Gastric ulcer inozivikanwa ne14% yehuwandu hwevanhu. Pakati pevanorwara vanowanzosangana nevarume vane makore 20-50. Nzira yekusingaperi, zviratidzo zvakajeka ndeyezviitiko zvekuvhurwa uye nguva dzemazuva. Kushayikwa kweutachiona kuchakurumidza kufambira mberi kwechirwere, izvo zvingaguma nekufa.
Gastric ulcer inokonzera
Chirwere ichi chinobva nekuda kwezvinhu zvinotevera:
- Helicobacter pylori - nemhaka yebhakitiriya kusvika ku75% yematambudziko ekutanga kwechirwere. Iyo inonyangadza nemichero yezvinhu zvinokosha zvemuviri weganda, mushure mokunge gastric ulcer inokura. Utachiona huri kuburikidza namate, zvokudya, zvinowanikwa mumba, mutero.
- Mishonga (kwete-steroidal inopisa zvinodhaka) is aspirin, ibuprofen, indomethacin. Ngozi inowedzera nekukwegura kwemakore makumi matanhatu nemashanu, mikuru yakakura yemishonga, kugoverwa kamwechete pamwe neanticoagulants nemishonga yemhomoni yega, kubuda ropa kwepamuviri. Zvose zvinodhaka zvinokonzerwa nehutachiona uye potassium zvine dambudziko.
- Migumisiro yemamwe matambudziko - chirwere cheshuga, oncology yemapapu, matambudziko emimba, syphilis.
- Kuparara kwemukati - sepsis, mamiriro ezvinhu anotyisa, chirwere chemungozi, kupisa kana kupisa.
- Genetics - mukana wekuvandudza chirwere chiripamusoro kana uripo muhama dzepedyo. Uye nhamba dzinosimbisa kuti chironda chemudumbu chinokwana 40% inowanikwa muvanhu vane boka rokutanga reropa.
- Kushungurudzika, tsika dzakaipa, kudya zvisina kunaka. Kune imwe nzvimbo, kunyange kushungurudzwa kwekofi kunogona kukonzera dambudziko iri.
Zvinetso zvepasta yegonda
- Stenosis yemuchengeti wegedhi. Dhipatimendi rezvokudya rinoderera, zvokudya zvinowedzera. Ne fomu yekutanga kune bhandi uye kuremera munzvimbo ino. Chikamu chekupedzisira chinotungamirira mukurutsika mushure mekunge kuwedzerwa, kuora kwekurema, kupera simba, kusagadzikana kwemasimba. Dumbu harigoni kurasikirwa nechinhu mumatumbo nekuda kwekupedzisira kuderedza.
- Perforation. Chironda cheponda chinotungamirira pakuonekwa kwegomba mumadziro, kuburikidza nezviri mukati momuviri zvinodurura kunze. Mugumisiro unorwadza uye peritonitis.
- Bleeding. Mikana yemugumisiro unouraya yakakwirira. Ikoko kurutsira, tarry, gomba rakasviba, kudonha mukumanikidzwa, kuperevedza kwepemuviri, kutuka kukuru, uye kushaya simba kwemoyo.
- Penetration. Nzvimbo yechipfuva chakakonzerwa nemudumbu inoshandiswa nhengo iyo iri pedo neyo - pancreas, mumukumbo, guru chiropa, chiropa. Iyo asidi inotanga kurongedza ichi chikamu, ichiita kuti kuve kukanganiswa kwebasa rayo.
- Kudzingisa. Inocherechedzwa ne3% yezviitiko, zvinoreva kuora kusvika mukenza. Izvi zvinowanzoita kuti dzidzidzise dzidzo yekalles. Nekushandurwa uku, munhu anotanga kurasikirwa nehupfumi, kurasikirwa nechido, kurutsa nguva dzose uye fivhiri.
Gastric ulcer - zviratidzo uye kuratidzwa
Kana iwe uchifungira chirwere, iwe unofanira kuenda pakarepo kuna chiremba, panguva yakatarwa kuongororwa ichaita nerapi. Muna 25-28% yematambudziko, zviratidzo zvemudumbu zvechirwere hazvizviiti mavari, zvinozivikanwa pamusoro pechirwere chinongowanikwa chete mukutora autopsy. Nokuda kwechikonzero ichi, zvinodikanwa kuva nemararamiro wenguva dzose kana pane ngozi yakawedzerwa yekuvandudza dambudziko mune chikamu chemuviri.
