Peptic ulcer inonyanya kureva chironda chisingaperi chinoitika mudumbu uye duodenal bulb.Inotumidzwa nekuti kuumbwa kweulcer kune chekuita nekugayiwa kwegastric acid uye pepsin, iyo inoverengera 99% yepeptic ulcer.
Peptic ulcer chirwere chakajairika chinopararira munyika yose.Maererano nenhamba, duodenal ulcers inowanzoitika kune vechidiki, uye zera rekutanga kwegastric ulcers gare gare, paavhareji, anenge makore gumi gare gare kupfuura iyo duodenal ulcers.Chiitiko cheduodenal ulcers chinenge 3 zvakapetwa kupfuura zvegastric ulcers..Zvinowanzotendwa kuti mamwe maronda emudumbu anozoita kenza, nepo duodenal ulcers kazhinji haaiti.
Mufananidzo.
1. Maronda emudumbu mazhinji anorapika
Mune varwere vane peptic ulcer, vazhinji vavo vanogona kurapwa: vanenge 10% -15% vavo havana zviratidzo, nepo varwere vazhinji vane zviratidzo zvekiriniki, zvinoti: chisingaperi, rhythmic kutanga kwe periodic kutanga mumatsutso uye chando uye chando uye matsutso. marwadzo emudumbu.
Maronda eDuodenal anowanzo kuunza rhythmic kutsanya kurwadziwa, nepo maronda emudumbu anowanzo kuve nekurwadziwa kwepashure pekudya.Vamwe varwere vanowanzo shaya zviratidzo zvekiriniki, uye zviratidzo zvavo zvekutanga kubuda kweropa uye kubuda kwakanyanya.
Upper gastrointestinal angiography kana gastroscopy kazhinji inogona kusimbisa kuongororwa, uye kurapwa kwakasanganiswa kweasidhi inodzvinyirira, gastric mucosal inodzivirira maajenti, uye mishonga inorwisa mabhakitiriya inogona kuita kuti varwere vazhinji vapora.
2.Recurrent maronda emudumbu anonzi precancerous maronda
Maronda emudumbu ane mwero wakati wegomarara.Inonyanya kuitika muzera repakati nepakati, revarume, maronda anodzoka asingagoni kurapwa kwenguva yakareba.Muchokwadi, pathological biopsy inofanirwa kuitwa kune ese gastric maronda mukiriniki maitiro, kunyanya maronda ataurwa pamusoro apa.Kurapa kweAnti-ulcer kunogona kuitwa chete mushure mekunge kenza inofanira kubviswa, kuitira kudzivirira kusaziva uye kunonoka kwechirwere.Uyezve, mushure mekurapa gastric ulcer, kuongororwazve kunofanirwa kuitwa kuti uone shanduko mukupora kwemaronda uye kugadzirisa matanho ekurapa.
Duodenal ulcers haawanzoita kenza, asi maronda emudumbu anoramba achingoitika ava kuonekwa nenyanzvi dzakawanda sechirwere chinokonzera kenza.
Maererano nemishumo yeChinese mabhuku, inenge 5% yemaronda emudumbu anogona kuita kenza, uye nhamba iyi iri kuwedzera.Maererano nehuwandu, kusvika 29.4% yegomarara remudumbu rinobva mumaronda emudumbu.
Zvidzidzo zvakawana kuti gastric ulcer cancer varwere vanosvika 5% -10% yegastric ulcer chiitiko.Kazhinji kutaura, varwere vazhinji vane gastric ulcer cancer vane nhoroondo refu yekugara gastric ulceration.Kuparadzwa kwakadzokororwa kwemasero epithelial pamucheto wechironda uye mucosal kugadzirisa uye kuberekwa patsva, metaplasia, uye atypical hyperplasia inowedzera mukana wekuita kenza nekufamba kwenguva.
Kenza inowanzoitika munzvimbo dzakapoteredza mucosa yemaronda.Iyo mucosa yezvikamu izvi inoparadza kana chironda chichishanda, uye chinogona kuva chakaipa mushure mekuparadzwa kwakadzokororwa uye kuberekwa patsva.Mumakore achangopfuura, nekuda kwekufambira mberi kwekuongororwa uye nzira dzekuongorora, zvakaonekwa kuti kenza yekutanga yemudumbu inongovharirwa mucosa inogona kukukurwa uye kuve nemaronda, uye nzvimbo yayo yematishu inogona kuchinjwa neyechipiri peptic maronda.Aya maronda egomarara anogona kugadziriswa semaronda akaipa.uye kugadzirisa kunogona kudzokororwa, uye chirwere chechirwere chinogona kuwedzerwa kwemwedzi inoverengeka kana kunyange kureba, saka maronda emudumbu anofanira kubhadharwa zvakanyanya.
