Nws tsis yog ib qho zais cia tias qhov kev sib dhos ntawm lub neej niaj hnub no, uas suav nrog cov neeg pluag, cov khoom noj tsis raug thiab tsis zoo, kev ntxhov siab tsis tu ncua thiab hnyav, thiab sim daws lawv los ntawm "kev noj hauv siab" ua rau muaj teeb meem plab. Ua ntej, nws yog gastritis, uas cov neeg feem coob, tshwj xeeb tshaj yog cov neeg uas tsis nquag mus kuaj xyuas lawv cov kev noj qab haus huv, tsis xyuam xim rau. Gastritis logically tsim mus rau hauv lub rwj - nyob rau theem no, cov teeb meem yog heev mob heev uas lawv yuam kom koj mus rau lub tsev kho mob. Tab sis nyob rau hauv cov ntaub ntawv ntawm ib tug ruaj khov kev zam txim, tib neeg so ib zaug dua thiab tsis ua raws li cov tshuaj noj, txwv lawv tus kheej mus rau ntau tshaj thiab ua raws li cov lus qhia kho mob. Thiab qhov no yog qhov uas cov tsiaj nyaum insidious nyob tos rau lawv - lub plab perforated.
Dab tsi yog perforation
A perforated ulcer, hauv paus ntsiab lus, yog theem kawg ntawm ib txwm ib txwm, txawm tias nws yog qhov mob ntawm lub plab lossis txoj hnyuv. Hauv cov ntsiab lus yooj yim, perforation yog noj los ntawm cov phab ntsa ntawm thaj chaw cuam tshuam ntawm txoj hnyuv los yog plab los ntawm thiab dhau los. Los ntawmQhov tshwm sim "qhov", txhua yam uas koj tau noj lossis haus, ua ke nrog kua qaub hauv plab, tiag tiag "poob" rau hauv lub plab uas tsis muaj kev tiv thaiv. Thiab yog tias tsis muaj kev ntsuas ceev, ces, ib tug yuav hais tias, ib tug qeeb, tsis kaj siab thiab mob tuag pib.
Yog vim li cas rau perforation
Nws yog qhov tseeb tias qhov tsawg kawg nkaus rau qhov pom ntawm lub qhov txhab perforated yog qhov muaj cov kab mob peptic nws tus kheej, txawm tias kho tau zoo. Tab sis, tu siab, rwj yuav tsum tau ceev faj tag nrho lawv lub neej, ua ob npaug rau lub caij nplooj ntoos hlav thiab lub caij nplooj zeeg. Cov laj thawj ua rau exacerbation thiab kev tu siab ntxiv ntawm tus kab mob ib txwm yog yam kws kho mob feem ntau ceeb toom tawm tsam. Peb tuaj yeem hais tias perforation yog nro (ob qho tib si hauv qhov kev xav thiab kev sib raug zoo), busting nrog cawv, overeating, thiab nrog rau qhov zoo ntawm fatty, hnyav, kib thiab ntsim zaub mov - raws nraim li cas tus kws kho mob tau sim cawm. koj los ntawm. Oddly txaus, kev tawm dag zog lub cev kuj tseem nyob rau hauv cov npe ntawm cov kev phom sij, tshwj xeeb tshaj yog tias koj tsis ua (pedantically!) ua kis las thiab tsis tshua koom nrog kev ua haujlwm hnyav.
Cov paib phom sij
Nyob rau hauv thawj lub sijhawm, tus neeg uas muaj qhov perforation tau ntsib nrog qhov mob tsis txaus ntseeg. Nws tshwm sim los ntawm qhov tseeb tias cov khoom me me ntawm lub peritoneum sib tsoo nrog lub plab zom mov lossis duodenum 12 (cov khoom noj thiab cov kua qaub hauv plab). Nyob rau hauv thawj lub sij hawm, perforation yog ib tug ntse mob uas ua rau lub kua muag thiab twists rau hauv ib tug arc, tsis yog vim li cas hu ua dagger, los yog riam. Nws yog txaus ntshai tias sai li sai tau nwstsis muaj zog (zoo li tag nrho lub plab mob, tab sis tsis muaj zog ntau), tus neeg tuaj txog rau qhov xaus tias nws nyuam qhuav muaj mob ulcerative, thiab tsis xav tau kws kho mob. Txawm li cas los xij, cov txheej txheem tsis nres. Ntawm cov khoom noj rotting uas tau nkag mus rau hauv kab noj hniav, cov kab mob sib ntxiv, ua rau qhov teeb meem uas qhov perforation pib. Qhov no txhais tau hais tias nyob rau hauv ib hnub lub rwj yog muab nrog peritonitis, uas txawm nyob rau hauv peb lub sij hawm yog tuag nyob rau hauv feem ntau ntawm cov neeg mob. Lub plab yuav nyuaj, kov nws mob heev, tus nplaig qhuav, mem tes poob, qhov kub nce. Qhov ze rau peritonitis, qhov pom tseeb dua.
plab hnyuv perforation tsis ntau txawv ntawm gastric perforation. Yog hais tias txoj kev loj hlob ntawm peritonitis yuav qeeb me ntsis. Tab sis thaum tsis muaj kev pab kho mob tsim nyog, qhov tshwm sim yuav zoo ib yam - kev tuag qeeb thiab mob. Yog li ntawm thawj qhov kev xav tias tej zaum koj yuav muaj ib qho perforation ntawm lub rwj, tsis hais seb lub cev puas raug cuam tshuam los ntawm nws (lub plab lossis txoj hnyuv), hu rau lub tsheb thauj neeg mob tam sim ntawd. Nrog rau kev cuam tshuam raws sijhawm, txoj hauv kev ntawm lub neej muaj ntau, siab heev.
