Lub plab yog lub cev nqaij daim tawv uas ua haujlwm tseem ceeb hauv lub cev ntsig txog kev zom zaub mov. Cov txheej txheem ntawm kev zom zaub mov yog qhov nyuaj heev, yog li txhua yam kab mob ntawm lub plab thiab duodenum tuaj yeem cuam tshuam rau kev ua haujlwm ntawm tag nrho cov kab mob thiab ua rau muaj kev cuam tshuam loj hauv lwm lub cev. Nyob rau hauv lub plab zom mov, lub cev no yuav siv sij hawm qhov chaw thib ob, thaum tshwj xeeb enzymes thiab acids yog secreted nyob rau hauv nws.
Qhov ua rau mob plab yog qhov tsis zoo sab nraud ntawm lub cev. Cov no suav nrog:
- cov xwm txheej ntxhov siab uas cuam tshuam rau kev txo qis hauv kev tsim cov kua txiv hmab txiv ntoo;
- kev ntxhov siab uas tuaj yeem ua rau poob qab los thiab txawm tias anorexia;
- zaub mov tsis zoo, kev tsim txom kev noj haus;
- tshuaj lom nrog tshuaj lom.
Muaj lwm yam ua rau mob plab. Cov tsos mob thiab kev kho mob nyob ntawm seb homkab mob. Cov kev tsis txaus siab feem ntau ntawm tus neeg mob yog mob cramping, nquag bouts ntawm xeev siab, kub hnyiab thiab kub hnyiab hauv caj pas tshwm sim los ntawm kev nce qib ntawm acidity hauv plab.
kab mob hauv plab
Kab mob plab thiab duodenum yuav luag txhua tus neeg. Lawv muaj ntau theem ntawm kev loj hlob thiab kev nthuav qhia. Nutritionists hais tias kev noj qab haus huv ntawm lub plab yog tshwm sim nyob rau hauv ib tug neeg txoj kev ua neej, nws saj thiab tus cwj pwm. Qee cov kab mob tshwm sim maj mam, thaum lwm tus tshwm sim sai sai, sai sai. Qee zaum cov tsos mob ntawm plab hnyuv loj hlob sai heev uas tus neeg mob xav tau mus pw hauv tsev kho mob sai.
Cov tsos mob tseem ceeb ntawm cov kab mob plab muaj xws li mob hauv hypochondrium ntawm sab xis, uas nce ntxiv thaum noj mov lossis, hloov pauv, thaum tus neeg mob tshaib plab. Nyob rau hauv ntau cov ntaub ntawv, qhov mob kis tau ib tug tas li mob cim nrog paroxysmal tshwm sim. Kev noj tshuaj rau tus kheej tsuas yog exacerbates cov txheej txheem inflammatory thiab txhawb kev loj hlob ntawm ntau hom kab mob plab. Cov tsos mob, kev kho mob rau txhua hom kab mob muaj lawv tus yam ntxwv. Piv txwv li, nrog rau qhov txhab, tus yam ntxwv cov tsos mob yog belching nrog ib tug qaub tsw, thiab rau gastritis, cov tsos mob ntawm kub siab yog ntau dua. Qee zaum, nrog rau cov kab mob, plab hnyuv tshwm sim, thiab noj zaub mov tuaj yeem nrog ntuav sai sai. Kev kho mob plab yog nyob ntawm qhov mob hnyav ntawm tus neeg mob, qhov xwm txheej ntawm tus kab mob thiab nws cov tsos mob tshwm sim.
mob plab
Gastritis yog hu ua mob ntawm cov mucous membraneplab, uas tshwm sim vim raug cov kab mob, tsis muaj zaub mov noj, haus dej cawv, nrog rau kev tsim txom ntawm kev noj haus thiab kev tshaib kev nqhis (tshwj xeeb tshaj yog cov khoom noj txom ncauj ntawm cov qhaub cij thiab noj cov zaub mov qhuav), cov txuj lom thiab cov zaub mov ntsim. Feem ntau cov tsos mob ntawm tus kab mob plab no (kev kho mob thiab cov tsos mob ntawm gastritis nyob ntawm seb qhov ua rau nws) yog tus cwj pwm los ntawm kev nce qib ntawm acidity, kub siab, mob caj pas thaum nqos. Tsis tas li ntawd, cov tsos mob ntawm gastritis muaj xws li plab hnyuv: cem quav los yog, conversely, raws plab. Yog hais tias qhov ua rau gastritis yog cov kab mob pathogenic, ces nws mus sai heev, yaig thiab kev puas tsuaj ntawm cov phab ntsa ntawm lub plab hnyuv siab raum.