3. Ndezvipi zviratidzo zvekuchinja kwakashata kwegastric ulcer?
1. Shanduko mumasikirwo uye kugara kwemarwadzo:
Marwadzo egastric ulcer anonyanya kuratidzwa sekurwadziwa kwepamusoro mudumbu repamusoro, iro rinopisa kana kupera, uye kutanga kwemarwadzo kune chokuita nekudya.Kana marwadzo akarasikirwa neyakajairwa yataurwa pamusoro, kurwiswa kusiri kwenguva, kana kuramba kurwadza kusinganzwisisike, kana chimiro chemarwadzo chachinja zvakanyanya kana zvichienzaniswa nekare, inofanirwa kuchenjerera kune chiratidzo chegomarara.
2. Kusashanda nemishonga inorwisa chironda:
Kunyange zvazvo maronda emudumbu achiwanzogara achirwiswa, zviratidzo zvacho zvinowanzosunungurwa mushure mekutora mishonga inorwisa chironda.
3. Varwere vanoramba vachirasikirwa nehuremu:
Munguva pfupi, kurasikirwa kwechido, kusvotwa, kurutsa, fivha uye kuderera kwehuremu hunofambira mberi, kuora muviri, mukana wekenza wakanyanya.
4. Hematemesis uye melena zvinoonekwa:
Kurutsa kwemurwere nguva pfupi yadarika kweropa kana zvigwere zvinogara zvichibuda, zvinobuda pakuongorora ropa remafecal occult, uye kupererwa neropa kwakanyanya zvinoratidza kuti maronda emudumbu anogona kunge ave kusanduka kuita gomarara.
5. Misa inooneka mudumbu:
Varwere vane gastric ulcers kazhinji havagadziri mazamu emudumbu, asi kana vakaita gomarara, maronda anozokura nekuoma, uye varwere vepamusoro vanogona kunzwa kuwanda kuruboshwe kumusoro kwedumbu.Huremu hwehuremu hunowanzo kuoma, nodular uye kwete kutsetseka.
6.Avo vane makore anopfuura 45, vane nhoroondo yemaronda munguva yakapfuura, uye vane zviratidzo zvakadzokororwa munguva pfupi yapfuura, zvakadai se hiccups, belching, kurwadziwa kwepamuviri, uye kunoperekedzwa nekurasikirwa.
7. Positive fecal occult blood:
Kudzokororwa zvakanaka, iva nechokwadi chekuenda kuchipatara kunoongororwa zvizere.
8. Zvimwe:
Makore anopfuura 5 mushure mekuvhiyiwa kwegastric, pane zviratidzo zvekusadya, kuora muviri, kupererwa neropa uye kubuda kwegastric, uye kusinganzwisisiki kwepamusoro kwegumbo, kuputika, kusagadzikana, kuneta, kuora muviri, nezvimwewo.
4, Chikonzero chegastric ulcer
The etiology of peptic ulcer haisati yanyatsonzwisiswa, asi yakajekeswa kuti Helicobacter pylori utachiona, kutora kwete-steroidal anti-inflammatory drugs uye antithrombotic zvinodhaka, pamwe nekunyanyisa gastric acid secretion, genetic factor, kuchinja kwepfungwa uye manzwiro, uye chikafu chisina kujairika Bonde, kudya chikafu, kuputa, kunwa, nharaunda uye mamiriro ekunze, zvirwere zvisingaperi senge emphysema uye hepatitis B zvine chekuitawo nekuitika kwepeptic ulcer.
1. Helicobacter pylori (HP) chirwere:
Marshall naWarren vakahwina mubairo weNobel wemushonga muna 2005 wekubudirira kurima Helicobacter pylori muna 1983 uye vachiratidza kuti hutachiona hwayo hune basa mukukonzeresa kwemaronda emudumbu.Nhamba huru yezvidzidzo zvakaratidza zvizere kuti Helicobacter pylori chirwere ndicho chinokonzera peptic ulcer.
