Peptic Ulcer tsuas yog hais txog cov kab mob rwj uas tshwm sim hauv lub plab thiab duodenal noob. Nws muaj npe vim tias tsim ntawm cov mob txhab muaj feem xyuam rau kev zom zaub mov ntawm cov pa roj acid thiab pepsin, uas cov nyiaj tau rau txog 99% ntawm peptic rwj.
Kab mob peptic yog ib hom mob benign nrog faib cov kev faib tawm thoob ntiaj teb. Raws li kev txheeb cais, mob duodenal zoo li tshwm sim rau cov neeg hluas, thiab hnub nyoog ntawm lub plab zom mov yog tom qab, kwv yees li 10 xyoo tom qab ntawm duodenal mob. Qhov tshwm sim ntawm cov duodenal mob txhab yog li 3 zaug uas muaj mob plab zom mov. Cov. Nws yog feem ntau ntseeg hais tias qee cov plab zom mov yuav dhau los ua mob qog noj ntshav, thaum mob duodenal qhov xeb feem ntau tsis ua.
Daim duab 1-1 Cov duab gastroscopic ntawm cov mob qog nqaij hlav daus thaum ntxov daim duab 1-2 lub gastroscopic duab ntawm cov kabmob ntshav siab heev.
1. Feem ntau peptic lub rwj yog los kho
Hauv cov neeg mob peptic rwj, feem ntau ntawm lawv tuaj yeem kho tau: li 10%-15% ntawm cov mob tshwm sim ntawm lub caij nyoog thiab lub caij ntuj no thiab lub caij ntuj sov thiab lub caij nplooj zeeg Mob plab.
Duodenal cov mob rwj feem ntau nyob nrog cov lus sib dhos nrawm nrawm, thaum lub plab zom mov feem ntau nyob nrog kev mob ncua. Qee tus neeg mob feem ntau tsis muaj kev kho mob raug, thiab thawj cov tsos mob yog hemorrhage thiab kev ua haujlwm zoo.
Cov plab zom mov angiography lossis gastroscopy feem ntau tuaj yeem lees paub txog kev kuaj mob, thiab ua haujlwm ua ke nrog cov tshuaj tua tsiaj, thiab tshuaj tua kab mob tuaj yeem ua rau cov neeg mob feem ntau.
2.
Pais plab mob muaj lub cancer tus nqi.Nws tseem yog tshwm sim hauv nruab nrab-hnub nyoog thiab laus dua, txiv neej, cov txhab hluav taws xob rov muaj dua uas tsis tuaj yeem kho tau ntev. Qhov tseeb, petological biopsy yuav tsum tau nqa tawm rau txhua lub plab nciab mob hauv chaw kuaj mob, tshwj xeeb tshaj yog cov ntxhiab tsw qab. Kev kho mob los tiv thaiv uli-ulcer tsuas yog nqa tawm tom qab yuav tsum raug cais tawm, txhawm rau tiv thaiv tus kab mob tsis zoo thiab ncua tus kabmob. Tsis tas li ntawd, tom qab kev kho mob rwj, rov kuaj dua yuav tsum tau ua raws kev hloov pauv ntawm qhov kev kho mob kho mob thiab kho cov kev kho mob.
Duodenal mob siab tsis tshua muaj qog nqaij hlav, tab sis cov mob plab zom cov roj ntsha tam sim no tau txiav txim siab los ntawm ntau tus kws tshaj lij los ua ib qho chaw nyob precancerous.
Raws li cov ntawv ceeb toom hauv Suav teb, kwv yees li ntawm 5% ntawm cov roj plab mob plab zom zaws, thiab tus lej no tam sim no nce ntxiv lawm. Raws li kev txheeb cais, txog li 29.4% ntawm cov hnyuv qog nqaij hlav tuaj ntawm cov pa roj carcers.
Cov kev tshawb fawb tau pom tias Pais plab Cov neeg mob qog nqaij hlav cancer rau li 5% -10% ntawm cov pais plab rwj. Feem ntau hais lus, feem ntau cov neeg mob nrog cov plab hnyuv qog noj ntshav muaj keeb kwm ntev ntawm cov plab zom mov. Rov ua dua kev puas tsuaj ntawm epithelial cells ntawm ntug kev kho mob rwj thiab kev tsim kho, thiab atypical hyperplasia nce ntxiv ntawm kev muaj mob qog ua ntej.
