Chironda chemudumbu chinonyanya kureva chironda chisingaperi chinoitika mudumbu nemudumbu. Zita racho rinotumidzwa nekuti kuumbwa kwechironda kwakabatana nekugayiwa kweasidhi yemudumbu nepepsin, izvo zvinokonzera 99% yemaronda emudumbu.
Peptic ulcer chirwere chinowanzoonekwa pasi rose. Zvichienderana nehuwandu, duodenal ulcers dzinowanzoonekwa muvechidiki, uye zera rekutanga kwemaronda emudumbu rinozotevera, paavhareji, makore angangoita gumi gare gare pane remaronda emudumbu. Kuwanda kwemaronda emudumbu kunopetwa katatu kupfuura emaronda emudumbu. . Kazhinji zvinotendwa kuti mamwe maronda emudumbu anozoita kenza, nepo maronda emudumbu asingawanzoitiki.
Mufananidzo 1-1 Mufananidzo wegomarara rechando rekutanga Mufananidzo 1-2 Mufananidzo wegomarara repamusoro.
1. Maronda mazhinji emudumbu anorapika
Muvarwere vane maronda emudumbu, vazhinji vavo vanogona kurapwa: vanenge 10%-15% vavo havana zviratidzo, nepo varwere vazhinji vane zviratidzo zvekiriniki zvakajairika, zvinoti: kurwadziwa kwemudumbu kwenguva refu, kwakatevedzana, mumatsutso nechando uye muchando nemuchirimo.
Maronda emudumbu anowanzo ratidza kurwadziwa kwekutsanya, ukuwo maronda emudumbu achiwanzo ratidza kurwadziwa mushure mekudya. Vamwe varwere vanowanzo shaya zviratidzo zvechirwere, uye zviratidzo zvavo zvekutanga kubuda ropa uye kubooka kwakanyanya.
Kuongororwa kwepamusoro pedumbu (upper gastrointestinal angiography) kana gastroscopy zvinowanzo simbisa chirwere chacho, uye kurapwa kwakabatana neacid suppressants, gastric mucosal protective agents, uye antibiotics zvinogona kuita kuti varwere vazhinji vapore.
2. Maronda emudumbu anowanzo dzoka anoonekwa semaronda asati aita kenza
Maronda emudumbu ane mwero wekenza.Zvinowanzoitika kuvanhurume vane makore epakati nepakati,, maronda anodzoka asingarapiki kwenguva yakareba. Kutaura zvazviri, biopsy yezvirwere inofanira kuitwa pamaronda ese emudumbu mukiriniki, kunyanya maronda ataurwa pamusoro apa. Kurapa maronda kunogona kuitwa chete mushure mekunge kenza yabviswa, kuitira kudzivirira kuongororwa zvisizvo uye kunonoka kwechirwere. Uyezve, mushure mekurapwa kwemaronda emudumbu, kuongororwa patsva kunofanirwa kuitwa kuti kuonekwe shanduko mukupora kwemaronda uye kugadzirisa matanho ekurapa.
Maronda emudumbu haawanzova kenza, asi maronda emudumbu anodzokororwa iye zvino ava kuonekwa nenyanzvi dzakawanda semaronda asati aita kenza.
Maererano nemishumo yemabhuku ekuChina, inenge 5% yemaronda emudumbu anogona kuva kenza, uye nhamba iyi iri kuwedzera parizvino. Maererano nehuwandu, kusvika ku29.4% yemaronda emudumbu anobva kumaronda emudumbu.
Ongororo dzakawana kuti varwere vane kenza yemaronda emudumbu vanosvika 5%-10% yevanhu vane maronda emudumbu. Kazhinji, varwere vazhinji vane kenza yemaronda emudumbu vane nhoroondo refu yekuva nemaronda emudumbu kwenguva refu. Kuparadzwa kakawanda kwemasero eepithelial ari kumucheto kweronda uye kugadziriswa kwemucosal, metaplasia, uye hyperplasia isingawanzoitiki kunowedzera mukana wekuti kenza iitike nekufamba kwenguva.
Kenza inowanzo itika mudumbu remaronda rakakomberedza. Mucosa yezvikamu izvi inopwanyika kana ronda racho richishanda, uye rinogona kuva rakaipa mushure mekuparadzana kakawanda uye kupora. Mumakore achangopfuura, nekuda kwekufambira mberi kwekuongorora uye nzira dzekuongorora, zvakaonekwa kuti kenza yekutanga yemudumbu inongoiswa mudumbu inogona kupwanyika uye kuva nemaronda, uye pamusoro penyama yayo inogona kuchinjwa nemaronda echipiri emudumbu. Maronda aya egomarara anogona kugadziriswa semaronda asina njodzi. uye kugadziriswa kunogona kudzokororwa, uye nzira yechirwere inogona kuwedzerwa kwemwedzi yakati wandei kana kupfuura, saka maronda emudumbu anofanira kutariswa zvakanyanya.
