Gastric ropa - ngozi kuomesa kwakaita peptic urikanwi chirwere

Ropa - rakajairika uye ngozi kuomesa kwakaita peptic urikanwi chirwere. Kakawanda, gastric ropa anova iri rikwanise peptic urikanwi, asi mune dzimwe varwere kungava wokutanga chiratidzo exacerbation. Zvemashiripiti ropa anogara aine kukura chakasimba gastric urikanwi. Kazhinji, kwakadaro chiratidzo chirwere chinoramba risingaoneki uye haina vaitirei kuomesa.

Chirwere kunyanya wandisa chete, anonzi kunonyengedza gastric ropa pamwe hematemesis uye melena (kundimirira zvituru), izvo kuitika panenge panguva imwe chete. Zviratidzo izvi kuti tikwanise kufunga zvikuru ropa kubva okumusoro zvikamu zvomudumbu turakiti. Kana ropa rakawanda kurutsa kazhinji panobva ropa mudumbu uye kashoma ari duodenal parusvingo, duodenal asi pamusoro mudanga. Mumarutsi muchiitiko ichi akafanana kofi nhandare. Zvisinei, ropa duodenal maronda uye kunyange dumbu haisi nguva dzose pamwe kukura ropa kurutsa. Kazhinji dzakaonekwa chete melena. About 90% kuti ropa urikanwi, vemunyika vari duodenum, kunoitika chete melena, apo gastric urikanwi anowanzoonekwa kuchengetwa hematemesis.

zvekuchipatara mufananidzo

Kana kuva gastric ropa, zviratidzo takatsunga ne kusimba uye bhuku kurasikirwa neropa. Nyoro vhoriyamu hazvirevi kupfuudza 300-400 Rine mamiririta. Panyaya iyi, ari kuzviitira zviratidzo arege kungoitirwa vari nyore, nokukurumidza ichidzikira kuda kurutsa, uye ikawanda muromo yakaoma, mukuru utera. Murwere kazhinji, vanogona kunyange kuteerera chimiro zviratidzo izvi kana vasiri pamwe ne kurutsa ropa. More zvachose zviratidzo - uchida vabudise vatema uye ugare zvituru. Gastric ropa chisingazivi pfuura 10% of achiparadzira ropa, muviri kunoita nyore. Izvi imhaka basa compensatory zvigadziriswe uye kuzvidzora.

Kana huru nokurasikirwa neropa kana apiwa ropa, pane zviratidzo chakasimba post-Hemorrhagic kupererwa neropa. Kunoratidza zvakakomba simba, kuda kurutsa, tinnitus, palpitations, dzungu, ziso nenyonganiso muchimiro ane rinovaima "nyeredzi" kana yepasi pamberi pemaziso. Murwere hwapedyo pakarepo pallor, ganda akafukidzwa ziya inotonhora, kupomba unoraramisa uye ropa systolic kufurirwa ipfupi. Zvinofanira kurangarirwa kuti zviratidzo izvi kuonekwe kwokutanga pane kuva hematemesis uye melena. Murwere ezvinhu kunonyanya zvaanoda kwete bhuku kurasikirwa neropa, asiwo kumhanya waro kukura. Nokupesvedzera compensatory zvigadziriswe mukati maawa mashoma achiparadzira bhuku ropa anodzorerwa, asi anova kupererwa neropa, izvo anosarudza kwokuomerwa ropa. With rimwe ropa kupererwa neropa chinonyanya iziviswe pakupera rokutanga. Kushaya zvakanaka simba mune murwere ezvinhu muvhiki mbiri-matatu mazuva anoratidza ropa kwenguva refu kana ayo kudzokorora.

Gastric ropa - sei kumisa

Kana ropa riri pakuraramisa nechimbichimbi kutarisirwa. Nzira dzose ropa angava akasiyana. Prehospital murwere basa zvachose chinjikira chinzvimbo, hwava kuderera pamusoro mudumbu, parenteral Kutarisirwa hemostatic zvinodhaka. Cardiac uye vasoconstrictor zvinodhaka contraindicated. The murwere vakabvuma kuchipatara zvomusejari, apo vakaramba kubata hemostatic mishonga nokudzorera inzwi ropa. In chakakomba pacho ineffectiveness ari kurapwa rakaratidzwa kuvhiyiwa. Chokuratidza vaiona basa yokurapwa akaramba ropa mushure kuisirwa 2 litres ropa kana rayo kuvandudzwa pashure zvishoma.