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Txhua yam koj yuav tsum paub txog mob plab!

Txhua yam koj yuav tsum paub txog mob plab!

Thaum peb mob plab los yog o, peb feem ntau xav txog mob plab hnyuv. Tab sis qee zaum qhov ua rau mob ntawd tuaj yeem yog mob plab lossis mob plab hnyuv (Stomach Ulcer / Gastric Ulcer). Ib yam li mob ntawm peb daim tawv nqaij, qhov no yog mob plab uas tsim rau ntawm phab ntsa sab hauv ntawm lub plab. Qhov no yog ib qho mob uas tshwm sim ntau heev thiab tuaj yeem kho thiab kho tau. Txawm li cas los xij, yog tias tsis kho kom zoo, nws tuaj yeem ua rau muaj mob hnyav. Yog li, mob plab hnyuv yog dab tsi? Vim li cas nws tshwm sim? Cov tsos mob yog dab tsi? Cov kev kho mob thiab kev tiv thaiv yog dab tsi? Peb yuav tham txog txhua yam no hauv tsab xov xwm no.

Kab mob plab no yog dab tsi? (Txheej txheem cej luam)

Cov mob plab loj hlob li cas?

Peb lub plab muaj cov kua qaub hydrochloric thiab cov enzymes uas pab zom zaub mov. Cov no muaj zog heev. Yog li, txhawm rau tiv thaiv cov phab ntsa plab ntawm cov kua qaub no, muaj ib daim ntaub tiv thaiv plab ua los ntawm cov hnoos qeev tuab. Tab sis yog tias muaj qee qhov laj thawj uas daim ntaub tiv thaiv no raug puas tsuaj, cov kua qaub muaj zog ntawd tuaj yeem noj cov phab ntsa plab. Ib qho 'qhib qhov mob' uas tsim los ntawm kev noj nws hu ua mob plab.

Nws muaj ntau npaum li cas?

Qhov no yog ib qho mob uas tshwm sim ntau heev. Nws kuj tshwm sim ntau heev hauv Sri Lanka. Qhov laj thawj tseem ceeb rau qhov no yog vim ob qho ua rau mob plab yog qhov tshwm sim ntau heev hauv peb lub zej zog. Lawv yog:

  1. Kev siv cov tshuaj tua kab mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj ( NSAIDs ) dav dav.
  2. Qhov muaj ntau ntawm kev kis tus kab mob H. pylori .

Mob Plab Ulcers vs Mob Peptic Ulcers

Ob lub npe no yuav ua rau tsis meej pem. " Kab mob peptic ulcer" yog ib qho mob uas daim ntaub ntawm lub plab lossis thawj feem ntawm txoj hnyuv me ( duodenum) raug puas tsuaj los ntawm cov kua qaub hauv plab.) yog ib lub npe rau cov kab mob qog. Yog li, cov kab mob qog uas tshwm sim hauv plab (Gastric Ulcer / Stomach Ulcer) yog ib hom kab mob qog peptic. Cov kab mob qog uas tshwm sim hauv thawj feem ntawm txoj hnyuv hu ua "Duodenal Ulcers". Cov ua rau thiab kev kho mob ntawm ob qho tib si zoo sib xws heev.

Cov tsos mob thiab ua rau

Cov tsos mob ntawm mob qog hauv plab yog dab tsi?

  • Cov tsos mob tseem ceeb: Mob kub hnyiab : Cov tsos mob tseem ceeb uas feem ntau cov neeg hnov ​​yog mob kub hnyiab lossis mob khaus rau sab saud ntawm lub plab (nyob hauv qab nruab nrab ntawm lub hauv siab, saum lub duav, thiab hnyav dua rau sab laug). Qhov no yuav zoo li cov kua qaub kub hnyiab, lossis zoo li muaj ib yam dab tsi noj sab hauv (ib yam khoom noj uas tom). Qhov kev xav no tsis yog ib qho kev xav xwb, tab sis qhov tseeb yog cov kua qaub thiab cov enzymes noj ntawm qhov txhab. Qhov mob no yuav hnyav dua thaum lub plab khoob, tshwj xeeb tshaj yog thaum hmo ntuj. Ib txhia neeg pom tias qhov mob tau txo qis los ntawm kev noj mov, tab sis rau lwm tus (tshwj xeeb tshaj yog nrog cov mob plab), qhov mob yuav hnyav dua thaum lawv noj mov.
  • Kev zom zaub mov tsis zoo thiab puv npo: Muaj ntau tus neeg uas muaj mob plab muaj cov tsos mob ntawm kev zom zaub mov tsis zoo. Qhov no yog kev xav tias puv npo nrog rau kev kub hnyiab hauv plab. Koj yuav xav tias puv npo thaum koj pib noj mov, lossis koj yuav xav tias puv npo ntev tom qab noj mov.
  • Lwm cov tsos mob uas tshwm sim ntau: Ntxiv rau cov no, cov tsos mob ntsig txog cov mob uas ua rau raug mob yuav suav nrog:
    • Acid reflux thiab mob plab
    • Xeev siab thiab ntuav
    • Kev o, belching, thiab mob roj
  • Cov Kab Mob Qog Uas Tsis Muaj Teeb Meem Thiab Cov tsos mob ntawm Cov Teeb Meem: Qhov xav tsis thoob yog tias muaj ib txhia neeg muaj cov kab mob qog hauv plab tab sis lawv tsis hnov ​​mob lossis muaj cov tsos mob dab tsi. Cov no hu ua "cov kab mob qog uas tsis muaj teeb meem." Lawv yuav tsis paub tias lawv muaj cov kab mob qog kom txog thaum muaj teeb meem loj tshwm sim, xws li los ntshav lossis tawg. Nrhiav kev kho mob tam sim ntawd yog tias koj muaj ib qho ntawm cov tsos mob no:
    • Kev daj ntseg ntawm daim tawv nqaij (Pallor)
    • Kiv taub hau, tsis muaj zog lossis tsaus muag - tej zaum yog vim poob ntshav.
    • Cov quav dub, muaj kua qaub - vim yog cov ntshav uas zom lawm.
    • Ntuav zoo li cov kas fes av - vim yog cov ntshav txhaws hauv plab.
    • Mob plab sai sai thiab mob heev uas tsis ploj mus - tej zaum yuav yog ib qho cim qhia tias muaj qhov tho.

Cov teeb meem loj npaum li cas?

Yog tias tsis kho, cov qhov txhab hauv plab tuaj yeem ua rau muaj teeb meem loj heev:

  • Cov Qhov Ncauj Los Ntshav: Qhov txhab yuav los ntshav tas li, maj mam los yog tam sim ntawd. Yog tias nws los ntshav qeeb qeeb, dhau sijhawm, lub cev cov ntshav yuav txo qis, ua rau muaj ntshav tsis txaus. Yog tias nws los ntshav ntau, lub cev yuav poob siab thiab txawm tias tuag.
  • Kab Mob Qog Hauv Plab: Ib qho xwm txheej ceev uas tsis tshua muaj tab sis loj heev uas lub qog tawg tag nrho los ntawm phab ntsa plab thiab ua ib lub qhov. Lub qhov no tuaj yeem ua rau cov kua qaub hauv plab thiab cov kab mob nkag mus rau hauv lub plab, ua rau muaj kev kis kab mob hnyav (peritonitis). Kab mob no kuj tuaj yeem kis mus rau cov ntshav, ua rau muaj mob hnyav hu ua sepsis.

