Ib plab rwj yog nkag siab tias yog qhov tsim ntawm focal defect nyob rau hauv lub phab ntsa ntawm lub cev. Ntxiv mus, cov txheej txheem tsis zoo cuam tshuam feem ntau ntawm cov mucous membrane. Ua ntej xaiv tshuaj kho mob plab, koj yuav tsum paub me ntsis txog tus kab mob.
Ntau yam kab mob
Raws li qhov tob ntawm qhov txhab, rwj yog superficial, cuam tshuam tsuas yog cov mucous daim nyias nyias, thiab sib sib zog nqus, ntes cov serous thiab cov nqaij mos ntawm lub plab. Nrog los ntawm kev puas tsuaj ntawm phab ntsa ntawm lub cev, lawv hais txog nws perforation, los yog perforation. Hauv qhov no, cov ntsiab lus ntawm lub plab yog nchuav rau hauv lub plab kab noj hniav. Nrog rau qhov ntev ntawm tus kab mob, cov neeg nyob sib ze tuaj yeem lo rau ntawm phab ntsa ntawm cov kab mob ulcerated los ntawm sab nraud, thiab cov nyhuv ulcerative tuaj yeem kis mus rau lawv. Hauv qhov xwm txheej zoo li no, peb tab tom tham txog kev nkag mus, nkag mus rau qhov txhab.
tshuaj twg kho plab ulcer
Ib qho ntawm cov tshuaj uas nrov tshaj plaws thiab siv tau ntev yog tshuaj antacids. Cov tshuaj no suav nrog cov tshuaj alkalizing uas neutralize ntau cov kua qaub uas muaj nyob hauv plab. Qhov no suav nrog sodium bicarbonate, lossis qib zaub movdej qab zib. Qhov kom zoo dua ntawm cov tshuaj nyob rau hauv lub instant neutralization ntawm cov kua qaub, qhov tsis zoo yog nyob rau hauv provoking alkaline hloov nyob rau hauv lub cev raws li ib tug tshwm sim ntawm kev nqus ntawm unreacted soda.
Calcium carbonate yog ib qho tshuaj muaj zog dua li cov tshuaj saum toj no, tab sis muaj cov txiaj ntsig zoo sib xws. Cov tshuaj mus sij hawm ntev ua rau cem quav thiab tso zis ntau ntxiv.
Cov tshuaj tua kab mob rau cov kab mob plab kuj suav nrog magnesium oxide, magnesium trisilicate, aluminium hydroxide. Cov tshuaj no muaj ib qho adsorbing thiab enveloping nyhuv. Cov ntsiab lus Alkalinizing muaj nyob rau hauv cov tshuaj xws li Vikalin, Bellalgin, Bekarbon, Vikair, Almagel, Phosphalugel, Maalox.
Cov nyhuv Antacid yog txhawm rau txo qhov kub siab thiab mob, tshwm sim los ntawm kev txo qis hauv acidity ntawm cov ntsiab lus ntawm lub plab. Qhov kev txiav txim ntawm cov tshuaj no nyob ntawm lawv lub peev xwm alkalizing thiab kav li ntawm 20 mus rau 60 feeb. Cov tshuaj zoo tshaj yog noj me me txog li 6 zaug hauv ib hnub ua ntej noj mov thiab hmo ntuj. Tshem tawm cov tsos mob ntawm cov kab mob pathology, antacids muaj kev cuam tshuam me ntsis ntawm kev kho cov kab mob thiab tsis cuam tshuam rau qhov ua rau tus kab mob.
blockers plab hnyuv
Cov tshuaj tiv thaiv kab mob plab hauv pab pawg no muaj cov tshuaj cimetidine. Nws thaiv cov hlab ntsha reflex thiab hormonal circuits uas ua rau tsim cov hydrochloric acid. Raws li cimetidine, kev npaj Ranitidine, Nizotidine, Famotidine thiab ntau lwm yam raug tsim.analogues.
