Ukhukuliseko esiswini: iimpawu, izinto, unyango

Esi sifo, njengoko ukukhusele isisu inxulumene iingcali, gastroenterologists ixhaphakileyo izigulo gastroduodenal yabantu. Esi sifo olufunyanwa izigulane omnye kwabalishumi owayefumene uviwo usebenzisa mbhobho wokuhlola. Yintoni na ke ukukhusele esiswini? Iimpawu, ebangela, unyango lwesi sifo - ezi imiba eza kuxutyushwa kweli nqaku.

Izizathu ezinokubangela ukuyilwa erosions esiswini

Ngokuba lixesha lokuqala esi sifo emibuzo uyakumema ukuba ube, oko kuchazwe kwinkulungwane yama-18. Ngenxa yezizathu ezicacileyo, eyona miba ephambili ezinokudala ingaphakathi iphecana erozirovanie wokudla ngaloo maxesha zitshintshile, kodwa uninzi lwabo esasebenza. izifo ezifanayo kakhulu bavame ngenxa kukusilela intsalela imiba ndlongondlongo kunye ibakhusela kokusingqongileyo lwangaphakathi izitho zokugaya. Kakhulu omnye umbuzo - yintoni eyabangela komgomo ezinjalo. Phakathi miba ephambili kuvusa uphuhliso iingcali ukhukuliseko ubize kulandelayo:

• ukulimala esiswini ngokuthi ngokubethwa izinto ezingafanelekanga okanye kamva nemivumbo, namanxeba;
• utyando lwenziwe amalungu zokugaya (esiswini kunye duodenum 12);
• njalo engena kwiimeko ezibangela, Usenokuzingomb ngendlela eyomeleleyo neemvakalelo ezingakhiyo;
• Ezinxulumene izifo zesisu phecana ezifana pancreatitis;
• isibindi kunye nesifo senyongo, ezifana kwesibindi, insufficiency hepatic, cholelithiasis;
• isifo sentliziyo ;
• Zokungenisa of neetyuwa zesinyithi enzima, ii-asidi okanye alkalis.

Kwakhona, kukho eziliqela, apho ukhukuliseko esiswini, iimpawu, ebangela adla bakhonkxwa kunye sisigulane, ukuba imikhwa emibi okanye imikhwa esidla, ezifana:

• ukusetyenziswa rhoqo, ukutya ezishushu kakhulu ukuba nezinongo;
• ukusetyenziswa rhoqo utywala kunye nokutshaya icuba;
• ukusetyenziswa kweziyobisi ngaphandle ukuthobela idosi ekucetyiswa nexesha unyango.

Kwiminyaka yakutshanje ngokusebenzisa uphuhliso lobugcisa zonyango ephambili ukuba ukuchonga nayiphi na inxaxheba ukuvela erozirovaniya kwiinwebu wokugaya kunye iintsholongwane Helicobacter pylori.

Iintlobo lokhukhuliseko esiswini

Kukho iintlobo ezininzi izifo ezifana ukhukuliseko esiswini, iimpawu kunye nonyango ezahlukileyo kancinane omnye komnye:

1. ukhukuliseko Initial ukuba kwenzeka sisifo abahlukene ngenxa ntshikilelo, ukusetyenziswa kakubi kotywala kunye neziyobisi zelo qela amachiza nonsteroidal anti-ukudumba, corticosteroids kunye nezinye.
2. ukhukuliseko Secondary, nto leyo ingqalelo kwingxaki izifo ezifana ukusilela kwezintso okanye hepatic, isifo igazi, nangezilonda ethunjini.
3. ukhukuliseko yingozi, oluthi luqokelelane kwisiqalo bezifo nyonke umhlaza, kuquka lymphoma, isifo Crohn yakhe , kunye nabanye.

Ukhukuliseko ingaba esinye okanye ezininzi. Nanjengoko igama layo lixela, oko kumiselwa nguMthetho inani izitshanguba na imazi ibonakalisa emzimbeni. Ukongeza iintlobo ukhukhuliseko, iingcali wabalaselisa izinto eziliqela apho iintlobo ezahlukeneyo kunye neendidi kwesi sifo.

