Peptic ulcer galibi yana nufin ciwon da ke faruwa a cikin ciki da kwan fitila mai duodenal.Sunan ta ne saboda samuwar gyambon yana da alaka da narkar da acid na ciki da kuma pepsin, wanda ya kai kusan kashi 99% na ulcer.
Peptic ulcer cuta ce ta kowa da kowa tare da rarraba duniya.Bisa kididdigar da aka yi, ciwon duodenal ulcer yakan faru a cikin matasa, kuma shekarun fara ciwon ciki ya kasance daga baya, a matsakaici, kimanin shekaru 10 bayan na duodenal ulcers.Yawan ciwon duodenal ulcer ya kai kusan sau 3 na ciwon ciki..An yi imani da cewa wasu cututtuka na ciki za su zama masu ciwon daji, yayin da duodenal ulcers ba su da yawa.
Hoto 1-1 Hoton gastroscopic na farkon ciwon dusar ƙanƙara Hoto 1-2 Hoton gastroscopic na ciwon daji mai ci gaba.
1. Galibin ulcer ana iya warkewa
A cikin marasa lafiya da ciwon peptic ulcer, yawancin su za a iya warkar da su: kusan 10% -15% daga cikinsu ba su da alamun bayyanar cututtuka, yayin da yawancin marasa lafiya suna da alamun bayyanar cututtuka, wato: na kullum, rhythmic farkon farawa lokaci-lokaci a cikin kaka da hunturu da hunturu da bazara. ciwon ciki.
Duodenal ulcers sau da yawa suna tare da rhythmic azumi zafi, yayin da ciki ulcers sukan kasance tare da postprandial zafi.Wasu marasa lafiya yawanci ba su da alamun bayyanar cututtuka na asibiti, kuma alamun su na farko shine zubar jini da matsanancin hushi.
Upper gastrointestinal angiography ko gastroscopy sau da yawa iya tabbatar da ganewar asali, da kuma hada magani magani tare da acid suppressants, na ciki mucosal jamiái, da kuma maganin rigakafi iya sa mafi yawan marasa lafiya murmurewa.
2.Maganin ciwon ciki da ake yawan yi ana la'akari da raunukan da ke gaban kansa
Ciwon ciki yana da takamaiman adadin kansa.Yana faruwa ne a cikin masu matsakaici da babba, maza, ciwon gyambon da ba a iya warkewa na tsawon lokaci.A gaskiya ma, ya kamata a gudanar da biopsy na pathological don duk ciwon ciki a cikin aikin asibiti, musamman ma cututtukan da aka ambata a sama.Ana iya yin maganin cutar kansa ne kawai bayan dole ne a cire ciwon daji, don hana rashin ganewar asali da jinkirin cutar.Bugu da ƙari, bayan maganin ciwon ciki, ya kamata a sake yin nazari don lura da canje-canje a cikin maganin ulcer da daidaita matakan magani.
Duodenal ulcers da wuya zama kansa, amma ciwon ciki da ke faruwa a yanzu masana da yawa sun ɗauka a matsayin cutar da ta riga ta kasance.
A cewar rahotannin adabin kasar Sin, kusan kashi 5% na masu ciwon ciki na iya kamuwa da cutar daji, kuma adadin yana karuwa a halin yanzu.Bisa kididdigar da aka yi, har zuwa kashi 29.4% na ciwon daji na ciki sun fito ne daga ciwon ciki.
Bincike ya gano cewa masu fama da ciwon daji na gyambon ciki sun kai kusan kashi 5-10% na kamuwa da ciwon ciki.Gabaɗaya magana, yawancin marasa lafiya da ke fama da ciwon daji na ciki suna da dogon tarihin ciwon ciki.Maimaita lalacewa na sel epithelial a gefen gyambon ciki da gyaran mucosal da sabuntawa, metaplasia, da hyperplasia na yau da kullum suna kara yiwuwar ciwon daji a tsawon lokaci.
