Tus kab mob ntawm lub plab rwj muaj qhov mob ntev thiab yog qhov tshwm sim los ntawm kev tsim cov erosions ntawm txoj hnyuv mucosa lossis lub plab. Qhov kev tsis zoo no tuaj yeem tsim rau ntawm phab ntsa, nrog rau nkag mus tob rau hauv. Cov tsos mob tuaj yeem tshwm sim tsis tu ncua, yog li ua rau los ntshav.
Qhov muaj feem pheej hmoo ntawm qhov teeb meem no yog cov txiv neej uas muaj tus cwj pwm phem, xws li haus luam yeeb thiab haus dej cawv ntau zaus. Qee zaum, muaj ntau yam teeb meem tshwm sim, tshwj xeeb, xws li los ntshav, rwj plab, peritonitis, uas yuav tsum tau muaj kev phais.
Ntxhais kab mob
Lub plab rwj yog ib qho kev raug mob ntawm mucosal uas tshwm sim feem ntau nyob rau sab sauv ntawm lub plab thiab nkag mus tob rau hauv nws phab ntsa. Qhov no yog kab mob plab feem ntau. Yog hais tias cov phab ntsa tawg, ces cov ntsiab lus ntawm lub plab nkag mus rau hauv lub plab kab noj hniav, uas yuav provoke o. Tsis tas li ntawd, qhov txhab tuaj yeem ua rau cov hlab ntsha tawg. Hauv qhov no, kev ua haujlwm yog qhov tseem ceeb.
Thaum mob hnyav, tus kab mob no tuaj yeem ua rau mob ntevlub sij hawm ntawm exacerbation thiab remission. Lub rwj tuaj yeem yog ib leeg lossis ntau yam. Qhov laj thawj tseem ceeb yog kev ua txhaum ntawm kev tiv thaiv kev tiv thaiv los ntawm qhov tsis zoo. Cov hnoos qeev hauv plab tsis tuaj yeem ua rau hydrochloric acid thiab enzymes kom zoo.
Yeej, cov tsos mob ntawm plab rwj tau hais tau zoo heev, tab sis qee zaum yuav muaj cov tsos mob asymptomatic. Tag nrho cov cim tuaj yeem sib txawv ntawm lawv tus kheej hauv kev siv zog, nrog rau lwm cov yam ntxwv. Qhov no feem ntau yog nyob ntawm qhov kev loj hlob thiab kev tsis saib xyuas ntawm tus kab mob, nrog rau qhov chaw ntawm qhov mob. Nws yog ib qho tseem ceeb heev uas yuav tsum paub txog tus kab mob kom raws sij hawm, ua qhov kev kuaj mob thiab kev kho mob tom ntej.
Kev faib tawm
Kev tsis sib txawv ntawm ib leeg hauv cheeb tsam hauv cheeb tsam, uas yog vim li cas lawv txawv:
- duodenal ulcer;
- plab;
- sib xyaw ua ke.
Kev tawg tuaj yeem me me, txog 2 cm, lossis npog thaj tsam dav. Tus kab mob no mus rau theem, uas yog:
- exacerbation theem;
- ncig theem;
- remission.
Hom kab mob thiab nws theem tsuas tuaj yeem lees paub los ntawm tus kws tshaj lij tshwj xeeb tom qab kev tshuaj ntsuam xyuas.
Kev tshwm sim
Ntawm cov laj thawj tseem ceeb ntawm plab rwj, kws kho mob ib leeg tawm ntawm cov kab mob Helicobacter pylori, thiab tus kab mob tuaj yeem ua rau mob plab. Cov kab mob kab mob kis tau los ntawm tus neeg mob mus rau tus neeg noj qab haus huv los ntawm kev sib raug zoo, xws li:
- xav qaub ncaug;
- thaum nojzaub mov ntawm ib phaj;
- nrog kev tu cev tsis txaus.
