Zvironda zveDumbu neDuodenum: Zvikonzero, Zviratidzo uye Sarudzo dzeKurapa

Mudumbu uye dumbu diki (duodenum) maulcer, idambudziko rinokonzerwa nekurasika kwematishu mukati memukati memaorgan aya, richikonzerwa neasidhi yemudumbu uye maenzyme ekugaya chikafu. Mamiriro aya, pasi pesimba remaasidhi nemvura dzekugaya, anogona kupinda mukati mematishu achikonzera maronda uye kuzvimba. Maulcer, chirwere chehurongwa hwekugaya chikafu chinowanika zvakanyanya pasi rose, uye chinogona kukonzera matambudziko makuru ehutano.

Zvinokonzeresa Ulcer Chii?

Chikonzero chikuru chemaulcer emudumbu neduodenum, hutachiona hunonzi Helicobacter pylori. Chimwe chinokosha ndechekushandiswa nguva refu kwemishonga isiri yesiteroid inodzivirira kuzvimba (NSAID), kunyanya aspirin nemimwe mishonga yerheumatism. Kugarwa nemhuri, kushushikana kwenguva refu, mishonga yakaita sekortisoni, kushandiswa kwefodya, kunwa doro, kudya kofi yakawandisa uye zvimwe zvinhu zvakatipoteredza zvinogonawo kukonzera maulcer. Zvisinei, kukanganisa kwezvinhu izvi kunosiyana kubva kumunhu kuenda kumumwe.

Maulcer Anowanzoonekwa Pavanhu Vemazera Api?

Kunyange zvazvo maulcer anogona kuitika pazera ripi neripi, maulcer eduodenum anowanzoonekwa pakati pemakore 30 kusvika 50 uye anowanda kuvarume. Asi maulcer emudumbu anowanzoitika pazera repamusoro, kunyanya kuvakadzi vane makore anopfuura 60. Zvidzidzo zvakasiyana zvinoratidza kuti panguva ipi neipi, vanhu vanenge vaine ulcer munharaunda vanosvika pakati pe2% ne6%. Maulcer eduodenum anowanzoitika kupfuura maulcer emudumbu.

Zviratidzo zveUlcer Chii?

Chiratidzo chikuru chemaulcer emudumbu neduodenum, kurwadziwa kunopisa kana kunoruma kunonzwiwa mudumbu repamusoro. Kurwadziwa uku kunowanzowedzera kana munhu ane nzara, kunogona kuitika pakati pekudya kana usiku uye kunogona kumutsa murwere kubva murhope. Kurwadziwa kunoderera mushure mekudya kana kutora mishonga inodzora asidhi. Dzimwe nguva, kurutsa, kusada kudya uye kurasikirwa nehuremu zvisingadiwi zvinogona kuonekwa. Kunyanya, kuderera kwekurwadziwa mushure mekurutsa chiratidzo cheulcer. Mimwe mitoo (semumwaka wechirimo nezhizha) inogonawo kuwedzera zviratidzo.

Zvinetso Zvikuru zveUlcer Chii?

Kuputika kweropa: Chikonzero chikuru chekuputika kweropa muhurongwa hwekugaya chikafu chepamusoro maulcer. Kuputika kweropa kunogona kuva chiratidzo chekutanga kune vanhu vasina kumbotariswa ulcer. Kubuda tsvina yakasviba kana kurutsa kwakaita serusvingo rwekofi chiratidzo chinokosha. Kusava nesimba kamwe kamwe, kudikitira kunotonhora zvinofanirwawo kufungidzirwa kuputika kweropa. Kana zviratidzo izvi zvaonekwa, zvinokurudzirwa kuti munhu aende kuchipatara pasina kunonoka.

Kubvaruka (Perforation): Kana ulcer ikadzika ikabvarura madziro emudumbu kana duodenum, asidhi nemvura dzekugaya zvinobuda muchiuno zvichikonzera kurwadziwa kukuru kamwe kamwe. Masuru edumbu anooma uye munhu anotadza kufamba zvakanaka. Iyi inyaya inokurumidza inoda kuvhiyiwa nekukurumidza.

Kuvharika: Kunyanya muduodenum kana panobuda mudumbu (pylor), ulcer yakakura, kuzvimba kwematishu kana kukura kwematishu akakuvara kwenguva refu zvinogona kukonzera kuvharika. Zvokudya nemvura hazvigone kubva mudumbu, murwere anorutsa kazhinji uye zvakawanda. Kushaikwa kwekudya kwakakwana uye kurasikirwa nehuremu zvinogona kuitika. Mamiriro akadaro anoda kuongororwa nekukurumidza uye kuvhiyiwa.

Nzira dzekuona Ulcer Chii?

Kuti uone ulcer, nyaya yakazara yezvehutano uye kuongororwa kwemuviri kwakakosha. Asi kuongororwa kwemuviri kana ultrasound kazhinji hazvipe zviratidzo zvakajeka zveulcer. Kazhinji, kuyedza mishonga inodzora asidhi uye kuona kana zviratidzo zvichiderera zvinokurudzirwa. Kuongororwa kwechokwadi kunoitwa neendoscopy (esophagogastroduodenoscopy). Paendoscopy, mudumbu, duodenum uye chiteshi chechikafu zvinoonekwa zvakananga, uye biopsy inogona kutorwa kana zvichidikanwa. Barium meal x-ray inogonawo kuitwa asi nhasi uno endoscopy ndiyo inonyanya kushandiswa.

Nzira dzekurapa Ulcer Chii?