Mob cancer feem ntau tshwm sim nyob rau hauv ib puag ncig mucosa ntawm mob txhab. Lub mucosa ntawm cov chaw no erodes thaum tus mob txhab ua haujlwm nquag, thiab tuaj yeem ua malignant tom qab kev rhuav tshem thiab rov tsim dua tshiab. Nyob rau hauv xyoo tas los no, vim kev nce qib ntawm kev kuaj mob thiab cov hau kev kuaj mob qog nqaij hlav cancer rau cov tshuaj tsw qab yog hloov pauv ntawm cov roj av theem nrab. Cov kabmob mob cancer no tuaj yeem kho tau zoo li benign mob mob. thiab kho tuaj yeem rov ua dua, thiab cov kab mob tuaj yeem txuas tau ob peb lub hlis lossis ntev dua, yog li lub plab zom mov.
3. Cov cim ntawm malignant hloov ntawm pais plab rwj?
1. Hloov pauv ntawm qhov thiab ib txwm muaj ntawm kev mob:
Qhov mob ntawm cov plab hnyuv rwj feem ntau yog kev mob npub hauv plab sab sauv, uas yog hlawv lossis qhov pib ntawm qhov mob yog cuam tshuam rau kev noj. Yog hais tias qhov mob poob saum toj no-hais txog kev tsis tu ncua, lossis ua qhov mob tsis tu ncua, nws yuav tsum ceeb toom rau lub harbinger ntawm cancer.
2. Tsis muaj txiaj ntsig nrog tshuaj tiv thaiv kab mob uli:
Txawm hais tias cov pa roj carcers yog qhov ua kom rov muaj qhov tshwm sim, cov tsos mob feem ntau tau txais tom qab kev siv tshuaj tiv thaiv mob rwj.
3. Kev ua haujlwm poob phaus:
Nyob rau hauv lub sij hawm luv luv, poob ntawm lub sijhawm noj mov, xeev siab, ua rau ntuav, ua npaws, poob phaus, poob rau cov kabmob kheesxaws siab heev.
4. Hematemesis thiab Melena tshwm sim:
Tus neeg tus neeg mob nquag tau ntuav tawm ntawm cov ntshav lossis kev quav ntsha, pheej hmoo ntshav siab hais tias cov roj ntsha tsis tu ncua tuaj yeem ua rau mob cancer.
5. Masses tshwm sim hauv plab:
Cov neeg mob nrog cov roj plab lub plab feem ntau tsis txhob ua plab loj, tab sis yog tias lawv mob qog nqaij hlav, thiab cov neeg mob siab dua, thiab cov neeg mob siab tuaj yeem ua qhov loj ntawm sab laug plab. Qhov loj ntawm qhov loj yog feem ntau nyuaj, nodular thiab tsis du.
6.Qhov uas muaj hnub nyoog tshaj 45 xyoos, muaj keeb kwm ntawm kev kho mob hauv lub neej yav dhau losTxawm li cas los xij, thiab xws li ntsos, belching, mob plab, thiab muaj nrog kev poob phaus.
7. Cov ntshav ntws tsawg kawg nkaus:
Rov ua dua qhov zoo, nco ntsoov mus tom tsev kho mob rau kev tshuaj xyuas txhua yam.
8. Lwm tus:
Ntau tshaj 5 xyoos tom qab phais mob plab, muaj cov tsos mob ntawm plab, thiab tsis xis nyob, poob ntsej muag, thiab lwm yam.
4, qhov ua rau mob plab zom mov
Cov etiology ntawm peptic rwj tsis tau tseem to taub, kev siv zog Helicoidal, thiab cov tshuaj tua kab mob tsis zoo thiab kev xav zoo nkauj, thiab Kev sib deev tsis xwm yeem, haus khoom noj txom ncauj, haus luam yeeb, ib puag ncig mob kab mob thiab mob siab rau Beptic Ulcer.
1. Helicobacter pylori (HP)
Marshall thiab Warren yeej xyoo 2005 Nobel nqi zog hauv kev ua tiav cov kab mob Horsobi hauv xyoo 1983 thiab qhia lub luag haujlwm hauv cov kab mob peptic. Coob tus ntawm cov kev tshawb fawb tau ua pov thawj meej tias Helicobacter pylori yog qhov ua rau mob peptic.
2. Tshuaj Yeeb Tshuaj thiab Kev Noj Qab Haus Huv:
Kev siv sijhawm ntev ntawm cov tshuaj xws li cov tshuaj aspirin thiab corticosteroids yog qhov ua rau tus kab mob no. Tsis tas li ntawd, kev haus luam yeeb ntev, haus ntev, thiab haus cov tshuaj yej ntev thiab kas fes zoo li cuam tshuam.
