Ko te mate puku e pā ana ki te mate puku mau tonu e puta ana i roto i te puku me te puku duodenal. I tapaina tēnei ingoa nā te mea e pā ana te hanganga o te mate puku ki te nakunaku o te waikawa puku me te pepsin, e 99% pea o ngā mate puku.
He mate noa te mate pukupuku peptic, ā, he mate pai te horapa puta noa i te ao. E ai ki ngā tatauranga, ka puta ngā mate pukupuku duodenal i ngā taiohi, ā, ko te pakeke o te tīmatanga o ngā mate pukupuku puku he muri ake, i te toharite, tata ki te 10 tau te roa atu i te mate pukupuku duodenal. Ko te auau o ngā mate pukupuku duodenal e tata ana ki te 3 ngā wā i te mate pukupuku puku. E whakaponohia whānuitia ana ka huri ētahi mate pukupuku puku hei mate pukupuku, engari ko ngā mate pukupuku duodenal kāore.
Ahua 1-1 Te ahua gastroscopic o te mate pukupuku hukarere tōmua Ahua 1-2 Te ahua gastroscopic o te mate pukupuku kua pāngia e te mate pukupuku kua whanake.
1. Ka taea te rongoā i te nuinga o ngā mate puku
Mō ngā tūroro he mate puku, ka taea te whakaora i te nuinga o rātou: tata ki te 10%-15% o rātou kāore he tohu, ko te nuinga ia he tohu haumanu noa iho, arā: te tīmatanga mau tonu, te tīmatanga auau i te ngahuru me te hotoke me te mamae puku i te hotoke me te kōanga.
He maha ngā wā ka puta mai ngā mate puku duodenal me te mamae tere i te wā e kai ana, ā, he maha ngā wā ka puta mai ngā mate puku puku me te mamae i muri i te kai. Ko ētahi tūroro kāore i te kitea ngā tohu haumanu noa, ā, ko ō rātou tohu tuatahi ko te totohu me te pakaru tere.
Mā te angiography, te gastroscopy rānei o te puku o runga ka taea te whakaū i te mate, ā, mā te maimoatanga hauora ngātahi me ngā rongoā pehi waikawa, ngā rongoā tiaki i te kiriuhi puku, me ngā paturopi ka ora ake te nuinga o ngā tūroro.
2. Ko ngā mate puku e hokihoki mai ana ka kiia he whara o mua i te matepukupuku
He rerekē te tere o te mate pukupuku o te puku.Ka kitea nuitia i roto i te hunga pakeke me te hunga kaumātua, ngā tāne, ngā mate puku e hokihoki mai ana, kāore e taea te whakaora mō te wā roa. Inaa hoki, me whakahaere he koiora mate pukupuku mō ngā mate puku katoa i roto i te mahi haumanu, inā koa ngā mate puku kua whakahuatia ake nei. Ka taea anake te whakahaere i te maimoatanga ārai-mate puku i muri i te whakakorenga o te mate pukupuku, kia kore ai e hē te tātaritanga me te whakaroa i te mate. Hei tāpiri, i muri i te maimoatanga mate puku, me whakahaere he tirotiro anō hei tirotiro i ngā huringa o te whakaora mate puku me te whakatikatika i ngā tikanga maimoatanga.
Kāore i te maha ngā wā ka huri ngā mate pukupuku duodenal hei mate pukupuku, engari ko ngā mate puku e hokihoki mai ana e whakaarohia ana ināianei e te tini o ngā tohunga he whara o mua i te matepukupuku.
E ai ki ngā pūrongo a ngā tuhinga Hainamana, tata ki te 5% o ngā mate puku ka taea te huri hei mate pukupuku, ā, kei te piki haere tonu tēnei tau i tēnei wā. E ai ki ngā tatauranga, tae atu ki te 29.4% o ngā mate puku ka puta mai i ngā mate puku.
Kua kitea e ngā rangahau ko te 5%-10% o ngā mate puku puku te take o te mate puku puku. I te nuinga o te wā, ko te nuinga o ngā tūroro he mate puku puku puku roa kua pāngia e te mate puku puku mau tonu. Ko te whakangaromanga tonu o ngā pūtau epithelial i te taha o te puku me te whakatikatika me te whakahounga o te mucosal, te metaplasia, me te hyperplasia atypical ka whakanui ake i te tūponotanga o te mate pukupuku i roto i te wā.
