Chilonda chachikulu chimatanthawuza chilonda chomwe chimapezeka m'mimba ndi duodenum.Amatchulidwa chifukwa mapangidwe a chilonda amagwirizana ndi chimbudzi cha m'mimba ndi pepsin, zomwe zimakhala pafupifupi 99% ya chilonda cham'mimba.
Chilonda cham'mimba ndi matenda omwe amafala padziko lonse lapansi.Malinga ndi ziwerengero, zilonda zam'mimba zimatha kuchitika mwa achinyamata, ndipo zaka zoyambira zilonda zam'mimba zimakhala pambuyo pake, pafupifupi zaka 10 pambuyo pake kuposa za zilonda zam'mimba.Kuchuluka kwa zilonda zam'mimba ndi pafupifupi 3 kuchulukitsa kwa zilonda zam'mimba..Anthu ambiri amakhulupirira kuti zilonda zina zam'mimba zimakhala za khansa, pamene zilonda zam'mimba sizikhala choncho.
Chithunzi 1-1 Chithunzi cha gastroscopic cha khansa yoyambirira ya chipale chofewa Chithunzi 1-2 Chithunzi chapamimba cha khansa yapamwamba.
1. Zilonda zam'mimba zambiri zimachira
Odwala ndi zilonda zam`mimba, ambiri a iwo akhoza kuchiritsidwa: pafupifupi 10% -15% a iwo alibe zizindikiro, pamene odwala ambiri ndi mmene matenda mawonetseredwe, monga: aakulu, rhythmic isanayambike nthawi yophukira m'dzinja ndi yozizira ndi yozizira ndi masika. kuwawa kwam'mimba.
Zilonda zam'mimba nthawi zambiri zimakhala ndi ululu wosala kudya, pomwe zilonda zam'mimba nthawi zambiri zimakhala ndi ululu wa postprandial.Odwala ena nthawi zambiri sakhala ndi zizindikiro zachipatala, ndipo zizindikiro zawo zoyamba zimakhala kutuluka kwa magazi komanso kutuluka kwamadzi kwambiri.
Kumtunda kwa m'mimba angiography kapena gastroscopy nthawi zambiri kumatha kutsimikizira za matendawa, ndipo kuphatikiza mankhwala ophatikizira acid, zoteteza zam'mimba zam'mimba, ndi maantibayotiki amatha kuchiritsa odwala ambiri.
2.Zilonda zam'mimba zobwerezabwereza zimatengedwa ngati zilonda zam'mimba
Zilonda zam'mimba zimakhala ndi kuchuluka kwa khansa.Zimapezeka makamaka pakati pa zaka zapakati ndi zazikulu, amuna, zilonda zobwerezabwereza zomwe sizingachiritsidwe kwa nthawi yaitali.Ndipotu, pathological biopsy iyenera kuchitidwa kwa zilonda zonse zam'mimba muzochita zamankhwala, makamaka zilonda zomwe tatchulazi.Anti-chilonda mankhwala angathe kuchitidwa pambuyo khansa ayenera kuchotsedwa, pofuna kupewa misdiagnosis ndi kuchedwa kwa matenda.Kuphatikiza apo, pambuyo pochiza zilonda zam'mimba, kuyezetsanso kuyenera kuchitika kuti muwone kusintha kwa machiritso a zilonda ndikusintha njira zochizira.
Zilonda zam'mimba sizikhala ndi khansa, koma zilonda zam’mimba zobwera mobwerezabwereza tsopano akatswiri ambiri amaziwona kukhala chotupa chowopsa.
Malinga ndi malipoti aku China, pafupifupi 5% ya zilonda zam'mimba zimatha kukhala khansa, ndipo chiwerengerochi chikuwonjezeka.Malinga ndi ziwerengero, mpaka 29.4% ya khansa ya m'mimba imachokera ku zilonda zam'mimba.
Kafukufuku wapeza kuti odwala khansa ya m'mimba amakhala pafupifupi 5% -10% ya zilonda zam'mimba.Nthawi zambiri, odwala ambiri omwe ali ndi zilonda zam'mimba amakhala ndi mbiri yayitali ya zilonda zam'mimba.Kuwonongeka mobwerezabwereza kwa maselo a epithelial m'mphepete mwa chilonda ndi kukonzanso kwa mucous nembanemba, metaplasia, ndi atypical hyperplasia kumawonjezera mwayi wa khansa pakapita nthawi.
