Dumbu chirwere: zviratidzo, kurapwa, zvokudya. Chirwere uye kudzivirira zvirwere mudumbu

The dumbu riri pamhango tsandanyama nhengo kuti anoita basa rinokosha mumuviri kwakabatana kugaya. Pfungwa kugaya rakanyatsojeka kunzwisisa, saka chero chirwere mudumbu uye duodenum kunogona kukanganisa kushanda muviri wose uye kupa nokukundikana zvakakomba mune dzimwe gadziriro. In hochekoche kugaya muviri kunoitika wechipiri, panguva imwe chete, izvozvo anosarudza yakananga makemikari uye acid.

The zvinokonzera zvirwere mudumbu zviri kunaka kwokunze migumisiro iri muviri. Idzi dzinosanganisira:

- anonetsa ezvinhu chokuita zvinoderedza paumbwe gastric muto;

- munhu huta Kuparara, izvo zvinogona kukonzera Kuipa kudya uye kunyange neanorexia;

- zvokudya zvakaipa, kushungurudzwa zvokudya;

- chepfu ne zvine chepfu.

Pane zvimwe zvinokonzera mudumbu zvirwere. Zviratidzo uye kurapwa kuvimba chii rudzi runobva chirwere. Kakawanda, zvichemo murwere vari cramping, kakawanda tichibatwa kuda kurutsa, chirungurira uye searing manzwiro ari huro anokonzerwa yakakwirira kwevari acidity mudumbu.

The chikuru zvirwere mudumbu

Zvirwere mudumbu uye duodenum ndiye anenge munhu wose. Vane kunosiyana madhigirii okukura nekuomarara. Unyanzvi-dieticians vanoti hutano mudumbu kunokanganisa mufananidzo upenyu hwemunhu, vanofarira ake uye tsika. Vamwe zvirwere kuva zvishoma nezvishoma, vamwe kuitika pakarepo, pakarepo uye nokukurumidza. Dzimwe nguva zviratidzo gastric zvirwere vari kusimukira nokukurumidza kuitira kuti murwere inoda pakarepo muchipatara.

The chikuru zviratidzo gastric chirwere dzinosanganisira marwadzo chokumusoro quadrant kurudyi, iyo yakawedzera panguva kudya, kana, Ukuwo, kana murwere ane nzara. Kuti uwane kunzwisisa siyana, marwadzo anova dzose achirwadza zvakasikwa chete paroxysmal watsemuka. Self kunongoita kuzvimba uye inoita kuti pave pakubhadhara ihombe mudumbu zvirwere. Zviratidzo, kurapwa nerimwe Chirwere vane maitiro avo. Somuenzaniso, apo urikanwi mamirire chikabviswa ari belching pamwe acidic kunhuwa, apo nokuti gastritis zvikuru maitiro nechitarisiko chirungurira. Dzimwe nguva pane chirwere nomudumbu ropa, uye zvokudya zvinogona pamwe kamwe kutanga kurutsa. Mishonga yezvirwere mudumbu kunoenderana kwokuomerwa murwere ezvinhu, hunhu chirwere chacho zvekuchipatara kuratidzwa.

gastritis

Gastritis akadana kuzvimba gastric mucosa, izvo zviri kukonzerwa yokuwana utachiona, kushaya zvokudya zvinovaka muviri, udhakwa, uye kushungurudzwa uye nenzara zvokudya (kunyanya sandwiches nezvikafu zvishoma uye zvokudya pakaoma migove), zvinonhuwira Spicy chikafu. The Inonyanya kubata chirwere ichi zviratidzo mudumbu (gastritis zviratidzo uye kurapwa kuvimba zvinokonzera izvozvo) vane yepamusoro pamwero acidity, chirungurira, kurwadziwa huro kana pakuparadza. Kuwedzera kune zviratidzo gastritis ndokurondedzera bowel nyonganyonga: kupatira kana, Ukuwo, manyoka. Kana mhaka gastritis vari utachiona, izvozvo mberi nokukurumidza zvikuru, kwakaratidzwa anozoumbiridzwazve kuparadzwa masvingo mudumbu netsandanyama.

Mukuwedzera, chikonzero chingava chakasimba autoimmune muitiro, apo muviri anoona pachake dumbu rayo sechinhu mutorwa. Antibodies zvinoberekwa muviri, vanotanga arwise uye zvinoparadza masvingo aro uye mucous membranes. Munguva pakurapa chirwere kunokosha kutora mishonga chete pashure kudya, kana kuva gastric muto. Panyaya iyi, murwere hazvo basa Kudya nokuda gastric urikanwi, iyo anobvisa zvachose kushandisa doro, Spicy, Spicy uye mafuta zvokudya. Diagnostics rinoitwa pachishandiswa endoscopy.

