Cabbirada Peptic ee Carruurta

Astaamaha, Ciladda iyo Daaweynta

Dhakhaatiirta qaarkood waxay aaminsan yihiin in carruurtu aysan ku dhalin boogaha . Caddeyn si lid ku ah waxay sheegeysaa in carruurtu dhab ahaantii heli karaan boogaha lafdhabarta.

Fikrada caanka ah ee loo isticmaalo in lagu sameeyo boogaha faafa waxaa sababa iyada oo ay la nool yihiin diiqad culus ama had iyo jeer cunno cunno cunno ah. Hadda, si kastaba ha ahaatee, khabiiro badan ayaa isku raacay nooca bakteeriyada loo yaqaan ' Helicobacter pylori' ( H. pylori ) waa sababta ugu weyn ee boogaha qafiifka ah ee dadka waaweyn.

Marka cilmi-baarista iyo waayo-aragnimadu ay soo gabagabeynayaan in carruurtu ay sidoo kale ku dhici karto boogo, waxaa la ogaadey, in ka duwan boogaha ay ku dhacaan dadka waaweyn, H. pylori ma ahayn dambiilaha badi boogaha caruurnimada. Dhakhaatiirta qaarkood waxay kala soocaan boogaha halbowlaha ah , kuwaas oo badanaa la xiriira infakshanka H. pylori , iyo boog-caloolaji , oo laga yaabo in ay sababaan waxyaabo kale oo u muuqda qaabka ugu ba'an ee booga yaryar si ay ugu dhacdo carruurta.

Xaalado caafimaad oo qaarkood waxay gacan ka geysan karaan horumarinta boogaha faafa ee carruurta. Tusaale ahaan, carruurta qabta gubashada daran waxaa laga yaabaa inay ku dhalaan boogaha sare ee walaaca dhaawacyada. Isticmaalka dawooyinka nonsteroid anti-inflammatory drugs (NSAIDs ), sida aspirin, ibuprofen, iyo naproxen sodium, waxay caloosha ka dhigi kartaa mid u nugul dhibaatooyinka astaamaha iyo pepsin waxayna ka qayb qaadan kartaa horumarinta boogaha.

Calaamadaha iyo Calaamadaha Ulcers ee Carruurta

Calaamadaha soo socda ayaa sidoo kale caan u ah cudurrada kale ee carruurnimada; had iyo jeer ma boogaha.

Haddii ilmahaagu la kulmo mid ka mid ah astaamahan iyo astaamahan, la hadal dhakhtarkaaga si loo ogaado qeexitaan qeexan.

Sidee loo ogaadaa Ulcers?

Endoscopy-ka iyo raajada barium waa laba ka mid ah baaritaanada ugu badan ee la isticmaalo si loogu ogaado boogaha.

Dhakhtarka sare ee loo yaqaan 'endoscopy' , dhakhtarku wuxuu adeegsanayaa endoscope si uu u baaro calaamadaha maskaxda, caloosha, iyo duodenum - qaybta koowaad ee mindhicirka yar. Endoscope ayaa u oggolaanaya dhakhtarka inuu arko darbiyada iyo unugyada habka dheef-shiid kiimikaadka sare, waxayna awoodi doonaan inay ka sameeyaan baadhitaan.

Raajo barium ayaa sidoo kale loo yaqaannaa liqidda barium ama taxanaha sare, waa mid aad u yar. Waa inaad cabtaa dareeraha jilicsan ee jilicsan kaas oo ku jira barium kiimikada. Baroomku wuxuu dildillaacaa derbiyada hunguriga iyo caloosha, waxana muuqda raajada. Dhaqtarku wuxuu ka heli karaa boogaha, Hiatal hernias, dabaqyo iyo waxyaabo kale oo aan caadi ahayn oo kaliya marka la fiiriyo raajada.

Haddii boogta la ogaado, dhakhtarku wuxuu markaas tijaabin doonaa H. pylori . In kasta oo H. pylori sida caadiga ah aysan ahayn sababaha boogaha carruurta, waxay u baahan tahay in la gooyo sabab, sababtoo ah daweynta boogta ay keento H. pylori way ka duwan tahay daaweynta boogta ay keentay NSAIDs.

Daaweynta Ulcers ee Carruurta

Haddii booguhu uu H. pylori ku xiran yahay , dhakhtarku wuxuu kuu qori doonaa antibiotics. Antibiyootigyadaas waxay u baahan yihiin in loo qaato sida uu ku faray takhtarka ilmahaaga. Sida dhammaan antibiyootigyada, waa inaad dhammeysataa daawada, xitaa haddii calaamadaha la waayo waqti hore.

Haddii boogtu ay tahay daawo la xidhiidha, dhakhtarka ilmaha ayaa kugula talin doona inaadan ilmahaaga siin NSAID, sida ibuprofen ama aspirin, ama daawooyinka ay ku jiraan ibuprofen ama aspirin. Dhakhtarku wuxuu u badan yahay inuu qoro daawooyinka yareeya aaladda. Kuwani waa in loo maamulaa sida uu dhakhtarku u qoray.

Dhakhaatiirta badankood kuma talinayaan xayiraadaha cuntada ee ugu weyn haddii aan loo baahneyn in la ogaado cunuga dhibaatooyin. Waxaa jira cuntooyin , inkastoo, taas oo kicinaysa wax soo saarka acid ee caloosha iyo waxay ka sii dari kartaa boogaha. Kuwaas waxaa ka mid ah cunto iyo cabitaan kasta oo ku jira kafeyn, sida cabitaannada fudud iyo shukulaatada.

Xaaladaha Dhibaatooyinka iyo Xaaladaha Xaaladda Degdega ah

Wac dhakhtarkaaga isla markiiba haddii ilmahaagu la kulmo astaamahan midkood:

Calaamadahaasi waxay tilmaamayaan dhibaatooyinka soo socda:

Buufiska carruurta waxay noqon karaan waayo-aragnimo kor u kaca waalidiinta iyo ilmaha, laakin daaweyn habboon oo haboon, ku dhawaad ​​dhammaan boogaha waa la daaweyn karaa.

> Ilo:

Mohammad Issa El Mouzan iyo Asaad Maxamed Cabdullaahi, "Cudurka Peptic Ulcer Children and Adolescents." Jaamacadda Oxford.

> "Calool iyo Duodenal Ulcers (Peptic Ulcers)." 2004 50 (6): 328-330; doi: 10.1093 / tropej / 50.6.328. Wargeyska Daaweynta Tropical Pediatrics - Isbitaalka Carruurta Boston - Isbitaalka Harvard Medical School.

> William D. Chey, MD, FACG, AGAF, FACP, Benjamin CY Wong, MD, Ph.D., FACG, FACP, "Jaamacadda American College of Gastroenterology ee ku saabsan Maareynta Hibada Cudurka Pylori ee Hibada." doi: 10.1111 / j.1572-0241.2007.01393.x. Kuliyada American Gastroenterology.