Txawm li cas los xij, qhov muaj tus kab mob tsis tas yuav ua rau muaj qhov txhab lossis mob plab. Cov kab mob no tshwm sim los ntawm qee yam ua rau muaj kev cuam tshuam, tshwj xeeb, xws li:
- kev nyuaj siab;
- malnutrition;
- siv sijhawm ntev ntawm qee yam tshuaj;
- nce plab acidity.
Ntau tus kws tshaj lij ntseeg tias qhov ua rau mob plab yog qhov tsis txaus ntseeg hauv plab hnyuv microflora. Qhov tseem ceeb ua rau muaj kev pheej hmoo ntawm kev tsim tus kab mob no, nquag siv tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob. Lawv ua rau tsis zoo rau lub plab mucosa, ua rau nws txoj haujlwm tiv thaiv tsis muaj zog, thiab tseem cuam tshuam rau lub xeev ntawm kev tiv thaiv kab mob.
Tam sim no cov kws kho mob tau cais cov kab mob ntawm cov tsos mob. Lawv raug tsim los ntawm cov txheej txheem ntawm qee yam kab mob. Feem ntau qhov no tshwm sim nrog pathologies ntawm lub plab zom mov, endocrine thiab hlab plawv system.
Cov tsos mob tseem ceeb
Lwm yam kabmob thiab lub plab zom mov tuaj yeem koom nrog hauv cov txheej txheem pathological, uas ua rau muaj kev hem thawj loj heev rau tus neeg mob lub neej. Yog li ntawd, nws yog ib qho tseem ceeb kom paub txog cov kab mob sai li sai tau thiab sab laj nrog kws kho mob rau kev kuaj mob thiab kev kho mob tom ntej. Ntawm cov tsos mob tseem ceeb ntawm lub plab rwj yog cov hauv qab no:
- mob plab tom qab noj mov;
- hwj chim thiab belching;
- xeev siab thiab ntuav;
- nrawm cem quav;
- xav hnyav thiab plab plab;
- mob hmo ntuj.
Thaum lub sijhawm exacerbation, kev tshaib kev nqhis tau pom, uas nres kwv yees li 30 feeb tom qab noj mov. Yeej, cov tsos mob ntawm lub plab rwj yog mob heev, tab sis nyob rau hauv ob peb xyoos dhau los, cov kws kho mob tau txheeb xyuas cov kab mob asymptomatic thiab atypical. Yeej, qhov no yog ib qho tseem ceeb rau cov neeg laus, nyob rau hauv lub xub ntiag ntawm ulcers, siv cov tshuaj tiv thaiv kab mob, nrog rau kev tsim txom ntawm cawv. Hauv qhov xwm txheej zoo li no, kev kuaj mob tsis tau ua tiav ntev, uas ua rau kev kho mob qeeb thiab ntau yam teeb meem.
Feem ntau, qhov mob plab muaj qhov mob ntev, thiab lub sijhawm ntawm exacerbation yog ua raws li lub sijhawm ntawm kev zam txim. Thaum lub sij hawm kawg erosion, caws pliav tsim nyob rau ntawm qhov chaw ntawm yaig. Cov tsos mob ntawm gastric ulcers yog aggravated nyob rau hauv lub caij nplooj ntoos hlav los yog caij nplooj zeeg. Ntau tus kws kho mob ntseeg tias tus kab mob no feem ntau pom nyob rau hauv cov txiv neej. Thawj qhov tshwm sim tau pom thaum muaj hnub nyoog me.
Ntau tus neeg mob uas mob plab hnyuv siab raum mob plab rwj yuav ua li cas thiaj li paub tau raws sijhawm. Kev hnov mob hauv cheeb tsam feem ntau nyob hauv nruab nrab ntawm lub plab, thiab tuaj yeem hloov mus rau sab laug lossis sab xis thiab tawg mus rau thaj tsam lumbar.
