kaʻeha peptic, kapa ʻia hoʻi he ʻōpū ʻōpū inā aia i loko o ka ʻōpū a kapa ʻia ulcer duodenal ke hana ʻia i loko o ka duodenum (ka hapa mua o ka ʻōpū liʻiliʻi), ʻo ia kekahi nāʻeha ke ʻano o ka erosion e komo hohonu i loko o ka paia o ka ʻōpala digestive (e nānā i ke kiʻi).

He ʻeha pinepine kēia mau ʻeha: komo pololei e hoʻopā me kaʻakika aia i loko o ka digestive tract. ʻO kahi kūlana e hoʻohālikelike ʻia me ka hoʻohana ʻana i kahi waiʻona ma kahi ʻōpala.

ʻO ka ʻōlelo " ʻeha peptic »E pili ana, no ka like o kā lākou mau hōʻike, ʻōpū ʻōpū a me ka ʻeha duodenal

Ua manaʻo ʻia aia ma kahi o 10% o ka heluna o nā ʻāina ʻoihana e loaʻa i ka maʻi ʻeha i kekahi manawa a i ʻole. Ka poe elemakule o 40 a ʻoi ʻo ia ka mea i hoʻopilikia nui ʻia. ʻO ka maʻi maʻi duodenal he 10 mau manawa maʻamau ma mua o ka maʻi ʻōpū.

Nā kumu

La hua'ōlelo Helicobacter pylori (H. Pylori), he hua bacteria e ola ana i ka acidity, ke kumu nui o ka ma'i ma'i: ua manaoia e kumu ma kahi o 60% a 80% o ʻōpū o ka ʻōpū a 80% a 85% o nā ʻeha duodenal. Hoʻopili kēia mau huakini i ka papa mucus e pale mau ai i ka ʻōpū a me ka ʻōpū liʻiliʻi mai ka waikawa, a ua manaʻo ʻia e hoʻopau i kēia ʻano hana pale i kekahi poʻe. Ma nā ʻāina ʻoihana, 20% o ka poʻe i piha i ka makahiki 40 a i lalo i loaʻa kēia bacteria i loko o kā lākou digestive tract. ʻO kahi hapa i hiki i ka 50% i waena o ka poʻe ma mua o 60. Ma kahi o 20% o nā mea lawe i ka bacteria e ulu i kahi maʻi maʻi i ko lākou ola ʻana.

lalauAnati-hoʻoʻino ʻO nā lāʻau lapaʻau nonsteroidal a i ʻole NSAID (no ka laʻana, ʻo Aspirin, Advil® a me Motrin®), ʻo ia ka lua o ke kumu maʻamau o ka maʻi maʻi ma ka ʻāpana digestive. ʻO ka hui pū ʻana o ka maʻi me ka bacteria H.pylori a ʻo ka lawe ʻana i nā lāʻau anti-inflammatory synergistically hoʻonui i ka pilikia o ka maʻi ʻeha. He 60 manawa ka nui o ka pilikia.

Eia nā kumu ʻē aʻe:

• A ka nui o ka hana ʻana i ka waikawa ma o ka opu (gastric hyperacidity), pili i ka puhi paka, ka inu waiona nui, ke ko'iko'i ko'iko'i, ka predisposition ho'oilina, a pela aku.
• A wela nui, eha koʻikoʻi a i ʻole ke koʻikoʻi kino e pili ana maʻi nui. Hoʻokumu kēia i nā "maʻi maʻi koʻikoʻi", he nui pinepine a loaʻa pinepine i ka ʻōpū, i kekahi manawa i ka hoʻomaka ʻana o ka ʻōpū liʻiliʻi (ma ka duodenum proximal).
• ʻOi aku ka kakaikahi, lilo ka ʻōpū ʻōpū i ka maʻi maʻi ʻōpū i ʻeha ʻia.

Evolution

He ma'i ma'i ma'amau puka mālie i loko o kekahi mau pule. Hiki ke ʻike koke ʻia, ma hope o kekahi mau lā o ka lawe ʻana i nā lāʻau anti-inflammatory nonsteroidal, no ka laʻana, akā ʻaʻole maʻamau kēia kūlana.

ʻO ka helu o ho'ōla hiki i ka manawa ma kahi o 40% (ma kahi o hoʻokahi mahina), ʻoiai inā i kumu ka maʻi maʻi ma muli o ka lawe ʻana i nā NSAID a ua hoʻōki ʻia. He kakaikahi nae ka ho'ōla maʻamau, me ka hoʻihoʻi ʻole. ʻOi aku ka poʻe puhi paka i ka hoʻi hou ʻana ma mua o ka poʻe ʻaʻole puhi.

Inā ʻaʻole mālama ʻia ka maʻi maʻi a ʻaʻole i hoʻoponopono ʻia ke kumu, hiki ke ʻike hou ʻia ka maʻi maʻi i loko o hoʻokahi makahiki. Akā ʻoiai me ka mālama maikaʻi ʻana, aia ka hoʻi hou ʻana ma 20-30% o nā hihia.

Nā pilikia i hiki

He kakaikahi ka pilikia. KA'ʻūhā hiki ke hana a ʻo ka hemorrhage : kahe ke koko i loko o ka ʻāpana hoʻoheheʻe. He nui ke koko i kekahi manawa, me ka luaʻi ʻana i ke koko ʻulaʻula a i ʻole ke koko-kofe-like, me ke koko i loko o ka waihona he ʻulaʻula a ʻeleʻele paha. Hiki nō hoʻi ke kahe ʻana o ke koko a mālie. Hiki iā ʻoe ke ʻike a ʻaʻole paha ua ʻeleʻele ka pahu. ʻOiaʻiʻo, ma lalo o ka mana o nā wai digestive, huli ke koko i ʻeleʻele. Hiki i ke koko ke ho'oulu i ka anemia i ka manawa ke 'ike 'ole ia. ʻO ka hōʻailona mua o ka maʻi maʻi he koko, me ka ʻole o ka ʻeha ma mua, ʻoi aku i ka poʻe ʻelemakule. Pono ʻoe e nīnau i ke kauka me ka kali ʻole.

ʻO kekahi pilikia, ʻoi aku ka liʻiliʻi ma mua o ke koko ʻūhā pā piha o ka ʻōpū ʻai. Hoʻopilikia kēia kūlana i ka ʻeha o ka ʻōpū, e ulu wikiwiki ana i ka peritonitis. ʻO kēia kahi lāʻau lapaʻau a me ke kaʻina hana ulia pōpilikia.