Ib plab rwj thiab duodenal rwj yog ib qho mob ntev uas tshwm sim nrog kev rov ua haujlwm tsis tu ncua. Thaum pib, ib qho rwj yog tsim, thiab tom qab ntawd ib qho caws pliav tshwm nyob rau hauv nws qhov chaw. Feem ntau tus kab mob no tshwm sim nyob rau hauv lub xub ntiag ntawm mob o ntawm lub mucosa. Nws yog tus cwj pwm los ntawm kev hloov lub sijhawm ntawm exacerbation thiab kev zam txim.
Kev tso zis ntau ntxiv ntawm hydrochloric acid lossis nkag mus ntawm cov kab mob sib npaug sib npaug rau cov mucosa. Raws li kev txheeb cais, tus kab mob no muaj ntau dua rau cov txiv neej. Qhov no yog vim kev haus dej haus cawv, haus luam yeeb thiab ntxhov siab. Qee zaum cov txheej txheem pathological tau pom thaum yau.
Tus yam ntxwv ntawm tus kab mob
Lub plab thiab duodenal rwj yog tus cwj pwm los ntawm kev tsim ntawm qhov tsis xws luag hauv cov mucosa. Yeej, nws tshwm sim vim nkag mus ntawm cov kab mob. Tus kab mob no muaj ib tug relapsing mob. Nyob rau ntawm daim tawv nqaijtsim ib los yog ntau dua ulcerative defects.
Yeej, cov neeg muaj hnub nyoog 25-50 mob. Qhov no yog vim qhov tseeb tias lub sijhawm no tus neeg muaj feem cuam tshuam rau kev xav ntau dhau, feem ntau ua rau kev ua neej tsis zoo, thiab noj tsis raug.
Cov ntawv yog dab tsi
plab hnyuv thiab duodenal rwj tuaj yeem los ntshav. Ib qho xwm txheej txaus ntshai heev yog qhov mob plab nrog perforation, vim tias muaj kev puas tsuaj tag nrho ntawm cov hnyuv. Yog tias tib lub sijhawm muaj duodenitis thiab kev puas tsuaj rau lub plab mucosa, qhov kev sib xyaw ua ke no yuav qhia tau tias muaj kab mob peptic.
Kev tshwm sim
Cov kws kho mob tau txheeb xyuas ntau yam ua rau mob plab thiab duodenal rwj, thiab cov kab mob nkag mus yog suav tias yog ib qho tseem ceeb tshaj plaws. Cov kab mob no tau pom ntau zaus, txawm li cas los xij, tsis yog txhua tus tsim muaj kab mob ulcerative. Cov kab mob Helicobacter pylori tsim qee cov enzymes uas cuam tshuam kev tsim cov hnoos qeev, ua rau tsim cov kab mob ntawm qhov chaw ntawm mucosa. Tsis tas li ntawd, yam xws li:
- kev nyuaj siab thiab kev puas siab puas ntsws;
- malnutrition;
- kev quav cawv;
- haus luam yeeb;
- hereditary factor;
- noj qee yam tshuaj.
Kev ntxhov siab thiab neurosesprovoke qhov tshwm sim ntawm hypertonicity ntawm paj hlwb xaus. Raws li qhov tshwm sim ntawm qhov no, ib qho spasm ntawm cov hlab ntsha uas ntim lub plab tshwm sim, ua rau muaj kev ua txhaum ntawm kev noj zaub mov zoo ntawm cov ntaub so ntswg. Raws li kev cuam tshuam ntawm hydrochloric acid thiab kev noj zaub mov nruj, rwj thiab foci ntawm qhov mob tshwm sim ntawm qhov chaw.
Cov dej qab zib carbonated, nrog rau cov khoom noj uas ua rau acidity, muaj kev cuam tshuam tsis zoo rau cov mucous membrane. Kev noj zaub mov tsis zoo ua rau muaj kev mob plab thiab duodenitis. Peptic ulcer feem ntau yog hais txog kab mob caj ces. Kev sib xyaw ua ke ntawm ntau yam provoking yam yuav luag txhua zaus provokes txoj kev loj hlob ntawm cov kab mob ulcerative.