Nyob rau hauv rooj plaub no, feem ntau tus neeg mob yuav hnov mob ntawm qhov kub hnyiab, uas txo qis tam sim ntawd tom qab noj tshuaj tiv thaiv lub plawv. Tias yog vim li cas ntau tus feem ntau confuse nws nrog kev kub siab. Yeej xav taukom nkag siab raws nraim li cas lub plab rwj mob, txij li cov kev xav txawv me ntsis ntawm qhov mob nrog rau qhov mob plab hnyuv. Nrog rau qhov mob erosive ntawm lub plab mucosa, qhov mob tshwm sim feem ntau tom qab noj mov thiab kav ntev li 2-3 teev.
Kev rov ua dua ib txwm tshwm sim sai thiab npaj txhij txog. Nws lub sijhawm tuaj yeem yog 1-6 lub hlis. Ntawm thawj cov cim qhia ntawm lub plab rwj yog qhov hnyav hnyav, tsis muaj zog, mob, thiab ntxhov siab. Txhawm rau zam qhov no, koj yuav tsum tau saib xyuas cov tsos mob uas twb muaj lawm raws sijhawm.
Cov neeg uas nquag noj cov tshuaj steroid tej zaum yuav muaj perforation ntawm lub plab phab ntsa. Cov tsos mob tseem ceeb ntawm lub plab perforated yog qhov tshwm sim ntawm qhov mob hnyav heev. Kev hnov mob kis sai heev thoob plaws hauv plab. Tus neeg raug tsim txom yuav muaj kev poob siab, xeev siab thiab ntuav nrog rau cov ntshav txhaws.
Ib yam ntxwv tshwj xeeb yog cov quav dub, uas qhia tias los ntshav. Tus neeg mob hnov mob hnyav, kiv taub hau thiab ua daus no, uas tuaj yeem ua rau tsis nco qab. Ntawm cov tsos mob ntawm tus kab mob plab perforated, nws tseem yuav tsum tau ua kom kub taub hau, qhov ncauj qhuav, thiab palpitations. Cov cim qhia ntawm cov kab mob no yog cov yam ntxwv uas qhov kev kuaj mob tsis ua rau muaj teeb meem txhua. Txawm li cas los xij, nws tsim nyog sau cia tias qhov me me los ntawm qhov ntawm phab ntsa ntawm lub plab tuaj yeem npog nws tus kheej, thiab cov kua dej hauv plab mus rau hauv lub plab zom mov nres. Hauv qhov no, qhov chaw kho mobdaim duab tsis meej txaus. Yog tias thawj cov tsos mob ntawm plab rwj tshwm sim, koj yuav tsum mus ntsib kws kho mob tam sim ntawd txhawm rau kuaj thiab kho.
Diagnostics
Qee zaum, kev kuaj mob tuaj yeem ua tau raws li cov cim muaj thiab tom qab kuaj xyuas tus neeg mob kom zoo. Txawm li cas los xij, kev kho mob tuaj yeem raug sau tsuas yog tom qab gastroscopy. Ua tsaug rau txoj kev tshawb fawb no, tus kws kho mob tuaj yeem kuaj xyuas cov mucous ntawm lub plab thiab cov hnyuv, nrog rau kev txiav txim siab hom kab mob ulcerative.
Ntxiv thiab, kev kuaj zis thiab ntshav tau raug sau tseg. Txhawm rau txiav txim siab los ntshav sab hauv, tus kws kho mob tuaj yeem xaj kom kuaj quav. Yog tias pom rwj thaum lub sijhawm tshawb fawb, ces yuav tsum tau kuaj pom tus kab mob Helicobacter pylori. Qee qhov xwm txheej, tomography thiab x-ray kuaj ntawm lub plab tuaj yeem raug sau ntxiv. Yog tias qhov kev tshuaj ntsuam xyuas tus kab mob tau lees paub, ces tus kws kho mob xaiv cov tshuaj tsim nyog los tshem tawm nws.
