Esophageal urikanwi: zviratidzo uye Mabatirwo zvavo mishonga

esophageal nemaronda vari muchikuvadza pamusoro pemvura mucous parusvingo muviri. Kazhinji, chirwere ichi chinoitika vanhu vakuru makore 40, asi pane dzimwe nguva, kwaita foci kuchengetwa varwere vaduku, kakawanda vanhu.

Nezvimiro haana atanga esophageal urikanwi, zviratidzo uye kurapwa izvo vanachiremba akadzidza muudzame, nyore hanya.

The nzvimbo uye chimiro chirwere

Kazhinji, nemaronda achiumbwa yepazasi chikamu chezvinhu yegurokuro. The chirwere chinogona kunge chakasimba kana chirwere. Uyezve, maronda zvinogona chete (peptic) kana vakawanda. Kazhinji zvinhu kuziva chitarisiko chavo, ndizvo nezvinetso dumbu uye duodenum - the zvomudumbu facial kupinda yegurokuro, zvichikonzera mucosal maronda.

zvikonzero

Zvakawanda zvinogona kunzi kukura chirwere sezvo esophageal maronda. Zvinokonzera chirwere vari zvakasiyana-siyana:

• Matambudziko pashure pokuvhiyiwa;
• Kudya kukodzera;
• Inosimudzira gastric peristalsis tsandanyama;
• yakakwirira acidity pamusoro gastric muto;
• tsika dzakaipa (doro uye kuputa);
• kwakaderera masoja dzevanhu hurongwa;
• namamota, kuderedza mugero lumen;
• diverticula muviri (curvature pakati yegurokuro, zvichiita zvokudya kurega kunotanga);
• kugamuchira mushonga hasha;
• mishonga, nemwaranzi pechipfuva;
• wandisa kunotevera, kutsva, zvaikosha kukuvara chinokosha nhengo.

zviratidzo

Kazhinji maperembudzi riri zvemukati uye zvimwewo nezvingoro zvinogona semhosva esophageal maronda. Zviratidzo zviri chirwere kazhinji pachena:

• marwadzo ari mubhokisi, kuipa munguva kudya kana pakarepo pashure;
• kusagadzikana kana ikavamedza;
• chirungurira, belching;
• mweya.

gona vanachiremba

Common chirwere of zvomudumbu hurongwa ava chaizvo esophageal urikanwi, mishonga iyo iri kumhanya nenzira gastroenterologist. Direction kwachiri anobereka chiremba zvakanaka. Nyanzvi diagnoses mamiriro ari nemudumbu, aongorora zviratidzo uye anopa zvikuru rakakodzera nzira kurapwa kunangidzirwa, ave mutemo, pamusoro kuchaitwa urikanwi inotungamirwa.

Varieties maronda

The inonyanya kupatsanura inokurukura mhando mbiri chirwere - symptomatic uye wechokwadi (peptic). Muchiitiko chokutanga pezvakaita urikanwi anoenderana zvikonzero chakaparira chirwere. Saka, kusiyaniswa zvinodhaka, kutya, uye mira dekubitalny marudzi.

kukundikana rinowanzoberekera nokuda ingestion pakati kungatikanganisa zvinhu - mishonga yakawanda kutsvinyira rusvingo yegurokuro, zvichitungamirira kuzvimba. In chakakomba mupfungwa uye ukapisa murwi zvingakonzera kushushikana maronda, uye paumbwe kurega kunotanga hunhu kana kusvinwa bundu-nhego anomera. Dekubitalnaya mhando kuchengetwa varwere vanogamuchira zvinovaka muviri kuburikidza vachiongorora, izvo zvinogona kukuvadza lining.

Nokuti ichi mhando kutsauka inokosha sei kuratidza urikanwi pakati yegurokuro (zviratidzo), uye kurapwa kwayo rinoitwa zvakananga pamusoro zvekuchipatara kuratidzwa.

