Hnub no peb yuav tham txog hom mob ntawm qhov txhab thiab yuav ua li cas nrog nws. Cia peb pib peb tsab xov xwm nrog me me ntawm cov ntaub ntawv txheeb cais: PU thiab PU 12PK yog cov kab mob ntau heev, feem pua yog 10% ntawm tag nrho cov pejxeem ntawm lub ntiaj teb.
Ib yam ntxwv ntawm peptic ulcer yog mob, uas tuaj yeem mob hnyav lossis mob me, raug lossis tsis raug, tuaj yeem nrog kub kub lossis ntuav.
Tam sim ntawd, peb nco ntsoov tias cov kab mob no muaj nyob rau hauv pab pawg neeg mob ntev, txij li thaum exacerbations (relapses) tshwm sim ib ntus tawm tsam keeb kwm ntawm gastritis. Dab tsi ua rau tus kab mob peptic ulcer? Ntawm chav kawm, vim tsis ua hauj lwm nyob rau hauv qhov sib npaug ntawm kev txhoj puab heev thiab kev tiv thaiv mechanisms ntawm mucous daim nyias nyias ntawm lub plab thiab cov hnyuv. Peb thov kom tam sim ntawd qhia txog cov xwm txheej no. Aggressive - hydrochloric acid, digestive enzymes thiab bile acids; tiv thaiv - mucus secretion, cell renewal, mucosal blood supply.
Tsis txhob sim tiv tus kab mob koj tus kheej. Nws yog ib qho tsim nyog mus ntsib kws kho mob. Tsuas yog ib tus kws tshaj lij tshwj xeeb yuav pab tsim kev kuaj mob thiab sau ntawvkev kho mob tsim nyog. Rau lub hom phiaj ntawm kev kuaj mob, cov txheej txheem gastroscopy (EGDS) yog siv, ntawm chav kawm nws tsis kaj siab heev, tab sis tsis mob kiag li thiab kav tsis ntev tshaj tsib feeb. Qhov no yog hais txog kev taw qhia ntawm ib lub raj tshwj xeeb nrog lub endoscope rau hauv lub plab. EGDS tsuas yog tsim nyog, raws li tus kws kho mob tuaj yeem paub meej tus kab mob thiab, yog tias tsim nyog, ua ib qho kev kuaj ntshav.
Tsis tshua muaj, tab sis tseem, tau sau ib qho ultrasound ntxiv thiab x-ray ntawm lub plab.
Kev mob
Tus neeg mob ntawm tus mob peptic ulcer tuaj yeem ua tau ntau yam. Tam sim no peb tsuas sau qee qhov ntawm lawv:
- khoom noj khoom haus tsis tu ncua (nrog rau lub sijhawm ntev ntawm cov pluas noj, khaus ntawm daim tawv nqaij ntawm cov kua txiv hmab txiv ntoo tshwm sim, uas ua rau mob);
- kev nyuaj siab;
- smoking;
- tsis ua raws li kev noj zaub mov (yog tias koj noj cov rog, haus luam yeeb, ntsev, pickled thiab lwm yam, ces muaj qhov tshwm sim ntau ntawm tus kab mob thiab mob);
- insomnia;
- lub cev lossis kev xav-kev xav ntau dhau;
- kab mob ua haujlwm;
- siv vinegar hauv kev ua noj;
- coffee;
- dej cawv;
- pathologies uas tuaj yeem ua rau ischemia ntawm lub plab hnyuv thiab lwm yam.
Yog li, peb tuaj yeem xaus: qhov mob tshwm sim los ntawm kev khaus ntawm cov hlab ntsha hauv thaj tsam ntawm qhov txhab. Kev saib xyuas tshwj xeeb tsim nyog rau qhov mob ntawm trophic ulcer tshwm sim los ntawm cov kab mob hauv lub cev. Feem ntau, trophic rwj yog tsim nyogurgently kho, raws li nws yuav ua rau tsim ib tug malignant qog. Qhov ua rau ntawm qhov tsim ntawm qhov txhab tuaj yeem ua rau cov kab mob vascular, metabolic, ntshav lossis neurological.
