ʻO ka maʻi ʻōpū peptic e pili ana i ka maʻi ʻōpū mau loa e kū mai ana i loko o ka ʻōpū a me ka duodenal bulb. Ua kapa ʻia ia no ka mea pili ka hoʻokumu ʻia ʻana o ka maʻi ʻōpū i ka ʻai ʻana o ka waikawa gastric a me ka pepsin, ʻo ia hoʻi ma kahi o 99% o ka maʻi ʻōpū peptic.
He maʻi maʻamau ka maʻi ʻōpū peptic me ka laha ʻana ma ka honua holoʻokoʻa. Wahi a nā helu helu, ʻike pinepine ʻia nā maʻi ʻōpū duodenal i nā pākeke ʻōpio, a ʻo ka makahiki o ka hoʻomaka ʻana o nā maʻi ʻōpū ma hope, ma ka awelika, ma kahi o 10 mau makahiki ma hope o nā maʻi ʻōpū duodenal. ʻO ka nui o nā maʻi ʻōpū duodenal ma kahi o 3 mau manawa ma mua o nā maʻi ʻōpū. . Manaʻo nui ʻia e lilo kekahi mau maʻi ʻōpū i maʻi kanesa, ʻoiai ʻaʻole maʻamau nā maʻi ʻōpū duodenal.
Kiʻi 1-1 Ke kiʻi gastroscopic o ke kanesa hau mua Kiʻi 1-2 Ke kiʻi gastroscopic o ke kanesa holomua.
1. Hiki ke ho'ōla ʻia ka hapa nui o nā ʻeha peptic
I nā poʻe maʻi me ka maʻi ʻōpū 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 he mau hōʻailona lapaʻau maʻamau, ʻo ia hoʻi: ka hoʻomaka mau ʻana o ka hoʻomaka manawa i ka hāʻule a me ka hoʻoilo a me ka ʻeha ʻōpū i ka hoʻoilo a me ka pūnāwai.
Hoʻike pinepine ʻia nā ʻeha Duodenal me ka ʻeha hoʻokē ʻai rhythmic, ʻoiai ʻo nā ʻeha ʻōpū e hōʻike pinepine ʻia me ka ʻeha ma hope o ka ʻai ʻana. ʻAʻole i loaʻa i kekahi mau maʻi nā hōʻike maʻamau, a ʻo kā lākou mau hōʻailona mua he kahe koko a me ka perforation acute.
Hiki i ka angiography gastrointestinal kiʻekiʻe a i ʻole ka gastroscopy ke hōʻoia pinepine i ka hōʻailona, a me ka hui pū ʻana o ka lāʻau lapaʻau me nā mea hoʻopau waikawa, nā mea pale mucosal gastric, a me nā antibiotics hiki ke hoʻōla i ka hapa nui o nā maʻi.
2. Ua manaʻo ʻia nā ʻeha ʻōpū e hoʻi hou ana he mau ʻeha precancerous
Loaʻa i nā ʻōpū ʻōpū kahi helu o ke kanesa.Loaʻa pinepine ia i nā kāne waena a me nā poʻe ʻelemakule,, nā ʻōpū e hoʻi hou ana ʻaʻole hiki ke ho'ōla ʻia no ka manawa lōʻihi. ʻO kaʻoiaʻiʻo, pono e hana ʻia ka biopsy pathological no nā ʻōpū āpau o ka ʻōpū i ka hana lapaʻau, ʻoiai nā ʻōpū i ʻōlelo ʻia ma luna. Hiki ke hana ʻia ka lāʻau anti-ulcer ma hope o ka pono e kāpae ʻia ke kanesa, i mea e pale ai i ka kuhi hewa ʻana a me ka lohi o ka maʻi. Eia kekahi, ma hope o ka mālama ʻana i ka ʻōpū o ka ʻōpū, pono e hana hou ʻia ka nānā ʻana e nānā i nā loli i ka ho'ōla ʻana o ka ʻōpū a hoʻoponopono i nā hana lapaʻau.
ʻAʻole pinepine ka lilo ʻana o nā ʻōpū duodenal i maʻi kanesa, akā ua manaʻo ʻia nā ʻeha ʻōpū e hana hou ʻia e nā loea he nui he lesion precancerous.