Cov tsos mob
Ib qho kev mob ntev, undulating yog yam ntxwv ntawm qhov txhab mob. Nws yuav tsum tau muab sau tseg tias lub sij hawm ntawm kev zam txim yog hloov los ntawm exacerbation, uas feem ntau tshwm sim nyob rau hauv lub caij nplooj ntoos hlav thiab lub caij nplooj zeeg. Cov tsos mob ntawm plab hnyuv thiab duodenal rwj yog ntau tshaj tawm thaum lub sij hawm exacerbation, uas kav li ntawm 4-12 lub lis piam, tom qab uas cov tsos mob hnyav zuj zus thiab lawv maj mam ploj mus.
Ntau yam tuaj yeem ua rau muaj kev mob hnyav, uas suav nrog:
- kev tawm dag zog ntau dhau;
- kab mob;
- kev noj haus yuam kev;
- kev nyuaj siab;
- noj qee yam tshuaj.
Ntau zaus, qhov tshwm sim ntawm tus kab mob pib nrog qhov pib mob hnyav hauv plab. Lub sijhawm pib mobKev hnov lus feem ntau nyob ntawm qhov chaw tshwj xeeb uas lub qhov txhab nyob hauv zos. Ntawm cov tsos mob tseem ceeb ntawm plab hnyuv thiab duodenal rwj yog cov hauv qab no:
- pain;
- siab kub;
- burp;
- nausea;
- kev tshaib plab;
- cem quav.
Kev hnov mob feem ntau tsis muaj qhov chaw sib txawv, thiab lawv tuaj yeem muaj qhov sib txawv. Txij li thaum cov acidity feem ntau nce me ntsis, thiab qhov tseem ceeb rhiab heev kuj raug tso tawm, cov neeg mob feem ntau yws yws ntawm qhov kub siab.
Ntawm cov cim qhia ntawm plab thiab duodenal rwj, belching tuaj yeem paub qhov txawv. Cov tsos mob no tsis yog ib txwm tshwm sim thiab nws tshwm sim los ntawm qhov tsis muaj zog ntawm txoj hlab pas. Belching feem ntau yog qaub thiab tseem nrog regurgitation thiab salivation profuse.
Thaum qhov mob hnyav tshwm sim, xeev siab thiab ntuav tau pom, ntxiv rau, lawv feem ntau ua ke. Kev ntuav feem ntau tshwm sim ntawm qhov mob siab tshaj plaws thiab ua rau muaj txiaj ntsig zoo rau tus neeg mob.
Kev qab los noj mov feem ntau nce me ntsis, thiab nrog kev mob hnyav, nws yuav tsis tuaj. Feem ntau, tus neeg mob muaj kev ntshai ntawm kev noj zaub mov vim qhov kev cia siab tshwm sim ntawm qhov mob tshwm sim. Tag nrho cov no tuaj yeem ua rau poob phaus hauv tus neeg mob. Ntau tus neeg yws yws txog kev ua txhaum ntawm txoj hnyuv, uas yog, cem quav.
Lub sijhawm exacerbation
Outwardly, cov kab mob ulcerative muaj ib puag ncig zoo thiab ib qho o liab mucosa nyob ib ncig ntawm lub qhov txhab. Exacerbation ntawm gastric thiab duodenal ulcers yog yus muaj los ntawmaggravation ntawm chav kawm ntawm cov txheej txheem pathological. Raws li qhov tshwm sim, qhov txhab nkag mus tob dua thiab cuam tshuam rau cov leeg nqaij ntawm lub plab, cuam tshuam nrog hydrochloric acid.
Tus neeg mob ntsib kev mob hnyav heev. Cov hlab ntsha tawg thiab puas lawm pib los ntshav hnyav. Kev puas tsuaj rau cov phab ntsa ntawm cov hlab ntsha loj provokes ntshav poob. Cov kws kho mob paub qhov txawv peb hom kev mob hnyav, tshwj xeeb, xws li:
- kev nyuaj siab;
- drug;
- Cushing's ulcer.
Nyob rau hauv tag nrho cov xwm txheej no, cov xwm txheej zoo yog tsim rau kev ua kom cov kab mob uas muaj peev xwm nyob tau txawm tias nyob hauv ib puag ncig hnyav ntawm cov kua txiv hmab txiv ntoo. Nws yog nws tus uas coj mus rau qhov swb ntawm kev tiv thaiv txheej ntawm mucous daim nyias nyias.
