Ukuwohloka esiswini: izimpawu, izimbangela, ukwelashwa

Lesi sifo, njengoba ukuguguleka esiswini ehlobene Ochwepheshe, gastroenterologists ezivamile e izifo wobuntu gastroduodenal. Lesi sifo sitholakale umuntu oyedwa kuphela kwabayishumi ezigulini kwavele luhlolo Usebenzisa endoscope. Kuyini ukuguguleka isisu? Izimpawu, izimbangela, ukwelashwa kwalesi sifo - lawa nezindaba okuzoxoxwa ngayo kulesi sihloko.

Izizathu ukuthi kungabangela kumiswa erosions esiswini

Ngokokuqala ngqá sifo embuzweni ukumema ukuthi ube, yayibizwa echazwe maphakathi nekhulu le-18 leminyaka. Ngenxa yezizathu ezisobala, eziyinhloko angabangela ulwelwesi lwesisu, kwenze wokugaya ukudla ipheshana erozirovanie kulezo izikhathi sezishintshile, noma kunjalo iningi labo esasebenza. izifo ezifanayo avame ukuthuthukisa ngenxa yokwehluleka ukulingana izici nolaka futhi evikela imvelo sangaphakathi ngokweqile, izitho zokugaya. Kuhlukile umbuzo - yini eyabangela komgomo ezinjalo. Phakathi kwezici main nokucupha ukuthuthukiswa ukuguguleka Ochwepheshe shayela okulandelayo:

• ukulimala esiswini ngu yokushayiswa lezinto angaphandle noma kamuva ngalo imihuzuko namanxeba;
• ukuhlinzwa olwenziwe izitho zokugaya (isisu duodenum 12);
• njalo engene nezimo ezicindezelayo, kwafika isikhukhula esisabekayo ehlelekile eqinile yokuthonywa imizwelo engakhi;
• Related yezifo emathunjini ipheshana ezifana pancreatitis;
• isibindi futhi isifo gallbladder, ezifana isifo sokusha, esingamahlalakhona hepatic, cholelithiasis;
• isifo senhliziyo ,
• Zokungenisa nosawoti of izinsimbi ezisindayo, asidi noma alkalis.

Futhi, kukhona ke ezicini eziningana, lapho ukuguguleka esiswini, izimpawu, izimbangela zazo ngokuvamile zihlanganiswa isiguli, kubangele imikhuba emibi noma imikhuba yokudla, njenge:

• ukusetshenziswa njalo kushisa kakhulu, ukudla okubabayo,
• ukusetshenziswa njalo utshwala nokubhema ugwayi;
• ukusetshenziswa kwezidakamizwa ngaphandle sokuhambisana umthamo Kunconywa kanye nesikhathi sokwelashwa.

Eminyakeni yamuva ngokuthuthukisa nobuchwepheshe eziphambili kwaba ukuveza noma ukuhileleka ukuvela erozirovaniya nolwelwesi lwamafinyila yaleli pheshana wokugaya ukudla bese amabhaktheriya Helicobacter pylori.

Izinhlobo ukuguguleka esiswini

Kunezinhlobo eziningana izifo ezifana ukuguguleka esiswini, izimpawu kanye nokwelashwa okuyizinto ukuhluka nomunye:

1. ukuguguleka kokuqala ukuthi kwenzeka njengoba isifo abahlukene ngenxa ukucindezeleka, ukusebenzisa kabi utshwala nezidakamizwa leqembu izidakamizwa nonsteroidal eqeda ukuvuvukala, corticosteroids nezinye.
2. ukuguguleka yesibili, okuyinto kubhekwa kwetintfo izifo ezifana ukwehluleka kwezinso noma hepatic, isifo igazi, izimila emathunjini.
3. ukuguguleka ebulalayo, kwakhiwa okuyinto on isizinda okwenzeka izifo labizwa ngokuthi umdlavuza, kuhlanganise lymphoma, isifo Crohn , nabanye.

