txheem
Kev mob ntawm lub plab mucosa yog ib qho ntawm cov kab mob feem ntau ntawm tib neeg. Kwv yees li ntawm 80-90% ntawm cov tib neeg hauv lawv lub neej muaj tsawg kawg ib ntu ntawm tus kab mob no. Thaum lub hnub nyoog laus, txog li 70-90% ntawm cov neeg raug kev txom nyem los ntawm ntau hom kab mob gastritis. Daim ntawv mob ntev ntawm gastritis tuaj yeem hloov mus rau hauv peptic ulcer, mob plab.
Dab tsi yog gastritis?
Gastritis yog ib qho o ntawm cov mucous txheej ntawm lub plab, ua rau lub cev tsis ua haujlwm. Thaum gastritis tshwm sim, zaub mov pib digested tsis zoo, uas ua rau muaj kev puas tsuaj thiab tsis muaj zog. Gastritis, zoo li feem ntau cov kab mob, yog mob thiab ntev. Tsis tas li ntawd, muaj gastritis nrog qis, ib txwm thiab siab acidity ntawm lub plab.
Tam sim no, gastritis tuaj yeem raug hu ua kab mob ntawm lub xyoo pua. Lawv ua mob rau cov neeg laus thiab menyuam yaus. Thiab raws li kev noj qab haus huv txheeb cais, nyob rau hauv Russia txog 50% ntawm cov pejxeem muaj gastritis nyob rau hauv ib co daim ntawv.
Gastritis yog tus cwj pwm los ntawm ntau yam ntawm sab nraud thiab sab hauv uas ua rau muaj kev loj hlob ntawm pathology. Clinically, nws tshwm sim nyob rau hauv daim ntawv ntawm o (mob los yog ntev). Mob mob yog luv luv. Kev puas tsuaj rau cov mucous daim nyias nyias ntawm lub plab nrog concentrated acids, alkalis thiab lwm yam tshuaj yog txaus ntshai tuag taus.
Tus kab mob mus ntev (ntev) ntws txo qis lub neej zoo thiab tshwm sim nws tus kheej hauv daim ntawv mob, nrog rau:
Heaviness hauv plab;
kev mob siab;
Belching;
ntuav;
Mob plab thiab/los yog cem quav;
Ntws;
Flatulence - tso pa tawm;
Ua tsis taus pa.
Daim ntawv ntev yog txaus ntshai atrophy ntawm lub plab mucosa. Yog li ntawd, cov qog ntawm lub plab tsis ua haujlwm li qub. Atypical hlwb yog tsim nyob rau hauv qhov chaw ntawm lub hlwb noj qab haus huv. Ib qho kev tsis txaus ntseeg hauv cov txheej txheem ntawm kev kho tus kheej ntawm cov hlwb ntawm lub plab hnyuv yog ib qho ua rau mob plab thiab mob qog noj ntshav ntawm txoj hnyuv.
Lub plab yog qhov yooj yim tshaj plaws ntawm lub plab zom mov. Yam tsawg kawg peb txoj kev zom zaub mov muaj nyob rau hauv nws: qhov no yog kev sib xyaw ntawm cov khoom noj coma, tshuaj lom neeg zom zaub mov, thiab kev nqus ntawm cov as-ham.
Sab hauv phab ntsa ntawm lub plab, cov mucous daim nyias nyias, feem ntau puas lawm, qhov twg ob qho tib si sib cais Cheebtsam ntawm digestion yog tsim - kua txiv hmab txiv ntoo thiab tiv thaiv mucus.
Kev zom zaub mov hauv plab yog cov txheej txheem biochemical zoo ntawm lub cev. Qhov no tau lees paub los ntawm lub cev acidic pH ntawm cov kua txiv hmab txiv ntoo (nws lub ntsiab lus tseem ceeb yog hydrochloric acid), tab sis kuj los ntawm qhov sib txawv ntawm acidity tsis nyob hauv nws qhov sib txawv. High acidity (pH 1,0-1.2) pom nyob rau hauv thawj ib feem ntawm lub plab, thiab qis (pH 5,0-6,0) - nyob rau hauv lub hlws ris ntawm lub plab nrog cov hnyuv.
Lub paradox lus dag nyob rau hauv qhov tseeb hais tias nyob rau hauv ib tug noj qab nyob zoo tus neeg, lub plab tsis tsuas yog digestive nws tus kheej, tab sis kuj gastric kua txiv tsim los ntawm cov qog nyob rau hauv ntau qhov chaw ntawm lub cev muaj ntau yam khoom. Nyob rau tib lub sijhawm, pH ib puag ncig hauv txoj hlab pas yog nruab nrab, thiab hauv duodenum (thawj ntu ntawm txoj hnyuv me) nws yog alkaline.
