Rwj duodenal teeb: hauj lwm, ua rau, cov tsos mob thiab kev kho mob nta

Rwj duodenal noob (ICD10: K26) - haum ntau tus kab mob, twb paub hais tias nyob rau hauv advanced theem. Qhov no tshwm sim vim hais tias cov neeg uas accustomed mus rau tej yam tsis xis nyob rau hauv lub plab mus tus cwj pwm huv zaub mov los yog noj cov zaub mov txhaum. Tus txiv neej raug kev txom nyem mob yaus poob deb tuag tawm nws cov tshuaj, thiab tsis tau tus kab mob no loj zuj zus. Mus rau tus kws kho mob ib tug neeg mob tau txais thaum uas raug nqi ntau koj lub cev yuav unbearable.

Epidemiology

Duodenal rwj noob yog feem ntau theem nrab mus pais plab mucosal txhab. Yog li ntawd, lub mob yog feem ntau sau ib daim ntawv "pais plab rwj thiab duodenal rwj", tsis specifying yog qhov chaw.

Hais txog 5% ntawm tag nrho cov neeg nyob rau hauv lub ntiaj teb no muaj qhov no pathology. Nyob rau hauv cov txiv neej, nws tshwm sim 4 lub sij hawm ntau tshaj cov poj niam. Ib qho ratio ntawm tus townspeople thiab villagers li 2 mus rau 1. Qhov no yog feem ntau tej zaum vim mus rau qhov zoo ntawm cov khoom, kev noj haus cwj pwm tsis zoo thiab kev ua hauj lwm ntawm cov neeg nyob ntawm urbanized chaw.

yog vim li cas

Duodenal rwj noob tshwm sim vim cov corrosive kev txiav txim ntawm hydrochloric acid (uas yog ib feem ntawm lub digestive kua txiv) mus rau lub mucosa ntawm cov hnyuv. ob peb ua acidification yog:

• ntev li secretion ntawm gastrin (ib yam tshuaj uas regulates kev zom);

• hobby ntsim, ntsim, qab ntsev, qaub, kib thiab zaub mov;

• tsis txaus noj kom tsawg thaum lub sij hawm lub hnub thiab overeating nyob rau hauv rau yav tsaus ntuj;

• heev hormonal los yog anti-inflammatory siv tshuaj;

• Tsis tu ncua tau raug kev nyuaj siab;

• haus luam yeeb thiab haus dej haus cawv noj, tshwj xeeb tshaj yog nyob rau hauv ib qho kev npliag plab.

Nyob rau hauv tsawg tus neeg mob cov tsos ntawm erosions thiab ulcers nyob rau hauv lub duodenum tej zaum yuav txuam nrog ib tug nce qib ntawm calcium nyob rau hauv lub cev, yuav txo tau ntawm daim siab thiab ob lub raum, mob obstructive koj muaj teebmeem kev kab mob.

pathogenesis

Duodenal rwj noob tshwm undulating chav kawm nrog alternating zam txim thiab exacerbation. Conventionally, muaj peb cov kauj ruam:

• mob tshaj (pronounced cov tsos mob, mucosal ulcers thiab erosions muaj);

• attenuation txheej txheem (muaj tsis muaj kev tsis txaus siab, lub rwj caws pliav);

• kev so ib pliag (tsis muaj cov tsos mob, nti epiteliziruyutsya).

Ib tug luag hauj lwm loj nyob rau hauv cov tsos ntawm ulcers plays disturbance ntawm acid-alkaline tshuav nyiaj li cas nyob rau hauv lub plab hnyuv mucosa. Yog hais tias hydrochloric acid yog tsim loj tshaj lub alkali, nws tsis yog kiag li neutralized thiab kev puas tsuaj lwm tus cov ntaub so ntswg. Hlwb puas lawm, tso tawm enzymes thiab ua rau kom cov kev puas tsuaj. Nyob rau qhov chaw no tsim qog ua kua o, uas tsub kom nrog txhua tshiab feem ntawm lub chyme. Tsis tas li ntawd, muaj zog kom thiab ib qho kev nce rau hauv lub xov tooj ntawm secretory hlwb nyob rau hauv lub plab mus paim acid tso cai txawm tsis muaj mov noj.

cov tsos mob

Yuav ua li cas yuav manifest nws tus kheej duodenal rwj noob? Cov tsos mob thiab kev kho mob ntawm nws zoo yam, li ntawd nws yog ib qho tseem ceeb kom nkag siab txog raws nraim li cas prevails syndrome. Soj ntsuam phenomena yog khaus heev thiab ua rau ib tug ntau ntawm tsis xis nyob rau tus neeg mob.