Wahi a nā hōʻike moʻokalaleo Kina, ma kahi o 5% o nā ʻōpū ʻeha hiki ke lilo i maʻi kanesa, a ke piʻi nei kēia helu i kēia manawa. Wahi a nā helu helu, a hiki i ka 29.4% o nā maʻi kanesa ʻōpū e hele mai ana mai nā ʻōpū ʻeha.
Ua ʻike ʻia nā noiʻi ʻo ka poʻe maʻi ʻaʻai ʻōpū e pili ana i kahi 5%-10% o ka nui o ka maʻi ʻaʻai ʻōpū. Ma ke ʻano laulā, ʻo ka hapa nui o nā poʻe maʻi me ka maʻi ʻaʻai ʻōpū he moʻolelo lōʻihi ko lākou o ka maʻi ʻaʻai ʻōpū mau. ʻO ka luku pinepine ʻia ʻana o nā cell epithelial ma ka lihi o ka ʻaʻai a me ka hoʻoponopono ʻana a me ka hana hou ʻana o ka mucosal, ka metaplasia, a me ka hyperplasia atypical e hoʻonui i ka hiki ke loaʻa i ka maʻi ʻaʻai i ka hala ʻana o ka manawa.
ʻO ka maʻamau, loaʻa ka maʻi kanesa i loko o ka mucosa a puni o nā ʻōpū. Hoʻopau ka mucosa o kēia mau ʻāpana i ka wā e hana ai ka ʻōpū, a hiki ke lilo i mea ʻino ma hope o ka luku pinepine ʻia a me ka hana hou ʻana. I nā makahiki i hala iho nei, ma muli o ka holomua o ka ʻike ʻana a me nā ʻano hoʻokolokolo, ua ʻike ʻia hiki ke hoʻopau ʻia a hoʻopau ʻia ke kanesa ʻōpū mua i hoʻopaʻa ʻia i ka mucosa, a hiki ke hoʻololi ʻia kona ʻili ʻiʻo e nā ʻōpū peptic lua. Hiki ke hoʻoponopono ʻia kēia mau ʻōpū kanesa e like me nā ʻōpū maikaʻi. a hiki ke hana hou ʻia ka hoʻoponopono ʻana, a hiki ke hoʻolōʻihi ʻia ke ala o ka maʻi no kekahi mau mahina a ʻoi aku paha, no laila pono e nānā nui ʻia nā ʻōpū ʻōpū.
3. He aha nā hōʻailona o ka hoʻololi ʻino ʻana o ka ʻōpū ʻōpū?
1. Nā loli i ke ʻano a me ke ʻano maʻamau o ka ʻeha:
ʻO ka ʻeha o ka ʻōpū ʻōpū e hōʻike nui ʻia ma ke ʻano he ʻeha palupalu ma ka ʻōpū o luna, e wela ana a palupalu paha, a ʻo ka hoʻomaka ʻana o ka ʻeha e pili ana i ka ʻai ʻana. Inā nalowale ka ʻeha i ke ʻano maʻamau i ʻōlelo ʻia ma luna, lilo i mau hoʻouka kaua ʻole, a lilo paha i ʻeha palupalu mau, a i ʻole ua loli nui ke ʻano o ka ʻeha i hoʻohālikelike ʻia me ka wā ma mua, pono e makaʻala i ka hōʻailona o ka maʻi ʻaʻai.
2. ʻAʻole pono me nā lāʻau anti-ulcer:
ʻOiai ke kūlohelohe nei ka maʻi ʻōpū i nā hoʻouka hou ʻana, ua hōʻoluʻolu ʻia nā hōʻailona ma hope o ka lawe ʻana i nā lāʻau anti-ulcer.
3. Nā poʻe maʻi pohō kaumaha holomua:
I ka wā pōkole, nalowale ka makemake, ka nausea, ka luaʻi ʻana, ke kuni a me ka pohō kaumaha holomua, ka pohō kaumaha, he kiʻekiʻe loa ka hiki ke loaʻa i ka maʻi kanesa.
4. Hōʻike ʻia ka Hematemesis a me ka melena:
ʻO ka luaʻi pinepine ʻana o ka mea maʻi i ke koko a i ʻole ka ʻōpala kalary, nā hopena hoʻāʻo koko huna fecal maikaʻi mau, a me ka anemia koʻikoʻi e hōʻike ana e lilo ana nā ʻōpū ʻōpū i maʻi kanesa.