Tsis tas li ntawd, qhov ua rau tuaj yeem yog cov txheej txheem autoimmune, thaum lub cev pom nws lub plab ua ib yam dab tsi txawv txawv. Cov tshuaj tiv thaiv uas tsim los ntawm lub cev pib tawm tsam nws thiab ua rau cov phab ntsa thiab cov mucous membranes. Thaum kho tus kab mob, nws yog ib qho tseem ceeb uas yuav tsum tau noj cov tshuaj tsuas yog tom qab noj mov, thaum muaj kua txiv hmab txiv ntoo. Nyob rau hauv rooj plaub no, tus neeg mob yuav tsum tau muab ib qho kev noj haus rau cov kab mob plab, uas tag nrho tsis suav nrog kev siv dej cawv, ntsim, ntsim thiab rog. Kev kuaj mob yog los ntawm endoscopy.
Peptic ulcer: cov tsos mob, kev kho mob
Kev puas tsuaj ntawm phab ntsa ntawm lub plab ua rau mob plab, uas yog tus cwj pwm los ntawm cov kua qaub thiab cov kua tsib ntau ntxiv. Cov kab mob tuaj yeem yog ib leeg thiab ntau. Ua rau tus kab mobyog cov hauv qab no:
- malnutrition (cov khoom noj txom ncauj qhuav, tsis muaj thawj chav kawm hauv kev noj haus);
- cawv, haus luam yeeb;
- noj qee yam tshuaj;
- kev nyuaj siab, ntxhov siab;
- ua txhaum txoj cai ntawm kev ua haujlwm thiab so.
Cov tsos mob tseem ceeb ntawm plab rwj yog nruj belching nrog cov yam ntxwv qaub tsw. Lwm cov tsos mob muaj xws li xeev siab, mob hauv hypochondrium, tsis qab los noj mov, thiab poob phaus sai. Cov teeb meem ntawm gastric ulcer yog qhov kev pheej hmoo ntawm gastric los ntshav, perforation los yog nkag mus rau lub plab, nrog rau kev loj hlob ntawm pyloric stenosis. Kev kho mob ntawm cov kab mob peptic ulcer thiab nws cov teeb meem feem ntau yog ua los ntawm kev phais.
Cov kab mob peptic ulcer
Kev kho tsis raws sijhawm lossis tsis txaus ntawm qhov mob tuaj yeem ua rau muaj qee yam teeb meem ntawm tus kab mob no. Feem ntau suav nrog cov uas tau hais los saum no - perforation, nkag mus, los ntshav thiab pyloric stenosis.
mob los ntshav yog qhov tshwm sim los ntawm ntuav ntshav thiab muaj ntshav hauv cov quav. Yog hais tias lub rwj nyob ib ncig ntawm lub ligament ntawm Treitz, ces tus neeg mob yuav muaj feem ntau yuav ntuav, yog hais tias hauv qab no, cov quav dub (ntshav). Hauv qhov no, tus neeg mob lub hemoglobin txo qis sai. Kev pab thawj zaug hauv tsev yog ntxuav lub plab nrog dej txias thiab siv lub pob dej khov rau lub plab. Kev kho tshuaj suav nrog kev siv H2-blockers, Novocain thiab Adrenaline tshuaj,kua fibrinogen, "Secretin" thiab lwm yam tshuaj. Hauv qhov xwm txheej nyuaj, kev phais tau ua tiav.
Perforated gastric ulcer yog ib qho teeb meem loj. Cov tsos mob muaj xws li mob hnyav ntawm "dagger" xwm, nro nyob rau hauv cov nqaij ntshiv ntawm lub plab anterior phab ntsa, bradycardia, epigastric mob, pallor ntawm daim tawv nqaij, zoo Shchetkin-Blumberg syndrome. 5-8 teev tom qab perforation, lub plab rwj tuaj yeem kis tau tus kab mob sib txawv - peritonitis (mob ntawm peritoneum). Cov tsos mob ntawm tus neeg mob no muaj xws li ib tug thready mem tes ceev, hypotension, dynamic plab hnyuv obstruction, kub taub hau thiab leukocytosis. Tom qab ntawd, flatulence, tso zis thiab quav tso quav ntxiv rau cov tsos mob, thiab nyob rau hauv tsawg zaus, ntuav tshwm sim. Laparoscopy tuaj yeem siv los kho cov kab mob perforated.
