I-Peptic Ulcer ikakhulukazi isho isilonda esingamahlalakhi esenzeka esiswini naseDuodenal Bulb. Ibizwa ngokuthi ngoba ukwakheka kwe-ulcer kuhlobene nokugaya kwe-gastric acid kanye ne-Pepsin, okubangela cishe ama-99% we-peptic ulcer.
I-Peptic Ulcer yisifo esivamile sokugubha ngokusatshalaliswa komhlaba wonke. Ngokusho kwezibalo, izilonda ze-duodenal zivame ukwenzeka kubantu abadala abasebasha, futhi iminyaka yokuqala kwezilonda zesisu kamuva, ngokwesilinganiso, cishe eminyakeni eyi-10 kamuva kunaleyo yezilonda ze-duodenal. Izigameko zezilonda ze-duodenal zingama-3 amahlandla ama-3 anezilonda zesisu. . Ngokuvamile kuzwakala ukuthi ezinye izilonda zesisu zizoba nomdlavuza, kanti izilonda zeDuodenal zivame ukungazi.
Umdwebo ongu-1
1. Izilonda eziningi ze-peptic ziyelapheka
Ezigulini ezinesilonda se-peptic, iningi lazo lingalashwa: cishe ngo-10% -15% wazo azinazimpawu, kanti iningi leziguli linokuvezwa okujwayelekile kwemitholampilo, okungukuthi: Ukuqalwa kokuqala kokuqala, ubusika kanye nobusika kanye nokuqaqanjelwa kwesisu.
Izilonda ze-Duodenal zivame ukwethula ngobuhlungu bokuzila isigqi, kanti izilonda zesibeletho zivame ukwethula ngobuhlungu bendawo ephezulu. Ezinye iziguli zivame ukungabi nokubonakaliswa okujwayelekile kwemitholampilo, futhi izimpawu zazo zokuqala zingukugcwala kwe-hemorrhage ne-acute.
I-angiography ephezulu yesisu noma i-gastroscopy ingakuqinisekisa ukuxilongwa, futhi ihlanganiswe nokwelashwa okuhlangene nge-suppressants ye-acid, ama-antibiotics angumuntu wokuvikela, kanye nama-antibiotics kungenza iziguli eziningi zilulame.
Izilonda ze-2.Recorsent Stomach zibhekwa njengezilonda ezingezinhle
Izilonda zesisu zinesilinganiso esithile somdlavuza.Kwenzeka ikakhulukazi kuma-ged-ager nangaphezulu, owesilisa, izilonda eziphindaphindwayo ezingakwazi ukwelashwa isikhathi eside. Eqinisweni, i-biopsy ye-pathological kufanele yenziwe ngazo zonke izilonda zesisu emtholampilo, ikakhulukazi izilonda ezichazwe ngenhla. Ukwelashwa nge-anti-ulcer kungenziwa kuphela ngemuva kokuphenywa kufanele kungafakwa ngaphandle, ukuze kuvikeleke kabi i-misdiagnosis nokubambezeleka kwalesi sifo. Ngaphezu kwalokho, ngemuva kokwelashwa kwezilonda esiswini, ukuhlolwa kabusha kufanele kwenziwe ukuze kuboniswe izinguquko ekuphulukeni kwesilonda futhi ulungise izindlela zokwelashwa.
Izilonda ze-duodenal akuvamile ukuba zibe nomdlavuza, kepha izilonda eziphindaphindayo zase-gastric manje sezibhekwa njengezingcweti eziningi ukuba yisilonda esiyingqayizivele.
Ngokwemibiko yezincwadi yaseChina, cishe ama-5% ezilonda zesisu angaba nomdlavuza, futhi le nombolo iyanda. Ngokusho kwezibalo, kuze kufike ku-29.4% wekhansela esibeletho aqhamuka ezilonda esiswini.
Ucwaningo luthole ukuthi i-Akhawunti ye-Gastric Ulcence Canlicers cishe ngo-5% -10% wezilo zesilonda zesisu. Ngokuvamile, iziguli eziningi ezinesisusi se-alcer zinomlando omude wokulimala kwesisu esingamahlalakhona. Ukucekelwa phansi okuphindaphindiwe kwamaseli e-epithelial emaphethelweni wesilonda kanye nokulungiswa kwe-mucosal kanye nokuvuselelwa kabusha, i-metaplasia, ne-atypical hyperplasia yandisa amathuba okuphetha ngokuhamba kwesikhathi.
