Mob plab - ua rau thiab kho mob peptic ulcer

Gastric raum yog paub txog 14% ntawm neeg ntiaj teb. Ntawm cov neeg muaj mob feem ntau yuav tuaj nyob thoob plaws cov txiv neej 20-50 xyoo. Tus mob ntawm cov kab mob, mob tshwm sim yog cov yam ntxwv rau lub caij nplooj zeeg thiab lub caij nplooj ntoos hlav. Tsis muaj kev kho mob yuav ua rau txoj kev loj hlob ntawm qhov chaw raug mob, uas tuaj yeem ua rau tuag taus.

Cov kab mob raum ua rau

Tus kab mob no yog vim muaj li nram qab no:

1. Helicobacter pylori - nyob ntawm tus account ntawm cov kab mob txog li 75% ntawm tus neeg mob ntawm tus mob. Nws tshuaj lom nrog cov khoom ntawm kev ua si tseem ceeb ntawm cov khoom phab ntsa, tom qab uas lub hauv siab paug plab tsim. Kev kis tus kab mob yog los ntawm qaub ncaug, zaub mov, tej yam khoom hauv tsev, hauv utero.
2. Cov tshuaj noj (cov tshuaj tsis yog cov tshuaj steroidal inflammatory) yog aspirin, ibuprofen, indomethacin. Qhov kev pheej hmoo nce nrog hnub nyoog tshaj 65 xyoos, noj tshuaj loj, noj tshuaj ib zaug nrog cov tshuaj anticoagulants thiab cov tshuaj hormonal ib leeg, los ntshav ntawm txoj hnyuv. Cov tshuaj hypertensive thiab cov kua qaub-muaj kuab lom yog muaj kev tsim txom.
3. Qhov yuav tshwm sim ntawm lwm yam teeb meem - mob ntshav qab zib, oncology ntawm lub ntsws, teeb meem plab hnyuv, syphilis.
4. Sab hauv kev puas tsuaj - sepsis, kev poob siab, kev mob ntawm lub cev, mob khaub thuas lossis kub hnyiab.
5. Cov noob caj noob ces - qhov tshwm sim ntawm kev tsim muaj kab mob yog siab dua yog tias nws nyob hauv cov txheeb ze ze. Thiab cov txheeb cais qhia tau tias lub plab ulcer yog 40% feem ntau tsim nyob rau hauv cov neeg uas muaj ntshav pawg thawj zaug.
6. Kev nyuaj siab, kev coj cwj pwm tsis zoo, tsis noj zaub mov. Ib qho twg, txawm tias kev tsim txom los ntawm kas fes tuaj yeem cuam tshuam txog qhov teeb meem no.

Cov teeb meem ntawm peptic ulcer

1. Stenosis ntawm tus gatekeeper. Qhov kev noj haus hauv kev noj haus yuav txo, cov khoom noj stagnates. Nrog rau daim ntawv pib muaj qhov siv lus thiab kev hnyav hnyav hauv qhov chaw no. Cov theem dhau los ua rau ntuav tam sim ntawd tom qab noj tshuaj, hnyav, lub cev qhuav, lub siab tawv nqaij. Lub plab yeej tsis tuaj yeem tsis muaj dab tsi nyob rau hauv cov hnyuv vim yog qhov kawg dhia.
2. Kev tuag. Mob plab ua rau cov tsos ntawm ib lub qhov nyob hauv phab ntsa, los ntawm qhov uas lub cev ntawm lub cev ncuav tawm. Qhov tshwm sim yog qhov mob thiab kev mob nkeeg.
3. Ntshav. Qhov tshwm sim ntawm qhov ua rau muaj kev kub ntxhov yog siab. Muaj ntuav, kua txob, dub quav, ua rau poob siab, ua tsis taus pa, tawm hws, thiab plawv tsis ua hauj lwm.
4. Kev nkag mus. Qhov chaw ntawm plhaub plhaub plab ntawm lub plab yog nyob ntawm cov khoom nruab nrog uas yog ze rau nws - qhov txiav, hnyuv, gall zais zis, nplooj siab. Cov kua qaub pib txhim kho qhov khoom nruab nrog, ua rau kev cuam tshuam ntawm nws txoj haujlwm.
5. Malignization. Pom zoo hauv 3% ntawm tus neeg mob, txhais tau hais tias degeneration ua cancer. Qhov no yog qhov qhia ntau tshaj plaws rau kev hu xov tooj. Nrog rau qhov kev hloov no, ib tug neeg pib poob phaus, poob siab, ua ntuav thiab ua npaws.

