Matenda m'mimba: zizindikiro, mankhwala, chakudya. Matendawa ndi kupewa matenda a m'mimba

The m'mimba ndi dzenje akulu limba kuti amachita ndi ntchito zofunika m'thupi zokhudzana ndi chimbudzi. The ndondomeko ya chimbudzi ndi zovuta ndithu, kotero matenda alionse a m'mimba ndi duodenum zingathe kusokoneza ntchito kwa thupi lonse ndi kupereka zolephera aakulu machitidwe ena. Mu mzere wa chimbudzi thupi akutenga malo chachiwiri, pa nthawi yomweyo, izo ukutchula michere yeniyeni ndi acid.

Zimayambitsa matenda a m'mimba zoipa zotsatira kunja pa thupi. Njirazi ndi monga:

- mavuto zokhudza kuchepetsa mapangidwe madzi chapamimba;

- kusokonezeka kwa mitsempha, yomwe INGATHE kuyambitsa kuwonongeka kwa kudya ngakhale matenda a anorexia;

- zoipa chakudya, kumwa zakudya;

- poyizoni ndi poizoni.

Pali zinthu zina matenda m'mimba. Zizindikiro ndi mankhwala zimadalira zimene mitundu uli matenda. Nthawi zambiri, madandaulo wodwalayo ali cramping, ayi wa nseru, kutentha pafupipafupi ndi chotentha n'kusindikiza kutengeka pakhosi chifukwa milingo apamwamba acidity m'mimba.

The matenda waukulu wa m'mimba

Matenda a m'mimba ndi duodenum ndi pafupifupi aliyense. Iwo ndi osiyana chitukuko mwamphamvu. Akatswiri-dieticians amanena kuti thanzi la m'mimba amakhudza chifanizo cha moyo wa munthu, zokonda zake ndiponso makhalidwe ake. Matenda ena kukhala pang'onopang'ono, pamene ena zimachitika mwadzidzidzi, mosayembekezereka ndipo mofulumira. Nthawi zina zizindikiro za matenda chapamimba zikukwaniritsidwa kwambiri moti wodwalayo ayenera hospitalization yomweyo.

Zizindikiro zazikulu za matenda chapamimba monga kupweteka kwa nusu chapamwamba kumanja, amene walimbikitsa akamadya, kapena, Tikawonetsetsa pamene wodwala ali ndi njala. Likamanena zovuta zambiri, ululu amakhala kupweteka zonse mu chikhalidwe ndi bursts paroxysmal. Self yekha kukuwonjezera kutupa ndi limathandiza kuti chitukuko cha mitundu zina zazikulu matenda m'mimba. Zizindikiro, mankhwala mtundu uliwonse wa matenda ndi makhalidwe awo. Mwachitsanzo, pamene chilonda khalidwe Mbali ali belching ndi fungo acidic, pamene chifukwa gastritis kwambiri khalidwe maonekedwe a kutentha. Nthawi zina pamene pali matenda m'mimba, ndi chakudya akhoza limodzi ndi isanayambike mwadzidzidzi kusanza. Chithandizo cha matenda a m'mimba zimadalira kukula kwa alili, chikhalidwe cha matenda ndi mawonetseredwe ake matenda.

gastritis

Gastritis otchedwa kutupa kwa mucosa chapamimba, chimene chayambitsa malinga ndi mabakiteriya, kutupikana, uchidakwa, ndi nkhanza, komanso njala zakudya (makamaka masangweji zokhwasula-khwasula ndi chakudya chakudya youma), zonunkhira ndi chakudya zokometsera. Ambiri mwa matenda zizindikiro za m'mimba (zizindikiro gastritis ndi chithandizo zimadalira zimayambitsa izo) ndi apamwamba mlingo wa acidity, kutentha, ululu mu mmero pamene Pomeza. Kuwonjezera zizindikiro za gastritis ndi ofanana matumbo matenda: kudzimbidwa kapena, Tikawonetsetsa m'mimba. Ngati chifukwa cha gastritis ndi mabakiteriya, izo amakula mwamsanga ndithu, amalembedwa kukokoloka ndi kuwonongedwa kwa malinga a minofu m'mimba.

Komanso, chifukwa mwina pachimake autoimmune ndondomeko, pamene thupi amaona m'mimba yake ngati chinthu mlendo. Chitetezo opangidwa ndi thupi, kuyamba kuukira ndi kuwononga makoma ake ndipo zimagwira ntchito zosiyanasiyana mucous. Pa mankhwala a matenda ndi zofunika kutenga mankhwala pokhapokha kudya, pamene kukhala mu madzi muzituluka. Pankhaniyi, mtima kwenikweni anatumizidwa kudya chapamimba chilonda, amene kwathunthu kumatha kumwa mowa, zokometsera, zokometsera ndi mafuta zakudya. Diagnostics ikuchitika mwa endoscopy.