5. ʻIke ʻia nā puʻupuʻu ma ka ʻōpū:
ʻO ka maʻamau, ʻaʻole e hana nā maʻi me nā ʻōpū ʻeha i nā puʻupuʻu o ka ʻōpū, akā inā lilo lākou i maʻi kanesa, e nui a paʻakikī nā ʻōpū, a hiki i nā maʻi holomua ke ʻike i ka puʻupuʻu ma ka ʻōpū hema o luna. ʻO ka puʻupuʻu o ka puʻupuʻu he paʻakikī pinepine, nodular a ʻaʻole laumania.
6. ʻO ka poʻe ma luna o 45 mau makahiki, he moʻolelo ko lākou no ka maʻi ʻōpū ma mua, a ua loaʻa hou nā hōʻailona i hala koke aku nei, e like me ka hiccups, ka belching, ka ʻeha o ka ʻōpū, a ua hele pū ʻia me ka pohō kaumaha.
7. Koko huna fecal maikaʻi:
Inā maikaʻi ka hopena, e hele i ka haukapila no kahi hoʻokolokolo piha.
8. Nā mea ʻē aʻe:
Ma mua o 5 mau makahiki ma hope o ke ʻoki ʻōpū, aia nā hōʻailona o ka ʻōpū palupalu, ka pohō kaumaha, ka anemia a me ke kahe ʻana o ke koko o ka ʻōpū, a me ka pehu ʻana o ka ʻōpū o luna me ka wehewehe ʻole ʻia, ka belching, ka ʻehaʻeha, ka luhi, ka pohō kaumaha, a me nā mea ʻē aʻe.
4, Ke kumu o ka ʻōpū ʻeha
ʻAʻole maopopo loa ke kumu o ka maʻi ʻōpū peptic, akā ua wehewehe ʻia ʻo ka maʻi Helicobacter pylori, ka lawe ʻana i nā lāʻau anti-inflammatory non-steroidal a me nā lāʻau antithrombotic, a me ka nui o ka hoʻokahe ʻana o ka waikawa gastric, nā kumu genetic, nā loli noʻonoʻo a me ka naʻau, a me ka ʻai maʻamau ʻole. ʻO ka moekolohe, ka ʻai ʻana i nā meaʻai māmā, ka puhipaka, ka inu ʻana, ke kaiapuni honua a me ke aniau, nā maʻi maʻi e like me ka emphysema a me ka hepatitis B e pili pū ana me ka hanana o ka maʻi ʻōpū peptic.
1. Ka maʻi Helicobacter pylori (HP):
Ua lanakila ʻo Marshall lāua ʻo Warren i ka makana Nobel ma ka lāʻau lapaʻau i ka makahiki 2005 no ka hoʻoulu pono ʻana iā Helicobacter pylori i ka makahiki 1983 a me ka hōʻike ʻana he kuleana ko 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 ʻeha peptic.
2. Nā mea lapaʻau a me nā meaʻai:
ʻO ka hoʻohana lōʻihi ʻana i nā lāʻau lapaʻau e like me ka aspirin a me nā corticosteroids e hiki ke hoʻoulu i kēia maʻi. Eia kekahi, ʻo ka puhipaka 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) Nā ʻano hoʻomākaukau aspirin like ʻole: ʻO ka hoʻohana lōʻihi a i ʻole ka hoʻohana nui ʻana hiki ke hōʻeha i ka ʻōpū a me ka ʻoluʻolu ʻole. I nā hihia koʻikoʻi, hiki ke loaʻa ka hematemesis, melena, a me nā mea ʻē aʻe, i ka mumū o ka mucosal gastric, ka ʻino a me ka hoʻokumu ʻana o ka ulcer.
(2) Nā lāʻau hoʻololi hormone:
ʻO nā lāʻau lapaʻau e like me ka indomethacin a me ka phenylbutazone he mau lāʻau hoʻololi hormone, nona ka hōʻino pololei i ka mucosa gastric a hiki ke alakaʻi i nā ʻeha gastric acute.
(3) Nā lāʻau hoʻēmi ʻeha:
E like me A.PC, paracetamol, nā papa hoʻopau ʻeha a me nā lāʻau anu e like me Ganmaotong.
3. ʻAkika ʻōpū a me ka pepsin:
ʻO ke kūkulu hope ʻana o nā ʻōpū peptic ma muli o ka ʻeli ponoʻī ʻana o ka waikawa gastric/pepsin, ʻo ia ke kumu hoʻoholo i ka hiki ʻana mai o nā ʻōpū. ʻO ka mea i kapa ʻia ʻo "nā ʻōpū ʻaʻohe waikawa".
