Zotupa za peptic zimatanthawuza zilonda zam'mimba zomwe zimachitika m'mimba ndi baodenal babu. Amatchulidwa chifukwa mapangidwe a zilonda akukhudzana ndi chimbudzi cha m'mimba acid ndi pepsin, omwe ali pa 99% ya zilonda zam'mimba.
Chilonda cha peptic ndi matenda ofala kwambiri omwe ali ndi magawidwe padziko lonse lapansi. Malinga ndi ziwerengero, zilonda zam'mimba zomwe zimachitika mu achichepere, ndipo zaka zomwe zimayamba zilonda zam'mimba zimachitika pambuyo pake, pafupifupi zaka 10 pambuyo pa zilonda zam'mimba. Kuchuluka kwa zilonda zam'mimba kuli pafupifupi katatu ka zilonda zam'mimba. . Amakhulupilira kuti zilonda zina zam'mimba zina zimakhala ndi khansa, pomwe zilonda zam'mimba zambiri sizimatero.
Chithunzi 1
1. Zilonda zambiri za Peptic ndizovuta
Odwala omwe ali ndi zilonda zam'mimba, ambiri mwa iwo amatha kuchiritsidwa: pafupifupi 10% -15% ya iwo alibe ziwonetsero za nthawi yozizira komanso nthawi yachisanu komanso kupweteka m'mimba.
Zilonda zam'mimbazi nthawi zambiri zimakhala ndi kupweteka kwamphamvu, pomwe zilonda zam'mimba nthawi zambiri zimakhala ndi ululu wobwereza. Odwala ena nthawi zambiri amasowa mawonetseredwe azachipatala, ndipo zizindikiro zawo zoyambirira ndi hemorrhage ndi zowawa.
Akuluakulu a m'mimba angigraphy kapena gastoscopy amatha kutsimikizira kuti matendawa, ndipo mankhwala ochiritsa a acid omwe amawateteza, ndipo maantibayosale amateteza othandizira, ndipo maantibayotiki amatha kupangitsa odwala ambiri kuchira.
Zilonda zam'mimba za 2.recranty zimawonedwa ngati zotupa
Zilonda zam'mimba zimakhala ndi kuchuluka kwa khansa.Zimachitika makamaka zaka zapakati komanso zachikulire, wamwamuna, zilonda zam'mimba zomwe sizingachiritsidwe kwa nthawi yayitali. M'malo mwake, mafayilo a pathological a Pacciological ayenera kuchitidwa zilonda zonse za m'mimba mu chipatala, makamaka zilonda zomwe zatchulidwa pamwambapa. Chithandizo cha anti-chilonda chitha kungochitika pambuyo pokana kuyenera kupatulidwa, pofuna kupewa zinthu zolakwika komanso kuchedwa matendawa. Kuphatikiza apo, pambuyo pa zilonda zam'mimba, kukonzanso kuyenera kuchitika kuti zisasinthe zilonda zochiritsa ndikusintha njira zamankhwala.
Zilonda zam'mimba sizimangokhala khansa, koma zilonda zam'mimba za m'mimba tsopano zimawerengedwa ndi akatswiri ambiri kuti akhale otupa.
Malinga ndi malipoti ofotokoza za Chitchaina, pafupifupi 5% ya zilonda zam'mimba zimatha kukhala khansa, ndipo chiwerengerochi chikuwonjezeka. Malinga ndi ziwerengero, mpaka 29.4% ya makhansa am'mimba amachokera ku zilonda zam'mimba.
Kafukufuku wapeza kuti akaunti yam'mimba ya access account ya ma 5% - -10% ya chapamimba zilonda zam'mimba. Nthawi zambiri, odwala ambiri omwe ali ndi zilonda zam'mimba ya chapamimba amakhala ndi mbiri yakale yachikulire. Kuwonongeka kobwerezabwereza kwa maselo a epithelial m'mphepete mwa zilonda zam'mimba ndi mucosal kukonza komanso kusinthika, metaplaica, ndi aypical hyperplasia ikuwonjezera mwayi woletsa pakapita nthawi.