(1) Muaj ntau yam aspirin npaj: kev siv ntev lossis kev siv tau ua kom mob plab thiab tsis xis nyob. Thaum muaj mob hnyav, hematemesis, Melena, thiab lwm yam, tuaj yeem nrhiav tau hauv plab hnyuv mucosal o, yaig thiab Ulcer tsim.
(2) Cov tshuaj kho mob hauv tshuaj:
Cov tshuaj xws li indomethacin thiab phenylbutazone yog cov tshuaj kho cov tshuaj, uas tau ua kom ncaj qha rau lub plab zom mov thiab tuaj yeem ua rau mob plab zom mov.
(3) antipyretic analgesics:
Xws li A.PC, paracetamol, kho cov ntsiav tshuaj thiab cov tshuaj kho khaub thuas xws li Ganmaotong.
3. Lub plab acid thiab Pepsin:
Qhov kawg tsim ntawm peptic mob yog vim yog kev zom tus kheej ntawm lub plab zom mov / pepsin, uas yog qhov txiav txim siab ntawm cov mob txhab. Qhov thiaj li hu ua "acid-dawb rau qhov txhab".
4. Kev nyuaj siab rau lub hlwb:
Kev ntxhov siab uas muaj kev ntxhov siab tuaj yeem ua rau cov kev ntxhov siab rau kev ntxhov siab. Cov neeg muaj kev ntxhov siab ntev, kev ntxhov siab lossis hloov siab ntsws xav tau peptic mob
Ulcer.
5. Caj ces yam ntxwv:
Hauv qee qhov kev tsis tshua muaj caj ces cov syndromes, xws li ntau yam endocrine hom kuv, system meptocytosis, thiab lwm yam, peptic rwj kuab-etc.
6. Kev ua kom tsis muaj zog:
Qee cov neeg mob plab zom cov roj ntsha muaj cov plab zom mov, xws li cov kua txiv tsis muaj zog ntxiv los ntawm cov kua txiv hmab txiv ntoo thiab cov kua txiv kom tsawg dua thiab cov kua txiv kom zoo nkauj thiab cov kua txiv.
7. Lwm yam xwm txheej:
Xws li kis tus mob hypes yooj yim hom kuv yuav muaj feem xyuam. Kuj muaj tus mob cytomeGalosovirus kuj tseem koom nrog rau cov neeg hloov ntshav lossis txhaj tshuaj tiv thaiv kab mob.
Hauv kev xaus, cov roj av tuaj yeem tiv thaiv los ntawm nquag txhim kho kev ua neej, kev siv tshuaj Helicobacter pylori, thiab noj lub plab zom mov raws li kev kuaj lub cev;
Thaum muaj ulcit tshwm sim, nws yog ib qho tsim nyog los tswj hwm kev kho mob thiab ua rau mob rwj yuav tshwm sim), yog li ua kom muaj mob cancer.
"Qhov tseem ceeb ntawm gastroscopy feem ntau tuaj yeem siv los nkag siab tias tus neeg mob txoj kev mob es tsis muaj plab, mob plab, qog polyps thiab lwm yam mob polyps. Gastroscopy kuj yog ib txoj kev kuaj xyuas ncaj qha rau ncaj qha, thiab qee lub tebchaws tau saws cov gastroscopic. Raws li kev kuaj mob mus kuaj mob, kev kuaj mob yuav tsum tau nqa tawm ob zaug hauv ib xyoos, vim tias muaj mob qog nqaij hlav cancer thaum ntxov hauv qee lub tebchaws yog qhov tseem ceeb. Yog li ntawd, tom qab kev kho ntxov thiab muaj sijhawm, cov nyhuv kho kuj tseem pom tseeb. "
Peb, jiangxi zhuoruihua ntsuas ntsuas Co., Ltd.Biopsy Forceps, hemoclip, Poly Snare, sclerotherapy koob, Txau catheter, Cytology txhuam, tus taw, Pob zeb rov qab pob tawb, nasal biliary catheterlwm yam uas tau siv dav hauvEmr, Esd,ErcpCov. Peb cov khoom muaj cov ntawv pov thawj CE, thiab peb cov nroj tsuag yog hoo muaj ntawv pov thawj. Peb cov khoom tau raug xa tawm mus rau Tebchaws Europe, North America, Middle East thiab ib feem ntawm Asia, thiab dav tau txais cov neeg siv khoom ntawm kev lees paub thiab qhuas!
Lub Sijhawm Post: Lub Yim Hli 15-2022