Ib qho tsis kaj siab, mob siab rau tus neeg mob gastritis - mob plawv - feem ntau yog tshwm sim los ntawm kev ua txhaum ntawm acid-base tshuav nyiaj li cas hauv ib qho ntawm cov kab mob hauv plab. Tsis tas li ntawd, qhov sib txawv ntawm cov kua qaub sib npaug los ntawm cov qauv hauv qee qhov ntawm lub plab underlies lub pathogenesis ntawm gastritis nrog qis los yog siab acidity.
Kev cuam tshuam tag nrho ntawm cov txheej txheem digestive: zaub mov lossis tshuaj lom, tso cov kua tsib rau hauv lub plab, kab mob hauv plab, noj cov tshuaj tsis tu ncua, haus dej haus carbonated, cawv thiab lwm yam cuam tshuam tsis zoo rau lub plab hnyuv. Kev cuam tshuam loj ntawm cov kab mob microbial ntawm kev loj hlob ntawm gastritis tau raug pov thawj.
Qhov cuam tshuam rau lub sijhawm luv luv ntawm cov txheej txheem digestive tsuas yog txwv rau kev kho mob tshwm sim hauv daim ntawv ntawm mob hnyav ntawm cov xwm txheej hauv qab no:
Catarrhal;
fibrinous;
Necrotic;
Phlegmonous.
Catarrhal gastritis yog txuam nrog kev noj zaub mov tsis zoo thiab noj tshuaj lom me me. Fibrinous thiab necrotic gastritis feem ntau yog tshwm sim los ntawm kev lom nrog ntsev ntawm cov hlau hnyav, concentrated acids thiab alkalis. Phlegmonous gastritis yog tshwm sim los ntawm kev puas tsuaj rau lub plab phab ntsa.
Lub sij hawm ntev raug rau cov kab mob uas tsis muaj zog yuav xaus nrog kev loj hlob ntawm cov kab mob ntev, ua rau mob hnyav los ntawm cov txheej txheem ulcerative ntawm cov phab ntsa ntawm lub plab. Gastritis tuaj yeem ua rau muaj kev cuam tshuam ntawm oncological txheej txheem hauv plab hnyuv.
Qhov ntau yam ntawm manifestations ntawm gastritis ntawm lub plab nyob rau hauv tib neeg yog paub tseeb hais tias los ntawm lawv complex classifications. Kev nthuav qhia cov tsos mob ntawm gastritis yog qhov tseem ceeb rau cov kws kho mob gastroenterologist thaum sau cov txheej txheem kho mob. Nyob rau hauv peb cov ntaub ntawv, qhov no yog ib qho piv txwv ntawm ntau hom kab mob nyob rau hauv thiaj li yuav tsim ib tug generalized lub tswv yim ntawm gastritis nyob rau hauv tus nyeem ntawv.
Lwm pab pawg ntawm gastritis tsis cuam tshuam nrog microbes, txawm hais tias nyob rau qee theem kev sib txuas yuav tshwm sim.
Non-microbial gastritis tau muab faib ua ob peb pawg:
Cawv. Tus kab mob no tshwm sim los ntawm kev siv tsis tu ncua ntawm cov dej cawv muaj zog (cawv muaj alkaline pH) tiv thaiv keeb kwm yav dhau los ntawm ntau lwm yam cuam tshuam nrog cov txiaj ntsig tsis zoo ntawm cov koob tshuaj loj ntawm ethyl cawv ntawm lub cev;
NSAID-induced gastritis. NSAIDs yog cov tshuaj uas tsis yog-steroidal anti-inflammatory siv nyob rau hauv ntau yam kab mob xws li antipyretic, analgesic thiab antiplatelet tshuaj. Cov tshuaj nto moo tshaj plaws ntawm pawg kws tshuaj no yog acetylsalicylic acid (aspirin), analgin, diclofenac, indomethacin, ketoprofen, ibuprofen, piroxicam. Kev tswj tsis tau siv NSAIDs txhawb kev txhim kho ntawm gastritis, thiab tom qab ntawd nws hloov mus rau hauv plab hnyuv.
Post-resection. Xws li gastritis tshwm sim tom qab yuam kev phais tshem tawm ib feem ntawm lub plab.
Chemically ua rau gastritis. Lawv tsim los ntawm kev sib tsoo lossis tshwj xeeb ntawm kev noj cov tshuaj uas muaj zog tiv thaiv cov proteins ntawm cov mucous daim nyias nyias ntawm lub plab.
