Unowanzo sanganawo nekurwadziwa mudumbu, kurwadziwa kwemudumbu, kwakafanana negastritis here? Iri idambudziko rinosangana nevanhu vazhinji munyika medu. Kunyangwe tichiwanzodaidza izvi kuti "gastritis", dzimwe nguva rinogona kunge riri chimwe chinhu chinoda kutariswa zvakanyanya. Ndiro dambudziko ratiri kutaura nezvaro nhasi, Peptic Ulcer Disease (PUD). Zvichitaurwa zviri nyore, apa ndipo panoumbwa maronda pamadziro emukati medumbu redu.
Zvichitaurwa zviri nyore, chii chinonzi peptic ulcer?
Fungidzira, mudumbu medu, ndiko kuti, mudumbu, maasidhi akasimba uye ma enzyme anogadzirwa kuti agaye chikafu chatinodya. Chimwe chezvinhu zvikuru ipepsin. Izwi rekuti "peptic" rinobvawo papepsin iyi. Maasidhi aya nepepsin zvinoshanda pamwe chete kuti zviparadze chikafu chatinodya uye zvitibatsire kuchigaya. Izvi zvakasimba zvekuti kunyangwe zvikawira paganda rakajairwa, zvinogona kukonzera kukuvara.
Ipapo ungafunga kuti, "Kana paine zvinhu zvakaoma kudaro, sei madziro edu edumbu asina kukuvara?" Chikonzero ndechekuti madziro emukati medumbu redu neduodenum akafukidzwa nejira gobvu remucous, sechidziviriro. Iyi ndiyo chidzitiro chinodzivirira madziro edumbu kubva kumaacid akaomarara iwayo.
Zvisinei, muchirwere chemaronda emudumbu (PUD), chidziviriro ichi, mucous membrane, chinova chisina simba nekuda kwechimwe chikonzero. Zvadaro, acid yakaoma nepepsin zvinogona kukuvadza zvakananga madziro emudumbu. Nekufamba kwenguva, nzvimbo idzodzo dzinotanga kuva nemarwadzo. Ndizvo zvatinodaidza kuti maronda emudumbu kana kuti maronda emudumbu.
Maronda aya anogona kuitika kupi?
Maronda aya anonyanya kuitika muzvikamu zviviri zvemuviri wedu wekugaya chikafu.
1. Maronda eDuodenal: Duodenum ndiyo chikamu chekutanga cheura hwedu hudiki. Chikafu chinobuda mushure medumbu. Anenge 80% yemaronda emudumbu anoitika munzvimbo iyi.
2. Maronda emudumbu / Maronda emudumbu: Aya maronda anoumbwa mumadziro emudumbu. Rudzi urwu runowanikwa muzviitiko zvinenge makumi maviri muzana .
Kuwedzera kune idzi nzvimbo mbiri huru, kashoma, kukuvara kwakadaro kunogona kuitika mune dzimwe nzvimbo zvakare.
- Maronda emudumbu: Guvhu ichubhu inotakura chikafu kubva pahuro kuenda mudumbu. Kana tiine acid reflux (GERD) kwenguva yakareba, acid yemudumbu inogona kukwira yokuvadza madziro echubhu iyi.
- Maronda eJejunal: Maronda aya anogona kukura mushure mekuvhiyiwa kwemudumbu (semuenzaniso gastrojejunostomy).
Unoziva sei kana uine chirwere ichi? (Zviratidzo)
Zvinoshamisa kuti vanhu vanosvika 7 pavanhu gumi vane maronda emudumbu havaratidzi zviratidzo. Zvisinei, kana zviratidzo zvikaitika, izvi ndizvo zviratidzo zvinonyanya kuzivikanwa.
