Kuzvimba kwemudumbu? Chingava chironda chemudumbu! (Chironda chemudumbu) Ngatitaurei nezvazvo!

Dzimwe nguva unonzwa kupisa kusinganzwisisike kana kurwadziwa mudumbu mako here? Unonzwa sekunge dumbu rako riri kubva pane imwe nzvimbo muchipfuva chako here? Kana kuti unonzwa kusagadzikana nedumbu rakazara paunodya? Pamwe izvi zvinokonzerwa neronda remudumbu, kureva, ronda remudumbu . Usazvidya moyo, ichi chirwere chinokanganisa vanhu vazhinji uye chinogona kurapwa. Ngatitaurei nezvazvo zvakadzama uye zviri nyore.

Chii chinonzi chironda chemudumbu?

Zvichitaurwa zviri nyore, chironda chemudumbu chidimbu chidiki chiri mudumbu mako. Chinoita sechironda paganda redu. Izvi ndizvo zvinokonzera kurwadziwa kwakanyanya mudumbu mako, kazhinji kuchiperekedzwa nekutsva kana kurwadza . Zvisinei, haasi maronda ese emudumbu anokonzera zviratidzo zvikuru, uye mamwe anogona kunyarara.

Chironda chemudumbu ichi chimwe chezvironda zviri muboka guru rinonzi `peptic ulcer disease`.

Kukuvara uku kwakajairika zvakadii?

Kutaura zvazviri, maronda emudumbu aya anowanzoitika kupfuura zvaunofunga. Unoziva here? Pane zvikonzero zviviri zvikuru zveizvi, zvose zviri zviviri zvakajairika munharaunda yedu. Chimwe ndechimwe chemishonga yekurwadziwa yatinotenga ku pharmacy. Chimwe chirwere chebhakitiriya chinonzi `H. pylori` (Helicobacter pylori) . Izvi zviviri zvinokonzera maronda emudumbu angangoita makumi mapfumbamwe nemapfumbamwe muzana.

Ndezvipi zviratidzo zvemaronda emudumbu?

Chiratidzo chikuru cheronda remudumbu kurwadziwa kwemudumbu. Izvi zvinowanzoonekwa munzvimbo iri pakati pepfupa rechipfuva nembabvu, kuruboshwe zvishoma.

Kurwadziwa uku kunogona kunzwiwa nenzira dzakasiyana:

• Zvakafanana nekunzwa kupisa , sekunge acid iri kupisa mudumbu .
• Zvinonzwa sekunge pane chiri kudya dumbu rako .

Kunzwa uku hakusi kungonzwa chete. Chiri kuitika ndechekuti maacid emudumbu nema enzyme ari mudumbu ari kuita kuti ronda riwedzere kuipa.

Vanhu vazhinji vanonzwa kusagadzikana kwekugaya chikafu panguva imwe chete. Izvi zvinoreva kunzwa kuguta pamwe chete nekupisa mudumbu. Unogona kunzwa kuguta paunongotanga kudya, kana kuti unogona kunzwa kuguta kwenguva yakareba mushure mekudya.

Zviratidzo zvinotaurwa nevamwe ndeizvi:

• Kushungurudzika kweacid uye chirungurira.
• Kusvotwa nekurutsa.
• Kuzvimba, kusviba, uye kurwadziwa negasi.

Zviratidzo izvi zvinowanzoenderana nemamiriro ezvinhu akakonzera maronda emudumbu.

Kukuvara chinyararire uye zviratidzo zvine njodzi

Asi, zvinoshamisa kuti vamwe vanhu havatombozivi kuti vane maronda emudumbu aya. Tinoti aya 'maronda asingaonekwe'. Ungasava nezviratidzo zvachose, wobva wangoerekana wava nedambudziko guru, rakadai sekubuda ropa kana kubooka.Unongoziva chete kana chimwe chinhu chakadai chikaitika.

Muzviitiko zvakakomba zvakadaro, chenjerera zviratidzo zvinotevera:

• Ruvara rweganda rwakachenuruka (ruvara rwakachenuruka).
• Dzungu, kushaya simba, kana kufenda.
• Kana uine ropa dema mutsvina yako (izvi zvinogona kutaridzika setara).
• Kana kurutsa kwacho kuchiratidzika sekunge kwakakuyiwa nekofi.
• Kurwadziwa kwemudumbu kamwe kamwe, kwakanyanya, uye kunoramba kuripo.

Zvakakosha: Kana uine chimwe chezviratidzo izvi, unofanira kuona chiremba nekukasika, zvakanaka here? Izvi zvinogona kuva zviratidzo zvechirwere chakakomba.