Isifo

Njengazo naziphi na ezinye izifo, ukhukhuliseko esiswini, iimpawu, unyango, leyo ixhomekeke imilo le budget yahlulwe:

• Sharp, indawo apho lizwe amaninzi kubonwa kuloo ndawo yomzimba, ekuthiwa "bottom". Iimpawu eziphambili lwangaphandle fom etsolo kukungabikho lamanqanaba epithelial kwi ukhukuliseko emzimbeni, isidanga ezibuthathaka afunxwe iiseli lymphocytic kunye nokungabikho phantse epheleleyo iidipozithi fibrin kwi kwisiseko sayo. Iimpawu ukhukuliseko nokoyika esiswini usoloko kucace kakhulu nokuba buhlungu, namandla kunye namandla axhome kakhulu ngaphezu kwalawo waphawula izifo isilonda Peptic. Unyango iintlobo zale sifo kwiimeko ezininzi ihlala kwiiveki ngaphezulu kwama-2.
• Chronic, nto leyo kakhulu qho yenzelwe esiswini antral kwaye ibandakanya isikakhulu njalo-ekuthiwa granulation kwithishyu. Kungqameko ukhukuliseko kule fomu singqongwe kweengqimba epithelium hyperplastic, yaye emazantsi kukho emithanjeni inimba kunye kwamadlala ventricular muscular. ukhukuliseko Chronic of antrum esiswini, apho iimpawu onomoya ngandlel ngaphezu ifomu etsolo, kufuna unyango ixesha elide iinyanga 2-6 okanye ngaphezulu. Ubude unyango kunokuxhomekeka ilingene umonakalo inwebu kwiinwebu esiswini kunye susceptibility umzimba kwiziyobisi.

iintlobo lokhukhuliseko

Ukhukuliseko esiswini (iimpawu, photo thaca kweli nqaku) akagqibelelanga iintlobo ezininzi:

1. Sophele nzulu okanye umgangatho, esibonakala bubukho uqweqwe phezu kwegazi, bayirhawula iqokobhe baluthuthu edematous.
2. Umphezulu flat, eyahluke kongqameko hyperemic ehlabathini umzimba ucoce phantsi, ngamanye amaxesha kunye ubukho off-ezimhlophe kuyona ebhalwe kuyo.
3. Zalisa okanye hyperplastic ukudumba, iphambili egqalwa ukwenza ukhukuliseko polypoid umzimba ime kwi phezulu esiswini yobukho ezibayeni nokudumba encinane.

iimpawu

Ukuba umntu uphethe ukukhusele isisu, ezi mpawu zikholisa ukuthetha nje ngayo, ngenxa yokuba, ngokutsho bezifo, erozirovanie ingaphakathi wokugaya usoloko buhlungu ngaphezu inaba. picture lingaze ibandakanya ezi ziganeko zilandelayo:

• intlungu kummandla epigastric, leyo, kuxhomekeka kuhlobo kwesi sifo yenzelwe ikota yesangqa eliphezulu esiswini okanye intliziyo;
• belching;
• isicaphucaphu nokugabha;
• buhlu- indlala.

Iimpawu ze ukopha kwi ukhukuliseko esiswini

Ukopha (ukopha) ukhukuliseko esiswini, apho iimpawu hayi ngaso, inokubuyiselwa oluvakaliswe ezi mpawu zilandelayo:

• ubuthathaka nokudinwa;
• ukuncipha kwamazinga athwala;
• reflux duodenogastric okanye ukuphazamiseka inkqubo output enyongweni salawo;
• ubukho igazi ithe elidla ngendlela njengoko ukutshintsha umbala yabo omnyama.

Zonke iimpawu ngasentla kunye neempawu, ukuthetha malunga iingxaki kunye iphecana zesisu, kufuneka kube uphawu ukuba unyango olukhawulezileyo ukuya kwikliniki ekufutshane, apho uza kucelwa ukuba bangenele uviwo oluneenkcukacha usebenzisa iindlela ezininzi mihla kokuxilongwa.

Iindlela eziphambili une erosions esiswini

iinkqubo zokuxilonga ubukho ekucingelwa erosions esiswini ziquka endoscopy inyanzelekile, ngohlobo lokufumana ulwazi malunga indawo Kumaziko ancedisana ochaphazelekayo, ubungakanani zabo kunye nenkangeleko. Ngethuba le nkqubo, uyakwazi ukuchitha iindawo kumbiyo isifo esiswini ukuseka unobangela yimbonakalo sifo, kwakunye ukuphelisa umhlaza.

