Chilonda cha m'mimba chimatanthauza chilonda chosatha chomwe chimapezeka m'mimba ndi m'mimba. Dzina lake limatchedwa chifukwa kupangika kwa chilonda kumakhudzana ndi kugaya kwa asidi wa m'mimba ndi pepsin, zomwe zimapangitsa pafupifupi 99% ya chilonda cha m'mimba.
Chilonda cha m'mimba ndi matenda ofala kwambiri padziko lonse lapansi. Malinga ndi ziwerengero, zilonda za m'mimba nthawi zambiri zimapezeka mwa achinyamata, ndipo zaka zomwe zilonda za m'mimba zimayamba mochedwa, pafupifupi, pafupifupi zaka 10 kuposa za zilonda za m'mimba. Kuchuluka kwa zilonda za m'mimba kumakhala pafupifupi katatu kuposa zilonda za m'mimba. . Anthu ambiri amakhulupirira kuti zilonda zina za m'mimba zimakhala khansa, pomwe zilonda za m'mimba nthawi zambiri sizimakhala ndi khansa.
Chithunzi 1-1 Chithunzi cha khansa ya chipale chofewa yoyambirira Chithunzi 1-2 Chithunzi cha khansa yapakhungu yopita patsogolo.
1. Zilonda zambiri za m'mimba zimachiritsidwa
Kwa odwala omwe ali ndi zilonda zam'mimba, ambiri mwa iwo amatha kuchiritsidwa: pafupifupi 10%-15% ya iwo alibe zizindikiro, pomwe odwala ambiri ali ndi zizindikiro za matenda, zomwe ndi: kuyamba kosalekeza, kosinthasintha, kobwerezabwereza m'dzinja ndi m'nyengo yozizira komanso m'nyengo yozizira ndi masika kupweteka m'mimba.
Zilonda za m'mimba nthawi zambiri zimakhala ndi ululu wofanana ndi kusala kudya, pomwe zilonda zam'mimba nthawi zambiri zimakhala ndi ululu wofanana ndi kudya. Odwala ena nthawi zambiri sakhala ndi zizindikiro zodziwika bwino zachipatala, ndipo zizindikiro zawo zoyambirira ndi kutuluka magazi ndi kubowoka kwadzidzidzi.
Angiography ya m'mimba kapena gastroscopy nthawi zambiri imatha kutsimikizira matendawa, ndipo chithandizo chophatikizana ndi mankhwala oletsa acid, mankhwala oteteza mucosal m'mimba, ndi maantibayotiki chingathandize odwala ambiri kuchira.
2. Zilonda zam'mimba zomwe zimabwereranso zimaonedwa kuti ndi zilonda zomwe zisanachitike khansa
Zilonda zam'mimba zimakhala ndi kuchuluka kwa khansa.Zimapezeka makamaka kwa amuna azaka zapakati ndi kupitirira apo,zilonda zobwerezabwereza zomwe sizingachiritsidwe kwa nthawi yayitali. Ndipotu, biopsy ya matenda iyenera kuchitidwa pa zilonda zonse za m'mimba m'machitidwe azachipatala, makamaka zilonda zomwe zatchulidwa pamwambapa. Chithandizo chotsutsana ndi zilonda chikhoza kuchitika pokhapokha khansa itachotsedwa, kuti tipewe matenda olakwika komanso kuchedwa kwa matendawa. Kuphatikiza apo, pambuyo pa chithandizo cha zilonda za m'mimba, kuwunikanso kuyenera kuchitika kuti tiwone kusintha kwa kuchira kwa zilonda ndikusintha njira zochizira.
Zilonda za m'mimba sizimakhala khansa nthawi zambiri, koma zilonda zam'mimba zomwe zimabwerezabwereza tsopano zimaonedwa ndi akatswiri ambiri ngati chilonda chomwe chimayambitsa khansa.
Malinga ndi malipoti a mabuku aku China, pafupifupi 5% ya zilonda zam'mimba zimatha kukhala khansa, ndipo chiwerengerochi chikuwonjezeka pakadali pano. Malinga ndi ziwerengero, mpaka 29.4% ya khansa zam'mimba zimachokera ku zilonda zam'mimba.
Kafukufuku wapeza kuti odwala khansa ya zilonda zam'mimba ndi omwe amachititsa pafupifupi 5%-10% ya kuchuluka kwa zilonda zam'mimba. Kawirikawiri, odwala ambiri omwe ali ndi khansa ya zilonda zam'mimba amakhala ndi mbiri yayitali ya zilonda zam'mimba zosatha. Kuwonongeka mobwerezabwereza kwa maselo a epithelial m'mphepete mwa zilonda ndi kukonzanso ndi kukonzanso mucosal, metaplasia, ndi hyperplasia yosazolowereka kumawonjezera mwayi wokhala ndi khansa pakapita nthawi.
