‘Ulisa ‘o e Māmāmoa mo e ‘Unga ‘o e ‘Unga ‘o e ‘Onokipamaka: Ko e Ngaahi ‘Uhinga, Ngaahi Fakatātā mo e Ngaahi Fili Faito’o

Konga mo e onokipamaka vaʻinga (duodenum) ʻoku hoko ai ʻa e ngaahi palopalema ʻi he loto totonu ʻo e ngaahi meʻa ko ʻeni, ʻi he ngaahi aʻu ʻa e asiti ʻo e konga mo e ngaahi enisaimi fakasini, ʻoku hoko ai ʻa e mole ʻo e ngaahi sela. ʻOku malava ke hoko ʻeni ʻi he aʻu ʻa e asiti mo e ngaahi vai fakasini ki he loto totonu ʻo e konga, pea ʻoku hoko ai ʻa e lavea mo e fakamalohi. Ko e ngaahi konga, ʻoku lahi hono maʻu ʻi māmani, pea ʻoku malava ke hoko ai ʻa e ngaahi palopalema lahi ki he moʻui ʻo e sino fakasini.

Ko e hā ʻa e ngaahi ʻuhinga ʻo e konga?

Ko e ʻuhinga lahi taha ʻo e konga mo e duodenum, ko e mahaki fakapekitilia ko Helicobacter pylori. Ko e meʻa mahuʻinga kehe, ko e ngaue fakatouʻosi ʻo e ngaahi meʻa fakafaitoʻo non-steroidal antienflamatuvari (NSAII), tautefito ki he aspirin mo e ngaahi faitoʻo kehe ki he romatima ʻi he taimi loloa. Ko e ngaahi meʻa hange ko e ngaahi koloa fakafamili, mamahi fakaloloa, ngaahi faitoʻo hange ko e kotisoni, inu sigareti, inu ʻaloko, inu kafein lahi (hange ko e kofi) mo e ngaahi meʻa ʻoku aʻu mei he ngaahi meʻa ʻi tuʻa, ʻoku malava ke tokoni ki he hoko ʻo e konga. Ka ʻoku kehekehe ʻa e ngaahi aʻu ko ʻeni mei he tokotaha ki he tokotaha.

Ko e ngaahi taʻu fe mo e kakai fe ʻoku lahi ai ʻa e konga?

ʻOku malava ke hoko ʻa e konga ʻi he taʻu kotoa, ka ʻoku lahi taha ʻa e duodenum konga ʻi he ngaahi taʻu 30-50 pea ʻoku lahi ange ʻi he kau tangata. Ka, ko e konga ʻo e konga ʻoku lahi ange ʻi he kakai motuʻa, tautefito ki he kakai fefine ʻi he taʻu 60 ʻi ʻolunga. ʻI he ngaahi fakatotolo kehekehe, ʻoku ʻi he vaʻinga ʻo e 2% ki he 6% ʻa e kakai ʻoku maʻu ai ʻa e konga ʻi he taimi kotoa pe. Ko e duodenum konga ʻoku lahi ange ʻi he konga ʻo e konga.

Ko e hā ʻa e ngaahi fakaʻilonga ʻo e konga?

Ko e fakaʻilonga mahuʻinga taha ʻo e konga mo e onokipamaka konga, ko e mamahi ʻoku ʻi he vahaʻa loto ʻo e konga, ʻoku hā hange ko e vela pe ke kai ʻe ha meʻa. Ko e mamahi ko ʻeni ʻoku lahi ange ʻi he taimi ʻikai kai, ʻi he vahaʻa ʻo e ngaahi meʻakai pe ʻi he pō, pea ʻoku malava ke fakamamahiʻi ʻa e tokotaha ke toe ʻikai mohe. ʻOku malava ke ngofua ʻa e mamahi hili hono kai pe hili hono inu faitoʻo antiasiti. ʻI he kakai ʻoku maʻu konga, ʻoku lahi ange ʻa e ngaahi fakaʻilonga hange ko e holofa, tafetafe, mole fiekaia mo e mole mamafa ʻikai loto. Tautefito ki he taimi ʻoku toe mole ʻa e mamahi hili hono tafetafe, ko ha fakaʻilonga mahuʻinga ia ki he konga. ʻI he ngaahi taimi kehekehe (hange ko e kamata ʻo e taʻu mo e faʻahitaʻu), ʻoku malava ke lahi ange ʻa e ngaahi fakaʻilonga.