Cov ua rau mob plab yog dab tsi?

Ob qho ua rau mob plab hauv Sri Lanka thiab thoob plaws ntiaj teb yog:

  • Kab mob H. pylori (Helicobacter pylori): Qhov no yog ib qho kab mob uas tshwm sim ntau heev. Kwv yees li ntawm ib nrab ntawm cov pej xeem hauv ntiaj teb muaj cov kab mob no nyob hauv lawv lub plab. Rau cov neeg feem coob, cov kab mob no tsis ua rau muaj teeb meem dab tsi. Txawm li cas los xij, rau qee tus neeg, cov kab mob no loj hlob ntau dhau hauv lub plab thiab pib noj cov txheej tiv thaiv ntawm lub plab. Qhov no ua rau mob o, uas dhau sijhawm tuaj yeem ua rau mob plab.
  • Siv cov tshuaj NSAID uas ua rau mob: NSAID (Nonsteroidal Anti-inflammatory Drugs) yog ib hom tshuaj uas peb feem ntau yuav los ntawm lub tsev muag tshuaj. Piv txwv li , Ibuprofen, Naproxen, Diclofenac, Aspirin.Cov tshuaj zoo li no yog cov tshuaj uas koom nrog pawg no. (Paracetamol tsis yog tshuaj hauv pawg no). Thaum cov NSAIDs no nkag mus rau hauv plab, lawv ua rau mob me ntsis rau ntawm phab ntsa plab, thiab lawv kuj tiv thaiv kev tsim cov tshuaj uas tiv thaiv thiab kho phab ntsa plab. Feem ntau, peb phab ntsa plab tuaj yeem rov zoo los ntawm kev puas tsuaj me me zoo li no. Tab sis yog tias peb noj cov NSAIDs no ntau dhau, phab ntsa plab yuav tsis muaj sijhawm txaus los kho nws tus kheej. Maj mam, cov txheej tiv thaiv yuav lwj thiab ua rau mob qog.

Lwm yam ua rau tsis tshua muaj

Ntxiv rau ob qho laj thawj tseem ceeb no, mob plab kuj tseem tuaj yeem tshwm sim los ntawm cov hauv qab no, tsis tshua muaj:

  • Lwm yam kab mob: Tsis tshua muaj, lwm yam kab mob bacterial, viral, lossis fungal tuaj yeem cuam tshuam rau lub plab thiab ua rau mob qog.
  • Zollinger-Ellison syndrome: Qhov no yog ib qho mob tsis tshua muaj uas lub plab tsim cov kua qaub ntau dhau, ua rau lub plab puas tsuaj.
  • Kev ntxhov siab hnyav heev: Kev hloov pauv ntawm cov tshuaj hormones thiab tshuaj lom neeg uas tshwm sim thaum lub cev sim rov zoo los ntawm kev mob hnyav uas yuav ua rau tuag taus (piv txwv li, kub hnyiab hnyav, phais loj) lossis xwm txheej tuaj yeem ua rau cov kua qaub hauv plab nce ntxiv, ua rau muaj qhov hu ua "mob qog nqaij hlav." Qhov no tsis yog kev ntxhov siab ntawm lub hlwb uas peb ntsib hauv lub neej txhua hnub.

Puas yog txoj kev ua neej cuam tshuam rau nws?

Muaj coob tus neeg xav tias kev noj zaub mov ntsim thiab kev ntxhov siab ua rau mob plab. Qhov tseeb yog, tej yam uas cuam tshuam rau lub neej txhua hnub (xws li yam koj noj thiab haus, kev ntxhov siab dav dav) tsis yog ua rau mob plab ncaj qha. Txawm li cas los xij, yog tias koj twb muaj mob plab lawm, cov no tuaj yeem ua rau koj cov tsos mob hnyav dua . Qhov no yog vim lawv ua rau koj lub plab muaj kua qaub ntau ntxiv, ua rau mob plab hnyav dua.

  • Haus luam yeeb
  • Kev siv cawv
  • Cov khoom noj ntsim
  • Cov khoom noj uas muaj kua qaub xws li txiv lws suav thiab txiv qaub
  • Cov dej haus muaj caffeine xws li kas fes thiab tshuaj yej

Kev Kuaj Mob thiab Kev Ntsuas

Ua li cas koj thiaj paub tias muaj mob plab?

Thaum koj mus ntsib kws kho mob, lawv yuav xub nug txog koj cov tsos mob, seb koj puas noj cov tshuaj NSAIDs tas li, thiab seb koj puas tau muaj tus kab mob H. pylori yav dhau los. Yog tias koj cov tsos mob qhia tias muaj mob plab, lawv yuav tsum kuaj sab hauv koj lub plab kom paub meej.

Koj ua hom kev ntsuam xyuas dab tsi?

Muaj ob yam tseem ceeb uas tus kws kho mob yuav tsum paub:

  1. Koj puas muaj tus kab mob H. pylori?
  2. Koj puas muaj mob qog hauv plab? Nws zoo li cas?

Txoj kev zoo tshaj plaws los ua ob qho tib si tib lub sijhawm yog los ntawm kev siv endoscopy .

  • Kev kuaj Endoscopy Sab Sauv / EGD: Qhov no suav nrog kev ntxig ib lub raj ntev, nyias, thiab yoog tau (endoscope) nrog lub koob yees duab thiab lub teeb nyob rau ntawm qhov kawg los ntawm koj lub qhov ncauj thiab nqes mus rau hauv koj lub caj pas los kuaj sab hauv ntawm koj lub plab thiab txoj hnyuv me. Koj yuav tau txais kev pw tsaug zog kom pab koj xis nyob. Tus kws kho mob tuaj yeem siv lub koob yees duab los saib ntawm phab ntsa plab ntawm lub vijtsam kom pom seb puas muaj qhov txhab lossis los ntshav. Nws kuj tseem tuaj yeem siv cov cuab yeej me me los rho ib daim nqaij me me (biopsy) los ntawm thaj chaw lossis qhov txhab uas xav tias muaj kab mob H. pylori. Yog tias muaj kev los ntshav los ntawm qhov txhab, kev kho mob tuaj yeem muab kom tsis txhob los ntshav tam sim ntawd (piv txwv li, cauterizing cov hlab ntsha) thaum lub sijhawm endoscopy no.
  • Lwm Yam Kev Ntsuas: Txawm hais tias endoscopy yog txoj kev zoo tshaj plaws, qee zaum lwm txoj kev yuav siv tau:
    • Cov duab X-ray ntawm lub plab sab saud (Swallow Barium): Hauv qhov no, cov kua hu ua barium raug nqos thiab cov duab X-ray raug thaij. Vim tias barium txheej rau ntawm daim ntaub ntawm lub plab, txhua qhov mob tuaj yeem pom ntawm X-ray. Txawm li cas los xij, qhov no tsis yog qhov tseeb li endoscopy, thiab cov mob me me yuav tsis pom.
    • Kev kuaj mob H. pylori: Muaj kev kuaj sib cais los xyuas seb puas muaj cov kab mob no:
      • Kev Ntsuas Ua Pa Urea: Koj tau muab ib yam kua tshwj xeeb rau haus, thiab tom qab ntawd koj cov pa uas koj tso tawm raug kuaj.
      • Kev Kuaj Ntshav: Qhov no kuaj seb puas muaj cov tshuaj tiv thaiv kab mob H. pylori. Txawm li cas los xij, nws tsis tuaj yeem qhia meej tias koj puas tau kis tus kab mob tam sim no lossis tau kis tus kab mob yav dhau los.
      • Kev Kuaj Xyuas Cov Kab Mob Hauv Cov Quav: Yuav kuaj cov qauv quav seb puas muaj cov kab mob bacterial antigens.