Khansa nthawi zambiri imapezeka m'matumbo ozungulira zilonda. Matumbo a ziwalo izi amawonongeka pamene chilondacho chikugwira ntchito, ndipo amatha kukhala oopsa pambuyo powonongeka mobwerezabwereza ndi kubwezeretsedwa. M'zaka zaposachedwapa, chifukwa cha kupita patsogolo kwa njira zodziwira matenda ndi kufufuza, zapezeka kuti khansa yoyambirira ya m'mimba yomwe imayikidwa mumatumbo imatha kusokonekera ndi zilonda, ndipo pamwamba pa minofu yake imatha kusinthidwa ndi zilonda zapakhosi. Zilonda za khansa izi zimatha kukonzedwa ngati zilonda zopanda vuto. Kukonzanso kumatha kubwerezedwa, ndipo nthawi ya matendawa imatha kupitilira kwa miyezi ingapo kapena kuposerapo, kotero zilonda zam'mimba ziyenera kusamalidwa kwambiri.
3. Kodi zizindikiro za kusintha kwa zilonda zam'mimba ndi ziti?
1. Kusintha kwa mtundu ndi kukhazikika kwa ululu:
Kupweteka kwa zilonda zam'mimba nthawi zambiri kumaonekera ngati kupweteka kosawoneka bwino m'mimba yapamwamba, komwe kumayaka kapena kosawoneka bwino, ndipo kuyambika kwa ululu kumakhudzana ndi kudya. Ngati ululuwo wataya kukhazikika komwe kwatchulidwa pamwambapa, kukhala kuukira kosakhazikika, kapena kukhala kupweteka kosalekeza kosawoneka bwino, kapena mtundu wa ululu wasintha kwambiri poyerekeza ndi wakale, ayenera kukhala maso ndi chizindikiro cha khansa.
2. Kusagwira ntchito ndi mankhwala oletsa zilonda:
Ngakhale kuti zilonda zam'mimba zimakhala ndi matenda obwerezabwereza, zizindikiro zake nthawi zambiri zimachepa mutamwa mankhwala ochepetsa zilonda.
3. Odwala omwe amachepetsa thupi pang'onopang'ono:
Kwa kanthawi kochepa, kusowa chilakolako cha chakudya, nseru, kusanza, kutentha thupi komanso kuchepa thupi pang'onopang'ono, kuchepa thupi, mwayi wokhala ndi khansa ndi wokwera kwambiri.
4. Hematemesis ndi melena zimawonekera:
Kusanza magazi kapena ndowe zomwe wodwalayo wakhala akusanza pafupipafupi posachedwapa, zotsatira za mayeso a magazi obisika omwe amakhalapo nthawi zonse, komanso kuchepa kwa magazi m'thupi kukusonyeza kuti zilonda zam'mimba zitha kusanduka khansa.
5. Misa imawonekera m'mimba:
Odwala zilonda zam'mimba nthawi zambiri sapanga ma pustules a m'mimba, koma ngati atakhala khansa, zilondazo zimakhala zazikulu komanso zolimba, ndipo odwala okalamba amatha kumva ma pustules kumanzere kwa mimba yakumwamba. Ma pustules a m'mimba nthawi zambiri amakhala olimba, okhala ndi ma pustules komanso osasalala.
6. Anthu omwe ali ndi zaka zoposa 45, ali ndi mbiri ya zilonda zam'mimba m'mbuyomu, ndipo akhala ndi zizindikiro zobwerezabwereza posachedwapa, monga hiccups, belching, kupweteka m'mimba, ndipo zimayendera limodzi ndi kuchepa thupi.
7. Magazi amatsenga a ndowe:
Ngati muli ndi kachilombo ka HIV mobwerezabwereza, onetsetsani kuti mwapita kuchipatala kuti mukayezedwe mokwanira.
8. Ena:
Patatha zaka zoposa 5 kuchokera pamene opaleshoni ya m'mimba imachitika, pamakhala zizindikiro za kusagaya bwino chakudya, kuchepa thupi, kuchepa magazi m'thupi komanso kutuluka magazi m'mimba, komanso kutupa kwa m'mimba m'mimba mosadziwika bwino, kutsekeka, kusapeza bwino, kutopa, kuchepa thupi, ndi zina zotero.
4, Chifukwa cha zilonda zam'mimba
Chifukwa cha zilonda zam'mimba sichinamvetsetsedwe bwino, koma zafotokozedwa bwino kuti matenda a Helicobacter pylori, kumwa mankhwala oletsa kutupa osagwiritsa ntchito steroidal ndi mankhwala oletsa thrombosis, komanso kutulutsa asidi wambiri m'mimba, zinthu za majini, kusinthasintha kwa maganizo ndi malingaliro, komanso kudya zakudya zosakhazikika. Kugonana, kudya zakudya zokhwasula-khwasula, kusuta fodya, kumwa mowa, malo okhala ndi nyengo, matenda osatha monga emphysema ndi hepatitis B zimagwirizananso ndi kuchuluka kwa zilonda zam'mimba.
