01:31So, pangkaraniwan sa sintomas nila would be yung mahapde.
01:36Yun ang karaniwan na description.
01:38Mahapde, masakit, pasanananakit ng sigmura.
01:41Yung ibang pasyente nagduduwal, nagsusuka.
01:44Pero kung meron ng pagdumi ng maitim or ng dugo,
01:48or sobrang severe na abdominal pain,
01:50that those may be related to complicated peptic ulcer.
01:54So, doc, minsan kasi I would feel like kapag, or people would feel like,
01:58para sila nasusukan ng tubig, na maasim or something,
02:02tapos kahit minsan kakataposan nila kumain,
02:05pero pakiramdam nila, parang may kulang sa tiyan nila,
02:10piling nila kinama po na ng pagkain para hindi maramdaman yun.
02:13Kailan na di-differentiate natin yung acid reflux?
02:17At saka yung pagkakaroon itong peptic ulcer?
02:20That's a very good question.
02:21So, yung dine-describe mo sa akin na sintomas,
02:24pwede siyang related to functional dyspepsia,
02:26especially yung parang hindi natutunaw,
02:28on bloated, or kung may nag-reflux na acid,
02:31that's called GERD or gastrocephagial reflux disease.
02:34Meanwhile, peptic ulcer,
02:35meron talagang sugat that we can see on endoscopy
02:38or nag-represent with patients with complications.
02:40So, their symptoms, maaaring may pagkakahalintulad
02:44or may similarity yung symptoms nila.
02:47But the differentiating point is that
02:50yung peptic ulcer, meron talagang sugat sa lining ng stomach.
02:54So, when ulcer and peptic ulcer, magkaiba ba yung dalawa yun?
02:57Or peptic ulcer is a kind of ulcer?
02:59Yes, it is the same thing.
03:02Okay, so, ano naman yung lifestyle na dapat maiwasan
03:05para hindi mapunta dito sa ulcer?
03:07Okay, so, yung peptic ulcer disease,
03:10related siya doon sa,
03:12ang pinaka-common cause would be one,
03:14yung H. pylori infection na nakukuha sa maduming tubig,
03:17maduming pagkain.
03:18So, yung lifestyle that can predispose a patient
03:21to peptic ulcer would be,
03:22kung hindi safe, malinis ang pagka-prepare ng food
03:25doon sa mga very crowded conditions.
03:28At second, most common cause ng ulcer
03:30would be yung mga gamot na tinatawag na NSAID.
03:33So, these are pain relievers.
03:34Yung mga mefinamic acid, mga napofens.
03:38Ang data?
03:39Yeah.
03:39Ah, silicoxib.
03:43Antibiotic yun, no?
03:43It's a pain reliever also.
03:45Although, ito yung safer compared to NSAIDs,
03:48but I still see patients who have...
03:50Matapang yun, eh.
03:51Yes.
03:52O, o, o.
03:53Misal, kapag sobra na yung,
03:54medyo feeling ko konti na yung pain,
03:56pero yung inuman ka,
03:56pag sumasakit na, Doc,
03:58anasign din yun,
03:59pwede ka magkaroon peptic ulcer pag ano?
04:01Maaari.
04:02Ayun.
04:02Kaya pag may pain, Doc,
04:03hindi dapat?
04:04Those are the two most common causes of peptic ulcer.
04:06So, hindi siya,
04:08wala siyang,
04:09I mean,
04:09unlike the common perception na yung pag nagsiskip ng meals,
04:16nagda-diet,
04:17nakaka-ulcer,
04:18no.
04:18The most common causes would be the two that I mentioned.
04:22Okay.
04:23So, it's not like what you drink first thing in the morning.
04:26However,
04:27those patients also who drink alcohol and smoke,
04:31that can also predispose to ulcer
04:33because pinapahina niyo yung depensa ng lining ng stomach.
04:37Okay.
04:37Yeah.
04:38And then,
04:38that predisposes the patient to have ulcer
04:40kasi nga yung acid can cause it.