M'mimba chilonda: zizindikiro, chithandizo

Kuwonongedwa kwa mpanda m'mimba kumayambitsa zilonda matenda chilonda, amene amakhala ndi mwai m'badwo kuchuluka ndi ya ndulu zidulo. Zilonda akhale wosakwatiwa kapena angapo. The zimayambitsa matenda ndi zinthu zotsatirazi:

- chakudya cholakwika (zokhwasula-khwasula ozizira chakudya, kusowa chakudya awo maphunziro oyamba);

- mowa, kusuta;

- mukumwa mankhwala;

- nkhawa, maganizo atasokonezeka;

- kuphwanya ntchito ndi zina.

The chizindikiro chachikulu cha chilonda zilonda za m'mimba ndi burping zachiwawa ndi khalidwe wowawasa fungo. Zizindikiro zina ndi monga nseru, kupweteka kwa nusu chapamwamba, kusowa chilakolako cha ndipo kwambiri kuwonda. Zovuta za chapamimba chilonda ndi pachiopsezo m'mimba magazi, perforation kapena malowedwe a m'mimba, komanso chitukuko cha stenosis pyloric. Chithandizo cha zilonda matenda chilonda ndi mavuto ake ali makamaka ikuchitika opaleshoni.

Zovuta za matenda chironda chachikulu

Zosapsa kapena kuchepa zilonda zam'mimba kungachititse kuti ena mavuto a matenda. Chobwerapo ambiri tatchulazi - perforation, malowedwe, magazi ndi pyloric stenosis.

Chilonda magazi yodziwika ndi kusanza wamagazi ndi magazi m'manyi. Ngati chilonda isanafalikire pamwamba pa Treitz mitsempha, wodwalayo zambiri kusanza zimachitika ngati m'munsi, wakuda (wamagazi) chimbudzi. Pankhaniyi, hemoglobin wodwalayo mofulumira zimachepa. thandizo kunyumba kumafuna chapamimba lavage ndi madzi ozizira ndi ubwenzi wa paketi m'mimba ndi ayezi. mankhwala zikuphatikizapo ntchito H2-blockers, mankhwala "Novocaine" ndi "tiyipukuse" fibrinogen madzi, amatanthauza "Secretin" ndi mankhwala ena. opaleshoni imagwiridwa mu Zikavuta.

Perforation wa munthu chilonda m'mimba ndi vuto lalikulu. Zizindikiro monga kupweteka "zigawenga" khalidwe, kuphwanya kwa thupi zapambuyo m'mimba khoma, bradycardia, epigastric, wotumbululuka khungu, ndi matenda HIV Shchetkina-Blumberg. maola 5-8 pambuyo matenda perforation m'mimba chilonda mukhoza kupeza njira zina zosokonezeka - peritonitis (kutupa peritoneum a). Makhalidwe a alili monga thready mofulumira zimachitika, hypotension wodalirika ileus, malungo, ndi leukocytosis. Kenako zizindikiro anawonjezera flatulence, posungira a mkodzo, chopondapo, kawirikawiri kwambiri kusanza. laparoscopy njira angagwiritsidwe ntchito pa matenda a chilonda perforated.

Malowedwe - ndi kufala kwa zilonda mu m'mimba ozungulira minofu. Pankhaniyi, pali magawo angapo vuto ili wa chapamimba chilonda:

- necrosis mwa zigawo zonse za thupi dzenje ndi zilonda mmatumbo;

- fibrous maphatikizidwe ndi pafupi ndi m'mimba kapena matupi duodenum;

- malowedwe a zilonda mu zimakhala ozungulira ziwalo.

matenda ikuchitika ndi X-ray kapena endoscope, lomwe ndi mmene matenda alionse m'mimba. Zizindikiro ndi mankhwala n'zogwirizana. Chithunzi matenda anachititsa ululu wa okhazikika chikhalidwe, kunyansidwa ndi kusanza, ali ndi chizolowezi kulimbikitsa. Zizindikiro za kutupa komanso akalipo: mlingo mkulu wa ESR, leukocytosis, otsika kalasi malungo. Chithandizo zambiri opaleshoni.

Pansi stenosis pyloric kuzindikira kutanthauzira zilonda mu duodenum ndi ngalande pyloric. Violation mtunda kuwonjezera kutupa ndi kuphipha wa pylorus lapansi. Vuto amenewa ndi matenda aakulu a m'mimba. zizindikiro, mankhwala a mtundu wa matenda chilonda zimadalira ndondomeko ndi kobwereza. Pa muyambirenso wa wodwalayo kumverera kwa akuphulikira mu epigastric dera, nseru, kusanza, kukomoka kwambiri kuwonda. Chithandizo Pankhaniyi nthawi zonse ndi opaleshoni yekha.