Raws li kev ua ntawm cov tshuaj no, kev tsim cov pepsin thiab hydrochloric acid yog kev ntseeg siab, tshem tawm qhov mob thiab mob plab. Qhov kev txiav txim pib tam sim ntawd tom qab noj cov tshuaj, qhov mob syndrome ploj tom qab 5 hnub, ntuav thiab kub siab - tom qab ib lub lim tiam. Cov kab mob pib kho tsis pub dhau 4-6 lub lis piam, uas yog sai dua li lwm cov tshuaj. Cov kev mob tshwm sim me me.
Cov tshuaj tiv thaiv zais cia ntawm pawg kws tshuaj
Cov tshuaj no rau plab rwj muaj cov nyhuv tsis tshwj xeeb. Ntxiv nrog rau kev thaiv kev zais cia, lawv kuj cuam tshuam rau lwm lub cev thiab lub cev. Cov tshuaj yog pab nyob rau hauv kev kho mob ntawm ulcers. Ib qho tshuaj ntsuab tshuaj ntsuab yog belladonna extract, uas muaj atropine. Cov tshuaj no tsis tsuas yog txo cov tshuaj hydrochloric acid, tab sis kuj txo cov kev ua haujlwm ntawm lub plab. Lub belladonna extract yog ib feem ntawm cov kev npaj xws li Bellalgin, Bellastezin, Bekarbon.
Cov tshuaj platyfillin cais tawm ntawm nplooj ntawm cov daus, nrog rau cov metacin, muaj cov nyhuv tsawg dua. Lawv txo qhov mob plab thiab maj mam txo nws qhov zais cia.
Kev tiv thaiv kev rov tshwm sim thiab kho qhov txhab yog txhawb nqa los ntawm gastrocepin lossis pirenzepine. Cov tshuaj no muaj txiaj ntsig zoo, txo cov kua qaub rau lub sijhawm ntev, yuav luag tsis muaj kev cuam tshuam rau plab hnyuv.
Kev tsim cov kua qaub hauv cov qog ntshav yog tiv thaiv los ntawm cov tshuaj tshiab rau cov kab mob plab - "Omeprazole". Nws tsim cov nyhuv kav ntevsiv rau kev kho mob. Cov tshuaj hormonal tshiab "Sandostatin", "Octreotide", nrog rau cov tshuaj diuretic "Diacarb" kuj ua rau txo qis hauv kev zais cia.
plab plab: kho nrog tshuaj cytoprotective
Pab pawg no suav nrog cov tshuaj tiv thaiv kab mob plab hnyuv. Lawv muaj txiaj ntsig tshwj xeeb hauv cov kab mob plab, thaum cov khoom tiv thaiv ntawm cov mucous daim nyias nyias raug txo qis.
Muaj ntau ntau yam ntawm cytoprotectors. Ib txhia ntawm lawv tsuas yog pab txhawb rau kev loj hlob ntawm kev tiv thaiv mucus. Cov no yog cov tshuaj raws li hauv paus licorice (Flakarbin granules, extracts, licorice phoov, Likvirshpon ntsiav tshuaj) thiab calamus rhizomes (Vikalin, Vikair npaj). Lwm tus ua kom muaj kev tiv thaiv ntawm cov hnoos qeev. Qhov no yog decoction ntawm elecampane cov hauv paus hniav (Alantoin ntsiav tshuaj), kua txiv hmab txiv ntoo nyoos.
Rau qhov mob tob tob, los ntshav tam sim ntawd, tshuaj kho mob plab yog qhia - cov yeeb yaj kiab qub (cov tshuaj "Ulkogant", "Carafate", "Keal").
Bismuth npaj
Tshuaj kho mob plab ulcers raws li cov khoom no muaj kev sib xyaw ua ke. Lawv envelop lub flaws ntawm mucosa, tsim ib tug tiv thaiv barrier. Tsis tas li ntawd, lawv inhibit qhov kev txiav txim ntawm cov kua qaub ntawm lub plab, tua cov kab mob uas ua rau mob plab (helicobacter). Cov tshuaj zoo tshaj plaws yog De-nol.