ʻO ka maʻi maʻi peptic e pili ana i ka maʻi maʻi maʻi i loaʻa i ka ʻōpū a me ka ʻōpū duodenal. Ua kapa ʻia ʻo ia no ka mea e pili ana ka hoʻokumu ʻana o ka maʻi maʻi i ka hoʻoheheʻe ʻana o ka ʻakika ʻōpū a me ka pepsin, ʻo ia ka 99% o ka maʻi maʻi peptic.
ʻO ka maʻi maʻi peptic kahi maʻi maʻamau me ka hoʻolaha honua. Wahi a nā helu helu, maʻa mau ka maʻi maʻi duodenal i ka poʻe ʻōpio, a ʻo ka makahiki o ka hoʻomaka ʻana o ka maʻi ʻōpū ma hope, ma ka awelika, ma kahi o 10 mau makahiki ma mua o ka maʻi maʻi duodenal. ʻO ka nui o ka maʻi ʻeha duodenal ma kahi o 3 mau manawa ma mua o ka maʻi ʻeha o ka ʻōpū. . Manaʻo nui ʻia e lilo kekahi mau maʻi ʻōpū i ke kanesa, ʻoiai ʻaʻole maʻamau ka maʻi ʻeha duodenal.
Kiʻi 1-1 ʻO ke kiʻi gastroscopic o ka maʻi kanulau hau mua Kiʻi 1-2 ʻO ke kiʻi gastroscopic o ka maʻi maʻi ʻoi loa.
1. Hiki ke ho'ōla ka hapa nui o nā maʻi ʻeha
I nā poʻe maʻi me ka maʻi maʻi peptic, hiki ke ho'ōla ʻia ka hapa nui o lākou: ma kahi o 10% -15% o lākou ʻaʻohe hōʻailona, ʻoiai ʻo ka hapa nui o nā maʻi i loaʻa nā hōʻike maʻi maʻamau, ʻo ia hoʻi: ka hoʻomaka ʻana o ka manawa maʻamau i ka hoʻoilo a me ka hoʻoilo a me ka hoʻoilo a me ka puna. ʻeha ka ʻōpū.
Hōʻike pinepine ʻia nā maʻi ʻeha Duodenal me ka ʻeha hoʻokē ʻai, ʻoiai ʻo ka ʻeha ʻōpū me ka ʻeha postprandial. Loaʻa i kekahi mau maʻi nā hōʻike maʻamau maʻamau, a ʻo kā lākou mau hōʻailona mua he hemorrhage a me ka perforation acute.
Hiki i ka angiography o ka ʻōpū o luna a i ʻole gastroscopy ke hōʻoia pinepine i ka maʻi, a hui pū ʻia ka lāʻau lapaʻau me nā suppressants acid, nā mea pale mucosal gastric, a me nā antibiotic hiki ke hoʻōla i ka hapa nui o nā maʻi.
2. Ua manaʻo ʻia ka maʻi maʻi maʻi maʻi ma mua
Loaʻa i ka maʻi maʻi maʻi maʻi maʻi maʻi.Loaʻa ia ma waena o nā makahiki a ʻoi aku, kāne, ka ma'i ma'i hou i hiki ole ke hoola ia no ka manawa loihi. ʻO ka ʻoiaʻiʻo, pono e hoʻokō ʻia ka biopsy pathological no nā maʻi ʻōpū āpau i ka hana lapaʻau, ʻoi aku ka nui o nā maʻi ʻeha i ʻōlelo ʻia ma luna. Hiki ke mālama ʻia ka lāʻau anti-ulcer ma hope o ka haʻalele ʻana i ka maʻi kanesa, i mea e pale ai i ka misdiagnosis a me ka lohi o ka maʻi. Eia kekahi, ma hope o ka mālama ʻana i ka maʻi ʻōpū, pono e hana hou ʻia ka nānā ʻana e nānā i nā loli o ka hoʻōla ʻana o ka maʻi maʻi a hoʻoponopono i nā ʻano lapaʻau.
ʻAʻole liʻiliʻi ka maʻi maʻi maʻi Duodenal, akā, ua manaʻo ʻia e nā poʻe loea he ʻeha mua o ka ʻōpū.
