Ulcer vs Acid Reflux | Acid Reflux vs Peptic Ulcer Etiology, Pathology, Kev nthuav qhia kho mob, Teeb meem, Kev Tshawb Fawb, thiab Kev Tswj
Peptic ulcers thiab kua qaub reflux yog ob yam mob tshwm sim nyob rau hauv lub gastro-esophageal ib ntsuj av. Qee tus neeg yuam kev tsis meej pem nrog ob nqe lus no raws li lawv tau hais txog tib yam vim tias muaj acidity ntau ntxiv yog lub luag haujlwm rau ob qho tib si. Kab lus no qhia txog qhov sib txawv ntawm peptic ulcer thiab acid reflux hais txog etiology, pathology, kev nthuav qhia kho mob, teeb meem, kev tshawb nrhiav thiab kev tswj xyuas uas yuav pab tau ib qho sib txawv ntawm ob qho xwm txheej no.
Ntsuag
Cov kab mob peptic tuaj yeem tshwm sim hauv cov hlab pas, plab, duodenum, jejunum thiab tsis tshua muaj nyob hauv ileum uas nyob ib sab ntawm Mickel's diverticulum. Cov kab mob tuaj yeem mob hnyav lossis mob ntev.
Cov kab mob peptic tuaj yeem tshwm sim los ntawm ntau yam ua rau, uas yog dav categorized vim yog hyper secretion ntawm acid, txo mucosal tsis kam rau acid, thiab Helicobacter pylori kab mob.
Kab mob peptic ulcer yog mob ntev, nrog kev tso tawm thiab rov ua dua, uas cuam tshuam nrog kev kho thiab rov ua kom lub plab. Clinically tus neeg mob nthuav tawm nrog mob plab hnyuv tshwj xeeb tshaj yog nyob rau thaj tsam epigastric, kev sib raug zoo nrog cov zaub mov thiab qhov tshwm sim episodic. ntuav tej zaum yuav yog ib qho kev cuam tshuam.
Cov teeb meem ntawm peptic ulcers muaj xws li hemorrhage, perforation, pyloric obstruction thiab nkag mus. Endoscopy thiab biopsy pab kom paub tseeb tias qhov kev kuaj mob. Kev tswj hwm feem ntau yog tsom rau kev txo cov tsos mob, ua kom zoo thiab tiv thaiv kev rov tshwm sim.
Acid Reflux
Reflux ntawm acid tshwm sim vim ntau yam. Lawv suav nrog txo qis ntawm cov hlab pas sphincter, hiatus hernia, ncua kev tshem tawm ntawm cov hlab ntsha, cov ntsiab lus ntawm cov plab hnyuv siab raum, lub plab zom mov tsis zoo, nce siab hauv plab xws li rog thiab cev xeeb tub, noj zaub mov thiab ib puag ncig xws li cawv, rog, chocolate, kas fes., haus luam yeeb thiab tsis steroidal tshuaj tiv thaiv inflammatory.
Cov neeg mob uas muaj kua qaub reflux tuaj yeem tshwm sim nrog lub plawv kub hnyiab thiab regurgitation. Tej zaum lawv yuav muaj ntau salivation vim reflex salivary caj pas stimulation. Qhov hnyav nce yog qhov tshwj xeeb.
Nyob rau hauv cov xwm txheej ntev, tus neeg mob yuav tsim dysphagia tej zaum vim yog benign acid nruj tsim nyob rau hauv txoj hlab pas. Lwm yam teeb meem muaj xws li esophagitis, Barrett's esophagus, anemia vim mob-insidious ntshav poob, gastric volvulus, thiab adenocarcinoma ntawm gastro esophageal junction nyob rau hauv ntau nyuaj. Txhua tus neeg mob uas muaj cov kua qaub reflux ntev, yog tias tsim dysphagia qee zaum hauv lawv lub neej, yuav tsum tau tshawb xyuas rau adenocarcinoma ua ntej kuaj xyuas cov kua qaub nruj.
Endoscopy qib kab mob gastro-esophageal reflux ua tsib qib. Qib 0 suav tias yog qhov qub. Qib 1-4 suav nrog erythematous epithelium, streaky kab, confluent ulcers thiab Barrett's esophagus feem.
Kev tswj hwm suav nrog kev hloov kho lub neej, tshuaj tiv thaiv kab mob, H2 receptor blockers thiab proton twj tso kua mis inhibitors, qhov kawg raug suav tias yog kev kho mob ntawm kev xaiv. Yog tias kev tswj hwm kev kho mob ua tsis tiav, kev xaiv phais yuav tsum raug txiav txim siab xws li kev siv nyiaj txiag.
Qhov txawv ntawm qhov txhab thiab kua qaub reflux yog dab tsi?
• Peptic ulcers yog tshwm sim los ntawm H.pylori kab mob, tsis yog tshuaj steroidal los tiv thaiv inflammatory tshuaj, haus luam yeeb, thiab txo cov mucosal tsis kam, thaum acid reflux yog tshwm sim los ntawm txo qis esophageal sphincter tone, hiatus hernia, qeeb esophageal clearance, plab zom mov. tshem tawm, rog rog, cev xeeb tub, noj zaub mov thiab ib puag ncig yam.
• Kab mob peptic ulcer yog mob ntev nrog kev tso tawm thiab rov ua dua.
• Tus neeg mob peptic ulcer feem ntau tshwm sim nrog kev mob plab rov qab los ntawm kev noj zaub mov thaum tus neeg mob uas muaj kua qaub reflux tshwm sim feem ntau nrog mob plawv.
• Cov teeb meem ntawm peptic ulcers muaj xws li hemorrhage, nkag mus, perforation thiab pyloric obstruction thaum acid reflux tuaj yeem ua rau muaj kev nruj, Barrett's esophagus, anemia, gastric volvulus thiab adenocarcinoma.