Lwm yam mob uas yuav yuam kev rau mob plab

Yog tias cov kev kuaj mob lees paub tias koj tsis muaj mob qog hauv plab, qhov ua rau koj cov tsos mob yuav yog lwm yam, xws li:

  • GERD (Kab Mob Gastroesophageal Reflux): Yog tias cov kua qaub ntawm lub plab pheej rov qab los rau hauv caj pas (acid reflux), nws kuj tseem tuaj yeem ua rau muaj cov tsos mob xws li mob siab, mob plab, thiab xeev siab.
  • Kev Ua Tsis Taus Haujlwm: Qhov no yog ib qho mob uas muaj cov tsos mob ntawm kev zom zaub mov tsis tu ncua (mob plab, kub siab, puv) yam tsis muaj laj thawj pom tseeb. Txawm hais tias cov tsos mob zoo ib yam li cov kab mob plab, tsis muaj kab mob pom tseeb hauv phab ntsa plab.
  • Mob qog noj ntshav hauv plab: Qhov no tsis tshua muaj, tab sis tuaj yeem ua rau muaj cov tsos mob zoo ib yam li mob qog hauv plab (mob plab, poob phaus, tsis xav noj mov). Yog vim li cas nws thiaj li tseem ceeb uas yuav tsum tau kuaj lub cev thaum lub sijhawm endoscopy.

Kev Tswj thiab Kev Kho Mob

Yuav kho qhov mob plab sai li cas?

Thaum twg qhov ua rau mob plab raug tshem tawm lawm, daim ntaub hauv plab yuav maj mam pib kho. Piv txwv li, yog tias koj qhov mob plab yog los ntawm NSAID, yog tias koj tsum tsis noj tshuaj, qhov mob plab yuav zoo yam tsis tas yuav kho lwm yam. Txawm li cas los xij, yog tias koj muaj tus kab mob H. pylori, koj yuav tsum noj tshuaj tua kab mob kom tua cov kab mob. Tsis tas li ntawd, tus kws kho mob yuav sau ntawv rau lwm yam tshuaj uas txo cov kua qaub hauv plab thiab tiv thaiv daim ntaub hauv plab kom txog thaum qhov mob plab zoo. Kev noj cov tshuaj no kom raug tuaj yeem pab qhov mob plab zoo sai dua.

Muaj kev kho mob dab tsi?

Feem ntau, cov mob qog hauv plab raug kho nrog ntau yam tshuaj sib xyaw ua ke. Cov tshuaj no suav nrog:

  1. Txo cov kua qaub hauv plab.
  2. Nws npog, tiv thaiv, thiab pab kom qhov txhab kho.
  3. Yog tias muaj kev kis kab mob (H. pylori), nws yuav raug tshem tawm.

Tsis tshua muaj, tej zaum yuav xav tau kev kho mob kom tsis txhob los ntshav lossis kaw lub qhov.

  • Cov Tshuaj:
    • Tshuaj tua kab mob : Yog tias koj muaj H. pylori lossis lwm yam kab mob bacterial, koj tus kws kho mob yuav sau ntawv kom noj ob lossis peb yam tshuaj tua kab mob ib zaug rau 7-14 hnub kom tua tau cov kab mob tag nrho. Cov tshuaj tua kab mob uas siv ntau tshaj plaws yog: Tetracycline, Metronidazole, Clarithromycin, thiab Amoxicillin. Nws yog ib qho tseem ceeb uas yuav tsum noj tshuaj kom tag nrho raws li koj tus kws kho mob tau sau tseg rau lub sijhawm tag nrho ntawm kev kho mob, lossis qhov kab mob yuav rov qab los.
    • Cov tshuaj Cytoprotective: Cov tshuaj no ua haujlwm los ntawm kev tsim ib txheej tiv thaiv (txheej) hla phab ntsa plab, tiv thaiv nws kom txog thaum lub qhov txhab zoo. Lawv feem ntau siv los kho thiab tiv thaiv cov qhov txhab uas tshwm sim los ntawm NSAIDs. Piv txwv li: Sucralfate, Misoprostol, Bismuth subsalicylate.
    • Cov Tshuaj H2 Blockers (Cov Tshuaj Histamine receptor blockers / H2 blockers): Lawv thaiv ib yam tshuaj hu ua histamine, uas ua rau lub cev tsim cov kua qaub hauv plab, thiab txo cov kua qaub tsim tawm. Piv txwv li: Famotidine, Cimetidine, Nizatidine.
    • Cov Tshuaj Proton Pump Inhibitors (PPIs): Cov no kuj yog cov tshuaj muaj zog uas txo cov kua qaub hauv plab. Lawv kuj tiv thaiv cov ntaub so plab thiab ua kom cov qhov txhab kho sai dua. Cov no yog cov tshuaj siv ntau tshaj plaws rau cov qhov txhab hauv plab. Piv txwv li: Omeprazole, Esomeprazole, Lansoprazole, Pantoprazole, Rabeprazole.
  • Cov Txheej Txheem Kho Mob: Ib qho qhov txhab nyuaj (los ntshav, tho qhov) yuav tsum tau kho ncaj qha los ntawm tus kws kho mob . Qhov no feem ntau tuaj yeem ua tau tib lub sijhawm nrog kev kuaj mob endoscopy. Ib qho qhov txhab los ntshav tuaj yeem raug nres los ntawm kev txhaj tshuaj lossis cauterizing nws. Yog tias muaj qhov tho qhov, nws yuav tsum tau kaw los ntawm kev phais.
  • Kev phais rau cov qhov txhab uas mob tas li:Tsis tshua muaj neeg mob plab uas yuav mob mus ntev yog tsis kho, lossis tej zaum yuav zoo thiab rov qab mob dua. Qhov no ua rau mob ntev thiab ua rau lub plab mob. Tej zaum cov nqaij caws pliav no yuav thaiv txoj hlab dej ntawm lub plab mus rau cov hnyuv. Yog li ntawd, tej zaum yuav tsum tau phais, xws li:
    • Tshem tawm cov nqaij caws pliav los yog qhib txoj kev txhaws (Pyloroplasty).
    • Kev txiav cov hlab ntsha vagus yog kev txiav cov hlab ntsha vagus, uas ua rau lub plab tsim cov kua qaub ntau ntxiv.

