Mea Kākau: Laura McKinney
Lā O Ka Hana: 9 Apelila 2021
HōʻAno Hou I Ka Lā: 24 Iune 2024
Anonim
Pinoy MD: Gastroesophageal Reflux Disease, tinalakay sa ‘Pinoy MD’
Wikiō: Pinoy MD: Gastroesophageal Reflux Disease, tinalakay sa ‘Pinoy MD’

Anter

He aha ia he ulcer?

ʻO ka ulcer kahi ʻeha ʻeha a lohi i ka hoʻōla ʻana a hoʻi hou i kekahi manawa. ʻAʻole maʻamau ka ulcer. Pehea lākou e ʻike ai a pili nā ʻōuli i ka hopena o lākou a me kahi e loaʻa ai i kou kino.

Hiki ke ʻike ʻia nā ulcer ma nā wahi āpau a i ʻole i kou kino, mai ka uhi ʻana i kou ʻōpū a i ka papa waho o kou ʻili.

ʻO kekahi mau hihia o ka ulcer nalo ma o lākou iho, akā makemake kekahi i ka lāʻau lapaʻau e pale ai i nā pilikia koʻikoʻi.

ʻO nā ʻano ulcer ʻokoʻa

ʻOiai ʻo nā ʻano ulcer he maʻi peptic ulcer, nui a hewahewa, e like me:

  • ulcer arterial
  • ulcer venous
  • ulcer waha
  • ulcer genital

Ulcer peptic

ʻO nā ulia peptic nā ʻeha a i ʻole nā ​​ʻeha e hoʻomohala ma ka pale o loko o kou ʻōpū, ka ʻāpana kiʻekiʻe o kou ʻōpū liʻiliʻi, a i ʻole kou esophagus. Kū lākou i ka wā e hōʻino nā wai digestive i nā paia o kou ʻōpū a i ʻole kou ʻōpū.

Hoʻokomo pinepine ʻia nā ulia peptic mai ka lī ma hope o ka maʻi ʻana Helicobacter pylori (H. pylori) koʻohune a me ka hoʻohana wā lōʻihi o nā painkillers.


ʻEkolu ʻano o nā maʻi maʻi peptic:

  • ʻōpū gastric, a i ʻole nā ​​puʻupuʻu e ulu i ka pale o ka ʻōpū
  • ulcer esophageal, a i ʻole nā ​​puʻupuʻu e hoʻomohala i ka esophagus
  • duodenal ulcer, a i ʻole ulcer e hoʻomōhala i ka duodenum (ʻōpū liʻiliʻi)

ʻO ka hōʻailona maʻamau o kēia ʻano he ʻeha wela. Hiki i nā ʻōuli ʻē aʻe ke:

  • bloating a i ʻole ka manaʻo piha
  • kāʻei
  • puʻuwai puʻuwai
  • nausea
  • ka luaʻi
  • lilo kaumaha maopopo ʻole
  • ʻeha ka umauma

Ma muli o ka mālama ʻana i ke kumu o kāu ulcer. Inā loaʻa iā ʻoe H. pylori maʻi, kauka i kau kauka antibiotics e pepehi i ka bacteria koʻohune.

Inā hoʻokumu ʻia kāu ulcer ma muli o ka hoʻohana lōʻihi ʻana o nā painkillers a i ʻole lāʻau lāʻau, hiki i kāu kauka ke kauoha i ka lāʻau e hōʻemi ai i kou waikawa ʻōpū a i ʻole pale pale i kou ʻōpū e pale aku ai i ka hōʻino waikawa.

Ulcer Arterial

ʻO nā ulcer Arterial (ischemic) he mau ʻeha hāmama e hoʻomohala nui i ka ʻaoʻao i waho o kou kuʻekuʻe wāwae, nā wāwae, nā manamana wāwae, a me nā kuʻekuʻe wāwae. Hoʻolālā nā ulcer arterial mai ka hōʻino ʻana i nā aʻa ma muli o ka nele o ke kahe o ke koko i nā kiko. Hiki i kēia mau ʻano ulcer ke hala i mau mahina e hoʻōla a koi i ka lāʻau kūpono e pale aku ai i ka maʻi a me nā pilikia hou aʻe.


Loaʻa i nā ulcer Arterial kahi "punched out" me nā helu o nā hōʻailona, ​​e like me:

  • ʻulaʻula, melemele, a ʻele ka ʻeha
  • ʻili lauoho ʻole
  • ʻeha wāwae
  • ʻaʻohe kahe
  • ʻāpana wahi ʻoluʻolu i ka hoʻopā mai ka liʻiliʻi o ke kahe o ke koko

ʻO ka mālama ʻana no nā ulcer arterial ma muli o ke kumu kumu. Hoʻopili ka lawelawe mua i ka hoʻihoʻi ʻana i ke kahe o ke koko i kahi i loli ʻia. ʻOiai hiki i nā lāʻau antibiotic ke kōkua i ka hōʻemi ʻana i nā ʻōuli, hiki i kāu kauka ke koi aku i ke ʻoki e hoʻonui i ke kahe o ke koko i kāu mau aʻa a me nā meaola. I nā kūlana koʻikoʻi hou aʻe, hiki i kāu kauka ke koi aku i ka ʻokiʻoki.