Gastritis ntawm keeb kwm tsis paub.
Hauv cov tshuaj kws tshaj lij, lwm yam kev faib tawm ntawm gastritis kuj tau siv, suav nrog, raws li hom kev sib kis ntawm pathogenesis:
autoimmune gastritis (hom A);
Exogenous gastritis (hom B), provoked los ntawm Helicobacter pylori;
Mixed gastritis (hom A + B);
Gastritis (hom C) provoked los ntawm NSAIDs, tshuaj irritants los yog kua tsib;
Cov ntawv tshwj xeeb ntawm gastritis;
Gastritis tiv thaiv keeb kwm yav dhau los ntawm kev txo qis thiab nce hauv kev tso tawm ntawm hydrochloric acid;
Lwm cov qauv ntawm morphological thiab functional manifestations ntawm gastritis.
Lawv qhov kev sib txawv muaj xws li kev siv cov chaw kuaj mob nyuaj lossis cov cuab yeej siv cuab yeej cuab tam nyob rau theem ntawm kev kuaj mob. Yog li ntawd, cov lus piav qhia ntawm gastritis, uas muaj kwv yees li tib lub chaw kho mob cov tsos mob, tab sis txawv nyob rau hauv lub hauv paus mechanisms ntawm pathogenesis, yog tsis txaus siab rau ib tug ntau ntawm cov neeg nyeem.
Cia peb nyob hauv kev nthuav dav ntawm cov cim tseem ceeb thiab cov tsos mob ntawm gastritis, uas tuaj yeem ua lub hauv paus rau tus neeg mus cuag lub tsev kho mob kom pab.
Cov tsos mob thiab cov tsos mob ntawm plab gastritis
Gastritis yog tus cwj pwm los ntawm ntau yam tsos mob, tab sis tuaj yeem tshwm sim yam tsis tau hais tawm. Cov tsos mob feem ntau yog mob nyob rau hauv lub hnub ci plexus, uas yog aggravated tom qab noj tej yam khoom noj, kua thiab tshuaj, tshwj xeeb tshaj yog cov uas muaj zog aggressiveness mus rau lub plab mucosa. Qee zaum qhov mob hnyav zuj zus thaum noj mov. Nrog gastritis, ntsim zaub mov, cawv, carbonated dej qab zib thiab lwm yam khoom noj, kev siv uas ua rau ib tug exacerbation ntawm gastritis, yog contraindicated.
Ib qho tseem ceeb, tab sis tsis tas li cov cim qhia ntawm gastritis yog kub hnyiab, ntuav, thiab belching. Tus kab mob no qee zaum tshwm sim los ntawm kev mob plab thiab nquag tso pa tawm. Cov tsos mob ntawm ob los yog ntau tshaj ntawm cov tsos mob saum toj no tiv thaiv keeb kwm ntawm mob plab yog ib qho laj thawj rau xav tias gastritis.
Tus kab mob no kuj tau qhia los ntawm kev noj cov zaub mov ntsim, tshuaj thiab cov kua qaub ncaug sai ua ntej qhov pib mob.
Nws yog qhov nyuaj dua los txheeb xyuas cov tsos mob ntawm tus mob gastritis. Tau ntev, cov tsos mob ntawm tus kab mob yog txwv rau cov quav tsis xwm yeem, cov quav hniav ntawm tus nplaig, qaug zog, rumbling thiab ntws hauv plab ntawm pluas noj, flatulence, rov qab raws plab lossis cem quav.
Mob plab gastritis feem ntau tsis muaj kev cuam tshuam loj rau tus neeg mob qhov chaw kho mob, tshwj tsis yog qhov txo qis hauv lub neej zoo. Nyob rau hauv daim ntawv me, mob gastritis yog tshwm sim los ntawm cem quav thiab raws plab. Nyob rau hauv daim ntawv hnyav, tshwj tsis yog rau cov uas tau qhia - nquag tso zis ntawm plab hnyuv, anemia, tsaug zog, hws txias, nce peristalsis, halitosis.
Cov tsos mob ntawm high acidity
Feem ntau cov tsos mob ntawm gastritis nrog acidity siab, ntxiv rau cov tsos mob (nqaj, xeev siab):
Mob ntev hauv lub hnub ci plexus, ploj tom qab noj mov;
Ua raws plab;
Mob plawv tom qab noj qaub;
Nquag yaug kom kis gases los ntawm lub qhov ncauj - belching.