Kurapa Nemishonga:

Mishonga inodzora kugadzirwa kweasidhi yemudumbu (proton pump inhibitors: omeprazole, lansoprazole nezvimwewo) uye mishonga inodzivirira H2 receptors (ranitidine, famotidine, nizatidine) ndiyo inonyanya kushandiswa. Mishonga iyi inobatsira kuporesa ulcer uye kubvisa zviratidzo. Kana hutachiona hweHelicobacter pylori hwaonekwa, mishonga inouraya hutachiona hunoshandiswa. Nguva yekurapa uye kusanganiswa kwemishonga kunoenderana nenzvimbo yeulcer, kukura kwayo uye hutano hwemurwere.

Kuvhiyiwa:

Maulcer mazhinji anopora zvakanaka nemishonga. Asi kana paine kuputika kweropa, kubvaruka kana kuvharika, kana ulcer ikasapora nemishonga, kuvhiyiwa kunodiwa.

Kudya uye Mararamiro:

Kare, varwere veulcer vaipihwa kudya kwakasimba; asi nhasi uno hazvina kuwanikwa kuti kudya kwakakosha kunobatsira kuporesa ulcer. Zvakakwana kuti munhu anzwisise kuti chii chinowedzera zviratidzo uye azvidzivise. Kushandiswa kwefodya kunononotsa kupora kweulcer, saka zvinokurudzirwa kurega. Kudzivirira doro uye mishonga isingadiwi (kunyanya aspirin neNSAID) kwakakosha mukurapa ulcer.

Kuderedza kushushikana, kudya zvine hutano uye kurara zvakakwana zvinobatsira kuporesa ulcer.

Ukama hweHelicobacter pylori neUlcer

Helicobacter pylori ndiyo inonyanya kukonzera maulcer. Muulcer eduodenum, hutachiona uhu hunowanda zvikuru. Asi kune vamwe vanhu, hutachiona hunenge huripo asi ulcer haibudi; saka zvinofungidzirwa kuti kune zvimwe zvinhu zvemhuri nezvakatipoteredza zvinobatsira. Helicobacter pylori inogona kukonzera chronic gastritis uye dzimwe ongororo dzinoratidza kuti inogona kuwedzera njodzi yemudumbu cancer.

Mibvunzo Inonyanya Kubvunzwa

1. Ulcer inopora zvachose here?

Maulcer mazhinji anopora zvizere nemishonga yakakodzera uye kana paine hutachiona hunorapwa nemabiotic akakodzera. Asi zvakakosha kugara wakangwarira njodzi yekudzoka kweulcer.

2. Helicobacter pylori inotapuriranwa sei?

Hutachiona uhu hunotapuriranwa nyore nyore kubva kumunhu kuenda kumumwe kuburikidza nemuromo kana munzvimbo dzisina hutsanana hwakanaka.

3. Chii chinofanira kucherechedzwa kuti ulcer isadzokere?

Kunyange mushure mekupedza kurapwa, zvinokurudzirwa kudzivirira fodya, mishonga yekurwadziwa isingadiwi uye doro; kudya zvine hutano uye kutevedzera hutsanana.

4. Chii chinonzi chikamu chekudya mukurapa ulcer?

Kunyange pasina kudya kwakakosha kweulcer, zvinokurudzirwa kudzivirira chikafu chinokonzera kusagadzikana.

5. Kuputika kweropa kweulcer kunotyisidzira hupenyu here?

Kuputika kweropa kukuru kunogona kuisa hupenyu panjodzi. Kana ukaona tsvina yakasviba kana kurutsa kwakaita serusvingo rwekofi, enda kuna chiremba nekukurumidza.

6. Mishonga ipi inokonzeresa ulcer?

Aspirin, ibuprofen nemamwe maNSAID kana akashandiswa kwenguva refu anowedzera njodzi yeulcer.

7. Kushushikana kunokonzera ulcer here?

Kushushikana hakuzi chikonzero chega cheulcer; asi kunogona kuwedzera asidhi yemudumbu kana kuderedza immune system zvichiita kuti ulcer ibude nyore.

8. Chiratidzo chikuru cheulcer chii?

Kazhinji kurwadziwa kunopisa kana kunoruma mudumbu repamusoro, kunyanya kana munhu ane nzara.

9. Kana Helicobacter pylori yaonekwa inorapwa nguva dzose here?

Kurapwa kunokurudzirwa kune varwere vane ulcer inoshanda kana zviratidzo zvechronic gastritis.

10. Vana vanogona kuwana ulcer here?

Hongu, kunyange zvazvo zvichiitika zvishoma, vana vanogonawo kuwana ulcer. Kana paine zviratidzo, nyanzvi yezvevana inofanira kubvunzwa.

11. Endoscopy inonetsa here?

Endoscopy inowanzoita nguva pfupi, inotakurika uye inowanzoitwa murwere akazorodzwa nemishonga.

12. Mushure mekurapa ulcer, zvinodikanwa here kuramba uchishandisa mishonga hupenyu hwese?

Varwere vakawanda havachadi mishonga mushure mekupedza kurapwa. Asi kana zvinhu zvinowedzera njodzi (semuenzaniso kushandiswa kweNSAID) zvichiripo, kurapwa kwenguva refu kunogona kukurudzirwa nachiremba.

Zvinyorwa

Sangano reHutano Pasi Pose (WHO) – Peptic Ulcer Disease Factsheet

American College of Gastroenterology – Mirayiridzo paKuongorora uye Kutungamira kweChirwere chePeptic Ulcer uye H. pylori Hutachiona

Mayo Clinic – Chirwere chePeptic Ulcer

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) – Tsananguro & Chokwadi pamusoro pePeptic Ulcers

Global Helicobacter pylori Study Group – H. pylori uye Zvirwere zveGastric

American Gastroenterological Association – Zvinyorwa zveKuchengetwa kweVarwere paChirwere cheUlcer