Chiratidzo chikuru kurwadziwa kunopisa kana kunorwadza, kunyanya muchikamu chepamusoro, chepakati pedumbu (kurwadziwa kwemudumbu). Vamwe vanhu vanotsanangura kurwadziwa uku sekunzwa kwechimwe chinhu chiri kunyura mudumbu kana kunzwa kupisa.
| Chiratidzo | Tsananguro |
|---|---|
| Kurwadziwa kwemudumbu kana kuzvimba | Kurwadziwa mudumbu repamusoro, repakati. Kunogona kuwedzera kana kuderera mushure mekudya. Dzimwe nguva kurwadziwa kunowedzera kana usina chinhu. |
| Kuzvimba | Kunzwa kuguta kunyangwe mushure mekudya zvishoma. Kunzwa kuzvimba. |
| Kugara uchidzvova | Kuenda kuchimbuzi kakawanda kupfuura zvakajairika. |
| Chirungurira | Kunzwa kupisa pakati pechipfuva nekuda kweacid iri mudumbu ichikwira muhuro. |
| Kurasikirwa nechido chekudya uye kuda kurutsa | Kushaya chido chekudya, kunzwa kuda kurutsa, kana kurutsa. |
| Marwadzo anouya husiku | Vamwe vanhu vanogona kurwadziwa mudumbu izvo zvinovamutsa husiku. |
Sei maronda emudumbu akadai achiitika? Zvikonzero zvikuru zviviri!
Sezvatakambokurukura, maronda emudumbu anoitika kana jira rekudzivirira remudumbu rikasasimba. Pane zvikonzero zviviri zvikuru zvinoita kuti jira iri rekudzivirira risasimba. Zvikonzero zviviri izvi ndizvo zvinokonzera maronda emudumbu anopfuura 90%.
1. Utachiona hweHelicobacter pylori
- Chii chinonzi H. pylori?
Urwu rudzi rwebhakitiriya rwakakosha runogona kugara mudumbu nemumatumbu edu. Vanhu vanopfuura hafu yepasi rose vane bhakitiriya iri mudumbu ravo. Asi vanhu vazhinji havana zviratidzo. Asi kune vamwe vanhu, bhakitiriya iyi inokura zvakanyanya uye inotanga kukuvadza jira rinodzivirira remudumbu. Nekufamba kwenguva, izvi zvinogona kukonzera maronda emudumbu.
2. Kushandisa mishonga isingashandisi masteroidal anti-inflammatory (NSAIDs)
- Ndezvipi NSAIDs idzi?
Uyu rudzi rwemushonga wekurwadziwa watinowanzo shandisa. Semuenzaniso, mishonga yakaita seAspirin , Ibuprofen (semuenzaniso Brufen), uye Diclofenac Sodium (semuenzaniso Voltaren) . Tinoishandisa pazvinhu zvakaita sekurwadziwa kwemajoini, kurwadziwa kwemusana, uye musoro.
- Izvi zvinokonzera sei maronda emudumbu?
Kana mishonga iyi ikatorwa kwenguva yakareba kana kuti yakawanda, kuenzanisa kwemakemikoro anobatsira kuvaka jira rekudzivirira mudumbu kunokanganiswa. Nekuda kweizvozvo, jira rekudzivirira rinova rakatetepa, zvichiita kuti zvive nyore kuti maasidhi akuvadze madziro.
Fungidzira uine arthritis mubvi rako. Unoramba uchinwa mishonga inoderedza marwadzo kubva ku pharmacy usina kubvunza chiremba. Mushure mechinguva, unotanga kuva nemaronda emudumbu. Chinogona kuitika apa ndechekuti mishonga inoderedza marwadzo inopedza simba rekudzivirira mudumbu mako, zvichikonzera maronda.
Zvimwe zvikonzero zvisingawanzoitiki
Kuwedzera kune zvikonzero zviviri zvikuru zvataurwa pamusoro apa, maronda emudumbu anogonawo kukura nekuda kwezvimwe zvikonzero zvisingawanzoitiki.