Cov tsos mob ntawm qis acidity
Feem ntau cov tsos mob ntawm gastritis nrog qis los yog xoom acidity:
Tsis hnov tsw phem nyob hauv lub qhov ncauj
hnyav hauv plab tom qab noj mov;
"Burping" rotten qe ";
rumbling;
xeev siab thaum sawv ntxov;
Teeb meem nrog kev tso zis tsis tu ncua;
Ntshai tsw ntawm qhov ncauj.
Cov tsos mob ntawm exacerbation ntawm gastritis
Kev rov tshwm sim ntawm gastritis ntev yog tshwm sim los ntawm ntau yam tsos mob, feem ntau cov tsos mob yog:
Qhov mob tsis tu ncua lossis ib ntus hauv lub hnub ci plexus, uas nce sai sai tom qab noj mov, lossis rov ua dua, nrog kev yoo mov ntev;
Belching nrog huab cua, hlawv nyob rau hauv lub sternum, kub siab tom qab noj mov, nws yog xim hlau saj nyob rau hauv lub qhov ncauj;
xeev siab, ntuav thaum sawv ntxov ntawm cov zaub mov semi-digested nrog cov yam ntxwv qaub saj, qee zaum ntuav ntawm cov kua tsib;
nce salivation, nqhis dej, tsis muaj zog;
Cov tsos mob ntawm dyspepsia ( cem quav, raws plab);
kiv taub hau, palpitations, mob taub hau.
Cov tsos mob ntawm exacerbation ntawm erosive (mob) cov ntaub ntawv ntawm gastritis yog ntxiv los ntawm ntuav nrog cov ntshav txhaws, qee zaum ntuav nrog cov xim tsaus nti ntawm ntuav. Gastric los ntshav thaum lub plab zom mov yog tshwm sim los ntawm cov quav dub. Qee lub sij hawm gastric los ntshav tsuas tuaj yeem txiav txim siab los ntawm kev kuaj mob. Loj los ntshav sab hauv yog tshwm sim los ntawm pallor ntawm daim tawv nqaij thiab mucous daim nyias nyias thiab yog yooj yim txiav txim los ntawm cov xim ntawm sclera ntawm lub qhov muag, kiv taub hau, thiab tinnitus.
Mob plab nrog gastritis
Gastralgia - mob nyob rau hauv lub plab phab ntsa (kab noj hniav) - ib tug tseem ceeb cov tsos mob ntawm gastritis. Meanwhile, mob nrog rau lwm yam kab mob ntawm lub plab hnyuv kab mob, uas yog collectively hu ua "mob plab". Cov kev xav tsis zoo yog tshwm sim nyob rau hauv daim ntawv ntawm qhov mob, nrog rau stabbing, nias, tua, hlawv thiab lwm yam mob.
Mob zoo li gastralgia tuaj yeem yog cov tsos mob ntawm myocardial infarction, o ntawm daim nyias nyias ntawm lub plawv thiab lub ntsws, thiab pob txha pob txha. Mob hauv plab tuaj yeem pom nrog kab mob, kab mob thiab kab mob parasitic pathologies hauv cov hnyuv, tshwj xeeb cov poj niam cov teeb meem, neurosis, ntshav qab zib.
Hauv tsev, koj tuaj yeem paub qhov mob tshwm sim los ntawm gastritis. Feem ntau cov yam ntxwv ntawm gastritis thiab paub qhov txawv ntawm lwm yam pathologies ntawm "mob plab" yog mob uas nce tom qab:
Noj, tshwj xeeb tshaj yog ntsim thiab haus luam yeeb;
Kev siv cawv lossis qee yam tshuaj, tshwj xeeb yog cov tshuaj uas tsis yog-steroidal anti-inflammatory;
Ntev so ntawm kev noj mov.
Cov kev xaiv ntxiv rau qhov tshwm sim ntawm qhov mob hauv plab thaum tsis muaj kev kho mob thiab muaj peev xwm siv cov kev sim thiab cov cuab yeej tshawb fawb tuaj yeem yooj yim tsis meej pem nrog cov tsos mob ntawm lwm yam mob.
Ua rau gastritis
Qhov kev txaus siab tshaj plaws yog qhov ua rau ua rau daim ntawv mob ntev ntawm gastritis. Muab cov khoom siv sab nraud thiab sab hauv uas ua rau muaj kev loj hlob ntawm tus kab mob. Interestingly, nyob rau hauv ib co neeg, gastritis loj hlob qeeb qeeb thiab tsis muaj kev cuam tshuam rau lub cev. Ntawd yog, feem ntau yuav, ua rau gastritis yog zais tom qab ntau yam thiab lawv cov kev sib txuas.
