Chironda chironda kana chironda chinoumba muchero yemudumbu kana duodenum, iyo ndiyo chikamu chokutanga chemukati mudumbu. Zvironda mumudumbu zvinonzi gastric kana kuti musumbu dzemakumbo uye izvo zviri mu duodenum zvinonzi zilonda . Zvose izvi zvinogona kutumidzwa sepptic ulcers.
Kana zvipembenene zvisati zvichirapwa kana kurapwa hazvisi izvo, zvinetso zvakakomba zvinogona kuitika.
Matambudziko anowanzosanganisira kubuda ropa, kuputika kwemudumbu kana kuti masvingo edziviriro, nekudzivirira kwegumbo rekudya.
Bleeding
Sezvo chirwere chinoparadza masumbu emudumbu kana mudenga, mitsipa yeropa inogonawo kuparadzwa, inokonzera kubuda ropa. Kana mishonga yakakanganiswa yeropa iduku, ropa rinogona kuderera zvishoma nezvishoma mumugwagwa wekudya. Penguva refu, munhu angave anemic. Kana chirwere cheropa chinokanganisa chikuru, kubuda ropa kune ngozi uye kunoda kurapwa nokukurumidza. Zviratidzo zvekubuda ropa zvinosanganisira kushaya simba uye chezhesi pazvimire, kurutsa ropa, kana kupera. Iyo mbiru inogona kuva yakamira, ruvara rutsvuku kubva muropa. Kuwanda kwezvipembenene zvinobuda ropa zvinogona kurapwa endoscopically kuburikidza nekuwana chironda uye cauterizing ropa rekushandisa nemhepo inopisa kana kuti injova iyo nezvinhu kuti irege kubuda ropa. Kana chirwere chisingaperi chisingagoneki, chirwere chinogona kudiwa.
Perforation
Dzimwe nguva chironda chinodya chirongo mumadziro emudumbu kana duodenum. Bhakitiriya uye zvokudya zvishoma zvinokanganisa zvinogona kupera kuburikidza nekuzarura kusvika kune isina kuberekwa pamuviri (peritoneum). Chirwere che perforated chinogona kukonzera peritonitis, kuputika kwemuviri wemimba uye rusvingo. Zviratidzo zvelonda rinoputika rinosanganisira kurwadziwa nekukurumidza, kwakasimba, kwakanyanya.
Kachipatara kuchipatara nekuvhiyiwa kunowanzodiwa.
Kunetseka nekudzivirira
Zvironda zvinowanikwa kumagumo emudumbu umo duodenum yakabatanidzwa zvinogona kukonzera kupfugama uye kupora. Izvi zvinogona kuvhara kana kudzivira matumbo emukati uye zvinogona kudzivirira kudya kubva pakudumbu uye kupinda mumukati muduku. Somugumisiro, munhu anogona kurutsa zviri mukati memudumbu. Endoscopic ibhoon kuwedzera kunogona kuitwa. Bhozoni yekupedzisira inoshandiswa inoshandisa bhoron kuti ifukidze kuzarura ndima yakamanikana. Kana kusunungura hakubvumiri dambudziko, ipapo chirwere chinogona kudikanwa.
Chii Chinokonzera Peptic Ulcers?
Zvironda zvinoumba apo chipfeko chekudzivirira chemuviri kana duodenum (inozivikanwa sechimucosa uye submucosa) chinopera. Zvironda zviduku zvingasakonzera zviratidzo, asi zvipembenene zvakakura zvinogona kukonzera kubuda kwakanyanya. Zvipembenene zvizhinji zvinowanikwa mukutanga kwekunze kwemukati. Kana chironda chinopfuurira kunze kwecho, gomba rinogona kuzaruka iro rinopinda nenzira yose mumukumbo, inonzi perforation yemukati yakakonzera. A perforation is emergency medical.
Pasinei nedzidziso yakakurumbira yokuti zvipembenene zvinokonzerwa nezvokudya zvinonaka kana kuti kushungurudzika, chokwadi ndechekuti nguva yakawanda yepanguva, zvipembenene zvinokonzerwa nehutachiona hwebhakitiriya rinonzi Helicobacter pylori ( H pylori ).
Zvizhinji zvezvipembenene zvinogona kurapwa nemishonga, kusanganisira mishonga inorwisa mabhakitiriya. Asi kuvhiyiwa kunogona kudiwa kune dzimwe nguva.
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