Dumbu urikanwi: zviratidzo, kurapwa

Kuparadzwa mudumbu rusvingo kunotungamirira peptic urikanwi chirwere, iyo inozivikanwa nokuva rakawedzera kuchizvarwa mari uye bile acids. Nemaronda kungava kuroora kana vakawanda. Zvinokonzera hosha ndivo zvinhu zvinotevera:

- isiri zvokudya (nezvikafu zvishoma zvokudya chando, kushaya kwavo kudya wokutanga namapoka);

- doro, kusvuta;

- kutora zvimwe mishonga;

- Kunetseka mupfungwa zvinovhiringidza;

- kutyorwa basa uye zororo.

The chikuru chiratidzo munhu peptic urikanwi mudumbu ane chisimba burping ane yakashapa kunhuwa noruzhinji. Zvimwe zviratidzo zvinosanganisira kuda kurutsa, kurwadziwa chokumusoro quadrant, kurasikirwa kudya uye zvakanyanya uremu. Matambudziko gastric urikanwi vari pangozi yokubatwa nomudumbu ropa, perforation kana kupinda mudumbu, uyewo kugadzirwa kwepurogiramu pyloric stenosis. Kurapa peptic urikanwi chirwere chacho yematambudziko Anonyanyowanika kuitwa surgically.

Matambudziko peptic urikanwi chirwere

Kukurumidza kana rwakakwana kurapwa nemaronda kungaita kuti zvimwe matambudziko chirwere ichi. The inonyanya chizenga pamusoro apa - perforation, kupinda, kubuda ropa uye pyloric stenosis.

Urikanwi ropa dzinoratidzwa reropa kurutsa uye ropa iri pachituru. Kana urikanwi iri mupasi kumusoro Treitz shwashwa, murwere kazhinji kurutsa kuitika kana kudzika, dema (ropa) zvituru. Panyaya iyi, murwere Chizenga iri kukurumidza kuchembera. rubatsiro First mumba kunosanganisira gastric lavage nemvura inotonhora uye aida dumbu packet ice. Drug kurapwa kunosanganisira kushandisa H2-blockers, zvinodhaka "Novocaine" uye "crank" mvura fibrinogen, rinoreva "Secretin" uye nemimwe mishonga. Kuvhiya rinoitwa mu Muzviitiko zvakaipisisa.

Perforation kuti munhu mudumbu urikanwi haisi kuomesa. Zviratidzo zvinosanganisira kurwadziwa "nemapanga 'hunhu, tsandanyama Makakatanwa Anterior abdominal rusvingo, bradycardia, epigastric, ganda rakachenuruka, zvakanaka chirwere Shchetkina-Blumberg. maawa 5-8 mushure perforation chirwere mudumbu urikanwi vanogona kuwana zvimwe zvigadzirwa yematambudziko - peritonitis (kuzvimba peritoneum). Zvinoitwa murwere nemamiriro zvinosanganisira thready nokukurumidza kupomba, hypotension, guru ileus, nefivhiri, uye leukocytosis. Papera zviratidzo akawedzera flatulence, chengetedzo kuti weti, chetsoka, zvakawanda kashoma kukurutsai. laparoscopy nzira inogona kushandiswa kurapa munhu Perforated urikanwi.

Kupinda - ndiyo kupararira nemaronda mudumbu dzakapoteredza tishu. Muchiitiko chino, pane matanho anoverengeka kuomesa iyi gastric urikanwi:

- necrosis kuburikidza ose akaturikidzana negomba muviri uye duodenal maronda;

- fibrous Fusion pamwe yakabatana dumbu kana duodenum miviri;

- kupinda nemaronda munyama dzakapoteredza nhengo.

The chirwere ari kuitwa X-ray kana endoscope, iyo kwese chero chirwere mudumbu. Zviratidzo uye kurapwa vari titsigire. The kunotoda mufananidzo kwakakonzera zvikuru kurwadziwa wechigarire hunhu, kuda kurutsa uye kurutsa, vane tsika kusimbisa. Zviratidzo kuzvimba zvinhu zvinoonekwa: yakakwirira pamwero ESR, leukocytosis, fivha shoma-mugiredhi. Treatment Kazhinji zvomusejari.

Under pyloric stenosis kuona localization nemaronda vari duodenum uye pyloric mugero. Kutyora Nzvimbo chakawedzerwa ne kuzvimba uye spasm pamusoro pylorus. kuomesa kwakadaro wakaomarara chirwere mudumbu. Zviratidzo, mishonga iyi mhando zvirwere urikanwi pakuti zvichiitika idzokororo. Panguva kuitazve murwere anonzwa anobuda ari epigastric nharaunda, kuda kurutsa, kurutsa, nezvipusha, zvikuru uremu. Treatment muchiitiko ichi pamwe vavhiyiwa chete nguva dzose.

