Chironda chepondach uye duodenal ulcer chirwere chisingaperi chisingaperi. Iyo inoratidzwa nekuumbwa kwematambudziko emunharaunda pamakumbo emucheka mucosa, ayo anonzi peptic ulcers. Ihwo hukuru hwechirwere ichi ndechekuti ine tsika yekudzoka uye kufambira mberi, inosanganisira nhengo dzakasiyana-siyana dzekudya mukati mehutano hwehutano.
Kuvandudza peptic ulcer chirwere
Iyo yakakura pathogenesis yepptic ulcer yemudumbu uye duodenum inotanga nekupinda mukati momuviri webhakitiriya Helicobacter pylori uye kupesana kwezvokudya, izvo zvinoratidzwa mu:
- kakawanda uye zvakasimba kwazvo kudzivirira ivo pachavo mune chero zvokudya;
- kugamuchirwa kwemiti yakashata uye zvokudya;
- kudya kwazvo manheru.
Kukura kwekukurumidza kwechirwere ichi kunotungamirira kune kuputsa kwekuvhara kweGIT hormones, mahomoni ehtiroid uye dzakasiyana-siyana zveuropathy neuropsychic. Mune zvimwe zviitiko, chirwere ichi chinowanikwa mushure mokutora mamwe mishonga. Izvi zvinosanganisira zvinodhaka zvakadai se:
- Butadiene;
- Acetylsalicylic acid;
- Reserpine;
- corticosteroid hormones.
Zviratidzo zveputi chechirwere
Zviratidzo zvehuponda chechirwere chemudumbu uye duodenum zvinoenderana nezera remurwere, ndechipi chikwata uye nguva yehutachiona, uye iyo inofungidzirwa nehutachiona iripo. Vakawanda varwere vane zviratidzo zvakadaro:
- Pain syndrome - nechisimba chechirwere chekutambudzika, paroxysmal kana kure uye kupera, chinogona kuonekwa mushure mekudya kana musina chinhu chisina chinhu, zvose zvinofadza zvinonzwa kuderera mushure mekutora anticholinergics kana antispasmodics. Muhupenyu husingaperi hwechirwere ichi, simba rekutambudzika rinononoka zvishoma nezvishoma uye rinowana ruzha rwemhere.
- Dyspeptic syndrome chirwere chakaoma, kurutsa uye kushungurudza, kuora mwoyo, kazhinji chirwere chakadaro chinoratidzika muchikamu chakaoma.
- Zvose hazvirevi kudhakwa kunonyanya kuora musoro, kuvhiringidza kwezvokudya, kuvhiringidzika kwekurara nguva dzose, kutuka uye kugadzikana mupfungwa.
Zviratidzo zvehuputi chechirwere chemuviri uye duodenum zvinenge zvisati zvamboonekwa munguva yekuregererwa. Nguva yaro yakasiyana. Inogona kupedza makore akawanda.
Kuongororwa kwepasta yegonda
Kana chirwere ichi chisina kubatwa, chinotungamirira mukukurumidza kukura kwemigumisiro yakaipa kwazvo, iyo isingagoni kubviswa. Zvinetso zvakanyanya uye zvakakomba zvepeptic ulcer yemudumbu uye duodenum ndeizvi:
- fatty hepatosis ;
- dyskinesia ye gallbladder;
- reactive pancreatitis;
- kuora kwechironda mumakumbo maitiro;
- gastroduodenal kubuda;
- pyloroduodenal maitiro e stenosis.
Kuongororwa kwechirwere chepptic yemudumbu uye duodenum kunofanira kuitwa nenzira yekuona dumbu (fractional).
Kurapa kwepasta yevhu
Muzviitiko zvose, peptic ulcer ine chimiro chakanaka chinofananidzira. Chaizvoizvo, nekodzero yekurapa panguva yakakodzera, basa remuurwere rinokwanisa kudzorerwa zvakakwana. Nhamba yehutano hwekurapa inobva pane nzvimbo yezvironda uye kuvapo kwezvinetso.
Mhando yemishonga yakanyorerwa kuvarwere yakakwana. Pasina kurega, varwere vose vanofanira kutora rimwe kana mamwe maantibayoti. Inogona kuva:
- Clarithromycin ;
- Metronidazole;
- Amoxicillin.
Kuti kuderedza kushandiswa kwemasidho:
- blockers of histamine receptors (Ranitidine);
- maitiro ekugadzirira (Almagel kana Fosfalugel);
- inhibitors yeproton pump (Omez kana Nexium).
Kuti mucous nokukurumidza kuporese, iwe unofanirwa kutora zvinodhaka, iyo inoshanda inoshandiswa iyo inoshandiswa kana kuti actovegin.
Kuchengetedza peptic ulonda chirwere chemuviri uye duodenum, unofanira kutevera kudya, kutora anti-ulcer mishonga uye kushanyira gastroenterologist kamwechete pagore.