Kab mob peptic ulcer feem ntau yog hais txog kab mob uas tshwm sim hauv plab thiab duodenum. Nws tau txais lub npe no vim tias qhov kev tsim ntawm kab mob ulcer yog cuam tshuam nrog kev zom cov kua qaub hauv plab thiab pepsin, uas yog li ntawm 99% ntawm cov kab mob peptic ulcer.
Kab mob plab yog ib yam kab mob tsis muaj teeb meem uas feem ntau kis thoob plaws ntiaj teb. Raws li cov ntaub ntawv qhia, feem ntau cov kab mob plab hnyuv hauv plab feem ntau tshwm sim rau cov tub ntxhais hluas, thiab hnub nyoog pib mob plab hnyuv, qhov nruab nrab, yog lig dua li ntawm 10 xyoo dua li ntawm cov kab mob plab hnyuv hauv plab. Qhov tshwm sim ntawm cov kab mob plab hnyuv hauv plab yog li 3 npaug ntawm cov kab mob plab hnyuv. Feem ntau ntseeg tias qee cov kab mob plab hnyuv yuav dhau los ua mob qog noj ntshav, thaum cov kab mob plab hnyuv hauv plab feem ntau tsis ua.
Daim Duab 1-1 Daim duab gastroscopic ntawm mob qog noj ntshav thaum ntxov Daim Duab 1-2 Daim duab gastroscopic ntawm mob qog noj ntshav theem siab.
1. Feem ntau cov mob peptic ulcers kho tau
Rau cov neeg mob uas muaj mob plab hnyuv (peptic ulcer), feem ntau ntawm lawv tuaj yeem kho tau: kwv yees li 10% -15% ntawm lawv tsis muaj tsos mob, thaum feem ntau cov neeg mob muaj cov tsos mob ib txwm muaj, uas yog: mob plab ntev, mob ib ntus lossis mob ib ntus thaum lub caij nplooj zeeg thiab lub caij ntuj no thiab lub caij ntuj no thiab lub caij nplooj ntoo hlav.
Cov mob qog ntawm cov hnyuv plab feem ntau muaj mob thaum noj mov qeeb qeeb, thaum cov mob qog hauv plab feem ntau muaj mob tom qab noj mov. Qee tus neeg mob feem ntau tsis muaj cov tsos mob zoo li qub, thiab lawv cov tsos mob thawj zaug yog los ntshav thiab mob qhov hnyuv.
Kev kuaj mob angiography lossis gastroscopy ntawm lub plab feem ntau tuaj yeem lees paub qhov kev kuaj mob, thiab kev kho mob ua ke nrog cov tshuaj uas tswj cov kua qaub hauv lub plab, cov tshuaj tiv thaiv cov kua qaub hauv lub plab, thiab cov tshuaj tua kab mob tuaj yeem ua rau feem ntau ntawm cov neeg mob zoo.
2. Cov qhov txhab hauv plab uas rov tshwm sim dua yog suav tias yog cov qhov txhab ua ntej mob qog noj ntshav
Cov kab mob ulcers hauv plab muaj qee yam mob qog noj ntshav.Nws feem ntau tshwm sim rau cov neeg hnub nyoog nruab nrab thiab laus dua, txiv neej, cov qhov txhab rov qab los uas tsis tuaj yeem kho tau ntev. Qhov tseeb, yuav tsum tau ua qhov kev kuaj mob rau txhua qhov mob qog hauv plab hauv kev kho mob, tshwj xeeb tshaj yog cov qhov txhab uas tau hais los saum toj no. Kev kho mob tiv thaiv qhov txhab tsuas yog ua tau tom qab tsis suav nrog mob qog noj ntshav, txhawm rau tiv thaiv kev kuaj mob tsis raug thiab ncua sijhawm ntawm tus kab mob. Ntxiv mus, tom qab kev kho mob qog hauv plab, yuav tsum tau rov kuaj dua kom pom cov kev hloov pauv ntawm kev kho qhov txhab thiab kho cov kev ntsuas kho mob.
Cov kab mob Duodenal tsis tshua muaj mob qog noj ntshav, tab sis cov mob qog hauv plab uas rov tshwm sim dua tam sim no ntau tus kws tshaj lij suav tias yog cov mob ua ntej mob qog noj ntshav.