Yuav ua li cas thiaj tiv thaiv tau? (Kev tiv thaiv)

Yuav ua li cas thiaj tiv thaiv tau cov mob qog hauv plab kom tsis txhob tshwm sim lossis rov qab los?

Nov yog qee yam uas koj ua tau los tiv thaiv kom tsis txhob muaj mob qog hauv plab, lossis tiv thaiv kom tsis txhob rov qab los tom qab nws zoo lawm:

  • Kev Tshem Tawm Tus Kab Mob H. pylori: Muaj coob tus neeg muaj tus kab mob H. pylori tab sis tsis paub nws. Koj tuaj yeem nrhiav tau seb koj puas muaj nws los ntawm kev kuaj pa lossis kuaj quav. Yog tias koj muaj, koj tuaj yeem tshem nws nrog cov tshuaj tua kab mob ua ntej nws ua rau muaj teeb meem.
  • Siv cov NSAIDs kom raug: Yog tias koj noj cov NSAIDs los ntawm lub tsev muag tshuaj rau mob lub cev thiab mob taub hau, nco ntsoov tsis txhob noj ntau tshaj li qhov pom zoo. Yog tias koj tseem noj cov NSAIDs raws li tus kws kho mob qhia rau lwm yam mob (piv txwv li mob pob qij txha), yog tias ua tau, txo qhov koob tshuaj, hloov mus rau lwm yam tshuaj, lossis tham nrog koj tus kws kho mob txog kev noj lwm yam tshuaj uas tiv thaiv lub plab (xws li PPI) tib lub sijhawm.
  • Txo lwm yam kev coj cwj pwm tsis zoo: Yog tias koj muaj tus kab mob H. pylori lossis noj cov tshuaj NSAIDs, kev haus luam yeeb thiab haus cawv ua rau koj muaj feem yuav mob plab. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tso tseg cov kev coj cwj pwm no.

Yuav siv sijhawm ntev npaum li cas los kho? (Kev kwv yees / Kev kwv yees)

Yuav siv sijhawm ntev npaum li cas rau qhov mob qog hauv plab thiaj li zoo?

Yog koj noj koj cov tshuaj raws nraim li tau qhia thiab tsis txhob ua tej yam uas ua rau mob qhov txhab hnyav dua (NSAIDs, haus luam yeeb, haus cawv), feem ntau qhov txhab yuav zoo tag nrho hauv ob peb lub lis piam . Koj tus kws kho mob yuav rov ua qhov kev kuaj mob endoscopy lossis lwm yam kev kuaj mob kom paub tseeb tias qhov txhab zoo tag nrho thiab tus kab mob H. pylori ploj mus tag.

Cov mob ntev

Feem ntau cov neeg tsuas xav tau kev kho mob luv luv xwb. Txawm li cas los xij, qee tus neeg yuav muaj cov mob ntev uas ua rau mob plab. Piv txwv li, ib tus neeg uas muaj tus kab mob Zollinger-Ellison, uas tau hais ua ntej lawm, muaj mob uas lub plab tsim cov kua qaub ntau dhau. Cov neeg no yuav tsum tau noj tshuaj (xws li PPIs) ntev heev.

Yuav ua li cas yog tias koj xav tias muaj mob plab? (Nyob Nrog)

Qhov tseem ceeb ntawm kev nrhiav kev pab tswv yim kho mob

Yog koj xav tias koj muaj mob plab, nco ntsoov mus nrhiav kev pab kho mob. Cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj xws li tshuaj antacids lossis bismuth subsalicylate yuav pab txo cov tsos mob ib ntus, tab sis lawv yuav tsis kho qhov mob plab. Yuav tsum kho qhov ua rau mob plab (H. pylori lossis NSAIDs) kom kho qhov mob plab.

Kev pheej hmoo yog tias tsis kho

Txawm tias koj tsis muaj cov tsos mob hnyav los xij, qhov mob qog hauv plab uas tsis tau kho tuaj yeem ua rau muaj teeb meem loj xws li los ntshav lossis tawg. Kuj tseem muaj kev pheej hmoo ntawm mob qog hauv plab yog tias tus kab mob H. pylori, uas yog tus ua rau mob qog hauv plab, tsis tau kho ntev.

Thaum twg koj yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev?

Yog koj muaj cov tsos mob no, mus rau tsev kho mob tam sim ntawd (ETU) :

  • Mob plab uas tsis tuaj yeem ris tau, mob plab uas tsis tuaj yeem ris tau.
  • Yog koj muaj ntshav dub hauv koj cov quav lossis ntuav ntshav (zoo li cov hmoov kas fes).
  • Cov cim qhia tias los ntshav ntau dhau (tawv nqaij daj ntseg, kiv taub hau heev, tsaus muag).

Thaum kawg

Mob qog hauv plab yog ib yam mob uas feem ntau kho tau. Cov ua rau mob qog no yog vim tus kab mob H. pylori thiab siv cov tshuaj NSAID tua mob. Yog tias koj muaj cov tsos mob xws li mob plab, mob, thiab zom zaub mov tsis zoo, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob es tsis txhob xav tias yog mob qog hauv plab. Tom qab ntawd, yuav nrhiav tau qhov ua rau mob qog no, yuav pib kho mob kom raug, thiab yuav tiv thaiv tau cov teeb meem loj. Tsis tas li ntawd, yuav tsum txo kev haus luam yeeb thiab haus cawv, thiab siv cov tshuaj NSAID thaum tsim nyog xwb, noj tsawg kawg nkaus, thiab siv cov tshuaj NSAID thaum twg tsim nyog xwb. Noj qab nyob zoo!

Frequently Asked Questions (FAQ)

Cov teeb meem loj npaum li cas?

Yog tias tsis kho, cov qhov txhab hauv plab tuaj yeem ua rau muaj teeb meem loj heev:

Cov ua rau mob plab yog dab tsi?

Ob qho ua rau mob plab hauv Sri Lanka thiab thoob plaws ntiaj teb yog:

Ua li cas koj thiaj paub tias muaj mob plab?

Thaum koj mus ntsib kws kho mob, lawv yuav xub nug txog koj cov tsos mob, seb koj puas noj cov tshuaj NSAIDs tas li, thiab seb koj puas tau muaj tus kab mob H. pylori yav dhau los. Yog tias koj cov tsos mob qhia tias muaj mob plab, lawv yuav tsum kuaj sab hauv koj lub plab kom paub meej.

Muaj kev kho mob dab tsi?

Feem ntau, cov mob qog hauv plab raug kho nrog ntau yam tshuaj sib xyaw ua ke. Cov tshuaj no suav nrog:

Yuav ua li cas thiaj tiv thaiv tau cov mob qog hauv plab kom tsis txhob tshwm sim lossis rov qab los?

Nov yog qee yam uas koj ua tau los tiv thaiv kom tsis txhob muaj mob qog hauv plab, lossis tiv thaiv kom tsis txhob rov qab los tom qab nws zoo lawm:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.

Ntxiv koj cov lus

Thov xam: 8 + 6 =
Txhua yam koj yuav tsum paub txog mob plab!

Txhua yam koj yuav tsum paub txog mob plab!