Matambudziko anokonzerwa nemaronda emudumbu akakomba zvakadii?

Kana zvikasarapwa, maronda emudumbu anogona kukonzera matambudziko akakomba.

• Maronda anobuda ropa: Kubuda ropa kubva muronda kunogona kunge kuri kushoma kana kwakanyanya. Kana rikaramba richibuda ropa kwenguva yakareba, ropa rinogona kuderera. Kana rikabuda ropa rakawanda panguva imwe chete, rinogona kukonzera kuvhunduka uye kuisa hupenyu panjodzi.
• Maronda akaboorwa: Ichi chirwere chisingawanzoitiki, asi chirwere chekukurumidzira! Kana madziro edumbu akakuvara uye buri rikabuda, acid yemudumbu nemabhakitiriya zvinogona kubuda zvokonzera hutachiona mudumbu. Kana hutachiona uhu hukapararira muropa, hunogona kutungamira kuchirwere chine njodzi zvikuru, chinouraya chinonzi `sepsis` .

Ndezvipi zvinonyanya kukonzera maronda emudumbu?

Sezvatakambotaura, pane zvikonzero zvikuru zviviri:

1. Utachiona hwemabhakitiriya hwe`H. pylori`:

H. pylori (Helicobacter pylori) ibhakitiriya rinowanikwa zvakanyanya. Inenge hafu yevanhu pasi rose ine bhakitiriya iri mudumbu mavo. Kune vanhu vazhinji, harikonzeri matambudziko. Asi dzimwe nguva, bhakitiriya iri rinokura zvakanyanya mudumbu rotanga kudya dumbu. Apa ndipo panoitika kuzvimba kwenguva refu , zvichizoguma zvaita maronda emudumbu.

2. Kushandisa mishonga inoderedza marwadzo zvakanyanya (NSAIDs):

`NSAIDs` (Mishonga isingarwisi kuzvimba) mishonga inoderedza marwadzo yatinogona kutenga pachitoro chemishonga. Mienzaniso inosanganisira `ibuprofen` (Ibuprofen), `naproxen` (Naproxen) uye `aspirin` (Aspirin) . Mishonga iyi inokanganisa zvakananga dumbu, zvinoreva kuti inoritsamwisa . Inodzivisawo kugadzirwa kwemakemikari akakosha anodzivirira nekugadzirisa dumbu.

Kazhinji, dumbu redu rakagadzirwa kuti ridzivirire kubva kumaronda madiki aya uye ripore nekukurumidza. Asi kana ukatora mishonga yeNSAID yakawandisa, dumbu rinozopedzisira risisakwanise kuzvigadzirisa. Sezvo jira rekudzivirira richipera, rinozotadza kuzvigadzirisa, uye maronda anobuda.

Zvimwe zvikonzero zvisingawanzoitiki:

• Zvimwe zvirwere: Kashoma kuti zvimwe zvirwere zvinokonzerwa nemabhakitiriya, mavhairasi, kana fungus zvikonzere kuzvimba mudumbu (erosive gastritis) uye maronda.
• Zollinger-Ellison syndrome: Ichi chirwere chisingawanzoitiki. Muchirwere ichi, mudumbu munoburitsa acid yakawanda mudumbu. Asidhi iyi yakawandisa inopedza dumbu uye inokonzera maronda.
• Kushushikana kwakanyanya mumuviri: Kana muviri wako uchinetseka kupora kubva kuchirwere chinotyisidzira hupenyu kana kukuvara, zvichireva kuti uri pasi pekushushikana kwakanyanya, 'chironda chekushushikana' chinogona kukura. Munguva dzakadai, pH yemuviri inochinja uye acidity yemudumbu inowedzera.

Mararamiro edu anokanganisa maronda emudumbu here?

Kushushikana kwezuva nezuva kwatinosangana nako muhupenyu hwedu hwezuva nezuva, nezvatinodya nezvatinonwa, hazvikonzeri zvakananga maronda emudumbu. Kureva kuti, kudya zvakanyanya kana kushushikana zvishoma hazvikonzeri maronda emudumbu.

Zvisinei, kana uine chironda, zvinhu izvi zvinogona kuwedzera zviratidzo. Nekuti chero chinhu chinowedzera acid mudumbu hachina kunaka kune chironda uye chinoita kuti chiwedzere kuipa.

Zvakanakisisa kungwarira zvinhu zvakaita seizvi:

• Kusvuta
• Doro
• Zvikafu zvine zvinonhuwira uye zvine acidic

Ungaziva sei kana uine chironda chemudumbu?