Khansa nthawi zambiri imachitika mu mucosa wozungulira zilonda. Mucosa wa magawo amenewa kuwonongeka pamene zilondazo zikugwira ntchito, ndipo zimatha kukhala zonyansa pambuyo potobwereza ndi kusinthika. M'zaka zaposachedwa, chifukwa cha kupita patsogolo kwa matenda ndi mayeso, njira zopenda, adapezeka kuti khansa yoyambirira ya m'mimba yomwe imangokhala yopanda zingwe ndi zilonda zam'mbuyomu. Zilonda za khansa zoterezi zimatha kukonzedwa ngati zilonda zam'mimba. Ndipo kukonza kumatha kubwerezedwanso, ndipo matendawa atha kukulitsidwa kwa miyezi ingapo kapena kupitilira apo, zilonda zam'mimba ziyenera chidwi kwambiri.
3. Kodi zizindikiro za kusintha kwa zilonda zam'mimba ndi ziti?
1. Zosintha mu chikhalidwe ndi zowawa:
Kupweteka kwa chilonda cha m'mimba kumawonekera kwambiri ngati kupweteka kwamkati pamimba, komwe kumayaka kapena kusamvana, ndipo kulowera kwa ululu kumakhudzana ndi kudya. Ngati zowawa zimatha kutchulidwa pamwambapa, zimakhala zowawa zosakhazikika, kapena zimapangitsa kupweteka kosalekeza poyerekeza ndi zakale, zimayenera kukhala tcheru ndi khansa ya khansa.
2. Osagwira ntchito ndi anti-ulcer mankhwala:
Ngakhale zilonda zam'mimba zimakonda kubwezera, zomwe zimatsimikizika pambuyo potenga mankhwala oletsa anti-ulcer.
3. Odwala mopita patsogolo odwala:
Pakadali pano, kusowa kwa chakudya, nseru, kusanza, kutentha thupi komanso kuchepa thupi, kuchepa thupi, kuthekera kwa khansa ndi yayitali kwambiri.
4. Mnzanu woyang'anira ndi Melena Aoneke:
Kusanza kwa wodwalayo pafupipafupi kwa magazi kapena tarry stools, kofananira kopitilira muyeso wamatsenga, ndipo kuchepa kwa magazi kwambiri kumatanthauza kuti zilonda zam'mimba zitha kutembenuka khansa.
5. Mitundu yowoneka pamimba:
Odwala omwe ali ndi zilonda zam'mimba nthawi zambiri samapanga zilonda zam'mimba, koma ngati atakhala khansa, zilondazi zikhala zowuma ndikuwuma, odwala apamwamba amatha kumva kuchuluka pamimba yakumanzere. Unyinji wa misa nthawi zambiri zimakhala zolimba, zodzikongoletsera osati zosalala.
6.Kodi amene ali ndi zaka zopitilira 45, khalani ndi mbiri ya zilonda zam'mbuyo, ndipo tabwereza chizindikiro chaposachedwa, monga mabisi, kuyamwa, kupweteka kwam'mimba, ndipo kumayendera limodzi ndi kunenepa.
7.. Zabwino zam'matsenga zamatsenga:
Mobwerezabwereza, onetsetsani kuti mupita kuchipatala kuti mumvetse bwino.
8. Ena:
Zaka zopitilira 5 atachita opaleshoni yam'mimba, pali zizindikiro za kudzimbidwa, kuchepa kwa thupi, kuchepa magazi, komanso kusasamala kwam'mimba, kutopa, kutopa, kutopa, etc.
4, chomwe chimayambitsa chilonda cha chapamimba
Etiology ya zilonda zam'mimba sizinamveke bwino, koma zafotokozedwa bwino kwambiri ndi mankhwala oletsa matenda a hithmal Monga mprophysema ndi hepatitis b zimakhudzananso ndi zilonda za zilonda zam'mimba.
