Chilonda cha m'mimba - chimayambitsa ndi kuchiza chilonda cham'mimba

Gastric ulcer amadziwika ndi 14% mwa anthu padziko lapansi. Pakati pa odwala nthawi zambiri amakumana ndi amuna a zaka 20 mpaka 50. Njira yowonongeka, yowoneka bwino ndi yowonetsera nthawi yamadzinja ndi yamasika. Kupanda chithandizo kudzathamangitsa kusuntha kwa chilondacho, chomwe chikhoza kufa.

Gastric ulcer amachititsa

Matendawa amayamba chifukwa cha izi:

1. Helicobacter pylori - chifukwa cha bakiteriya mpaka 75 peresenti ya chiyambi cha matendawa. Zimapweteka ndi zinthu zomwe zimakhala zofunika kwambiri pa khoma lamagulu, kenako chimbudzi chimayamba. Kutenga ndi kudzera m'matumbo, chakudya, zinthu zomwe zimapezeka m'nyumba, mutero.
2. Mankhwala (omwe steroidal yotupa mankhwala) ndi aspirin, ibuprofen, indomethacin. Mavutowa amakula ndi zaka zoposa 65, mankhwala akuluakulu a mankhwala, amodzi omwe amavomereza kuti ali ndi antiticoagulants komanso mankhwala omwe amachititsa mahomoni, kutuluka m'magazi. Mankhwala oopsa kwambiri omwe ali ndi vutoli ndi owopsa.
3. Zotsatira za mavuto ena - shuga, masewera a mapapu, mavuto a m'mimba, syphilis.
4. Kuwonongeka kwa mkati - sepsis, mikhalidwe yoopsya, kupweteka kwa thupi, kutentha kapena kuzizira.
5. Genetics - mwayi wodwala matenda ndi wapamwamba ngati uli pamtundu wapafupi. Ndipo ziwerengero zimatsimikizira kuti zilonda za m'mimba ndizoposa 40% zomwe zimapangidwira anthu omwe ali ndi gulu loyamba la magazi.
6. Kusokonezeka maganizo, zizoloŵezi zoipa, zakudya zosayenera. Mpaka ndithu, ngakhale kumwa mowa kukhoza kukhoza kuthetsa vutoli.

Zovuta za chilonda cha chilonda

1. Stenosis wa mlonda wa pachipata. Dipatimenti ya zakudya imachepetsanso, chakudya chimatha. Ndi mawonekedwe oyambirira pali belch ndi kulemera muderali. Gawo lotsiriza limapangitsa kusanza pokhapokha atalowa, kutaya thupi, kutaya thupi, kusokonezeka maganizo. Mimba sungakhoze kuphonya kalikonse m'matumbo chifukwa cha kupopera kotsiriza.
2. Kuthamanga. Chilonda cha m'mimba chimawoneka ngati dzenje pamtambo, zomwe zomwe zili mkati mwa thupi zimatsanulira. Zotsatira zake ndi zopweteka ndi peritonitis.
3. Kusuta. Mpata wa zotsatira zakupha ndizapamwamba. Pali kusanza, kuyembekezera, thumba lakuda, kutaya pansi, kupuma pang'ono, kutukuta kwakukulu, ndi kulephera kwa mtima.
4. Kulowerera. Malo a chifuwa chowonongeka cha m'mimba akugwiritsidwa ntchito ndi limba lomwe liri pafupi nalo - mphuno, matumbo, ndulu, chiwindi. Asidi amayamba kuyambitsa chiwalo ichi, zomwe zimayambitsa chisokonezo cha ntchito yake.
5. Malignization. Zomwe zimawoneka pa 3%, zimatanthawuza kusanduka khansa. Izi ndizovuta kwambiri ku maphunziro apamwamba. Ndikusinthika uku, munthu amayamba kuchepetsa thupi, kutaya chilakolako, kusanza kwafupipafupi ndi malungo.

Gastric ulcer - zizindikiro ndi mawonetseredwe

Ngati mukuganiza kuti ndi matenda, muyenera kupita kwa dokotala nthawi yomweyo, kukayezetsa nthawi yake ndi mankhwala. Pa ma 25-28% a milandu, zizindikiro za zilonda zam'mimba sizimadzimva, zimadziwika kuti matendawa amangokhala pokhapokha. Pachifukwa ichi, ndizofunika kuti muyesedwe kawirikawiri ngati pali chiopsezo chowonjezereka chokhala ndi matenda mu gawo ili la thupi.