Muzituluka adenocarcinoma, kapena khansa glandular

Adenocarcinoma mu zochiritsira sizachilendo. Childs, chotupacho isanafalikire mu antrum kapena pyloric m'mimba. Chifukwa ambiri a matenda ndi kumwa kwambiri zakudya ndi okhutira mkulu wa nitrite.

Oyambirira pa nthawi yomwe adenocarcinoma akuwonetseredwa nseru, kulemera m'mimba, kusafuna kudya ndi imfa mofulumira kulemera, matumbo matenda. Pomwepo atakhala pang'ono chakudya wodwalayo kumverera kwa akuphulikira m'malo mwa plexus dzuwa, zimene zikusonyeza kukhalapo kwa zotupa intramural. Pamene Oncology dipatimenti pali kulephera kwambiri kuti alandire chakudya mu duodenum, amene anatsagana ndi kusanza. Nthawi Popanda kuchitapo kanthu khansa limodzi ndi ululu m'dera epigastric, oipa chotupa magazi mkati zikachitika, amene wapezeka ndi kukhalapo kwa magazi m'manyi, kusanza magazi. Chithandizo cha oncological matenda m'mimba chikhalidwe anachita opaleshoni kwathunthu (okwana chapamimba resection) ndi subtotal (resection kapena mbali zake).

m'mimba bulbit

M'mimba ululu nthawi zonse akusonyeza pamaso pa kudwala iliyonse. Kumverera kwa kulemera, kutentha, nseru ankaona zizindikiro za gastritis. Childs, wodwala amatenga mankhwala chakechake, chimene "zichepetse" zizindikiro koma musati kuchiza matenda palokha. Aggravation a gastritis athandize duodenum, ndipo amatchedwa bulbit.

Bulba ndi catarrhal ndi erosive ndipo zosiyanasiyana matenda yotupa m'mimba. zizindikiro, mankhwala a matenda mobwerezabwereza anafotokoza mu mabuku. Matendawa limodzi ndi nseru, kusanza, kupweteka kwambiri, kumverera kwa kuwawa pakamwa. Ululu monama amafanana Makanema a kapamba.

Chotsani thandizo ululu mankhwala, Mankhwalawa ayenera kumwedwa monga "Gastal", "Almagel A". Angathe neutralizing zotsatira owononga ejected ndi ya ndulu zidulo, ndi njira yaikulu ya mankhwala kudya chapamimba chilonda. Nthawi ya exacerbation la matenda ayenera yomweyo siyani kumwa mankhwala onse, kusiya kusuta, khofi ndi mowa. Kusala koletsedwa, nkhanza kwa kuwonda zakudya ndi madyedwe a zowonjezera zakudya.

muzituluka kukokoloka

Uziyenda bwino za thupi ndi zofunika kwambiri chapamimba chilengedwe. Koma mwachibadwa ndi mankhwala zake zikuchokera ndi ndithu mwamakani pa kulephera pang'ono m'thupi izo umawononga aakulu. Ntchito yaikulu ya madzi muzituluka ndi akuwaza ndi chimbudzi chakudya, khalidwe lomwe, mwatsoka, nthawi zambiri masamba kwambiri wolakalakika. Chifukwa cha kukhudzana zimenezi nthawi limapezeka mkwiyo wa mucosa chapamimba kuwoneka erosions limodzi kapena angapo kapena zilonda.

Chifukwa zikamera osefukira monga zifukwa zotsatirazi zoipa:

- zoipa chakudya osasamba;

- matenda aakulu m'mimba;

- matenda mantha, nkhawa ndi zina zotero.

matenda anawagawa m'magulu atatu:

- kukokoloka Pulayimale;

- kukokoloka Secondary;

- Oncology.

Choncho zimakhala pachimake ndi aakulu mawonekedwe a matenda. Symptomatology osefukira ndi mmene matenda onse a m'mimba, koma chiopsezo kwambiri wa chironda chachikulu mu kusintha kwake. Chithandizo cha zochitika erosive zimatenga nthawi ndipo kumatengera zifukwa zosiyanasiyana. Mogwirizana ndi chikhalidwe cha matenda, wochititsa matenda ndi zina zotero. mankhwala opha tizilombo ndi operewera pamene chapamimba kukokoloka ndipo okhawo ngati matenda amayamba ndi matenda. mankhwala ali kwenikweni amapereka mwa zakudya okhwima, makamaka pamene m'mimba ukuwawa. Matenda, zizindikiro zimene yodziwika ndi kunyansidwa ndi kusanza ali osavomerezeka kusonyezedwa mankhwala, monga ena a iwo ali wokhoza kuononga kwambiri chofuna limba khoma.