Kev nkag mus yog qhov kis ntawm qhov txhab rau hauv cov ntaub so ntswg ncig lub plab. Nyob rau tib lub sijhawm, ob peb theem ntawm qhov teeb meem ntawm plab hnyuv yog qhov txawv:
- necrosis los ntawm txhua txheej ntawm lub cev thiab duodenum;
- fibrous fusion nrog cov kabmob uas nyob ib sab ntawm lub plab lossis duodenum;
- nkag mus rau ntawm qhov txhab rau hauv cov ntaub so ntswg ntawm cov kabmob uas nyob ib sab.
Kev kuaj mob yog tsim los ntawm X-ray lossis endoscope, uas yog ib qho ntawm cov kab mob plab. Cov tsos mob thiab kev kho mob zoo sib xws. Daim duab kho mob yog tshwm sim los ntawm qhov mob hnyav ntawm qhov xwm txheej mus tas li, xeev siab thiab ntuav, uas zoo li nce ntxiv. Kuj muaj cov tsos mobinflammatory txheej txheem: siab ESR, leukocytosis, subfebrile kub. Kev kho mob feem ntau yog phais.
Nyob rau hauv pyloric stenosis nkag siab qhov chaw ntawm lub plab hauv duodenum thiab pyloric kwj dej. Kev ua txhaum ntawm patency yog aggravated los ntawm o thiab spasm ntawm pylorus. Ib qho teeb meem zoo sib xws yog ib qho ntawm cov kab mob plab hnyav. Cov tsos mob thiab kev kho mob ntawm hom kab mob peptic no nyob ntawm seb tus txheej txheem puas rov tshwm sim dua. Nrog rau kev rov qab los, tus neeg mob tsim muaj kev xav tawg hauv thaj tsam epigastric, xeev siab, ntuav, thiab qhov hnyav poob qis. Kev kho mob hauv qhov no tsuas yog phais xwb.
Npaj adenocarcinoma lossis qog nqaij hlav cancer
Adenocarcinoma hauv kev kho mob feem ntau tshwm sim. Raws li txoj cai, cov qog yog nyob rau hauv lub antrum los yog pylorus ntawm lub plab. Qhov feem ntau ua rau tus kab mob yog noj ntau dhau ntawm cov khoom noj uas muaj nitrites.
Thaum ntxov, adenocarcinoma tshwm sim los ntawm xeev siab, hnyav hauv plab, tsis qab los noj mov thiab poob phaus sai, plab hnyuv siab. Tam sim ntawd tom qab noj cov zaub mov me me, tus neeg mob tsim qhov kev xav tawg ntawm qhov chaw ntawm lub hnub ci plexus, uas qhia tau tias muaj cov qog nqaij hlav hauv lub cev. Nrog oncology ntawm cardinal department, zaub mov tsis dhau mus rau hauv lub duodenum, uas yog nrog los ntawm ntuav. Cov mob qog noj ntshav siab heev yog nrog los ntawm qhov mob hauv thaj tsam epigastric, nrog rau qhov tawg ntawm cov qog. Internal los ntshav tshwm sim, uas yog kuaj pom muaj ntshav nyob rau hauv cov quav, ntshav ntuav. Kev kho mob ntawm oncological kab mob ntawm lub plab yog ua tiav phais tag nrho (resection ntawm tag nrho lub plab) thiab subtotal (resection ntawm nws ib feem).
Kab mob plab bulbitis
Mob plab ib txwm txhais tau tias muaj qee yam kab mob. Kev xav hnyav, kub siab, xeev siab yog suav tias yog cov cim qhia ntawm gastritis. Feem ntau tus neeg mob noj cov tshuaj ntawm nws tus kheej, uas "tawm" cov tsos mob, tab sis tsis kho tus kab mob nws tus kheej. Kev hnyav ntawm gastritis txuas mus rau duodenum thiab hu ua bulbitis.
