Kuparara mudumbu: zviratidzo, zvinokonzera, kurapwa

chirwere ichi, sezvo Kuparara mudumbu inobatana nezvokurara, gastroenterologists Inonyanya nevanhu gastroduodenal zvirwere. Hosha iri chirwere muna mumwe gumi varwere vakaidzwa Kuongorora kushandisa endoscope. Chii Kuparara mudumbu? Zviratidzo, hunokonzera, kurapwa chirwere ichi - Ndivo nyaya dzichakurukurwa munyaya ino.

Zvikonzero anogona kukonzera paumbwe gastric erosions

Nokuti nguva yokutanga hosha iri mubvunzo anokukoka kuti uve, yakanga inorondedzerwa pezana remakore rechi18. Nezvikonzero pachena, huru zvinogona kukonzera lining ari zvomudumbu turakiti erozirovanie munguva idzodzo vakachinja, asi vazhinji vavo vachiri kushanda. zvirwere zvakafanana kazhinji kuva nemhaka kukundikana kuwana nehasha uye anodzivirira zvikonzero pamusoro womukati ezvinhu ari zvomudumbu zvomukati. Zvikuru mumwe mubvunzo - chii chakaita kutyorwa akadaro. Pakati huru zvikonzero triggering kukura kwevhu nyanzvi kuzodana zvinotevera:

• gastric zvinokuvadza nokurohwa vatorwa zvinhu kana vakazoroorwa mavanga uye maronda;
• Kuvhiya inoitwa musi zvomudumbu nhengo (dumbu uye duodenum 12);
• kazhinji vanopinda zvinokangaidza, humwe hurongwa sefungu wakasimba rekusuwa;
• Related zvirwere gastrointestinal turakiti akadai pfungwa nomuviri zvemwana asati;
• chiropa uye gallbladder chirwere, akadai cirrhosis, hepatic insufficiency, cholelithiasis;
• zvemwoyo chirwere ;
• Ingestion kuti munyu inorema nesimbi, acids kana alkalis.

Uyewo, pane zvinhu zvinoverengeka, apo Kuparara mudumbu, zviratidzo, anoita anowanzoshandurwa vakasungwa pamwe murwere, kukonzera tsika dzakaipa kana vachidya tsika, akadai:

• kushandiswa chenguva dzose zvakare inopisa, Spicy zvokudya;
• Kakawanda kushandisa doro uye kuputa midzanga;
• kushandiswa kwezvinodhaka pasina maererano zvavakabvumirana chipimo chemushonga uye nguva kurapwa.

Mumakore achangopfuura kuburikidza kukura yepamusoro rwokurapa kwaiva kuziva chero kubatanidzwa mune kwaita erozirovaniya mucous membranes ari zvomudumbu turakiti uye utachiona Helicobacter pylori.

Mhando gastric kukurwa kwevhu

Kune mhando inoverengeka zvirwere zvakadai kwevhu gastric, zviratidzo uye vabatwe izvo siyanei kubva kune mumwe:

1. Initial kukurwa kwevhu kuti kunoitika sezvo vaakasarudza chirwere nokuda kushushikana, kudhakwa uye kushandisa zvinodhaka pane boka nonsteroidal Anti-anogumbura zvinodhaka, corticosteroids uye nezvimwewo.
2. Secondary kukurwa kwevhu, izvo vaiona pakava zvirwere zvakadai renal kana hepatic kukundikana, ropa chirwere, namamota ari ura.
3. Akaipa kukurwa kwevhu, iyo yakaumbwa iri kumashure yokuvamba zvirwere semhosva kenza, kusanganisira rwekenza yelymphoma, Crohn chirwere , uye vamwe.