The mhando urikanwi chirwere yechokwadi inosanganisira kupatsanura kuyerera nguva - zvokurwara kunogona kuva chakasimba uye chisingaperi. Wokutanga mhando unhu chirwere pamwe acidic kurutsa. The anowanzodanwa chirwere rikwanise fomu pashure kuvhiyiwa. Chirwere nemaronda kuitika pakuparwa mazhinji kuona gastric esophageal rusvingo zvinoriumba, izvo zvinokuvadza mucosa. Kazhinji, panowanikwa peptic nemaronda zvakakonzera chete pakufurira hydrochloric asidhi pamusoro muviri.

Diagnostics

The chirwere nguva dzose rinotanga ane tinyatsonzwisisa zvinoitika pamwe chirwere ichi sezvo esophageal urikanwi, zviratidzo, uye kurapwa hunovapo maererano kunotoda mufananidzo. Hazvina nhoroondo chirwere, panguva iyo inotaura muviri tsika uye mararamiro murwere. Mukuwedzera, chiremba inosarudza kuvapo kana kusavapo kuratidzwa saizvozvo hama murwere, inoongorora ganda rake rashes, makwapa uye growths, uye anofunga Kuronga mafuta muviri. Kazhinji, nokuti vose kunotoda kurapwa vakadzidza ivhu ropa (chirwere kupererwa neropa uye leukocytosis), mutsvina yadzo (kutonga kubva kuvapo ropa).

urikanwi localization Akatsunga instrumentally. With ph vachiongorora akayera mucosa. Physician anorega ari endoscope, duku chaenga esophageal zvinyama kuona kuvapo kwemabhakitiriya kunototiomesera Helicobacter pylori. Kana zvakakodzera, anowedzera yakatarwa mhango Ultrasound, X-ray uye computed tomography.

mabatiro

In ekare nzendo chirwere, sezvinoita mutemo, regai zvinoda ndichibvunza care - zvichava kwakakwana kushomeka kushandiswa muchishungurudza zvokudya, kwete kuti pasi mitoro inorema uye vorega zvakare zvakasimba chakaita zvokugadzirwa zvipfeko. Not okushamisira vachapiwa kubatwa zvavo mishonga. Chinhu chinodiwa kudzivisa nzvimbo akarara pakarepo pashure kuzodya, uye kurara nani usiku pamwe vanomutswa headboard. Panguva kurapwa vanofanira kusiya panyama zvinhu zvine chokuita vachikotama mberi.

ekisiposha kwakadaro zvinobudirira kana panova, achangobva akasuma esophageal urikanwi. Kurapa zvikuru siyana zvinogona kubudiswa muna mbiri nzira - zvokurapa uye operative.

zvinodhaka kurapa

Rinowanzoshandiswa pakurapa zvinodhaka kuti vane antibacterial, astringent uye antacid. Zvichakubatsirawo zvinoda mishonga kuti mhanyisa pakuberekwa kutsva nharaunda sei, uye muzviitiko achauya pedyo, uye analgesics.

Chinangwa chikuru marapirwo - kuderedza marwadzo, gastric acidity uye kushatirwa pamusoro mucous, izvo esophageal maronda kuumbwa. Zviratidzo uye nekuramba chokuita kubva kunyangarika akaipa kuratidzwa anotaura yokuora kuvandudzika.

Mishonga zvinokosha kuti rikurumidze nekupodzwa nemaronda. In gadziriro izvi murwiyo ane CATALYTIC patsva mumiriri iyo anodzosa zvakarurama tishu mamiriro. Antacids vanosungirwa kuti kuderedza hasha zvaiitwa hydrochloric asidhi mu yegurokuro kubudikidza neutralization uye prokinetics zvinobudirira kuderedzwa motility pamusoro nemudumbu.