Zizindikiro za zilonda zam'mimba - zoyamba zizindikiro

1. Ululu m'mimba pamtunda. Amapezeka mwa odwala 75%, akhoza kukhala ndi mphamvu zosiyana. Nthawi zina zimakhala zovuta kwambiri akamaliza kumwa mowa, kudya zakudya zonunkhira, kuchita khama kapena kupuma kwa nthawi yaitali pakati pa chakudya.
2. Kuthamangitsani. Nthawi zambiri amathandizidwa ndi zizindikiro za zilonda zam'mimba m'mayambiriro oyambirira. Zimayamba chifukwa cha kukwiya kwa mimba ndi acid. Amapezeka 80%, amapezeka maola awiri mutatha kudya.
3. Kupititsa patsogolo magetsi.
4. Nausea, nthawi zina kusanza. Zikuwoneka chifukwa chophwanya motility thupi, limayamba maola 1.5-2 mutatha kudya. Zimadutsa ndi kumasulidwa kwa m'mimba, zomwe zimayambitsa kusanza komweko.
5. Kusakaniza kudya. Ngati wodwalayo ali ndi zilonda za m'mimba, zizindikiro zoyamba zikhoza kuyenda ndi khalidweli. Zimafotokozedwa ndi mantha owona ululu kapena mavuto atsopano ndi motility wa tsamba la m'mimba.
6. Kumva kuvutika pambuyo pa kudya.
7. Kuwombera ndi ululu wowawa kapena wowawa.
8. Kumangirira mwachidwi.
9. Mavuto ndi chitseko. Gastric ulcer amachititsa kudzimbidwa, kutsekula m'mimba kumayambitsa zochepa.
10. Kuvala kofiira pa lilime.
11. Ululu wa epigastric zone pa palpation.

Kuthamanga kwa zilonda zam'mimba - zizindikiro

1. Kupweteka kwakukulu.
2. Kusokonezeka kwa minofu m'derali.
3. Kuthamanga.
4. Kutsekedwa.
5. Kutuluka thukuta.
6. Nausea, kulemera.

Ululu mukakhala ndi zilonda zapakati pazowonjezereka zingayambitsidwe ndi:

• nyengo nyengo imasintha;
• kumwa mowa;
• kunyalanyaza mapepala ovomerezeka a chilonda cha m'mimba;
• kudya;
• kusuta;
• ntchito yowonjezera yowonjezera.

Kupweteka kwa zilonda zam'mimba - zizindikiro

Matendawa amaopseza moyo chifukwa cha chitukuko cha peritonitis . Chilonda cha perforated m'mimba ndi duodenum, zomwe zizindikiro zake zimafotokozedwa bwino, zimawoneka mobwerezabwereza mwa amuna, akazi amatetezedwa ndi estrogens zomwe zimalepheretsa ntchito zachinsinsi. Kubwereza kumachitika 6% mwa milandu. Pali nthawi zitatu zomwe zilipo, aliyense ali ndi makhalidwe ake.

Mankhwala. Amakhala maola 3-6:

• kupweteka kwanthaŵi yaitali;
• kupweteka kwa mimba yamimba; kupuma mofulumira;
• kusonkhanitsa mpweya.

Bakiteriya. Iyamba maola 6 mutatha vuto:

• kutentha kutentha;
• kuchuluka kwa mtima;
• kumangidwa kwa chiwonongeko;
• Lilime louma ndi imvi;
• kuchepetsa ululu ndi mkhalidwe wodabwitsa.

Kuwala. Amayamba maola 12 kuchokera pamene matendawa ayamba, ndizosatheka kupulumutsa wodwalayo:

• kusanza kosasunthika;
• kutaya madzi;
• khungu louma;
• kusiyana kwa kutentha;
• chiwonetsero;
• kusonkhanitsa mpweya ndi zamadzimadzi;
• kuphwanya kukodza.

Kodi mungachire bwanji zilonda zam'mimba?

