Koj puas mob plab tas li? Qhov no tej zaum yuav yog mob qog hauv plab (Kab mob qog hauv plab)! Cia peb tham txog qhov no.

Koj puas feem ntau hnov ​​​​​​mob kub hnyiab hauv koj lub plab, tsis xis nyob hauv koj lub plab? Peb coob tus tsis nco qab tias qhov no yog ib qho ib txwm muaj, tej zaum xav tias nws yog "gastritis". Txawm li cas los xij, qee zaum qhov kev tsis xis nyob no tuaj yeem yog qee yam loj dua me ntsis. Qhov ntawd yog qhov mob ntawm cov kab mob plab, lossis raws li cov kws kho mob hu ua, 'Kab mob peptic ulcer (PUD). Yog li, hnub no peb yuav tham txog qhov no kom ntxaws me ntsis, zoo li peb tab tom qhia ib tug phooj ywg. Vim tias kev paub txog qhov no tuaj yeem tseem ceeb heev rau koj.

Kab mob peptic ulcer yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, kab mob peptic ulcer yog ib qho mob qhib uas tshwm sim rau ntawm daim ntaub ntawm peb lub cev zom zaub mov, qhov chaw ntawm txoj hnyuv zom zaub mov uas peb zom zaub mov thiab dej haus. Lo lus "peptic" txhais tau tias "muaj feem cuam tshuam nrog kev zom zaub mov." Nws los ntawm lo lus "pepsin," uas yog ib qho enzyme zom zaub mov tseem ceeb uas tsim tawm hauv peb lub plab.

Xav txog seb, hauv peb lub plab peb muaj cov kua qaub hauv plab thiab cov enzyme no hu ua pepsin. Ob yam no yog cov uas pab peb zom cov khoom noj uas peb noj thiab zom nws. Cov kua txiv no muaj kua qaub heev, kom meej meej, nws ua rau lwj. Cov kua txiv no qee zaum mus rau hauv thawj feem ntawm peb txoj hnyuv me (duodenum).

Tam sim no saib, peb txoj hnyuv zom zaub mov tag nrho yog ib daim ntaub thaiv uas tiv thaiv cov phab ntsa ntawm cov khoom hnyav sab hauv. Daim ntaub thaiv no muaj zog heev hauv lub plab thiab thawj ntu ntawm txoj hnyuv me. Txawm li cas los xij, rau ib tus neeg uas muaj kab mob peptic ulcer, lub cev tiv thaiv no tsis muaj zog . Tom qab ntawd cov kua qaub zom zaub mov hnyav tuaj yeem noj cov phab ntsa.

Kab mob qog yog ib qho mob tob txaus kom nkag mus rau hauv peb txheej ntawm lub plab. Feem ntau, cov kab mob qog no tshwm sim hauv plab lossis thawj feem ntawm txoj hnyuv me (duodenum), vim tias qhov ntawd yog qhov uas cov kua qaub zom zaub mov ua haujlwm tshaj plaws. Tab sis tsis tshua muaj, lawv tuaj yeem tshwm sim rau lwm qhov chaw.

Cov qhov txhab no tshwm sim tau qhov twg? Puas muaj hom qhov txhab twg?

Yog, cov qhov txhab no feem ntau tshwm sim hauv peb lub plab thiab thawj feem ntawm txoj hnyuv me (duodenum).

• Kab mob Duodenal: Cov no yog cov feem ntau, suav txog li 80%.
• Mob plab: Cov no pom muaj li ntawm 20% ntawm cov neeg mob.

Txawm li cas los xij, muaj tej yam tsawg tsawg uas cov kua qaub hauv plab tuaj yeem tawm mus rau lwm qhov chaw, ua rau mob qog. Piv txwv li:

• Mob qog hauv txoj hlab pas: Ib txhia neeg muaj mob qog hauv plab uas kav ntev, uas yog thaum cov kua qaub hauv plab nce mus rau hauv caj pas. Yog tias qhov no txuas ntxiv mus, cov ntaub ntawm txoj hlab pas yuav maj mam lwj mus, ua rau mob qog. Qhov no yog vim tias cov ntaub ntawm txoj hlab pas tsis tiv taus cov kua qaub ntau npaum li cov ntaub ntawm lub plab.
• Kab mob Jejunal:Lub jejunum yog qhov nruab nrab ntawm peb txoj hnyuv me. Qee qhov kev phais (piv txwv li, gastrojejunostomy - ib qho kev phais uas txuas lub plab ncaj qha mus rau jejunum) tuaj yeem ua rau raug mob rau qhov no.