Gastric adenocarcinoma, kana glandular kenza

Adenocarcinoma mu okurapa kwakajairika chaizvo. Kazhinji, bundu iri mupasi riri antrum kana pyloric dumbu. The inonyanya kukonzera chirwere ndiye kunyanyisa kunwa machikichori rurefu zviri nitrite.

Early paaiita adenocarcinoma akaratidza kuda kurutsa, kufundumwara mudumbu, kushaya kudya uye kukurumidza uremu, bowel nyonganyonga. Achangobva kutora shoma zvokudya murwere anonzwa anobuda panzvimbo zuva plexus, izvo zvinoratidza kuvapo intramural anomera. Kana oncology dhipatimendi pane chinokosha kutadza narwo zvokudya duodenum, izvo pamwe kurutsa. Muzviitiko kenza Untreated achiperekedzwa kurwadziwa epigastric nharaunda, iri kuora bundu rekambani ropa kunoitika, izvo dzakaonekwa nokuvapo ropa chetsoka, kurutsa ropa. Mabatirwo oncological zvirwere mudumbu hunhu anoitwa surgically zvachose (zvachose gastric resection) uye subtotal (resection kana chikamu chayo).

dumbu bulbit

marwadzo dumbu nguva dzose dzinoratidza kuvapo chero zvokurwara. Kunzwa waziya, chirungurira, kuda kurutsa vaiona zviratidzo gastritis. Kazhinji, murwere anotora mishonga yake, iyo "hazvivaodzi" zviratidzo asi hairape chirwere choga. Kusembura kuti gastritis kungapfuurira kusvika duodenum, uye inonzi bulbit.

Bulba ndiye catarrhal uye erosive uye zvakasiyana-siyana anogumbura zvirwere mudumbu. Zviratidzo, kurapa chirwere ichi kakawanda zvinorondedzerwa mabhuku. Maperembudzi achiperekedzwa kuda kurutsa, kurutsa, irwadziwe kwazvo, kunzwa inovava pamuromo. Pain kufanana nhema Zvikamu kuti pfungwa nomuviri zvemwana asati.

Bvisa rubatsiro marwadzo mishonga, antacids akadai "Gastal", "Almagel A". Ivo vanokwanisa neutralizing rokuparadza zvinokonzerwa vabudiswa uye bile acids, uye huru nzira kurapa kuri kudya kuti gastric urikanwi. Panguva imwe exacerbation chirwere hwobva kurega kushandisa zvinodhaka zvose, kusvuta, kofi uye doro. Kutsanya zviri zvachose wairambidza, kushungurudza ane uremu zvokudya uye kudya kuti Mishonga zvokuwedzera.

gastric kukurwa kwevhu

Zvakakodzera kushanda muviri kunokosha kwazvo gastric ezvinhu. Asi kwayo chaiye uye makemikari anoumba zviri zvikuru chisimba kuchangotanga kukundikana mumuviri kwahunokonzera kwazvo kukuvara utano. The chikuru basa pamusoro gastric muto ndiyo kukamurwa uye kugaya zvokudya, unhu iro, zvinosuruvarisa, kazhinji kunosiya zvakawanda anodikamwa. Pamusana kwakadaro kuonana rinowanzoberekera kutsamwa ari gastric mucosa uye kuoneka erosions kuroorwa kana vakawanda kana maronda.

Zvikonzero kwaita kwevhu zvinosanganisira zvinotevera kunaka zvinhu:

- bad paunowana zvekudya;

- chisingaperi zvirwere mudumbu;

- huta zvinetso, kushushikana uye zvichingodaro.

zvirwere zvakadai vanokamurwa muzvikwata zvitatu:

- Primary kukurwa kwevhu;

- Secondary kukurwa kwevhu;

- oncology.

Saka unogona kuva chakasimba uye chisingaperi chimiro chirwere. Symptomatology ose kwevhu ndizvo zvirwere zvose mudumbu, asi yakakwirira chaizvo mukana peptic urikanwi kwake iitike. Mabatirwo erosive zviitiko kunotora nguva uye zvinoenderana dzakawanda dzakasiyana zvinhu pamusoro. Kufungisisa hunhu chirwere, chikuru chinokonzera chirwere uye zvichingodaro. Inorwisa mabhakitiriya kurapa iri basa apo gastric kukurwa kwevhu uye rinoshandisirwa chete kana hosha kunokonzerwa chirwere. Drug ARV hazvo anotsigirwa kunyatsoteerera zvokudya, kunyanya kana mudumbu hunokuvadza. Zvirwere, zviratidzo ayo kuburikidza svoto uye kurutsa inozivikanwa haisi varumbidzwa kubatwa mishonga, sevamwe vavo vanokwanisa kuparadza kunyanya zvomoto nhego rusvingo.

