Chilonda mmatumbo babu: malongosoledwe osiyanasiyana, zizindikiro ndi mbali chithandizo

Chilonda mmatumbo babu (ICD10: K26) - matenda zofala, kale matenda mu masiteji patsogolo. Izi zimachitika chifukwa anthu anazolowera kuti azunzike aliyense mmimba kunena stale chakudya kapena zakudya kuphwanya. Man ululu drowns kunja mankhwala ake, koma matenda ili m'kati. Kwa dokotala wodwala koopsa pamene kunyalanyaza thupi lanu akukulirakulira.

EPIDEMIOLOGY

Mmatumbo chilonda babu zambiri sekondale ku zotupa chapamimba mucosal. Choncho, matenda nthawi olembedwa "chapamimba chilonda ndi mmatumbo chilonda", popanda kutchula malo.

Za 5% ya anthu onse mu dziko kudwala izi. Mu amuna, kumachitika nthawi 4 zambiri kuposa akazi. A chiŵerengero cha m'tauni ndipo m'mudzimo za 2 1. zambiri chifukwa amasokoneza, zizolowezi zakudya ndi ntchito kwa anthu a m'madera urbanized.

zifukwa

Mmatumbo chilonda babu kumachitika chifukwa zochita zikuwononga asidi hydrochloric (chomwe ndi mbali ya madzi m'mimba) kwa mucosa za m'mimba yaing'ono. zimayambitsa angapo acidification ndi:

• kwambiri katulutsidwe wa gastrin (a timadzi kuti nthawi chimbudzi);

• chizolowezi zokometsera owawa, mchere, wowawasa, yokazinga ndi mafuta zakudya;

• kuchepa chakudya kudya masana ndi kudya madzulo;

• yaitali m'thupi kapena wotsutsa-yotupa mankhwala;

• Zonse kukhudzana ndi nkhawa;

• kusuta mowa, makamaka pa chopanda kanthu m'mimba.

Nthawi zina kuoneka erosions ndi zilonda mu duodenum akhoza kugwirizana ndi msinkhu bwino kashiamu mu thupi, kuchepetsa a chiwindi ndi impso, aakulu obstructive m'mapapo mwanga matenda.

pathogenesis

Mmatumbo chilonda babu limapezeka undulating Inde ndi alternating chikhululukiro ndi exacerbation. Conventionally, pali zinthu zitatu:

• pachimake pa (kutchulidwa zizindikiro, zilonda mucosal ndi erosions ndi);

• attenuation ndondomeko (pali kudandaula ayi, chilonda chilonda);

• chikhululukiro (popanda zizindikiro, kumapha epiteliziruyutsya).

A mbali yaikulu maonekedwe a zilonda masewero chisokonezo kosamala asidi-zamchere mu mucosa matumbo. Ngati acid amathiridwa aumbike lalikulu kuposa soda, si kwathunthu zopanda ndiponso kuwonongeka ozungulira minofu. Maselo adzaonongedwa, kumasulidwa michere ndi kuonjezera kuwonongeka. Pa malo anapanga mucous kutupa, amene kumawonjezera ndi aliyense gawo latsopano la chyme lapansi. Komanso kuchuluka motility ndi kuchuluka kwa maselo secretory m'mimba kuti secrete asidi amalola ngakhale popanda chakudya.

zizindikiro

Kodi angasonyeze mmatumbo chilonda babu? Zizindikiro ndi mankhwala a umafananirako kotero ndikofunika kumvetsetsa ndendende zomwe chimapambana syndrome. zochitika matenda ali kwambiri ndipo chifukwa kwambiri cha ululu la wodwalayo.

The chizindikiro choyamba ndi chachikulu ndi kupweteka kwa dera umbilical. Kungakhale onse pachimake ndi kulongolola, izo zonse zimadalira kuchuluka ndi khalidwe la chakudya. Komanso, kuchiyambi kwa n'zosavuta kuchotsa Mankhwalawa ayenera kumwedwa kumwa. Nthawi zina ululu angabwerenso usiku ndi limatulutsa kumbuyo.

chala wina dona akudziwa kuti kuchotsa nseru, regurgitation, ululu kapena kungoti pogulitsira zakudya. Iwo m'pofunika kuti chinachake monga odzola. Koma chida ichi si chilengedwe, chifukwa kusanza angabwerenso pambuyo chakudya, "chifukwa mu" ndi iwo monga "bonasi" kutentha ndi kumverera kwa kulemera. Nthawi anthu awa amadwala matenda a mpando mu mawonekedwe a kudzimbidwa ndi bloating.

zosokonezeka

Pachimake mmatumbo chilonda babu ndi matenda ndi thanzi moyo pachiswe. Zikavuta amataya magazi, perforation wa matumbo khoma ndipo septicemia mapangidwe.

Chilondacho mwina osati kuchepetsa mpanda wa limba dzenje, koma seep mu pafupi. Mwachitsanzo, ku babu mmatumbo pathological ndondomeko amapita ku kapamba kupanga fistulas ndi abscesses.