Tus mob no feem ntau tshwm sim li cas?

Thoob ntiaj teb, ntawm 5% thiab 10% ntawm cov neeg yuav muaj tus kab mob peptic ulcer (PUD) rau qee lub sijhawm hauv lawv lub neej. Txawm hais tias nws tuaj yeem tshwm sim rau txhua lub hnub nyoog, nws feem ntau tshwm sim rau cov neeg hnub nyoog nruab nrab thiab cov txiv neej.

Cov tsos mob ntawm qhov no yog dab tsi? Koj paub nws li cas?

Qhov xav tsis thoob yog, kwv yees li 70% ntawm cov neeg uas muaj tus mob no tsis muaj tsos mob dab tsi li . Txawm li cas los xij, cov lus uas cov neeg uas muaj cov tsos mob feem ntau hais yog:

• Mob Epigastric: Yuav kom meej meej, nws yog qhov mob uas los ntawm nruab nrab ntawm lub plab , hauv qab lub hauv siab.
• Mob plab zom mov tsis zoo: Ib qho kev mob plab uas tshwm sim tom qab noj mov. Qhov no suav nrog mob plab sab saud, kub hnyiab , xav tias puv tom qab noj mov, thiab xav tias puv tas li.

Qhov kev mob kub hnyiab no zoo li qhov uas cov kua qaub hauv plab thiab cov enzymes noj cov ntaub ntawm lub plab. Ib txhia neeg piav txog nws tias "zoo li muaj ib yam dab tsi khawb rau hauv lub plab." Tej zaum koj yuav paub qhov chaw mob tseeb.

Txawm hais tias nws nyuaj rau qhia meej tias qhov mob qog nqaij hlav puas yog nyob hauv plab lossis hauv txoj hnyuv me, muaj qee cov lus qhia:

• Yog tias koj muaj mob qog hauv plab , qhov mob yuav hnyav zuj zus tom qab noj mov (tsis pub dhau 30 feeb), vim tias qhov ntawd yog lub sijhawm uas cov kua qaub ncaug tawm ntau tshaj plaws.
• Yog tias muaj mob qog hauv plab hnyuv (duodenal ulcer) , qhov mob yuav ploj mus tom qab noj mov. Txawm li cas los xij, tom qab ob mus rau peb teev, qhov mob yuav nce ntxiv dua thaum cov khoom noj thiab cov kua qaub zom zaub mov hla mus rau hauv txoj hnyuv me. Ib txhia neeg yuam kev qhov no rau kev tshaib plab, vim tias kev noj mov ua rau kev pab. Kev sawv ntxov thaum hmo ntuj vim qhov mob kuj yog ib qho uas tshwm sim ntau rau cov neeg uas muaj cov qog hauv plab me no.

Ntxiv rau qhov no, koj tuaj yeem pom lwm yam nta xws li:

• Lub plab o
• Nquag burping los yog belching
• Tsis qab los noj mov
• Xeev siab thiab ntuav

Yog tias tsis kho ces yuav ua li cas? Cov teeb meem yog dab tsi?

Muaj ib txhia neeg muaj cov tsos mob tom qab tus mob tau tsim lwm yam teeb meem. Qhov no tshwm sim yog tias tsis kho ntev. Txwv tsis pub, cov qhov txhab tuaj yeem pib los ntshav , lossis phab ntsa tuaj yeem tob dua thiab ua lub qhov .

Yog tias koj muaj kev los ntshav sab saud ntawm txoj hnyuv, koj yuav muaj cov tsos mob xws li:

• Ntshav hauv cov quav ( cov quav dub, cov quav tarry )
• Cov ntuav kas fes av
• Kiv taub hau los yog tsaus muag
• Kev daj ntseg ntawm daim tawv nqaij (Pallor)
• Lub plawv dhia ceev ceev

Yog tias muaj qhov hauv txoj hnyuv zom zaub mov (gastrointestinal perforation), cov tsos mob xws li:

• Mob plab tam sim ntawd, hnyav, thiab ntse
• Mob plab o thiab mob tsis tuaj yeem ua tau
• Kub taub hau thiab mob khaub thuas