Ko e hā ʻa e ngaahi ola mamafa ʻo e konga?

Toto: Ko e konga ʻoku ko e ʻuhinga lahi taha ia ʻo e toto ʻi he vahaʻa loto ʻo e sino fakasini. Ko e toto, ʻoku malava ke hoko ia ko e fakaʻilonga kamata ʻi he kakai ʻoku ʻikai te nau ʻilo ʻoku maʻu konga. Kapau ʻoku ʻuli ʻuli pe ʻuli ʻuli lahi (hange ko e katani) ʻa e loto, pe ʻoku tafetafe hange ko e "kofi", ko ha fakaʻilonga mahuʻinga ia. ʻI he taimi ʻoku hā ai ʻa e vaivai fakavave, pea mo e huʻu momoko, ʻoku totonu ke tokanga ki he toto. ʻI he hā ʻa e ngaahi fakaʻilonga ko ʻeni, ʻoku totonu ke ʻalu vave ki ha fale moʻui.

Hole (Perforation): Kapau ʻoku hāhā ange ʻa e konga pea ʻoku hole ʻa e konga pe duodenum, ʻoku sivi atu ʻa e asiti mo e enisaimi ki loto ʻo e konga, pea ʻoku hoko ai ha mamahi loto fakavave mo lahi. ʻOku mālohi ʻa e ngaahi hui ʻo e konga pea ʻoku faingataʻa ke ngaue. Ko ha tuʻunga faingataʻa ia ʻoku fiemaʻu ha faitoʻo fakafaitoʻo fakavave.

Tapuni: Tautefito ki he pylor ʻi he duodenum pe konga, kapau ʻoku lahi ʻa e konga, fufuu ʻa e konga pe lahi ʻa e ngaahi konga kuo mole, ʻoku malava ke tapuni pe fakangatangata ʻa e hala. ʻI he tuʻunga ko ʻeni, ʻoku ʻikai lava ke ʻalu atu ʻa e meʻakai mo e vai mei he konga, pea ʻoku lahi mo lahi ʻa e tafetafe ʻa e tokotaha. ʻOku malava ke hoko ʻa e mole kai lelei mo e mole mamafa fakavave. ʻI he ngaahi tuʻunga ko ʻeni, ʻoku fiemaʻu ha vave ʻo e fakatotolo mo e faitoʻo fakafaitoʻo.

Ko e hā ʻa e ngaahi founga fakatotolo ki he konga?

Ki he ngaahi mahaki ʻoku masila ʻoku maʻu konga, ʻoku mahuʻinga ke fakahoko ha talanoa fakafaitoʻo mo ha fakatotolo fakafaitoʻo. Ka ʻoku ʻikai ke ʻomi ʻe he fakatotolo fakafaitoʻo pe ultrasound ha ngaahi fakaʻilonga mahuʻinga ki he konga. ʻI he ngaue fakafaitoʻo, ʻoku lahi hono feingaʻi ʻo e ngaahi faitoʻo fakasiʻi asiti ʻo e konga pea sio pe ʻoku lelei ange ʻa e tokotaha. Ko e fakatotolo mahuʻinga taha, ko e endoscopy ʻo e vahaʻa loto ʻo e sino fakasini (esofagogastroduodenoscopy). ʻI he endoscopy, ʻoku sio tuʻusaʻo ki he esofagus, konga mo e duodenum, pea kapau ʻoku fiemaʻu, ʻoku toʻo ha biopsi mei he ngaahi feituʻu masila. Ko e baryum x-ray ʻo e konga mo duodenum ʻoku lava ke fai, ka ʻoku lahi ange hono fili ʻa e endoscopy ʻi he ngaahi ʻaho ni.

Ko e hā ʻa e ngaahi founga faitoʻo lelei ki he konga?