Umdlavuza uvame ukwenzeka eMucosa ezungezile yezilonda. I-mucosa yalezi zingxenye igcwala lapho isilonda sisebenza, futhi singaba yingozi ngemuva kokubhujiswa okuphindaphindiwe kanye nokuvuselelwa kabusha. Eminyakeni yamuva nje, ngenxa yentuthuko yokuxilongwa kanye nezindlela zokuhlola, kutholakale ukuthi umdlavuza wokuqala wesisu ovalelwe i-mucosa ungadilizwa futhi ugcwalisekile, futhi izicubu zawo zezicubu zingashintshwa ngezilonda ze-peptic zesibili. Lezi zilonda ezinomdlavuza zingalungiswa njenge-benign izilonda. Futhi ukulungiswa kungaphindwa, futhi inkambo yalesi sifo inganwetshwa izinyanga ezimbalwa noma isikhathi eside, ngakho-ke izilonda ezi-gastric kufanele zinake kakhulu.
3. Iziphi izimpawu zokuguqulwa okulimazayo kwesilonda esisesiswini?
1. Izinguquko emvelweni kanye nokuvama kobuhlungu:
Ubuhlungu be-ulcer esiswini bubonakaliswa kakhulu njengobuhlungu obuthuntu esiswini esingenhla, esivuthayo noma esibuthakathaka, futhi ukuqala kobuhlungu kuhlobene nokudla. Uma izinhlungu zilahlekelwa yilokho okwenzeka ngenhla, ziba ukuhlaselwa okungajwayelekile, noma ziba buhlungu obuphikelelayo, noma ubuhlungu obuphikelelayo, noma uhlobo lobuhlungu lushintshe kakhulu uma kuqhathaniswa nangokwedlule, kufanele luqaphele ihabhu lomdlavuza.
2. Ukungasebenzi ngezidakamizwa ezilwa ne-anti-ulcer:
Yize izilonda zesisu zithambekele ekuhlaseleni okuphindaphindayo, izimpawu zivame ukukhululeka ngemuva kokuthatha izidakamizwa ezilwa nezilokulima.
3. Iziguli ezithuthukayo zesisindo ezithuthukayo:
Esikhathini esifushane, ukulahlekelwa yisifiso sokudla, isicanucanu, ukugabha, umkhuhlane kanye nokunciphisa umzimba okuqhubekayo, ukunciphisa isisindo, ukuthi kungenzeka ukuthi umdlavuza uphezulu kakhulu.
4. IHemateMesis neMelena avele:
Ukuhlaziywa kwakamuva kwesiguli segazi noma izihlalo zokuhlwaya, imiphumela emibi yokuhlolwa kwemimoya ephikelela, futhi i-anemia enzima iphakamisa ukuthi izilonda zesisu zingaphenduka umdlavuza.
I-5. Kuvela inqwaba esiswini:
Iziguli ezinezilonda zesisu ngokuvamile azikhi ubunzima besisu, kepha uma ziba nomdlavuza, izilonda zizoba zinkulu futhi zilukhuni, futhi iziguli ezithuthukile zingazizwa isisindo esiswini esingenhla. Isisindo sesisindo sivame ukuba nzima, futhi singabushelelezi.
I-6.Lowosi engaphezu kweminyaka engama-45 ubudala, inomlando wesilonda esikhathini esedlule, futhi banezimpawu eziphindaphindwayo muva nje, njengama-hiccups, ebeka, ubuhlungu besisu, futhi bahambisana nokunciphisa umzimba.
7. Igazi elihle le-fecal fealt:
Okuphindaphindiwe okuhle, qiniseka ukuthi uya esibhedlela ukuze uhlolwe ngokuphelele.
8. Abanye:
Ngaphezu kweminyaka engu-5 ngemuva kokuhlinzwa esiswini, kunezimpawu zokugaya, ukunciphisa umzimba, i-anemia kanye nokopha kwesisu, kanye nokuhlanekezelwa okuphezulu kwesisu, nokungabikwa, ukungakhululeki, ukudilizwa, ukukhathala, ukunciphisa umzimba, njll.
4, imbangela yesilonda esiswini
I-Etiology ye-Peptic Ulcer ayikaqondakali ngokuphelele, kepha icacisiwe ukuthi ukutheleleka nge-helicobacter pylori, ukuguquguquka kwe-antithrombotic, kanye nokudla okulula, ukubhema, ukuphuza kwemvelo kanye nezifo ezingamahlalakhona, izifo ezingamahlalakhona ezifana I-Emphysema neHepatitis B ihlobene nezehlakalo ze-peptic ulcer.
