Ib qhov txhab yog ib yam kab mob nyuaj uas tsis tuaj yeem tshwm sim tau ntev heev. Exacerbation ntawm peptic rwj tshwm sim tom qab sib sib zog nqus streaks ntawm phab ntsa ntawm lub mucous daim nyias nyias. Cov tsos mob thiab kev kho mob ntawm duodenal rwj yuav raug txiav txim los ntawm tus kws kho mob uas yuav kuaj xyuas tus neeg mob kom tiav.
Yog vim li cas
Ib qho ntawm cov laj thawj tseem ceeb ntawm cov kab mob pathology yog cov kab mob hu ua Helicobacter pylori. Vim nws, cov mucous daim nyias nyias ntawm lub cev puas lawm. Txawm li cas los xij, cov kab mob no tuaj yeem pom hauv ntau tus neeg, tab sis tsis yog txhua tus neeg yuav raug tus kab mob no. Cov tsos mob ntawm tus kab mob yog provoked los ntawm cov nram qab no yam:
- Cov xwm txheej ntxhov siab lossis kev nyuaj siab. Vim li no, muaj ib tug malfunction nyob rau hauv lub paj hlwb, qhov twg lub suab ntawm lub vagus paj predominates. Qhov no provokes qhov tshwm sim ntawm spasm ntawm cov leeg thiab cov hlab ntsha ntawm lub plab. Raws li qhov tshwm sim, nws tsis muaj cov khoom noj khoom haus zoo, vim tias nws muaj kev cuam tshuam rau qhov kev txiav txim ntawm hydrochloric acid: kev zom nrog cov kua txiv hmab txiv ntoo tshwm sim hauv cov phab ntsa.
- Heredity.
- khoom noj tsis zoo.
- Hydrochloric acid craze tshwm sim.
- Kev haus dej ntau dhaucawv. Nws ua rau muaj kev cuam tshuam tsis zoo ntawm cov kua txiv hmab txiv ntoo thiab txo cov khoom tiv thaiv ntawm cov mucous membrane.
- Vim yog nicotine, muaj kev nce hauv cov synthesis ntawm hydrochloric acid, uas cuam tshuam nrog kev zom zaub mov thiab ua rau tsis ua haujlwm hauv kev tsim cov khoom tiv thaiv ntawm lub plab hnyuv thiab txiav.
Symptoms
Cov tsos mob ntawm duodenal ulcer yog raws li hauv qab no:
- mob hnyav hauv plab plab, tawm mus rau sab nraub qaum thiab hauv qab tav.
- Mob hauv 10 feeb ntawm kev noj zaub mov lossis "mob tshaib plab" ntawm lub plab khoob.
- indigestion.
- Bloating.
- plab hnyuv.
- Kev tshaib kev nqhis tas mus li.
- poob phaus.
- Cov kab mob hauv lub paj hlwb cuam tshuam nrog kev pw tsaug zog tsis zoo uas tshwm sim los ntawm kev txiav tsis pom kev qaug dab peg.
- Cov kab mob metabolic: liab, scaly neoplasms, seborrhea, yuav tshwm sim ntawm lub cev thiab tawv taub hau.
- Peritonitis - intoxication ntawm lub cev vim yog ingress ntawm cov quav, kua tsib, secreted substrates ntawm endocrine qog rau hauv cov qog. Peritonitis yog ib qho teeb meem thaum muaj xwm ceev hu rau lub tsheb thauj neeg mob. Nws pib yog pov thawj los ntawm: ib tug ntse deterioration nyob rau hauv kev noj qab nyob zoo, mob unbearable mob, xeev siab, kiv taub hau, kub hnyiab tau nyob rau hauv lub cheeb tsam ntawm qhov sib txawv.
Yog tias ua raws li kev noj zaub mov duodenal, cov tsos mob yuav zoo dua, tab sis tus kab mob xav tau kev kho mob.
Views
Peptic rwj ntawm lub plab thiab duodenum yog cais raws li txoj kev tsim, qhov chaw thiab chav kawm ntawm cov txheej txheem inflammatory-destructive.
