Tsis muaj kev kho mob rau cov kab mob ulcers yog tias tsis muaj kev txheeb xyuas tseeb, uas, tig mus, tsis tuaj yeem tsim, tsis muaj ntaub ntawv los ntawm tus neeg mob txog nws qhov kev xav thiab pom pom ntawm tus kab mob.
Cov tsos mob ntawm duodenal ulcer 12
Cov tsos mob ntawm tus mob duodenal tshaj plaws yog:
- mob hauv plawv sab qaum ntawm lub plab los yog nyob rau hauv cov kab tawm, muab rau lub sij hawm ntawm exacerbation nyob rau hauv cheeb tsam ntawm lub sab collarbone;
- nquag cem quav;
- "Tshaib" qhov mob uas tshwm sim tom qab noj mov;
- xeev siab;
- nquag eructations.
Feem ntau qhov tshwm sim ntawm lub rwj ntawm duodenum yog qhia los ntawm cyclicity ntawm mob cov tsos mob, uas yog intensified nyob rau hauv lub Autumn thiab lub caij nplooj ntoos hlav lub sij hawm. Tab sis muaj qee zaum thaum mob peptic asymptomatic. Tus neeg mob pib xav tias nws tsuas pom tshwm sim hauv cov kab mob. Qhov no yog qhov feem ntau txaus ntshai ntawm tus kab mob, hem ib nthwv rupture ntawm daim nyias nyias ntawm duodenum.
Lub cev ntawm duodenum - ua rau
Ulcers ntawm duodenum yog qhov tsim nyog ntawm impaired ntshav ncig thiab secretory Function ntawm lub plab. Yog vim li cas cov kev ua txhaum no yog:
- nquag muaj kev ntxhov siab heev;
- tsis noj nqaij;
- nquag noj tshuaj ntawm cov tshuaj muaj salicylic acid;
- kev quav dej caw;
- kab mob ntawm cov plab hnyuv siab plab (pob txha caj qaum, cholecystitis, mob hnyuv);
- kis kab mob ntawm lub plab thiab duodenum (Helicobacter pylori kab mob).
Perforated ulcer ntawm duodenum
Lub rupture ntawm duodenum 12 shells nyob rau hauv qhov chaw ntawm tshwm sim ntawm lub rwj yog tshwm sim ntau zaus tshaj nyob rau hauv cov ntaub ntawv ntawm peptic ulcer. Ntawm cov thawj cov tsos mob ntawm lub perforated ulcer ntawm lub duodenal ulcer, saib:
- mob "dagger" mob hauv thaj tsam ntawm sab laug hypochondritis, radiating rau lub pob qij txha thiab caj dab;
- ib ntuav xwb;
- tawv nqaij ntawm cov leeg ntawm qhov mob plab ("dorsco-like caldomen").
- txias hws;
- cyanosis ntawm daim duab mucous pom.
Nyob rau theem ob ntawm tus mob ntawm tus kab mob, ib lub sij hawm ntawm fab xav hauv siab yog pom. Qhov mob yog khaus tsawg, los yog ploj tag. Nyob rau tib lub sij hawm, muaj cov cim qhia txog ntawm lub plab thiab duodenum rau hauv plab kab noj plawv thiab cua puv ntawm qhov chaw plab. Cov nqaij ntshiv plab tseem nyob ruaj khov kho, lub plab ntawm lub plab periapical tsis yog khawm. Tom qab 8-10 xuab moos los ntawm qhov pib ntawm qhov nres, qhov mob loj hlob thiab dhau mus rau theem siab heev. Muaj tachycardia, qhov nce hauv lub cev kub mus rau 38.5 degrees, ua daus no. Cov tsos mob no qhia tias tus mob peritonitis. Kev kho mob ntawm perforated ulcer ntawm duodenum yuav tsum tau ua tsuas yog nyob rau hauv lub tsev kho mob nrog kev pab ntawm kev phais sij tam sim ntawd.
Kev ua nrog duodenal ulcer 12
Ntxiv nrog rau tshem tawm qhov ua rau ntawm peritonitis nrog ib tug perforated ulcer ntawm 12 hnyuv, phais mob ntawm peptic ulcer ntawm no yam tsawg kawg. Tus kws phais mob yuav tsum tau pab nyob rau hauv cov nram qab no:
- los ntshav ulcer 12 duodenum;
- polyposis nrog ulcer - cov tsos ntawm polyps, nce lub tso pa tawm ntawm lub plab;
- degeneration ntawm lub rwj mus rau hauv lub siab phem qog;
- tsis txaus siab mus rau kev siv tshuaj kho mob.
Ntawm kev ntsuas kev ua haujlwm ua kev tawm tsam ntawm lub zos, lossis rov ua dua 12 txoj hnyuv. Lub hom phiaj thib ob ntawm kev phais yog ib txoj hauv kev zoo tshaj ntawm kev kho mob, muab cov txiaj ntsim ruaj khov ntau, uas tshem tawm qhov rov tshwm sim ntawm cov kab mob.
Exacerbation ntawm duodenal ulcer 12
Cov tsos mob ntawm kev mob ntxiv ntawm tus kab mob yog mob siab heev mob rau 7-8 hnub. Feem ntau, qhov mob tshwm sim tom qab 2 teev tom qab noj hmo los yog hmo ntuj. Kev kho ntawm exacerbation ntawm ulcers ntawm duodenum yog ua nyob rau hauv tsev kho mob. Txij li thaum feem ntau qhov kev kuaj thiab kev tshawb xyuas ntawm cov kua qaub (fluory flu) qhia tias muaj tus kab mob Helicobacter pylori, tus neeg mob tau siv tshuaj tua kab mob nrog ob lub tshuaj tib lub sijhawm. Kuj pom zoo kom siv yeeb siv tshuaj los txo cov acidity ntawm lub plab thiab tsim kom muaj txheej txheem ntawm cov mucosa. Thaum lub sij hawm exacerbation ntawm ulcers ntawm duodenum, ib tug tshwj xeeb khoom noj haus yog pom zoo, uas excludes fatty, ntsim, acidic zaub mov, haus dej cawv.
Mob ulcer ntawm duodenum
Ib qho tshwj xeeb qhov chaw nyob rau hauv qhov kev kho zoo ntawm mob ulcer ntawm duodenum yog kev noj haus thiab txoj kev ntawm lub neej. Muaj ntau theem ntawm kev kho mob ntawm cov mob ntev:
- Kev soj ntsuam txhua zaus, tso cai rau ua raws li kev mob ntawm tus kab mob.
- Kho tshuaj kho mob, tshem tawm cov ua rau mob plab, muab kev ntxim siab tsis zoo ntawm kev mob plab zuj zus ntxiv.
- Caij nplooj ntoos zeeg prophylaxis ntawm ulcers ntawm duodenum,
nrog rau kev noj haus thiab kev noj zaub mov tsis tu ncua, tsis muaj lub cev thiab lub siab ntsws. - Ib qho kev noj haus tshwj xeeb uas yog nce raws feem ntau cov zaub mov feem ntau.
- Mus xyuas cov kws kho mob tshwj xeeb nrog cov chav kawm ntawm kev kho mob plab hnyuv.
Nws yuav tsum tau sau tseg tias txoj hau kev kho mob kom zoo, ua raws li tag nrho cov lus qhia txog kev kho mob, thiab kev kho kom zoo ntawm koj lub cev yuav pab txo cov kev mob ntawm cov hlab ntsha duodenal, thiab yog li muab lub sijhawm rov qab mus rau lub neej qub.