1. Helicobacter Pylori (HP) ukutheleleka:
UMarshall noWarren bawine umklomelo kaNobel ngo-2005 wezokwelapha ngokweqiniso amasiko e-Helicobacter Pylori ngo-1983 futhi ephakamisa ukuthi ukutheleleka kwalo kudlala indima kuma-pathogenis wezilonda ze-peptic. Inani elikhulu lezifundo likubonakalise ngokugcwele ukuthi i-Helicobacter Pyloriff Imbangela eyinhloko ye-peptic ulcer.
2. Izici zezidakamizwa nezokudla:
Ukusetshenziswa kwesikhathi eside kwezidakamizwa ezifana ne-aspirin ne-corticosteroids kuthambekele ekubangelele lesi sifo. Ngaphezu kwalokho, ukubhema isikhathi eside, ukuphuza isikhathi eside, nokuphuza itiye eliqinile nekhofi kubonakala kuhlobene.
(1) Amalungiselelo ahlukahlukene we-aspirin: ukusetshenziswa kwethamo lesikhathi eside noma eliphakeme kungadala ubuhlungu besisu nokungaphatheki kahle. Ezimweni ezinzima, i-hematemesis, iMelena, njll.
(2) Izidakamizwa zokubuyiselwa kwamaHormone:
Izidakamizwa ezinjenge-Indomethacin ne-Phenylbutazone ziyizidakamizwa zokubuyiselwa kwama-hormone, ezinomonakalo oqondile kwi-mucosa yesisu futhi zingaholela ezilondeni ezicijile esiswini.
(3) I-AntiPyretic Anlosedics:
Njenge-A.pc, i-paracetamol, amaphilisi wokusiza ubuhlungu nemithi ebandayo efana ne-ganmatong.
3. Isisu se-acid ne-pepsin:
Ukwakheka kokugcina kwezilonda ze-peptic kungenxa yokuzifutho kwe-gastric acid / PEPSIIN, okuyinto enqumayo ekuveleni kwezilonda. Okubizwa ngokuthi "i-acid-accers yamahhala".
4. Izici ezicindezelayo zengqondo:
Ukuxineka okukhulu kungadala izilonda ezicindezelekile. Abantu abanengcindezi engapheli, ukukhathazeka, noma ukuguquka kwemizwelo kuthambekele ezilondeni ze-peptic
isilonda.
5. Izici zezakhi zofuzo:
Kwamanye amaSyndromes anezakhi zofuzo angavamile, njenge-Multiple endocrine Adenoma Type I, systemic mastocytosis, njll.
I-6
Ezinye iziguli zesilonda esiswini zinokuphazamiseka kwe-stric monility, njengokukhuphuka kwemfihlo ye-gastric acid okubangelwa ukuncipha kwesisu kanye ne-duodenal-gastric Reflux okubangelwa yi-bile, ukulimala kwe-Jecreakic kanye noLiselithin ku-mucosa.
7. Ezinye izinto:
Njengokutheleleka kwendawo kwe-Herpes Simplex Virus Virus Ngingahle ngilandiswe. Ukutheleleka kwe-cytomegalovirus nakho kungabandakanyeka ekudluliseleni kabusha noma iziguli ezivikelwe.
Ekuphetheni, izilonda zingavinjelwa ngempumelelo ukuthuthukisa izindlela zokuphila ngenkuthalo, zisebenzisa izidakamizwa ngokucophelela, ziqede i-helicobacter pylori, futhi zithathe i-gastroscopy njengento ejwayelekile yokuhlolwa ngokomzimba;
Lapho isilonda senzeka, kuyadingeka ukuthi kulawulwe ngentshiseko ukwelashwa nokwenza isibuyekezo se-gastroscopy ejwayelekile (noma ngabe isilonda selashwa), ukuze sivikele ngempumelelo ukuvela komdlavuza.
"Ukubaluleka kwe-gastroscopy ngokuvamile kungasetshenziselwa ukuqonda ukuthi ngabe i-esophagus yesiguli, isisu kanye ne-duodenum zinamazinga ahlukene okuvuvukala, izilonda, ama-polyps ahlanga. I-Gastroscopy nayo iyindlela yokuhlola eqondile eqondile engenakuphikwa, kanti amanye amazwe amukele ukuhlolwa kwe-gastroscopic. Njengento yokuhlola impilo, izivivinyo zidinga ukwenziwa kabili ngonyaka, ngoba izehlakalo zomdlavuza wokuqala wesisu kwathile kwamanye amazwe ziphakeme kakhulu. Ngakho-ke, ngemuva kokutholwa kusenesikhathi kanye nokwelashwa okufika ngesikhathi, umphumela wokwelapha futhi usobala. "
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Isikhathi sePosi: Aug-15-2022