Wahi a nā moʻolelo moʻokalaleo Kina, ma kahi o 5% o nā maʻi maʻi ʻōpū e hiki ke lilo i ka maʻi kanesa, a ke piʻi nei kēia helu. Wahi a nā helu helu, a hiki i ka 29.4% o nā maʻi maʻi ʻōpū mai ka maʻi ʻōpū.
Ua ʻike ʻia nā haʻawina ʻo ka poʻe maʻi maʻi maʻi maʻi maʻi ʻōpū ma kahi o 5% -10% o ka maʻi ʻeha o ka ʻōpū. ʻO ka ʻōlelo maʻamau, ʻo ka hapa nui o nā poʻe maʻi me ka maʻi maʻi ʻōpū o ka ʻōpū he moʻolelo lōʻihi o ka maʻi ʻeha o ka ʻōpū. ʻO ka luku pinepine ʻana i nā cell epithelial ma ka lihi o ka ʻōpū a me ka hoʻoponopono hou ʻana o ka mucosal, metaplasia, a me ka hyperplasia atypical e hoʻonui i ka hiki ke loaʻa i ka maʻi maʻi i ka manawa.
'O ka ma'i 'a'ai ma'amau i loko o ka mucosa a puni o ka ma'i ma'i. Hoʻopau ka mucosa o kēia mau ʻāpana i ka wā e paʻa ai ka maʻi maʻi, a hiki ke lilo i ʻino ma hope o ka luku pinepine ʻana a me ka hana hou ʻana. I nā makahiki i hala iho nei, ma muli o ka holomua o ka maʻi maʻi a me nā ʻano hoʻokolokolo, ua ʻike ʻia ʻo ka maʻi maʻi mua o ka ʻōpū i hoʻopaʻa ʻia i ka mucosa hiki ke hoʻopau ʻia a hoʻoheheʻe ʻia, a hiki ke hoʻololi ʻia kona ʻili e nā maʻi maʻi peptic lua. Hiki ke ho'oponopono 'ia kēia mau ma'i 'a'ai ma'i e like me nā ma'i ma'i ma'i. a hiki ke hana hou ia, a hiki ke hooloihiia ke ala o ka ma'i no kekahi mau mahina a oi aku paha, nolaila, e malama nui ia ka ma'i ma'i.
3. He aha nā hōʻailona o ka hoʻololi ʻino ʻana o ka ʻōpū ʻōpū?
1. Hoʻololi i ke ʻano a me ka maʻamau o ka ʻeha.
ʻO ka ʻeha o ka maʻi ʻōpū i ʻike nui ʻia ma ke ʻano he ʻeha ʻeha ma ka ʻōpū o luna, e ʻā ana a ʻeha paha, a ʻo ka hoʻomaka ʻana o ka ʻeha e pili ana i ka ʻai. Inā lilo ka ʻeha i ka mea maʻamau i ʻōlelo ʻia ma luna, lilo i mau hoʻouka kaua, a i ʻole e lilo i ʻeha mau loa, a i ʻole ke ʻano o ka ʻeha i hoʻololi nui ʻia i ka wā i hala, pono e makaʻala i ka harbinger o ka maʻi kanesa.
2. ʻAʻole pono me nā lāʻau anti-ulcer:
ʻOiai ua maʻalahi ka maʻi ʻōpū i ka hoʻouka hou ʻana, hoʻomaha ʻia nā hōʻailona ma hope o ka lawe ʻana i nā lāʻau anti-ulcer.
3. Ka holomua o ka pohō kaumaha:
I ka wā pōkole, nalowale ka ʻai, nausea, luaʻi, ke kuni a me ka holomua o ke kaumaha, ka pohō kaumaha, ʻoi aku ka kiʻekiʻe o ka maʻi kanesa.
4. Hōʻike ʻia ka Hematemesis a me ke melena.
ʻO ka luaʻi pinepine ʻana o ke koko a i ʻole ka hoʻomoe ʻana o ka mea maʻi, nā hopena hoʻāʻo ʻana i ke koko occult fecal maikaʻi mau, a me ka anemia koʻikoʻi e hōʻike ana e lilo ana ka ʻōpū ʻōpū i ka maʻi kanesa.
5. ʻIke ʻia nā ʻōpū ma ka ʻōpū.