Thaum peb mob plab los yog o, peb feem ntau xav txog mob plab hnyuv. Tab sis qee zaum qhov ua rau mob ntawd tuaj yeem yog mob plab lossis mob plab hnyuv (Stomach Ulcer / Gastric Ulcer). Ib yam li mob ntawm peb daim tawv nqaij, qhov no yog mob plab uas tsim rau ntawm phab ntsa sab hauv ntawm lub plab. Qhov no yog ib qho mob uas tshwm sim ntau heev thiab tuaj yeem kho thiab kho tau. Txawm li cas los xij, yog tias tsis kho kom zoo, nws tuaj yeem ua rau muaj mob hnyav. Yog li, mob plab hnyuv yog dab tsi? Vim li cas nws tshwm sim? Cov tsos mob yog dab tsi? Cov kev kho mob thiab kev tiv thaiv yog dab tsi? Peb yuav tham txog txhua yam no hauv tsab xov xwm no.

Kab mob plab no yog dab tsi? (Txheej txheem cej luam)

Cov mob plab loj hlob li cas?

Peb lub plab muaj cov kua qaub hydrochloric thiab cov enzymes uas pab zom zaub mov. Cov no muaj zog heev. Yog li, txhawm rau tiv thaiv cov phab ntsa plab ntawm cov kua qaub no, muaj ib daim ntaub tiv thaiv plab ua los ntawm cov hnoos qeev tuab. Tab sis yog tias muaj qee qhov laj thawj uas daim ntaub tiv thaiv no raug puas tsuaj, cov kua qaub muaj zog ntawd tuaj yeem noj cov phab ntsa plab. Ib qho 'qhib qhov mob' uas tsim los ntawm kev noj nws hu ua mob plab.

Nws muaj ntau npaum li cas?

Qhov no yog ib qho mob uas tshwm sim ntau heev. Nws kuj tshwm sim ntau heev hauv Sri Lanka. Qhov laj thawj tseem ceeb rau qhov no yog vim ob qho ua rau mob plab yog qhov tshwm sim ntau heev hauv peb lub zej zog. Lawv yog:

  1. Kev siv cov tshuaj tua kab mob uas yuav tsis tas yuav muaj daim ntawv yuav tshuaj ( NSAIDs ) dav dav.
  2. Qhov muaj ntau ntawm kev kis tus kab mob H. pylori .

Mob Plab Ulcers vs Mob Peptic Ulcers

Ob lub npe no yuav ua rau tsis meej pem. " Kab mob peptic ulcer" yog ib qho mob uas daim ntaub ntawm lub plab lossis thawj feem ntawm txoj hnyuv me ( duodenum) raug puas tsuaj los ntawm cov kua qaub hauv plab.) yog ib lub npe rau cov kab mob qog. Yog li, cov kab mob qog uas tshwm sim hauv plab (Gastric Ulcer / Stomach Ulcer) yog ib hom kab mob qog peptic. Cov kab mob qog uas tshwm sim hauv thawj feem ntawm txoj hnyuv hu ua "Duodenal Ulcers". Cov ua rau thiab kev kho mob ntawm ob qho tib si zoo sib xws heev.

Cov tsos mob thiab ua rau

Cov tsos mob ntawm mob qog hauv plab yog dab tsi?

  • Cov tsos mob tseem ceeb: Mob kub hnyiab : Cov tsos mob tseem ceeb uas feem ntau cov neeg hnov ​​yog mob kub hnyiab lossis mob khaus rau sab saud ntawm lub plab (nyob hauv qab nruab nrab ntawm lub hauv siab, saum lub duav, thiab hnyav dua rau sab laug). Qhov no yuav zoo li cov kua qaub kub hnyiab, lossis zoo li muaj ib yam dab tsi noj sab hauv (ib yam khoom noj uas tom). Qhov kev xav no tsis yog ib qho kev xav xwb, tab sis qhov tseeb yog cov kua qaub thiab cov enzymes noj ntawm qhov txhab. Qhov mob no yuav hnyav dua thaum lub plab khoob, tshwj xeeb tshaj yog thaum hmo ntuj. Ib txhia neeg pom tias qhov mob tau txo qis los ntawm kev noj mov, tab sis rau lwm tus (tshwj xeeb tshaj yog nrog cov mob plab), qhov mob yuav hnyav dua thaum lawv noj mov.
  • Kev zom zaub mov tsis zoo thiab puv npo: Muaj ntau tus neeg uas muaj mob plab muaj cov tsos mob ntawm kev zom zaub mov tsis zoo. Qhov no yog kev xav tias puv npo nrog rau kev kub hnyiab hauv plab. Koj yuav xav tias puv npo thaum koj pib noj mov, lossis koj yuav xav tias puv npo ntev tom qab noj mov.
  • Lwm cov tsos mob uas tshwm sim ntau: Ntxiv rau cov no, cov tsos mob ntsig txog cov mob uas ua rau raug mob yuav suav nrog:
    • Acid reflux thiab mob plab
    • Xeev siab thiab ntuav
    • Kev o, belching, thiab mob roj
  • Cov Kab Mob Qog Uas Tsis Muaj Teeb Meem Thiab Cov tsos mob ntawm Cov Teeb Meem: Qhov xav tsis thoob yog tias muaj ib txhia neeg muaj cov kab mob qog hauv plab tab sis lawv tsis hnov ​​mob lossis muaj cov tsos mob dab tsi. Cov no hu ua "cov kab mob qog uas tsis muaj teeb meem." Lawv yuav tsis paub tias lawv muaj cov kab mob qog kom txog thaum muaj teeb meem loj tshwm sim, xws li los ntshav lossis tawg. Nrhiav kev kho mob tam sim ntawd yog tias koj muaj ib qho ntawm cov tsos mob no:
    • Kev daj ntseg ntawm daim tawv nqaij (Pallor)
    • Kiv taub hau, tsis muaj zog lossis tsaus muag - tej zaum yog vim poob ntshav.
    • Cov quav dub, muaj kua qaub - vim yog cov ntshav uas zom lawm.
    • Ntuav zoo li cov kas fes av - vim yog cov ntshav txhaws hauv plab.
    • Mob plab sai sai thiab mob heev uas tsis ploj mus - tej zaum yuav yog ib qho cim qhia tias muaj qhov tho.

Cov teeb meem loj npaum li cas?

Yog tias tsis kho, cov qhov txhab hauv plab tuaj yeem ua rau muaj teeb meem loj heev:

  • Cov Qhov Ncauj Los Ntshav: Qhov txhab yuav los ntshav tas li, maj mam los yog tam sim ntawd. Yog tias nws los ntshav qeeb qeeb, dhau sijhawm, lub cev cov ntshav yuav txo qis, ua rau muaj ntshav tsis txaus. Yog tias nws los ntshav ntau, lub cev yuav poob siab thiab txawm tias tuag.
  • Kab Mob Qog Hauv Plab: Ib qho xwm txheej ceev uas tsis tshua muaj tab sis loj heev uas lub qog tawg tag nrho los ntawm phab ntsa plab thiab ua ib lub qhov. Lub qhov no tuaj yeem ua rau cov kua qaub hauv plab thiab cov kab mob nkag mus rau hauv lub plab, ua rau muaj kev kis kab mob hnyav (peritonitis). Kab mob no kuj tuaj yeem kis mus rau cov ntshav, ua rau muaj mob hnyav hu ua sepsis.