Qhov tseem ceeb tshaj plaws sab nraud ua rau gastritis:
Kev cuam tshuam rau ntawm phab ntsa ntawm lub plab ntawm cov kab mob Helicobacter pylori, tsawg dua lwm cov kab mob thiab cov fungi. Kwv yees li ntawm 80% ntawm cov neeg mob tau kuaj pom tias gastritis secrete acid-resistant kab mob uas nquag nkag mus rau hauv cov phab ntsa ntawm lub plab hnyuv mucosa, tso cov tshuaj tshwj xeeb uas ua rau lub qhov txhab ua paug, txhawb kev hloov hauv zos hauv pH ntawm cov phab ntsa thiab lawv qhov o. Cov lus teb kawg, vim li cas cov kab mob no ua rau muaj kev phom sij loj rau qee tus neeg, thiab tsis yog rau lwm tus, tseem tsis tau paub;
Kev noj zaub mov tsis zoo. Nws tau raug tsim los hais tias kev noj zaub mov tsis zoo yog ib qho ua rau gastritis. Cov lus qhia muaj tseeb rau ob qho tib si overeating thiab undereating. Nws yog ib qho tsim nyog los faib cov zaub mov nrog cov zaub mov uas muaj cov vitamins thiab cov nroj tsuag fiber ntau, uas normalizes peristalsis. Txawm li cas los xij, nrog rau kev txhim kho ntawm thawj theem ntawm gastritis, nws yog ib qho tsim nyog yuav tsum tsis txhob noj cov zaub mov uas muaj cov zaub fiber ntau, nrog rau cov rog, ntsim, cov kaus poom thiab cov zaub mov pickled;
Kev haus dej cawv yog cais raws li ib qho kev cais ntawm gastritis ntawm lub plab. Ethanol hauv me me yog ib qho tseem ceeb ntawm cov txheej txheem biochemical hauv lub cev, txawm li cas los xij, cov cawv ntau ua rau cov kua qaub-puag tsis txaus hauv lub cev. Tsis tas li ntawd, cawv nyob rau hauv cov koob tshuaj loj nrog kev siv tsis tu ncua cuam tshuam rau lwm yam kab mob hauv plab - lub siab, txiav, thiab tseem muaj kev cuam tshuam rau cov txheej txheem metabolic hauv lub cev;
Nws tau raug sau tseg tias qee cov tshuaj siv dav hauv cov tshuaj xws li tshuaj tiv thaiv kab mob (antiplatelet), tshuaj tua kab mob thiab tshuaj tiv thaiv kab mob muaj kev phiv loj heev - lawv ua rau mob plab hnyuv. Feem ntau, gastritis yog tshwm sim los ntawm cov tshuaj uas tsis yog tshuaj hormonal anti-inflammatory (aspirin, analgin) thiab glucocorticoid hormones (prednisone). Cov tshuaj no raug pom zoo kom siv nruj me ntsis rau kev kho mob, fractionally, hauv me me, tom qab noj mov;
Qee cov kws tshawb fawb tau sau tseg txog qhov cuam tshuam rau kev txhim kho ntawm gastritis ntawm helminthic invasions, kev ntxhov siab ntev, tshuaj lom neeg, nqos tau yuam kev lossis txhob txwm ua.
Lub ntsiab sab hauv (txog rau kev ua txhaum ntawm homeostasis) ua rau gastritis:
Congenital tib neeg predisposition rau kab mob gastrointestinal;
Duodenal reflux - pathological pov tseg ntawm cov kua tsib los ntawm duodenum mus rau hauv lub plab. Cov kua tsib, nkag mus rau hauv cov kab noj hniav ntawm lub plab, hloov pH ntawm cov kua txiv hmab txiv ntoo thiab ua rau lub qhov txhab mucous. Thaum pib, qhov mob ntawm lub plab ntawm lub plab tshwm sim, thiab tom qab ntawd nws cov chaw ua haujlwm tau koom nrog;
Cov txheej txheem autoimmune, kev puas tsuaj ntawm lub cev tiv thaiv kab mob ntawm cov khoom tiv thaiv ntawm lub hlwb ntawm lub plab mucosa. Yog li ntawd, cov hlwb tsis ua haujlwm li qub thiab poob lawv cov khoom qub. Qhov tshwm sim no ua rau muaj kev cuam tshuam me me uas hloov pH ntawm cov kua txiv hmab txiv ntoo, thiab ua rau lub plab tsis tu ncua. Muaj endogenous intoxication thiab ua txhaum ntawm qhov tsis kam ntawm cov mucous daim nyias nyias mus rau qhov hnyav ib puag ncig ntawm gastric kua txiv;
Kev ua txhaum ntawm hormonal thiab vitamin metabolism, cov nyhuv reflex ntawm lub pathogenesis ntawm cov kabmob uas nyob ib sab ntawm lub plab.