Kev tswj tsis tau ntawm cov tshuaj ua rau muaj kev hloov pauv hauv kev ua haujlwm ntawm cov mucosa thiab corrodes nws. Cushing's ulcer tshwm sim raws li qhov ua rau raug mob rau hauv nruab nrab lub paj hlwb.
Diagnostics
Ua ntej koj pib kho mob plab thiab duodenal ulcers, koj yuav tsum tau ua kom tiav kev kuaj mob kom paub qhov tseeb. Thaum pib, tus kws kho mob pib sau cov anamnesis. Tshwj xeeb, koj yuav tsum txhais:
- tus yam ntxwv mob;
- localization;
- muaj kab mob ntev hauv anamnesis;
- kev hloov pauv.
Kev kuaj mob yog ua los ntawm palpation ntawm lub plab kom paub meej tias cov pa tawmtxheej txheem pathological. Kev lees paub tseeb ntawm kev kuaj mob yog ua los ntawm kev siv cov cuab yeej tshawb fawb, tshwj xeeb, xws li:
- kev txiav txim siab ntawm cov tshuaj tiv thaiv hauv tus neeg mob cov ntshav rau Helicobacter pylori;
- txiav txim siab plab acidity;
- kuaj hluav taws xob;
- kuaj microscopic.
Feem ntau yuav tsum tau kuaj xyuas endoscopic, uas suav nrog kev tshuaj xyuas ntawm cov mucosa siv fibrogastroduodenoscope. Cov txheej txheem no tso cai rau koj los txiav txim siab qhov chaw ntawm qhov txhab ntawm qhov txhab, nws qhov loj me, nrog rau qhov muaj teeb meem.
Txoj kev kho mob
Kev kho mob plab thiab duodenal rwj yuav tsum tau ua raws li tus kws kho mob cov lus pom zoo. Kev kho mob nyuaj qhia txog kev ua haujlwm xws li:
- kev cais tawm ntawm qhov cuam tshuam ntawm qhov tsis zoo;
- siv tshuaj;
- ua raws li kev noj zaub mov kom raug;
- txiav cawv thiab haus luam yeeb.
Txhawm rau rov ua kom qhov qub tshuav ntawm cov txheej txheem tiv thaiv txuas ntxiv, nws yog qhov tsim nyog kom tsis suav nrog qhov cuam tshuam. Tsis tas li ntawd, nws yuav tsum tau noj cov tshuaj uas yog txhawm rau tshem tawm cov kab mob, nrog rau txo qis acidity.
Nws yog ib qho tseem ceeb kom ua raws li cov cai ntawm kev noj haus, tsim tshwj xeeb rau kev kho mob rwj. Nws qhia txog kev noj zaub mov hauv qee qhov me me. Nws yog ib qho tseem ceeb kom tshem tawm cov khoom noj uas ua rau khaus ntawm cov khoom noj niaj hnub.plab hnyuv mucosa. Nws yog qhov zoo tshaj plaws los muab kev nyiam rau cov zaub mov boiled thiab stewed, nrog rau cov tais diav.
Cov kws kho mob pom zoo ua raws li kev noj zaub mov txhua hnub, nrog rau, yog tias ua tau, tshem tawm kev ntxhov siab thiab hypothermia. Yog tias tsim nyog, tus kws kho mob muab tshuaj sedatives. Ib qho txiaj ntsig zoo yog muab los ntawm pej xeem cov kev kho mob thiab cov txheej txheem uas tuaj yeem txuas ntxiv lub sijhawm ntawm kev zam txim. Qee zaum, kev phais yog qhia los kho qhov mob.
Drug therapy
Thaum thawj cov tsos mob ntawm gastric thiab duodenal ulcers tshwm sim, kev kho mob yog muab tam sim ntawd kom tsis txhob muaj teeb meem. Rau kev kho mob, tshwj xeeb 3 lossis 4 cov txheej txheem tau tsim, uas yuav tiv thaiv kev loj hlob ntawm tus kab mob. Tus kws kho mob xaiv txoj kev kho mob rau plab hnyuv thiab duodenal ulcers nrog cov tshuaj ib tus zuj zus, nyob ntawm qhov ua rau thiab qhov tshwm sim ntawm txoj kev tshawb no. Cov tshuaj tuaj yeem noj hauv daim ntawv ntsiav tshuaj lossis hauv daim ntawv txhaj tshuaj. Feem ntau, chav kawm ntawm kev kho mob kav li 2 lub lis piam. Rau txoj kev kho mob nyuaj, cov tshuaj no tau sau rau hauv plab hnyuv thiab duodenal ulcers, xws li:
- tshuaj tua kab mob;
- histamine receptor blockers;
- Yantispasmodics;
- Yantacids;
- Yprokinetics.