Cov thawj thiab lub ntsiab tsos mob yog mob nyob rau hauv txoj hlab cheeb tsam. Nws yuav ua tau tag nrho ob qho mob thiab nagging, nws tag nrho cov nyob rau hauv lub kom muaj nuj nqis thiab zoo tshaj ntawm cov zaub mov. Nyob rau hauv tas li ntawd, thaum pib ntawm nws yog ib qho yooj yim uas yuav tau tshem ntawm cov dej haus antacids. Tej zaum tus mob yuav rov qab los thaum hmo ntuj thiab radiate rau tom qab.

Txhua tus poj niam lub ntiv tes yeej paub tias tau tshem ntawm xeev siab, regurgitation, mob los yog tsuas yog ib tug khoom noj txom ncauj. Nws yog ib advisable mus ib yam dab tsi zoo li jelly. Tab sis qhov cuab tam yog tsis universal, vim hais tias ntuav yuav rov qab los tom qab ib tug noj mov, "ua nyob rau hauv" rau lawv raws li ib tug "lawm" kub siab thiab ib tug kev xav ntawm heaviness. Tej lub sij hawm, cov neeg raug kev txom nyem los ntawm mob ntawm lub rooj zaum nyob rau hauv daim ntawv ntawm cov cem quav thiab tsam plab.

teeb meem

Mob duodenal rwj noob yog ib lub neej-hem mob thiab noj qab haus huv. Nyob rau hauv loj heev zaum mob loj heev los ntshav, perforation ntawm lub plob tsis so tswj phab ntsa thiab Septicemia tsim.

Lub rwj yuav tsis tau tsuas yog yaig lub phab ntsa ntawm lub hollow hloov khoom nruab nrog, tab sis mus rau txia mus rau hauv lub nyob ib sab. Piv txwv li, los ntawm cov duodenal teeb pathological kev mus rau lub pancreas tsim fistulas thiab ua paug.

By mob mob muaj xws li stenosis (narrowing) plab hnyuv feem. Qhov no hampers cov zaj uas lub khoom noj khoom haus, provokes nws stagnation thiab lwj nyob rau hauv lub plab. Nyob rau hauv tib neeg, nws yog tshwm kev xav ntawm heaviness, tsis muaj zog, daj ntseg, qaug, tsis qab los noj mov. Nyob rau hauv tej rooj plaub tej zaum nws yuav ntuav daim undigested zaub mov noj ib tug ob peb hnub dhau los.

diagnostics

Duodenal rwj muag thiaj paub hais tias yooj yim heev, muab hais tias cov neeg mob nrhiav kev kho tswv yim raws li thaum ntxov raws li cov theem siab ntawm tus kab mob, thaum lub tsis xis nyob tiv thaiv lawv mus nyob nquag.

Ua ntej, tus kws kho mob sau cov keeb kwm thiab tshuaj xyuas. Ntawm cov hoob kawm, palpation ntawm lub plab mog tsis muab siab cov lus qhia cov ntsiab lus, tab sis xav tias, muaj tseeb, ulcerative txheej txheem tau. Tus neeg mob no ces xa kev kuaj ntshav, biochemical markers, quav Occult ntshav, raws li zoo raws li txiav txim seb lub theem ntawm kev ua si ntawm lub gastrin thiab Helicobacter pylori.

Cov feem ntau diagnostic txoj kev yog esophagogastroduodenoscopy, los yog, ntau tsuas, endoscopy. Nws tso cai rau koj mus xyuas hauv ob sab phlu ntawm lub digestive raj, cauterize tag nrho cov uas tau txheeb xyuas ulcers, coj ib tug cov ntaub so ntswg thiab kua rau kev xeem. Nws yog tuav thiab radiography. Cov duab rau cov zoo yuav tsum kom meej meej pom qhov chaw xwm txheej thiab hauv lub xeev ntawm lub qog ua kua membrane ntawm lub plab thiab duodenum.