Khansara zambiri zimachitika ozungulira mucosa zilonda.Mphuno ya ziwalozi imakokoloka pamene chilondacho chikugwira ntchito, ndipo chikhoza kukhala chowopsa pambuyo powononga mobwerezabwereza ndi kubadwanso.M'zaka zaposachedwa, chifukwa cha kupita patsogolo kwa matenda ndi njira zowunika, zapezeka kuti khansa yoyambirira ya m'mimba yomwe imangokhala mucosa imatha kukokoloka ndikukhala ndi zilonda, ndipo minofu yake pamwamba imatha kusinthidwa ndi zilonda zam'mimba.Zilonda za khansazi zimatha kukonzedwa ngati zilonda zowopsa.ndi kukonza akhoza kubwerezedwa, ndi njira ya matenda akhoza anawonjezera kwa miyezi ingapo kapena yaitali, kotero zilonda zam'mimba ayenera kulipidwa chidwi kwambiri.
3. Kodi zizindikiro za zilonda kusintha kwa chapamimba chilonda ndi chiyani?
1. Kusintha kwa chikhalidwe ndi kukhazikika kwa ululu:
Ululu wa chilonda chapamimba nthawi zambiri umawonetsedwa ngati kupweteka kwapamimba kumtunda, komwe kumayaka kapena kuzizira, ndipo kuyambika kwa ululu kumakhudzana ndi kudya.Ngati ululuwo wataya zomwe tatchulazi, umakhala wosakhazikika, kapena umakhala wowawa mosalekeza, kapena mtundu wa ululu wasintha kwambiri poyerekeza ndi m'mbuyomu, uyenera kukhala tcheru ndi chizindikiro cha khansa.
2. Sagwira ntchito ndi mankhwala oletsa zilonda:
Ngakhale kuti zilonda zam'mimba zimakhala zosavuta kudwala mobwerezabwereza, zizindikirozo zimakhala zochepa pambuyo pomwa mankhwala oletsa zilonda.
3. Odwala ochepetsa thupi pang'onopang'ono:
M'kanthawi kochepa, kusowa kwa njala, nseru, kusanza, kutentha thupi ndi kuchepa kwapang'onopang'ono, kuchepa thupi, kuthekera kwa khansa ndikokwera kwambiri.
4. Hematemesis ndi melena zimawonekera:
Posachedwapa wodwalayo akusanza magazi kapena chimbudzi cham'mbuyo, zotsatira za kuyezetsa magazi kokhala ndi ndowe zamatsenga, komanso kuchepa kwa magazi m'thupi kumasonyeza kuti zilonda zam'mimba zikhoza kukhala khansa.
5. Misa imawonekera pamimba:
Odwala omwe ali ndi zilonda zam'mimba nthawi zambiri samapanga kuchuluka kwa m'mimba, koma ngati atakhala ndi khansa, zilondazo zimakhala zazikulu komanso zowuma, ndipo odwala otsogola amatha kumva misa kumanzere kumtunda kwa pamimba.Unyinji wa misa nthawi zambiri umakhala wolimba, wopindika komanso wosasalala.
6.Omwe ali ndi zaka zopitilira 45, amakhala ndi zilonda zam'mbuyomu, ndipo ali ndi zizindikiro mobwerezabwereza posachedwapa, monga hiccups, belching, kupweteka kwa m'mimba, ndipo amatsagana ndi kuwonda.
7. Magazi abwino amatsenga a ndowe:
Ngati muli ndi HIV mobwerezabwereza, onetsetsani kuti mwapita kuchipatala kuti mukayezedwe bwino.
8. Zina:
Zaka zoposa 5 pambuyo opaleshoni chapamimba, pali zizindikiro za indigestion, kuwonda, kuchepa magazi m`thupi ndi chapamimba magazi, ndi zosafotokozeka chapamwamba m`mimba distening, belching, kusapeza bwino, kutopa, kuwonda, etc.
4, Chifukwa cha zilonda zam'mimba
The etiology wa zilonda zam`mimba sanamvetsetse bwino, koma zafotokozedwa bwino kuti Helicobacter pylori matenda, kutenga sanali steroidal odana ndi kutupa mankhwala ndi antithrombotic mankhwala, komanso kwambiri chapamimba asidi katulutsidwe, majini, kusinthasintha maganizo ndi maganizo, ndi zakudya zosakhazikika Kugonana, kudya zokhwasula-khwasula, kusuta, kumwa, malo okhala ndi nyengo, matenda aakulu monga emphysema ndi chiwindi cha B amagwirizananso ndi chilonda cha m'mimba.