Kana ukaona chiremba, iye achatanga nekukubvunza nezvezviratidzo zvako uye nhoroondo yako yehutano. Vachaedza kutsvaga zvinhu zvakaita sekuti unogara uchishandisa NSAIDs here uye kana wakambova nehutachiona hweH. pylori. Kana paine fungidziro yekuti ungave uine ronda, danho rinotevera nderekutarisa mukati medumbu mako.

Miedzo yekuongorora maronda emudumbu

Chiremba anofanira kutanga aongorora hutachiona hweH. pylori, uye ozotarisa maronda ari mudumbu. Kune nzira dzakasiyana siyana dzekuita izvi.

• Kuongororwa kweEndoscopy Yepamusoro / EGD:

Iyi ndiyo nzira inonyanya kushandiswa uye yakarurama. Izvi zvinosanganisira kuisa kamera diki ('endoscope') pamucheto wechubhu yakatetepa, inochinjika kuburikidza nemuromo wako uye ichidzika negurokuro yako ichipinda mudumbu mako uye chikamu chekutanga cheura hwako hudiki (duodenum). Uchapihwa mushonga wekukuita kuti unzwe hope kana kuti unzwe kusuruvara panguva iyi, saka hauzonzwi kusagadzikana.

Kamera iyi inobvumira chiremba kuona mukati medumbu. Kana paine ronda, rinogona kuonekwa. Zvakare, zvishandiso zvidiki zvinogona kupfuudzwa nemuchubhu iyi uye chidimbu chidiki chenyama (biopsy) chinogona kutorwa kubva mudumbu roongororwa H. pylori. Dzimwe nguva, kana paine kubuda ropa kubva muronda, rinogona kurapwa ipapo ipapo.

• Mimwe miedzo:

Kunyange hazvo endoscopy iriyo nzira yakanakisisa, dzimwe nguva bvunzo yemifananidzo yakaita seye upper GI X-ray series inogonawo kuona chironda chemudumbu. Zvisinei, izvi hazvina kunyatsojeka se endoscopy.

Kune bvunzo dzakananga dzekutarisa hutachiona hweH. pylori:

• Kuongororwa kweUrea Breath: Iyi bvunzo iri nyore kwazvo, isingarwadzi.
• Kuongororwa kweropa: Iyi bvunzo yekuona ma antibodies anowanikwa mumuviri achirwisa H. pylori.
• Kuongororwa kweantigen yetsvina: Sampuro yetsvina inoongororwa kuti ionekwe kana paine mabhakitiriya eH. pylori.

Kunyangwe uchifunga kuti ironda remudumbu, chii chimwe chingave chiri?

Kana zviratidzo zvako zvisingakonzerwi neronda remudumbu, zvimwe zvirwere zvinogona kunge zviri izvo zvinokonzera, zvakaita se:

• Chirwere cheGastroesophageal Reflux (GERD): Kana acid ikaramba ichiyerera ichipinda muhuro, inogona kukonzera chirungurira, kusagadzikana kwekugaya chikafu, uye kuda kurutsa.
• Kusagadzikana kwemuviri: Uku kusagadzikana kugaya chikafu nguva dzose pasina chikonzero chakajeka chemuviri (senge chironda kana gastritis). Zviratidzo zvakafanana nezvechironda chemudumbu, asi hazvikonzerwi neacid, uye hapana chironda chinoonekwa mudumbu.
• Kenza yemudumbu ('Kenza yemudumbu' / 'Kenza yemudumbu'): Kunyangwe izvi zvisingawanzoitiki, dzimwe nguva zvinogona kukonzera zviratidzo zvakafanana nemaronda emudumbu (kurwadziwa kwemudumbu, kudzikira kwehuremu, kurasikirwa nechido chekudya). Ndosaka zvichikosha kuti uwane chirwere chakakodzera.

Nzira yekurapa chironda chemudumbu nekukurumidza sei?

Chinhu chakanakisa ndechekuti, kana chikonzero cheronda chapera, dumbu rako rinotanga kupora.

Fungidzira kuti kana chikonzero chekukuvara kwako chaive chekushandisa mishonga yeNSAID (mishonga inouraya marwadzo), pane mukana mukuru wekuti kukuvara kwacho kuchapora pasina kumwe kurapwa kwakakosha kana warega kutora mushonga wacho.

Zvisinei, kana uine hutachiona hweH. pylori, unofanira kutora mishonga inorwisa mabhakitiriya kubva kuna chiremba kuti ubvise chirwere ichi .