Localization
Nyob rau thaj tsam twg nws mob peptic ulcer? Ib tug raug mob syndrome yog pom nyob rau hauv lub epigastric cheeb tsam. Lawv muaj tus cwj pwm ntawm qaug dab peg, aggravated tom qab noj mov, tshwj xeeb tshaj yog nrog lub sij hawm ntawm exacerbation ntawm tus kab mob. Nyob ntawm qhov chaw ntawm qhov txhab, qhov mob yuav hloov qhov chaw. Mob tuaj yeem ua rau thaj chaw sib txawv. Piv txwv li:
- Ua ntej, xav txog qhov mob ntawm duodenal rwj. Hauv qhov no, cov tsos mob ntawm qhov mob yuav nyob hauv thaj tsam sab xis ntawm lub peritoneum. Raws li txoj cai, nws muaj tus cwj pwm ntawm kev tawm tsam, uas yog khaus heev, ntawm lub sijhawm sib txawv thiab tuaj yeem rov ua dua ob peb zaug hauv ib hnub. Txawm li cas los xij, muaj cov xwm txheej thaum qhov mob muaj tus cwj pwm zuj zus thiab ntev heev.
- Yog tias qhov txhab nyob hauv nruab nrab ntawm lub plab, ces qhov mob tshwm sim hauv epigastrium, qee zaum ntawm sab laug ntawm lub plab.
- Lub plab nyob rau sab saum toj ntawm lub plab ua rau nws tus kheej hnov mob hauv daim ntawv kub hnyiab thiab siab tom qab lub sternum. Nws yog ib qho tsim nyog yuav tsum tau them sai sai rau qhov tseeb tias lawv feem ntau tsis meej pem nrog cov tsos mob ntawm tus mob angina nres, tus yam ntxwv ntawm tus yam ntxwv uas yog mob hauv thaj tsam ntawm sab laug lub xub pwg hniav, lub plawv lossis caj npab. Feem ntau, cov tsos mob tshwm sim tom qab noj mov, tab sis nws tuaj yeem pom lawv tom qab kev tawm dag zog hnyav.
Tsis txhob kuaj tus kheej thiab kho tus kheej. Kev kuaj xyuas qhov teeb meem hauv tsev tsuas yog los ntawm qhov xwm txheej ntawm qhov mob nkaus xwb yuav tsis ua haujlwm rau koj. Hauv cov xwm txheej no, kev kuaj mob gastroenterological tsuas yog tsim nyog, uas tsuas yog ua tau los ntawm tus kws tshaj lij kev paub dhau los.
pab
Raws li nws twb tau paub meej lawm, cov tsos mob ntawm peptic rwj ntawm ib qho ntawm cov kab mob hauv plab yog qhov zoo sib xws. Yog li, tsuas yog ib tus kws paub txog kev paub dhau los yuav pab txheeb xyuas qhov teeb meem kom raug los ntawm kev ua ntau yam kev ntsuam xyuas. Tsuas muaj ob peb lub cim ntawm duodenal rwj thiab plab hnyuv uas tuaj yeem kuaj pom tom qab noj mov.
Thiab yog li ntawd, mob plab mob li cas thiab kuaj tau ntev npaum li cas tom qab noj mov? Cia peb pib nrog qhov tseeb tias qhov mob tshwm sim yuav tsis tshwm sim hauv ib teev tom qab noj mov, thiab lub sijhawm ntawm qhov mob nyob ntawm qhov chaw ntawm qhov txhab:
- kawg - 30 feeb;
- plab - 1 teev;
- antrum - tsis tshaj 1, 5 - 2 teev.
Yog tias koj tab tom kho mob los ntawm duodenal rwj, ces koj yuav hnov nws tshwm sim tsuas yog 2 teev tom qab noj mov.
hom thawj
hom mob no ua rau nws tus kheej hnov hauv thawj feeb ntawm kev noj mov. Ib qho tshwj xeeb feature yog maj mam nce, kev ntxhov siab rau ob teev, qeeb qeeb. Thaum cov zaub mov txav mus ntxiv los ntawm txoj hnyuv, ces tag nrho cov kev xav tsis zoo tam sim ntawd ploj mus.
Qhov no yuav yog qhov mob yog tias qhov chaw ntawm qhov txhab poob rau ntawm lub plab. Yog tias nws nyob hauv thaj tsam plawv los yog nyiaj txiag, koj yuav pib muaj kev tsis xis nyob.tam sim ntawd thaum noj mov.
Late type
Tseem muaj qhov mob lig nrog lub plab uas tshwm sim ob peb teev tom qab noj mov. Lawv nruj thaum cov zaub mov nkag mus rau hauv duodenum. Raws li twb tau paub meej lawm, cov mob no yog yam ntxwv ntawm kev swb ntawm lub cev tshwj xeeb no.