- Zvimwe zvirwere
- Kurapa kenza nemakemikari
- Kurapa nemwaranzi
- Zvirwere zvakaita sechirwere cheCrohn
- Zvirwere zvisingawanzoitiki zvakaita seZollinger-Ellison syndrome
- Kushushikana kwakanyanya mumuviri (semuenzaniso, mushure mekuvhiyiwa kukuru, kutsva kwakanyanya)
Izvi zvingava nengozi here kana zvikasiyiwa zvega? (Matambudziko)
Ehe. Maronda emudumbu haasi chinhu chekurerutsa. Kana akasarapwa zvakanaka, anogona kukonzera matambudziko ane njodzi.
1. Kubuda ropa mudumbu: Kana ronda rakadzika uye tsinga yeropa ikatsemuka, kubuda ropa kunotanga kuyerera mudumbu.
2. Kuboorwa kweMatumbu:Izvi zvine njodzi huru. Ronda rinopinda nepamadziro emudumbu kana muura, zvichigadzira buri. Zvadaro, acid yemudumbu nechikafu zvinogona kudonhera mudumbu, zvichikonzera hutachiona hwakakomba (peritonitis). Iyi injodzi yakakura kwazvo inoda kuvhiyiwa nekukurumidza.
| Njodzi! Kana uine zviratidzo izvi, enda kuchipatara nekukasika! | |
|---|---|
| Zvigaro zvitema | Kana tsvina yako yakanamira uye yakasviba, setara, zvinogona kunge zvichikonzerwa nekuti mudumbu mune ropa uye ropa iroro rinogayiwa. |
| Kurutsa ropa | Kana kurutsa kwacho kwakatsvuka uye ropa idzva kana kuti brown uye kuchitaridzika sekunge kofi yakakuyiwa, chiratidzo chekubuda ropa. |
| Kurwadziwa kwakanyanya kwemudumbu kamwe kamwe | Kana uchinzwa kurwadziwa kwakanyanya mudumbu mako zvichiita kuti zviome kuita chero chinhu kana kutofema, zvinogona kunge zviri chiratidzo chekuti mudumbu mako makaboorwa. |
| Zvimwe zvinhu | Zviratidzo zvekubuda ropa zvakanyanya zvinosanganisira kucheneruka, kudikitira zvakanyanya, kufema zvakaoma, uye kurasikirwa nepfungwa. |
Kana uine chimwe chezviratidzo izvi, usagare kumba. Enda kuchipatara chiri pedyo neEmergency Department (ETU) nekukurumidza sezvinobvira.
Chiremba anoongorora sei chirwere ichi chaizvo?
Mushure mekuteerera zviratidzo zvako, kana chiremba akafungidzira kuti ichi chingave chironda chemudumbu, acharaira kuti zviongororwe kakawanda.
1. Kuongororwa kweH. pylori: Kune nzira dziri nyore dzekutarisa kuvapo kwebhakitiriya iri.
- Kuongororwa Kwekufema kweUrea: Unopiwa mvura yakakosha yekunwa, uye mweya wako unoongororwa mushure menguva pfupi.
- Kuongororwa kweAntigen yetsvina: Sampuro yetsvina inotorwa kuti ionekwe kana paine hutachiona uhu.
2. Endoscopy (Endoscopy Yepamusoro):
Iyi ndiyo nzira yakanakisisa yekuziva kana une chironda chemudumbu. Izvi zvinosanganisira kuisa chubhu yakatetepa, inochinjika ine kamera yakasungirirwa nemuromo wako mudumbu nepagurokuro, kwaunogona kuona zviri mukati nepachiratidziro. Uchapihwa mishonga inoderedza marwadzo kuti unyaradze marwadzo paunenge uchiita izvi.
- Zvakanakira: Unogona kuona kana paine maronda, kuti ari kupi, uye kuti akakura sei. Unogona zvakare kutora chidimbu chidiki chenyama (biopsy) nekukasika kuti utarise H. pylori.