Pamusoro pezvo, chiremba anogona kunyora mimwe mishonga yekuderedza acid mudumbu nekudzivirira dumbu, izvo zvichabatsira ronda kupora nekukurumidza uye zviri nani.

Maronda emudumbu anorapwa sei?

Vanachiremba vanowanzo rapa maronda nemusanganiswa wemishonga. Iyi inosanganisira mishonga inoderedza acid yemudumbu, inovhara nekudzivirira ronda kusvika raparara, uye inouraya hutachiona hwese, hwakaita seH. pylori. Kashoma, nzira diki inogona kuitwa kumisa kubuda ropa kana kuvhara buri mudumbu.

Mishonga

Mhando huru dzemishonga inopiwa yemaronda emudumbu ndeidzi:

• Mishonga inorwisa mabhakitiriya: Kana uine H. pylori kana imwe hutachiona hwebhakitiriya, chiremba wako anokupa mushonga mumwe chete kana kupfuura wekuuraya mabhakitiriya, kazhinji kwemazuva manomwe kusvika gumi nemana. Mishonga inorwisa mabhakitiriya inonyanya kushandiswa ndeiyi:
• `Amoxicillin`
• 'Clarithromycin'
• `Metronidazole`
• `Tetracycline`
• MaProton Pump Inhibitors (PPIs):Mishonga iyi inoshanda nekuderedza zvakanyanya kugadzirwa kweasidhi mudumbu. Inodzivirirawo dumbu uye inokurumidzisa kupora kwemaronda. MaPPI anonyanya kunyorerwa ndeaya:
• 'Omeprazole'
• `Lansoprazole`
• 'Pantoprazole'
• 'Esomeprazole'
• 'Rabeprazole'
• 'Dexlansoprazole'
• Mishonga inovhara histamine (H2): Mishonga iyi inoderedzawo kugadzirwa kweasidhi mudumbu, asi haina simba sePPI. Mienzaniso:
• 'Famotidine'
• 'Cimetidine'
• `Nizatidine`
• Mishonga inodzivirira dumbu: Mishonga iyi inofukidza dumbu, ichiridzivirira kubva kumaacid nezvimwe zvinhu zvinokuvadza. Inobatsira ronda kupora. Inopihwa kurapa nekudzivirira maronda anokonzerwa nekushandiswa kweNSAID. Mienzaniso:
• 'Sucralfate'
• `Misoprostol`
• Bismuth subsalicylate (inowanikwa mumishonga yakaita sePepto-Bismol)

Maitiro ekurapa

Kana uine ronda rakaomarara, zvichireva kuti riri kubuda ropa kana kuti rine buri, chiremba wako achafanira kurirapa zvakananga. Izvi zvinogona kuitwa kazhinji panguva yekuongorora endoscopy. Maronda anobuda ropa anogona kurapwa nekupisa (thermal therapy), kubaya mushonga, kana kubvisa buri. Kana paine buri mudumbu, chiremba angada kurisona kana kurigadzirisa neimwe nzira.

Kashoma, vamwe vanhu vane maronda asingapore nekurapwa uye anoramba achidzoka. Izvi zvinogona kukonzera marwadzo asingaperi uye mavanga. Mavanga aya anogonawo kuvhara nzira yekubuda nayo mudumbu (mudumbu). Kana izvi zvikaitika, kuvhiyiwa kunogona kudiwa:

• Bvisa mavanga kana kuvhura nzira yekubuda nayo (pyloroplasty).
• Kucheka (vagotomy) tsinga inokurudzira kugadzirwa kweacid mudumbu (vagus nerve).

Ungadzivirira sei kuti ronda remudumbu risaite kana kuti risadzokorore?

Unogona kuita zvinhu izvi kudzivirira maronda emudumbu:

1. Bvisa hutachiona hweH. pylori: Vanhu vazhinji havazivi kuti vane hutachiona hweH. pylori. Unogona kuziva kana uine hutachiona uhwu nekuongororwa kwekufema kana bvunzo yetsvina. Kana uine hutachiona uhwu, kunyangwe usina zviratidzo, kurapwa sezvakarairwa nachiremba wako kunogona kubatsira kudzivirira maronda mune ramangwana.