Kukurwa kwevhu kunogona kuva kuroorwa kana vakawanda. Sezvo zita rinoreva, rinogona tsunga nenhamba maronda ose mucous pamuviri. Kuwedzera mhando kwevhu, nyanzvi akasimbisa zvinhu zvinoverengeka iyo zvakasiyana siyana uye zvirwere ichi.

marudzi chirwere

Kufanana chimwe chirwere, Kuparara mudumbu, zviratidzo, kurapwa, izvo kungaenderana chimiro kuerera rakakamurwa:

• Sharp, nzvimbo localization kakawanda chinoonekwa chikamu kuti muviri, unonzi "pasi". The chikuru kwokunze zviratidzo rikwanise muchimiro kushaya epithelial akaturikidzana pamuviri kukurwa kwevhu, simba mwero infiltration masero lymphocytic uye kusavapo anenge yakakwana fibrin deposits panguva yayo. Zviratidzo chenjera Kuparara mudumbu nguva dzose zvakajeka chaizvo uye kurwadza, zvikuru avo uye simba dzakakwirira zvikuru kupfuura avo kuchengetwa peptic urikanwi chirwere. Mabatirwo chenjera siyana hosha kakawanda rinovapo haana kupfuura 2 weeks.
• Chirwere, iyo inonyanyoshandiswa vemunyika mu iri antral dumbu uye rinoumbwa kunyanya kunzi granulation tishu. Kumicheto kupera chimiro ichi wakakomberedzwa akaturikidzana pamusoro hyperplastic epithelium, uye nechepasi pane dilated capillaries uye ventricular dystrophy mumasero. Chirwere Kuparara gastric antrum, izvo zviratidzo zvimwe munhu munyoro kupfuura rikwanise chimiro, zvinoda kurapwa kwenguva refu kuti 2-6 kwemwedzi kana yakareba. Ya mushonga kungaenderana chii mwero kuvadza mucous Kamudzira mudumbu uye muviri susceptibility zvinodhaka.

mhando kwevhu

Kuparara mudumbu (zviratidzo, mufananidzo munyaya ino) ari marudzi akawanda;

1. Hemorrhagic yakadzika kana pamusoro, iyo inozivikanwa nokuvapo Dombo pamusoro pemvura ropa vakakomba akacheneruka edematous nevamwe.
2. Pamusoro yakati sandara, izvo anosiyana hyperemic pomukombero akapoteredza muviri uye kuchenesa pasi, dzimwe nguva kuvapo kure-chena Dombo pairi.
3. Complete kana hyperplastic anogumbura, chikuru aizoonekawo runoonekwa kuumbika polypoid kupera muviri rakamiswa pamusoro mudumbu pakuvapo zviduku pazvirugu edema.

zviratidzo

Kana munhu ane Kuparara mudumbu, zviratidzo kazhinji chete kutaura nezvazvo, nokuti, maererano nezvokurara, erozirovanie lining pamusoro zvomudumbu turakiti iri nguva dzose kutorwadza zvikuru pane pitting. Symptomatic mufananidzo zvinosanganisira zvinotevera zviitiko:

• kurwadziwa ari epigastric, nharaunda iyo, zvichienderana chimiro maperembudzi vemunyika chokumusoro quadrant ari mudumbu kana moyo;
• belching;
• svoto uye kurutsa;
• nzara nokurwadziwa.

Zviratidzo ropa mudumbu kukurwa kwevhu

Ropa (Hemorrhagic) Kuparara mudumbu, apo zviratidzo havasi nguva dzose pachena, rinogona varehwa anotevera zvinhu:

• simba uye kuneta;
• kuderera mune Chizenga mumatunhu;
• duodenogastric reflux kana nyonganyonga goho muitiro bile yabudiswa;
• kuvapo ropa pachituru kuti kunowanzoratidzwa sezvo kuchinja ruvara ravo dema.

Zvose pamusoro zviratidzo uye zviratidzo, kutaura nezvinetso nemudumbu, inofanira kuva chiratidzo kukurumidza kurapwa pedyo kukiriniki, apo murwere achapiwa akakumbirwa kuti vanochinja hwakadzama kuongororwa uchishandisa kupfuura ano nzira nechirwere.

The chikuru nzira nechirwere ose gastric erosions

Chirwere nzira kuti vanofungidzirwa kuvapo gastric erosions zvinosanganisira fanira endoscopy, zvakagadzirirwa unoitirwa ruzivo pamusoro nzvimbo nzvimbo yacho sei nyama, avo uwandu uye chitarisiko. Panguva nzira iyi, unogona kupedza imwe fenzi zvikamu gastric mucosa kumisa zvinokonzera pakuonekwa chirwere, uyewo kubvisa kenza.

