I-peptic isilonda ikakhulu ibhekisa kwisilonda esingapheliyo esenzeka esiswini kunye nebhalbhu ye-duodenal. Ibizwa ngokuba yi-ulcer ihambelana nokugaya i-gestric acid kunye ne-pepsin, echaza malunga neepesenti ezingama-99 ze-idric isilonda.
Isifo se-peptic isilonda sisifo esiqhelekileyo esisiqhelo ngokusasazwa kwehlabathi. Ngokweenkcukacha-mali, izilonda ze-duedenal zihlala zisenzeka kubantu abadala, kwaye iminyaka yokuqala kwezilonda ze-gustric kamva, ngokomyinge, malunga neminyaka eli-10 ngaphambi koko izilonda ze-duodenal. Imeko yezilonda ze-duodenal imalunga namaxesha ama-3 awenzelwa izilonda ze-gustric. . Kuyakholelwa ngokubanzi ukuba ezinye izilonda ze-gestric ziya kuba nomhlaza, ngelixa izilonda ze-duedenal azisebenzi.
Umzobo 1-1 umfanekiso we-gastroscopic yomhlaza wokuqala umhlaza 1-2 umfanekiso we-gastroscopic umfanekiso ophambili womhlaza.
I-1. Uninzi lwe-idpic izilonda ziyanyangeka
Kwizigulana ezinesilophu ye-peptic, uninzi lwazo lunganyangeka: malunga ne-10% -5% yazo ayinazo iimpawu, ngelixa uninzi lwezigulana zinempawu ezibonakalayo zeklinikhi, eziyile:
I-ilcers ye-duodenal ihlala ibeka ngentlungu yokukhawuleza inesingqisho, ngelixa izilonda ze-gastric zihlala zikhona ngentlungu yeposi. Abanye abaguli bahlala bengabinambonakaliso oqhelekileyo wezonyango, kwaye iimpawu zabo zokuqala zibuhlungu kunye nokungafezeki.
I-angiography ephezulu ye-gestrointer okanye i-gastroscopy inokuhlala iqinisekisa ukuxilongwa, kwaye idibanise unyango lwe-acid ngoxinzelelo lwe-acid, iiarhente zokukhusela i-acid mucosal, kunye namayeza okubulala iintsholongwane.
I-Ulors yeSostrint Subsrint ithathelwa ingqalelo izilonda zokhuseleko
Izilonda ze-gustric zinezinga elithile lomhlaza.Iyenzeka ikakhulu kwi-hid-ald kunye nelukhuni, eyindoda, i-ulcers ephindaphindiweyo ayinakunyangwa ixesha elide. Ngapha koko, i-bithological biopsy kufuneka yenziwe kuzo zonke izilonda ze-gustric kwintshukumo yeklinikhi, ngakumbi izilonda ezichazwe apha ngasentla. Unyango lwe-anti-umla-ilcer lunokwenziwa kuphela emva komhlaza kufuneka ukhutshelwe, ukuze kuthintelwe ukusingelwa sisifo kunye nokulibaziseka kwesi sifo. Ngaphaya koko, emva konyango lwe-gestric unyango, uvavanyo kwakhona kufuneka lwenziwe ukuze lubone utshintsho ekuphiliseni isilophu kunye nokulungelelanisa amanyathelo onyango.
I-duodenal izilonda zinqabile ukuba zisiphoxe, kodwa izilonda eziphindaphindiweyo eziphindaphindiweyo ziqwalaselwa ziingcali ezininzi ukuba zibe sisilingu soxolo.
Ngokweengxelo zoncwadi zaseTshayina, malunga ne-5% yezilonda ze-gustric zinokuba ngumhlaza, kwaye eli nani liyanda. Ngokweenkcukacha-manani, ukuya kuthi ga kwi-29.4% yomhlaza we-gustric umhlaza ovela kwizilonda zentsholongwane.
Izifundo zifumene ukuba i-akhawunti ye-Gastric Us Akhawunti yeZigulana ezimalunga ne-5% -10% yeziganeko ze-Gastric Uver. Ngokubanzi, uninzi lwezigulana ezinemhlaza ye-gustric imbali ende yobudala bokungaziphathi kakuhle. Intshabalalo ephindaphindiweyo yeeseli ze-epithelial ecaleni kwe-ulcer kunye nokulungiswa kwe-MUCOSAL kunye nokuhlaziywa kwe-MUPOSAL kunye ne-metapusia, kunye ne-atopical hyperplasia yonyusa umhlaza ixesha.