By txoj kev kawm:
- secretory;
- mob siab;
- exchange;
- kho mob - zoo li qhov teeb meem.
Qhov chaw nyob:
- Poob lub noob ntawm lub cev.
- Somatic o (mob plab tshwm sim ntawm lub cev ntawm lub cev).
- Kev swb ntawm lub plab postbulbar. Nov yog qhov chaw nruab nrab ntawm lub plab thiab cov hnyuv.
- Kev puas tsuaj.
Txoj kev ntws:
- ntsim;
- subacute;
- nrog qhov tsim ntawm qhov nqaim ntawm lumen ntawm cov phab ntsa hauv plab;
- -nrog kev sib xyaw nrog cov tshuaj pleev tus kheej.
Cov yam ntxwv ntawm cov kab mob:
- Ntau lossis txo acidity.
- Ntau lossis txo cov kev txawj tsav tsheb.
- Kev suav nrog cov kab mob ntxiv. Piv txwv li, plab hnyuv los yog hemorrhoids.
Txhua lub xeev no muaj nws qhov xwm txheej tshwm sim. Cov cim tshwj xeeb ntawm peptic rwj yog ntau yam kev hloov pauv hauv lub cev ntawm lub plab zom mov, ua kom tiav cov txheej txheem metabolic, "mob tshaib plab".
Diagnosis
txhawm rau kuaj xyuas tus mob pathological ntawm thawj theem ntawm kev kuaj mob, koj tuaj yeem siv sau cov ntaub ntawv anamnestic thiab palpation ntawm lub plab plab. Thaum tus kws kho mobtus kws kho mob gastroenterologist muaj peev xwm tsim kom muaj qhov muaj peev xwm ntawm qhov mob, kev tshawb fawb ntxiv tau raug sau tseg - kuaj thiab kho vajtse.
- Kev txiav txim siab ntawm cov tshuaj tiv thaiv rau Helicobacter Pylori hauv tus neeg mob cov ntshav arterial.
- PH-metry (ib feem ntawm cov kua txiv hmab txiv ntoo) - kawm txog cov kua qaub muaj pes tsawg leeg, reactive emissions thiab influences.
- X-ray ntawm duodenum.
- Kev kuaj Endoscopic - translucence ntawm phab ntsa ntawm lub plab thiab duodenum.
- Kev tshuaj xyuas microscopic, ua nrog cov khoom cuam tshuam. Ntawm nws lub hauv paus, qhov no yog qhov hnyuv biopsy, tsuas yog mob tsawg dua.
X-ray kuaj ntawm duodenum, tuaj yeem pom cov kev hloov pauv hauv qab no:
- Qhov tsim ntawm lub niche, emptiness - nyob rau hauv uas cov kab mob pathogenic accumulates, qhov seem ntawm cov zaub mov tsis zoo, thiab lwm yam.
- Hloov pauv hauv cov mucous daim nyias nyias - tshwm sim los ntawm kev tshem tawm ntawm ib feem ntawm txoj hnyuv nyob rau hauv qhov kev taw qhia los ntawm cov kab mob ulcerative.
- Ulcer ncej - qhia meej txog thaj tsam ntawm qhov mob.
- Kab mob thiab caws pliav ntawm phab ntsa ntawm x-ray zoo li cobwebs lossis hnub qub.
kev kho mob phais
Kev kho mob ntawm duodenal rwj yog ib qho kev cuam tshuam loj heev uas tuaj yeem daws tau cov teeb meem sab nraud nkaus xwb, tab sis tsis tshem tawm qhov ua rau thiab qhov tshwm sim. Hauv lwm lo lus, kev ua haujlwm yam tsis muaj kev kho mob ntxiv thiab kev kho noj haus yog qhov tsis muaj txiaj ntsig.
Thaum ulcerativeCov kab mob ntawm lub plab thiab duodenum, tus neeg mob raug rau cov kev ua haujlwm hauv qab no:
- Vagotomy. Kev ua haujlwm nyuaj thiab ua tau zoo ntawm cov hlab ntsha xaus, cov ntshav muab cov hlab ntsha thiab cov kua hauv lub zais zis los tiv thaiv kev kaw, adhesions, neoplasms thiab lwm yam ua rau lub cev tsis muaj zog ntawm cov kua tsib, kua dej hauv plab, quav.