Hom kab mob gastritis:
Nrog kev pab los ntawm cov cuab yeej siv thiab kev ua haujlwm, ntau yam ntawm gastritis tau kuaj pom. Txawm li cas los xij, txhua tus tau muab faib ua gastritis nrog:
Ib txwm los yog nce acidity;
Zero los yog tsawg acidity.
Cov tsos mob ntawm gastritis nrog qis lossis siab acidity feem ntau tuaj yeem paub qhov txawv, txawm li cas los xij, qhov kev kuaj mob zaum kawg yog ua los ntawm kev tshawb fawb ntawm cov kua txiv hmab txiv ntoo tau los ntawm kev soj ntsuam, nrog rau cov pH-metry intragastric siv cov sensors tshwj xeeb tso rau hauv lub plab. Txoj kev tom kawg yog qhov yooj yim hauv qhov kev soj ntsuam mus sij hawm ntev ntawm cov kua txiv hmab txiv ntoo yog ua tau. Qee qhov xwm txheej, pH ntawm plab hnyuv yog txiav txim siab ncaj qha, hauv kev tshawb fawb ntawm cov zis pH.
Acid gastritis
Nws yog tus cwj pwm los ntawm qhov mob hnyav hauv lub hnub ci plexus lossis hauv lub plab, feem ntau ntawm qhov xwm txheej paroxysmal. Qhov mob tshwm sim tom qab noj cov zaub mov noj, ua kom nrawm dua ntawm cov pluas noj. Mob nyob rau hauv txoj cai hypochondrium yog pov thawj ntawm ingress ntawm gastric kua txiv rau hauv duodenum. Pathology yog tus cwj pwm los ntawm kub siab, mob thaum sawv ntxov, rotten belching, rumbling nyob rau hauv lub plab mog, raws plab (ces cem quav ntau dua rau gastritis nrog tsawg acidity), saj ntawm hlau nyob rau hauv lub qhov ncauj.
Qee qhov xwm txheej, tus kab mob ua rau subclinically, nrog rau lub sijhawm exacerbations tom qab haus cawv, tshuaj ntawm pawg NSAID, mob plawv glycosides (digitis), potassium npaj, tshuaj hormones (prednisolone, dexamethasone, hydrocortisone). Kev tawm tsam tuaj yeem tshwm sim los ntawm kev siv cov khoom noj "hnyav". Hom kab mob gastritis yog txiav txim los ntawm kev tshawb fawb kho mob.
Gastritis nrog tsawg acidity
Cov kua qaub nyob rau hauv lub plab yog koom nrog hauv thawj kev puas tsuaj ntawm coarse zaub mov fibers.
Gastritis nrog tsawg acidity feem ntau manifested los ntawm hnyav nyob rau hauv lub plab mog, sai satiety tom qab noj mov, nce tsim ntawm plab hnyuv gases. Qee zaum, tus kab mob tuaj yeem kho tau los ntawm kev noj cov enzymes digestive (festal, gastal). Koj tuaj yeem kho anacid gastritis hauv tsev, nws yooj yim heev. Txij li cov kua txiv hmab txiv ntoo tau txo qis, koj yuav tsum zom zaub mov kom ntev. Ua tib zoo sib tsoo ntawm cov zaub mov coma nyob rau hauv lub qhov ncauj kab noj hniav thiab ua nws cov qaub ncaug yog ib txoj kev zoo uas tsis yog tshuaj kho mob gastritis.
Mob gastritis
Catarrhal gastritis txhim kho nyob rau hauv kev cuam tshuam ntawm cov tshuaj aggression (aspirin, lwm yam NSAIDs), dej haus tsis zoo (cawv, carbonated lemonades nrog nquag siv) thiab khoom noj hnyav (rog, ntsev, haus luam yeeb, pickled). Mob plab kab mob kuj tseem paub tiv thaiv keeb kwm yav dhau los ntawm cov kab mob lom (salmonellosis thiab lwm yam), nrog rau kev tawm tsam keeb kwm ntawm lub raum thiab lub siab tsis ua haujlwm. Cov ntaub ntawv mob plab tuaj yeem tshwm sim los ntawm pathologies tsis ncaj qha cuam tshuam rau lub plab zom mov (pneumonia, frostbite). Qhov no yog vim lub tsub zuj zuj ntawm cov khoom underoxidized nyob rau hauv cov ntshav thaum lub sij hawm mob hnyav ntawm lub ntsws, uas ua rau o ntawm phab ntsa ntawm lub plab. Piav kuj tseem mob gastritis ntawm keeb kwm ntawm kev ntxhov siab.