Ulcer Venous

ʻO nā ulcer Venous - ke ʻano maʻamau o ka ulcer wāwae - he mau ʻeha hāmama e hana pinepine ʻia ma kou wāwae, ma lalo o kou kuli a ma ka ʻaoʻao i loko o kou kuʻekuʻe wāwae. Hoʻokumu pinepine lākou mai ka hōʻino ʻana i kāu mau uaua i hoʻokumu ʻia e ka lawa ʻole o ke kahe o ke koko i kou puʻuwai.

I kekahi mau hihia, ʻaʻole ʻeha iki nā maʻi maʻi ʻeha ke ʻole lākou e maʻi. ʻO nā hihia ʻē aʻe o kēia ʻano he ʻeha loa.


ʻO nā ʻōuli ʻē aʻe āu e ʻike ai paha:

  • pehu
  • pehu
  • ʻili ʻili
  • ʻōpala
  • hoʻokuʻu

Hiki i nā ulcer Venous ke hala i mau mahina e hōʻola piha. I nā hihia kakaikahi, ʻaʻole lākou e hoʻōla. Mālama ka mālama ʻana i ka hoʻomaikaʻi ʻana i ke kahe i kahi i pilikia. Hiki i nā Antibiotics ke kōkua i ka pale ʻana i ka maʻi a hōʻemi i nā ʻōuli, akā ʻaʻole lawa lākou e hoʻōla ai i nā ulia venous.

Ma kaʻaoʻao o ka lāʻau, hiki i kāu kauka ke koi aku i ke ʻoki a i ʻole ka compression therapy e hoʻonui i ke kahe o ke koko.

Ulcer waha

ʻO nā puʻupuʻu waha he ʻeha liʻiliʻi a i ʻole nā ​​lehelehe e hoʻomohala i kou waha a i ʻole ke kumu o kāu mau gum. ʻIke ʻia lākou ma ke ʻano he maʻi ʻeha.

Hoʻokumu ʻia kēia mau ulcer e kekahi mau kumu, e like me:

  • ke nahu nei i ka papalina o kou papalina
  • nā mea pāʻina meaʻai
  • palaki niho paʻa
  • nā hoʻololi hormonal
  • deficiencies wikamina
  • maʻi kīnā
  • nā maʻi

Maʻamau nā puʻupuʻu waha a hele pinepine i loko o ʻelua pule. Hiki iā lākou ke hōʻoluʻolu akā ʻaʻole pono e hōʻeha i nā ʻeha nui. Inā ʻeha loa ka ʻeha waha a hele ʻole paha i loko o ʻelua pule, e ʻimi koke i ka lāʻau.

ʻIke ʻia nā puʻupuʻu liʻiliʻi ma ke ʻano he ʻuʻuku, puʻupuʻu āpau e waiho ʻole i kahi scarring. I nā hihia ʻoi loa, hiki iā lākou ke hoʻomohala i nā ʻeha nui a hohonu. ʻO nā ʻōuli koʻikoʻi ʻē aʻe e pili ana me kēia ʻano ulcer i loko o:

  • hoʻōla lohi maʻamau (ʻoi aku ka lōʻihi ma mua o ʻekolu mau pule)
  • ulcer i hohola i kou lehelehe
  • nā pilikia e ʻai ana a e inu ana paha
  • fiva
  • pāhoehoe

Hele pinepine nā puʻupuʻu waha me kā lākou lāʻau ʻole. Inā lilo lākou i mea ʻeha, hiki i kāu kauka a i ʻole kauka niho paha ke kuhikuhi i kahi antimicrobial waha holoi a i ʻole hamo e hoʻoliʻiliʻi i kou hōʻoluʻolu.

Inā ʻo kou hopena ka hopena o kahi maʻi maʻi ʻoi aku ka nui, e ʻimi i ka lāʻau lapaʻau e loaʻa ai ka lāʻau ʻoi loa.

Ulcer genital

ʻO nā ulcer genital nā ʻeha e hoʻomohala ma nā wahi genital, e like me ka peni, ʻāpala, anus a me nā wahi e pili ana. Hoʻokumu pinepine ʻia lākou e nā maʻi i lawe ʻia i ka moekolohe (STI), akā hiki i nā ulcer genital ke hoʻoulu ʻia e ka trauma, nā maʻi inflammatory, a i ʻole nā ​​hopena maʻi i nā huahana mālama ʻili.

Hoʻohui ʻia i nā ʻeha, nā hōʻailona e pili pū me nā ulcer genital me:

  • hū a i ʻole nā ​​puʻupuʻu i ka wahi i hoʻopilikia ʻia
  • ʻeha a ʻūlū paha
  • ʻōhū pehu i loko o ka ʻūhā
  • fiva

E like me nā ʻano ulcer, pili ka mālama ʻana i ke kumu kumu o kou ʻano. I kekahi mau hihia, e hele aku kēia mau ʻeha ma o lākou iho. Inā ʻike ʻia me kahi STI, hiki i kāu kauka ke kuhikuhi i ka antiviral a i ʻole ka lāʻau antibiotic a me ka hamo. Inā manaʻo ʻoe ua hōʻike ʻia ʻoe i kahi STI, e ʻimi koke i ka lāʻau.

Outlook

Pau nā hihia o ka ulcer iā lākou iho me ka mālama ʻole. Eia nō naʻe, hiki i nā ulcer ke kuhikuhi i kahi kūlana ʻoi aku ke koʻikoʻi. E kipa aku i kāu kauka e hōʻoia i ka loaʻa ʻana iā ʻoe o ka lāʻau maikaʻi loa e hoʻomaikaʻi ai i kou ʻano.

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