1. Matenda a Helicobacter pylori (HP):
Marshall ndi Warren adapambana Mphotho ya Nobel ya Zamankhwala mu 2005 pokulitsa bwino Helicobacter pylori mu 1983 ndikuwonetsa kuti matenda ake amathandizira pathogenesis ya zilonda zam'mimba.Kafukufuku wambiri watsimikizira kuti matenda a Helicobacter pylori ndi omwe amayambitsa zilonda zam'mimba.
2. Mankhwala ndi zakudya:
Kugwiritsa ntchito mankhwala kwa nthawi yayitali monga aspirin ndi corticosteroids ndikosavuta kuyambitsa matendawa.Kuonjezera apo, kusuta fodya kwa nthawi yaitali, kumwa kwa nthawi yaitali, ndi kumwa tiyi ndi khofi wamphamvu zimawoneka ngati zogwirizana.
(1) Kukonzekera kosiyanasiyana kwa aspirin: Kugwiritsa ntchito nthawi yaitali kapena mlingo waukulu kungayambitse kupweteka kwa m'mimba ndi kusapeza bwino.Woopsa milandu, hematemesis, melena, etc., angapezeke mu chapamimba mucosal kutupa, kukokoloka ndi zilonda mapangidwe.
(2) Mankhwala olowetsa mahomoni:
Mankhwala monga indomethacin ndi phenylbutazone ndi mankhwala olowa m'malo mwa mahomoni, omwe amawononga mwachindunji chapamimba mucosa ndipo angayambitse zilonda zam'mimba.
(3) Antipyretic analgesics:
Monga A.PC, paracetamol, mapiritsi ochepetsa ululu ndi mankhwala ozizira monga Ganmaotong.
3. Asidi wa m'mimba ndi pepsin:
Mapangidwe omaliza a zilonda zam'mimba ndi chifukwa cha kudzikonda chimbudzi cha m'mimba acid / pepsin, chomwe chimapangitsa kuti zilonda zam'mimba zichitike.Zomwe zimatchedwa "zilonda zopanda asidi".
4. Zinthu zopanikiza m'maganizo:
Kupsinjika kwakukulu kungayambitse zilonda zapakatikati.Anthu omwe ali ndi nkhawa, nkhawa, kapena kusinthasintha kwamalingaliro amatha kukhala ndi zilonda zam'mimba
chilonda.
5. Zobadwa nazo:
Mu ena osowa majini syndromes, monga angapo endocrine adenoma mtundu I, zokhudza zonse mastocytosis, etc., zilonda zam`mimba ndi mbali ya chipatala mawonetseredwe.
6. Kusayenda bwino kwa m'mimba:
Odwala ena omwe ali ndi zilonda zam'mimba amakhala ndi vuto la m'mimba, monga kuchuluka kwa asidi m'mimba chifukwa cha kuchedwa kutulutsa m'mimba komanso m'mimba-m'mimba reflux chifukwa cha bile, madzi a kapamba ndi kuwonongeka kwa lysolecithin mucosa.
7. Zina:
Monga matenda am'deralo a herpes simplex virus mtundu I akhoza kukhala okhudzana.Matenda a Cytomegalovirus amathanso kutenga nawo gawo pakuika aimpso kapena odwala omwe alibe chitetezo chokwanira.
Pomaliza, zilonda zimatha kupewedwa bwino mwa kuwongolera moyo wabwino, kumwa mankhwala mwanzeru, kuthetsa Helicobacter pylori, komanso kutenga gastroscopy ngati chinthu chodzifufuza mwachizolowezi;
Chilonda chikachitika, ndikofunikira kuwongolera chithandizo mwachangu ndikuwunika pafupipafupi gastroscopy (ngakhale chilondacho chachiritsidwa), kuti mupewe kudwala khansa.
"Kufunika kwa gastroscopy kumatha kugwiritsidwa ntchito kuti mumvetsetse ngati kummero, m'mimba ndi duodenum zili ndi magawo osiyanasiyana a kutupa, zilonda zam'mimba, zotupa ndi zotupa zina.Gastroscopy ndi njira yosasinthika yoyendera mwachindunji, ndipo mayiko ena atengera mayeso a gastroscopic.Monga chinthu choyezera thanzi, kuyezetsa kumafunika kuchitidwa kawiri pachaka, chifukwa m'mayiko ena matenda a khansa ya m'mimba ndi ochuluka.Chifukwa chake, atazindikira msanga komanso kulandira chithandizo munthawi yake, chithandizo chake chimawonekeranso. ”
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Nthawi yotumiza: Aug-15-2022