Ululu wa m'mimba: zizindikiro ndi mankhwala ndi mankhwala ochiritsira

Zilonda zam'mimba zimakhala pamtunda pa khoma la chiwalo. Kawirikawiri, matendawa amapezeka kwa anthu oposa 40, koma nthawi zina maonekedwe a foci amadziwika komanso ali aang'ono, nthawi zambiri amuna.

Mu maonekedwe osasinthika, chilonda cha m'mimba, zizindikiro ndi chithandizo chimene aphunzira bwino ndi madokotala, ndi chothandiza kwambiri kuchipatala.

Kumudzi ndi mtundu wa matendawa

Monga lamulo, zilonda zimapangidwa m'munsi mwa chigawochi. Matendawa akhoza kukhala ovuta komanso ovuta. Kuonjezera apo, zilonda zingakhale zosawerengeka (zamtundu) kapena zambiri. Kaŵirikaŵiri, zizindikiro zomwe zimawonekera maonekedwe awo zimakhala ndi vuto m'mimba ndi duodenum - madzi am'mimba amalowa m'mimba, ndipo amachititsa kuwonongeka kwa mucous membrane.

Zimayambitsa

Zambiri zingayambitsidwe ndi chitukuko cha matenda monga zilonda za m'mimba. Zomwe zimayambitsa matenda ndizosiyana:

• Zovuta pambuyo pa opaleshoni;
• Zakudya zolakwika;
• Kuwonjezeka kwa mimba ya m'mimba;
• Kuthamanga kwambiri kwa madzi a m'mimba;
• Zizolowezi zoipa (kumwa kwambiri ndi kusuta fodya);
• Kufooka kwa kayendedwe ka chitetezo cha munthu;
• Ziphuphu zimapangitsa kuti phokoso liziyenda bwino.
• Diverticulum wa chiwalo (kupotoza kwa chiwindi, kuyambitsa chakudya);
• Kutenga mankhwala achiwawa;
• Chemotherapy, kuwombera mfuti;
• Kuvulala kwakukulu, kuyaka, kuwonongeka kwakukulu kwa ziwalo zofunika.

Zizindikiro

Kawirikawiri matendawa amachokera kuwonetseredwe akunja ndi kunja komwe amatha kufotokozedwa ngati zilonda zam'mimba. Zizindikiro za matenda ali, monga lamulo, osadziwika:

• Matenda opweteka m'chifuwa, amakula pakudya kapena mwamsanga kudya;
• Zosangalatsa zosamva ngati zamezedwa;
• Kutsekemera, kumangirira;
• Kusuta kuchokera pakamwa.

Madokotala odziwa bwino

Matenda ambiri omwe amapezeka m'magazi tsopano ndi zilonda zam'mimba, zomwe zimaperekedwa ndi gastroenterologist. Malangizo ake amaperekedwa ndi wodwalayo. Katswiri amadziŵa za matenda a m'mimba, amalingalira zizindikirozo ndi kuwonetsa njira yoyenera kwambiri ya mankhwala, kutsogoleredwa, monga lamulo, kuthetsa maphunziro a zilonda zam'mimba.

Zosiyanasiyana za ulcerative zilonda

Chigawo chofala kwambiri chimaphatikizapo mitundu iwiri ya matenda - zozizwitsa komanso zowona. Poyamba, mawonekedwe a zilonda zimadalira zifukwa zomwe zimayambitsa matendawa. Choncho, tisiyanitsani mitundu ya mankhwala, amanjenje, osasinthasintha komanso osabereka.

Kaŵirikaŵiri, kuwonongeka kumachitika pamene kumalowa kwa zinthu zachiwawa - mankhwala ambiri amachititsa kuti makoma a mitsempha asokonezeke, zomwe zimayambitsa kutupa. Chifukwa chokhala ndi nkhawa komanso zoopsa, zizindikiro za zilonda zamaganizo zimatha, ndipo kupangika kwazomwe zimakhala zovuta pamene chiwalo chimakanizidwa ndi ziphuphu zam'mimba. Mitundu yamtundu wabwinja imawonedwa kwa odwala omwe amalandira zakudya m'thupi lomwe lingathe kuwononga mucosa.

Kwa mtundu uwu wopotoka, ndikofunika kuti chilonda cha m'mimba chimadziwonetsere (zizindikiro), ndipo chimachiritsidwa mwachindunji ndi mawonetseredwe a chipatala.