Ua tib zoo saib kom tib neeg tsis txhob hnov qab txog qhov tsis xis nyob. Txawm li cas los xij, ntau tus ntshai ntawm qhov tshwm sim ntawm cov tsos mob ntawm pathology thiab pib noj ntau npaum li sai tau, uas kuj muaj kev cuam tshuam tsis zoo rau tus neeg mob.
Hunger
Mob hauv duodenal rwj tuaj yeem tshwm sim ntawm lub plab khoob. Hauv seem no, peb yuav tham luv luv txog qhov hu ua "kev tshaib kev nqhis".
Raws li tau hais ua ntej, peptic rwj tshwm sim tawm tsam keeb kwm ntawm gastritis, uas tuaj yeem tsim kev yaig ntawm cov mucous membranes ntawm txoj hnyuv. Yog tias tom kawg tsis kho, ces cov txheej txheem inflammatory pib mus, uas ua rau tus kab mob no.
Nrog rau cov kab mob ntawm duodenum, tej zaum yuav muaj mob ntawm lub plab khoob. Cov spasms no tuaj yeem tawg mus rau lwm qhov chaw ntawm lub cev, xws li sab nraub qaum lossis sab nraub qaum. Tus cwj pwm kuj hloov tau, muaj mob:
- mob siab;
- ntsim;
- stupid.
Koj tuaj yeem pom cov tsos mob no ua ntej noj mov lossis tsib teev tom qab lawv. Yog vim li cas rau nws tshwm sim yog ntau heev secretion ntawm hydrochloric acid secretion los ntawm cov qog.
mob lub sijhawm
Mob plab tuaj yeem ua ntu zus, sib txawvkawm luv luv. Lawv yog cov pov thawj ntawm kev loj hlob ntawm ib qho exacerbation ntawm peptic ulcer.
Cov mob no dhau ntawm lawv tus kheej, thiab lawv cuam tshuam nrog cov leeg mob plab. Yog tias qhov mob ntawd haunts rau koj ntau zaus, ces koj yuav tsum hu rau koj tus kws kho mob, uas yuav kho kho.
Hmo ntuj mob
Tus cwj pwm ntawm qhov mob no yog ib yam rau duodenal rwj thiab koom nrog pab pawg ntawm "tshaib plab" kev tshaib kev nqhis. Nws tshwm sim ib yam nkaus. Ntau tus kab mob tau pom ntau dua ib zaug tias lawv tuaj yeem sawv hauv nruab nrab hmo ntuj nrog kev tawm tsam hnyav. Qhov mob hauv qhov no tuaj yeem muaj tus cwj pwm txawv:
- rub;
- mob siab;
- txiav.
Tshuaj cov tsos mob no nrog ib qho khoom noj txom ncauj los yog ib khob mis nyuj sov.
Acute attacks
Yuav ua li cas lwm yam mob tuaj yeem ua rau mob plab? Qee lub sij hawm muaj qhov mob hnyav ntawm qhov mob hnyav. Nyob rau hauv rooj plaub no, koj yuav tsum tau hu rau koj tus kws kho mob, vim qhov no yuav qhia tau hais tias tus txheej txheem ntawm perforation ntawm lub rwj. Qhov kev sib txuas tsis nkag siab ntawm cov lus no yog hais txog kev tsim ntawm lub qhov hauv lub plab.
Nws tsis tsim nyog tham txog qhov txaus ntshai ntawm qhov tshwm sim no, cov ntsiab lus ntawm lub plab provoke cov txheej txheem inflammatory thiab peritonitis. Hauv qhov no, kev mus pw hauv tsev kho mob ceev ntawm tus neeg mob yog qhov tsim nyog los muab kev kho mob xwm txheej ceev.
Lwm yam mob
Peb tham ntau yam txog yuav ua li casplab rwj mob, tab sis suav hais tias tsuas yog cov tsos mob. Ua tib zoo saib xyuas qhov tseeb tias qhov mob hnyav tuaj yeem muaj lwm qhov chaw atypical.
- Lub nraub qaum thiab sab nraub qaum tuaj yeem ua mob thaum lub plab zom mov tsis zoo. Raws li txoj cai, cov mob no pib cuam tshuam tus neeg mob txawm tias ua ntej kuaj mob peptic ulcer hauv nws. Yog li, kev tshuaj xyuas qhov teeb meem mob nraub qaum tuaj yeem ua yuam kev. Nrog rau txoj kev loj hlob ntawm kab mob plab, qhov mob nyob rau hauv lub nraub qaum thiab sab nraub qaum kuj intensifies.
