plab vs Duodenal Ulcers
Ib qho ua rau mob plab sab sauv, nrog rau qhov kub hnyiab cuam tshuam nrog zaub mov yog kab mob peptic ulcer (PUD). Txawm hais tias, plab hnyuv thiab duodenal rwj muaj npe raws li ob hom sib cais, lawv yog cov tib yam kab mob sib faib vim qhov chaw ntawm qhov txhab. Tag nrho cov no yog sau ua ke hu ua kab mob peptic ulcer. Cov pov thawj tam sim no tau qhia tias qhov no yog vim muaj kab mob los ntawm Helicobacter pylori, cuam tshuam nrog kev siv NSAIDs ntau dhau. Qhov sib txawv tseem ceeb tuaj yeem saib raws li anatomical, pathological, physiological, kev kho mob thiab kev tswj hwm. Qhov tshwj xeeb ntawm txhua qhov ntawm no yuav tsis tham txog qhov nthuav dav, tab sis cov duab dav dav yuav raug kos rau ntawm cov xwm txheej no.
plab plab
plab plab yog qhov sib txawv tsawg dua ntawm PUD, thiab feem ntau tshwm sim hauv cov hnub nyoog laus. Lub rwj yog localized rau qhov tsawg curvature ntawm lub plab. Yog hais tias lub rwj mob tau ntev nws tuaj yeem ua rau cov hlab ntsha splenic nyob rau ntawm qhov chaw tom qab, thiab ua rau los ntshav ntau dhau. Cov kab mob plab, uas yog mob ntev, tuaj yeem ua rau mob qog noj ntshav, thiab yog li, cov kab mob no raug suav hais tias yog mob hnyav txog qhov tsis muaj pov thawj.
Duodenal Ulcer
Duodenal ulcers muaj ntau dua thiab tshwm sim feem ntau nyob rau sab tom qab ntawm qhov thib 1 ntawm duodenum. Cov kab mob ntev tuaj yeem perforate los ntawm cov mucosa thiab tag nrho cov txheej, ua rau fibrosis, perforation (anterior), los yog muaj feem xyuam rau lub hlab ntsha profuse los ntshav (tom qab). Lo lus "hnia ulcers" tau coj los piav txog cov kab mob anterior thiab posterior, uas tau kho thiab ua rau muaj mob fibrosis. Kev mob qog noj ntshav los ntawm cov kab mob duodenal ntev yog qhov tsawg heev.
Qhov txawv ntawm Gastric thiab Duodenal Ulcers
Ob hom muaj kab mob tshwm sim, nrog rau NSAIDs induced acidity, uas ua rau muaj kev vam meej ntxiv. Ntau cov ntaub ntawv txheeb xyuas tau pom tias ob hom tsis tuaj yeem txawv ntawm qhov chaw kho mob ib leeg. Lawv yuav nthuav tawm nrog qhov mob epigastric radiating rau sab nraub qaum, nrog kev noj zaub mov daws qhov mob. Lwm cov tsos mob xws li los ntshav lossis ntuav tuaj yeem tshwm sim nrog cov teeb meem xws li stenosis lossis perforation. Kev tswj hwm yog nrog cov tshuaj tiv thaiv kab mob thiab H.pylori eradication regime. Cov mob hnyav tuaj yeem xav tau kev phais mob kom txo tau tus mob. Yog tias koj xav txog qhov sib txawv, cov kab mob duodenal muaj ntau dua ntawm ob, kuj yog cov kab me me. Cov kab mob plab tshwm sim nyob rau hauv qhov qis qis ntawm lub plab, thiab cov kab mob duodenal feem ntau tshwm sim hauv 1 feem ntawm duodenum. Cov kab mob hauv plab yog feem ntau los ntshav vim yog perforation, thaum nyob rau hauv duodenal rwj, koj yuav muaj perforation, fibrosis, thiab los ntshav. Hais txog cov kab mob plab, lawv cov ntaub ntawv muaj feem ntau yuav tsim mus rau cov qog nqaij hlav dua li duodenal ulcers.
Nyob rau hauv cov ntsiab lus, feem ntau ntawm qhov sib txawv tau nthuav tawm ua ntej, raws li kev soj ntsuam qhov sib txawv ntawm lub plab thiab duodenal rwj tsis tau txais kev pom zoo, thiab cov tsos mob xav tias tsis txawv ntau. Cov kev tswj hwm ntawm cov xwm txheej no yuav luag zoo ib yam, ua ntej nrog cov txheej txheem tshawb nrhiav zoo sib xws. Lub anatomical qhov chaw ntawm lub rwj tsuas yog cuam tshuam cov kev hloov, nyob rau hauv pathological, histological, thiab cov teeb meem muaj feem xyuam rau lub plab thiab duodenal ulcers. Yog li, kab mob plab hnyuv thiab duodenal ulcers raug coj los ua raws li lub ntsiab lus ntawm kab mob peptic ulcer.
