Cov kab mob esophageal yog qhov txhab ntawm cov phab ntsa ntawm cov mucous. Feem ntau, tus kab mob no tshwm sim rau cov neeg muaj hnub nyoog 40 xyoo, tab sis qee zaum, cov tsos mob ntawm foci kuj tau sau tseg thaum muaj hnub nyoog yau, feem ntau ntawm cov txiv neej.
Nyob rau hauv cov ntaub ntawv uas tsis yog-advanced, ib tug esophageal rwj, cov tsos mob thiab kev kho mob uas tau kawm nyob rau hauv nthuav dav los ntawm cov kws kho mob, yog yooj yim kho.
Localization thiab hom kab mob
Feem ntau, cov kab mob tshwm sim hauv qab ntawm txoj hlab pas. Tus kab mob tuaj yeem ua rau mob thiab mob ntev. Tsis tas li ntawd, qhov txhab tuaj yeem ua ib leeg (peptic) lossis ntau yam. Feem ntau cov xwm txheej uas txiav txim siab lawv cov tsos yog teeb meem nrog lub plab thiab duodenum - cov kua txiv digestive nkag mus rau hauv txoj hlab pas, ua rau muaj kev puas tsuaj rau cov mucous membrane.
Yog vim li cas
Ntau yam yuav tshwm sim los ntawm kev loj hlob ntawm cov kab mob xws li esophageal ulcer. Cov laj thawj ntawm tus kab mob muaj ntau yam:
- teeb meem tom qab phais;
- kev noj haus tsis zoo;
- nce peristalsis ntawm cov leeg nqaij;
- siab acidity ntawm pais plab kua txiv;
- tus cwj pwm phem (kev haus ntau dhau thiab haus luam yeeb);
- qaug zog ntawm tib neeg lub cev tiv thaiv kab mob;
- qog nqaij hlav nqaim lub kwj dej lumen;
- organ diverticula (curvature ntawm txoj hlab pas ua rau zaub mov stagnation);
- noj tshuaj nruj nruj;
- tshuaj kho mob, lub hauv siab hluav taws xob;
- kev raug mob hnyav, kub hnyiab, kev puas tsuaj rau lub cev tseem ceeb.
Symptoms
Ntau zaus, tus kab mob tuaj yeem raug cais raws li kab mob hauv plab raws li qhov tshwm sim sab nraud thiab sab hauv. Cov tsos mob ntawm tus kab mob no feem ntau tsis meej:
- mob plab uas mob zuj zus nrog lossis tam sim tom qab noj mov;
- tsis xis nyob thaum nqos;
- ua pa tsis zoo.
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Cov kws kho mob zoo
Cov kab mob esophageal tam sim no tau dhau los ua ib qho mob ntawm lub plab zom mov, kev kho mob uas tswj hwm los ntawm tus kws kho mob plab. Kev xa mus feem ntau yog muab los ntawm tus kws kho mob. Tus kws kho mob tshwj xeeb kuaj xyuas lub xeev ntawm txoj hnyuv, tshuaj xyuas cov tsos mob thiab muab txoj kev kho kom tsim nyog tshaj plaws, feem ntau yog tsom rau kev tshem tawm qhov mob.
Ntau yam kab mob ulcerative
Ntau tshajKev faib tawm dav dav suav txog 2 hom kab mob - cov tsos mob thiab qhov tseeb (peptic). Nyob rau hauv thawj rooj plaub, daim ntawv ntawm lub rwj nyob ntawm seb qhov ua rau tus kab mob. Yog li, muaj cov tshuaj, tshee, stagnant thiab decubital hom.
Feem ntau cov kab mob tshwm sim thaum noj tshuaj lom neeg - ntau yam tshuaj ua rau cov phab ntsa ntawm txoj hlab pas, uas ua rau mob. Nrog rau kev ntxhov siab thiab kev ntxhov siab, cov tsos mob ntawm kev ntxhov siab tuaj yeem ua tau, thiab qhov tsim ntawm congestion yog qhov zoo thaum lub cev raug nyem los ntawm cov qog zoo li neoplasms. Cov ntau yam decubital pom nyob rau hauv cov neeg mob uas tau txais cov as-ham los ntawm lub raj uas tuaj yeem ua rau cov mucosa.
Rau hom kev txawv txav no, yuav ua li cas lub plab ulcer tshwm sim nws tus kheej (cov tsos mob) yog qhov tseem ceeb, thiab nws txoj kev kho yog nqa tawm ncaj qha rau ntawm qhov chaw kho mob.