Mtundu weniweni wa chilonda umaphatikizapo mtundu wa matendawa panthawi ya kutuluka - matenda amatha kukhala ovuta komanso osapitirira. Kwa mtundu woyamba, njira ya matendawa ndi kusanza kwa acidic ndi khalidwe. Fomu yowoneka bwino kwambiri imapezeka pambuyo pa opaleshoni. Zilonda zowononga zimapezeka ngati zimakhala zowonjezereka kwa makoma a chigawo cha madzi am'mimba, zomwe zimawononga mucosa. Kawirikawiri, zochitika za zilonda zam'mimba zimangokhala ndi zotsatira zoipa za hydrochloric acid.

Zofufuza

Matendawa amayamba nthawi zonse pozindikira zomwe zimachitika ndi matenda ngati amenewa, monga zilonda zam'mimba, zizindikiro, ndi chithandizo chomwe chimapangidwa mogwirizana ndi chithunzi. Matenda a anamnesis akukonzekera, pamene kudya ndi kadyedwe ka wodwalayo kumayesedwa. Kuonjezera apo, dokotala amatsimikiza kupezeka kapena kusakhala ndi mawonetseredwe ofanana ndi achibale akewo, amafufuza khungu lake kwa mabala, mawanga ndi madontho osakaniza ndipo amalingalira maonekedwe a mafuta a thupi. Kaŵirikaŵiri kuti amalize chithunzithunzi chachipatala, zitsanzo za magazi (matenda a anemia ndi leukocytosis), anthu amtundu (osataya kupezeka kwa magazi) amafufuzidwa.

Kukhazikitsidwa kwa zilonda kumatsimikiziridwa bwino. Pogwiritsa ntchito kafukufuku, pH ya mucosa imayesedwa. Endoscope imachotsa kachidutswa kakang'ono ka mitsempha ya dokotala kuchokera kwa dokotala kuti azindikire kukhalapo kwa mabakiteriya a Helicobacter pylori. Ngati ndi kotheka, kuyesa kwa ultrasound, mzere wa X-ray ndi tomography kumaperekedwanso.

Chithandizo

Poyambirira matendawa, monga lamulo, mankhwala amphamvu sali oyenerera - zidzakwanira kuchepetsa ntchito ya chakudya chokhumudwitsa, osati kulemetsa katundu wolemera ndi kusiya zovala zolimba kwambiri. Sizingakhale zodabwitsa kuti azisamalidwa ndi mankhwala ochiritsira. Zimalangizanso kupeŵa kugona pansi mwamsanga mutatha kudya, ndipo kugona usiku ndi bwino ndi mutu wapamwamba. Kwa nthawi yayitali, zofunikira zakuthupi ziyenera kupeŵedwa.

Zotsatirazi ndi zothandiza ngati pali kachilombo kakang'ono, kamene kali ndi zilonda zam'tsogolo. Kuchiza kwa mawonekedwe olemera kungapangidwe m'njira ziwiri - mankhwala ndi opaleshoni.

Thandizo la Mankhwala

Kawiri kawiri mankhwalawa amagwiritsidwa ntchito mankhwala omwe ali ndi antibacterial, antacid ndi astringent zotsatira. Izi zidzafunanso mankhwala osokoneza bongo omwe amachititsa kuti malo okhudzidwa asinthidwe.

Cholinga chachikulu cha mankhwalawa ndi kuchepetsa matenda a ululu, acidity ya mimba yam'mimba ndi kukhumudwa kwa mucosa, kumene chilonda cha mimba chinakhazikitsidwa. Zizindikiro ndi chithandizo zimagwirizana, chifukwa kuwonongeka kwa mawonetseredwe oipa kumasonyeza kusintha kwa chithunzi cha kuchipatala.

Ntchito yofunika kwambiri imasewera ndi mankhwala omwe amachititsa kuti machiritso azichiritsidwa. Monga gawo la kukonzekera kotereko kumakhala kobwerezabwereza kokonzanso zinthu, zomwe zimabweretsanso minofu yolondola. Antacids amafunika kuchepetsa kupweteka kwa hydrochloric acid pamtundu wa neutralization, ndipo prokinetics imabweretsanso bwino mitsempha ya m'mimba.