Cov ua rau mob plab yog dab tsi?

Ob qho ua rau mob plab hauv Sri Lanka thiab thoob plaws ntiaj teb yog:

  • Kab mob H. pylori (Helicobacter pylori): Qhov no yog ib qho kab mob uas tshwm sim ntau heev. Kwv yees li ntawm ib nrab ntawm cov pej xeem hauv ntiaj teb muaj cov kab mob no nyob hauv lawv lub plab. Rau cov neeg feem coob, cov kab mob no tsis ua rau muaj teeb meem dab tsi. Txawm li cas los xij, rau qee tus neeg, cov kab mob no loj hlob ntau dhau hauv lub plab thiab pib noj cov txheej tiv thaiv ntawm lub plab. Qhov no ua rau mob o, uas dhau sijhawm tuaj yeem ua rau mob plab.
  • Siv cov tshuaj NSAID uas ua rau mob: NSAID (Nonsteroidal Anti-inflammatory Drugs) yog ib hom tshuaj uas peb feem ntau yuav los ntawm lub tsev muag tshuaj. Piv txwv li , Ibuprofen, Naproxen, Diclofenac, Aspirin.Cov tshuaj zoo li no yog cov tshuaj uas koom nrog pawg no. (Paracetamol tsis yog tshuaj hauv pawg no). Thaum cov NSAIDs no nkag mus rau hauv plab, lawv ua rau mob me ntsis rau ntawm phab ntsa plab, thiab lawv kuj tiv thaiv kev tsim cov tshuaj uas tiv thaiv thiab kho phab ntsa plab. Feem ntau, peb phab ntsa plab tuaj yeem rov zoo los ntawm kev puas tsuaj me me zoo li no. Tab sis yog tias peb noj cov NSAIDs no ntau dhau, phab ntsa plab yuav tsis muaj sijhawm txaus los kho nws tus kheej. Maj mam, cov txheej tiv thaiv yuav lwj thiab ua rau mob qog.

Lwm yam ua rau tsis tshua muaj

Ntxiv rau ob qho laj thawj tseem ceeb no, mob plab kuj tseem tuaj yeem tshwm sim los ntawm cov hauv qab no, tsis tshua muaj:

  • Lwm yam kab mob: Tsis tshua muaj, lwm yam kab mob bacterial, viral, lossis fungal tuaj yeem cuam tshuam rau lub plab thiab ua rau mob qog.
  • Zollinger-Ellison syndrome: Qhov no yog ib qho mob tsis tshua muaj uas lub plab tsim cov kua qaub ntau dhau, ua rau lub plab puas tsuaj.
  • Kev ntxhov siab hnyav heev: Kev hloov pauv ntawm cov tshuaj hormones thiab tshuaj lom neeg uas tshwm sim thaum lub cev sim rov zoo los ntawm kev mob hnyav uas yuav ua rau tuag taus (piv txwv li, kub hnyiab hnyav, phais loj) lossis xwm txheej tuaj yeem ua rau cov kua qaub hauv plab nce ntxiv, ua rau muaj qhov hu ua "mob qog nqaij hlav." Qhov no tsis yog kev ntxhov siab ntawm lub hlwb uas peb ntsib hauv lub neej txhua hnub.

Puas yog txoj kev ua neej cuam tshuam rau nws?

Muaj coob tus neeg xav tias kev noj zaub mov ntsim thiab kev ntxhov siab ua rau mob plab. Qhov tseeb yog, tej yam uas cuam tshuam rau lub neej txhua hnub (xws li yam koj noj thiab haus, kev ntxhov siab dav dav) tsis yog ua rau mob plab ncaj qha. Txawm li cas los xij, yog tias koj twb muaj mob plab lawm, cov no tuaj yeem ua rau koj cov tsos mob hnyav dua . Qhov no yog vim lawv ua rau koj lub plab muaj kua qaub ntau ntxiv, ua rau mob plab hnyav dua.

  • Haus luam yeeb
  • Kev siv cawv
  • Cov khoom noj ntsim
  • Cov khoom noj uas muaj kua qaub xws li txiv lws suav thiab txiv qaub
  • Cov dej haus muaj caffeine xws li kas fes thiab tshuaj yej

Kev Kuaj Mob thiab Kev Ntsuas

Ua li cas koj thiaj paub tias muaj mob plab?

Thaum koj mus ntsib kws kho mob, lawv yuav xub nug txog koj cov tsos mob, seb koj puas noj cov tshuaj NSAIDs tas li, thiab seb koj puas tau muaj tus kab mob H. pylori yav dhau los. Yog tias koj cov tsos mob qhia tias muaj mob plab, lawv yuav tsum kuaj sab hauv koj lub plab kom paub meej.

Koj ua hom kev ntsuam xyuas dab tsi?

Muaj ob yam tseem ceeb uas tus kws kho mob yuav tsum paub:

  1. Koj puas muaj tus kab mob H. pylori?
  2. Koj puas muaj mob qog hauv plab? Nws zoo li cas?

Txoj kev zoo tshaj plaws los ua ob qho tib si tib lub sijhawm yog los ntawm kev siv endoscopy .

  • Kev kuaj Endoscopy Sab Sauv / EGD: Qhov no suav nrog kev ntxig ib lub raj ntev, nyias, thiab yoog tau (endoscope) nrog lub koob yees duab thiab lub teeb nyob rau ntawm qhov kawg los ntawm koj lub qhov ncauj thiab nqes mus rau hauv koj lub caj pas los kuaj sab hauv ntawm koj lub plab thiab txoj hnyuv me. Koj yuav tau txais kev pw tsaug zog kom pab koj xis nyob. Tus kws kho mob tuaj yeem siv lub koob yees duab los saib ntawm phab ntsa plab ntawm lub vijtsam kom pom seb puas muaj qhov txhab lossis los ntshav. Nws kuj tseem tuaj yeem siv cov cuab yeej me me los rho ib daim nqaij me me (biopsy) los ntawm thaj chaw lossis qhov txhab uas xav tias muaj kab mob H. pylori. Yog tias muaj kev los ntshav los ntawm qhov txhab, kev kho mob tuaj yeem muab kom tsis txhob los ntshav tam sim ntawd (piv txwv li, cauterizing cov hlab ntsha) thaum lub sijhawm endoscopy no.
  • Lwm Yam Kev Ntsuas: Txawm hais tias endoscopy yog txoj kev zoo tshaj plaws, qee zaum lwm txoj kev yuav siv tau:
    • Cov duab X-ray ntawm lub plab sab saud (Swallow Barium): Hauv qhov no, cov kua hu ua barium raug nqos thiab cov duab X-ray raug thaij. Vim tias barium txheej rau ntawm daim ntaub ntawm lub plab, txhua qhov mob tuaj yeem pom ntawm X-ray. Txawm li cas los xij, qhov no tsis yog qhov tseeb li endoscopy, thiab cov mob me me yuav tsis pom.
    • Kev kuaj mob H. pylori: Muaj kev kuaj sib cais los xyuas seb puas muaj cov kab mob no:
      • Kev Ntsuas Ua Pa Urea: Koj tau muab ib yam kua tshwj xeeb rau haus, thiab tom qab ntawd koj cov pa uas koj tso tawm raug kuaj.
      • Kev Kuaj Ntshav: Qhov no kuaj seb puas muaj cov tshuaj tiv thaiv kab mob H. pylori. Txawm li cas los xij, nws tsis tuaj yeem qhia meej tias koj puas tau kis tus kab mob tam sim no lossis tau kis tus kab mob yav dhau los.
      • Kev Kuaj Xyuas Cov Kab Mob Hauv Cov Quav: Yuav kuaj cov qauv quav seb puas muaj cov kab mob bacterial antigens.