Txoj kev kho mob
Ntau tus neeg mob xav paub yuav ua li cas kho lub plab rwj, vim nws tsis tsuas yog ua rau tsis xis nyob xwb, tab sis kuj tuaj yeem ua rau muaj ntau yam teeb meem. Kev noj haus ua lub luag haujlwm tseem ceeb hauv kev kho mob. Khoom noj khoom haus yuav tsum tau sparing li sai tau nyob rau hauv thiaj li yuav tiv thaiv kom txhob muaj ntau heev irritation ntawm lub mucosa. Ib qho yuav tsum tau ua ua ntej rau kev kho kom zoo yog kev tsis lees paub cov dej cawv thiab haus luam yeeb.
Tus kws kho mob sau tshuaj kho mob, uas suav nrog ntau pab pawg tshuaj, tshwj xeeb,xws li:
- tshuaj tua kab mob;
- histamine receptor blockers;
- Yantacids;
- gastroprotectors;
- reparants.
Rau ntau qhov txhab uas feem ntau rov tshwm sim, nrog rau cov teeb meem, kev cuam tshuam kev phais yog qhia, tshwj xeeb, tshem tawm ntawm lub plab thiab txiav cov hlab ntsha uas ua rau cov kua qaub.
kev kho mob
Yuav ua li cas kho plab rwj tuaj yeem txiav txim siab los ntawm tus kws kho mob uas, raws li cov txiaj ntsig ntawm kev tshawb fawb, xaiv cov tshuaj tsim nyog. Kev kho mob yog nqa tawm kom txog thaum ua tiav cov txiaj ntsig ruaj khov. Ua ntej tshaj plaws, koj yuav tsum tshem tawm cov kab mob pathogenic Helicobacter pylori. Cov tshuaj tua kab mob raug xaiv rau qhov no, tab sis qhov no yuav tsum tau ua kom zoo.
Tshwj xeeb, macrolides ("Erythromycin", "Clarithromycin"), penicillins ("Amoxicillin"), nitroimidazoles ("Metronidazole") tau sau. Yog tias tus kab mob tsis tshwm sim los ntawm kev nkag mus ntawm cov kab mob mus rau hauv lub plab, nws yog ib qho tsim nyog yuav tsum tau txo qis hydrochloric acid nyob rau hauv cov kua txiv hmab txiv ntoo, uas yuav pab txhim kho kev noj qab haus huv thiab tshem tawm qhov mob. Ua li no, sau tshuaj inhibitors thiab antacids.
Inhibitors suav nrog tshuaj xws li Omeprazole, Ranitidine. Antacids kuj tseem xav tau, piv txwv li, Almagel thiab Maalox. Qhov tseem ceeb tshwj xeeb yog cov tshuaj "De-nol", vim nws muaj cov nyhuv astringent ntawm lub plab mucosa, thiab tseem pab tshem tawm cov kab mob Helicobacter.
Tau muab tshuaj 3-4 zaug ib zaug raukev kho mob, nws tag nrho yog nyob ntawm qhov hnyav ntawm chav kawm ntawm tus kab mob, uas yog txiav txim los ntawm tus kws kho mob tom qab kuaj thiab kev tshawb fawb. Thaum qhov mob hnyav heev, ces muab tshuaj loog rau lub plab rwj. Yeej, cov tshuaj tuaj txhaj tshuaj, vim qhov no tso cai rau koj kom ceev nrooj nres.
Lub sijhawm ntawm kev kho mob nyuaj yog kwv yees li 10-14 hnub, tab sis lub sijhawm no tuaj yeem nce ntxiv ntawm kev txiav txim siab ntawm tus kws kho mob. Txhawm rau kom cov txheej txheem rov ua kom sai, cov tshuaj vitamin complexes tau ntxiv.