- Resection - tshem tawm ntawm thaj chaw cuam tshuam thiab cog cov khoom tshiab, khoom tsim kho kom rov ua haujlwm ntawm lub cev, txhim kho nws cov peristalsis, ntshav txaus, excretory muaj nuj nqi. Resection yog qhia rau ob peb tus neeg mob, feem ntau tsuas yog vagotomy txaus.
Nws tsim nyog sau cia tias kev ua haujlwm rau qhov txhab tsuas yog muab rau hauv cov kab mob peritonitis xwb. Qhov no yog txuam nrog kev pheej hmoo ntawm ntau yam teeb meem: sepsis, metabolic ntshawv siab, tsim adhesion, los ntshav, thiab lwm yam.
Kev kho mob
Yog hais tias tus kab mob exacerbation, kev kho mob ntawm duodenal rwj yog nqa tawm nyob rau hauv lub tsev kho mob. Rau qhov caws pliav ntawm qhov txhab sai, tus neeg mob xav tau lub txaj so thiab ua kom tiav kev xav. Tom qab ua tiav qhov kev ntsuam xyuas, ib qho kev npaj kho mob raug sau tseg. Hauv ntau txoj kev, lub tswv yim yog nyob ntawm qhov muaj cov kab mob Helicobacter pylori hauv txoj hnyuv. Cov tshuaj tseem ceeb uas siv hauv kev kho mob yog cov tshuaj tiv thaiv kab mob txhawm rau txhawm rau txhawm rau plab hnyuv:
- "Omeprazole".
- "Cimetidine".
Yog tias tus neeg mob muaj Helicobacter pylori, kev nyuaj siab kuj tau siv ntxivCov kab mob xws li:
- "Denol".
- Y"Vikalin".
Gastroprotectors kuj yog ib feem ntawm txoj kev kho mob, tsim los tiv thaiv thaj chaw cuam tshuam ntawm txoj hnyuv los ntawm hydrochloric acid.
Physiotherapy
Physiotherapy, ua kom muaj txiaj ntsig zoo ntawm kev kho tshuaj. Txoj kev kho muaj xws li sinusoidal modulated tam sim no, cov txheej txheem txhim kho cov ntshav ncig thiab txo qhov mob.
- Kub, ib nrab cawv compresses.
- YElectrophoresis, ultrasound thiab microwave kho.
Kev Kawm Txuj Ci
Ntau tus neeg txaus siab rau lo lus nug, puas tuaj yeem ua kev kawm lub cev nrog lub plab duodenal? Cov kev tawm dag zog tshwj xeeb yuav pab normalize lub cev muaj zog thiab secretory functions ntawm txoj hnyuv, txhim kho cov ntshav ncig. Siv los tiv thaiv congestive ulcers. Muab cov physiotherapy ce, nyob rau theem kawg ntawm kev kho mob tom qab so pw.
Herbal kho mob
Ntxiv nrog rau cov hau kev saum toj no thiab kev noj haus, nrog rau kev ua rau lub plab duodenal exacerbation, lwm txoj kev kho yog siv.
Kev kho mob rwj nrog St. John's wort thiab cabbage:
- St. John's wort paj (tshiab) yuav tsum tau finely tws thiab muab tso rau hauv 0.5 liter thawv. Rau xws li ib tug ntim, 150 g ntawm raw khoom yuav tsum tau. Tom qab ntawd cov roj zaub yog poured rau hauv lub hub, tab sis nyiam dua unrefined txiv roj roj, mus rau lub brim. Lub resulting sib tov yog evaporated nyob rau hauv ib da dej rau 6 teev, lim thiab txias. Txhua hnub rauib nrab teev ua ntej noj mov, koj yuav tsum haus 2 tablespoons decoction.
- Peb feem ntawm cov kua txiv hmab txiv ntoo yog tov nrog ib feem ntawm cov kua txiv hmab txiv ntoo kom lub ntim yog 250 ml, thiab haus 30 feeb ua ntej noj mov. Cov kua txiv no yuav tsum haus txhua hnub rau ib hlis. Cov kua txiv hmab txiv ntoo kuj tuaj yeem tov nrog txiv lws suav lossis kua txiv qaub.