Ndezvipi zvinorapwa izvi?
Mashoko akanaka ndeekuti maronda emudumbu chirwere chinogona kurapwa zvachose nemishonga . Kurapwa kunoenderana nekuti chii chiri kukonzera maronda ako.
- Kurapa kwehutachiona hweH. pylori:
Kana uine hutachiona hweH. pylori, chiremba wako achakupa mushonga wemishonga miviri kana mitatu inorwisa mabhakitiriya uye proton pump inhibitor (PPI) kwevhiki imwe kusvika mbiri. Zvakakosha kutora mishonga iyi kwenguva yese.
- Kana zvichikonzerwa nekushandiswa kweNSAID:
Kana maronda ako akakonzerwa nemishonga inoderedza marwadzo, chinhu chekutanga chaunofanira kuita kurega kuatora. Zvadaro, ungangoda kutora mushonga wePPI kwemwedzi mumwe kana miviri kuderedza acid yemudumbu uye kubatsira maronda kupora.
- Mimwe mishonga:
- H2 Blockers: Iyi mishonga inoderedzawo kugadzirwa kweasidhi mudumbu.
- Mishonga inodzivirira dumbu: Izvi zvinogadzira chifukidziro chekudzivirira pamadziro edumbu uye zvinobatsira kuti ronda rirape.
Zvinowanzotora mwedzi miviri kuti maronda apore zvakakwana. Mushure mekurapwa, chiremba wako anogona kuongorora zvakare kuti aone kana maronda apora uye kana bhakitiriya reH. pylori rabviswa.
Ungatiza sei mamiriro ezvinhu aya?
Zvakakosha kuderedza njodzi yako yekubatwa nechirwere chepeptic ulcer pane kutambura nacho. Pane zvinhu zviviri zvikuru zvaunogona kuita kuti uite izvozvo.
1. Kuziva nezvehutachiona hweH. pylori:
Kana uchigara uchinetseka nemudumbu, enda kuna chiremba woongororwa H. pylori. Kana zvikaitika, tsvaga kurapwa kwakakodzera kuti upore.
2. Chenjerera nemishonga inoderedza marwadzo (NSAIDs):
- Shandisa chete kana zvichidikanwa. Usatore mishonga yakasimba kudaro yekurwadziwa kudiki.
- Usambotora mushonga uyu kwenguva yakareba usina kubvunza chiremba.
- Kana wakambova nemaronda emudumbu, ungangoda kurega kutora mishonga iyi zvachose. Kana, chiremba wako anogona kukukurudzira kuti uitore pamwe chete nemumwe mushonga unodzivirira dumbu rako.
Mharidzo Yekuenda Nayo Kumba
- Kuzvimba nekurwadziwa mudumbu hazvisirizvo zvinogara zvichikonzera gastritis. Zvinogona kukonzerwa neronda remudumbu (Peptic Ulcer).
- Zvikonzero zvikuru zviviri zveizvi ibhakitiriya reH. pylori uye kushandiswa kwenguva refu kweNSAIDs mishonga inoderedza marwadzo (semuenzaniso Brufen, Aspirin).
- Kunyangwe pasina zviratidzo, vamwe vanhu vanogona kunge vaine maronda emudumbu. Saka dzivisa kutora mishonga inonyaradza marwadzo vega.
- Kana uine tsvina nhema, uchirutsa ropa, kana kurwadziwa mudumbu kusingatsungiririki, idambudziko. Enda kuchipatara cheEmergency Department (ETU) nekukasika.
- Chirwere ichi chinogona kurapwa zvachose nemishonga. Saka, kana uine zviratidzo, enda kuna chiremba uwane kurapwa kwakakodzera.
- Zvakanakisisa kusadya chikafu chine mafuta, chine mhiripiri, kusvuta, uye doro nekuti zvinogona kuwedzera zviratidzo.
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