Kev siv pej xeem txoj kev
Kev kho mob plab rwj tuaj yeem ua tau nrog kev pab ntawm pej xeem cov tshuaj, tab sis nws yog qhov zoo tshaj plaws los muab lawv ua ke nrog tshuaj. Ua ntej siv lawv, nco ntsoov sab laj nrog koj tus kws kho mob kom tsis txhob ua rau koj noj qab haus huv. Ntawm cov tshuaj pej xeem zoo rau mob plab, nqaij npuas rog tuaj yeem paub qhov txawv. Txhua txhua hnub koj yuav tsum haus txog 20 g ntawm nqaij npuas roj ua ntej noj tshais. Kev kho mob yog kwv yees li 2 lub hlis.
Qos yaj ywm kua txiv tau ua pov thawj nws tus kheej zoo. Txhawm rau ua qhov no, koj yuav tsum tau ntxuav cov qos yaj ywm kom huv si, tev nws, thiab tom qab ntawd grate nws rau ntawm grater zoo. Tom qab ntawd nyem cov kua txiv thiab sib tov nrog dej hauv qhov sib piv ntawm 1: 1. Haus 30 feeb ua ntej noj mov. Kev kho mob yog 4 lub hlis.
Ntawm cov neeg siv tshuaj kho mob plab, uas tau ua pov thawj lawv tus kheej zoo, ib tus tuaj yeem tawm ntawm mummy, uas yuav tsum tau diluted hauv dej. Cov cuab yeej no pabkho ntawm mucous daim nyias nyias ntawm lub cev cuam tshuam. Nrog rau qhov txhab, nws yog txwv tsis pub siv cov tshuaj uas muaj cawv. Ntau tus kws kho mob pom zoo kom siv cov roj hiav txwv buckthorn rau mob plab, vim phytosterols nws muaj cov kab mob bactericidal thiab pab ntxuav cov mucosa los ntawm cov kab mob. Tsis tas li ntawd, cov khoom muaj immunostimulating zoo, uas normalizes tus neeg mob txoj kev noj qab haus huv thiab rov qab sai dua.
Koj yuav tsum noj hiav txwv buckthorn roj rau plab rwj - 1 tsp. 30 feeb ua ntej noj mov. Cov chav kawm ntawm kev kho mob yog kwv yees li 1 lub hlis. Nrog rau kev ua siab ntev, qhov ntau npaum tuaj yeem nce ntxiv.
Ntau yam tshuaj ntsuab npaj uas pab tau ua pov thawj lawv tus kheej zoo:
- normalize lub rooj;
- tiv thaiv cov mucosa los ntawm kev txhoj puab heev;
- txhawb qhov txhab kho;
- tshem tawm qhov mob;
- txo qhov mob.
Los ntawm tshuaj ntsuab tshuaj yej koj tuaj yeem npaj decoctions, infusions, kho da dej, siv. Txawm li cas los xij, nws tsim nyog nco ntsoov tias tshuaj ntsuab yog txwv tsis pub yog tus neeg mob kub taub hau, los ntshav lossis mob qog noj ntshav.
Dieting
Yuav noj dab tsi nrog plab plab - nws tseem ceeb heev kom paub meej kom tsis txhob ua rau mob rov qab. Cov zaub mov noj yuav tsum tau tsim los ntawm tus kws tshaj lij. Nyob rau hauv lub xub ntiag ntawm rwj, nws yog txwv tsis pub noj ntsev thiab haus cov tais diav, txuj lom, txuj lom, thiab citrus txiv hmab txiv ntoo. Cov zaub mov noj yuav tsum muaj xws li cereals siav hauv mis nyuj lossis dej,stewed zaub, steamed ntses, khoom noj siv mis, txiv hmab txiv ntoo qab zib. Nws tseem yog ib qho tseem ceeb kom ntseeg tau tias haus dej haus kom txaus. Nws yog qhov zoo tshaj los haus dej ntxhia.
khoom noj kom raug yuav txo tau lub sijhawm kho. Yog tias tsis noj zaub mov, muaj feem ntau yuav kis tau tus kab mob.