Zviratidzo zvemuviri wesonda - yekutanga zviratidzo
- Pain mucheche kumusoro. Inoratidzwa muna 75% yevarwere, inogona kuva nesimba rakasiyana. Dzimwe nguva manzwiro anoramba achiwedzera mushure mekutora doro, kudya kwezvokudya zvinonaka, nekushingaira muviri kana kupedza kwenguva refu pakati pezvokudya.
- Kushungurudza. Inowanzowedzererwa nezviratidzo zvemudumbu zvechirwere mumatanho ekutanga. Inotanga nekuda kwekutsamwa kweeophagus ne acid. Inowanikwa mu80% yematambudziko, inoitika maawa maviri mushure mekudya.
- Kuwedzerwa kwegasi maitiro.
- Nausea, dzimwe nguva kurutsa. Kuonekwa kunokonzerwa nekuputsa kwemaitiro emuviri, inotanga 1.5-2 maawa mushure mekudya. Inopera nekusunungurwa kwemudumbu, izvo zvinokonzera kuzvirutsa kunokonzerwa.
- Kunyanya kuda kudya. Kana murwere ane chironda chemudumbu, zviratidzo zvokutanga zvinogona kutungamirirwa nemafambiro akadaro. Inotsanangurwa nekutya kwekutarisana nemarwadzo mutsva kana matambudziko ne motility yemutambo wepamuviri.
- Kunzwa kusuruvara mushure mekudya.
- Kuberekwa nemukaka kana mushure mokurwadziwa.
- Kufara nekukurumidza kwekutadza.
- Zvinetso nechechi. Gastric ulcer inokonzera kuvhiringidza, chirwere chinokonzera kuderera.
- Gira kupfeka parurimi.
- Kutambudzika kwee epigastric zone munguva ye palpation.
Kurwiswa kwemaronda emudumbu - zviratidzo
- A kurwadza kwakanyanya.
- Kushungurudza kwematumbo munharaunda iyi.
- Kudzora.
- Constipation.
- High sweat.
- Nausea, kunetseka.
Pain in case of gastric ulcer panguva yekuwedzerwa kunogona kukonzerwa ne:
- nguva yemwaka inoshanduka;
- kunwa doro-ine zvinwiwa;
- kusava nehanya nemenyu yakakurudzirwa yechironda chepamu;
- kudya kwazvo;
- kusvuta;
- basa rakawedzerwa romuviri.
Kurasikirwa kwemaronda emudumbu - zviratidzo
Ichi chirwere chinovhiringidza hupenyu nekuda kwekusimudzirwa kwe peritonitis , inoda kuti purogiramu inopindira inopinda. Donda reforforated yemudumbu uye duodenum, zviratidzo zvaro zvakaratidzwa zvakajeka, zvinowanzoonekwa mune varume, vakadzi vanodzivirirwa ne estrogen iyo inhibit basa rakavanzika. Kudzoka kunoitika muna 6% emhosva. Pane nguva nhatu dzemazuva ano, imwe neimwe ine maitiro ayo.
Kemikari. Kurara Kwemaawa 3-6:
- nguva refu, kurwadziwa kukuru;
- kukanganiswa kwemasumbu emimba; kukufema nokukurumidza;
- kuunganidza gasi.
Mabhakitiriya. Inotanga maawa matanhatu mushure mekunge dambudziko iripo:
- kutonhora kukwira;
- kuwedzera kwenhamba yemwoyo;
- kusungwa kwe peristalsis;
- rurimi rwakasvibiswa nehwiro;
- kuderedza marwadzo uye mamiriro euphoria.
Sharp. Inotanga maawa gumi nemaviri mushure mokutanga kwechirwere, zvinenge zvisingakwanisi kuponesa murwere:
- kurutsa kusina kunyatsogadzikana;
- dehydration;
- ganda rakaoma;
- kutsetseka kusiyana;
- lethargy;
- kuunganidza magasi uye mvura;
- kukanganisa kukwidza.
Nzira yekurapa chironda chemudumbu?