Phlegmonous gastritis - qhov tshwm sim ntawm txhob txwm los yog raug mob rau ntawm phab ntsa ntawm lub plab (nqus pins, iav, rau tes). Tus kab mob yog manifested los ntawm purulent fusion ntawm phab ntsa ntawm lub plab.
Cov tsos mob ntawm catarrhal (yooj yim) mob gastritis tshwm sim 5-8 teev tom qab raug rau qhov teeb meem tshwm sim. Pathogenesis pib nrog qhov kub hnyiab hauv thaj av epigastric (lub ntsiab lus: hauv lub plab, hauv lub hnub ci plexus). Kev mob tshwm sim hauv cheeb tsam no, xeev siab, ntuav, xim hlau saj hauv qhov ncauj. Cov kab mob toxic-infectious gastritis yog ntxiv los ntawm kub taub hau, ntuav ntuav thiab raws plab. Ib qho mob hnyav yog tshwm sim los ntawm ntuav ntshav - qhov no yog corrosive (necrotic) gastritis. Phlegmonous gastritis yog tshwm sim los ntawm phenomena ntawm peritonitis: ib tug nruj lub plab phab ntsa, lub xeev ntawm poob siab.
Mob plab gastritis
Nyob rau hauv thawj theem, tus kab mob mus tsis muaj cov tsos mob kaj. Hypersensitivity rau tej yam khoom noj yog ib ntus manifested nyob rau hauv daim ntawv ntawm kub siab thiab tsam plab. Feem ntau muaj kev hnov mob hnyav nrog lub plab tag, muaj cov quav hniav thiab cov qauv txawv ntawm tus nplaig.
Daim ntawv mob ntawm gastritis tuaj yeem tshwm sim rau txhua lub hnub nyoog: los ntawm 20 xyoo mus rau hnub nyoog laus. Tus kab mob yog tus yam ntxwv los ntawm lub sij hawm ntawm exacerbation thiab remission. Thaum lub sij hawm exacerbation, cov tsos mob ntawm tus kab mob gastritis ntev tsis txawv ntawm cov tsos mob ntawm tus kab mob - mob, ua ke nrog xeev siab, qee zaum ntuav. Kev hnov lus tsis zoo yog hnyav dua tom qab noj qee yam zaub mov. Feem ntau qhov no yog qee yam khoom lag luam uas koj yuav tsum nco ntsoov thiab sim cais tawm ntawm kev noj haus lossis txwv kev noj.
Pallor ntawm mucous daim nyias nyias tej zaum yuav yog ib tug kos npe rau ntawm lwm yam kab mob - atrophic gastritis. Nws tshwm sim ntawm keeb kwm ntawm qhov tsis muaj peev xwm ntawm lub cev ntawm vitamin B12. Cov vitamin no tseem ceeb heev rau kev tsim cov ntshav. Atrophic gastritis yuav tsis muaj lwm yam cim qhia, tsuas yog pallor. Qhov txaus ntshai ntawm tus kab mob yog hais tias nws yog ib tug harbinger ntawm kev loj hlob ntawm cov qog nqaij hlav cancer nyob rau hauv lub epithelium ntawm lub plab. Kev tshawb pom ntawm anemia tawm tsam keeb kwm yav dhau los ntawm cov tsos mob ntawm gastritis yog ib lub sijhawm los tshuaj xyuas lub xeev kev noj qab haus huv ntau dua.
Tib neeg lub cev muaj kev tiv thaiv loj, yog li kev hloov pauv hauv kev ua neej, kev noj zaub mov kom zoo thiab kev kho mob kom zoo ua rau muaj txiaj ntsig zoo rau kev kho mob rau txhua hom kab mob gastritis.
Koj tuaj yeem pab koj tus kheej hauv tsev li cas?
Ib qho ua rau gastritis yog kev noj ntau dhau ntawm ob yam khoom hauv qab no:
Aspirin (acetylsalicylic acid);
Cawv (ethyl cawv, ethanol).
tshuaj aspirin thiab nws cov analogues tau sau los ntawm cov kws kho plawv kom ntev ntev thiab yuav tsum tau siv txhawm rau txhawm rau tiv thaiv myocardial infarctions thiab strokes. Kaum tawm txhiab tus neeg niaj hnub noj tshuaj aspirin los ua ib qho kev tiv thaiv kev tsim cov ntshav txhaws, uas ua rau muaj teeb meem ntawm kev nyab xeeb ntawm kev siv NSAIDs sai heev.