Surgery
Yog tias txoj kev khaws cia tsis tuaj yeem nqa qhov xav tau, ces kev cuam tshuam kev phais raug sau tseg. Tsis tas li ntawd, kev phais yuav tsum tau phais yog tias muaj teeb meem.
Thaum los ntshav tshwm sim, tus kws phais mob stitches cov hlab ntsha puas lawm los yog kho qhov chaw nrog qhov tsis xws luag. Nyob rau hauv cov ntaub ntawv ntawm perforation, nws raug tso cai siv ob peb txoj kev ntawm lub lag luam, namely, resection, vagotomy, suturing. Nyob rau hauv lub xub ntiag ntawm stenosis ntawm lub plab, tus kws kho mob imposes ib tug gastrojejunostomy.
Muaj Teeb Meem
Yog tias qhov txhab tsis kho raws sijhawm, nws tuaj yeem ua rau muaj ntau yam teeb meem, uas suav nrog:
- perforation;
- abscess;
- Ypyloric stenosis;
- ntshav;
- penetration.
Nrog rau qhov abscess, cov txheej txheem inflammatory pib tsim nyob rau hauv cov kabmob ntawm lub peritoneum. Nws feem ntau muaj tus cwj pwm purulent. Yog tias kev kho tsis tau raws sijhawm, cov ntaub so ntswg ntawm cov khoom nruab nrog cev no tau yaj, thiab cov kab noj hniav uas muaj cov kua paug. Qhov abscess yog qhov txaus ntshai heev, vim tias sepsis loj hlob sai thiabpus ntws. Cov kab mob tuaj yeem yog ib leeg lossis ntau yam.
Thaum nkag mus, pom cov kab mob kis mus rau cov ntaub so ntswg thiab cov kabmob uas nyob sib ze. Ntawm cov tsos mob tseem ceeb ntawm tus mob no, nws yog ib qho tsim nyog yuav tsum tau qhia txog qhov muaj qhov mob hauv lub plab tas li.
Stenosis yog tus yam ntxwv ntawm qhov nqaim ntawm lub plab hauv qab, ua rau muaj kev xav hnyav sai sai tom qab noj mov. Tsis tas li ntawd, ntawm qhov tshwm sim tseem ceeb, belching thiab ntuav yuav tsum tau paub qhov txawv. Nrog rau daim ntawv me me, kev kho kom zoo yog nqa tawm, thiab nrog cov teeb meem nyuaj, kev cuam tshuam kev phais yog qhia.
Malignancy yog ib qho teeb meem txaus ntshai tshaj plaws ntawm qhov txhab. Nws yog tus cwj pwm los ntawm kev tsim cov qog malignant. Lub rwj tuaj yeem hloov mus ua mob qog noj ntshav yog tias muaj cov tshuaj genetic predisposition. Tsis tas li ntawd xwb, cov neeg uas haus cawv, nrog rau cov neeg haus luam yeeb hnyav, muaj kev pheej hmoo.
prophylaxis
Nco ntsoov ua kev tiv thaiv kab mob plab kom tsis txhob muaj kev yaig ntawm cov mucosa. Yog tias tus neeg mob tau kuaj mob gastritis, tom qab ntawd thaum lub sijhawm exacerbation, koj yuav tsum ua raws li kev noj zaub mov tshwj xeeb. Tsis tas li ntawd, kev tiv thaiv ntawm plab rwj implies:
- zoo pw;
- koom haum noj zaub mov kom raug;
- exclusion of stress.
Nws yog ib qho tseem ceeb heev kom tshem tau ntawm lwm yam kab mob raws sij hawm, uas nyob rau hauv ib txoj kev muaj feem xyuam rau qhov ceev ntawm digestion thiab assimilation ntawm zaub mov.