Ukuguguleka kwenhlabathi kungaba eyodwa noma amaningi. Njengoba leli gama lisikisela, kungashiwo kunqunywa inani izilonda lwamafinyila emzimbeni. Ngaphezu izinhlobo ukuguguleka komhlabathi, ochwepheshe egqanyisiwe izinto eziningana okuyiwona amafomu ahlukene nezinhlobo yalesi sifo.

izinhlobo isifo

Njenganoma iyiphi enye isifo, ukuguguleka esiswini, izimpawu, ukwelashwa, okungase incike ukuma ukugeleza uhlukaniswe:

• Cijela, indawo lapho kwasendaweni uvame kubonakala ngokuthi ingxenye yomzimba, okuthiwa "phansi". The main izimpawu zangaphandle yefomu acute ukungabi izingqimba EPITHELIAL e ukuguguleka umzimba, degree ezibuthakathaka kokuziphatha amaseli lymphocytic futhi ukungabi pheze ephelele fibrin ezifakwa phansi yayo. Izimpawu ze-ukuguguleka okukhulu esiswini uhlale acacile kakhulu futhi kubuhlungu, umfutho namandla abo ziphakeme kakhulu kunalezo ebonwe peptic isilonda isifo. Ukwelashwa amafomu acute lesi sifo ezimweni eziningi ihlala ayibi ngaphezu kuka-2 amaviki.
• Ezingalapheki, okuyinto evame kakhulu ukuba isebenze esiswini antral futhi siqukethe ikakhulukazi okuthiwa granulation izicubu. Imiphetho ukuguguleka kuleli fomu sizungezwe zamatshe epithelium hyperplastic, futhi ezansi kukhona capillary osuke usuvulekile futhi ventricular sokuwohloka nezindlala. ukuguguleka Okungalapheki ka antrum esiswini, lapho izimpawu kancane onomoya omnene kuka ifomu acute, kudinga ukuphathwa eside izinyanga 2-6 noma ngaphezulu. Isikhathi ukwelashwa kungase kuxhomeke kulokho degree lokulimala ulwelwesi lwamafinyila we isisu ezifweni omzimba izidakamizwa.

izinhlobo ukuguguleka

Ukuwohloka isisu (izimpawu, isithombe okwethulwa kulesi sihloko) kuyinto ngezinhlobo eziningi:

1. Oluhambisana ezijulile noma ngaphezulu, okuyinto libhekene khona-plaque phezu kwegazi futhi ezungezwe igobolondo okhanyayo edematous.
2. Surface uyisicaba, okuyinto kuyahluka usebe hyperemic emhlabeni umzimba nokuhlanza phansi, kwesinye isikhathi khona-plaque off-mhlophe kuso.
3. Qedela noma hyperplastic ukuvuvukala, isici esiyinhloko okuyinto kubhekwa ukwakha ukuguguleka polypoid yomzimba elitholakala phezulu esiswini kuze kube sekubeni khona emphethweni encane edema.

izimpawu

Uma umuntu ophethe ukuguguleka esiswini, izimpawu zivame nje ukukhuluma ngakho, ngoba, ngokusho Ochwepheshe, erozirovanie ulwelwesi ipheshana wokugaya ukudla njalo kubuhlungu lokho kunokuba pitting. isithombe okunezimpawu kuhlanganisa izenzakalo ezilandelayo:

• ubuhlungu esifundeni epigastric, okuyinto, kuye ngesimo sifo itholakala waya engxenyeni engenhla esiswini noma inhliziyo;
• nokubhamuka;
• isicanucanu nokuhlanza;
• indlala izinhlungu.

Izimpawu ukopha e ukuguguleka esiswini

Ukopha (oluhambisana) Ukuwohloka esiswini, lapho izimpawu akuzona njalo sobala, kungashiwo esashiwo izici ezilandelayo:

• ubuthakathaka kanye ukukhathala;
• wehlise emazingeni elithwala umoya-mpilo;
• Reflux duodenogastric noma sokuphazamiseka inqubo okukhipha Bile excreted;
• khona igazi sezinyawo ukuthi ngokuvamile wezwakalisa njengoba ukushintsha umbala walo black.

Zonke izimpawu ngenhla kanye nezimpawu, ukhuluma ngezinkinga ne pheshana emathunjini, kufanele kube isibonakaliso ukwelashwa ngokushesha emtholampilo oseduzane, lapho isiguli uzocelwa ahlolwe enemininingwane usebenzisa izindlela zesimanje iningi uphethwe.

Izindlela eziyinhloko ukuxilongwa erosions esiswini

izinqubo sokuxilonga ukuze khona esolwa erosions esiswini zihlanganisa Endoscopy saziso, eklanyelwe ayokwenza ulwazi indawo izikhungo of kwezicubu abathintekayo, ubuningi babo futhi ukubukeka. Phakathi nale nqubo, ungakwazi ukuchitha izingxenye kocingo we mucosa esiswini ukusungula izimbangela ukubukeka kwalesi sifo, kanye ukuqeda umdlavuza.