Bulbitis yog catarrhal thiab erosive thiab yog hom kab mob ntawm lub plab. Cov tsos mob, kev kho mob ntawm xws li ib tug mob yog rov piav nyob rau hauv cov ntaub ntawv tshwj xeeb. Tus kab mob no nrog xeev siab, ntuav, mob hnyav, hnov qhov iab hauv qhov ncauj. Mob cuav zoo li kev tawm tsam ntawm tus mob pancreatitis.
Antacids, xws li Gastal, Almagel A, yuav pab txo qhov mob. Lawv muaj peev xwm ua kom tsis zoo rau kev puas tsuaj ntawm cov kua tsib thiab cov kua qaub, thiab cov txheej txheem tseem ceeb ntawm kev kho mob yog kev noj zaub mov rau cov kab mob plab. Thaum lub sij hawm exacerbation ntawm tus kab mob, koj yuav tsum tam sim ntawd nres noj tag nrho cov tshuaj, tsis txhob haus luam yeeb, kas fes, cawv. Kev yoo mov, kev tsim txom ntawm kev noj zaub mov kom poob phaus, thiab noj cov tshuaj noj yog txwv nruj.
plabHnub Wednesday. Tab sis los ntawm nws cov xwm thiab tshuaj muaj pes tsawg leeg, nws yog heev txhoj puab heev; ntawm me ntsis malfunction nyob rau hauv lub cev, nws ua rau muaj kev puas tsuaj loj rau tib neeg noj qab haus huv. Lub luag haujlwm tseem ceeb ntawm lub plab zom mov yog txhawm rau zom thiab zom cov zaub mov, qhov zoo ntawm qhov uas, hmoov tsis, feem ntau tawm ntau yam xav tau. Raws li qhov tshwm sim ntawm kev sib cuag, kev khaus ntawm lub plab feem ntau tshwm sim thiab ib qho los yog ntau yam erosions los yog mob tshwm sim.
Qhov ua rau yaig muaj xws li cov hauv qab no tsis zoo:
- noj mov tsis zoo;
- kab mob mob plab;
- nervous disorders, stress and more.
Cov kab mob zoo li no tau muab faib ua peb pawg:
- thawj erosion;
- thib ob erosion;
- oncology.
Tib lub sijhawm, raws li daim ntawv ntawm tus kab mob, nws tuaj yeem ua rau mob thiab mob ntev. Cov tsos mob ntawm kev yaig yog ib yam rau txhua yam kab mob ntawm lub plab, tab sis txoj kev pheej hmoo ntawm nws txoj kev hloov mus rau lub plab yog siab heev. Kev kho cov erosive phenomena yuav siv sij hawm ntev thiab nyob ntawm ntau yam sib txawv. Cov xwm txheej ntawm pathology, lub hauv paus ua rau tus kab mob, thiab lwm yam yog coj mus rau hauv tus account. Kev kho cov kab mob tua kab mob tsis zoo rau kev yaig ntawm lub plab thiab tsuas yog siv yog tias tus kab mob tshwm sim los ntawm kev kis kab mob. Kev kho tshuaj yuav tsum tau txais kev txhawb nqa los ntawm kev noj zaub mov nruj, tshwj xeeb tshaj yog tias lub plab mob. Cov kab mob, cov tsos mob ntawm cov tsos mob tshwm sim los ntawm xeev siab thiab ntuav, tsis pom zoo kom kho nrog tshuaj, vim qee qhov ntawm lawv tuaj yeem rhuav tshem cov phab ntsa kub ntau dua.lub cev.
mob plab plab
Carcinoma ntawm lub plab yog ib qho mob qog nqaij hlav uas tshwm sim los ntawm ntau yam ua rau mob. Cov pab pawg muaj kev pheej hmoo feem ntau suav nrog cov txiv neej cov neeg mob hnub nyoog tshaj 40 xyoo uas muaj keeb kwm ntawm polyps hauv plab, peptic ulcers thiab mob gastritis. Kev tsim txom ntawm cov khoom uas muaj carcinogens, nrog rau cawv thiab haus luam yeeb, tuaj yeem ua rau tus kab mob. Kev noj ntsev ntau dhau kuj ua rau cov kab mob pathological ntawm cov mucous membranes. Qhov laj thawj tseem ceeb heev.