- Mob taub hau tuaj yeem tshwm sim rau ntau yam hauv ib zaug. Migraine-zoo li hnov mob cuam tshuam cov neeg siv tshuaj rau kab mob peptic ulcer. Raws li txoj cai, cov tshuaj no yog ib qho kev mob tshwm sim. Ib qho throbbing thiab mob siab kuj tuaj yeem tshwm sim. Tshwj xeeb tshaj yog yog hais tias lub plab yog nrog ntuav. Yog li, muaj cov ntshav nkag mus rau hauv cov hlab ntsha taub hau, thiab tom qab ntuav - nws tawm.
Peb kuj ceeb toom rau koj ib zaug ntxiv tias tus khub ntawm peptic ulcer yog mob plab, uas tuaj yeem muaj tus cwj pwm txawv thiab qhov chaw. Mob tuaj yeem nce rau ntau yam, suav nrog kev tawm dag zog lub cev. Qhov no tuaj yeem piav qhia los ntawm cov leeg nqaij uas ua rau spasm, qhov tshwm sim yog mob plab. Ntxiv nrog rau kev kho tshuaj, qhov mob yuav pab txo qhov pose ntawm lub embryo ntawm nws sab. Thiab nrog kev tawm tsam hnyav, ntuav tuaj yeem ua tau, uas muaj cov kua txiv hmab txiv ntoo.
Asymptomatic course of disease
Ntau tus neeg xav tias: puas mob plab? Puas yog ib qho asymptomatic ntawm tus kab mob ua tau? Tam sim no peb yuav sim teblo lus nug no. Qhov no pathology tej zaum yuav asymptomatic nyob rau hauv thawj theem ntawm tsim erosive formations.
Raws li txoj cai, tus kab mob tsis saib xyuas muaj tag nrho cov kab mob ci ntsa iab. Tsis tas li ntawd, seb tus neeg mob puas yuav hnov mob lossis tsis yog nyob ntawm ntau yam:
- pain threshold;
- regenerative muaj peev xwm ceev.
Qee zaum qhov mob tshwm sim latently thiab pom tsuas yog nyob rau theem mob. Ntau tus neeg mob tsis quav ntsej qhov mob, ua rau lawv noj zaub mov tsis zoo. Qhov no yog qhov tsis ncaj ncees lawm tactic! Qhov tshwm sim ntawm qhov mob yog pov thawj ntawm ulceration ntawm gastrointestinal mucosa, nrog cov tsos mob, yuav tsum tau kuaj.
Peb tshem tawm kev tawm tsam
Nyob hauv seem no, cia peb tham txog yuav ua li cas txo qhov mob ntawm qhov txhab. Feem ntau, cov tshuaj hauv qab no tau muab tshuaj los tawm tsam cov tsos mob no:
- "No-shpa";
- "Gastroceptin";
- "Phosphalugel";
- "De-Nol";
- "Dicalin" thiab lwm yam.
Ntawd yog, ntau pab pawg tshuaj koom nrog ib zaug (antispasmodics, anticholinergics, antacids thiab lwm yam).
Ntxiv rau, txhawm rau tiv thaiv qhov teeb meem, koj yuav tsum ua raws li kev noj zaub mov kom raug. Nrog peptic rwj, koj yuav tsum tsis txhob noj cov zaub mov uas tuaj yeem ua rau lub qhov txhab mucous. Cov pluas noj yuav tsum muaj tsawg kawg yog rau zaug hauv ib hnub, thiab ib qho kev pabcuam yuav tsum tsis pub tshaj ib puas thiab tsib caug grams.
Lub sijhawm rov qab los
Muaj ntau txoj hauv kev siv rau kev kho mob tom qab tus kab mob no. Ntawm lawv:
- kev tawm dag zog;
- kub;
- acupressure;
- balneotherapy;
- mud kho;
- kev noj haus;
- phytotherapy;
- kho lub cev.
Lub tswv yim kawg zais tag nrho cov txheej txheem, xws li ultrasound, electrophoresis, laser kho thiab lwm yam. Nws kuj raug pom zoo kom ua kev kho mob spa, tab sis tsis pub dhau peb lub hlis tom qab exacerbation.