2. Zvinodhaka uye zvekudya:
Kushandiswa kwenguva refu kwemishonga yakadai seaspirin uye corticosteroids kunowanzokonzera chirwere ichi.Mukuwedzera, kusvuta kwenguva refu, kunwa kwenguva refu, uye kunwa tii yakasimba nekofi zvinoratidzika kuva zvine chokuita.
(1) Kugadzirira kwakasiyana-siyana kweAspirin: Kushandiswa kwenguva refu kana yakakwirira-dose kunogona kukonzera marwadzo emudumbu uye kusagadzikana.Muzviitiko zvakanyanya, hematemesis, melena, nezvimwewo, inogona kuwanikwa mugastric mucosal kuzvimba, kuputika uye kuumbwa kwemaronda.
(2) Homoni inotsiva mishonga:
Mishonga yakadai se indomethacin uye phenylbutazone ihomoni inotsiva zvinodhaka, izvo zvine kukuvadza kwakananga kune gastric mucosa uye zvinogona kutungamirira kune acute gastric ulcers.
(3) Antipyretic analgesics:
Zvakadai seA.PC, paracetamol, mapiritsi ekunyaradza marwadzo nemishonga inotonhora seGanmaotong.
3. Asidhi yemudumbu uye pepsin:
Kuumbwa kwekupedzisira kwepeptic ulcers kunokonzerwa nekuzvigaya kwegastric acid / pepsin, iyo ndiyo inogadzirisa pakuitika kwemaronda.Izvo zvinonzi "acid-isina maronda".
4. Zvinhu zvinoshungurudza pfungwa:
Kushungurudzika kwakanyanya kunogona kukonzera kushungurudzika maronda.Vanhu vane kusagadzikana kusingaperi, kuzvidya mwoyo, kana kushanduka-shanduka vanowanzoita maronda emudumbu
chironda.
5. Genetic factors:
Mune mamwe asingawanzo genetic syndromes, akadai seakawanda endocrine adenoma type I, systemic mastocytosis, nezvimwewo, peptic ulcer chikamu chezviratidzo zvekiriniki.
6. Abnormal gastric motility:
Vamwe varwere vegastric ulcer vane gastric motility disorder, sekuwedzera gastric acid secretion inokonzerwa nekunonoka kubuda kwegastric uye duodenal-gastric reflux inokonzerwa nebile, pancreatic muto uye lysolecithin kukuvadzwa mucosa.
7. Zvimwe zvinhu:
Zvakadai sehutachiona hwemunharaunda hweherpes simplex virus type I inogona kunge ine hukama.Utachiona hweCytomegalovirus hunogonawo kubatanidzwa mukugadzirisa renal kana varwere vasina immunocompromised.
Mukupedzisa, maronda anogona kunyatsodziviswa nekushingaira kuvandudza mararamiro, kutora zvinodhaka zvine musoro, kubvisa Helicobacter pylori, uye kutora gastroscopy sechinhu chenguva dzose chekuongorora muviri;
Kana chironda chikangoitika, zvinodikanwa kuti ushingaire kutonga kurapwa uye kuitisa nguva dzose gastroscopy ongororo (kunyangwe kana chironda chapora), kuitira kudzivirira zvinobudirira kuitika kwegomarara.
"Kukosha kwegastroscopy kunogona kushandiswa kunzwisisa kana esophagus yemurwere, dumbu uye duodenum zvine madhigirii akasiyana ekuzvimba, maronda, bundu polyps uye mamwe maronda.Gastroscopy zvakare inzira isingadzoreki yakananga yekuongorora, uye dzimwe nyika dzakatora gastroscopic bvunzo.Sechinhu chekuongorora utano, ongororo dzinoda kuitwa kaviri pagore, nekuti kune dzimwe nyika chirwere chegomarara remudumbu chakanyanya kuwanda.Naizvozvo, mushure mekuonekwa nekukasira kurapwa, kurapwa kuri pachena zvakare. "
Isu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., inogadzira muChina inyanzvi mune endoscopic consumables, senge.biopsy forceps, hemoclip, polyp musungo, sclerotherapy tsono, pfapfaidza catheter, cytology brushes, guidewire, dombo rekudzosa tswanda, nasal biliary drainage catheteretc. ayo anoshandiswa zvakanyanya muEMRESD,ERCP.Zvigadzirwa zvedu ndezveEC Certified, uye zvidyarwa zvedu ISO certified.Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East uye chikamu cheAsia, uye zvakanyanya kuwana mutengi wekuzivikanwa nekurumbidzwa!
Nguva yekutumira: Aug-15-2022