3. Ndezvipi zviratidzo zvekuchinja kwemaronda emudumbu?
1. Kuchinja kwehunhu uye kugara kwenguva refu kwemarwadzo:
Marwadzo emudumbu anowanzoonekwa sekurwadziwa kusingafadzi mudumbu repamusoro, uko kunopisa kana kusingafadzi, uye kutanga kwekurwadziwa kwacho kwakabatana nekudya. Kana kurwadziwa kukarasikirwa nekuwanda kwataurwa pamusoro apa, kukava kurwiswa kusingawanzoitiki, kana kukava kurwadziwa kusingafadzi kunogara kuripo, kana hunhu hwekurwadziwa hwachinja zvakanyanya zvichienzaniswa nekare, munhu anofanira kungwarira chiratidzo chegomarara.
2. Kusashanda nemishonga yekurwisa maronda:
Kunyange zvazvo maronda emudumbu achiwanzo rwara kakawanda, zviratidzo zvinowanzo pera mushure mekushandisa mishonga yekudzivirira maronda.
3. Varwere vanorasikirwa nehuremu zvishoma nezvishoma:
Munguva pfupi, kurasikirwa nechido chekudya, kuda kurutsa, kurutsa, fivha uye kudzikira kwehuremu zvishoma nezvishoma, kudzikira kwehuremu, mukana wekuti munhu abatwe negomarara wakakwira zvikuru.
4. Hematemesis uye melena zvinoonekwa:
Kurutsa ropa kana tsvina yagara ichibuda mumuviri wemurwere, mhedzisiro yekuongororwa kweropa retsvina, uye kupererwa kweropa zvakanyanya zvinoratidza kuti maronda emudumbu anogona kunge ava kushanduka kuita kenza.
5. Masumbu anoonekwa mudumbu:
Varwere vane maronda emudumbu havawanzoita mabundu emudumbu, asi kana vakazove negomarara, maronda acho anokura uye akasimba, uye varwere vakura vanogona kunzwa bundu iri kuruboshwe rwekumusoro kwedumbu. Huremu hwebundu racho hunowanzova hwakaoma, hune mafundo uye husina kutsetseka.
6. Avo vane makore anopfuura 45 ekuberekwa, vane nhoroondo yemaronda kare, uye vane zviratidzo zvakadzokororwa nguva pfupi yadarika, zvakaita semakwinya, kusviba, kurwadziwa mudumbu, uye zvinoperekedzwa nekudzikira kwehuremu.
7. Ropa retsvina rine hutachiona:
Kana wawana hutachiona hwacho kakawanda, iva nechokwadi chekuenda kuchipatara kunoongororwa zvizere.
8. Zvimwe:
Mushure memakore anopfuura mashanu mushure mekuvhiyiwa kwemudumbu, pane zviratidzo zvekusagaya zvakanaka, kudzikira kwehuremu, kupererwa neropa uye kubuda ropa mudumbu, uye kuzvimba kwemudumbu zvisina tsarukano, kusviba, kusagadzikana, kuneta, kudzikira kwehuremu, nezvimwewo.
4, Chikonzero chemaronda emudumbu
Chikonzero chechirwere chepeptic ulcer hachisati chanyatsonzwisiswa, asi zvakajekeswa kuti hutachiona hweHelicobacter pylori, kutora mishonga isingashandisi steroidal inorwisa kuzvimba uye mishonga inoderedza thrombosis, pamwe nekubuda kweacid yakawanda mudumbu, majini, kushanduka-shanduka kwepfungwa nemanzwiro, uye kudya zvisina kujairika. Bonde, kudya zvekudya zvidiki, kusvuta, kunwa doro, nharaunda nemamiriro ekunze, zvirwere zvisingaperi zvakaita se emphysema nehepatitis B zvine chekuitawo nehuwandu hwepeptic ulcer.
1. Utachiona hweHelicobacter pylori (HP):
Marshall naWarren vakahwina mubairo weNobel Prize muMedicine muna 2005 nekuda kwekubudirira kwavo mukurima Helicobacter pylori muna 1983 uye vachiti hutachiona hwayo hune chekuita nekukura kwemaronda emudumbu. Ongororo dzakawanda dzakaratidza zvizere kuti hutachiona hweHelicobacter pylori ndihwo hunonyanya kukonzera maronda emudumbu.
2. Zvinokonzera mishonga uye zvekudya:
Kushandisa mishonga yakaita seaspirin ne corticosteroids kwenguva refu kunogona kukonzera chirwere ichi. Pamusoro pezvo, kusvuta fodya kwenguva refu, kunwa doro kwenguva refu, uye kunwa tii nekofi zvine simba zvinoita sekunge zvine chekuita nazvo.
