Pane dambudziko riri mudumbu mako here? Ngatidzidzei nezve gastropathy nenzira iri nyore!

Tinowanzosangana nekurwadziwa kwemudumbu uye chirungurira. Dzimwe nguva tinofunga kuti zvakajairika, kana kuti zvimwe chimwe chinhu chinoitika kana chikafu chacho chiine munyu. Zvisinei, dzimwe nguva panogona kunge paine mamiriro ari shure kwezviratidzo izvi atinofanira kunetseka nazvo. Ndiyo nzira yatichataura nayo nezvechirwere chinonzi gastropathy, icho chiri kukuvara kwemukati medumbu redu, ndiko kuti, mucosa. Izvi zvinganzwika seshoko rezvekurapa, asi ngatizvinzwisisei zviri nyore.

Chii chinonzi gastropathy?

Zvichitaurwa zviri nyore, gastropathy zvinoreva "chirwere chemudumbu." Zvino ungave uchifunga kuti, "Patinoti chirwere chemudumbu, chinogona kureva chero chirwere chinokura mudumbu." Ehe, ichokwadi. Kwete furuwenza yemudumbu, chirwere chemaronda emudumbu, gastroparesis chete, inova mamiriro ezvinhu umo kushanda kwemudumbu kunokanganiswa nekuda kwemamwe matambudziko etsinga, asi kunyange kenza yemudumbu inogona kuwira muchikamu chegastropathy mupfungwa iyi yakafara.

Zvisinei, vanachiremba, kunyanya avo vanoongorora zvirwere zvemudumbu, vanoshandisa izwi rekuti "gastropathy" nenzira chaiyo. Kana chiremba akakuudza kuti, "Une gastropathy," angangodaro ari kureva chimwe chinhu chiri kukuvadza dumbu rako .

Zvinorevei kuva nechirwere chegastropathia?

Dumbu redu inhengo inoshamisa zvikuru. Rine makemikari akasimba ekugaya anotibatsira kugaya chikafu chatinodya. Saka, kudzivirira dumbu kubva kumakemikari aya akasimba, madziro edumbu ane jira rinodzivirira rakagadzirwa nemukati mukobvu kana mucosa. Zvakafanana nekuisa ``screen protector`` pachiratidziro chefoni yedu.

Zvisinei, kana nechikonzero chakati kuti jira iri rekudzivirira rikakanganiswa, kana kuti rikapera, makemikari akasimba ari mudumbu anotanga kukuvadza madziro edumbu. Maitiro iwayo ekukuvara kwejira redumbu ndiwo atinodaidza kuti gastropathy.

Chii chakasiyana pakati peGastritis neGastropathia?

Vazhinji venyu makambonzwa nezve gastritis. Gastritis kuzvimba kwemukati medumbu. Kuzvimba inzira iyo masoja emuviri ekudzivirira chirwere anosangana nechinhu chiri kuedza kukuvadza dumbu. Zvakafanana nepaunowana ronda diki, rinoshanduka kuva dzvuku uye rinozvimba. Kana mhinduro iyi yekudzivirira chirwere isingakwanise kudzora njodzi inokuvadza, mukati medumbu munogona kuora.

Zvisinei, vanachiremba vanosiyanisa pakati pechirwere chegastritis chinokura chine kuzvimba uye chirwere chegastritis chinokura chine kuzvimba kushoma kana kusina.Pane musiyano pakati pezviviri izvi. Kureva kuti, izwi rekuti gastropathy rinoshandiswa kune zviitiko apo dumbu rakakuvara uye rakatsamwiswa, asi pasina kuzvimba kwakakosha . Zvinoshamisa kuti zvikonzero zvezvirwere zvese izvi dzimwe nguva zvinogona kunge zvakafanana.

Zvichitaurwa zviri nyore:

* Gastritis: Kukuvara kwemukati medumbu + kuzvimba (zviratidzo zvakaita sekuzvimba, kutsvuka)

* Gastropathy: Kukuvara kwemukati medumbu, pasina kuzvimba kwakanyanya

Ndezvipi zvikonzero zve gastropathies?

Pane zvikonzero zvakasiyana-siyana zvinoita kuti dumbu rikwanise kukuvara, kamwe kamwe kana zvishoma nezvishoma nekufamba kwenguva. Zvikuru ndeizvi:

• Zvinhu zvatinonwa: kushandisa doro zvakanyanya, mimwe mishonga (kunyanya mishonga inoderedza marwadzo yakaita se `(NSAIDs)`).
• Makemikari ekugaya chikafu: acid yemudumbu, maenzyme, uye pamwe bile rinoyerera richikwira.
• Kurapa nemwaranzi uye chemotherapy.
• Kuzvimba uye kuvharika kwetsinga dzeropa dziri mudumbu.
• Kurasikirwa neropa rinoyerera richienda mudumbu.

Zvichibva pazvikonzero izvi, gastropathy yakakamurwa kuita mhando dzakasiyana dzezvirwere.

Ndeapi marudzi akasiyana echirwere chegastropathia?