Kev kho mob ntawm duodenal teeb

Ua ntej ntawm tag nrho cov koj yuav tsum npaj koj tus kheej rau lub fact tias nws yog ib tug ntev thiab painstaking txheej txheem, muaj raws ntawm noj cov zaub mov, lub cev kev kho mob thiab tshuaj. Tsis txhob ntshai, tag nrho cov no yuav tsum tau ua, es ib txhij rau zoo tsim txoj kev npaj thiab tham nrog koj tus kws kho mob.

Yuav pib ib gastroenterologist txiav txim qhov ua rau uas tshwm sim los ntawm tus kab mob plague thiab coj tag nrho cov rog tawm kom tau tshem ntawm nws. Rau lub hom phiaj no muaj yog tshuaj kho. Qhov no antacids thiab prokinetics thiab proton twj tso kua mis inhibitors, thiab ntau lwm yam pharmacological kev xav. Nyob rau hauv tas li ntawd, nyob rau hauv sib ntaus tawm tsam kev nyuaj siab ulcers yuav pab tau lub teeb sedatives thiab pw tsaug zog tshuaj, tab sis lawv yuav tsum tau siv nrog ceev faj. Tiv thaiv Helicobacter pylori yog txig tshuaj tua kab mob penicillin thiab macrolides.

Nyob rau theem ntawm rov qab rog ntawm lub cev kom muaj tus neeg mob qhia tau hais tias balneotherapy, procaine electrophoresis thiab rewarming.

pej xeem kev

Kev kho mob ntawm duodenal rwj noob pej xeem tshuaj fraught nrog tsis kaj siab txim rau kev kho mob. Yog li ntawd, ua ntej pib qhov no zoo ntawm thwmsim mus ceeb toom lub mus kawm tus kws kho mob. Nws yuav xav thov ua tsaug rau koj rau nws.

Nyob rau hauv Internet, raws li zoo raws li peb grandmothers muaj ib tug ntau ntawm cov zaub mov txawv rau cov kev kho mob ntawm ulcers. Nyob rau hauv thiaj li yuav txo acidity thiab ua rau kom lub mucosal kuj, cov neeg haus dej haus tshiab qos kua txiv, ib tug sib tov ntawm zib mu thiab butter los yog cia li zib ntab yaj nyob rau hauv dej sov thiab haus dej haus ua ntej noj mov. Tseem muaj ntau tshaj kab txawv zaub mov txawv, xws li cov kev siv ntawm hiav txwv buckthorn noob roj rau ntawm ib tug me nyuam diav ua ntej noj mov.

Tag nrho ntawm cov kev muaj peev xwm tshem tawm cov seeb phenomenon, ib txhia txawm txhawb kev kho neeg mob ntawm ulcers, tab sis nws yog tseem tsim nyog muab rau nyiam tsoos kho mob.

Noj cov zaub mov rwj duodenal teeb

Nyob rau hauv lub sij hawm ntawm exacerbations ntawm tus kab mob, cov neeg mob yuav tsum tau ua raws li ib tug nruj noj cov zaub mov txaus kom pab txo cov kev siv ntawm qhov mob, thiab ceev rov qab. Ib tug ob peb lub tswv yim rau xws li ib tug khoom noj:

1. Split noj mov txhua txhua 3 teev nyob rau hauv me me.

2. Muaj yog ib tug yuav tsum tau maj mam, ua tib zoo zom zaub mov.

3. Khoom noj khoom haus yuav tsum tau sov so, thiaj li tsis mus thab plaub lub twb rhiab hnyuv.

4. Xaiv cov khoom yuav tsum tsis txhob noj ntxiv lawm ntawm hydrochloric acid, thiaj li tsis muaj dab tsi kib, ntsim, qab ntsev, pickled thiab spiced.

Los ntawm ib co delicacies thiab salinity yuav tau muab nyob rau lub neej. Tab sis cov mis nyuj, txiv hmab txiv ntoo puree thiab jelly, steamed zaub thiab qe yuav tsum tau noj nyob rau hauv unlimited qhov ntau.