Tshuaj tua kab mob tau sau tseg, uas cov kab mob rhiab heev. Feem ntau, kev sib xyaw ntawm cov tshuaj los ntawm ntau pawg yog siv. Xws li kev sib xyaw ua ke tau ua pov thawj zoo rau nws tus kheej, txij li, yog tias tsim nyog, ib qho ntawm cov tshuaj tuaj yeem hloov pauv. Tshwj xeeb, xws li tshuaj tua kab mob xws li Amoxicillin thiab Metronidazole tau sau tseg. Histamine receptor blockers yog tsom rau kev txo qis ntawm hydrochloric acid thiab txo qis acidity. Raws li cov tshuaj tua kab mob, "Controllock", "Sanpraz", "Gastrozol" raug sau.
Antacids yog siv symptomatically yog tias tsim nyog thiab pab kom tshem tawm cov nyhuv ntawm cov mucous membrane ntawm hydrochloric acid uas twb muaj nyob rau hauv lub cev. Prokinetics txhawb kev txav ceev ntawm cov zaub mov los ntawm txoj hnyuv, thiab tseem pab tiv thaiv xeev siab thiab ntuav. Antispasmodics pab txo spasms thiab kuj muab qhov mob nyem thaum xav tau.
Cov kev npaj xws li "Maalox" thiab "Almagel" pab tsim cov yeeb yaj kiab tiv thaiv ntawm cov mucous membrane. Raws li cov tsos mob ntawm gastric thiab duodenal ulcers, kev kho mob tuaj yeem kav li ntawm 2 lub lis piam mus rau 1.5 lub hlis.
Surgery
Kev phais yuav tsum tau ua yog tias lwm hom kev kho mob tsis tuaj yeem nqa qhov xav tau, nrog rau thaum muaj teeb meem, tshwj xeeb, xws li perforation ntawm phab ntsa ntawm lub plab lossis los ntshav hnyav.
Txoj kev kho mob no yog suav tias yog radical thiab muaj nyob rau hauv excising thaj tsam ntawm lub plab zom mov nrog rau ib feem ntawm cov ntaub so ntswg uas tsim hydrochloric acid. Nws yuav tsum tau muab sau tseg tias tom qab qhov kev siv ntawm kev phais, muaj ntau yam teeb meem tshwm sim.nyob rau hauv daim ntawv ntawm o, los ntshav, thiab metabolic ntshawv siab.
Kev siv pej xeem txoj kev
Ua ke nrog kev kho tshuaj, cov tshuaj pej xeem yog siv rau cov kab mob plab thiab duodenal, uas pab txo qis cov tsos mob uas twb muaj lawm thiab ua kom muaj kev noj qab haus huv zoo. Chamomile decoction muab cov txiaj ntsig zoo.
Ib qho ntawm cov tshuaj uas nrov rau kev tshem tawm cov tsos mob uas twb muaj lawm yog kua txiv lws suav. Ua li no, grate cov zaub tshiab ntawm ib tug nplua grater, thiab ces nyem lub resulting kua txiv los ntawm pulp thiab noj 0.5 tbsp. 3 zaug ib hnub twg. Lub sijhawm kho yog 20-30 hnub. Tsis tas li ntawd, koj tuaj yeem noj beetroot kua txiv.
Flax noob tau ua pov thawj lawv tus kheej zoo hauv kev tawm tsam cov tsos mob ntawm plab hnyuv. Txhawm rau npaj cov tshuaj tua kab mob, ncuav flax nrog boiled dej thiab tawm mus rau infuse rau 10-12 teev, ces boil thiab noj nyob rau hauv lub plab khoob.