Faitoʻo Fakamafai:

ʻI he faitoʻo fakalotu, ko e founga mahuʻinga taha, ko e faitoʻo proton pump inhibitor (hange ko e omeprazole, lansoprazole) mo e H2 receptor blocker (hange ko e ranitidine, famotidine, nizatidine). ʻOku tokoni ʻa e ngaahi faitoʻo ko ʻeni ki he toe lelei ʻo e konga pea toʻo ʻa e ngaahi fakaʻilonga. Kapau ʻoku maʻu ʻa e mahaki Helicobacter pylori, ʻoku mahuʻinga ke toʻo ia ʻaki e faitoʻo fakapekitilia. Ko e loloa mo e fakakau ʻo e faitoʻo, ʻoku fakangofua ʻi he feituʻu, lahi ʻo e konga mo e tuʻunga moʻui fakalukufua ʻo e tokotaha.

Faitoʻo Fakafaitoʻo:

ʻOku lahi ʻa e konga ʻoku toe lelei ʻaki e faitoʻo fakamafai. Ka ʻoku hoko ha toto, hole pe tapuni, pe ʻoku ʻikai lelei ʻa e konga ʻi he faitoʻo fakamafai, ʻoku fiemaʻu ha faitoʻo fakafaitoʻo.

Meʻakai mo e Founga Moʻui:

ʻI he kuohili, ʻoku fakahaaʻi ke fai ha meʻa kakato ki he kakai konga; ka ʻi he ngaahi ʻaho ni, ʻoku ʻikai ke ʻi ai ha meʻa fakapapau ki he toe lelei ʻo e konga mei ha meʻa fakapapau. ʻOku totonu ke tokanga ki he ngaahi meʻakai ʻoku fakalahi ai ʻa e fakaʻilonga pea fakangatangata ia. Fakatokangaʻi, ʻoku fakaloloa ʻa e toe lelei ʻo e konga ʻe he inu sigareti, ko ia ʻoku totonu ke tuku. ʻOku mahuʻinga ke taʻe inu ʻaloko mo e faitoʻo taʻe fiemaʻu (tautefito ki he aspirin mo e NSAII) ʻi he faitoʻo ʻo e konga.

Ko e fakasiʻi ʻo e ngaahi meʻa fakaveiveiua, kai lelei mo e mohe lelei, ʻoku tokoni ki he toe lelei ʻo e konga.

Helicobacter pylori mo hono Fesiliaki mo e Konga

Ko e Helicobacter pylori, ko e ʻuhinga mahuʻinga taha ia ʻo e konga lahi. ʻI he duodenum konga, ʻoku lahi ʻa e maʻu ʻo e pekitilia ko ʻeni. Ka, ʻoku ʻi ai ha kakai ʻoku ʻikai ke hoko ai ʻa e konga ʻi he maʻu ʻa e pekitilia; ko ia ʻoku tuiʻi ʻoku ʻi ai mo e ngaahi meʻa fakafamili mo e ngaahi meʻa ʻi tuʻa. Ko e Helicobacter pylori, ʻoku malava ke hoko ai ha gastritis fakaloloa pea ʻoku fakahaaʻi ʻe he ngaahi fakatotolo ʻe niʻihi ʻoku malava ke fakalahi ai mo e faingamālie ʻo e kanisa ʻo e konga.

Ngaahi Fehuʻi ʻOku Lahi Hono Fai

1. ʻE toe lelei kakato ʻa e konga?

Ko e konga lahi taha, ʻoku malava ke toe lelei kakato ʻaki e faitoʻo fakamafai totonu mo e faitoʻo fakapekitilia kapau ʻoku ʻi ai ha pekitilia. Ka ʻoku mahuʻinga ke tokanga ki he faingamālie ʻo e toe hoko.

2. Founga hono mafola ʻo e Helicobacter pylori?

ʻOku mafola ʻa e pekitilia ko ʻeni mei he tokotaha ki he tokotaha, ʻaki e fofonga pe ʻi he ngaahi feituʻu ʻoku ʻikai ke maʻa lelei.

3. Ko e hā e ngaahi meʻa ke tokanga ki ai ke ʻoua naʻa toe hoko ʻa e konga?

Pea kuo fakaʻosi ʻa e faitoʻo, ʻoku totonu ke ʻoua ʻe inu sigareti, ʻoua ʻe inu faitoʻo taʻe fiemaʻu mo e ʻaloko; kai lelei mo tauhi lelei ʻa e maʻa.