Ngatitarisei mamwe emhando huru.

1. Gastropathy Inokonzera Kubuda Kweropa Rakawanda

Apa ndipo apo dumbu rinokuvara kamwe kamwe uye zvakanyanya nekuda kwechimwe chikonzero. "Acute" zvinoreva kamwe kamwe. Kukuvara uku kunokonzera kukwenya kudiki (kukukurwa) kana maronda (maronda) mudumbu. Maronda aya anogona kuwedzera kana aine acid yemudumbu, uye anogona kutanga kubuda ropa (hemorrhagic) . Izvi zvinogona kukonzerwa ne:

• Kunwa doro zvakanyanya: (kuwedzera kwehuwandu hwedoro mudumbu kupfuura 10%).
• Kutora mishonga yakawanda isiri steroidal inorwisa kuzvimba (NSAIDs): Semuenzaniso, mishonga yakaita seDiclofenac neIbuprofen.
• Kurapwa nemakemikari uye kurapwa nemwaranzi yekenza.
• Kuderera kamwe kamwe kweropa rinoyerera muura (Acute mesenteric ischemia).

2. Kurapa kweGastropathia Kunoshanda

Chinoitika muchiitiko ichi ndechekuti dumbu rinokuvara nekuda kwekugara uchisangana nezvinhu zvinokuvadza dumbu kwenguva yakareba . Rudzi rwacho runopera zvishoma nezvishoma nekuda kwemakemikari anokonzerwa nezvinhu izvi. Saka, izvi zvinonziwo makemikari anokonzera chirwere. Zvikonzero zvikuru ndeizvi:

• Kushandiswa kwenguva refu kweNSAIDs.
• Kudzoka kwenyongo: Nyongo inotibatsira kugaya chikafu iri muura hudiki. Asi dzimwe nguva nyongo iyi inogona kuyerera ichidzokera mudumbu. Kana izvi zvikaitika, zvinogona kukuvadza dumbu.

Pamusoro pezvo, kune zvimwe zvinhu zvinoderedza simba rekudzivirira kwemukati medumbu uye zvinokanganisa kupora:

• Kunwa doro kwenguva refu.
• Kusvuta kwenguva yakareba.
• Utachiona hweH. pylori hwakagara kwenguva refu.
• Ischemia isingaperi ischemia inoramba ichiderera muropa rinouya kwenguva refu.

3. Kutapurirana Kwedumbu Nekuvharwa Kwedumbu

Apa ndipo apo mitsipa yeropa iri mudumbu inozvimba uye inooma, uye inogona kuputika nekubuda ropa zviri nyore . Nekuda kwekukuvara kudiki uye kubuda ropa kakawanda, mavanga akafanana neakagadzirwa mudumbu anoumbwa. Izvi zvinogona kukonzera kuti ropa rakawanda rirasike kubva mumiviri yedu. Chikonzero chikuru cheizvi iBP. Uku kuwedzera kwekumanikidzwa mutsinga huru yeropa yakabatana nechiropa. Izvi zvinowanzoitika semhedzisiro yechirwere chechiropa. Saka, inonziwo portal hypertension gastropathy.

4. Kurwara kweGastropathia yeHypertrophic

Ichi chirwere chisingawanzoitiki, chinoitika mumajini . Chinoitika kana mamwe marudzi emasero ari mudumbu akakura zvakanyanya, zvichichinja chimiro chechisikigo chedumbu. Chirwere cheMenetrier ndechimwe chezvirwere izvi. Chinokonzera kuti dumbu ribudise madzihwa akawandisa, uye mapuroteni anoburitswawo mumuviri. Zollinger-Ellison syndrome chimwe chirwere umo mudumbu mubudise acid yakawandisa.

Ndezvipi zviratidzo zve gastropathy?

Vanhu vazhinji vanogona kunge vasina zviratidzo . Zvisinei, kana ukava nezviratidzo, unogona kusangana nezvinhu zvakaita se:

• Kurwadziwa kwemudumbu kana kusagadzikana.
• Kusvotwa.
• Kuzvimba, kusagadzikana kwekugaya chikafu.

Kana matambudziko ane chekuita nekubuda ropa mudumbu akaitika, unogona kuonawo zviratidzo zvakaita seizvi:

• Zviratidzo zvekushaya iron mumuviri: ganda rakachenuruka, kuneta kwakanyanya.
• Dema, tsvina yekumirira.
• Kurutsa kunoita sekunge kofi yakakuyiwa.

Gastropathy chirwere chinowanzoitika here?

Mamwe marudzi akajairika. Gastropathy inokonzerwa nedoro neNSAIDs, ndiyo inonyanya kuitika. Gastropathy inokonzerwa ne bile reflux uye ropa shoma haiwanzoitiki. Congestive gastropathy, inokonzerwa ne portal hypertension, imhedzisiro yakajairika, kunyanya kune vanhu vane cirrhosis yechiropa. Hypertrophic gastropathy haiwanzoitiki.

Gastropathia inoonekwa sei?