carcinoma chapamimba

carcinoma muzituluka ndi chotupa chija choti kuchokera zifukwa zambiri n'zothandiza. Pachiopsezo odwala wamwamuna mafilimu komanso zaka zoposa 40 ndi mbiri ya tizilombo ting'onoting'ono mmimba, chironda chachikulu ndi gastritis aakulu. Zoyambitsa matenda amamwa mankhwala ndi carcinogens, komanso kumwa mowa ndi kusuta fodya. Kugwiritsa kudya mchere umachititsa pathological kutupa nembanemba wa mucous. Mofanana kwambiri ndi cholowa china.

Zizindikiro zigwirizana carcinoma mu kutopa mtima, ulesi, kusafuna kudya ndi tikamapita ku makampani ena. munthuyo mofulumira chimakula woonda, wofooka, izo zonse adzazunzidwa ndi kulemera m'mimba, pali kusanza mwadzidzidzi. Magazi mayeso mapulogalamu kuchuluka leukocytosis, zili myeloblasts ndi myelocytes. Ntchito matenda a x-ray, ultrasound jambulani ndi biopsy m'mimba. Chithandizo ikuchitika zamankhwala ndi opaleshoni. mankhwala ndiwofatsa zimaphatikizapo kugwiritsa ntchito analgesics ndi antiemetics, mavitamini ndi wothandizila odana ndi chotupa.

Kupewa chironda chachikulu cha m'mimba mwa mtundu uwu ndi nkhani ya zakudya, kupeŵa nkhawa ndi mantha mantha, kukana mankhwala mowa osauka-quality, kusuta fodya komanso makhalidwe ena oipa.

Kufunika kwa mankhwala mtundu wa chironda chachikulu

Anthu ambiri amaopa njira opaleshoni pamene ali zopweteka m'mimba. Matenda, zizindikiro zimene zinakambidwa pamwamba, zikhoza kuchizidwa njira zochiritsira zosagwiritsidwa. Zowonjezera njira zina, anasankha pamodzi ndi dokotala nawo, wodwala akhoza kupereka mpumulo symptomatic ndi kuchepetsa kutupa nembanemba mucous. Mwatsoka, ndi thandizo la mankhwala zina zikhoza anagonjetsedwa, si onse matenda a m'mimba. Zizindikiro ndi mankhwala azitsamba wowerengeka wa matenda alionse ndikofunikira kukambirana ndi dokotala wanu, chifukwa mankhwala zina sizingakhale yekha kukhala zopanda nzeru, komanso akhoza kwambiri kuvulaza mtima. Mwachitsanzo, khansa, komanso perforation, peritonitis, perforation ndi mitundu ina yaikulu amafuna yomweyo alowererepo pa opaleshoni. ntchito iliyonse kuchedwa likuoneka kuphetsa mtima.

zina zilonda zam'mimba, zizindikiro, chithandizo cha mankhwala wowerengeka kukambirana ndi dokotala wanu, achoke ntchito concoctions zosiyanasiyana zitsamba. A chida chabwino ndi tincture wa aconite muzu, celandine, maluwa calendula ndi mbatata. Decoctions wa strawberries, okoma, chimanga stigmas amathandiza kuchepetsa kutupa. Wodwala aliyense woyesedwa ndi mankhwala wowerengeka amasankhidwa payekha.

Kupewa matenda chironda chachikulu

Kupewa matenda muzituluka ndi mbali yofunika ya ndondomeko mankhwala. Wodwala ayenera kudya bwino, kupewa mchere, zokometsera, zonunkhira, kwathunthu kusiya khofi, mowa, kusuta fodya. Kulamulira zizindikiro za matenda, komanso kuteteza asayembekezere, muyenera kudya kawiri kawiri, chakudya chochepa. Kusadya kwambiri osafunika, koma kudya likuoneka njira yotupa. Inu sangathe kumeza chakudya ndi lalikulu, chunks bwino fodya ameneyu amatafunidwa.

Chithandizo cha matenda a m'mimba ndi zovuta ndi chiopsezo cha mavuto osiyanasiyana. Choncho ndi bwino kusamalira thanzi lawo komanso kupewa mavuto amenewa. Kupewa chapamimba chilonda kumaphatikizapo kuchita kumodzi. Ayenera kuyesetsa kupewa zosiyanasiyana mavuto, nachita njira zosangalatsa, kusinkhasinkha kusunga ulamuliro wa ntchito ndi zina. N'kofunika olimba thupi. Zambiri masewera olimbitsa thupi amathandiza kusunga minofu toned.