Hom kab mob tiag tiag suav nrog kev faib cov kab mob raws li lub sijhawm ntawm chav kawm - cov kab mob tuaj yeem mob hnyav thiab mob ntev. Thawj hom yog tus yam ntxwv ntawm cov kab mob nrog qaub ntuav. Daim ntawv mob hnyav tshaj plaws yog kuaj pom tom qab phais. Cov kab mob ntev tshwm sim nyob rau hauv cov ntaub ntawv ntawm lub sij hawm raug rau cov phab ntsa ntawm cov hlab ntsha ntawm lub Cheebtsam ntawm gastric kua txiv, uas ua rau lub mucosa. Feem ntau, qhov tshwm sim ntawm peptic ulcers tsuas yog los ntawm qhov tsis zoo ntawm hydrochloric acid ntawm lub cev.
Diagnosis
Kev kuaj mob ib txwm pib nrog kev ntsuam xyuas ntawm qhov tshwm sim nrog ib qho mob xws li mob plab esophageal,cov tsos mob, thiab kev kho mob yog tsim raws li daim duab kho mob. Ib qho anamnesis ntawm tus kab mob yog sau, thaum lub sij hawm tus neeg mob txoj kev noj haus thiab kev ua neej yog tsom xam. Tsis tas li ntawd, tus kws kho mob tsim kom muaj lossis tsis muaj qhov tshwm sim zoo sib xws hauv tus neeg mob cov txheeb ze, tshuaj xyuas nws cov tawv nqaij rau pob, pob thiab neoplasms, thiab coj mus rau hauv tus account cov rog ntawm lub cev. Feem ntau, txhawm rau ua kom tiav daim duab kho mob, kuaj ntshav (kuaj ntshav ntshav thiab leukocytosis), quav (kom tsis suav nrog qhov muaj los ntshav).
Qhov chaw ntawm qhov txhab yog txiav txim siab ntsuas. Siv cov tshuaj ntsuam xyuas, pH ntawm cov mucosa yog ntsuas. Nrog rau qhov endoscope, tus kws kho mob tshem tawm ib qho me me ntawm cov ntaub so ntswg los txiav txim seb muaj kab mob Helicobacter pylori. Yog tias tsim nyog, kev kuaj ultrasound ntawm kab noj hniav, X-ray thiab xam tomography yog ntxiv.
Kev kho mob
Nyob rau theem ntxov tshaj plaws ntawm tus kab mob, raws li txoj cai, tsis tas yuav muaj kev saib xyuas hnyav - nws yuav txaus los txwv kev noj zaub mov kom khaus, tsis txhob raug hnyav thiab tsis kam hnav khaub ncaws hluavtaws ntau dhau. Kev kho mob nrog pej xeem tshuaj yuav tsis yog superfluous. Nws kuj tseem pom zoo kom tsis txhob pw tsaug zog tam sim ntawd tom qab noj mov, thiab nws yog qhov zoo dua los pw hmo ntuj nrog lub taub hau tsa. Rau lub sijhawm kho, koj yuav tsum tso tseg kev ua si lub cev uas cuam tshuam nrog khoov rau pem hauv ntej.
Cov nyhuv no zoo yog tias muaj qhov me me, tsis ntev los no ntawm txoj hlab pas. Cov ntaub ntawv hnyav dua tuaj yeem kho taunyob rau hauv ob txoj kev - kho mob thiab phais.
Drug therapy
Feem ntau siv rau hauv cov tshuaj kho mob uas muaj tshuaj tua kab mob, tshuaj tiv thaiv kab mob thiab tshuaj astringent. Koj tseem yuav xav tau cov tshuaj uas ua kom rov tsim dua tshiab ntawm thaj chaw cuam tshuam, thiab hauv qhov xwm txheej hnyav, cov tshuaj tua kab mob yuav tsis yog superfluous.
Lub hom phiaj tseem ceeb ntawm kev kho tshuaj yog txhawm rau txo qhov mob, acidity ntawm cov kua txiv hmab txiv ntoo thiab kev chim siab ntawm cov mucosa, uas ua rau cov kab mob hauv plab tau tsim. Cov tsos mob thiab kev kho mob muaj feem xyuam, raws li qhov ploj ntawm qhov tsis zoo tshwm sim qhia tau tias muaj kev txhim kho hauv daim duab kho mob.
Lub luag haujlwm tseem ceeb yog ua los ntawm cov tshuaj uas ua kom cov kab mob zoo. Cov muaj pes tsawg leeg ntawm xws li kev npaj muaj ib tug regeneration-stimulating tshuaj uas restores cov ntaub so ntswg kom raug. Cov tshuaj antacids yuav tsum tau ua kom txo qis cov kev ua phem ntawm hydrochloric acid ntawm txoj hlab pas los ntawm kev ua kom tsis zoo, thiab prokinetics zoo rov ua kom lub plab zom mov.