Kana chiremba achifungidzira kuti une gastropathy, achada kuongorora dumbu rako. Nzira yakanakisisa yekuita izvi ndeyekuongororwa kwe endoscopy yepamusoro (Esophagogastroduodenoscopy - EGD).

Izvi zvinosanganisira kuisa chinhu chinonzi endoscope - chubhu refu, yakatetepa ine kamera diki yakabatana kumagumo - nemuromo uye ichidzika nepagurokuro ichipinda mudumbu. Mifananidzo yakajeka kubva pakamera iyi inogona kuonekwa pachiratidziro. Chiremba wezvekudya anogona zvakare kushandisa endoscope iyi kutora sampuli diki yenyama (biopsy) kubva mudumbu woiongorora murabhoritari. Izvi zvinogona zvakare kushandiswa kurapa chero kubuda ropa kungave kuripo.

Ndezvipi zvinoitwa pakurapa gastropathy?

Kurapwa kunoenderana nerudzi rwechirwere chemudumbu chaunacho. Kana zvichibvira, chiremba wako achatanga aedza kubvisa chikonzero chekukuvadzwa kwemukati medumbu rako - ingave mishonga yauri kutora, chimwe chinhu chakadai sedoro, hutachiona hwebhakitiriya, bile reflux, kana chimwe chinhu chakaoma. Paanenge achirapa chikonzero ichi, achaedzawo kuderedza acid yemudumbu mako kuti abatsire mukati medumbu rako kupora nekukurumidza.

Kurapa kunogona kusanganisira:

• Mishonga inoderedza acid yemudumbu: Mishonga yakaita sehistamine blockers (H2 blockers) uye proton pump inhibitors (PPIs).
• Mishonga inodzivirira dumbu: Mishonga yakaita sebismuth subsalicylate ne sucralfate.
• Mishonga inorwisa mabhakitiriya yehutachiona hwebhakitiriya.
• Mishonga inobvisa munyu wenyongo mudumbu: Mishonga yakaita seursodeoxycholic acid (UDCA).
• Mishonga yekurapa BP yepamusoro: Vasoconstrictors kana beta blockers.
• Kuvhiyiwa kwakanangana nedzimwe zvirwere zvisingapindure kana mishonga yashandiswa.

Ko gastropathia inogona kurapwa here?

Ehe, dumbu rako rinogona kupora. Asi kuti rive nemukana, kukuvara kwacho kunofanira kumira. Izvi zvinogona kuitwa nemishonga. Zvisinei, zvimwe zvinokonzera gastropathy zvinogona kuoma zvishoma. Kana paine bile reflux iri kuramba ichiitika kana kuti portal hypertension, ungangoda kuvhiyiwa kudiki kuti zvigadziriswe. Hypertrophic gastropathy inogona kana kusagadziriswa zvachose nekurapwa. Zvisinei, mishonga inogona kudzivirira shanduko dzakawanda paganda.

Yeukai, dumbu redu rakasimba zvikuru. Zvinoda zvakawanda kuti dziviriro yaro iparare. Gastropathy inogona kukonzerwa nekukuvara kwakakomba, kamwe kamwe kana kukuvara kwave kuripo kwenguva yakareba. Unoda kurapwa kuti uzive, umise, uye udzore maitiro aya ekukuvara. Asi, nerubatsiro rudiki, dumbu redu rinogona kupora uye kupora zviri nani kupfuura dzimwe nhengo dzakawanda. Kana dziviriro yaro yadzoka panzvimbo yayo, harizokuvadzwi zvakare nyore nyore.

Mharidzo Yekuenda Nayo Kumba

• Gastropathy kukuvara kwemukati medumbu (mucosa) pasina kuzvimba (kana kuzvimba kushoma) .
• Doro, mimwe mishonga inoderedza marwadzo (NSAIDs), nduru inobuda mumuviri, uye mamwe matambudziko ehutano zvinogona kukonzera izvi.
• Zviratidzo zvakaita sekurwadziwa mudumbu, kuda kurutsa, uye kusagadzikana kwekugaya zvinogona kuitika, asi vamwe vanhu vanogona kunge vasina zviratidzo zvachose.
• Kana uine zviratidzo zvekubuda ropa (tsvina nhema, kurutsa kunoita sekunge kofi yakakuyiwa), tsvaga rubatsiro rwechiremba nekukasika .
• Chirwere ichi chinogona kuongororwa nemazvo kuburikidza ne endoscopy.
• Gastropathy inogona kurapwa nekurapwa kwakakodzera zvichienderana nechikonzero uye rudzi rwechirwere.
• Tevedzera mirairo yachiremba wako nemazvo. Usarambe uchishandisa mishonga yakaita semishonga inoderedza marwadzo usina kupiwa mazano nachiremba.

Kana muine mimwe mibvunzo nezveizvi, musazeza kubvunza chiremba wemhuri yenyu kana chiremba wezvekudya. Rambai muine hutano hwakanaka!

Gastropathy , zvirwere zvemudumbu, mudumbu, maronda emudumbu, NSAIDs, doro, endoscopy