Ciwon daji yakan faru a cikin mucosa na ulcers da ke kewaye.Mucosa na waɗannan sassa yana raguwa lokacin da miki yana aiki, kuma zai iya zama m bayan lalacewa da sake farfadowa.A cikin 'yan shekarun nan, saboda ci gaban bincike da hanyoyin bincike, an gano cewa ciwon daji na farko na ciki wanda ya keɓe a cikin gaɓoɓin ƙwayar cuta yana iya ɓacewa kuma yana iya canza fuskarsa ta hanyar ciwon peptic ulcers.Ana iya gyara wadannan cututtukan daji kamar ciwon daji.kuma ana iya maimaita gyare-gyare, kuma za a iya tsawaita tsawon watanni da yawa ko ma fiye da haka, don haka ya kamata a kula da ciwon ciki.
3. Menene alamun mummunan canji na ciwon ciki?
1. Canje-canje a cikin yanayi da kuma na yau da kullum na ciwo:
Ciwon gyambon ciki ya kan bayyana shi ne a matsayin rashin jin zafi a saman ciki, wanda yake konewa ko ya bushe, kuma farkon ciwon yana da alaka da cin abinci.Idan ciwon ya rasa abin da aka ambata a sama na yau da kullum, ya zama hare-haren da ba a saba ba, ko kuma ya zama ciwo mai tsanani, ko yanayin zafi ya canza sosai idan aka kwatanta da baya, ya kamata ya kasance mai faɗakarwa ga harbinger na ciwon daji.
2. Marasa inganci tare da magungunan kashe kansa:
Duk da cewa gyambon ciki na da saurin kai hare-hare akai-akai, ana samun saukin bayyanar cututtuka gaba daya bayan shan magungunan kashe kwayoyin cuta.
3. Majinyatan asarar nauyi na ci gaba:
A cikin gajeren lokaci, asarar ci, tashin zuciya, amai, zazzaɓi da asarar nauyi mai ci gaba, asarar nauyi, yiwuwar ciwon daji yana da yawa.
4. Hematemesis da melena sun bayyana:
Yawan amai na jini da majiyyaci ya yi na baya-bayan nan na jinni ko stools, tabbataccen sakamakon gwajin jini na ɓoyayyiyar fitsari, da kuma anemia mai tsanani suna nuna cewa gyambon ciki na iya rikiɗa zuwa kansa.
5. Taro yana fitowa a cikin ciki:
Marasa lafiya masu ciwon ciki gabaɗaya ba sa haifar da ƙwayar ciki, amma idan sun zama masu ciwon daji, ciwon zai zama babba kuma ya taurare, kuma majinyata masu ci gaba suna iya jin tarin yawa a saman babban ciki na hagu.Yawan taro sau da yawa yana da wuya, nodular kuma ba santsi ba.
6.Wadanda suka haura shekaru 45, suna da tarihin ciwon ulcer a baya, kuma suna da maimaita alamun kwanan nan, irin su hiccups, belching, ciwon ciki, kuma suna tare da asarar nauyi.
7. Jinin asiri mai kyau na fecal:
Maimaita tabbatacce, tabbas ku je asibiti don cikakken bincike.
8. Wasu:
Fiye da shekaru 5 bayan tiyatar ciki, akwai alamun rashin narkewar abinci, raguwar nauyi, anemia da zubar jini na ciki, da ciwon ciki da ba a bayyana ba, belching, rashin jin daɗi, gajiya, raguwar nauyi da sauransu.
4, sanadin ciwon ciki
Har yanzu ba a fahimce illolin ciwon peptic ulcer ba, amma an fayyace cewa kamuwa da cutar Helicobacter pylori, da shan magungunan da ba steroidal anti-inflammatory da kuma antithrombotic kwayoyi, da kuma wuce kima na ciki acid, kwayoyin halitta, shafi tunanin mutum da motsin zuciyarmu. rashin cin abinci mara ka'ida, Jima'i, cin abun ciye-ciye, shan taba, sha, muhalli da yanayin yanayi, cututtuka na yau da kullun irin su emphysema da ciwon hanta na B suna da alaƙa da kamuwa da cututtukan peptic ulcer.