Raws li cov ntaub ntawv sau hauv Suav teb, kwv yees li 5% ntawm cov mob qog hauv plab tuaj yeem ua rau mob qog noj ntshav, thiab tus lej no tam sim no tab tom nce ntxiv. Raws li cov ntaub ntawv txheeb cais, txog li 29.4% ntawm cov mob qog hauv plab yog los ntawm cov mob qog hauv plab.
Cov kev tshawb fawb pom tau tias cov neeg mob qog nqaij hlav hauv plab muaj li ntawm 5% -10% ntawm cov neeg mob qog nqaij hlav hauv plab. Feem ntau, feem ntau cov neeg mob uas muaj qog nqaij hlav hauv plab muaj keeb kwm ntev ntawm kev mob qog nqaij hlav hauv plab. Kev puas tsuaj ntawm cov hlwb epithelial ntawm ntug ntawm qhov mob qog nqaij hlav thiab kev kho thiab rov ua dua ntawm cov mucosal, metaplasia, thiab atypical hyperplasia ua rau muaj feem yuav mob qog nqaij hlav ntau ntxiv raws sijhawm.
Feem ntau mob qog noj ntshav tshwm sim hauv cov qog nqaij hlav uas nyob ib puag ncig. Cov qog nqaij hlav ntawm cov qhov no yuav lwj thaum cov qog nqaij hlav ua haujlwm, thiab tuaj yeem ua rau mob qog noj ntshav tom qab raug rhuav tshem thiab rov ua dua. Nyob rau xyoo tas los no, vim muaj kev nce qib ntawm kev kuaj mob thiab kev soj ntsuam, nws tau pom tias mob qog noj ntshav thaum ntxov uas tsuas yog nyob rau hauv cov qog nqaij hlav tuaj yeem lwj thiab ua rau mob qog noj ntshav, thiab nws cov nqaij ntshiv saum npoo tuaj yeem hloov pauv los ntawm cov qog nqaij hlav thib ob. Cov qog nqaij hlav qog noj ntshav no tuaj yeem kho tau zoo li cov qog nqaij hlav zoo. thiab kev kho tuaj yeem rov ua dua, thiab kev mob tuaj yeem ntev mus rau ntau lub hlis lossis ntev dua, yog li cov qog nqaij hlav yuav tsum tau ua tib zoo saib xyuas.
3. Cov cim qhia txog kev hloov pauv ntawm lub plab zom mov phem yog dab tsi?
1. Kev hloov pauv ntawm qhov mob thiab qhov mob tsis tu ncua:
Qhov mob ntawm lub plab zom mov feem ntau yog qhov mob me ntsis rau sab saud ntawm lub plab, uas kub hnyiab lossis tsis mob, thiab qhov mob pib tshwm sim los ntawm kev noj mov. Yog tias qhov mob tsis tu ncua li tau hais los saum toj no, dhau los ua mob tsis tu ncua, lossis dhau los ua mob tsis tu ncua, lossis qhov mob tau hloov pauv ntau dua li yav dhau los, nws yuav tsum tau ceev faj txog qhov ua rau muaj mob qog noj ntshav.
2. Tsis muaj txiaj ntsig zoo nrog cov tshuaj tiv thaiv kab mob qog:
Txawm hais tias cov kab mob ulcers hauv plab feem ntau yuav rov tshwm sim dua, cov tsos mob feem ntau yuav zoo dua tom qab noj tshuaj tiv thaiv kab mob ulcers.
3. Cov neeg mob uas poob phaus zuj zus:
Nyob rau lub sijhawm luv luv, tsis xav noj mov, xeev siab, ntuav, kub taub hau thiab poob phaus zuj zus, poob phaus, qhov ua tau ntawm mob qog noj ntshav yog siab heev.
4. Hematemesis thiab melena tshwm:
Tus neeg mob ntuav ntshav los yog quav uas muaj kua nplaum ntau zaus, cov txiaj ntsig ntawm kev kuaj ntshav hauv cov quav uas pom tias muaj, thiab ntshav tsis txaus qhia tias cov qhov txhab hauv plab yuav hloov mus ua mob qog noj ntshav.