Uyezve, nokuti kuunganidzwa nzwisisika mashoko zvichakubatsira kuona kusarudza yenzira yokurapa kungadiwa zvidzidzo nokukanganisika ropa, weti uye chetsoka murwere.

Kuchinja mabatiro erosions: zvinodhaka, kuvhiya

The chikuru Vavariro Mabatirwo gastric kukurwa kwevhu ndiko ronda raro, kubvisa marwadzo uye kudzivisa ropa. Secondary kukurwa kwevhu kunorevawo mabatiro chaicho chirwere, izvo zvakazoita yematambudziko pamwe mudumbu. Gastroenterologists kupa varwere mazita mishonga zvinotevera mapoka:

1. Gastroprotectives, izvo zvinosanganisira rinoreva "Cytotec", "Simaldrat" uye "Gelusil".
2. Holinoliticheskie muiti - mushonga "Scopolamine" kana "Atropine".
3. Histamine blockers - mishonga "Gastrozol", "Omeprazole" "cimetidine", "Ranitidine", "Omez" uye "Metronidazole".
4. Antacids - karusiyamu carbonate kugadzirira "Almagel" "Maalox" uye vamwe.
5. Zvinodhaka kudzivirirwa kushanda - aruminiyamu hydroxide, bismuth kana ivhu chena.

Kana paine ropa gastric Hemorrhagic kukurwa kwevhu vane zviratidzo openya zvakakwana, kurapwa anonyanya yakanangana kurega ropa uye zvinosanganisira gastric lavage nemvura inotonhora uye intravenous aizomupa ropa kana yenhengo dzayo. Uyewo, iva nechokwadi kuunzwa aminocaproic acid, vikasola uye fibrinogen jekiseni anogona kuwedzera ropa pakugwamba uye kudzivirira kurasikirwa ayo makuru.

Kuderedza ngozi kwevhu panzvimbo inoshandisa Laser kana polyps elekrokoagulyatsiya kuitwa muchipatara ezvinhu. In Muzviitiko zvakaipisisa, kana endoscopic abdominal Kuvhiya kunogona kuitwa panguva murwere systemic ropa, panguva iyo chikamu mudumbu yabviswa, akashamisika erosions.

Traditional nzira nokurapa gastric kukurwa kwevhu

Kazhinji gastroenterologists, vanachiremba mazano ari kurapwa kwezvirwere zvakadai gastric kukurwa kwevhu, zviratidzo izvo vachireva kusavapo munyika kubuda ropa, kushandisa zvavo mishonga. Zvinokosha kucherechedza kuti pano hatisi kutaura pamusoro kutsiva zvinodhaka decoctions siyana uye infusions. Kana chirwere inonzi Kuparara mudumbu (zviratidzo, Mabatirwo chevarwere mishonga anofanira nokungwarira achikurudzirawo chiremba), "granny" nzira dzinopindirana kuvasunungura marwadzo uye kuderedza kupora nguva mucous membranes ari zvomudumbu turakiti.

Sezvo Anti-anogumbura zvinodhaka akataura kubvuma yemakwenzi yetii chamomil, sana St. John uye yarrow. Kubatsira uye decoctions knotweed, somuzivi uye chemindi. Kunwa teas akadaro nani hafu yeawa kana awa pamberi zvokudya. Zvakanaka sezvo shuga kuti yemakwenzi teas somushonga kushandiswa dzinongoitika nyuchi uchi, achiwedzera kuti mukombe decoction maawa 1-2. L. Uyezve, hunoratidzwa kuti zvinobatsira gastric mucosa pamwe Yakanatswa namo kukurwa kwevhu, izvo vanofanira kukurumidza zvishoma nezvishoma mumuromo kwemaawa nerimwe mangwanani.

A chinodiwa kuti kuitisa kurapa nokuda gastric kukurwa kwevhu ndiye zvokudya, izvo anopa zvakakwana chokudzingwa kubva Muterere mafuta uye zvakakanyiwa namafuta zvokudya murwere, kupisa zvinonhuhwira, mufushwa uye aisvuta zvigadzirwa, marinades uye doro.