Psyllium ulcer kho:
- 40 g ntawm plantain yog nchuav rau hauv 200 ml ntawm dej kub thiab infused rau ib teev. Cov infusion yog noj nrog txhua pluas noj hauv ib khob.
- 100 g ntawm txoj hlua, celandine, St. John's wort thiab plantain yog crushed thiab sib tov zoo. Ib tug loj diav ntawm sib tov yog poured nrog ib khob ntawm boiling dej, qhwv thiab infused rau ob teev. Cov infusion yog lim thiab muab tso rau hauv ib rab diav loj ua ntej noj mov.
Calendula kho mob plab
Ua ntej noj cov nyiaj raws li cov nroj tsuag, koj yuav tsum paub koj tus kheej nrog contraindications:
- Calendula yuav tsum tsis txhob siv thaum lub sijhawm exacerbations.
- Calendula yuav tsum tsis txhob noj los ntawm cov menyuam yaus, cov hluas, cov poj niam cev xeeb tub thiab cov uas pub niam mis.
- Tsis tas li ntawd, cawv infusions ntawm tshuaj ntsuab tsis siv nyob rau hauv txhua rooj plaub, raws li lawv irritate lub plab hnyuv mucosa.
- Nws tsim nyog nco ntsoov tias calendula yog ib qho tshuaj tsis haum, yog li koj yuav tsum tau siv ceev faj.
Cia peb saib ob peb yam zaub mov txawv:
- Calendula roj. 60 grams ntawm calendula paj yog poured rau hauv 200 ml ntawm tej zaub roj. Muab cov sib tov sib xyaw rau hauv ib da dej thiab kub rau 80 degrees. Cov sib tov yog khaws cia rau peb teev, ces insisted rau ib hnub. Koj yuav tsum noj 5 ml roj ua ntej lossis tom qab noj mov. Koj tsis tuaj yeem siv cov roj tam sim ua ntej noj mov, koj yuav tsum tau tos ib nrab teev. Tom qab noj mov - nws tsim nyog khaws cia ib ntus ib nrab teev.
- Calendula roj nrog mis nyuj thiab zib mu. Nyob rau hauv 250 ml ntawm mis nyuj ntxiv 5 grams zib mu thiab calendula. Sib tov zoo thiab haus. Cov tshuaj no yuav tsum tau noj txhua tag kis sawv ntxov. Qhov sib tov yog qhov zoo rau kho cov qhov txhab qub thiab tiv thaiv qhov mob tshiab.
kho mob rwj nrog fireweed thiab clover
Fireweed thiab clover nyob rau hauv tib proportions - 1 diav txhua, finely tws thiab ncuav nrog dej. Koj yuav xav tau ob khob dej. Haus cov infusion yuav tsum txhua hnub.
Tib lub sijhawm, nws tsim nyog tso tseg kev siv tshuaj yej los ntawm kev siv tshuaj ntsuab. Cov cuab yeej muaj anti-inflammatory zog. Nws kuj tseem siv tau rau lwm yam kab mob ntawm txoj hnyuv.
Kev noj haus
Ib feem ntawm kev kho mob yog kev noj haus rau exacerbation ntawm duodenal ulcers. Nws yog ib qho tseem ceeb heev rau tus neeg mob ntawm cov kab mob zoo li no kom noj qab haus huv. Muaj ntau ntau cov khoom noj tshwj xeeb tsim, lub hom phiaj yog los txo cov khoom nruab nrog cev thiab lub cev tag nrho, kom txo tau cov tshuaj lom neeg thiab thermal.