Yog tias tsis kho ntev, cov qhov txhab yuav kho tau thiab rov qab tshwm sim dua. Rau qee tus neeg, qhov caws pliav thiab o ntawm txoj hnyuv zom zaub mov tuaj yeem nce ntxiv, ua rau txoj hnyuv zom zaub mov tsis ua haujlwm . Qhov no tuaj yeem ua rau muaj cov tsos mob xws li:

• Kev o, o, thiab mob
• Xeev siab thiab ntuav
• Tsis qab los noj mov thiab poob phaus
• Kev tswj tsis tau zis thiab cem quav

Vim li cas peb thiaj muaj cov mob plab no? Cov laj thawj tseem ceeb yog dab tsi?

Cov txheej tiv thaiv ntawm peb txoj hnyuv zom zaub mov yog tsim los kom tiv taus cov kua qaub thiab cov enzymes hnyav thiab kho nws tus kheej yog tias puas tsuaj. Qhov no muaj tseeb tshwj xeeb hauv lub plab thiab thawj feem ntawm txoj hnyuv me. Txawm li cas los xij, cov qhov txhab tshwm sim thaum muaj qee yam cuam tshuam rau cov kev tiv thaiv ntuj no.

Yuav kom txo tau qhov kev tiv thaiv no thiab kom qhov mob qog nqaij hlav tob txaus kom nkag mus rau hauv cov hnyuv, yuav tsum muaj mob ntev lossis mob mus tas li . Cov kws tshawb fawb tau txheeb xyuas ob qho laj thawj tseem ceeb uas ua rau feem ntau ntawm cov PUDs no:

1. H. pylori (Helicobacter pylori) Kab mob kis los ntawm cov kab mob: Cov kab mob no nyob hauv lub plab thiab/lossis txoj hnyuv me me ntawm yuav luag ib nrab ntawm cov pej xeem hauv ntiaj teb. Rau feem ntau ntawm cov neeg, nws tsis ua rau muaj teeb meem dab tsi. Txawm li cas los xij, yog tias cov kab mob loj dhau, nws tuaj yeem ua rau muaj kev sib npaug ntawm lwm cov kab mob me me nyob ntawd thiab ua rau muaj kev o . Qhov kev o ntev no ua rau phab ntsa tsis muaj zog thiab txo nws lub peev xwm los kho nws tus kheej. Qee zaum, cov kab mob tuaj yeem tawm tsam phab ntsa ncaj qha.

2. Siv cov tshuaj nonsteroidal anti-inflammatory drugs (NSAIDs) ntau dhau: Cov no yog cov tshuaj tua kab mob uas peb yuav los ntawm lub tsev muag tshuaj yam tsis muaj daim ntawv yuav tshuaj, xws li aspirin thiab ibuprofen. Vim tias lawv noj yam tsis tau kev qhia los ntawm kws kho mob, ntau tus neeg noj lawv ntau zaus dua li lawv xav tau. Qhov no cuam tshuam rau qhov sib npaug ntawm cov tshuaj hauv peb lub plab thiab txoj hnyuv me. NSAIDs ua haujlwm los ntawm kev txo cov tshuaj hu ua prostaglandins, uas kho qhov puas tsuaj rau cov ntaub ntawm txoj hnyuv zom zaub mov.

Ntxiv rau ob qho laj thawj tseem ceeb no, muaj lwm yam laj thawj uas tsis tshua muaj neeg pom:

• Lwm yam kab mob
• Txo cov ntshav ntws ('Ischemia')
• Kev ntxhov siab hnyav heev (feem ntau yog los ntawm kev mob nkeeg lossis kev raug mob uas ua rau tuag taus)
• Kev kho mob chemotherapy lossis kev kho mob hluav taws xob
• Zollinger-Ellison syndrome - ib qho mob uas lub plab tsim cov kua qaub ntau dhau
• Kab mob Crohn - ib qho mob o ntawm txoj hnyuv plab
• Mob qog noj ntshav hauv plab

Leej twg muaj feem yuav mob no ntau dua?

Yog tias koj muaj tus kab mob H. pylori lossis koj siv cov tshuaj NSAIDs ntau zaus, koj yuav muaj feem ntau dua rau cov mob plab no. Qhov kev pheej hmoo yog siab heev yog tias koj muaj ob qho tib si ntawm cov yam no.