ʻO ka poʻe maʻi me ka maʻi ʻaʻai maʻamau, ʻaʻole i hana i ka nui o ka ʻōpū, akā inā lilo lākou i ka maʻi kanesa, e nui a paʻakikī ka maʻi ʻeha, a hiki i nā poʻe maʻi kiʻekiʻe ke ʻike i ka nui ma ka ʻōpū hema o luna. ʻO ka nui o ka nui he paʻakikī pinepine, nodular a ʻaʻole maʻalahi.
6. ʻO ka poʻe i ʻoi aku ma mua o 45 mau makahiki, he moʻolelo ko lākou maʻi maʻi ma mua, a ua hana hou i nā hōʻailona i kēia manawa, e like me ka hiccups, belching, ʻeha ʻōpū, a hele pū ʻia me ka pohō kaumaha.
7. Ke koko huna fecal maikaʻi:
Hoʻomaʻamaʻa maikaʻi, e hōʻoia e hele i ka haukapila no kahi hoʻokolokolo piha.
8. Nā mea ʻē aʻe:
ʻOi aku ma mua o 5 mau makahiki ma hope o ka hōʻoki ʻana i ka ʻōpū, aia nā hōʻailona o ka indigestion, ka pohō kaumaha, ka anemia a me ke kahe ʻana o ka ʻōpū, a me ka wehewehe ʻole ʻana o ka ʻōpū o ka ʻōpū, belching, discomfort, luhi, pohō kaumaha, etc.
4, ʻO ke kumu o ka maʻi ʻōpū
ʻAʻole maopopo ka etiology o ka peptic ulcer, akā ua wehewehe ʻia ʻo Helicobacter pylori maʻi, ka lawe ʻana i nā lāʻau anti-inflammatory non-steroidal a me nā lāʻau antithrombotic, a me ka excessive gastric acid secretion, genetic factor, psychological and emotional fluctuations, a ʻAi ʻole ʻia ka moe kolohe, ka ʻai ʻana i nā mea ʻai, ka puhi ʻana, ka inu ʻana, ka ʻāina a me ke aniau, nā maʻi maʻi mau e like me ka emphysema a me ka maʻi hepa B pili pū kekahi i ka loaʻa ʻana o ka peptic ulcer.
1. Helicobacter pylori (HP):
Ua lanakila ʻo Marshall lāua ʻo Warren i ka 2005 Nobel Prize in Medicine no ka holomua ʻana i ka Helicobacter pylori i ka makahiki 1983 a me ka manaʻo e pili ana kāna maʻi i ka pathogenesis o nā ʻeha peptic. Ua hōʻoia piha ka nui o nā haʻawina ʻo ka maʻi Helicobacter pylori ke kumu nui o ka maʻi maʻi peptic.
2. Nā kumu lāʻau a me nā meaʻai:
ʻO ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau e like me ka aspirin a me nā corticosteroids ua maʻalahi ke kumu o kēia maʻi. Eia kekahi, ʻo ka puhi paka lōʻihi, ka inu ʻana i ka wā lōʻihi, a me ka inu ʻana i ke kī ikaika a me ke kofe me he mea lā e pili ana.
(1) ʻO nā hoʻomākaukau aspirin like ʻole: ʻO ka hoʻohana lōʻihi a i ʻole ka hoʻohana nui ʻana e hiki ke hōʻeha i ka ʻōpū a me ka ʻeha. I nā hihia koʻikoʻi, hiki ke loaʻa ka hematemesis, melena, a me nā mea ʻē aʻe i loko o ka ʻāʻī mucosal o ka ʻōpū, erosion a me ka hoʻokumu ʻana o ka ʻeha.
(2) Nā lāʻau lapaʻau hoʻololi Hormone:
ʻO nā lāʻau lapaʻau e like me ka indomethacin a me ka phenylbutazone, he mau lāʻau lapaʻau hoʻololi homoni, e hōʻino pololei ana i ka mucosa ʻōpū a hiki ke alakaʻi i nā maʻi ʻeha o ka ʻōpū.
(3) Analgesics antipyretic:
E like me A.PC, paracetamol, papa hoʻomaha ʻeha a me nā lāʻau anu e like me Ganmaotong.