4. Nā mea hoʻonāukiuki noʻonoʻo:
Hiki i ke kaumaha koʻikoʻi ke hoʻoulu i nā ʻeha koʻikoʻi. ʻO ka poʻe me ke kaumaha mau, ka hopohopo, a i ʻole nā loli o ka naʻau e maʻalahi i nā ʻeha peptic
ʻōpū palapū.
5. Nā kumu hoʻoilina:
I kekahi mau maʻi genetic kakaikahi, e like me ka multiple endocrine adenoma type I, systemic mastocytosis, a pēlā aku, ʻo ka maʻi ʻōpū peptic kekahi hapa o kāna mau hōʻike lapaʻau.
6. Ka neʻe ʻana o ka ʻōpū maʻamau ʻole:
Loaʻa i kekahi mau maʻi ʻōpū ka maʻi neʻe ʻana o ka ʻōpū, e like me ka hoʻonui ʻia ʻana o ka ʻakika gastric i hoʻokumu ʻia e ka lohi o ka hoʻokahe ʻana o ka ʻōpū a me ka reflux duodenal-gastric i hoʻokumu ʻia e ka bile, ka wai pancreatic a me ka lysolecithin i hōʻino ʻia i ka mucosa.
7. Nā kumu ʻē aʻe:
E like me ka maʻi kūloko o ka herpes simplex virus type I e pili ana paha. Hiki i ka maʻi Cytomegalovirus ke pili pū i nā hoʻoili puʻupaʻa a i ʻole nā maʻi immunocompromised.
I ka hopena, hiki ke pale pono ʻia nā ʻōpū ma ka hoʻomaikaʻi ʻana i ke ʻano o ka nohona, ka lawe ʻana i nā lāʻau lapaʻau me ka noʻonoʻo pono, ka hoʻopau ʻana iā Helicobacter pylori, a me ka lawe ʻana i ka gastroscopy ma ke ʻano he mea hoʻokolokolo kino maʻamau;
Ke kū mai kahi ʻōpū, pono e hoʻoponopono pono i ka lāʻau lapaʻau a hana i ka loiloi gastroscopy maʻamau (ʻoiai inā ua ho'ōla ʻia ka ʻōpū), i mea e pale pono ai i ka hiki ʻana mai o ka maʻi kanesa.
"Hiki ke hoʻohana ʻia ke koʻikoʻi o ka gastroscopy e hoʻomaopopo inā he ʻokoʻa nā kekelē o ka mumū o ka esophagus, ka ʻōpū a me ka duodenum o ka mea maʻi, nā ʻōpū, nā polyp tumor a me nā ʻeha ʻē aʻe. ʻO ka Gastroscopy kekahi ʻano nānā pololei hiki ʻole ke hoʻololi ʻia, a ua hoʻohana kekahi mau ʻāina i ka hoʻokolokolo gastroscopic. Ma ke ʻano he mea nānā olakino, pono e hana ʻia nā hoʻokolokolo ʻelua i ka makahiki, no ka mea, he kiʻekiʻe loa ka nui o ka maʻi ʻōpū mua ma kekahi mau ʻāina. No laila, ma hope o ka ʻike mua ʻana a me ka mālama ʻana i ka manawa kūpono, ua maopopo hoʻi ka hopena o ka mālama ʻana."
ʻO mākou, ʻo Jiangxi Zhuoruihua Medical Instrument Co., Ltd., he mea hana ma Kina e loea ana i nā mea hoʻopau endoscopic, e like menā forceps biopsy, hemoclip, ʻūpā polyp, nila sclerotherapy, ʻaukā pīpī, nā palaki cytology, uea alakaʻi, hīnaʻi kiʻi pōhaku, catheter hoʻokahe wai biliary ihua pēlā aku i hoʻohana nui ʻia maEMR, ESD,ERCPUa hōʻoia ʻia kā mākou huahana e CE, a ua hōʻoia ʻia kā mākou mau mea kanu e ISO. Ua hoʻokuʻu ʻia aku kā mākou waiwai i ʻEulopa, ʻAmelika ʻĀkau, Hikina Waena a me kekahi ʻāpana o ʻAsia, a ua loaʻa nui ka ʻike a me ka hoʻomaikaʻi ʻia e ka mea kūʻai aku!
Ka manawa hoʻouna: ʻAukake-15-2022