Ntxiv mus, kev haus luam yeeb, haus dej cawv, thiab lwm yam tshuaj uas koj noj kuj tuaj yeem ua rau qhov no. Txawm hais tias cov no ib leeg tsis muaj zog txaus los ua rau mob qog, thaum ua ke nrog tus kab mob H. pylori lossis siv NSAID, lawv ua rau muaj feem yuav mob qog hauv plab.

Cov kws kho mob kuaj mob li cas?

Yog koj tus kws kho mob xav tias muaj mob qog hauv plab vim koj cov tsos mob thiab cov yam uas ua rau koj muaj feem yuav mob, lawv yuav xub kuaj koj lub caj pas seb puas muaj mob qog. Lawv kuj yuav kuaj seb puas muaj tus kab mob H. pylori.

Rau ntau tus neeg, kev kuaj mob zaum kawg los ntawm kev siv lub koob yees duab me me rau ntawm txoj hlab pas (EGD test) . Qhov no suav nrog kev ntxig ib lub raj nyias nyias uas muaj lub koob yees duab me me rau ntawm qhov kawg ntawm lub qhov ncauj thiab kuaj xyuas txoj hlab pas, lub plab, thiab thawj feem ntawm txoj hnyuv me. Lub sijhawm no, ib daim nqaij me me (kev kuaj nqaij me me) kuj tseem yuav raug coj los ntawm lub plab los xyuas seb puas muaj H. pylori.

Kev kuaj mob endoscopy muaj txiaj ntsig zoo heev vim nws tsis yog tsuas yog cia koj pom cov duab xwb, tab sis kuj tseem cia koj muab cov cuab yeej hla lub raj yog tias tsim nyog thiab ua kev kho mob. Piv txwv li, yog tias qhov txhab los ntshav, koj tuaj yeem kho nws tam sim ntawd kom tsis txhob muaj.

Lwm yam kev ntsuam xyuas:

• Yuav ua tau ib qho 'CT scan (Computed Tomography scan)' los yog 'GI series X-ray exam' los nrhiav cov qhov txhab loj dua.
• Yuav ua tau ib qho "kev kuaj ua pa Urea" los yog "kev kuaj quav" kom paub txog tus kab mob "H. pylori".

Cov kev kho mob yog dab tsi?

Kev kho mob tseem ceeb rau cov mob qog hauv plab yog kev sib xyaw ua ke ntawm cov tshuaj uas txo cov kua qaub hauv plab, tiv thaiv cov ntaub so ntswg, thiab pab kom nws zoo . Yog tias koj muaj kev kis kab mob, koj kuj tseem yuav xav tau tshuaj tua kab mob . Qhov tseem ceeb tshaj plaws yog nrhiav thiab kho qhov ua rau mob qog.

Feem ntau, cov qhov txhab tsuas yog kho tau los ntawm kev siv tshuaj xwb. Txawm li cas los xij, yog tias muaj teeb meem, xws li qhov txhab los ntshav lossis qhov txhab tawg, tej zaum yuav xav tau kev kho mob ntxiv. Ntau yam teeb meem no tuaj yeem tswj tau los ntawm kev siv cov txheej txheem kho mob yooj yim, xws li kev siv tshuab endoscopy.

Cov tshuaj

• Tshuaj tua kab mob: Yog tias koj muaj kev kis tus kab mob H. pylori lossis lwm yam kab mob, koj tus kws kho mob yuav sau ntawv kom siv cov tshuaj tua kab mob sib xyaw ua ke los tua cov kab mob. (Piv txwv li: Amoxicillin, Clarithromycin, Metronidazole)
• Cov tshuaj tiv thaiv kab mob: Cov tshuaj no ua haujlwm los ntawm kev txheej thiab tiv thaiv lub plab kom txog thaum nws zoo. (Piv txwv li: `Sucralfate`, `Misoprostol`, `Bismuth subsalicylate`)
• Cov tshuaj thaiv cov histamine receptor (H2 blockers): Cov tshuaj no txo ​​cov kua qaub los ntawm kev thaiv cov tshuaj uas qhia rau lub plab kom tsim cov kua qaub. (Piv txwv li: `Famotidine`, `Cimetidine`)
• Cov tshuaj tiv thaiv proton (PPIs): Cov tshuaj no txo ​​cov kua qaub hauv plab thiab pab kom cov ntaub ntawm lub plab kho los ntawm kev tiv thaiv nws. (Piv txwv li: Omeprazole, Pantoprazole, Esomeprazole)
• Lwm cov tshuaj tua mob uas tsis yog NSAIDs: Yog tias koj feem ntau noj NSAIDs, koj yuav xav tham nrog koj tus kws kho mob txog lwm txoj hauv kev. Acetaminophen (paracetamol) yog ib yam tshuaj uas tsis yog NSAID thiab tsis muaj cov nyhuv zoo ib yam rau ntawm daim tawv nqaij ntawm lub plab.