2. Shandisa NSAIDs (mishonga inouraya marwadzo) sezvakarairwa uye nekungwarira: Kana wakajaira kutora NSAIDs (semuenzaniso ibuprofen, diclofenac, aspirin) pakurwadziwa kudiki kwezuva nezuva, iva nechokwadi chekuti hautore zvinopfuura mwero wakatarwa.Uye inwa kwenguva pfupi chete. Kana uchifanira kuramba uchitora NSAIDs nekuda kwezvikonzero zvehutano, taura nachiremba wako nezvekushandisa mushonga wakaderera, kushandisa mushonga wakachengeteka, kana kushandisa mumwe mushonga, wakaita sePPI, kudzivirira dumbu rako.

3. Deredza kana kurega dzimwe tsika dzinokuvadza: Kusvuta uye kunwa doro zvakanyanya zvinowedzera njodzi yekurwara nedumbu, kunyanya kana uine hutachiona hweH. pylori kana kuti uri kutora mishonga yeNSAIDs. Saka zvakanaka kuti usazviite.

Zvinotora nguva yakareba sei kuti chironda chemudumbu chipore?

Kana ukatora mushonga wako sezvawakarairwa uye uchidzivisa zvinhu zvinotsamwisa chironda (zvakaita sekudya chikafu chisina kunaka, kusvuta, uye kunwa doro), chironda chako chinofanira kupora zvachose mumavhiki mashoma (kazhinji mavhiki 4-8). Chiremba wako anogona kukurudzira imwe endoscopy kana imwe bvunzo kuti ave nechokwadi chekuti chironda chacho chapora zvakakwana uye kuti hutachiona hweH. pylori (kana huripo) hwabviswa zvachose.

Vanhu vazhinji vanopora nekurapwa kwenguva pfupi. Zvisinei, vanhu vane zvirwere zvinokonzera kuti acid yemudumbu irambe ichibuda, zvakaita seZollinger-Ellison syndrome, vangangoda kutora mishonga kwenguva refu.

Chii chaunofanira kuita kana uchifunga kuti une chironda chemudumbu?

Chinonyanya kukosha: Kana uine kakufungira kuti une ronda remudumbu, tsvaga rubatsiro rwechiremba.

Unogona kukwanisa kudzora zviratidzo kwenguva pfupi nekushandisa mishonga inorwisa asidhi inotengeswa pasina kunyorerwa chiremba (semuenzaniso Digene, Gelusil). Zvisinei, haizoporese ronda racho. Uchafanira kurapa chikonzero chacho.

Chironda chisina kurapwa, kunyangwe usina zviratidzo zvikuru, chinogona kukonzera matambudziko akakomba (sekubuda ropa kana kubooka) nekufamba kwenguva. Yeukawo kuti hutachiona hweH. pylori, hunokonzera maronda emudumbu, hunowedzera njodzi yekubatwa nekenza yemudumbu nekufamba kwenguva kana hukasarapwa.

Unofanira kuenda kuEmergency Treatment Unit (ETU) riini?

Kana uine chimwe chezviratidzo izvi, enda kuchipatara nekukurumidza:

• Kurwadziwa kwemudumbu kunogara kuripo, kusingatsungiririki.
• Kana tsvina yacho yakasviba (setara) ine ropa, kana ropa racho rakatsvuka.
• Kana ukarutsa ropa (senge rakakuyiwa nekofi kana ropa idzva).
• Zviratidzo zvekurasikirwa neropa zvakanyanya (semuenzaniso, kucheneruka kwakanyanya, kudikitira zvakanyanya, kuoma kufema, kupera simba, kurasikirwa nepfungwa).

Saka, tadzidzei kubva munyaya iyi? (Mharidzo Yekuenda Kumba)

Maronda emudumbu anowanzoitika, asi haafanirwe kutorwa seasina kunyanya kukosha. Anogona kuva nengozi kana akasarapwa zvakanaka. Dzimwe nguva maronda anogona kuonekwa asina zviratidzo, saka kana usina chokwadi nazvo, kuchenjera kuona chiremba kuti akuongorore.

Yeuka: Unogona kuwana zororo nekuchinja mararamiro ane hutano (sekudya, kurega kusvuta), asi chinhu chikuru ndechekuwana chikonzero (seH. pylori, kushandisa NSAID) uye kurapa zvakakodzera.

Chironda chemudumbu chinoitika kana acid yechisikigo yemudumbu mako ikakuvadza jira rinodzivirira mudumbu mako. Kana chirwere ichi chikarapwa, chinongowedzera kuipa. Chiremba wako anogona kukupa mushonga wakakodzera wechirwere chako uye kukubatsira kupora nekukurumidza. Saka, usatya uye tsvaga rubatsiro rwechiremba nekukurumidza.

Maronda emudumbu, maronda emudumbu, gastritis, H. pylori, NSAIDs, kuzvimba kwemudumbu, endoscopy