Zilonda zam'mimba ndi zilonda zam'mimba (chilonda chachikulu)

Zilonda zam'mimba ndi zilonda zam'mimba (chilonda chachikulu)

Thezilonda zam'mimba, amatchedwanso chapamimba chilonda ngati ili m`mimba ndi kutchedwa chilonda cha mmatumbo pamene imapanga mu duodenum (gawo loyamba la matumbo aang'ono), ali mwanjira ina mabala kukokoloka komwe kumalowa mkati mwa khoma la m'mimba (onani chithunzi).

Zilondazi nthawi zambiri zimakhala zowawa: zimalowa mwachindunji polumikizana ndiAsidi kupezeka m'mimba. Mkhalidwe wofanana ndi kugwiritsa ntchito swab ya mowa pokande.

Mawu akuti " zilonda zam'mimba »Kuphatikiza, chifukwa cha kufanana kwa mawonetseredwe awo, zilonda zam'mimba ndi zilonda zam'mimba

Akuti pafupifupi 10 peresenti ya anthu a m’mayiko otukuka akhoza kukhala ndi zilonda zam’mimba nthawi ina. Okalamba a 40 ndi kupitirira ndi omwe akhudzidwa kwambiri. Zilonda zam'mimba zimakhala zofala kakhumi kuposa zilonda zam'mimba.

Zimayambitsa

La bakiteriya Helicobacter pylori (H. Pylori), bakiteriya yomwe imapitirizabe kukhala ndi acidity, ndiye imayambitsa zilonda: imaganiziridwa kuti imayambitsa pafupifupi 60% mpaka 80% ya Zilonda zam'mimba ndi 80% mpaka 85%. zilonda zam'mimba. Tizilombo toyambitsa matenda timeneti timalowa m’mamina amene nthawi zambiri amateteza m’mimba ndi matumbo aang’ono ku asidi, ndipo amakhulupirira kuti amasokoneza njira yotetezera imeneyi mwa anthu ena. M'mayiko otukuka, 20% ya anthu azaka zapakati pa 40 ndi pansi amakhala ndi kachilomboka m'matumbo awo. Gawo lomwe limafikira 50% mwa omwe ali ndi zaka zopitilira 60. Pafupifupi 20% ya onyamula mabakiteriya amakhala ndi chilonda m'moyo wawo wonse.

KutengaAnti-yotupa Nonsteroidal mankhwala kapena NSAIDs (mwachitsanzo, Aspirin, Advil® ndi Motrin®), ndizomwe zimayambitsa zilonda zam'mimba zam'mimba. Kuphatikiza kwa matenda ndi mabakiteriya H.pylori ndi kumwa mankhwala odana ndi kutupa synergistically kumaonjezera ngozi ya zilonda. Chiwopsezocho chimakhala chokulirapo nthawi 60.

Nazi zifukwa zina:

  • A kuchuluka kwa asidi kudzera m'mimba (m'mimba hyperacidity), zomwe zimachitika chifukwa cha kusuta, kumwa mowa mopitirira muyeso, kupsinjika maganizo, kutengera cholowa, ndi zina zotero.
  • A kutentha kwambiri, kuvulala zofunika kapena ngakhale kupsinjika kwakuthupi komwe kumakhudzana ndi kudwala kwambiri. Izi zimapanga "zilonda zopanikizika", zomwe nthawi zambiri zimakhala zambiri ndipo nthawi zambiri zimakhala m'mimba, nthawi zina kumayambiriro kwa matumbo aang'ono (mu proximal duodenum).
  • Nthawi zambiri, zilonda zam'mimba zimatha kukhala khansa ya m'mimba yomwe ili ndi zilonda zam'mimba.

Ma acid ndi ma antacid m'mimba

Mu khoma lamimbaZilonda zam'mimba zimatulutsa timadzi ta m'mimba, zomwe zimapangitsa kuti thupi liziyenda bwino chimbudzi :

  • wa michere yam'mimba, monga pepsine, amene amagawa mapuloteni kukhala mamolekyu ang’onoang’ono, ma peptide;
  • yahydrochloric acid (HCL), asidi amphamvu omwe amalola kuti michere ya m'mimba ikhale yogwira ntchito ndikuwononga tizilombo toyambitsa matenda (majeremusi, mavairasi, mabakiteriya, bowa) omwe akanalowa m'mimba.

Zomwe zili m'mimba zidakali Asidi. PH yake imasiyanasiyana kuchokera ku 1,5 mpaka 5, kutengera chakudya chomwe chamwedwa komanso kutengera munthu.

Tizilombo toyambitsa matenda timatulutsa mamina kuteteza makoma a m'mimba:

  • ce ntchofu imalepheretsa ma enzymes am'mimba ndi hydrochloric acid kuti asawononge m'mimba mwa kupanga filimu yoteteza.

Mpanda wamatumbo aang'ono imakutidwanso ndi a ntchofu wosanjikiza zomwe zimateteza ku acidity ya chyme, dzina loperekedwa ku "phala la chakudya" lomwe limachokera m'mimba.

Evolution

Nthawi zambiri chilonda kuwoneka pang'onopang'ono mu masabata angapo. Itha kuwonekanso mwachangu, patatha masiku angapo mutamwa mankhwala oletsa kutupa, mwachitsanzo, koma izi sizodziwika kwambiri.

Mtengo wa machiritso chilondacho chikhoza kukhala mozungulira 40% (pa mwezi umodzi), makamaka ngati chilondacho chinayamba chifukwa chomwa NSAID ndipo amasiya. Machiritso odziwikiratu, osayambiranso, ndi osowa. Osuta amatha kuyambiranso kusuta kuposa omwe sasuta.

Ngati chilondacho sichinachiritsidwe kapena chifukwa chake sichinakonzedwe, pali kuthekera kwakukulu kuti zilondazo zidzawonekeranso mkati mwa chaka. Koma ngakhale ndi chithandizo chabwino, pali mobwerezabwereza 20-30% ya milandu.

Zovuta zotheka

Zovuta ndizosowa. THE'chilonda zingayambitse Kuchepetsa magazi : magazi kenaka amayenda mkati mwa kugaya chakudya. Kutaya magazi nthawi zina kumakhala kwakukulu, ndi kusanza kwa magazi ofiira kapena ngati nyemba, ndi magazi mu chopondapo chomwe chingakhale chofiira kapena chakuda. Kutuluka magazi kumakhalanso kwachete komanso pang'onopang'ono. Mutha kuzindikira kapena osazindikira kuti chopondapo chimasanduka chakuda. Zowonadi, mothandizidwa ndi madzi am'mimba, magazi amasanduka akuda. Kutaya magazi kungayambitse kuchepa kwa magazi m'kupita kwa nthawi ngati sikunadziwike. Chizindikiro choyamba cha chilondacho chikhoza kutuluka magazi, popanda kupweteka kale, makamaka mwa okalamba. Muyenera kufunsa dokotala mwamsanga.

Vuto lina, lochepa kwambiri kuposa magazi, ndilo Kuwonongeka khoma lonse la m'mimba thirakiti. Izi zimayambitsa chiwawa m'mimba ululu, amene mwamsanga amaipa mu peritonitis. Ichi ndi vuto lachipatala komanso la opaleshoni.

Siyani Mumakonda