Cov txheej txheem kho mob

Yog koj muaj ib qho qhov txhab uas nyuaj thiab los ntshav, koj tus kws kho mob yuav tsum tau kho nws ncaj qha. Qhov no feem ntau ua tau thaum lub sijhawm endoscopy. Kev los ntshav raug txwv los ntawm kev siv cauterizing lub qhov txhab lossis txhaj tshuaj. Yog tias muaj qhov, nws raug xaws kaw.

Tsis tshua muaj, yog tias muaj qhov txhab hauv lub qhov ncauj ua rau lub raj xa dej txhaws, tej zaum yuav xav tau kev pab kom rov qhib nws. Qhov no yuav suav nrog kev nqus cov khoom hauv lub plab lossis, tsis tshua muaj, phais.

Peb yuav tsum ua li cas los tiv thaiv peb tus kheej ntawm qhov xwm txheej no? (Kev tiv thaiv)

Tej yam tseem ceeb tshaj plaws uas koj ua tau los tiv thaiv koj tus kheej ntawm tus kab mob peptic ulcer yog:

1. Mus kuaj mob H. pylori thiab kho mob: Muaj coob tus neeg muaj mob H. pylori tab sis tsis paub tias muaj. Koj tuaj yeem nrhiav tau seb koj puas muaj mob los ntawm kev ua qhov kev kuaj ua pa urea yooj yim. Yog tias koj muaj, mus kho ua ntej muaj teeb meem tshwm sim. Txawm tias koj tau kho mob ua ntej lawm los xij, nws yog ib lub tswv yim zoo kom mus kuaj dua, vim tias qee zaum nws tuaj yeem rov qab los.

2. Siv cov NSAIDs raws li qhia xwb: Yog tias koj tau siv cov NSAIDs rau cov mob me me txhua hnub, ceev faj tsis txhob noj ntau tshaj li qhov pom zoo. Yog tias koj muaj keeb kwm mob plab, nws yog qhov zoo tshaj plaws kom tsis txhob siv lawv. Yog tias tsim nyog, noj lawv nrog lwm yam tshuaj uas tiv thaiv cov ntaub so plab.

Cov qhov txhab no puas yuav zoo yog tsis muaj tshuaj?

Yog tias qhov ua rau mob qog raug tshem tawm, qhov mob qog yuav zoo. Txawm li cas los xij, feem ntau yuav tsum tau kuaj mob kom paub qhov ua rau mob. Yog tias qhov ua rau mob qog yog tus kab mob H. pylori lossis lwm yam mob, yuav tsum tau kho kom tshem tawm qhov mob.

Yog tias qhov ua rau tsuas yog NSAIDs xwb, qhov mob qog yuav zoo nws tus kheej yog tias koj tsis noj lawv. Txawm li cas los xij, koj yuav tsum mus ntsib kws kho mob kom paub meej qhov no. Koj kuj tseem yuav muaj tus kab mob H. pylori, thiab NSAIDs tuaj yeem ua rau tus kab mob uas tsis muaj teeb meem yav dhau los hnyav dua.

Tom qab kho tas lawm, yuav ua li cas? Yuav siv sijhawm ntev npaum li cas mam li rov zoo?

Feem ntau cov mob plab yuav kho tau hauv ob peb lub lis piam . Cov neeg feem coob yuav tsum tau noj tshuaj li ob lub hlis. Cov tshuaj no zoo heev. Txawm li cas los xij, cov neeg uas muaj mob ntev xws li Zollinger-Ellison syndrome yuav tsum tau noj tshuaj no mus tas lawv lub neej.