Ndi mavuto aakulu monga stenosis (kuchepetsa) matumbo gawo. Izi kumalepheretsa Ndime ya chakudya, amakwiya stagnation ake ndi kuwola m'mimba. Anthu, zikuonekeratu kumverera kwa kulemera, kufooka, paleness, kutopa, kusafuna kudya. Nthawi zina zingakhale kusanza zidutswa za chakudya undigested kudya masiku angapo apitawo.

diagnostics

Mmatumbo chilonda mababu matenda mosavuta, anapatsidwa odwala pitani kuchipatala mwamsanga kutalika siteji ya matenda, pamene tikusowa mtendere zimawalepheretsa kukhala bwinobwino.

Choyamba, dokotala likamva mbiri ndi kuyesa. Kumene, palpation wa pamimba sapereka mkulu zili zambiri, koma akuganiza, ndi Mwina mkulu, anam'peza ndondomeko zotheka. The wodwala anatumiza MAGAZI, zolembera amuzolengedwa, fecal magazi zamatsenga, komanso kudziwa mlingo wa ntchito za gastrin ndi Helicobacter pylori.

Ambiri yodziwira ndi esophagogastroduodenoscopy, kapena, koposa chabe, endoscopy. Timatha kufufuza zilonda za chubu m'mimba, cauterize zilonda zonse amadziŵika, kutenga minofu ndi madzimadzi kufufuza. Ndi nkhani ndi radiography. The zithunzi Mosiyana adzakhala bwino looneka malo miliri ndi boma la nembanemba mucous ya m'mimba ndi duodenum.

Chithandizo cha babu mmatumbo

Choyamba muyenera odikira chifukwa chakuti ndi yaitali ndi kalavulagaga ndondomeko, wopangidwa mwa zakudya, mankhwala thupi ndi mankhwala. Usachite mantha, izi zonse zichitike, osati imodzi pa bwino anayamba dongosolo ndi kuyankhula kwa dokotala.

Kuyamba gastroenterologist Mzimuyo chifukwa zomwe zinatipangitsa mliriwu ndi potsogolera magulu onse kuti tichotse izo. Chifukwa chaichi pali mankhwala. Izi Mankhwalawa ayenera kumwedwa ndi prokinetics ndi zoletsa purotoni mpope, ndi zina zambiri zodabwitsa pharmacological. Komanso, polimbana ndi zilonda nkhawa kuthandiza mankhwala kuwala ndi ogonetsa, koma iwo ayenera kugwiritsidwa ntchito mosamala. Against Helicobacter pylori ali mwangwiro mankhwala penicillin ndi macrolides.

Pa siteji ya magulu ayambe thupi kukhala oleza mtima limasonyeza balneotherapy, procaine electrophoresis ndi rewarming.

mankhwala wowerengeka

Chithandizo cha mmatumbo mankhwala wowerengeka chilonda babu zinadzala ndi zotsatira zoipa thanzi. Choncho, musanayambe mtundu uwu zatsopano kuchenjeza dokotala nawo. Iye adzakhala oyamikira kwambiri kwa inu chifukwa cha izo.

Pa Intaneti, komanso grandmothers wathu ndi zambiri maphikidwe kwa zilonda zam'mimba. Pofuna kuchepetsa acidity ndi kuonjezera kukana mucosal, anthu kumwa mbatata madzi atsopano, osakaniza ndi uchi ndi mafuta kapena uchi monga kusungunuka m'madzi ofunda ndi kumwa pamaso chakudya. Palinso maphikidwe kwambiri zosowa, monga kugwiritsa ntchito nyanja buckthorn mbewu mafuta pa supuni pamaso lililonse chakudya.

Zonse mwa njira zimenezi akhoza kuchotsa chodabwitsa wovuta, ena amalimbikitsa machiritso a zilonda, koma ndi ofunika kupereka mmalo mankhwala azitsamba.

Zakudya chilonda mmatumbo babu

M'nthawi ya exacerbations matendawa, odwala ayenera kutsatira anasiyiratu zakudya zokwanira kuthandiza kuchepetsa mphamvu ya ululu, ndi liwiro kuchira. A ochepa nsonga umenewu zakudya:

1. Gawa chakudya mawola 3 chakudya chochepa.

2. Pali kufunika pang'onopang'ono mosamala kutafuna chakudya.

3. Chakudya ayenera kukhala ofunda, kuti limakhumudwitsa matumbo kale tcheru.

4. mankhwala anasankha ayenera timatsimikiza yopanga zina acid amathiridwa, choncho palibe yokazinga, zokometsera, mchere, kuzifutsa ndi mokometseredwa.

Ena zakudya ndi amenewa akhoza kusiya moyo. Koma mkaka, zipatso puree ndi zakudya, steamed masamba ndi mazira akhoza kudyedwa zedi malire.