Njira yothandizira

Ntchito zothandizira zilonda zam'mimba zimapangidwa ngati mankhwala osamalidwa asagwiritsidwe bwino. Opaleshoni imafunikanso ngati chapamimba sphincter sichidzatsekedwa. Kwenikweni, kuthandizira kuli kofunika kuti tipeŵe mavuto monga mawonekedwe a chilakolako chokhalitsa. Kugwiritsa ntchito ndalama zapopu kumapangidwira - mimba imasiyidwa kuchoka pa phokoso ndikuphatikizidwa ndi khoma la m'mimba. Izi ndizofunikira kubwezeretsa ziwalo zoyenerera pakati pa ziwalo - pamalo amenewa, chiopsezo cha hydrochloric acid chikuponyedwa pa mucosa wa ngalande. Kawirikawiri, opaleshoniyo imakhala pamodzi ndi njira yoyenera ya vagotomy mogwirizana ndi njira ya Nissen, yomwe imaphatikizapo mapangidwe a vagal mitsempha yomwe imayambitsa kutaya kwa gastric hydrochloride.

Kudya ndi chilonda cha mimba

Chigawo chofunikira cha mankhwala pazigawo zonse ndikutsatira chakudya choyenera. Zakudya zomangidwa bwino zingathandize kuchepetsa kupweteka ndikufulumizitsanso. Choncho, pansi pa chiletsocho ndi zakudya zomwe zimakhudza kusungunuka kwa madzi ammimba, kuwonjezeka. Izi ziyenera kuchotsedwa ndi zakudya zonenepa komanso zonunkhira, zakumwa zatsopano, zakumwa zauchidakwa ndi zakumwa, bowa. Pa nthawi ya chithandizo ndi zofunika kuti muzisunthira kuphika ndikuphika chakudya chambiri chophikira. Mukhoza kudya zakudya zakumwa za mkaka ndi mafuta a zero, mazira, tirigu ndi nyama popanda phula.

Ndikofunika kutsatira malamulo omwa mowa: wodwalayo ali ndi chilonda cha m'mimba amasonyeza kuwonjezeka kwa madzi - osachepera 1.5 malita patsiku.

Mankhwala a zilonda za m'mimba

Pali njira zambiri zopezera ndi kuchiza zilonda zam'mimba mwa njira zosagwirizana. Nthawi zambiri, mankhwalawa ndi otetezeka, chifukwa amamangidwa pogwiritsa ntchito mankhwala azitsamba monga kukonzekera. Koma, ngakhale izi, kugwiritsidwa ntchito kwa mankhwala a mankhwala osayenera kumafuna chilolezo cha dokotala.

Mankhwala otchuka kwambiri a zilonda za oesophageal amavomerezedwa ndi maphikidwe a infusions ndi broths:

• Amakonza chisakanizo cha peppermint, flax ndi fennel, zomwe zimatengedwa mofanana. Zopangidwe zimatsanuliridwa mu kapu ya madzi otentha ndikuphatikizapo mphindi 30. Msuzi umatengedwa kawiri pa galasi.
• Mbatata zingapo zophikidwa zimaphika mu theka la lita imodzi ya madzi, ndiye yankho limaphatikizana. Imwani imayenera kukhala theka la ola musanayambe kudya 150 ml panthawi imodzi. Mukhoza kugwiritsa ntchito madzi pambuyo pokudzuka - mudzakhala ndi galasi imodzi musanadye chakudya cham'mawa.
• Mazira a nkhuku ndi uchi wang'ono amakhala osakaniza mu chiwerengero cha 1: 2. Nthawi yabwino yovomerezeka - m'mimba yopanda kanthu m'mawa, nthawi ya mankhwala - masiku 14.
• Musanayambe kudya kadzutsa mungamwe madzi amodzi ndipo pakati pa theka la ora mutenge supuni ndi uchi. Tengani mankhwala kwa masiku khumi, ndiye amatsatira nthawi yofanana, ndipo maphunzirowo akubwerezedwa.
• Ola limodzi musanadye chakudya ndi chilonda, gwiritsani ntchito kabichi kapena madzi a mbatata - 200 ndi 75 ml motsatira. Njira ya mankhwala ndi mwezi.
• Pulojekiti (40 g) imaphatikizidwa ku 500 ml ya maolivi ndipo imatenthetsa mu madzi osamba kwa theka la ora. Kusakaniza kumatengedwa m'mimba yopanda kanthu mu mawonekedwe ofunda pa supuni.
• Masipuni awiri a masamba a chitumbuwa amathiridwa ndi 290 g madzi otentha ndipo amaumirira mu thermos kwa maola oposa 8-10. Msuzi umanyekedwa kwa masiku 60 katatu pa tsiku kwa mphindi 20 asanadye. Mlingo umodzi - 60ml.
• Supuni ya chisakanizo, yokonzedwanso mofanana ndi sage ndi plantain, imathiridwa ndi 240 ml ya madzi ndi kutentha ndi nsalu yowonjezera kwa maola 2.5-3. M'zaka khumi zoyambirira, msuzi amatengedwa hafu ya chikho musanadye chakudya cham'mawa, ndiye mpaka mapeto a mwezi uliwonse, nambala ya chakudya cha tsiku ndi tsiku katatu.
• Chophikira chodzaza cha plantain chouma chimayikidwa mu botolo la thermos ndi 200 ml madzi otentha ndikuphatikiza maola 8-10. Mankhwala amatengedwa katatu pa tsiku kwa theka la ola asanadye.