Ukongeza, kuba ukuqokelela inkcazelo ebanzi eya kunceda ubone ezikhethiweyo iindlela ezininzi ezisebenzayo unyango ukuze izifundo kwemichiza igazi, umchamo kunye njengesihlalo lomguli efunekayo.

unyango Conservative of erosions: iziyobisi, uqhaqho

Eyona njongo ingundoqo unyango sokhukuliseko esiswini na inxeba layo, ukuphelisa intlungu nasekunqandeni ukopha. ukhukuliseko Secondary kukwaquka unyango kwesi sifo engundoqo, nto leyo ikhokelele iingxaki kunye esiswini. Gastroenterologists iziguli uluhlu amayeza la maqela alandelayo:

1. Gastroprotectives, ezibandakanya lithetha "Cytotec", "Simaldrat" yaye "Gelusil".
2. arhente Holinoliticheskie - ichiza "Scopolamine" okanye "Atropine".
3. blocker Histamine - amayeza "Gastrozol", "Omeprazole" "cimetidine", "Ranitidine", "Omez" yaye "Metronidazole".
4. Asidi - amalungiselelo calcium carbonate "Almagel" "Maalox" kunye nabanye.
5. Iziyobisi ukususela uvikele - aluminiyam hayidroksayidi, bismuth okanye udongwe emhlophe.

Ukuba kukho ezophayo esiswini ukhukuliseko ukopha ogama iimpawu eziqaqambileyo ngokwaneleyo, unyango ikakhulu ngqo ukunqanda ukopha kwaye iquka lavage esiswini ngamanzi abandayo kunye nokufakwa efakwa igazi okanye iincindi zalo. Kwakhona, qiniseka ukusungulwa aminocaproic acid, vikasola kunye inaliti lwefibrinogen ukuba ukwandisa igazi ekunqandeni nokuthintela ilahleko yayo enkulu.

Ukunciphisa umngcipheko ukhukuliseko kwisiza liqesha a laser okanye polyp elekrokoagulyatsiya wenziwe kwindawo esibhedlele. Kwiimeko kakhulu, okanye uqhaqho endoscopic esiswini inokwenziwa kwi ukopha nomonde zenkqubo, ngexesha apho inxalenye esiswini isuswa, eqhiphuke umbilini yi erosions.

kwiindlela zakudala unyango sokhukuliseko esiswini

Ngokuqhelekileyo gastroenterologists, oogqirha ukucebisa kwi unyango lwezifo ezifana ukhukuliseko esiswini, iimpawu athetha ukungabikho ukopha ngaphakathi, ukuba babhenele kumayeza womthonyama. Kubalulekile ukuphawula ukuba apha sithetha ngayo kutshintshwa amachiza decoctions ezahlukeneyo kunye infusions thina. Xa isifo eyaziwa ngokuba ukukhusele isisu (iimpawu, unyango amayeza intsomi kufuneka kuxoxwe ngobunono ugqirha), "umakhulu" iindlela iyavumelana kuphele iintlungu nokunciphisa ixesha kwakhona kwiinwebu lokugaya.

Njengoko amachiza anti-ukudumba wancomela ukwamkela leti esintu kunye chamomile, Wort St. bakaYohane yarrow. Yiba olungileyo ukusebenza kunye decoctions knotweed, nomfundisi Mint. Ukusela iti ezinjalo kubhetele ukuba kangangesiqingatha seyure okanye seyure phambi kokuba isidlo. kakuhle kakhulu nangoku ngenxa iti esintu amayeza bee yendalo ubusi, yokuyifaka le decoction indebe iiyure 1-2. L. Ngaphezu koko, oko kwaba neziphumo entle isifo esiswini kunye ukhukuliseko propolis nyulu, ekufuneka ukunyibilika kancinci emlonyeni iiyure ntsasa nganye.

Eyona nto ifunekayo ngenxa ukuqhuba unyango ukuze ukhukuliseko esiswini na ukutya, esibonelela nokukhutshelwa ngokupheleleyo ezinamanqatha menu kwaye eqhotsiweyo ukutya nomonde, eshushu ubulawu, pickles kunye ndatshaya iimveliso, marinades kunye notywala.