Umhlaza uhlala wenzeka kwi-mucosa ejikelezileyo ye-ulcers. I-MUCOSA yala macandelo avela xa isilonda sisebenza, kwaye sinokuba yingozi emva kwentshabalalo ephindaphindiweyo kunye nokukhuliswa kwakhona. Kwiminyaka yakutshanje, ngenxa yenkqubela phambili yeendlela zokuxilongwa kunye neendlela zokuzivavanya, ifunyenwe ukuba i-MUCOSA ikhuselwe kwaye itshintshwe, kwaye umphezulu we-tishu unokutshintshwa zizilonda ze-peptic. Ezi zona izilonda zomhlaza zinokulungiswa njengamalungu e-gegn. kwaye ukulungiswa kungaphindwa, kwaye ikhosi yesifo ingandiswa kwiinyanga ezininzi okanye ixesha elide, izilonda ze-gestric kufuneka ihlawulwe.
3. Yeyiphi imiqondiso yenguqu engalunganga ye-gestric ulunger?
I-1. Utshintsho kwindalo kunye nokuhlala rhoqo kwentlungu:
Intlungu yesilonda ye-gustric ibonakaliswa njengentlungu engapheliyo kwisisu esiphezulu, esitshayo okanye esidumbileyo, kwaye ukuqala kwentlungu inxulumene nokutya. Ukuba intlungu ilahlekelwa sisiseko esikhankanywe apha ngasentla, iba yinkcitho engaqhelekanga, okanye iba yintlungu engaguqukiyo, okanye imeko yentlungu itshintshe kakhulu xa ithelekiswa nexesha elidlulileyo, kufuneka lilumkele i-harbinger yomhlaza.
2. Ingasebenzi kakuhle ngamachiza achasene ne-ilti:
Nangona izilonda ze-gestric zithambekele ekukhuseleni uhlaselo, iimpawu zikhululwa ngokubanzi emva kokuthatha iziyobisi ezichasene nezilonda.
I-3. Izigulana zokulahleka kwesisindo
Kwixesha elifutshane, ukuphulukana nokutya, isicaphucaphu, ukugabha, umkhuhlane kunye nokuphulukana nobunzima obuqhubekayo, ukunciphisa umzimba, ukubangela ukuba umhlaza uphezulu kakhulu.
I-4. I-hematememesis kunye ne-Elena ivele:
Isigulana samva nje segazi okanye i-tarry ye-tarry, i-stores ye-fecal ye-fecal yegazi, kwaye i-aneminali eqatha iphakamisa ukuba izilonda ze-gestric zinokujika zibe ngumhlaza.
5. I-Masses ivele kwisisu:
Izigulana ezinesihluku ze-gestric ngokubanzi azibubusi abantu esiswini, kodwa ukuba ziyabambana, izilonda ziya kuba zinkulu kwaye zilukhuni, kwaye nezigulana eziphambili zinokuziva zinzima kwisisu esisekunene. Ubunzima be-Mass buhlala bunzima, i-nodolar kwaye ingagungqi.
6.Tshose engaphezulu kweminyaka engama-45 ubudala, yiba nembali yesilonda ngaphambili, kwaye neempawu eziphindaphindiweyo kutshanje, ezinje ngeHiccups, eBelching, isisu esibuhlungu, kwaye zihamba kunye nokulahleka kwesisindo.
7. Igazi elihle lobugqi
Ukuphindaphindiweyo, qiniseka ukuya esibhedlele ukuze uviwo olubanzi.
8. Abanye:
Ngaphezu kweminyaka emi-5 emva kotyando ka-gostric, kukho iimpawu zokuncipha, ukunciphisa umzimba, i-anemia kunye ne-Gallia yophala, kunye nokungakhathali, ukuhlutha, ukunciphisa umzimba, ukunciphisa umzimba, ukunciphisa umzimba, njl.
4, unobangela wesilonda se-gestric
I-Eneloviy ye-underce ye-peptic ayikaqondwa ngokupheleleyo, kodwa icacisiwe ukuba i-helitoulsussulelo ye-Pylori, ithatha iziyobisi ezingeyonyani, kunye nemvakalelo yokutya, ukutya, ukusela, indalo kunye nemozulu, Izifo ezingapheliyo ezinjenge-EMPHYEMA kunye neHepatitis B ziyahambelana nemeko ye-idtcer.
1. I-helitobacter Pylori (HP) losulelo:
UMarshall noWarren baphumelele ibhaso le-NOLELS le-2005 ye-2005 ye-UNEELS ye-HELICOBACTET ye-Hylori ngo-1983 kwaye iphakamisa ukuba usulelo lwayo ludlala indima ye-paptic izilonda ze-Peptic. Inani elikhulu lezifundo libonakalise ngokupheleleyo ukuba usulelo lwe-Pylori ungoyena uphambili ophambili we-peptic isilonda.