1. Matenda a Helicobacter pylori (HP):
Marshall ndi Warren adapambana Mphoto ya Nobel mu Zamankhwala mu 2005 chifukwa chothandiza kukulitsa bwino Helicobacter pylori mu 1983 ndipo akunena kuti matenda ake amatenga gawo lalikulu pakukula kwa zilonda zam'mimba. Kafukufuku wambiri watsimikizira mokwanira kuti matenda a Helicobacter pylori ndiye chifukwa chachikulu cha zilonda zam'mimba.
2. Zinthu zokhudzana ndi mankhwala ndi zakudya:
Kugwiritsa ntchito mankhwala osokoneza bongo monga aspirin ndi corticosteroids kwa nthawi yayitali kungayambitse matendawa. Kuphatikiza apo, kusuta fodya kwa nthawi yayitali, kumwa mowa kwa nthawi yayitali, komanso kumwa tiyi ndi khofi wamphamvu zikuwoneka kuti zikugwirizana.
(1) Mankhwala osiyanasiyana a aspirin: Kugwiritsa ntchito nthawi yayitali kapena mlingo waukulu kungayambitse kupweteka m'mimba komanso kusasangalala. Pa milandu yoopsa, kutupa kwa mucosal ya m'mimba, kukokoloka kwa nthaka ndi kupanga zilonda.
(2) Mankhwala olowa m'malo mwa mahomoni:
Mankhwala monga indomethacin ndi phenylbutazone ndi mankhwala olowa m'malo mwa mahomoni, omwe amawononga mwachindunji mucosa ya m'mimba ndipo angayambitse zilonda zam'mimba zoopsa.
(3) Mankhwala oletsa kupweteka kwa mutu:
Monga A.PC, paracetamol, mapiritsi ochepetsa ululu ndi mankhwala ozizira monga Ganmaotong.
3. Asidi wa m'mimba ndi pepsin:
Kupangidwa komaliza kwa zilonda zam'mimba kumachitika chifukwa cha kudzigaya kwa asidi/pepsin m'mimba, komwe ndi chinthu chofunikira kwambiri pakupezeka kwa zilonda. Zomwe zimatchedwa "zilonda zopanda asidi".
4. Zinthu zodetsa nkhawa m'maganizo:
Kupsinjika maganizo kwambiri kungayambitse zilonda za m'mimba. Anthu omwe ali ndi nkhawa, nkhawa, kapena kusinthasintha kwa maganizo nthawi zonse amakhala pachiwopsezo chotenga zilonda za m'mimba.
chilonda.
5. Zinthu zokhudza majini:
Mu matenda ena osowa a majini, monga multiple endocrine adenoma type I, systemic mastocytosis, ndi zina zotero, zilonda zam'mimba ndi chimodzi mwa zizindikiro zake zachipatala.
6. Kuyenda kwa m'mimba molakwika:
Odwala ena a zilonda zam'mimba amakhala ndi vuto la kuyenda bwino kwa m'mimba, monga kuchuluka kwa asidi m'mimba chifukwa cha kuchedwa kutulutsa chakudya m'mimba komanso duodenal-gastric reflux chifukwa cha ndulu, madzi a kapamba ndi kuwonongeka kwa lysolecithin ku mucosa.
7. Zinthu zina:
Monga matenda am'deralo a kachilombo ka herpes simplex mtundu woyamba, mwina ndi ofanana. Matenda a cytomegalovirus angayambitsenso kusamutsidwa kwa impso kapena odwala omwe ali ndi chitetezo chamthupi chofooka.
Pomaliza, zilonda zimatha kupewedwa bwino mwa kusintha moyo wanu, kumwa mankhwala moyenerera, kuchotsa Helicobacter pylori, ndi kutenga gastroscopy ngati njira yodziwira thupi nthawi zonse;
Chilonda chikangoyamba, ndikofunikira kuyang'anira bwino chithandizocho ndikuchita kafukufuku wa gastroscopy nthawi zonse (ngakhale chilondacho chitachira), kuti tipewe khansa.
"Kufunika kwa gastroscopy nthawi zambiri kungagwiritsidwe ntchito kumvetsetsa ngati m'mero, m'mimba ndi duodenum wodwalayo ali ndi madigiri osiyanasiyana a kutupa, zilonda, ma polyp a chotupa ndi zilonda zina. Gastroscopy ndi njira yosasinthika yowunikira mwachindunji, ndipo mayiko ena agwiritsa ntchito mayeso a gastroscopy. Monga chinthu chowunikira thanzi, mayeso ayenera kuchitika kawiri pachaka, chifukwa kuchuluka kwa khansa ya m'mimba koyambirira m'maiko ena kumakhala kwakukulu. Chifukwa chake, atazindikira msanga komanso kulandira chithandizo chanthawi yake, zotsatira za chithandizocho ndizodziwikiratu."
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Nthawi yotumizira: Ogasiti-15-2022