Lwm yam mob uas yuav yuam kev rau mob plab

Yog tias cov kev kuaj mob lees paub tias koj tsis muaj mob qog hauv plab, qhov ua rau koj cov tsos mob yuav yog lwm yam, xws li:

  • GERD (Kab Mob Gastroesophageal Reflux): Yog tias cov kua qaub ntawm lub plab pheej rov qab los rau hauv caj pas (acid reflux), nws kuj tseem tuaj yeem ua rau muaj cov tsos mob xws li mob siab, mob plab, thiab xeev siab.
  • Kev Ua Tsis Taus Haujlwm: Qhov no yog ib qho mob uas muaj cov tsos mob ntawm kev zom zaub mov tsis tu ncua (mob plab, kub siab, puv) yam tsis muaj laj thawj pom tseeb. Txawm hais tias cov tsos mob zoo ib yam li cov kab mob plab, tsis muaj kab mob pom tseeb hauv phab ntsa plab.
  • Mob qog noj ntshav hauv plab: Qhov no tsis tshua muaj, tab sis tuaj yeem ua rau muaj cov tsos mob zoo ib yam li mob qog hauv plab (mob plab, poob phaus, tsis xav noj mov). Yog vim li cas nws thiaj li tseem ceeb uas yuav tsum tau kuaj lub cev thaum lub sijhawm endoscopy.

Kev Tswj thiab Kev Kho Mob

Yuav kho qhov mob plab sai li cas?

Thaum twg qhov ua rau mob plab raug tshem tawm lawm, daim ntaub hauv plab yuav maj mam pib kho. Piv txwv li, yog tias koj qhov mob plab yog los ntawm NSAID, yog tias koj tsum tsis noj tshuaj, qhov mob plab yuav zoo yam tsis tas yuav kho lwm yam. Txawm li cas los xij, yog tias koj muaj tus kab mob H. pylori, koj yuav tsum noj tshuaj tua kab mob kom tua cov kab mob. Tsis tas li ntawd, tus kws kho mob yuav sau ntawv rau lwm yam tshuaj uas txo cov kua qaub hauv plab thiab tiv thaiv daim ntaub hauv plab kom txog thaum qhov mob plab zoo. Kev noj cov tshuaj no kom raug tuaj yeem pab qhov mob plab zoo sai dua.

Muaj kev kho mob dab tsi?

Feem ntau, cov mob qog hauv plab raug kho nrog ntau yam tshuaj sib xyaw ua ke. Cov tshuaj no suav nrog:

  1. Txo cov kua qaub hauv plab.
  2. Nws npog, tiv thaiv, thiab pab kom qhov txhab kho.
  3. Yog tias muaj kev kis kab mob (H. pylori), nws yuav raug tshem tawm.

Tsis tshua muaj, tej zaum yuav xav tau kev kho mob kom tsis txhob los ntshav lossis kaw lub qhov.

  • Cov Tshuaj:
    • Tshuaj tua kab mob : Yog tias koj muaj H. pylori lossis lwm yam kab mob bacterial, koj tus kws kho mob yuav sau ntawv kom noj ob lossis peb yam tshuaj tua kab mob ib zaug rau 7-14 hnub kom tua tau cov kab mob tag nrho. Cov tshuaj tua kab mob uas siv ntau tshaj plaws yog: Tetracycline, Metronidazole, Clarithromycin, thiab Amoxicillin. Nws yog ib qho tseem ceeb uas yuav tsum noj tshuaj kom tag nrho raws li koj tus kws kho mob tau sau tseg rau lub sijhawm tag nrho ntawm kev kho mob, lossis qhov kab mob yuav rov qab los.
    • Cov tshuaj Cytoprotective: Cov tshuaj no ua haujlwm los ntawm kev tsim ib txheej tiv thaiv (txheej) hla phab ntsa plab, tiv thaiv nws kom txog thaum lub qhov txhab zoo. Lawv feem ntau siv los kho thiab tiv thaiv cov qhov txhab uas tshwm sim los ntawm NSAIDs. Piv txwv li: Sucralfate, Misoprostol, Bismuth subsalicylate.
    • Cov Tshuaj H2 Blockers (Cov Tshuaj Histamine receptor blockers / H2 blockers): Lawv thaiv ib yam tshuaj hu ua histamine, uas ua rau lub cev tsim cov kua qaub hauv plab, thiab txo cov kua qaub tsim tawm. Piv txwv li: Famotidine, Cimetidine, Nizatidine.
    • Cov Tshuaj Proton Pump Inhibitors (PPIs): Cov no kuj yog cov tshuaj muaj zog uas txo cov kua qaub hauv plab. Lawv kuj tiv thaiv cov ntaub so plab thiab ua kom cov qhov txhab kho sai dua. Cov no yog cov tshuaj siv ntau tshaj plaws rau cov qhov txhab hauv plab. Piv txwv li: Omeprazole, Esomeprazole, Lansoprazole, Pantoprazole, Rabeprazole.
  • Cov Txheej Txheem Kho Mob: Ib qho qhov txhab nyuaj (los ntshav, tho qhov) yuav tsum tau kho ncaj qha los ntawm tus kws kho mob . Qhov no feem ntau tuaj yeem ua tau tib lub sijhawm nrog kev kuaj mob endoscopy. Ib qho qhov txhab los ntshav tuaj yeem raug nres los ntawm kev txhaj tshuaj lossis cauterizing nws. Yog tias muaj qhov tho qhov, nws yuav tsum tau kaw los ntawm kev phais.
  • Kev phais rau cov qhov txhab uas mob tas li:Tsis tshua muaj neeg mob plab uas yuav mob mus ntev yog tsis kho, lossis tej zaum yuav zoo thiab rov qab mob dua. Qhov no ua rau mob ntev thiab ua rau lub plab mob. Tej zaum cov nqaij caws pliav no yuav thaiv txoj hlab dej ntawm lub plab mus rau cov hnyuv. Yog li ntawd, tej zaum yuav tsum tau phais, xws li:
    • Tshem tawm cov nqaij caws pliav los yog qhib txoj kev txhaws (Pyloroplasty).
    • Kev txiav cov hlab ntsha vagus yog kev txiav cov hlab ntsha vagus, uas ua rau lub plab tsim cov kua qaub ntau ntxiv.