Yog tias tsis muaj kev fab tshuaj rau cov khoom siv muv, koj tuaj yeem siv cov tincture npaj los ntawm cov kua txiv aloe thiab zib ntab. Cov chav kawm ntawm kev kho mob tsis pub ntau tshaj 5 lub lis piam. Ib qho tshuaj zoo rau kev mob plab yog mis nyuj nrog zib mu. Cov tshuaj no pab txo qhov mob hauv plab, xeev siab, thiab ua kom muaj kev noj qab haus huv zoo.
Nrog qis acidity, nws raug tso cai haus kua txiv sauerkraut rau kev kho mob. Nws yuav pab normalize cov hnyuv thiab ua kom qab los noj mov. Yog tias tsis muaj exacerbation ntawm peptic ulcer, koj tuaj yeem haus kev kho mobPropolis-based khoom.
Ua ntej pib kho lwm txoj kev kho mob plab thiab duodenal rwj, koj yuav tsum sab laj nrog koj tus kws kho mob txog qhov muaj contraindications, nrog rau kev nyab xeeb ntawm kev siv.
Dieting
Thaum cov tsos mob mob plab thiab duodenal ulcers tshwm sim, kev noj haus yog qhov yuav tsum tau ua ua ntej rau kev kho. Tag nrho cov zaub mov noj yuav tsum tau txiav thiab sov. Nws yog txwv tsis pub noj cov khoom noj qab ntsev, ntsim thiab rog. Cov zaub mov yuav tsum yog feem ntau, yog li ntawd, tus neeg mob yuav tsum noj 5-6 zaug hauv ib hnub.
Cov khoom rau plab hnyuv thiab duodenal rwj yuav tsum tau steamed los yog boiled. Raws li haus, koj tuaj yeem noj cov dej ntxhia thiab soothing teas.
Thaum lub sijhawm muaj tus kab mob hnyav zuj zus, kev noj zaub mov yuav tsum maj mam thiab lub teeb li sai tau. Thaum lub sij hawm tshem tawm, tsis tas yuav tsum tau ua cov khoom siv kho tshuab ntxiv. Thaum sau cov ntawv qhia zaub mov, nws yog ib qho tsim nyog yuav tsum coj mus rau hauv tus account tag nrho cov kev xav tau ntawm lub cev.
Thaum kho mob plab thiab duodenal ulcers, kev noj zaub mov pab tshem tawm cov tsos mob uas twb muaj lawm thiab ua kom cov txheej txheem kho qhov txhab.
Muaj Teeb Meem
Cov teeb meem ntawm qhov txhab mob hnyav heev thiab ua rau muaj kev phom sij rau tus neeg mob, uas ua rau muaj kev loj hlob ntawm lub plab mob, uas yog vim li cas lawv xav tau kev phais sai. Ntawm qhov tseem ceeb ntawm kev ua txhaum cai yog cov hauv qab no:
- perforation ntawm lub plab;
- ntshav;
- duodenal stenosis;
- xov xwm kub;
- malignancy;
- periduodenitis.
Kev mob ntawm cov kab mob ulcerative hla tag nrho cov phab ntsa ntawm txoj hnyuv. Xws li ib tug teeb meem yog nrog los ntawm kev loj hlob ntawm peritonitis, lub ntsiab tshwm sim ntawm uas yog mob mob nyob rau hauv lub plab kab noj hniav.
prophylaxis
Kev tiv thaiv kab mob peptic cuam tshuam nrog kev tiv thaiv kev tso tawm ntawm hydrochloric acid thiab kab mob los ntawm cov kab mob. Ua li no, koj yuav tsum tso tseg kev haus dej cawv thiab haus luam yeeb. Tsis tas li ntawd, koj yuav tsum tshem tawm kev ntxhov siab ntau dhau, xyuas kom muaj kev noj qab haus huv, tsis suav cov khoom noj uas ua rau acidity ntawm koj cov khoom noj.
Txhawm rau tiv thaiv kev kis kab mob, nws yog ib qho tsim nyog yuav tsum siv cov tais diav huv, vim tias cov kab mob Helicobacter pylori kis tau los ntawm cov qaub ncaug ntawm tus neeg mob. Nyob rau hauv lub xub ntiag ntawm duodenitis los yog gastritis, kev kho mob raws sij hawm thiab nruj kev noj haus yuav tsum tau.
