the digestive Ulcer is the kraterowatym the, decrease put in mucous membrane of stomach depression or duodenum, reaching his bottom to membrane of muscular wall of stomach (or the duodenum), and more even deeply.
oral Pit leads to throat, where place has distributing roads respiratory and alimentary: alimentary road then gullet and then stomach. Duodenum is first goes out from stomach part of thin intestine, it is "prolongation” stomach. They are next sections empty intestine, winding and fat intestine ending with rectum.
the Majority of digestive ulcers comes into being in duodenum (3 – 4 razy more often than in stomach). The ulcer of duodenum steps out more often at men (3x) than at women, the ulcer of stomach alike often at both sexes. They in ulcer of duodenum of affection step out often seasonably: spring and autumn.
the long-lasting put in upper part of stomach pain is the most Frequent symptom (in median epigastrium above navel), which the character of pressure has or smoking, it is time tight. Pain radiates to backs often and right shoulder. Affections such usually last many days or weeks. Ulcerous disease visits with cause of unpleasant feeling of "fulness” also sometimes or dilating after meals, and even vomitings. The bleeding with ulceration (at 25% all chorych from ulcer) it manifests itself with bloody the or fusowatymi vomitings and the presence of black tarty stools. To bring it to anaemia maybe (anaemia).
it it was Showed was was, it that it at chorych with ulcerous disease was affirmed was in stomach very often and duodenum bacterium's presence about name Helicobacter pylori (HP), which the inflammable state of mucous membrane can cause. This brings to damage of mucous membrane. Weak mucous membrane can not practically defend before aggressive factors (np. saline acid), it produces zbyt little protective mucus. On result of inflammation of mucous membrane the caused by bacteria HP the protective factors be weak, and the aggressive strengthened factors.
the Ulcerations of duodenum more often step out at persons from group of blood "0”.
At persons infected HP are the the most frequent cause of ulcers medicines from group of niesteroidowych antiphlogistic medicines (in shortcut NLPZ) – they enlarge the risk of ulcerous disease almost four times. They to NLPZ belong between different aspirin, diklofenak, indometacyna, ibuprofen, naproksen, ketoprofen. The simultaneous application the glikokortykosteroidów ( they are then the hormones of adrenal glands, steroidowe antiphlogistic medicines) it enlarges this the risk the piętnastokrotnie.
they are Different causes smoking cigarettes, hormonal disorders (excess gastryny, excessive functional activity przytarczyc).
Only in me existence ulcer is usually not dangerous, it causes only unpleasant affections. However ulcer can be the cause of serious complications, it therefore was one should treat ulcerous disease.
Ulcer can damage blood vessels, and interrupting cause their wall bleeding or haemorrhage. The chronic bleeding from small vessels usually brings to anaemia with reason of shortage of iron.
the Bliznowacenie of be healing ulcers can in turn lead to obstruction of entry to duodenum ( the cicatricial narrowing of pylorus), the making impossible partly digested food the przemieszczanie to more far sections of alimentary line. The vomitings are the after-effect and the the loss of weight.
the perforation of wall of stomach is the Serious complication (his piercing) caused digesting working on weak through ulcer next layers of wall of this organ the saline acid. After piercing the acid content of stomach gets to pit of peritoneum, irritation causes her chemical, and then heavy infection. It manifests itself with this strong pain of stomach, muscular defence ( hard stomach how board).
In ulcerous niche seldom (at ok. 3% chorych) it can accesses to degeneration cancer.
Affections cause, that patient answers to doctor. The characteristic clinical symptoms induce to realization of investigations the doctor.
the radiological contrasting investigation of stomach more Long ago often was applied was and duodenum. In this investigation the patient swallows the special contrast, filling gradually the gullet and the more far parts of alimentary line – the contrast after realization of picture of rtg displays the ulcers.
the gastroskopię was executed was Recently universally ( the endoskopowe investigation of stomach). Thanks to camera and the of light introduced to stomach source as well as the possibility of inspection on monitor the painting investigation this pozwalać on direct inspection in stomach the changes of sick leave. It pozwalać on the delivery fee to more far investigation of sample of altered tissues also. It makes possible this detection bacterium's presence Helicobacter pylori (detection in taken material; test pathogen on resentment). It values oneself also, or there are no demonstrative on tumour in ulcerous niche changes.
For detection of bacterium the HP moves the respiratory test from use of marked carbon C13.
Different investigation this sign of basic secretion in stomach the acid as well as basic and after stimulation the sekretyną the secretion the gastryny ( the gastryna causes the secretion the acid). The very large basic values of secretion step out in team Zollingera – Ellisona. Team Zollingera – Ellisona depends on excessive secretion gastryny by put in pancreas gruczolak, from here excessive acidity and ulcers.
the Aim of is treatment the bringing to healing the ulcer as well as the elimination of factors favourable the recurrence of disease. At chorych's majority treatment conducts oneself in house. It to hospital takes the root the patients with complications of disease.
was One should avoid the stresses of, liquor, of coffee and sharp spices, necessary it will is stop the smoking of cigarettes. Meals about small volume should be accepted regularly. Leaves from recommended long ago the milk for appeasement of affection, which on short finish line softens the pain is sure, but the enlargement the production of stomachic acid causes simultaneously.
was One should avoid niesteroidowych antiphlogistic medicines, and the more total applying of their from glikokortykosteroidami. It was one should comply to general recommendations as well as accept medicines according to indications of doctor closely.
the the most Important stage of is treatment the eradykacja ("getting rid of”) the bacterium. Complies antibiotics, which have to remove Helicobacter pylori from stomach. It the special patern of treatment were accepted was – by 7 days the patient accepts two antibiotics from blocking medicine the secretion the acid together (tzw. the inhibitor of protonowej pump), the most often the omeprazolem. It obviously before this patern of treatment will apply, was one should confirm presence HP in system.
pantoprazol are Different applied reducing in stomach acidity medicines and lansoprazol (similarly how omeprazol are the inhibitors of protonowej pump). It was not one should accept them with attention on danger of atrophic rise the inflammation of mucous membrane of stomach protractedly and the irreversible bezkwaśności of stomachic juice.
Different medicines this these which block it working histamine on paying out in stomach acid cells: cymetydyna (np. Tagamet) and ranitydyna (np. Ranigast, Zantac). It takes root it evening, they reduce about half secretion in stomach acid.
the applied from summers neutralizing preparations bring Considerable relief the patients the working the stomachic acid ( the relationships of magnesium, alluminium – np. the Alugastrin, Alusal), sold usually without prescription. Different medicines then covering mucous membrane before working acid medicines (np. Sukralfat).
acting Medicine ochronnie on cell, that is cytoprotekcyjnie is Mizoprostol (at women only under exact medical control), it complies him at chorych treated with niesteroidowymi antiphlogistic medicines protractedly. This analog of prostaglandyn is.
Surgery knows many ways on treatment ulcerous disease. It applied medicines in ulcerous disease are at present on tyle effective, it that was one should was operating treatment with reason keeping affection to rarity today. Operating methods are however indispensable, when complications step out (np. piercing ulcer, sudden haemorrhage) as well as in team Zollingera – Ellisona (np. removal gruczolaka paying out gastrynę). Effective pharmacological treatment protects before pronouncement complications.
Above mentioned article state only general information about ulcerous disease. Ulcerous disease is serious illness. It in no case was not one may her disregard and take a cure on own hand. One should always consult from doctor, which administering suitable knowledge, diagnostic possibilities as well as curing can assure choremu full with many medicines.