Tom qab kho mob tas, tus kws kho mob yuav ua cov kev kuaj mob ntxiv kom paub tseeb tias qhov mob qog tau zoo tag nrho thiab qhov kev kis kab mob ploj mus lawm. H. pylori yog ib hom kab mob uas nyuaj rau kho thiab qee zaum tuaj yeem rov qab los. Tsis tas li ntawd, yog tias cov mob uas ua rau muaj qhov mob qog txuas ntxiv mus, qhov mob qog tuaj yeem rov qab los.

Tsis tshua muaj neeg mob uas yuav muaj mob plab uas kho tsis tau zoo. Tej no ua rau mob ntev thiab mob ntau heev. Yog li ntawd, yuav tsum tau phais (piv txwv li, tshem cov nqaij caws pliav (pyloroplasty), lossis txiav cov hlab ntsha uas tswj cov kua qaub hauv plab (vagotomy)).

Koj puas xav tau hloov koj txoj kev noj haus thiab kev ua neej?

Khoom noj thiab dej haus tsis ua rau mob plab, tab sis yog tias koj muaj mob plab, qee yam khoom noj thiab dej haus (tshwj xeeb tshaj yog cov khoom noj ntsim, qaub) tuaj yeem ua rau mob hnyav dua . Yog tias koj muaj cov tsos mob lossis tau muaj mob plab yav dhau los, koj yuav tsum tsis txhob haus cawv thiab haus luam yeeb kiag li .

Tham nrog koj tus kws kho mob txog txhua yam tshuaj uas koj noj (tshwj xeeb yog cov NSAIDs). Qee cov tshuaj tuaj yeem ua rau muaj teeb meem thaum noj ua ke.

Qhov no puas kho tsis tau los ntawm kev siv cov tshuaj antacids hauv tsev?

Cov tshuaj Antacids ua haujlwm los ntawm kev ua kom cov kua qaub tsis txhob nkag mus rau hauv lub plab thiab txo cov tsos mob xws li mob plab, mob plab, thiab mob plab zom mov tsis zoo. Lawv yuav ua rau lub qhov txhab zoo dua ib ntus, tab sis lawv tsis kho lub qhov txhab . Yog tias koj tau muaj mob plab ua ntej, cov tshuaj antacids yuav pab tiv thaiv lawv kom tsis txhob rov qab los.

Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?

Yog koj xav tias koj muaj mob qog hauv plab, nco ntsoov mus ntsib kws kho mob . Txawm hais tias cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj yuav pab tswj tau koj cov tsos mob ib ntus los xij, lawv yuav tsis kho tau qhov qog. Yuav tsum nrhiav thiab kho qhov ua rau mob qog.

Txawm tias koj tsis muaj tsos mob hnyav los, qhov mob qog nqaij hlav uas tsis tau kho, tuaj yeem ua rau muaj teeb meem loj heev. Kev kis tus kab mob H. pylori, uas yog qhov ua rau mob qog nqaij hlav hauv plab, kuj tuaj yeem ua rau muaj lwm yam teeb meem (xws li kev pheej hmoo ntawm kev mob qog nqaij hlav hauv plab).

Yog koj pom cov cim qhia tias muaj teeb meem loj zoo li no, mus rau chav kho mob ceev tam sim ntawd:

• Mob hnyav tas li.
• Muaj cov cim qhia tias muaj ntshav nyob hauv cov quav (cov quav dub) lossis ntuav ntshav.
• Cov cim qhia tias poob ntshav hnyav (ntshav daj, tsaus muag).

Tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov (Cov Lus Coj Mus Tsev)

Kab mob peptic ulcer yog ib yam mob hnyav uas cuam tshuam rau koj lub cev zom zaub mov. Nws tshwm sim thaum koj lub cev tiv thaiv kab mob tsis muaj zog. Qhov mob no siv sijhawm los tsim thiab feem ntau yuav tsum tau kho mob kom zoo.

Mob qog hauv plab yog ib yam mob uas feem ntau kho tau. Txawm li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum nrhiav kev kho mob txawm tias koj tsis muaj cov tsos mob hnyav los xij.Yog tias tsis kho, cov qhov txhab yuav tob zuj zus thiab hnyav zuj zus. Yog li ntawd, tsis txhob ncua sijhawm tham nrog kws kho mob txog koj cov tsos mob. Koj txoj kev noj qab haus huv tsim nyog!

` Mob plab hnyuv, mob plab hnyuv, mob plab o, H. pylori, NSAID, mob plab zom mov tsis zoo, mob plab zom mov tsis zoo