Yuav ua li cas thiaj tiv thaiv tau? (Kev tiv thaiv)

Yuav ua li cas thiaj tiv thaiv tau cov mob qog hauv plab kom tsis txhob tshwm sim lossis rov qab los?

Nov yog qee yam uas koj ua tau los tiv thaiv kom tsis txhob muaj mob qog hauv plab, lossis tiv thaiv kom tsis txhob rov qab los tom qab nws zoo lawm:

  • Kev Tshem Tawm Tus Kab Mob H. pylori: Muaj coob tus neeg muaj tus kab mob H. pylori tab sis tsis paub nws. Koj tuaj yeem nrhiav tau seb koj puas muaj nws los ntawm kev kuaj pa lossis kuaj quav. Yog tias koj muaj, koj tuaj yeem tshem nws nrog cov tshuaj tua kab mob ua ntej nws ua rau muaj teeb meem.
  • Siv cov NSAIDs kom raug: Yog tias koj noj cov NSAIDs los ntawm lub tsev muag tshuaj rau mob lub cev thiab mob taub hau, nco ntsoov tsis txhob noj ntau tshaj li qhov pom zoo. Yog tias koj tseem noj cov NSAIDs raws li tus kws kho mob qhia rau lwm yam mob (piv txwv li mob pob qij txha), yog tias ua tau, txo qhov koob tshuaj, hloov mus rau lwm yam tshuaj, lossis tham nrog koj tus kws kho mob txog kev noj lwm yam tshuaj uas tiv thaiv lub plab (xws li PPI) tib lub sijhawm.
  • Txo lwm yam kev coj cwj pwm tsis zoo: Yog tias koj muaj tus kab mob H. pylori lossis noj cov tshuaj NSAIDs, kev haus luam yeeb thiab haus cawv ua rau koj muaj feem yuav mob plab. Yog li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tso tseg cov kev coj cwj pwm no.

Yuav siv sijhawm ntev npaum li cas los kho? (Kev kwv yees / Kev kwv yees)

Yuav siv sijhawm ntev npaum li cas rau qhov mob qog hauv plab thiaj li zoo?

Yog koj noj koj cov tshuaj raws nraim li tau qhia thiab tsis txhob ua tej yam uas ua rau mob qhov txhab hnyav dua (NSAIDs, haus luam yeeb, haus cawv), feem ntau qhov txhab yuav zoo tag nrho hauv ob peb lub lis piam . Koj tus kws kho mob yuav rov ua qhov kev kuaj mob endoscopy lossis lwm yam kev kuaj mob kom paub tseeb tias qhov txhab zoo tag nrho thiab tus kab mob H. pylori ploj mus tag.

Cov mob ntev

Feem ntau cov neeg tsuas xav tau kev kho mob luv luv xwb. Txawm li cas los xij, qee tus neeg yuav muaj cov mob ntev uas ua rau mob plab. Piv txwv li, ib tus neeg uas muaj tus kab mob Zollinger-Ellison, uas tau hais ua ntej lawm, muaj mob uas lub plab tsim cov kua qaub ntau dhau. Cov neeg no yuav tsum tau noj tshuaj (xws li PPIs) ntev heev.

Yuav ua li cas yog tias koj xav tias muaj mob plab? (Nyob Nrog)

Qhov tseem ceeb ntawm kev nrhiav kev pab tswv yim kho mob

Yog koj xav tias koj muaj mob plab, nco ntsoov mus nrhiav kev pab kho mob. Cov tshuaj uas yuav tsis tas yuav muaj ntawv yuav tshuaj xws li tshuaj antacids lossis bismuth subsalicylate yuav pab txo cov tsos mob ib ntus, tab sis lawv yuav tsis kho qhov mob plab. Yuav tsum kho qhov ua rau mob plab (H. pylori lossis NSAIDs) kom kho qhov mob plab.

Kev pheej hmoo yog tias tsis kho

Txawm tias koj tsis muaj cov tsos mob hnyav los xij, qhov mob qog hauv plab uas tsis tau kho tuaj yeem ua rau muaj teeb meem loj xws li los ntshav lossis tawg. Kuj tseem muaj kev pheej hmoo ntawm mob qog hauv plab yog tias tus kab mob H. pylori, uas yog tus ua rau mob qog hauv plab, tsis tau kho ntev.

Thaum twg koj yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev?

Yog koj muaj cov tsos mob no, mus rau tsev kho mob tam sim ntawd (ETU) :

  • Mob plab uas tsis tuaj yeem ris tau, mob plab uas tsis tuaj yeem ris tau.
  • Yog koj muaj ntshav dub hauv koj cov quav lossis ntuav ntshav (zoo li cov hmoov kas fes).
  • Cov cim qhia tias los ntshav ntau dhau (tawv nqaij daj ntseg, kiv taub hau heev, tsaus muag).

Thaum kawg

Mob qog hauv plab yog ib yam mob uas feem ntau kho tau. Cov ua rau mob qog no yog vim tus kab mob H. pylori thiab siv cov tshuaj NSAID tua mob. Yog tias koj muaj cov tsos mob xws li mob plab, mob, thiab zom zaub mov tsis zoo, nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob es tsis txhob xav tias yog mob qog hauv plab. Tom qab ntawd, yuav nrhiav tau qhov ua rau mob qog no, yuav pib kho mob kom raug, thiab yuav tiv thaiv tau cov teeb meem loj. Tsis tas li ntawd, yuav tsum txo kev haus luam yeeb thiab haus cawv, thiab siv cov tshuaj NSAID thaum tsim nyog xwb, noj tsawg kawg nkaus, thiab siv cov tshuaj NSAID thaum twg tsim nyog xwb. Noj qab nyob zoo!

Frequently Asked Questions (FAQ)

Cov teeb meem loj npaum li cas?

Yog tias tsis kho, cov qhov txhab hauv plab tuaj yeem ua rau muaj teeb meem loj heev:

Cov ua rau mob plab yog dab tsi?

Ob qho ua rau mob plab hauv Sri Lanka thiab thoob plaws ntiaj teb yog:

Ua li cas koj thiaj paub tias muaj mob plab?

Thaum koj mus ntsib kws kho mob, lawv yuav xub nug txog koj cov tsos mob, seb koj puas noj cov tshuaj NSAIDs tas li, thiab seb koj puas tau muaj tus kab mob H. pylori yav dhau los. Yog tias koj cov tsos mob qhia tias muaj mob plab, lawv yuav tsum kuaj sab hauv koj lub plab kom paub meej.

Muaj kev kho mob dab tsi?

Feem ntau, cov mob qog hauv plab raug kho nrog ntau yam tshuaj sib xyaw ua ke. Cov tshuaj no suav nrog:

Yuav ua li cas thiaj tiv thaiv tau cov mob qog hauv plab kom tsis txhob tshwm sim lossis rov qab los?

Nov yog qee yam uas koj ua tau los tiv thaiv kom tsis txhob muaj mob qog hauv plab, lossis tiv thaiv kom tsis txhob rov qab los tom qab nws zoo lawm:

⚠️ Important: The medical articles and information on Nirogi Lanka are for general awareness only, and are by no means a substitute for professional medical advice, diagnosis, or treatment. For any medical problem you have, consult a qualified physician immediately.

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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.

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