5. Cov qog nqaij hlav tshwm sim hauv plab:
Cov neeg mob uas muaj mob qog hauv plab feem ntau tsis tsim cov qog hauv plab, tab sis yog tias lawv dhau los ua mob qog noj ntshav, cov qog yuav loj dua thiab tawv, thiab cov neeg mob uas mob hnyav tuaj yeem hnov cov qog ntawm sab laug plab sab saud. Cov qog ntawm cov qog feem ntau yog tawv, pob thiab tsis du.
6. Cov neeg uas muaj hnub nyoog tshaj 45 xyoo, muaj keeb kwm ntawm mob qog noj ntshav yav dhau los, thiab muaj cov tsos mob rov qab tshwm sim tsis ntev los no, xws li mob ntsws, ntuav, mob plab, thiab nrog rau qhov hnyav poob.
7. Cov ntshav uas nyob hauv cov quav uas pom tseeb:
Yog rov qab kuaj pom tias muaj tus kab mob, nco ntsoov mus rau tsev kho mob kom kuaj xyuas kom meej.
8. Lwm tus:
Tom qab phais plab tau ntau tshaj 5 xyoos, muaj cov tsos mob ntawm kev zom zaub mov tsis zoo, poob phaus, ntshav tsis txaus thiab los ntshav hauv plab, thiab mob plab sab saud uas tsis paub meej, ntuav, tsis xis nyob, qaug zog, poob phaus, thiab lwm yam.
4, Qhov ua rau mob plab hnyuv
Qhov ua rau mob plab hnyuv tseem tsis tau nkag siab tag nrho, tab sis tau piav qhia meej tias Helicobacter pylori kis kab mob, noj cov tshuaj tsis-steroidal anti-inflammatory thiab cov tshuaj antithrombotic, nrog rau kev tso kua qaub ntau dhau ntawm lub plab, cov yam ntxwv caj ces, kev hloov pauv ntawm lub siab thiab lub ntsws, thiab kev noj zaub mov tsis tu ncua, noj khoom txom ncauj, haus luam yeeb, haus dej cawv, ib puag ncig thiab huab cua, cov kab mob ntev xws li emphysema thiab hepatitis B kuj muaj feem cuam tshuam nrog qhov tshwm sim ntawm mob plab hnyuv.
1. Kev kis tus kab mob Helicobacter pylori (HP):
Marshall thiab Warren yeej xyoo 2005 Nobel Prize hauv kev kho mob rau kev ua tiav ntawm kev cog qoob loo Helicobacter pylori hauv xyoo 1983 thiab qhia tias nws cov kab mob ua lub luag haujlwm hauv kev pathogenesis ntawm peptic ulcers. Muaj ntau txoj kev tshawb fawb tau ua pov thawj tag nrho tias kev kis kab mob Helicobacter pylori yog qhov ua rau mob peptic ulcer.
2. Cov tshuaj thiab cov yam ntxwv ntawm kev noj haus:
Kev siv tshuaj ntev xws li aspirin thiab corticosteroids feem ntau ua rau muaj tus kab mob no. Tsis tas li ntawd xwb, kev haus luam yeeb ntev, haus dej cawv ntev, thiab haus tshuaj yej thiab kas fes muaj zog zoo li muaj feem cuam tshuam nrog.
(1) Ntau yam tshuaj aspirin: Kev siv tshuaj ntev lossis ntau dhau tuaj yeem ua rau mob plab thiab tsis xis nyob. Hauv cov xwm txheej hnyav, hematemesis, melena, thiab lwm yam, tuaj yeem pom muaj nyob rau hauv lub plab hnyuv mucosal o, erosion thiab ulcer tsim.
(2) Cov tshuaj hloov tshuaj hormones:
Cov tshuaj xws li indomethacin thiab phenylbutazone yog cov tshuaj hloov tshuaj hormones, uas muaj kev puas tsuaj ncaj qha rau lub plab zom mov thiab tuaj yeem ua rau mob plab hnyuv loj heev.
(3) Tshuaj tua kab mob txo qhov kub:
Xws li A.PC, paracetamol, cov tshuaj tua kab mob thiab cov tshuaj mob khaub thuas xws li Ganmaotong.
3. Cov kua qaub hauv plab thiab pepsin:
Qhov kawg ntawm cov kab mob peptic ulcers yog vim muaj kev zom cov kua qaub hauv plab / pepsin, uas yog qhov txiav txim siab ua rau muaj cov kab mob ulcers. Qhov no hu ua "acid-free ulcers".