Opaleshoniyi imagwiritsidwa ntchito pokhapokha mu mawonekedwe oopsa kwambiri, pomwe njira zina zothandizira zimagwiritsidwa ntchito. Matenda a ululu a Peptic amafuna njira yodziphatikizira, imodzi yothetsera sikuti ikhale yothetsera. Choyamba, ntchito ya tizilombo toyambitsa matenda imachotsedwa, ndiye amagwira ntchito pa kusinthika kwa zilondazo. Kuchiza kwa zilonda zam'mimba kungafunike kuyendetsa mankhwala kuti athetse zotsatira za nkhawa. Njira yonse yopulumutsira imatenga masabata awiri mpaka 6, malingana ndi vuto lalikulu.

Gastric ulcer - mankhwala, mankhwala

1. Mankhwala a antibacterial - Clarithromycin , Amoxicillin, Tetracycline.
2. Mankhwalawa ndi mankhwala a zilonda zam'mimba kuteteza ndi kubwezeretsa mucous membrane. Ventoksol, Kaved-s, Solkoseril, Biogastron.
3. Njira zothandizira kuteteza komanso kuteteza mabakiteriya - Sucralfate ndi De-nol.
4. Antacids - Kael, Almagel, Gastal, Maalox. Pemphani ululu, kuchepetsa acidity.
5. Proton pump blockers - Omeprazole, Nexium, Rabelok.
6. Holinotics - Gastrotsepin ndi Metacin. Kuchepetsa asidi, kuchepetsa ululu ndi kuuma pakamwa.
7. Spasmolytics - Drotaverin, No-shpa. Kuthanizani ululu ndi kupopera kwa makoma a m'mimba.
8. Prokinetics - Ndemanga, Motilium. Kulimbikitsa luso lamagalimoto, kupewa kuchepetsa zakudya m'mimba.
9. Mapulojekiti - Mitsinje, Bifiform. Ndizofunikira kuti kubwezeretsedwa kwa microflora, ngati mankhwala opatsirana pogwiritsa ntchito zilonda zam'mimba zimagwiritsidwa ntchito.
10. Zosasintha - Valocordin, Validol, Codeine phosphate.
11. Matenda oletsa kupatsirana - Amitriptyline , Elenium, Tazepam.

Gastric ulcer - mankhwala ndi mankhwala owerengeka

1. Madzi a mbatata. Muyenera kutenga katatu kwa ola katatu musanadye pa magalamu 20 pa sabata. Pa masiku asanu ndi awiri otsatirawa, mlingowo wawirikiza, wachitatu - katatu. Kenaka, mpaka kumapeto kwa mweziwu, muzimwa madzi magalamu 100 panthawi imodzi.
2. Kulowetsedwa kwa plantain. Mankhwala a zilonda za m'mimba amatsimikizira kuti tsiku lililonse amadya tiyi pa masamba owuma a zomera, otentha ndi madzi otentha (supuni imodzi pa galasi).

Gastric ulcer - ntchito

Sikuti nthawi zonse mankhwala amatha, nthawi zina kuchiza kwa zilonda zam'mimba kumafunika opaleshoni. Izi zimachitika m'mabuku otsatirawa:

• mlingo wachitatu wa stenosis;
• maonekedwe a maonekedwe oipa;
• ululu wam'mimba;
• magazi.

Ntchitoyi ingaperekedwe pamene:

• kulowa;
• Kusokonekera kwa m'mimba ndi minofu yambiri;
• mlingo wachiwiri wa stenosis;
• palibe zotsatira za mankhwala;
• kawirikawiri amabwereranso;
• zopanda pake.

Kudya ndi zilonda zamimba

Matendawa amafunika kuchotseratu mankhwala osokoneza bongo ndipo amapereka zakudya zokwanira kasanu pa tsiku. Muyeneranso kudziwa zomwe mungadye ndi zilonda zamimba:

• nyama zonenepa;
• wosweka;
• supu kuchokera ku mpunga, semolina, oats;
• mazira ofewa ofewa, mazira othothoka;
• compotes ndi kissels;
• wokondedwa;
• osati mafuta a kanyumba tchizi ndi kirimu.

Kudya ngati matenda a zilonda zakutchire sayenera:

• zosuta;
• zakudya zonenepa ndi zokazinga;
• chotsitsa;
• mowa;
• tomato;
• nyemba;
• jamu;
• kabichi;
• masiku;
• radish;
• zipatso za citrus;
• khofi;
• zonunkhira zokometsera;
• sauces;
• chakudya chamzitini;
• koka;
• wolemera nyama broths.