Chirwere chepaste chinorwadza pamucheka weimba yako kana duodenum. Kazhinji, chironda chinogona kukura chiri kumusoro kwepamuviri mudumbu rako. Vanachiremba vanoshevedza rudzi urwu rwepaptic ulcer ne esophageal ulcer.
Chikonzero chezhinji chezviputi zvinonzi H. pylori, hutachiona hwebhakitiriya hwakawanikwa muna 1982 nevanotsvakurudza vaviri, Barry Marshall naRobin Warren wePerth, Australia.
iyo yaive yakatenda kwenguva yakareba mukudzidzisa kwechiremba uye chiito icho chinomanikidzika uye mararamiro ezvimwe zvikonzero ndizvo zvakakonzera kukonzera chirwere cheplatin. Zvisinei, sezvataurwa pamusoro apa, kurapwa nemishonga inorwisa mabhakitiriya pamwe nemimwe mishonga inowanzoporesa maronda. Kune mhando dzakasiyana dzemishonga inoshandiswa kurapa peptic ulcer. Chiremba wako achasarudza kurapa kwakanakisisa kunobva pachikonzero chako chepptic ulcer.
Muzviitiko zvakawanda, kurapwa nemishonga inorwisa mabhakitiriya nemimwe mishonga inoporesa vhudzi nekukurumidza. Kuparadzaniswa kwaHh pylori kunodzivirira zvironda zvakawanda kubva zvakare. Kupindira kwekuvhipisa hakusi nyore. Zvisinei, vamwe vanhu havatauri kumishonga inorwisa mabhakitiriya inorayirwa kuti vaporese chironda, kana kuti ivo vanokura matambudziko kubva muzvipembenene zvakadai sekupora, kubuda ropa, uye kuvhiringidza. Vangada kupinda muchero.
Matambudziko Kubva Kumaronda
Kupera kwaro igomba mumadziro emudumbu mako kana maduku emukati.
Chirwere chepisforated chirwere chakaipa kwazvo apo chironda chisina kubatwa chinogona kupisa kuburikidza nemadziro emudumbu (kana zvimwe zvikamu zvemuviri wepamuviri), zvichibvumira kudya kwemajusi uye zvokudya kuti zvipinde mukati mechidzamu chemuviri.
Kubuda ropa kunowanikwa kana pane chirwere chinoputsika mukati memudumbu kana mudiki mudumbu.
Chirwere chakadya nzira yaro muropa remudziyo. Izvi zvinokonzera ropa rakatsvuka kana rima mumarutsi kana muchitsiko chako.
Kuvhara kunoitika apo zvokudya zvinodzivirirwa kubva kubva mudumbu rako kusvika mu duodenum yako. Zvironda zvinowanikwa pamagumo emudumbu, umo duodenum (kutanga kwemukati mudumbu) yakabatanidzwa, inogona kukonzera kubvunda uye kuora, izvo zvinogona kuderedza kana kuvhara musango. Zvokudya zvinobva zvadziviswa kuti tisabva mudumbu, zvichiguma nekurutsira zviri mukati mudumbu.
Mhando dzeUkuvhiya Inowanikwa
Mhando dzekuvhiya iyo inogona kuitwa nokuda kwezviponda zvepaste ndeye vagotomy, pyloroplasty, uye antrectomy.
Vagotomy
Mukuvhiya uku, rimwe kana mamwe matavi eve vagus nerve, anotumira mameseji kubva muuropi kusvika mudumbu, anogurwa. Kupopotera aya maitiro kunoderedza kusvitsa asidi. Zvisinei, zvinogona kuva nemigumisiro yakadai seyakanyanya, kurwadziwa kwepamuviri kusingaperi, kurutsira, kana chirwere. Kuvhiyiwa kunogona kukanganisawo nekubuda mumimba. Kusiyana kwakasiyana-siyana kwekuvhiyiwa uku kunosanganisira kuchera zvikamu zvega zvemutsara zvinodzora mashizha-asivha masimba emudumbu. Izvi zvinodzivirira zvikamu zvehutano izvo zvinokonzera dumbu kubvisa.
Antrectomy
Mukuvhiyiwa uku, chikamu chepasi chemuviri (antrum) chakabviswa.
Ichi chikamu chemuviri chinoumba hormone inokurudzira mudumbu kuti ichengetedze marisi ekudya. Dzimwe nguva chiremba anovhiya anogonawo kubvisa chikamu chinenge chiri pedyo nedumbu chinodzivirira pepsin uye asidi. A vagotomy inowanzoitwa pamwe chete ne antrectomy.
Pyloroplasty
Izvi zvinowedzera kuvhura kwe duodenum uye duku mumutsipa (pylorus), iyo inobvumira zviri mumumbu kuti zvipfuure zvakasununguka kubva mudumbu. A vagotomy inogonawo kuitwa pamwe ne pyloroplasty.
Sources:
"Common GI Matambudziko: Bhuku 1." American College of Gastroenterology. 22 Aug 2007
> "H. pylori uye Peptic Ulcer." NIH Publication Nha. 05-4225 October 2004. National Digestive Diseases Information Clearinghouse (NDDIC). 22 Aug 2007
> "Zvandinoda kuziva nezvePeptic Ulcers." NIH Publication Nha. 05-5042 October 2004. National Digestive Diseases Information Clearinghouse (NDDIC). 22 Aug 2007
> William D. Chey, MD, FACG, AGAF, FACP, Benjamin CY Wong, MD, Ph.D., FACG, FACP, " American College yeGastroenterology Guideline pamusoro pekutungamirirwa kweHelicobacter pylori Infection. " Nei: 10.1111 / j. 1572-0241.2007.01393.x. American College of Gastroenterology. 22 Aug 2007