Cov tsos mob ntawm cov kab mob carcinoma yog qhov ua rau qaug zog ntawm tus neeg mob, apathy, tsis qab los noj mov thiab aversion rau tej yam khoom. Ib tug neeg sai sai poob ceeb thawj, tsis muaj zog, nws yog tas li tsim txom los ntawm hnyav nyob rau hauv lub plab, muaj ib tug tam sim ntawd ntuav. Kev kuaj ntshav qhia tau tias muaj leukocytosis, cov ntsiab lus ntawm myelocytes thiab myeloblasts. Rau kev kuaj mob, x-rays, ultrasound, tomography thiab biopsy ntawm lub plab yog siv. Kev kho mob yog kho mob thiab phais. Kev saib xyuas cov tshuaj suav nrog kev siv tshuaj tua kab mob thiab tshuaj tua kab mob, cov vitamins thiab tshuaj tiv thaiv kab mob.
Kev tiv thaiv kab mob plab ntawm hom no yog ua raws li kev noj haus, tsis txhob muaj kev ntxhov siab thiab ntxhov siab, tso cov khoom tsis zoo cawv, haus luam yeeb thiab lwm yam cwj pwm phem.
Kev mob siab rau lwm txoj kev kho mob peptic ulcers
Ntau tus neeg ntshai kev phais mob thaum lawv plab mob. Cov kab mob, cov tsos mob uas tau tham saum toj no, tuaj yeem kho tau los ntawm txoj kevlwm yam tshuaj. Ntxiv lwm txoj kev kho mob, xaiv ua ke nrog tus kws kho mob, tuaj yeem ua rau tus neeg mob tau txais cov tsos mob zoo thiab cov kab mob mucosal. Hmoov tsis zoo, nrog kev pab ntawm lwm txoj kev kho, tsis yog txhua yam kab mob plab tuaj yeem swb. Cov tsos mob thiab kev kho mob nrog pej xeem cov kev kho mob ntawm ib tug kab mob yuav tsum tau tham nrog ib tug kws kho mob, vim hais tias tej zaum xws li kev kho mob yuav tsis tsuas yog irrational, tab sis kuj yuav ua rau muaj teeb meem loj rau tus neeg mob. Piv txwv li, kab mob oncological, nrog rau perforation, peritonitis, perforation thiab lwm yam mob hnyav yuav tsum tau kev phais tam sim ntawd. Ib qho kev ncua sijhawm ua haujlwm ua rau tus neeg mob tuag.
Lwm hom mob plab, cov tsos mob, kev kho mob pej xeem cov tshuaj uas tau tham nrog tus kws kho mob, tej zaum yuav zoo rov qab thaum siv ntau yam decoctions ntawm cov nroj tsuag tshuaj. Ib qho tshuaj zoo yog ib qho tincture ntawm aconite hauv paus, celandine, qos paj thiab calendula. Decoctions ntawm strawberries, calamus, pob kws stigmas pab txo qhov mob. Txhua tus neeg mob tau kho nrog kev kho pej xeem ntawm tus kheej.
Kev tiv thaiv kab mob peptic
Kev tiv thaiv kab mob plab yog ib feem tseem ceeb ntawm txoj kev kho mob. Tus neeg mob yuav tsum noj kom raug, tsis txhob qab ntsev, ntsim, txuj lom, tso tseg kas fes, cawv, thiab haus luam yeeb. Txhawm rau tswj cov tsos mob ntawm cov kab mob, nrog rau kev tiv thaiv lawv qhov tshwm sim, koj yuav tsum noj ntau zaus, hauv me me. Kev hla pluas mov yog qhov tsis xav tau, tab sis overeating hemcov txheej txheem inflammatory. Tsis txhob nqos cov zaub mov loj, zom tsis zoo.
Kev kho cov kab mob ntawm lub plab yog qhov nyuaj thiab muaj kev pheej hmoo ntawm ntau yam teeb meem. Yog li ntawd nws yog qhov zoo dua los saib xyuas koj txoj kev noj qab haus huv thiab zam cov teeb meem zoo li no. Kev tiv thaiv kab mob plab muaj xws li kev ntsuas yooj yim. Koj yuav tsum sim kom tsis txhob muaj ntau yam kev ntxhov siab, xyaum kev so, kev xav, saib xyuas kev ua haujlwm thiab so. Lub cev muaj zog yog qhov tseem ceeb. Kev tawm dag zog lub cev yooj yim pab kom cov leeg nqaij zoo.
