Ukuwohloka esiswini: omsakazo kanye pathogenesis

Ukuwohloka esiswini - isifo lalivamile, libhekene kumiswa erosions phezu ulwelwesi lwamafinyila we isisu. Lezi ukukhubazeka avele ngoba necrosis ezingabalulekile. Ngo ukuphulukisa yabo isibanda zezinzwa akuyona kwakhiwa. Ukuwohloka esiswini - kuyinto okunemibandela eside nosological ehlanganisa ezingamahlalakhona izinqubo yansukuzonke elibhubhisayo le mucosa esiswini. Ngezinye izikhathi kubonakala njengoba uphawu kolwelwesi. Ngakho-ke, e-izincwadi ngokuvamile lokhu sifo kuthiwa kolwelwesi erosive.

Ziyini izimbangela eziyinhloko zalokhu zesifo kukhona okukhulu yizici zemvelo ukuthi njalo esebenza emzimbeni womuntu. Lezi zici ukucindezeleka (ukusha, frostbite, ukulimala, ukushaqeka, polytrauma) kubangele ukuhlukumeza izindlela neurohumoral wesi kwezitho abaningi, ikakhulukazi ukudla nemisebenzi secretory isisu namathumbu, ukunciphisa ukumelana umzimba. Kukhona yofuzo yilesi sifo. Ukuguguleka esiswini ingase futhi ziphakame ukusetshenziswa imithi (nitrofurans, corticosteroids, ethacrynic acid, veroshpiron, tolbutamide), ukusebenzisa kabi utshwala, kanye nezifo ze-uhlelo endocrine (isifo sikashukela, hyperparathyroidism).

Abantu abaningi bakholelwa ukuthi kolwelwesi erosive kuphakama kusukela isinyathelo pathogenic ka Campylobacter (Helicobacter pylori) emzimbeni womuntu. Amaqiniso luye lwabonisa ukuthi 95% wabantu abane izilonda duodenal utheleleke nge ncamashi lolu hlobo Campylobacter, kodwa iziguli ezine-izilonda ezifana akhawunti% 1-6 kuphela bonke abantu utheleleke nge lwegciwane.

Ukuwohloka esiswini: pathogenesis (ukuqhubekela phambili kwesifo)

Ngaphansi kwethonya ezingaphandle ezibangela ukucindezeleka emzimbeni kukhona izinqubo eziyinkimbinkimbi futhi ahlobene inter-kwamakhemikhali, okuyinto ahambisana izindlela kwemizwa kanye humoral yokulawulwa kwezimboni nemisebenzi zonke zomzimba, ikakhulukazi esiswini namathumbu. uketshezi ekhulile yemiphumela adrenal hormone cortex futhi histamine, okuyinto ukuthuthukisa uketshezi of juice esiswini begodu kukhula umsebenzi pepsin nokuqukethwe mahhala hydrochloric acid. Kanyekanye kwehle viscosity isikhwehlela uketshezi futhi esehlisa zokuzivikela mucosal umsebenzi. Ngaphezu kwalokho, kukhona ukusikwa spasmodic imisipha isisu namathumbu, kukhuphuke capillary permeability, izicubu trophism ephazamisekile, okuholela kamuva ukusabela ukuvuvukala, kumiswa erosions kanye nezilonda we mucosa esiswini. It nanela futhi umphumela osheshayo waleyo eziyingozi ezinobuthi kuya mucosa. Ngakho, ngo-pathogenesis of ukuguguleka esiswini liyisici esiyinhloko we phakathi kwe umsebenzi mucosal isithiyo futhi ikhono nasekuhlephuleni okuqukethwe esiswini noma emathunjini. Banikezwe inombolo yegazi endaweni kwakhiwa esophayo. Kulesi isifo ukuthuthukisa esitebeleni obusebenzayo iziyaluyalu esiswini, amathumbu, isibindi, amanyikwe kanye nezinye izitho neenkambiso.

Ngokuvamile (30-90%) abantu abasha lesi sifo akukho izimpawu ezithile. Ngezinye izikhathi isilungulela kubonakala, regurgitation acid, akuvamile kungase kube buhlungu isisu. Okungalapheki kolwelwesi erosive ububonisa ngezibonakaliso emitholampilo ejwayelekile. Mayelana 80% eziguli esekhala isilungulela, ukubhodla, ubuhlungu phezulu ngakwesokudla quadrant, ukuvuvukala, uhudo kanye ukuqunjelwa.

Labo abangodokotela kutholakala ukuthi uphethwe yini kolwelwesi erosive, udinga ukulandela ukudla okuhloswe ngazo ukunciphisa umsebenzi esiswini. Ukuze ufinyelele kulesi udinga ukudla ngendlela efanele. Okokuqala, yokudla ukuguguleka esiswini kuhilela zokuchithwa indawo fibre ukudla okucebile-cellulose (radishes, inyama stringy, turnips, bran isinkwa, njll). Awukwazi ukudla okuthosiwe. Kufanele uyeke utshwala, amanzi carbonated, ezisawolintshi, ikhofi, isinkwa esinsundu, kanye ukudla abandayo futhi kushisa.