Kev phais rau kev kho mob peptic ulcer yog ua tiav yog tias kev kho mob tsis zoo. Kev phais kuj tseem yuav tsum tau nyob rau hauv cov ntaub ntawv kaw tsis txaus ntawm lub plab sphincter. Yeej, kev cuam tshuam yog tsim nyog los tiv thaiv cov teeb meem hauv daim ntawv ntawm hiatal hernia. Kev siv nyiaj ntawm txoj hlab pas yog ua - lub plab yog raug tshem tawm ntawm lub diaphragm thiab txuas mus rau phab ntsa plab. Qhov no yog qhov tsim nyog los kho lub kaum sab xis ntawm lub cev - hauv txoj haujlwm no, qhov kev pheej hmoo ntawm hydrochloric acid raug pov rau hauv cov kwj dej mucosa yog txo. Feem ntauKev khiav hauj lwm yog ua ke nrog ib tug proximal selective vagotomy raws li Nissen txoj kev, uas muaj kev sib tshuam ntawm fragments ntawm lub vagus paj lub luag hauj lwm rau kev tso tawm ntawm gastric hydrogen chloride.
Kev noj haus rau esophageal ulcer
Ib qho tseem ceeb ntawm kev kho mob ntawm txhua theem yog kev ua raws li kev noj haus kom raug. Kev tsim khoom noj kom zoo yuav pab txo qhov mob thiab ua kom rov zoo dua. Yog li, nyob rau hauv kev txiav npluav yog cov khoom uas cuam tshuam rau kev zais ntawm cov kua txiv hmab txiv ntoo, ua rau nws nce. Cov zaub mov rog thiab kib, qhob cij tshiab, cawv thiab carbonated dej qab zib, nceb yuav tsum raug cais tawm. Thaum lub sijhawm kho, nws raug nquahu kom hloov mus rau cov khoom noj boiled thiab steamed. Koj tuaj yeem suav nrog cov khoom noj siv mis uas tsis muaj roj tsawg, qe, cereals thiab nqaij yam tsis muaj lipid txheej hauv cov khoom noj.
Nws yog ib qho tseem ceeb rau kev saib xyuas kev haus dej: cov neeg mob uas muaj kab mob hauv plab tau pom tias muaj dej ntau ntxiv - tsawg kawg 1.5 litres ib hnub.
Kev kho mob rau esophageal ulcers
Muaj ntau txoj hauv kev los tiv thaiv thiab kho cov kab mob esophageal. Feem ntau ntawm cov xwm txheej, hom kev kho no muaj kev nyab xeeb, vim nws yog raws li kev siv tshuaj ntsuab ua tshuaj. Txawm li cas los xij, yuav tsum tau tso cai rau tus kws kho mob ua ntej siv cov tshuaj lwm yam tshuaj.
Cov tshuaj pej xeem nrov tshaj plaws rau cov kab mob esophageal yog sawv cev los ntawm cov zaub mov txawv rau tinctures thiab decoctions:
- Npaj ib qho kev sib tov ntawm peppermint, flax noob thiab fennel, uas yog coj nyob rau hauv sib npaug proportions. Cov muaj pes tsawg leeg yog pouredib khob ntawm boiling dej thiab infused rau 30 feeb. Ib decoction yog noj ob zaug ib hnub rau hauv ib khob.
- Ob peb lub qos yaj ywm peeled yog boiled nyob rau hauv ib nrab ib liter dej, ces cov tshuaj yog drained. Nws yuav tsum haus ib nrab ib teev ua ntej noj mov, 150 ml ib zaug. Koj tuaj yeem haus dej haus tom qab sawv ntxov - 1 khob ua ntej noj tshais yuav txaus.
- qe qaib thiab cov muv me nyuam yaus sib xyaw hauv qhov sib piv ntawm 1: 2. Lub sijhawm zoo tshaj plaws los noj nws yog thaum sawv ntxov plab, lub sijhawm kho yog 14 hnub.
- Ua ntej noj tshais, koj tuaj yeem haus ib khob dej thiab noj ib diav ntawm zib ntab thiab butter ntawm ib nrab teev. Lawv noj tshuaj tau 10 hnub, tom qab ntawd so ntawm tib lub sijhawm ua raws li, thiab chav kawm rov ua dua.
- Ib teev ua ntej noj mov nrog rwj, zaub qhwv lossis qos yaj ywm kua txiv - 200 thiab 75 ml, raws li. Kev kho mob yog ib hlis.
- Propolis (40 g) yog ntxiv rau 500 ml ntawm txiv roj roj thiab rhaub hauv dej da dej rau ib nrab teev. Qhov sib tov yog noj ntawm lub plab khoob hauv daim ntawv sov hauv ib tablespoon.