4. Ko e hā e fatongia ʻo e meʻa kai ʻi he faitoʻo konga?

ʻOku ʻikai ke fakahoko ha meʻa kai fakapapau ki he konga, ka ko e meʻa mahuʻinga, ke ʻoua ʻe kai ha meʻa ʻoku fakalahi ai ʻa e fakaʻilonga.

5. ʻOku malava ke fakatuʻutāmaki ʻa e toto konga?

Ko e toto lahi, ʻoku malava ke fakatuʻutāmaki ki he moʻui. ʻI he taimi ʻoku ʻuli ʻa e loto pe ʻoku tafetafe hange ko e kofi, ʻoku totonu ke ʻalu vave ki he faitoʻo.

6. Ko e hā e ngaahi faitoʻo ʻoku fakalahi ai ʻa e konga?

Ko e aspirin, ibuprofen mo e ngaahi NSAII kehe, kapau ʻoku ngaue loloa, ʻoku fakalahi ai ʻa e faingamālie ʻo e konga.

7. ʻOku hoko ʻa e konga mei he mamahi?

ʻOku ʻikai ko e mamahi pē ʻa e ʻuhinga ʻo e konga; ka ʻoku malava ke fakalahi ʻa e asiti ʻo e konga pe fakavaivaiʻi ʻa e ngaahi koloa tauhi sino pea fakalahi ai ʻa e konga.

8. Ko e hā e fakaʻilonga mahuʻinga taha ʻo e konga?

Ko e mamahi ʻi he vahaʻa loto ʻo e konga, tautefito ʻi he taimi ʻikai kai, hange ko e vela pe ke kai ʻe ha meʻa.

9. Kapau kuo maʻu ʻa e Helicobacter pylori, ʻoku fiemaʻu ke fai faitoʻo?

Ki he kakai ʻoku ʻi ai ha konga mo e ngaahi fakaʻilonga ʻo e gastritis fakaloloa, ʻoku fakahaaʻi ke fai faitoʻo.

10. ʻOku malava ke hoko ʻa e konga ʻi he fanau?

ʻIo, ʻoku malava ke hoko ʻa e konga ʻi he fanau, ʻikai lahi. Kapau ʻoku ʻi ai ha fakaʻilonga, ʻoku totonu ke ʻalu ki he fakamāuʻanga fanau fakasino fakasini.

11. ʻOku faingataʻa ʻa e endoscopy?

ʻOku endoscopy ko ha ngaue nounou, ʻoku malava ke feʻunga mo e tokotaha, pea ʻoku lahi hono fakaleleiʻi ʻaki e faitoʻo fakafiemālie.

12. Hili hono faitoʻo ʻa e konga, ʻoku fiemaʻu ke ngaue faitoʻo mo e moʻui kotoa?

Ko e tokolahi ʻo e kakai, ʻoku ʻikai toe fiemaʻu ha faitoʻo hili hono fakaʻosi ʻo e faitoʻo. Ka ʻoku hoko pe ʻa e ngaahi meʻa fakatuʻutāmaki (hange ko e ngaue NSAII), ʻoku malava ke fiemaʻu ha faitoʻo loloa ʻi he fakahaaʻi ʻa e faitoʻo.

Ngaahi Konga Fakatotolo

Kautaha Moʻui ʻo e Lalahi (WHO) – Peptic Ulcer Disease Factsheet

Koleisi ʻAmelika ʻo e Gastroenterology – Ngaahi Tuʻutuʻuni ki he Fakamālohi mo e Puleʻi ʻo e Mahaki Ulusa Peptiki mo e Fekumi ki he H. pylori

Mayo Clinic – Mahaki Ulusa Peptiki

Kautaha Fakafonua ki he Suka, Ngaahi Mahaki Fakamālohi mo e Kapaʻi (NIDDK) – Fakahā mo e Moʻoni ki he Ulusa Peptiki

Kautaha Fakavahaʻapuleʻanga ki he Fekumi ki he Helicobacter pylori – H. pylori mo e Ngaahi Mahaki Gāsitiki

Kautaha Gastroenterological ʻo ʻAmelika – Ngaahi Koloa Fakatokanga ki he Tokangaekina ʻo e Mahaki Ulusa