Mankhwala oterewa amatha kudwala matenda osiyanasiyana a m'mimba, kuphatikizapo zilonda za m'mimba. Kuchiza ndi mankhwala ochiritsira kumapangitsa kuti anthu azibwezeretsa komanso atonthoze.

Zotsatira za matendawa

Ngati mankhwala osadziwika kapena osaphunzira, mavuto a matendawa ndi otheka. Mawonetseredwe aakulu a matendawa ndi zilonda zam'mimba, mitsempha yowonongeka ndi kuperewera kwa thupi, kutaya thupi. Kuwonjezera apo, malowa amatha kukula ndi kusamukira ku ziwalo zapafupi, zomwe zimachititsa kuti agonjetsedwe. Ndicho chifukwa chake ndibwino kuti musazengereze kuchipatala ndikufunsana ndi dokotala nthawi yomweyo ngati muli ndi chizindikiro chodzichepetsa. Palinso zowonjezereka zokhudzana ndi kuwonongeka kwa zilonda zosatetezedwa mu zilonda za khansa.

Njira zothandizira

Pofuna kupewa zochitika za chilonda, m'pofunika kuchotsa chiwonongeko cha zinthu zisanachitike: ndizofunika kusiya kusuta fodya, kuchepetsa vuto loipa pa dongosolo la mitsempha, ndipo nthawi zonse muzichita kafukufuku wokonzedwa ndi dokotala. Kuti thupi likhale lothandiza kwambiri, liyenera kuyang'anira zakudya, kudya masana pasanathe maola awiri ndisanafike maloto komanso kukhala ndi moyo wathanzi. Kupezeka kwa zotupa m'mitundu yoyandikana nayo kungayambitsenso zilonda zam'mimba, choncho nkofunika kuchiritsa zolakwa zonse pasadakhale.

Zolemba

Ngati kugonana kwa nthawi yoyenera ndi dokotala komanso kupereka chithandizo chokwanira kuchiza chilonda cha m'mimba ndi kophweka - kuti mupeze nthawi zonse kuti mukhale ndi miyezi iwiri kapena itatu yokwanira. Ngati matendawa atha kale, machiritso angatenge zaka zingapo.

Powonjezereka, chiwerengero cha anthu chimakhala chosowa chotere mu GIT yopanda chilema ngati chilonda cha m'mimba. Zizindikiro, mankhwala (mankhwala ochiritsira, mankhwala, opaleshoni) amatsindika mwatsatanetsatane mu mabuku a zachipatala, omwe amachititsa kuti munthu asatuluke.

Ndi mankhwala oyenera, chilonda si matenda owopsa - panthawi yochepa ntchito za phokoso zidzabwezeretsedwanso, ndipo zizindikirozo zidzatha. Kugwira ntchito mwakachetechete mosagwiritsidwa ntchito moyenera ndi mankhwala osagwirizana ndi phytopreparations, omwe cholinga chake ndi kuchiritsa chiwalo chokwiya ndi chowotcha. Nthawi zina njira zambiri zimagwiritsidwa ntchito ndi mankhwala komanso opaleshoni.