Chilonda cha zilonda ndi zilonda pazitsulo za m'mimba kapena duodenum. Kawirikawiri, chilonda cham'mimba chingakhale pamwamba pamimba mwako. Madokotala amatcha mtundu uwu wa zilonda zam'mimba ndi zilonda zam'mimba.
Chifukwa chachikulu cha zilonda zam'mimba ndi H. pylori, matenda opatsirana omwe anapezeka mu 1982 ndi akatswiri awiri, Barry Marshall ndi Robin Warren wa Perth, Australia.
chinali chikhulupiliro cha nthawi yayitali pa chiphunzitso ndi machitidwe a zachipatala zomwe zovuta ndi zochitika za moyo zinali zifukwa zazikulu za matenda a zilonda zam'mimba. Komabe, monga tatchulira pamwambapa, mankhwala ochiza matenda ndi mankhwala ena amachiza zilonda zam'mimba. Pali mitundu yambiri ya mankhwala ogwiritsira ntchito zilonda zam'mimba. Dokotala wanu adzasankha njira yabwino yothandizira pogwiritsa ntchito chifukwa cha chilonda chanu.
Nthaŵi zambiri, mankhwala ochiza maantibayotiki ndi mankhwala ena amachiza zilonda mofulumira. Kuthetsedwa kwa H. pylori kumateteza zilonda zambiri kuti zisabwererenso. Kuchita opaleshoni sikokwanira. Komabe, anthu ena samayankha maantibayotiki operekedwa kuti athe kuchiza chilonda, kapena amakhala ndi mavuto ochokera ku zilonda monga perforation, bleeding, ndi obstructions. Iwo angafunike kulowetsa opaleshoni.
Zovuta Kuchokera Kumaso
Kuperewera ndi dzenje pamakoma a m'mimba kapena m'mimba.
Chilonda cha perforated ndi matenda aakulu omwe chilonda chosachiritsidwa chimatha kupyola m'mimba (kapena mbali zina za m'mimba), zomwe zimalola kuti zakudya zam'mimba ndi chakudya zilowe m'mimba.
Kutaya magazi kumachitika ngati muli ndi mitsempha ya magazi m'mimba kapena m'mimba.
Chilonda chadyetsa njira yopita mumtsuko wa magazi. Izi zidzapangitsa magazi ofiira kapena akuda mu masanzi kapena m'thumba lanu.
Kutsekedwa kumachitika pamene chakudya chimaletsedwa kuchoka mmimba mwako kupita ku duodenum. Zilonda zam'mimba zili kumapeto kwa m'mimba, kumene duodenum (kuyamba kwa m'mimba mwachinyamatayo) imayikidwa, ingayambitse kutupa ndi kupweteka, zomwe zingachepetse kapena kutseka matumbo. Chakudya chimatetezedwa kuti chisachoke m'mimba, zomwe zimayambitsa kusanza zomwe zili m'mimba.
Njira Zochiritsira Zopezeka
Mitundu ya opaleshoni yomwe ingachitidwe kwa zilonda zam'mimba ndi vagotomy, pyloroplasty, ndi antitrectomy.
Vagotomy
Pa opaleshoni iyi, imodzi kapena zingapo nthambi za mitsempha ya vagus, yomwe imafalitsa mauthenga kuchokera mu ubongo kupita mmimba, imadulidwa. Kusokoneza mauthengawa kumachepetsa kutsekemera kwa asidi. Komabe, pangakhale zotsatirapo monga zowawa, kupweteka kwa m'mimba, kusanza, kapena kutsekula m'mimba. Kuchita opaleshoni kungathenso kusokoneza mimba. Kusiyana kwakukulu kwa opaleshoniyi kumaphatikizapo kudula mitsempha yokhayo yomwe imayang'anira maselo osokoneza m'mimba. Izi zimapewa ziwalo za mitsempha zomwe zimakhudza kutaya m'mimba.
Antrectomy
Mu opaleshoni iyi, kumapeto kwa m'mimba (antrum) kumachotsedwa.
Chigawo ichi cha mmimba chimapanga mahomoni omwe amachititsa kuti m'mimba kusungunuke timadzi timene timadya. Nthaŵi zina dokotala wa opaleshoni akhoza kuchotsanso mbali ya m'mimba yomwe imabisa pepsin ndi asidi. V vagotomy kawirikawiri imachitidwa mogwirizana ndi matenda opatsirana pogonana.
Pyloroplasty
Kuchita opaleshoniyi kumapangitsa kuti tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda tizilombo toyambitsa matenda (pylorus). Votomy imatha kuchitidwa pamodzi ndi pyloroplasty.
Zotsatira:
"Common GI Problems: Buku 1." American College of Gastroenterology. 22 Aug 2007
> "H. pylori ndi Ulcer Ulcer." NIH Yofalitsidwa Na. 05-4225 Oktoba 2004. Matenda a Zachilengedwe Zosamalidwa Zachilengedwe (NDDIC). 22 Aug 2007
> "Chimene ndikufunikira kudziwa za Peptic Ulcers." NIH Publication No. 05-5042 Oktoba 2004. Matenda Odziwitsa Odwala Zachilengedwe Zokhudza Ndalama Zachilengedwe (NDDIC). 22 Aug 2007
> William D. Chey, MD, FACG, AGAF, FACP, Benjamin CY Wong, MD, Ph.D., FACG, FACP, " American College of Gastroenterology Guideline pa Management of Helicobacter pylori Infection. ": 10.1111 / j. 1572-0241.2007.01393.x. American College of Gastroenterology. 22 Aug 2007