I te nuinga o te wā ka puta te mate pukupuku i roto i te kiriuhi e karapoti ana i ngā mate pukupuku. Ka memeha te kiriuhi o ēnei wāhanga ina kaha te mate pukupuku, ā, ka kino pea i muri i te whakangaromanga me te whakaora anō. I ngā tau tata nei, nā te ahunga whakamua o ngā tikanga tātaritanga me te tirotiro, kua kitea ko te mate pukupuku puku wawe e piri ana ki te kiriuhi ka taea te memeha me te whakamomona, ā, ka taea te whakarerekē i te mata o tōna kiko e ngā mate pukupuku peptic tuarua. Ka taea te whakatika i ēnei mate pukupuku pērā i ngā mate pukupuku pai, ā, ka taea te whakahou, ā, ka taea te whakaroa i te haere o te mate mō ētahi marama, neke atu rānei, nō reira me aro nui ki ngā mate pukupuku puku.
3. He aha ngā tohu o te huringa kino o te mate puku?
1. Ngā panonitanga o te āhua me te auau o te mamae:
Ko te mamae o te mate puku ka kitea i te nuinga o te wā he mamae puhoi i te puku o runga, he werawera, he ngoikore rānei, ā, ko te tīmatanga o te mamae e pā ana ki te kai. Mēnā ka ngaro te auau o te mamae, ka huri hei whakaekenga koretake, ka huri hei mamae puhoi tonu, kua tino rerekē rānei te āhua o te mamae i tērā wā, me tūpato ki te tohu o te mate pukupuku.
2. Kāore e whai hua ki ngā rongoā ārai-pukupuku:
Ahakoa he ngāwari te hokihoki mai o ngā mate puku, ka memeha haere ngā tohu i muri i te tango i ngā rongoā ārai-mate puku.
3. Ngā tūroro e whakaheke taumaha haere ana:
I roto i te wā poto, ka ngaro te hiahia kai, ka whakapairuaki, ka ruaki, ka kirika, ka heke haere te taumaha, ka tino teitei te tūponotanga o te mate pukupuku.
4. Ka puta te hematemesis me te melena:
Ko te ruaki toto, te paru rānei e pupuhi ana i ngā tūtae o te tūroro i ngā wā tata nei, te pai tonu o ngā hua o te whakamātautau toto huna o te tūtae, me te anemia kino e tohu ana kei te huri ngā mate puku o te puku hei mate pukupuku.
5. Ka puta ngā puranga i roto i te puku:
Ko te tikanga, kāore e puta he puku puku i ngā tūroro mate puku, engari ki te huri hei mate pukupuku, ka nui haere, ka mārō haere ngā puku, ā, ka taea e ngā tūroro kua matatau te rongo i te puku i te taha maui o runga o te puku. He mārō, he ponapona, ā, kāore i te maeneene te puku o te puku.
6. Ko te hunga neke atu i te 45 tau te pakeke, he hītori mate pukupuku kei mua, ā, kua puta anō ngā tohu i ngā wā tata nei, pērā i te hīkoi, te ruaki, te mamae o te puku, ā, e heke ana hoki te taumaha.
7. Toto huna pai mō te paru:
Mena he pai tonu te hua, me haere koe ki te hōhipera mō tētahi whakamātautau whānui.
8. Ētahi atu:
Neke atu i te 5 tau i muri i te pokanga puku, ka puta ngā tohu o te koretake o te kai, te hekenga taumaha, te toto kore toto me te toto o te puku, me te pupuhi o te puku o runga kāore e taea te whakamārama, te ruaki, te mamae, te ngenge, te hekenga taumaha, me ētahi atu.
4, Te take o te mate puku
Kāore anō kia tino mārama te pūtake o te mate puku, engari kua whakamāramahia ko te mate Helicobacter pylori, te tango i ngā rongoā anti-inflammatory kore-steroidal me ngā rongoā antithrombotic, tae atu ki te nui o te waikawa puku, ngā āhuatanga ira, ngā rerekētanga hinengaro me ngā kare ā-roto, me te kai koretake. Ko te ira tangata, te kai kai mātotoru, te momi hikareti, te inu waipiro, te taiao me te āhuarangi whenua, ngā mate mau tonu pērā i te emphysema me te hepatitis B, he hononga anō hoki ki te auau o te mate puku.