Kuvhiya kunoshandiswa chete muhuwandu hwakaoma kwazvo, mune dzimwe nzira nzira dzokurapa dzinoshandiswa. Peptic chirwere chechirwere chinoda nzira yakabatanidzwa, imwe mhinduro haisi kuibvisa. Chokutanga, basa rebhakitiriya repathogenic rinobviswa, saka rinoshanda pakuvandudzwa kwezvipembenene. Kurapa kwemaronda emudumbu kunogona kuda kutungamirirwa kwezvinodhaka kuti kubvise migumisiro yekushungurudzika. Iyo yose nzira yekudzikinura inotora mavhiki maviri kusvika matanhatu, zvichienderana nekuoma kwedambudziko.
Gastric ulcer - kurapa, zvinodhaka
- Antibacterial mishonga - Clarithromycin , Amoxicillin, Tetracycline.
- Gastroprotectors mishonga yemaronda emudumbu yekudzivirira nekudzorera mucous membrane. Ventoksol, Kaved-s, Solkoseril, Biogastron.
- Zvinoreva kuwana hukudzivirira nekudzivirira mabhakitiriya - Sucralfate uye De-nol.
- Antacids - Kael, Almagel, Gastal, Maalox. Bvisa marwadzo, kuderedza acidity.
- Proton pump blockers - Omeprazole, Nexium, Rabelok.
- Holinotics - Gastrotsepin uye Metacin. Kuderedza asidi, kubvisa marwadzo uye kuoma muromo.
- Spasmolytics - Drotaverin, No-shpa. Bvisa marwadzo nekuputika kwemadziro emudumbu.
- Prokinetics - Itopride, Motilium. Kukurudzira unyanzvi hwemotokari, kudzivirira kupera kwezvokudya mukati mudumbu.
- Probiotics - Lineks, Bifiform. Izvo zvakakosha zvekudzorerwa kwe microflora, kana chirwere chinorwisa antibacterial che gastric ulcer chinoshandiswa.
- Sedatives - Valocordin, Validol, Codeine phosphate.
- Anodzvinyirira - Amitriptyline , Elenium, Tazepam.
Gastric ulcer - kurapwa nemishonga yevanhu
- Mbatatisi jisi. Iwe unofanirwa kutora katatu kwehafu yeawa usati wadya pa 20 gramu kwevhiki. Mumazuva manomwe anotevera, chirwere chacho chakavirirwa, chechitatu - katatu. Zvadaro, kusvikira pakuguma kwemwedzi, iwe unofanirwa kunwa ma gramu 100 panguva.
- Kuvhiringidzwa kwebhinzi. Kurapa kwevanhu vemaronda emudumbu kunoreva kuti kudya kweiyo zuva rimwe nerimwe kubva pamashizha akaoma emuti wacho, yakabikwa nemvura yakatsva (1 kikapu pagirasi).
Gastric ulcer - operation
Kwete nguva dzose chirwere chinogona kuitika, dzimwe nguva kurapwa kwechironda chekurwa kunoda kuitirwa chirwere. Izvi zvinoitwa munyaya dzinotevera:
- chikamu chechitatu che stenosis;
- kutaridzika kwemaitiro akaipa;
- perforated tumor ulcer;
- kubuda ropa.
Basa racho rinogona kugoverwa apo:
- penetration;
- kukanganiswa kwemudumbu ine ruvara rwemavara;
- chikamu chechipiri che stenosis;
- hapana chiitiko cherapi;
- kazhinji kudzokazve;
- inoshushikana maitiro.
Kudya nedumbu rekuonda
Chirwere chacho chinoda kubviswa kwezvinhu zvinosuruvarisa zvekudya uye kupa zvokudya zvinodyiwa kanomwe pazuva. Iwe unodawo kuziva zvaunogona kudya nedumbu rekuonda:
- nyama yakaderera-mafuta;
- kupwanyika peji;
- soups from rice, semolina, oats;
- mazai anonyorova, mazai anotsemuka;
- compotes uye kissels;
- uchi;
- kwete mafuta cottage cheese nekamu.
Kudya kana gastric ulcer isingafaniri kubvisa:
- tsvina;
- mafuta namafuta akaomeswa;
- upfu hwakatsetseka;
- doro;
- tomato;
- nyemba;
- gooseberry;
- kabbage;
- nguva;
- radish;
- citrus fruit;
- kofi;
- spicy condiments;
- sauces;
- zvokudya zvekunamatira;
- cocoa;
- rich meat meat broths.