04:43Okay.
04:43So, kung hindi maaagapan po, Doc,
04:46ang peptic ulcer,
04:47ano naman yung posibleng komplikasyon nito?
04:49Okay.
04:50So, kapag hindi naagapan
04:52or hindi nag-macheck apagad ang patients,
04:54ang mga maaring komplikasyon ng D1,
04:56perforation,
04:57pwedeng mabutas.
04:58Pwede mabutas yung sikmura.
05:00So, maglileak?
05:01Yes.
05:02What will happen?
05:03Magkakaroon ng infection sa loob ng child.
05:05Pwede rin silang mag-lead.
05:07Okay.
05:08So, those patients na dumudumi ng maitim
05:10or kung malalang-malalayang bleeding,
05:13pulang dugo ang dinudumi nila.
05:15Okay.
05:15So, and yun,
05:16yung infection kung magkaroon nga ng perforation or butas.
05:18And it can also result to death?
05:21Paano ma-address yun kapag butas na?
05:23I mean, how do you address?
05:24Surgery.
05:24Surgery na yun.
05:38So, ang surgery po dapat agad,
05:40medyo emergency na yun pag gano'n yung situation?
05:42Yes, emergency po ito.
05:43What to do para may iwasan ito?
05:45Okay.
05:46So, what to do,
05:48may kinalaman doon sa mga risk factors.
05:51Okay.
05:51So, kailangan,
05:52yung hand hygiene,
05:53we wash our hands.
05:54Kasi ang pagpasa ng H. pylori
05:55can be person to person.
05:57Okay.
05:58Tapos, we make sure that we get food
06:00from reliable sources.
06:01Kasi nga kung hindi siya na-prepare
06:03ng isang taong magandang hand hygiene,
06:05then he can pass the infection.
06:08Then,
06:09kung may pain,
06:11so,
06:12basta-basta mag-self-medicate
06:14ng pain relievers.
06:16And we should take it
06:17only for a short time.
06:19So, huwag yung pang matagalan.
06:21And kung sa mga nag-alcohol
06:23tsaka sigarilyo,
06:24babawasan or iiwasan
06:26yung pag-inom ng alcohol
06:27at paninigarilyo.
06:28Ako, mahirap sa man yung gano'n.
06:30Agent, ako masaya ngayon eh.
06:32Lalo na pag ano,
06:33weekend.
06:34Malong iskot ka.
06:35So, andyan ng mga bar.
06:37Di ba may friend ka?
06:39Oo,
06:40we pass the weight.
06:42Pag-kirame ice.
06:44Well, Eloy,
06:44Doc, siguro paalala na lang
06:46sa ating mga ka-RSP.
06:47Okay.
06:47Sa mga ka-RSP natin,
06:49so,
06:50para po maiwasan
06:51ng peptic ulcer disease,
06:53let's make sure
06:54that we eat
06:55clean food,
06:57healthy lifestyle,
06:58umiwas ho sa pag-inom
07:00ng alcohol
07:00tsaka paninigarilyo
07:02at huwag po mag-self-medicate.
07:03Lalo-lalo na sa mga patients
07:05na may mga rayuma,
07:06yan,
07:06mahilig sila mag-self-medicate.
07:08Oo, yan.
07:08So, yun lang po
07:09ang aking paalala sa inyo.
07:11Ayan ha,
07:11paalala ni Doc.
07:12Sundin natin yan.
07:13Para po humabang ating buhay.
07:16Tama.
07:16Maraming salamat po
07:17sa pagsama sa amin
07:18sa lahat ng informasyon
07:19tungkol sa peptic ulcer, Doc.
07:21Mas naging malinaw sa amin
07:22kung paano ito maiwasan
07:24at kung paano
07:24pangalagaan ng ating tiyan.
07:26Kaya naman,
07:26abangan sa susunod
07:28kung ano pa
07:28ang mga tatalakay natin
07:30na health topics
07:31dito lang sa
07:32Sany Doc.
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