I-2. Izinto zeziyobisi kunye nezidlo zokutya:
Ukusetyenziswa kwexesha elide kweziyobisi ezinjenge-aspirin kunye ne-corticosteroids kuqhelekile ukubangela esi sifo. Ukongeza, ukutshaya ixesha elide, ukusela ixesha elide, kunye nokusela iti eyomeleleyo kunye nekofu kubonakala ngathi kuyahambelana.
. Kwiimeko ezinzima, i-hematememesis, u-Melena, njl njl, unokufumaneka kwi-cucosal ye-gucosal yosulelo, ukhukuliseko lwe-erosion kunye ne-urosion.
.
Iziyobisi ezinje nge-idomethacin kunye ne-phenylbutazone zizinto ezingena endaweni ye-Irmone, ezinomonakalo ngqo kwi-MUCOSA kwaye zinokukhokelela kwizilonda ze-gustric abstric.
(3) I-AntiPyretic Analgesics:
Njengokuba i-A.PC, iparacetamol, iitafile zoncedo lweentlungu kunye namayeza abandayo anjengeGanaotong.
3. Isisu esisisu kunye ne-pepsin:
Ukusekwa kokugqibela kwezilonda ze-peptic kungenxa yokuzenzela i-gestric acid / pepsin, eyokuthatha isigqibo sokuvela kwezilonda. I-icid-free i-icid-mahala ".
4. Izinto zengqondo ezixinzelelekileyo:
Uxinzelelo olunzulu lunokubangela izilonda zoxinzelelo. Abantu abanoxinzelelo olungapheliyo, ixhala, okanye ukutshintshwa kwemozulu kuqwene nezilonda ze-peptic
isilonda.
I-5. Izinto zemfuza:
Kwezinye iindawo ezifunekileyo zemfuza, ezinje ngohlobo oluphezulu lwe-Endonoma i, i-systicic mastoytosis, njl. Njl.
6. Intshutshiso engaqhelekanga:
Abanye abaguli be-isupric I-Undercces ye-Gastric basanda, njengokukhulisa i-Gastric Acid ebangelwe kukulibaziseka kwi-bile, i-dustric-guisi ye-dustric-guisi ye-dustric ebangelwa ngumonakalo we-MUCOSA.
7. Ezinye izinto:
Njengosulelo lwasekhaya lwe-herpes virus cheirus Usulelo lwe-cytomegalovirus lusenokuzibandakanya kwi-Renal Transphants okanye izigulana ezihlaziyiweyo.
Ukuqukumbela, izilonda zinokuthintelwa ngokukuko ngokuphucula iindlela zokuphila, zithathe iziyobisi, zisuse i-helitobacter Pylori, kwaye ithathe i-gestroscopy njengento yovavanyo lomzimba;
Nje ukuba isilonda senzekile, kuyimfuneko ukuba silawule ngenkuthalo unyango kwaye siqhubeke nophononongo oluqhelekileyo lwe-gestroscopy (nokuba isilonda siphilisiwe), ukuze kuthintelwe ngokufezekileyo umhlaza.
"Ukubaluleka kwe-gestroscopy kungasetyenziselwa ukuqonda ukuba i-esophagus yesigulana, isisu kunye ne-duodenum zinezidima ezahlukeneyo zokuvuvukala, izilonda, i-tururs, ezinye izilonda. I-Gastroscopy ikwayindlela yokuhlola ngokuthe ngqo engabekekisileyo, kwaye amanye amazwe athathe uviwo lwe-Gerroscopic. Njengento yokuhlola impilo, iimviwo kufuneka zenziwe kabini ngonyaka, kuba intlalo yomhlaza wamanye amazwe okuqala kwamanye amazwe iphakame kakhulu. Ke ngoko, emva kokufunyanwa kwangoko kunye nexesha elifanelekileyo, isiphumo sonyango siyabonakala. "
Thina, iJiangxi Zhuoruhiuuuuuuuhui-biopsy godps, i-hemoclip, I-Polyp gorare, Inaliti ye-sclerotherapy, ukutshiza i-catheter, Ibrashi ye-cytology, isikhokelo, Ibhasikithi yokubuyisa ilitye, I-Nasal Biling Drasheter Casheter catheternjl.Ems, Esd,I-ERCP. Iimveliso zethu kufuneka ziqinisekiswe, kwaye izityalo zethu ziqinisekisiwe. Impahla yethu ithunyelwe eYurophu, iMntla Melika, eMbindi Mpuma kunye nenxalenye yeAsia, kwaye ifumana umthengi wokuqonda kunye nokudumisa!
I-Post Time: Aug-15 ukuya ku-522