Gastric ulcer - cov tsos mob thiab kev tshwm sim

Yog tias koj xav tias muaj tus kab mob, koj yuav tsum mus ntsib tus kws kho mob tam sim ntawd, kev kuaj mob raws sij hawm yuav ua nrog kev kho mob. Nyob rau hauv 25-28% ntawm cov neeg mob, cim ntawm plab ulcers tsis ua rau lawv tus kheej xav, nws yog paub txog tus kab mob no tsuas yog nyob rau hauv tus txheej txheem ntawm autopsy. Vim li no, nws yog ntshaw kom muaj kev ntsuam xyuas txhua lub sij hawm yog tias muaj kev pheej hmoo siab ntawm kev tsim muaj kab mob hauv qhov chaw ntawm lub cev.

Cov cim qhia ntawm lub plab ulcer - thawj cov tsos mob

1. Mob hauv lub plab mog. Nws muaj cai nyob rau hauv 75% ntawm cov neeg mob, muaj peev xwm sib txawv zog. Qee lub sij hawm cov kev hnov ​​mob ua zog dua tom qab haus dej cawv, noj cov zaub mov ntsim, nrog lub cev lub cev los yog lub caij nyoog so ntau ntawm cov pluas noj.
2. Mob siab. Nws yog feem ntau ua ke nrog cov tsos mob ntawm lub plab ulcers nyob rau hauv thaum ntxov ua sawv. Nws pib vim yog txoj hlab pas ntawm txoj hlab pas nrog kua qaub. Nws tshwm sim hauv 80% ntawm tus neeg mob, tshwm sim 1-2 teev tom qab noj mov.
3. Cov roj ua kom tiav.
4. Xeev, qee zaus ntuav. Tshwm sim vim qhov ua txhaum cai ntawm lub cev, pib 1.5-2 teev tom qab noj mov. Kis tau nrog kev tso tawm ntawm plab, uas provokes ib tus ntuav nws tus kheej.
5. Txhob pub noj qab haus huv. Yog tias tus neeg mob mob plab ulcer, thawj cov tsos mob tuaj yeem nrog nws tus cwj pwm coj los ua ke. Nws tau piav qhia los ntawm kev ntshai los ntawm kev mob tshiab los yog teeb meem nrog lub zog ntawm txoj hnyuv.
6. Hnov cov hnyav tom qab noj mov.
7. Belching nrog qaub los yog iab aftertaste.
8. Yoo xav ntawm satiety.
9. Cov teeb meem nrog rau cov quav. Tus mob raum yuav ua rau cem quav, raws plab nws ua rau tsawg dua.
10. Grey lo rau ntawm tus nplaig.
11. Qhov mob ntawm qhov chaw epigastric thaum lub sij hawm palpation.

Nres ntawm plab ulcers - cov tsos mob

1. Ib qho mob mob ntse.
2. Nqaij nyhav hauv cheeb tsam no.
3. Ntuav.
4. Cem quav.
5. High hws.
6. Xeev, hnyav heev.

Mob rau thaum muaj paug plab hauv lub plab thaum muaj kev sib ntxiv tuaj yeem tshwm sim los ntawm:

• caij ntuj hloov huab cua;
• noj cov dej cawv uas muaj cawv;
• tsis quav ntsej cov lus pom zoo rau lub plab;
• overeating;
• haus luam yeeb;
• ntxiv kev ua kom lub cev muaj zog.

Perforation ntawm plab ulcers - cov tsos mob

Tus kab mob no yuav ua teeb meem rau lub neej vim yog txoj kev loj hlob ntawm peritonitis , uas yuav tsum tau kho phais tam sim ntawd. Lub plab thiab lub duodenum perforated , cov tsos mob ntawm cov uas tau cim tseg, tshwm ntau dua rau cov txiv neej, cov poj niam raug tiv thaiv los ntawm estrogens uas inhibit secretory kev ua si. Cov mob huam tuaj tshwm hauv 6% ntawm cov neeg mob. Muaj peb lub sij hawm ntawm qhov tam sim no, txhua tus muaj nws tus yam ntxwv.

Tshuaj. Lub sijhawm 3-6 teev:

• mob ntev, mob hnyav;
• nro ntawm cov leeg mob plab; ua pa nyuaj;
• tsub zuj zug ntawm roj.

Kab mob. Nws pib 6 teev tom qab qhov teeb meem tshwm sim:

• kub sawv;
• nce lub plawv dhia;
• ntes ntawm peristalsis;
• qhuav nplaig nrog ib gray Bloom;
• txo ntawm qhov mob thiab lub xeev ntawm kev zoo siab.

Ntse. Nws tsim 12 xuab moos tom qab pib qhov mob, nws yuav luag tsis zoo rau tus neeg mob:

• ntuav tsis nto;
• lub cev qhuav dej;
• qhuav ntawm daim tawv nqaij;
• kub txawv;
• lethargy;
• txuam nrog roj thiab dej;
• ua txhaum ntawm kev tso zis.

Yuav ua li cas kho ib lub plab ulcer?