kushanda kurapa

Surgery pakurapa peptic nemaronda yaitwa, kana akaratidza basa kuchinja mabatiro. Raida Kuvhiya uye gastric sphincter kushaikwa wokugumisa. Zvikurukuru, kupindira zvakafanira kudzivirira panowanikwa yematambudziko ari muchimiro hiatal heniya. Fundoplication akaita yegurokuro - mudumbu iri yakaturikwa kuti diaphragm uye wanamatira kune abdominal madziro. Zvakakodzera kudzorera zvakarurama yorusvingo pakati pezvitunha - nenzira chinzvimbo kunoderedza ngozi nokukanda hydrochloric asidhi mucous gwara. Kazhinji Kuvhiya pamwe zvokusarudza proximal vagotomy Nissen kubudikidza nzira inosanganisira kuyambuka zvimedu vagus tsinga, basa yavaive rehydrogen chloride mudumbu.

Diet nokuti esophageal urikanwi

An chinokosha chezvinonhuwira arapwe mumatanho zvose zviri kutevedza zvakanaka zvokudya. Zvakanaka kuvakwa kudya zvinovaka muviri kuchakubatsira kuderedza marwadzo uye rikurumidze kupora. Saka, pasi kurambidzwa vari zvigadzirwa chokuita secretion pamusoro gastric facial, kuwedzera izvozvo. Ko siya mafuta uye zvakakanyiwa namafuta zvokudya, matsva chingwa, chidhakwa uye zvinwiwa, howa. Panguva pakurapwa, zviri chinodiwa kuti chinja zvachose kuti yakafashaidzwa uye yakabikwa miviri bhaira zvigadzirwa. Inogona vanobatanidzwa zvokudya nomukaka zvokudya pamwe razero mafuta, mazai, bota uye nyama isina lipid rukoko.

Zvakakosha kuchengeta doro muoti: esophageal urikanwi varwere zvairatidza zvakawedzera yaunodya mvura - vanenge 1.5 litres pazuva.

kurapwa People kwakaita esophageal maronda

Kune nzira dzakawanda muzvidzivirire uye vabatwe esophageal nemaronda unconventional nzira. Kazhinji, kwakadai yokurapa yakachengeteka, nokuti akavaka kushandiswa yemakwati sezvinoita zvinodhaka. Asi, pasinei ichi, asati kushandisa kurapa kungaitwa pane kwakajairika nachiremba zvinoda kurapwa mvumo.

The rinofarirwa kupfuura zvavo mishonga kuti nemaronda pakati yegurokuro akapa Quick neiya inoiswa muzvinwiwa zvinodhaka uye decoctions:

• Kugadzirira musanganiswa peppermint mafuta, uye fennel neshinda mbeu, izvo kubatwa zvakaenzana kukura. The sezvamunoita izere mu girazi kufashaira mvura akandipa kwemaminitsi 30. Decoction atora kaviri pazuva rimwe girazi.
• matapiri Vanoverengeka akasvuura yakabikwa nemvura yemafuta, ipapo mhinduro rakasvetwa. Kunwa kuva awa hafu vasati vadya 150 Rine mamiririta panguva. Unogona kushandisa mvura pashure uchimuka - achava zvakakwana 1 mukombe pamberi kwemangwanani.
• Chicken mazai uye muduku uchi yakasananiswa mune nhamba 1: 2. The yakanakisisa Nguva kuitwa - usina chawadya mangwanani, nguva kurapwa - mazuva 14.
• Usati kwamangwanani, unogona kunwa girazi remvura uye penguva hafu yeawa kuti kutora chipunu nouchi namafuta. Mushonga kwemazuva 10, zvichiteverwa yokumbozorora zvakafanana nguva, uye kudzokorora kosi.
• Mumwe awa pamberi zvokudya ukapisa urikanwi makabheji kana mbatatisi muto - 200 Rine mamiririta uye 75 azvaitwa. Course kurapwa pamwedzi.
• Namo (40 g) akanga chakaunzwa 500 ml mafuta uye nenharo pamusoro nokushambidza chiutsi kwehafu yeawa. Musanganiswa rakundwa usina chawadya muchimiro kupisa munhu spoon.
• Two spoon Cherry mapazi akadurura 290 g kufashaira mvura akandipa kuva thermos maawa kanenge 8-10. Decoction rinoshandiswa kwemazuva 60, katatu pazuva kwemaminitsi 20 vasati vachidya. A chete dose - 60 Rine mamiririta.
• Spoon muvhenganiswa kugadzirirwa kubva zvakaenzana yakawanda somuzivi uye psyllium akadurura 240 ml mvura iri kudziyirwa uye rizere zvinyama mumaawa 2.5-3. In gumi muto chokutanga vanobviswa hafu kapu pamberi zvemangwanani, ipapo kusvikira pakuguma mwedzi mumwe uwandu yaunodya zuva nezuva trebles.
• Chipunu plantain rwakapwa Vakaisa thermos pamwe 200 ml kufashaira mvura akandipa kwemaawa 8-10. I mushonga katatu pazuva hafu yeawa pamberi kudya.