1. Helicobacter Pylori (HP) matenda:
Marshall ndi Warren adapambana mphotho ya 2005 Nobel mu zamankhwala pakuchira Helicobacter bwino Pylori mu 1983 ndikuwonetsa kuti matenda ake amatenga nawo gawo pa matenda a zilonda zam'mimba. Maphunziro ambiri atsimikizira kuti Helicobacter Pylori irsicker ndi chifukwa chachikulu cha zilonda zam'mimba.
2. Zinthu za Zakudya ndi Zakudya:
Kugwiritsa ntchito kwa nthawi yayitali monga aspirin ndi corticosteroids kumakonda matendawa. Kuphatikiza apo, kusilira kwa nthawi yayitali, kumwa nthawi yayitali, komanso kumwa tiyi wamphamvu ndi khofi kumawoneka kuti zikugwirizana.
. Mu milandu yovuta, helena, melena, ndi zina, zitha kupezeka m'mimba, zotupa ndi zilonda.
(2) Mankhwala osokoneza bongo:
Mankhwala monga indomethacin ndi Phenylbutazone amabwezeretsa mankhwala osokoneza bongo, omwe ali ndi zowonongeka mwachindunji kwa chapamimba mucosa ndipo zimatha kuyambitsa zilonda zam'mimba.
(3) antipyretic analgesics:
Monga A.pc, paracetamol, mapiritsi opweteka ndi mankhwala ozizira monga ganmatong.
3. Mimba Acid ndi Pepsin:
Kupanga komaliza kwa zilonda zam'mimba kumachitika chifukwa cha chimbudzi cha m'mimba acid / peprin, chomwe ndi chinthu chofunikira pakuchilala. Otchedwa "zilonda zaulere".
4. Zinthu Zovuta:
Kupsinjika kwambiri kumatha kuyambitsa zilonda zam'mimba. Anthu omwe ali ndi nkhawa zambiri, nkhawa, kapena kusinthasintha kwamikhalidwe kumakonda zilonda zam'mimba
zilonda.
5.
Mu ma genetic ena osowa, monga mtundu wambiri wa endocrine adenoma i, systec mastocytosis, etc., zilonda zam'mimba ndi gawo la mawonetseredwe azachipatala.
6..
Odwala ena am'mimba ali ndi vuto la chapamimba, monga kuchuluka kwa chapamimba am'mimba chifukwa cha kuchepa kwa m'mimba ndikutsitsimutsa madzi ndi kuwonongeka kwa lysolecithin ku Mucosa.
7. Ndi zinthu zina:
Monga matenda am'deralo amtundu wa Herpes Spissionx Virus nditha kukhala yogwirizana. Matenda a cytomegalovirus amathanso kukhala ophatikizidwa ndi odwala aimpso kapena odwala odwala.
Pomaliza, zilonda zam'mimba zimatha kusungidwa bwino posintha moyo mosamala, kuthana ndi Helicobactery Pylori, ndikutenga gastroscopy ngati njira yoyeserera;
Chilungula kamodzi, ndikofunikira kuyang'anira chithandizo chamankhwala ndi chikhalidwe cha gastroscopy (ngakhale zilonda ziritsidwa), kuti zitheke kuti zizipezeka bwino.
"Kufunika kwa gastroscopy kumatha kugwiritsidwa ntchito kumvetsetsa ngati esophagus, m'mimba ndi duodenum ali ndi madigiri osiyanasiyana a kutupa, zilonda zam'mimba, zotupa ndi zotupa zina ndi zotupa zina. Gastroscopy ndi njira yoyendera mwachindunji, ndipo maiko ena atengera mayeso gasroscopic. Monga chinthu chowunikira, mayesedwe amafunika kuchitika kawiri pachaka, chifukwa matendawa a khansa yoyambirira m'maiko ena ndi yokwera kwambiri. Chifukwa chake, pambuyo poti chithandizo choyambirira komanso chithandizo cha nthawi yake, zotsatira zake zikuwonekeranso. "
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Post Nthawi: Aug-15-2022