gastric carcinoma

Gastric carcinoma chinhu malignancy kuti unovapo kubva zvinhu zvakawanda afunge. Pangozi varume varwere Runowanzosanganisira anopfuura makore 40 ane nhoroondo polyps mudumbu, peptic urikanwi uye chisingaperi gastritis. Kutsamwisa chirwere anogona kushungurudza zvigadzirwa pamwe carcinogens, uyewo doro uye kuputa. Kunwisa munyu kunwa zvakare hunokonzera pathological kuzvimba mucous membranes. Zvakafanana rinokosha nhaka chikonzero.

Zviratidzo ine carcinoma mune murwere kuneta, lethargy, kushaya kudya uye mukupandukira zvimwe zvigadzirwa. Murume akakurumidza inokura mutete, simba, zvinonzi kugara uchinetswa kufundumwara mudumbu, pane kamwe kurutsa. Blood bvunzo zvinoratidza kwakawedzera leukocytosis, zviri myeloblasts uye myelocytes. Kushandiswa nechirwere kuti X-ray, Ultrasound Scan uye biopsy mudumbu. Treatment ari kuitwa zvokurapa uye zvomusejari. mushonga kuchinja kunosanganisira kushandisa analgesics uye antiemetics, mavhitaminzi uye Anti bundu nevamiririri.

Kudzivirira peptic urikanwi mudumbu iri mhando ndiyo nyaya zvataidya, kurega kunetseka uye huta kuvhunduka, kurambwa murombo-yepamusoro doro zvigadzirwa, kusvuta uye dzimwe tsika dzakaipa.

The kwokugamuchirwa of National nokurapa peptic urikanwi

Vanhu vazhinji vanotya maoparesheni kana vane mudumbu pari. Chirwere, zviratidzo zvakanga zvataurwa pamusoro apa, zvinogona kurapwa pachishandiswa nzira kurapa kungaitwa pane kwakajairika. Zvimwe pane kwakajairika, vakasarudzwa pamwe kupinda chiremba, murwere anogona kupa symptomatic ruyamuro uye zvinoderedza kuzvimba mucous membrane. Zvinosuruvarisa, achibatsirwa pane kwakajairika zvinogona kukundwa, kwete zvirwere zvose mudumbu. Zviratidzo uye Mabatirwo chevarwere mishonga ipi chirwere zvakafanira kukurukura nachiremba wako, nekuti kurapa dzimwe nguva akadaro arege chete kuva musoro, asi anogona yekudyidzana kukuvadza murwere. Somuenzaniso, kenza, uyewo perforation, peritonitis, perforation uye zvimwe zvakakomba mhando zvinoda nokukurumidza kuvhiya kupindira. Chero nokunonoka oparesheni kukatyisidzira murefu fatalities.

Mamwe mudumbu maronda, zviratidzo, Mabatirwo chevarwere mishonga kukurukura nachiremba wako, zvimwe kutora kushandisa mimwe misanganiswa siyana wemiriwo. A chakanaka chokushandisa ndiyo tincture pamusoro aconite mudzi, celandine, calendula maruva uye matapiri. Decoctions pamusoro mastrawberry, kutapira, chibage stigmas kubatsira kuderedza kuzvimba. Murwere mumwe nomumwe aiitirwa pamwe chevarwere mishonga vanosarudzwa nomumwe.

Kudzivirira peptic urikanwi chirwere

Kudzivirira Gastric chirwere chinhu chinokosha kurapwa kwacho. Murwere anofanira kudya zvakanaka, kudzivisa wakawanda, Spicy, nezvinonhuhwira, chose kusiya kofi, doro, kusvuta. Kudzora zviratidzo chirwere, uyewo kudzivirira chiitiko yavo, unofanira kudya kakawanda, zvikamu zviduku. Kurovha zvokudya zviri zvikuru chisingadiwi, asi nokudyisa anotyisidzira anogumbura kwendangariro. Haugoni kumedza zvokudya guru, taita rikamunya muchindwi akakora.

Mishonga yezvirwere mudumbu yakaoma uye mukana yematambudziko siyana. naizvozvo zviri nani kuti kutarisira utano hwavo uye kudzivisa matambudziko akadaro. Kudzivirira gastric urikanwi kunosanganisira zviito nyore. Vanofanira kuedza kudzivisa-siyana zvinokangaidza, anoita kutandara unyanzvi, kufungisisa, chengetai hurumende basa uye zororo. Inokosha mumuviri kugwinya. Simple muviri kunobatsira kuchengetedza tsandanyama toned.