1. Te mate urutā Helicobacter pylori (HP):
I toa a Marshall rāua ko Warren i te Tohu Nobel mō te Rongoā i te tau 2005 mō te whakatipu angitu i te Helicobacter pylori i te tau 1983, me te kī he wāhi nui tōna mate ki te whanaketanga o ngā mate puku. He maha ngā rangahau kua tino whakaatu ko te mate Helicobacter pylori te tino take o te mate puku.
2. Ngā āhuatanga rongoā me te kai:
Mā te whakamahinga roa o ngā rongoā pēnei i te aspirin me te corticosteroids ka pāngia tēnei mate. Hei tāpiri, ko te momi hikareti roa, te inu waipiro roa, me te inu tī me te kawhe kaha te āhua nei he hononga.
(1) Ngā momo rongoā āpipirini: Ka mamae te puku me te kore whakamarie mēnā ka whakamahia mō te wā roa, mō te nui rānei o te horopeta. I ngā wā tino kino, ka kitea te toto totoka, te mimiti, me ētahi atu mea anō hoki i roto i te mumura o te kiriuhi puku, te horo me te hanganga o te mate puku.
(2) Ngā rongoā whakakapinga homoni:
Ko ngā rongoā pēnei i te indomethacin me te phenylbutazone he rongoā whakakapinga homoni, ka pā kino tika ki te kiriuhi puku, ā, ka taea e ēnei te arahi atu ki ngā mate puku whakapeka.
(3) Ngā rongoā whakaheke wera:
Pērā i te A.PC, te paracetamol, ngā papa whakamamae mamae me ngā rongoā makariri pērā i te Ganmaotong.
3. Te waikawa puku me te pepsin:
Ko te hanganga whakamutunga o ngā mate puku i ahu mai i te nakunaku o te waikawa/pepsin o te puku, koinei te mea nui mō te putanga mai o ngā mate puku. Ko ngā mea e kiia nei ko ngā "mate kore waikawa".
4. Ngā āhuatanga hinengaro taumaha:
Ka taea e te ahotea whakapeka te whakaputa i ngā mate pukupuku ahotea. Ko te hunga e pāngia ana e te ahotea mau tonu, te manukanuka, te huringa rānei o te wairua ka pāngia e ngā mate pukupuku peptic.
mate pukupuku
5. Ngā āhuatanga ira:
I roto i ētahi mate ira onge, pērā i te adenoma endocrine maha momo I, te mastocytosis pūnaha, me ētahi atu, ko te mate pukupuku peptic tētahi wāhanga o ōna whakaaturanga haumanu.
6. Te nekehanga puku rerekē:
Ko ētahi o ngā tūroro mate puku he mate nekenekehanga puku, pērā i te pikinga o te waikawa puku i puta mai i te whakaroa o te whakawātea puku me te reflux duodenal-gastric i puta mai i te kino o te au o te ate, te wai pancreatic me te lysolecithin ki te mucosa.
7. Ētahi atu āhuatanga:
Pērā i te mate urutā herpes simplex momo I, tērā pea he hononga. Tērā pea ka pā te mate Cytomegalovirus ki ngā whakawhitinga whatukuhu, ki ngā tūroro ngoikore rānei te pūnaha ārai mate.
Hei whakamutunga, ka taea te ārai i ngā mate pukupuku mā te whakapai ake i te āhua noho, te tango rongoā i runga i te whakaaro nui, te whakakore i te Helicobacter pylori, me te tango i te gastroscopy hei whakamātautau tinana o ia rā;
Kia puta mai he mate puku, me whakahaere tonu te maimoatanga me te tirotiro i te puku (ahakoa kua ora te mate puku), kia pai ai te ārai i te putanga mai o te mate pukupuku.
"Ko te hiranga o te gastroscopy ka taea te whakamahi hei mārama mena he rerekē ngā taumata o te mumura, te mate pukupuku, te polyp pukupuku me ētahi atu whara o te korokoro, te puku me te duodenum o te tūroro. He tikanga tirotiro tika anō hoki te Gastroscopy, ā, kua whakamahia e ētahi whenua te tirotiro gastroscopic. Hei kaupapa tirotiro hauora, me whakahaere ngā tirotiro e rua i te tau, nā te mea he teitei te maha o ngā mate pukupuku puku wawe i ētahi whenua. Nō reira, i muri i te kitenga wawe me te maimoatanga wā, ka kitea hoki te hua o te maimoatanga."
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Wā tuku: 15 o Ākuhata-2022