3. ʻO ka ʻakika ʻōpū a me ka pepsin:
ʻO ka hoʻokumu hope ʻana o nā maʻi ʻeha ma muli o ka hoʻoheheʻe ʻana iā ia iho o ka ʻakika ʻōpū/pepsin, ʻo ia ka mea hoʻoholo i ka hiki ʻana mai o nā maʻi ʻeha. ʻO ka mea i kapa ʻia ʻo "maʻi ʻaʻa ʻole ʻole".
4. Nā kumu noʻonoʻo kaumaha:
Hiki i ke ko'iko'i ko'iko'i ke kumu i ka ma'i ma'i ma'i. ʻO ka poʻe me ke koʻikoʻi mau, ka hopohopo, a i ʻole ke ʻano o ka naʻau, hiki ke loaʻa i ka ʻeha peptic
ʻūhā.
5. Nā kumu genetic:
I loko o kekahi mau maʻi maʻi ʻano like ʻole, e like me ka nui o ka endocrine adenoma type I, systemic mastocytosis, a me nā mea ʻē aʻe, ʻo ka maʻi peptic kahi ʻāpana o kāna mau hōʻike lapaʻau.
6. ʻAi ʻole ka ʻōpū o ka ʻōpū:
Loaʻa i kekahi mau maʻi maʻi maʻi ʻōpū i nā maʻi o ka ʻōpū, e like me ka hoʻonui ʻana i ka huna ʻana o ka ʻōpū ma muli o ka lohi ʻana o ka ʻōpū a me ka reflux duodenal-gastric i hoʻokumu ʻia e ka bile, ka wai pancreatic a me ka lysolecithin hōʻino i ka mucosa.
7. Nā kumu ʻē aʻe:
E like me ka ma'i kūloko o ka herpes simplex virus type I pili paha. Hiki ke komo pū ka maʻi Cytomegalovirus i nā transplant renal a i ʻole nā maʻi immunocompromised.
I ka hopena, hiki ke pale maikaʻi ʻia ka maʻi maʻi ma o ka hoʻomaikaʻi ʻana i ke ʻano o ka nohona, ka lawe ʻana i nā lāʻau lapaʻau me ka noʻonoʻo, ka hoʻopau ʻana i ka Helicobacter pylori, a me ka lawe ʻana i ka gastroscopy ma ke ʻano he mea maʻamau o ka nānā kino kino;
I ka wā e puka mai ai ka maʻi ʻeha, pono e hoʻoponopono ikaika i ka mālama ʻana a hana i ka loiloi gastroscopy maʻamau (ʻoiai inā hoʻōla ʻia ka maʻi ʻeha), i mea e pale pono ai i ka hiki ʻana mai o ka maʻi kanesa.
"Hiki ke hoʻohana ʻia ke koʻikoʻi o ka gastroscopy no ka hoʻomaopopo ʻana inā he ʻokoʻa nā degere o ka mumū o ka mea maʻi, ka ʻōpū a me ka duodenum, nā ʻeha, nā polyps tumor a me nā maʻi ʻē aʻe. ʻO ka Gastroscopy kahi ʻano nānā pono ʻole hiki ke hoʻololi ʻia, a ua ʻae kekahi mau ʻāina i ka hoʻokolokolo gastroscopic. Ma ke ʻano he mea nānā olakino, pono e hoʻokō ʻia nā hoʻokolohua ʻelua i ka makahiki, no ka mea, ʻoi aku ka kiʻekiʻe o ka ulu ʻana o ka maʻi maʻi gastric mua i kekahi mau ʻāina. No laila, ma hope o ka ʻike mua ʻana a me ka mālama ʻana i ka manawa, ʻike ʻia ka hopena lapaʻau.
ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina i mea kūikawā i nā mea hoʻohana endoscopic, e like mebiopsy forceps, hemoclip, pahele polyp, nila sclerotherapy, pulupulu pulupulu, cytology brushes, uea alakaʻi, hīnaʻi kiʻi pōhaku, ihu biliary drain catheteretc. i hoohana nui ia maEMR, ESD,ERCP. ʻO kā mākou huahana i hōʻoia ʻia ʻo CE, a ua hōʻoia ʻia kā mākou mea kanu. Ua lawe ʻia kā mākou waiwai i ʻEulopa, ʻAmelika ʻAmelika, Middle East a me kahi hapa o Asia, a loaʻa nui i ka mea kūʻai aku o ka ʻike a me ka hoʻomaikaʻi!
Ka manawa hoʻouna: ʻAukake-15-2022