hoʻonui i ka manawa e hoʻi ka ulcer. E kamaʻilio me kāu kauka e pili ana i ke kōkua ʻana no ka haʻalele ʻana i ka paka.
• E hoʻāʻo e hoʻēmi i kāu pae stress a aʻo i nā ala e hoʻokele maikaʻi ai i ka hoʻoluhi.

Hōʻalo i nā lāʻau e like me aspirin, ibuprofen (Advil, Motrin), a i ʻole naproxen (Aleve, Naprosyn). E lawe i ka acetaminophen (Tylenol) e hoʻomaha i ka ʻeha. E lawe i nā lāʻau āpau me ka nui o ka wai.

ʻO ka hana maʻamau no ka ulcer peptic a me an H pylori hoʻohana ka maʻi i ka hoʻohui o nā lāʻau āu e lawe ai no 5 a 14 mau lā.

• Lawe ka hapa nui o ka poʻe i ʻelua mau ʻano antibiotic a me kahi proton pump inhibitor (PPI).
• Hoʻokumu paha kēia mau lāʻau i ka nausea, diarrhea, a me nā hopena ʻē aʻe. Mai hōʻoki wale i ka lawe ʻana iā lākou me ke kamaʻilio ʻole ʻole ʻana i kāu mea hāʻawi.

Inā loaʻa iā ʻoe ka maʻi puahi me ka ʻole o H pylori maʻi, a i ʻole i kumu ʻia e ka lawe ʻana i ka aspirin a i ʻole nā ​​NSAID, pono paha ʻoe e lawe i kahi mea pale pump proton no 8 mau pule.

Lawe i nā antacids e like me ka mea e pono ai ma waena o nā meaʻai, a laila i ka wā moe, hiki ke kōkua i ka hōʻola pū kekahi. E noi i kāu mea hāʻawi e pili ana i ka lawe ʻana i kēia mau lāʻau.

E kamaʻilio i kāu mea hoʻolako e pili ana i kāu koho lāʻau inā ua lawe ʻia kāu ulcer e aspirin, ibuprofen, a i ʻole nā ​​NSAID ʻē aʻe. Hiki paha iā ʻoe ke lawe i kahi lāʻau anti-inflammatory ʻokoʻa. A i ʻole, lawe paha kāu mea lawelawe iā ʻoe i ka lāʻau i kapa ʻia ʻo misoprostol a i ʻole he PPI e pale aku ai i nā maʻi maʻi o ka wā e hiki mai ana.

He mau kipa ukali kāu e ʻike ai i ke ola ʻana o kou ulcer inā ʻo ka ulcer i loko o ka ʻōpū.

Makemake paha kāu mea hāʻawi e hana i kahi endoscopy kiʻekiʻe ma hope o ka hoʻomaʻamaʻa ʻana inā ʻo ka ulcer i loko o kou ʻōpū. E hōʻoia kēia i ka hoʻōla ʻana a ʻaʻohe hōʻailona o ka maʻi ʻaʻai.

Pono ʻoe i kahi hoʻokolohua ukali e nānā i ka H pylori ua hala nā koʻohune. E kali ʻoe ma kahi o 2 mau pule ma hope o ka pau ʻana o ka hoʻōla e hoʻāʻo hou ʻia. Nā hopena hōʻike ma mua o ka pololei ʻole o kēlā manawa.

E kiʻi koke i ke kōkua lapaʻau inā ʻoe:

• Hoʻoulu i ka ʻeha o ka ʻōpū hōʻeha
• E loaʻa i kahi ʻōpū ʻoʻoleʻa, paʻakikī e palupalu i ka pā
• Loaʻa nā ʻōuli o ka pīhoihoi, e like me ka maʻule ʻana, ka sweating nui, a huikau paha
• Kipi koko
• ʻIke i ke koko i kāu pahu (Maroon, ʻeleʻele, a i ʻole noho lōʻihi i nā noho ʻeleʻele)

Kāhea i kāu mea hāʻawi inā:

• Pīhoihoi ʻoe a poʻo māmā paha
• Loaʻa iā ʻoe nā hōʻailona ulcer
• ʻIke ʻoe i ka māʻona ma hope o ka ʻai ʻana i kahi ʻāpana meaʻai iki
• ʻIke ʻoe i ka lilo ʻana o ke kaupaona me ka manaʻo ʻole
• Ke luaʻi nei ʻoe
• Pau kou makemake

Ulcer - peptic - hoʻokuʻu; Ulcer - duodenal - hoʻokuʻu; Ulcer - ʻōpū - hoʻokuʻu; Ulia Duodenal - hoʻokuʻu; Gastric ulcer - hoʻokuʻu; Dyspepsia - ulcer - hoʻokuʻu; Hoʻokuʻu peptic ulcer

ʻO Chan FKL, Lau JYW. Maʻi maʻi peptic I: Feldman M, Friedman LS, Brandt LJ, eds. ʻO Sleisenger a me Fordtran's Gastrointestinal a me ka maʻi ate. 10 o ka lā. Piladelapia, PA: Elsevier Saunders; 2016: chap 53.

Kuipers EJ, Blaser MJ. Maʻi maʻi peptic I: Goldman L, Schafer AI, eds. ʻO ka lāʻau lapaʻau Goldman-Cecil. 25th hua. Piladelapia, PA: Elsevier Saunders; 2016: chap 139.

ʻO Vincent K. Gastritis a me ka maʻi peptic ulcer. I: Kellerman RD, Rakel DP, eds. ʻO kā Conn Therapy Therapy 2019. Piladelapia, PA: Elsevier 2019: 204-208.