M'dera Epigastric zimavulaza

Epigastric dera ndi zone inali yomweyo m'munsimu ndondomeko xiphoid, womwe kwa ziyerekezo m'mimba zapambuyo peritoneal patsekeke.

Maganizo mzere kukopedwa pamodzi ku nthiti za m'munsi m'mphepete alekanitsa m'mimba chakuti apamwamba - mpaka m'mbali, - kansalu analandira, kuimira dera epigastric kapena epigastrium.

Zimayambitsa kupweteka epigastric ndi

• kugonjetsedwa kwa chifundamtima, duodenum, kum'mero, etc., izo ziri zonse zimene zikukhudzana ndi kachigawo m'mimba, komanso bwino amaganiza chibayo, pomwe amaganiza pyelonephritis, matenda a mtima, pleura ndi pericardium, Reflux;

• hiatal chophukacho epigastric, fundic gastritis, kapamba, ndulu kuwonongeka, kudzimbidwa, komanso kumanzere amaganiza pyelonephritis, urolithiasis, anasiya amaganiza chibayo;

• pachimake appendicitis, momwe woyamba, ululu padziko m'michombo kapena epigastric ndipo kenako anasamukira ku dzanja lamanja (dera iliac);

• pachimake kapamba limapezeka lakuthwa ululu nthawi zonse epigastrium, kenako amalandira chikhalidwe ozungulira;

• m'mnyewa wamtima infarction zina chimapwetekanso epigastric dera (gastralgicheskaya mawonekedwe), zizindikiro ofanana ndi perforated chilonda, ndi ululu ali pachimake. Kugunda ndi pafupipafupi ananena fibrillation ndi kuchepetsa kuthamanga kwa magazi;

• chibayo, ndi pleurisy - motero nakweza ululu ndi kukhosomola ndi kupuma, kupuma pamwamba amalembedwa ndi wheezing phokoso. Epigastrium kowawa ndipo wopsinjika;

• purulent peritonitis, kumene chifukwa cha perforation wa chilonda;
• perforation wa chilonda m'mimba;
• epigastric dera tcheru ku duodenitis pachimake, pali nseru, kusanza, ndi zinthu zina;
• pyloroduodenal stenosis. Pali kutentha postprandial zikachitika, kusanza;

• kwa chiwindi colic kwambiri, cramping mu chikhalidwe, yodziwika ndi ululu, amene mwamsanga kudzatha mankhwala antispasmodic;
• epigastric ululu matenda ambiri opatsirana. Mwadzidzidzi pali ululu pamimba, nseru, kusanza mobwerezabwereza, kutsekula m'mimba, zikusonyeza kuti zikuoneka kuti chakudya poizoni (PTI). Komabe, matenda a gastro-m'mimba ali anaona zizindikiro za kuledzera: mutu, chizungulire, zilonda pamimba m'munsi, pali kuzizira ndi kutopa, ndi yochepa imfa ya chikumbumtima ndi khunyu;
• epigastric ululu khalidwe poyizoni chakudya kungakhale chizindikiro cha kamwazi pachimake ndi salmonellosis, omwe atuluka chimodzimodzi poyizoni chakudya, pa siteji koyamba za matenda tizilombo, leptospirosis;

• ululu epigastrium ndi zina chizindikiro choyamba, pamaso syndrome hemorrhagic, Crimea malungo, nthawi zambiri amapezeka pa kusanza lochepa kuzizira;
• ndi Nthenda yofanana ndi tayifodi anakhudzidwa ndi plexus dzuwa, chomwenso ndi limodzi mwa ululu mderali.

Choncho, ngati mukuona ululu m'dera epigastric, ndi kumakupatsani kusapeza, ululu relievers sititenga kunyumba - kuyitana chisamaliro mwadzidzidzi. A ambiri matenda ndi akuwonetseredwa mu zizindikiro, ngakhale kufa.

Muyenera kukauza gastroenterologists ndi madokotala amene azichititsa kafukufuku ndi kudziwa matenda.