(1) Mishonga yakasiyana-siyana yeaspirin: Kushandiswa kwenguva refu kana kuti yakawanda kunogona kukonzera kurwadziwa nemudumbu uye kusagadzikana. Muzviitiko zvakakomba, hematemesis, melena, nezvimwewo, zvinogona kuwanikwa mukuzvimba kwemudumbu, kukurwa kwevhu uye maronda.
(2) Mishonga yekutsiva mahormone:
Mishonga yakaita se indomethacin ne phenylbutazone mishonga inotsiva mahormone, iyo inokuvadza zvakananga mucosa yemudumbu uye inogona kutungamira kumaronda emudumbu akanyanya.
(3) Mishonga inorwisa marwadzo:
Zvakadai seA.PC, paracetamol, mapiritsi ekuderedza marwadzo uye mishonga inotonhora yakaita seGanmaotong.
3. Asidhi yemudumbu nepepsin:
Kuumbwa kwekupedzisira kwemaronda emudumbu kunokonzerwa nekuzvigaya kwegastric acid/pepsin, iyo ndiyo inonyanya kukonzera maronda. Zvinonzi "maronda asina acid".
4. Zvinhu zvinoshungurudza mupfungwa:
Kushushikana kwakanyanya kunogona kukonzera maronda ekurwadziwa. Vanhu vane kushushikana kwenguva refu, kuzvidya mwoyo, kana kuchinja-chinja kwemanzwiro vanowanzobatwa nemaronda emudumbu
chironda.
5. Zvinhu zvinokonzerwa nemajini:
Mune mamwe magene syndromes asingawanzoitiki, akadai se multiple endocrine adenoma type I, systemic mastocytosis, nezvimwewo, peptic ulcer chimwe chezviratidzo zvayo.
6. Kufamba kwedumbu zvisina kujairika:
Vamwe varwere vane maronda emudumbu vane matambudziko ekufamba-famba kwemudumbu, akadai sekuwedzera kweacid mudumbu kunokonzerwa nekunonoka kubuda kwemudumbu uye duodenal-gastric reflux inokonzerwa ne bile, pancreatic juice uye lysolecithin kukuvara kwemucosa.
7. Zvimwe zvinhu:
Zvakadai sehutachiona hweherpes simplex virus yerudzi rwekutanga hunogona kunge hwakafanana nehwemunzvimbo iyoyo. Hutachiona hweCytomegalovirus hunogonawo kunge huchibatanidzwa mukuisirwa itsvo kana varwere vane dziviriro yemuviri isina simba.
Mukupedzisa, maronda anogona kudzivirirwa zvinobudirira nekuvandudza mararamiro, kutora mishonga zvine musoro, kubvisa Helicobacter pylori, uye kutora gastroscopy sechigadzirwa chenguva dzose chekuongorora muviri;
Kana ronda ravapo, zvakakosha kudzora kurapwa uye kuongorora gastroscopy nguva nenguva (kunyangwe ronda racho rarapwa), kuitira kudzivirira kenza.
"Kukosha kwegastroscopy kunogona kushandiswa kunzwisisa kana gumbo, dumbu neduodenum yemurwere zvine mwero wakasiyana wekuzvimba, maronda, mapombi egomarara nezvimwe zvironda. Gastroscopy inzira yekuongorora zvakananga isingatsiviwi, uye dzimwe nyika dzakatora kuongororwa kwegastroscopy. Sechinhu chekuongorora hutano, kuongororwa kunofanirwa kuitwa kaviri pagore, nekuti kuwanda kwegomarara remudumbu mune dzimwe nyika kwakanyanya. Saka, mushure mekuonekwa nekukurumidza uye kurapwa nenguva, mhedzisiro yekurapa inoonekwawo."
Isu, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., tinogadzira zvinhu muChina zvine chekuita ne endoscopic consumables, zvakaita sesimba re biopsy, hemoclip, musungo wepolyp, tsono yekurapa sclerotherapy, katheta yekupfapfaidza, mabhurashi e cytology, waya yekufambisa, tswanda yekutorwa kwematombo, katheta yekubuditsa mvura yemumhinonezvimwewo zvinoshandiswa zvakanyanya muEMR, ESD,ERCPZvigadzirwa zvedu zvakanyoreswa neCE, uye mafekitori edu akanyoreswa neISO. Zvinhu zvedu zvakatumirwa kuEurope, North America, Middle East nedzimwe nzvimbo dzeAsia, uye zviri kuita kuti mutengi azivikanwe uye arumbidzwe zvikuru!
Nguva yekutumira: Nyamavhuvhu-15-2022