- Ob dia ntawm cherry ceg yog nchuav rau hauv 290 g ntawm boiling dej thiab infused nyob rau hauv ib tug thermos rau yam tsawg kawg yog 8-10 teev. Ib decoction yog siv rau 60 hnub peb zaug ib hnub twg 20 feeb ua ntej noj mov. Ib koob - 60 ml.
- Ib tablespoon ntawm ib tug sib tov npaj los ntawm ib tug sib npaug zos npaum li cas ntawm sage thiab plantain yog nchuav nrog 240 ml dej thiab insulated nrog ib tug tuab daim ntaub rau 2.5-3 teev. Hauv thawj xyoo caum, lub decoction yog noj ib nrab khob ua ntej noj tshais, ces kom txog thaum kawg ntawm chav kawm txhua hli, tus naj npawb ntawm cov koob tshuaj txhua hnub yog tripled.
- Ib rab diav qhuav qhuav yog muab tso rau hauv ib lub thermos nrog 200 ml ntawm boiling dej thiabinfused rau 8-10 teev. Cov tshuaj noj peb zaug hauv ib hnub, ib nrab teev ua ntej noj mov.
Txoj kev kho no qiv nws tus kheej zoo rau ntau yam kab mob ntawm txoj hnyuv, nrog rau cov kab mob esophageal. Kev kho mob nrog pej xeem cov kev kho mob muab ib qho kev pom zoo rov qab thiab calming nyhuv.
Kev mob ntawm cov kab mob
Nrog kev kho tsis raws sij hawm lossis tsis paub ntawv, muaj teeb meem ntawm tus kab mob. Lub ntsiab tshwm sim ntawm cov kab mob pathological no yog ulcerative los ntshav, nqaim ntawm cov kwj dej ntawm txoj hlab pas thiab nws cov perforation, thiab poob phaus. Tsis tas li ntawd, qhov ua kom pom tseeb tuaj yeem loj hlob thiab txav mus rau qhov chaw ze tshaj plaws, ua rau lawv puas tsuaj. Yog li ntawd nws yog qhov zoo dua tsis txhob ncua kev kho mob thiab sab laj nrog kws kho mob tam sim yog tias cov tsos mob me tshwm sim. Kuj tseem muaj cov ntaub ntawv hais txog kev degeneration ntawm cov kab mob uas tsis kho rau hauv cov qog nqaij hlav cancer.
ntsuas kev tiv thaiv
Txhawm rau tiv thaiv qhov tshwm sim ntawm qhov txhab, nws yog ib qho tsim nyog yuav tsum tsis suav nrog kev cuam tshuam ntawm cov xwm txheej tsis zoo ua ntej: nws raug nquahu kom tsis txhob haus luam yeeb, txo qis qhov tsis zoo ntawm lub paj hlwb, thiab tsis tu ncua kev kuaj xyuas los ntawm ib tus kws kho mob. kws kho mob. Rau kev ntxiv dag zog rau lub cev, nws yog qhov tsim nyog los ua raws li kev noj haus, noj hmo tsis pub dhau 2-3 teev ua ntej yuav mus pw, thiab tswj kev noj qab haus huv. Qhov tshwm sim ntawm cov txheej txheem inflammatory hauv cov kabmob uas nyob sib ze tuaj yeem ua rau mob plab hnyuv, yog li txhua yam txawv txav yuav tsum tau kho ua ntej.
Huab cua
Thaum lub sijhawmMus ntsib kws kho mob thiab ua kev kho mob kom txaus tsis yog qhov nyuaj los kho cov kab mob esophageal - ob mus rau peb lub hlis yuav txaus rau kev rov ua kom tiav. Yog tias tus kab mob tau mob ntev, kev kho yuav siv sij hawm ntau xyoo.
Ntau zuj zus, cov pej xeem tau txais xws li qhov tsis xws luag hauv plab hnyuv mucosa raws li qhov mob plab. Cov tsos mob, kev kho mob (kev kho pej xeem, tshuaj, kev phais) tau piav qhia meej hauv cov ntaub ntawv kho mob, uas ua kom yooj yim rau kev kuaj mob ntawm qhov sib txawv.
Nrog txoj kev kho kom raug, qhov mob plab tsis yog kab mob txaus ntshai - hauv lub sijhawm luv luv, txoj haujlwm ntawm txoj hlab pas yuav rov zoo tag nrho, thiab cov tsos mob yuav ploj mus. Ua tau zoo txaus nyob rau hauv daim ntawv uas tsis yog pib ntawm cov kab mob pathology yog ib qho kev kho tsis zoo nrog cov tshuaj ntsuab, tsom rau kho qhov khaus thiab khaus ntawm lub cev. Qee lub sij hawm pej xeem txoj kev ua ke nrog kev kho mob thiab txawm tias phais.
