Dumbu ulcer uye duodenal ulcer (peptic ulcer)

Dumbu ulcer uye duodenal ulcer (peptic ulcer)

L 'chironda chiripo, inonziwo gastric ulcer kana iri mudumbu uye inonzi duodenal ulcer painoumba mu duodenum (chikamu chekutanga chemukati mudumbu), neimwe nzira maronda fomu yekukukurwa inopinda mukati memadziro ega ega (ona dhayagiramu).

Aya maronda anowanzorwadza: anopinda zvakananga pakubata pamweasidhi aripo mudumbu. Mamiriro ezvinhu anofananidzwa nekushandisa doro rekutsvaira doro pane scratch.

Izwi rokuti " chironda chiripo »Inosanganisira, nekuda kwekufanana kwezviratidzo zvavo, gastric ulcer uye duodenal ulcer

Zvinofungidzirwa kuti chikamu che10% chevagari vemunyika dzakabudirira vanogona kurwara neronda pane imwe nguva. Vakuru ve 40 zvichikwira ndivo vanonyanya kukanganiswa. Duodenal ulcers anowanikwa ka10 kupfuura maronda emudumbu.

Zvinokonzera

La bacterium Helicobacter pylori (H. Pylori), utachiona hunoramba huine acidity, ndiro rinonyanya kukonzera maronda: rinofungidzirwa kuti rinokonzera zvingangoita 60% kusvika 80% ye maronda emudumbu uye 80% kusvika 85% ye duodenal ulcers. Mabhakitiriya aya anopinda muchuru unowanzo chengetedza dumbu uye ura hudiki kubva kune acidity, uye anotendwa kuti anokanganisa nzira yekudzivirira iyi mune vamwe vanhu. Munyika dzakabudirira, 20% yevanhu vane makore makumi mana uye pasi vane bhakitiriya iri mugumbo ravo rekudya. Chikamu chinosvika 40% pakati pevanopfuura 50. Inenge 60% yevatakuri vebhakitiriya vachaita ronda munguva yehupenyu hwavo.

kutoraAnti-inflammatory Nonsteroidal drugs kana NSAIDs (somuenzaniso, Aspirin, Advil® uye Motrin®), ndiyo yechipiri inonyanya kukonzera maronda mudumbu rekudya. Kusanganiswa kwehutachiona nehutachiona H. Pylori uye kutora anti-inflammatory drugs synergistically inowedzera njodzi yemaronda. Ngozi yacho inobva yawedzera ka60.

Hezvino zvimwe zvikonzero:

  • A kuwanda kwekugadzirwa kweasidhi kuburikidza nemudumbu (gastric hyperacidity), zvinokonzerwa nekusvuta, kunwa doro zvakanyanya, kushungurudzika kwakanyanya, kugarwa nhaka, nezvimwewo. Zvisinei, izvi zvinogona kuva zvikonzero zvinowedzera kwete zvikonzero zvechokwadi zvemaronda.
  • A kutsva kwakanyanya, kuipa zvakakosha kana kunyange kushushikana kwemuviri kunobatanidza chirwere chakakomba. Izvi zvinogadzira "stress ulcers", iyo inowanzowanda uye inowanzowanikwa mudumbu, dzimwe nguva pakutanga kwemukati mudiki (mu proximal duodenum).
  • Kashoma, ronda remudumbu rinogona kuita gomarara remudumbu rine maronda.

Acids uye antacids mudumbu rekudya

Mumadziro emudumbu, glands secrete gastric juices iyo inobatsira kune digestion :

  • ye kugaya makemikari, se pepsine, iyo inoparadzanisa mapuroteni kuita mamorekuru maduku, peptides;
  • wepa 'hydrochloric acid (HCL), asidhi yakasimba iyo inobvumira ma enzymes ekudya kuti ashande uye anoparadza akawanda ehutachiona (parasites, mavhairasi, mabhakitiriya, fungi) iyo ingadai yakapinda mudumbu.

Zviri mudumbu zvichiri asidhi. pH yaro inosiyana kubva pa1,5 kusvika pa5, zvichienderana nechikafu chakamwiswa uye zvakare zvichienderana nemunhu.

Mamwe maglands anoburitsa mucus akagadzirirwa chengetedza madziro emukati medumbu:

  • ce mabwe inodzivirira digestive enzymes uye hydrochloric acid kubva pakuparadza dumbu remukati nekugadzira firimu rinodzivirira.

The wall of theura hudiki yakafukidzwawo ne a mucus layer iyo inodzivirira kubva kune acidity ye chyme, zita rakapiwa "porridge yezvokudya" inobva mudumbu.

kushanduka

Kazhinji chironda inooneka zvishoma nezvishoma mumavhiki mashoma. Inogonawo kuonekwa nokukurumidza, mushure memazuva mashomanana ekutora nonsteroidal anti-inflammatory drugs, somuenzaniso, asi mamiriro ezvinhu aya haana kunyanya kuwanda.

Chiyero che Kuporesa kungoerekana kwaitika 40% (kwenguva yemwedzi 1), kunyanya kana chironda chacho chakakonzerwa nekutora NSAIDs uye dzinomiswa. Kuporeswa kwega kwega, pasina kudzoka zvekare, hazviwanzo. Vanosvuta vane mukana wakakura wokudzokerazve pane vasingasvuti.

Kana ronda racho rikasarapwa kana kuti chikonzero chacho chikasagadziriswa, pane mukana wakasimba wokuti maronda acho achabudazve mukati megore. Asi kunyange nekurapa kwakanaka, kune kudzokorora mu20-30% yematambudziko.

Zvinogona kuitika

Zvinetso hazviwanzoitiki. THE'urikanwi zvinogona kukonzera kuora ropa : ropa rinobva rayerera mukati megumbo. Kubuda ropa dzimwe nguva kwakakura, nekurutsa kweropa dzvuku kana kofi-sebhinzi, neropa pachituru chinogona kunge chakatsvuka kana dema. Kubuda ropa kunogonawo kunyarara uye kunonoka. Iwe unogona kana kusaona kuti chituru chinoshanduka chitema. Zvechokwadi, pasi pesimba remvura yekudya, ropa rinoshanduka kuva dema. Kubuda ropa kunogona kukonzera anemia nekufamba kwenguva kana ikasaonekwa. Chiratidzo chekutanga chechironda chinogona kubuda ropa, pasina kurwadziwa kare, kunyanya kune vanhu vakwegura. Unofanira kubvunza chiremba pasina kunonoka.

Chimwe chinonetsa, chishoma kudarika kubuda ropa, ndechekuti perforation madziro akazara emudumbu. Mamiriro ezvinhu aya anokonzera kurwadziwa kwepamuviri kwechisimba, izvo zvinokurumidza kuipa mu peritonitis. Iyi injodzi yekurapa nekuvhiya.

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