4. Tej yam uas ua rau lub siab ntxhov siab:
Kev ntxhov siab sai sai tuaj yeem ua rau muaj mob qog nqaij hlav. Cov neeg uas muaj kev ntxhov siab ntev, kev ntxhov siab, lossis kev hloov pauv ntawm lub siab feem ntau yuav muaj mob qog nqaij hlav.
mob qog.
5. Cov yam ntxwv ntawm noob caj noob ces:
Hauv qee cov tsos mob caj ces tsis tshua muaj, xws li ntau yam endocrine adenoma hom I, systemic mastocytosis, thiab lwm yam, peptic ulcer yog ib feem ntawm nws cov tsos mob hauv kev kho mob.
6. Kev txav ntawm lub plab tsis zoo li qub:
Qee tus neeg mob uas muaj mob plab hnyuv muaj teeb meem ntawm kev txav mus los ntawm lub plab, xws li kev tso kua qaub ntau ntxiv los ntawm kev tso kua qaub qeeb thiab kev rov qab los ntawm duodenal-gastric los ntawm cov kua tsib, kua txiv pancreatic thiab lysolecithin ua rau mucosa puas tsuaj.
7. Lwm yam tseem ceeb:
Xws li kev kis tus kab mob hauv zos ntawm tus kab mob herpes simplex hom I tej zaum yuav muaj feem cuam tshuam. Kev kis tus kab mob Cytomegalovirus kuj tseem yuav koom nrog kev hloov pauv raum lossis cov neeg mob uas muaj kev tiv thaiv kab mob tsis zoo.
Xaus lus, cov qhov txhab tuaj yeem tiv thaiv tau zoo los ntawm kev txhim kho kev ua neej, noj tshuaj kom zoo, tshem tawm Helicobacter pylori, thiab noj gastroscopy ua ib qho kev kuaj mob niaj hnub;
Thaum muaj mob qog noj ntshav, nws yog ib qho tsim nyog los tswj kev kho mob thiab ua qhov kev tshuaj xyuas gastroscopy tsis tu ncua (txawm tias qhov mob qog noj ntshav tau kho lawm), kom tiv thaiv tau qhov tshwm sim ntawm mob qog noj ntshav.
"Qhov tseem ceeb ntawm gastroscopy feem ntau siv tau los nkag siab seb tus neeg mob lub caj pas, lub plab thiab duodenum puas muaj ntau qib sib txawv ntawm kev o, mob qog, qog polyps thiab lwm yam mob. Gastroscopy kuj yog ib txoj kev kuaj xyuas ncaj qha uas tsis tuaj yeem hloov pauv tau, thiab qee lub tebchaws tau txais kev kuaj mob gastroscopic. Raws li kev kuaj xyuas kev noj qab haus huv, kev kuaj mob yuav tsum tau ua ob zaug hauv ib xyoos, vim tias qhov tshwm sim ntawm mob qog noj ntshav thaum ntxov hauv qee lub tebchaws yog qhov siab heev. Yog li ntawd, tom qab kuaj pom thaum ntxov thiab kho mob raws sijhawm, cov txiaj ntsig kho mob kuj pom tseeb."
Peb, Jiangxi Zhuoruihua Medical Instrument Co., Ltd., yog lub chaw tsim khoom hauv Suav teb tshwj xeeb hauv cov khoom siv endoscopic, xws licov forceps biopsy, hemoclip, polyp snare, koob txhaj tshuaj sclerotherapy, tshuaj tsuag catheter, cov txhuam cytology, txoj hlua qhia, pob zeb rov qab tau pob zeb, lub raj xa dej ntawm lub qhov ntswgthiab lwm yam uas siv dav hauvEMR, ESD,ERCPPeb cov khoom muaj daim ntawv pov thawj CE, thiab peb cov nroj tsuag muaj daim ntawv pov thawj ISO. Peb cov khoom tau raug xa tawm mus rau Tebchaws Europe, North America, Middle East thiab ib feem ntawm Asia, thiab tau txais kev lees paub thiab qhuas los ntawm cov neeg siv khoom!
Lub sijhawm tshaj tawm: Lub Yim Hli-15-2022