Lub lag luam yog siv rau hauv daim ntawv loj tshaj plaws, hauv lwm cov kev siv tshuaj kho mob. Peptic ulcer kab mob yuav tsum tau ib qho kev ua ke, ib qho kev kho tsis yog kom tshem tawm nws. Ua ntej, qhov kev ua si ntawm cov kab mob pathogenic yog tshem tawm, ces lawv ua hauj lwm nyob rau hauv kev txua ntawm qhov chaw mob. Kev kho mob plab ulcers kuj yuav tsum tau siv tshuaj rau kev siv tshuaj kom tshem tawm cov teeb meem ntawm kev ntxhov siab. Txoj kev rov qab ua haujlwm yuav siv li 2-6 lub lim tiam, nyob ntawm qhov teeb meem ntawm qhov teeb meem.

Gastric ulcer - kev kho mob, siv yeeb siv tshuaj

1. Tshuaj tiv thaiv kab mob - Cov tshuaj Clarithromycin , Amoxicillin, Tetracycline.
2. Gastroprotectors yog cov tshuaj rau lub plab ulcers los tiv thaiv thiab ua kom cov xoos mucous. Ventoksol, Kaved-s, Solkoseril, Biogastron.
3. Txhais tau rau kev tiv thaiv kev tiv thaiv thiab kev tiv thaiv kab mob - Sucralfate thiab De-nol.
4. Antacids - Kael, Almagel, Gastal, Maalox. Ntseeg mob, txo acidity.
5. Proton taub blocks - Omeprazole, Nexium, Rabelok.
6. Holinotics - Gastrotsepin thiab Metacin. Txo cov kua qaub, txo qhov mob thiab qhov ncauj qhuav.
7. Spasmolytics - Drotaverin, Tsis-shpa. Ntseeg mob thiab mob ntawm lub plab phab ntsa.
8. Prokinetics - Itopride, Motif. Txhim kho cov kev txawj twv txiaj, tiv thaiv kom tsis txhob mob plab nyob hauv plab.
9. Probiotics - Lineks, Bifiform. Yog tsim nyog rau restoration ntawm microflora, yog tias antibacterial kev kho mob ntawm gastric ulcer yog siv.
10. Sedatives - Valocordin, Validol, Codeine phosphate.
11. Antidepressants - Amitriptyline , Elenium, Tazepam.

Gastric raum - kev kho nrog pej xeem tshuaj

1. Qos kua txiv. Koj yuav tsum noj peb zaug rau ib nrab ib teev ua ntej noj mov ntawm 20 grams rau ib lub lim tiam. Lub sij hawm 7 hnub tom ntej no, lub koob tshuaj yog ob npaug, qhov thib peb - ​​peb zaug. Tom qab ntawd, txog rau thaum xaus ntawm lub hlis, koj yuav tsum haus 100 grams ib zaug.
2. Txoj kev lis ntshav ntawm plantain. Kev kho mob ntawm kev mob plab ulcers implies niaj hnub kom tsawg ntawm tshuaj yej los ntawm qhuav nplooj ntawm cov nroj tsuag, boiled nrog boiling dej (1 tablespoon ib khob).

Gastric ulcer - lag luam

Tsis tas ib txwm kho tau, qee zaus kev kho mob ntawm lub plab ulcer yog yuav tsum tau ua kom phais. Qhov no yog ua nyob rau hauv cov nram qab no:

• peb cov degree ntawm kev mob ntsws;
• qhov tsos ntawm malignant formations;
• perforated plab ulcer;
• los ntshav.

Lub lag luam yuav raug tso npe thaum:

• nkag mus;
• deformation ntawm lub plab nrog caws pliav nqaij;
• theem ob ntawm stenosis;
• tsis muaj kev cuam tshuam dab tsi;
• nquag rov qab kis dua;
• kev sib koom tes.

Noj nrog plab ulcer

Tus kab mob no yuav tsum tau muab cais tawm ntawm cov khoom mucous thiab tso pluas mov tsawg kawg yog 5 zaug hauv ib hnub. Koj kuj yuav tsum paub dab tsi koj yuav noj nrog lub plab ulcer:

• cov roj tsawg;
• crushed porridge;
• soups los ntawm mov, semolina, oats;
• mos-hau qe, khov khov;
• compotes thiab kissels;
• zib ntab;
• tsis yog rog tsev cheese thiab qab zib.

Noj cov zaub mov nyob rau hauv rooj plaub ntawm gastric ulcer yuav tsum tshem tawm:

• cov khoom haus luam yeeb;
• fatty thiab kib zaub mov;
• hmoov nplej;
• cawv;
• txiv lws suav;
• taum;
• gooseberry;
• cabbage;
• cov hnub nyoog;
• radish;
• citrus txiv hmab txiv ntoo;
• kas fes;
• ntsim rau qhov lom;
• cov kua ntsw;
• cov zaub mov kaus poom;
• cocoa;
• nplua nuj nqaij broths.