Rau kev noj zaub mov rau plab hnyuv thiab duodenal rwj, qhov tsis muaj rog, qab ntsev thiab ntsim ntau hauv cov khoom noj yog yam ntxwv, txhua yam ntsim, hnyav thiab rog nqaij, nceb, txiv ntseej, noob, txiv hmab txiv ntoo qhuav yog cais tawm. Ua raws li tag nrhoTsis suav cov dej cawv thiab carbonated, kas fes, tshuaj yej dub, dej haus caffeinated, citrus txiv hmab txiv ntoo, qaub txiv hmab txiv ntoo thiab txiv hmab txiv ntoo, kua txiv hmab txiv ntoo thiab txiv hmab txiv ntoo haus los ntawm lawv, zaub qhwv dawb (txawm li cas los xij, nws cov kua txiv hmab txiv ntoo yog siv los ua tshuaj rau tus mob no).
Cov kua zaub boil, tshwj xeeb tshaj yog cov kua mis los yog cov kua zaub mashed, yog qhov zoo tshaj plaws rau kev noj haus thaum noj zaub mov thaum lub sij hawm exacerbation ntawm duodenal rwj. Xws li cov kua zaub tuaj yeem ua rau hauv ib lub teeb zaub los yog nqaij qaib broth, nyob rau hauv cov mis nyuj nrog ntxiv ntawm zaub los yog pasta. Nws yog ib qho tsim nyog los qhia ntau cov khoom noj siv mis rau hauv cov khoom noj: mis nyuj, qab zib, tsev cheese. Los ntawm cov tsev cheese uas tsis muaj rog, koj tuaj yeem ua cov casseroles lossis soufflés rau khoom noj qab zib nrog ntxiv ntawm zib mu. Txawm li cas los xij, cov txiv hmab txiv ntoo qhuav, qab zib, txiv ntoo yuav tsum tsis suav nrog.
Tsis tas li ntawd, ntau hom cereals yuav tsum muaj nyob rau hauv kev noj haus. Semolina, buckwheat, mov, oatmeal - cov cereal no tuaj yeem ua rau ob qho tib si hauv cov mis nyuj muaj roj tsawg thiab hauv dej. Qab zib ntxiv rau qab zib.
Ob peb lub lis piam tom qab qhov kev mob hnyav, cov nqaij ntshiv thiab ntses rov qab mus rau cov khoom noj: nqaij qaib, qaib ntxhw, nqaij nyug, luav, pollock, cod. Cov zaub mov tau npaj tshwj xeeb rau ob peb lossis boiled nrog tsawg kawg nkaus ntsev. Steamed cutlets, meatballs nrog mis nyuj sauce yog zoo meej. Tag nrho cov leeg, pob txha mos, daim tawv nqaij thiab cov fascia yuav tsum raug tshem tawm ntawm cov nqaij.
Txhawm rau ntxiv rog rau koj noj txhua hnub, koj yuav tsum ntxiv cov roj zaub, tab sis tsis pub ntau tshaj 1 teaspoon ib hnub twg. Nws yuav pab tau kom siv ntau cov jelly ntawm cov txiv hmab txiv ntoo uas tsis yog acidic, jelly, puddings, kua txiv diluted nrog dej.
Nyob rau hauv kev noj haus rau duodenal rwj, tsuas yog dawb, nag hmo lub khob cij tso cai, thiab qhov zoo tshaj plaws ntawm tag nrho cov - crackers los ntawm nws tsis muaj ntsev, txuj lom.
Nqaij qaib mus txog yim daim ib hnub - boiled los yog nyob rau hauv daim ntawv ntawm steamed omelettes tsis muaj roj.
Cov kua txiv hmab txiv ntoo yuav tsum tau diluted nrog dej hauv qhov sib npaug, koj tuaj yeem siv tshuaj yej ntsuab, jelly, rosehip broth. Cov kua txiv hmab txiv ntoo dawb yuav yog ib qho tshuaj zoo heev rau mob plab hnyuv mucosa.
Nyob rau hauv tag nrho, kev noj txhua hnub yuav tsum tsim peb txhiab kilocalories. Thaum saib xyuas qhov zoo, cov zaub mov hnyav dua tau qhia rau hauv kev noj haus, thaum kawg ntawm kev kho mob, ob lossis peb lub ncuav me me hauv ib lub lis piam thiab citrus jelly los yog jelly tuaj yeem ua tau. Tsis txhob hnov qab tias tag nrho cov zaub mov yuav tsum sov. Cov zaub mov txias los yog kub yuav tsum tsis txhob noj.