1. Ciwon Helicobacter pylori (HP):
Marshall da Warren sun sami lambar yabo ta Nobel a fannin likitanci na 2005 don nasarar haɓaka Helicobacter pylori a cikin 1983 kuma suna ba da shawarar cewa kamuwa da cuta yana taka rawa a cikin cututtukan cututtukan peptic ulcer.Yawancin bincike sun tabbatar da cewa kamuwa da cutar Helicobacter pylori shine babban dalilin ciwon peptic ulcer.
2. Magunguna da abubuwan abinci:
Yin amfani da magunguna na dogon lokaci kamar aspirin da corticosteroids yana da wuyar haifar da wannan cuta.Bugu da ƙari, shan taba na dogon lokaci, shan dogon lokaci, da shan shayi da kofi mai karfi suna da alaƙa.
(1) Shirye-shiryen aspirin iri-iri: Yin amfani da dogon lokaci ko kuma yawan amfani da shi na iya haifar da ciwon ciki da rashin jin daɗi.A lokuta masu tsanani, ana iya samun hematemesis, melena, da dai sauransu, a cikin kumburi na mucosal na ciki, yashwa da samuwar ulcer.
(2) Magungunan maye gurbin hormone:
Magunguna irin su indomethacin da phenylbutazone magungunan maye gurbin hormone ne, waɗanda ke yin lahani kai tsaye ga gabobin ciki kuma suna iya haifar da ciwon ciki mai tsanani.
(3)Antipyretic analgesics:
Irin su A.PC, paracetamol, allunan rage radadi da magungunan sanyi irin su Ganmaotong.
3. Ciwon ciki da pepsin:
Ƙarshe samuwar ciwon peptic ulcer ne saboda narkar da kai na gastrointestinal acid/pepsin, wanda shine ƙwaƙƙwaran abin da ke faruwa na ulcer.Abin da ake kira "cututtuka marasa acid".
4. Abubuwan tunani masu damuwa:
Matsanancin damuwa na iya haifar da ciwon ciki.Mutanen da ke da matsananciyar damuwa, damuwa, ko yanayin yanayi suna saurin kamuwa da gyambon ciki
miki.
5. Abubuwan Halitta:
A wasu cututtukan cututtukan da ba safai ba, irin su nau'in adenoma na nau'in endocrine da yawa, tsarin mastocytosis, da dai sauransu, ciwon peptic ulcer wani bangare ne na bayyanar asibiti.
6. Motsin ciki mara kyau:
Wasu marasa lafiya na ciwon ciki suna da matsalolin motsi na ciki, irin su ƙara yawan fitar da acid na ciki wanda ya haifar da jinkirin zubar da ciki da duodenal-gastric reflux wanda ya haifar da bile, ruwan pancreatic da kuma lalata lysolecithin ga mucosa.
7. Wasu dalilai:
Kamar kamuwa da cuta na gida na nau'in ƙwayar cuta ta herpes simplex I ƙila yana da alaƙa.Cutar cytomegalovirus kuma na iya shiga cikin dashen koda ko marasa lafiya na rigakafi.
A ƙarshe, ana iya hana ciwon ciki yadda ya kamata ta hanyar inganta salon rayuwa, shan kwayoyi da hankali, kawar da Helicobacter pylori, da kuma shan gastroscopy a matsayin kayan gwajin jiki na yau da kullum;
Da zarar ciwon ciki ya faru, ya zama dole don daidaita tsarin jiyya da kuma gudanar da bita na gastroscopy na yau da kullum (ko da an warkar da miki), don hana kamuwa da cutar kansa yadda ya kamata.
“Muhimmancin gastroscopy ana iya amfani da shi gabaɗaya don fahimtar ko maƙarƙashiya, ciki da duodenum suna da digiri daban-daban na kumburi, gyambon ciki, polyps na ƙari da sauran raunuka.Gastroscopy kuma hanya ce ta duba kai tsaye wanda ba za a iya maye gurbinsa ba, kuma wasu ƙasashe sun ɗauki gwajin gastroscopic.A matsayin abin duba lafiya, ya kamata a gudanar da gwaje-gwaje sau biyu a shekara, saboda yawan kamuwa da cutar kansar ciki da wuri a wasu kasashe.Don haka, bayan ganowa da wuri da kuma jiyya a kan lokaci, tasirin jiyya kuma a bayyane yake.”
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Lokacin aikawa: Agusta-15-2022