kurapwa Izvi anongokurukurwa yakawanda gastrointestinal zvirwere, kusanganisira nemaronda pakati yegurokuro. Mabatirwo chevarwere mishonga anopa kuoneka rutapudzo uye inoita kuti zvinhu zvidzikame.

Matambudziko chirwere

At rwaikurumidza kuuya kana isina kukodzera kurapa zvichibvira matambudziko ari chirwere. The kuratidzwa chikuru pathological ezvinhu izvi - urikanwi ropa, esophageal aienda gwara uye perforation, kurasikirwa uremu muviri. Mukuwedzera, musimboti anogona kukura uye anozodzidza inotevera miviri, zvichikonzera kukundwa kwavo. Ndokusaka zviri nani kwete kunonoka kurapwa uye kuona chiremba pakarepo kana kuratidzwa vanyoro zviratidzo. Kunewo mabhuku Data pamusoro degeneration kuti untreated nemaronda mu namamota kenza.

matanho

Kudzivisa panowanikwa nemaronda, zvakafanira kubvisa kukanganiswa rwakashata zvinhu pachine: zviri zvinodiwa kurega kusvuta zvachose, kuderedza rwakashata kukanganisa tsinga, rakarongwa narwo dzose bvunzo nachiremba. Nokuti mukuru nokusimbaradza muviri zvinobatsira kutevera zvokudya, kwemanheru hapana papera pane maawa 2-3 pamberi warara, uye kuchengetedza utano hwakanaka. The panowanikwa anogumbura pezvakaitwa pedyo nhengo kunogonawo kutsamwisa esophageal urikanwi, saka unofanira mberi kurapa zvarakasiya zvose.

mataridzikiro

Kana nenguva kurapwa kuti chiremba uye zvakakodzera mishonga kurapa maronda ose yegurokuro iri nyore - kuti apore zvizere vachava maviri chete kana mwedzi mitatu. Kana chirwere kwapfuura mune chirwere chimiro, kupodzwa anogona kutora makore akawanda.

Kuwedzera, vanhu kubhadhara chakaremara gastrointestinal mucosa yakadai esophageal maronda. Zviratidzo, kurapa (chevarwere mishonga, mushonga, kuvhiya) vanotsanangurwa zvizere mabhuku ezvokurapa kuti hwezvekukurukurirana kuongorora chirwere kutsauka.

Zvakakodzera kurapa, kuti urikanwi haisi chirwere ane ngozi - munguva pfupi nguva kushanda yegurokuro anomutswa chose, uye zviratidzo zvapfuura. Zvakakwana abudirire muchimiro zvokurwara haasi kumhanya unconventional kurapwa fitopreparatami zvainanga kuporesa ashatirwa uye zvomoto mucous muviri. Dzimwe nguva nemakwenzi vari pamwe mishonga uye kunyange kuvhiya.