Ngaphezu kwalokho, i-ukuqoqwa kolwazi olunzulu azosiza sithole choice of yezindlela eziphumelela kakhulu yokwelapha kungadingwa izifundo kwamakhemikhali kwegazi, umchamo kanye sezinyawo isiguli.

ukuphathwa okulondoloza ka erosions: imithi, ukuhlinzwa

Umgomo oyinhloko ekwelapheni ukuguguleka esiswini kuyinto isilonda yayo, ekuqedeni ubuhlungu nokuvimbela ukopha. ukuguguleka Secondary kusebenza ekwelapheni lesi sifo ecashile, okwaphumela izinkinga ezithile zokumpontshelwa esiswini. Gastroenterologists angayinikeza iziguli uhlu imithi amaqembu ezilandelayo:

1. Gastroprotectives, ezihlanganisa izindlela "Cytotec", "Simaldrat" futhi "Gelusil".
2. Holinoliticheskie ejenti - umuthi "Scopolamine" noma "Atropine".
3. Histamine blocker - imithi "Gastrozol", "Omeprazole" "cimetidine", "Ranitidine", "Omez" futhi "metronidazole".
4. Antacids - calcium carbonate amalungiselelo "Almagel" "Maalox" nabanye.
5. Izidakamizwa ne umphumela ukuzivikela - aluminium hydroxide, bismuth noma ngobumba olumhlophe.

Uma kukhona ukopha esiswini oluhambisana ukuguguleka kabani izimpawu igqamile ngokwanele, ukwelashwa ngokuyinhloko zibhekiswe ukopha futhi kuhlanganisa lavage esiswini ngamanzi abandayo kanye ukumnika emthanjeni wegazi noma izingxenye zalo. Futhi, qiniseka ukuthi ukwethulwa aminocaproic acid, vikasola futhi fibrinogen umjovo kungandisa igazi ekunqandeni futhi kuvimbele ukulahlekelwa yayo enkulu.

Ukuze kuncishiswe ingozi ukuguguleka kusayithi iqasha laser noma polyp elekrokoagulyatsiya eyenziwa endaweni esibhedlela. Ezimweni ezimbi kakhulu, noma ukuhlinzwa endoscopic besisu engenziwa ngesikhathi nesineke ukopha letindzala, phakathi kwesikhathi lapho ingxenye esiswini isuswe, ngamangala erosions.

izindlela Traditional nokwelashwa ukuguguleka esiswini

Ngokuvamile gastroenterologists, odokotela beluleka ekwelapheni izifo ezifana ukuguguleka esiswini, izimpawu zazo ukukhuluma ukungabikho ukopha zangaphakathi, iphendukele amakhambi abantu. Kuyaphawuleka ukuthi lapha asikhulumi mayelana esikhundleni izidakamizwa Iziphungo ezahlukene kanye infusions. Lapho lesi sifo ezaziwa ngokuthi ukuguguleka esiswini (izimpawu, ekwelapheni amakhambi abantu kumelwe kuxoxwe ngazo ngokucophelela udokotela), "ugogo" izindlela ayahambelana okudambisa ubuhlungu futhi ukunciphisa isikhathi nokuvulwa nolwelwesi lwamafinyila we ipheshana wokugaya ukudla.

Njengoba imithi ethile eqeda ukuvuvukala Kunconywa ukwamukelwa itiye herbal nge chamomile, wort iSt John sika futhi Yarrow. Nethonya futhi Iziphungo ezinhle knotweed, sage kanye Mint. Ukuphuza zezinkambi enjalo kungcono for isigamu sehora noma ihora ngaphambi kokudla. kahle kakhulu njengoba Sweetener ngoba zezinkambi engamakhambi isetshenziswe ekwelapheni bee yemvelo uju, ukulifaka lo decoction inkomishi 1-2 amahora. L. Ngaphezu kwalokho, it is wafakazela ukuthi nethonya elihle mucosa esiswini kanye ukuhlanzwa propolis ukuguguleka komhlabathi, okuyinto kudingeka chaza kancane emlonyeni amahora njalo ekuseni.

Imfuneko for beqhuba sokuvivinya ukuguguleka esiswini kuyinto Ukudla, ohlinzekela inyumbazane ngokuphelele kusukela okunamafutha imenyu bese ethosiwe ukudla nesineke, izinongo hot, ukhukhamba kanye nemikhiqizo ngibhema, marinades kanye notshwala.