Kev npaj acetylsalicylic acid muaj cov txiaj ntsig zoo antiplatelet, uas yog, lawv tiv thaiv kev txhim kho cov ntshav txhaws hauv cov hlab ntsha. Cov ntshav txhaws yog lub ntsiab ua rau myocardial infarction thiab cerebral stroke. Txawm li cas los xij, cov tshuaj aspirin thiab lwm cov NSAIDs muaj cov kev mob tshwm sim tsis zoo - lawv ua rau cov qog nqaij hlav hauv plab hnyuv. Cov neeg mob ntshav siab siv cov tshuaj no txhua hnub ua ke nrog lwm cov tshuaj. Kev noj tshuaj tsis txaus ntawm cov tshuaj aspirin thiab nws cov analogues tuaj yeem ua rau muaj teeb meem ntxiv rau tus neeg mob - gastritis. Qhov no muaj tseeb rau txhua tus neeg ntawm cov hnub nyoog laus uas muaj kev kub ntxhov, angina pectoris, uas tau raug kev txom nyem los yog muaj kev pheej hmoo ntawm kev tsim myocardial infarction.
Haus dej cawvdav siv los ntawm qee pawg ntawm cov pej xeem. Hauv cov neeg uas muaj cov kab mob hauv plab hnyuv, txawm tias kev noj ethanol me ntsis tuaj yeem ua rau muaj kev mob plab hnyav. Cawv muaj alkaline zog. Kev tsis tu ncua ntawm acidic ib puag ncig ntawm lub plab nrog ethanol tsim ib qho kev mob rau kev khaus ntawm phab ntsa.
Lub caij no, tsis muaj laj thawj cais cov tshuaj aspirin thiab lwm yam tshuaj tseem ceeb (hlau, potassium, tshuaj hormones, thiab lwm yam) los ntawm cov npe ntawm cov tshuaj muaj txiaj ntsig. Ua tib zoo nyeem cov lus piav qhia rau cov tshuaj thiab coj lawv raws li cov tswv yim pom zoo los ntawm tus kws kho mob.
Tshwj xeeb, koj tuaj yeem txo cov kev mob tshwm sim ntawm kev noj tshuaj aspirin hauv cov hauv qab no:
Kev txo qis ib zaug (nug koj tus kws kho mob);
Noj tshuaj nyob rau hmo ua ntej noj mov;
Haus dej ntau ntau;
Kev hloov pauv ntawm cov tshuaj aspirin mus rau niaj hnub plhaub analogues (THROMBO-ASS).
Thaum muab tshuaj aspirin thiab lwm yam NSAIDs, yuav tsum tau ceev faj yog tias tus neeg mob muaj:
Erosive thiab peptic ulcer kab mob nyob rau theem mob;
Ib tug neeg intolerance rau acetylsalicylic acid npaj;
Ntxim rau gastrointestinal los ntshav;
Bronchial hawb pob;
raum tsis ua haujlwm;
Kev xeeb tub hauv cov poj niam.
Nco ntsoov qhia koj tus kws kho mob yog tias koj muaj kev txwv tsis pub siv tshuaj aspirin. Qhov no yuav pab tau tus kws kho mob kom taug kev, xaiv cov tshuaj kom raug, hloov nws nrog cov tshuaj analogues zoo dua lossis cov tshuaj ntawm pawg kws tshuaj sib txawv, kho cov txheej txheem ntawm daim ntawv thov, thiab txo qhov zaus ntawm kev siv tshuaj aspirin.
Kev siv tsis tsim nyog ntawm txhua yam tshuaj tuaj yeem ua rau muaj qhov tsis zoo thiab cuam tshuam rau kev nqus ntawm lwm cov tshuaj. Cov tshuaj antacids uas muaj txhuas nyob rau hauv cov koob tshuaj loj ua rau cem quav, cov tshuaj uas muaj cov tshuaj potassium txo cov acidity ntawm lub plab (qee zaum qhov no yog ib qho khoom muaj txiaj ntsig). Potassium kuj muaj txiaj ntsig zoo rau cov poj niam thaum cev xeeb tub.
Nyob rau hauv cov ntaub ntawv ntawm intolerance rau tej pawg ntawm cov tshuaj, lawv yog hloov los ntawm lwm tus neeg. Piv txwv li, histamine-H2 blockers tuaj yeem hloov pauv. Cov tshuaj hauv pab pawg no (cimetidine, ranitidine) yog cov tshuaj tom khw muag khoom. Cov ntsiav tshuaj no tau sau tseg raws li kev tswj hwm acidity hauv plab, thiab, vim li ntawd, txo qhov mob hauv hyperacid gastritis.
Raws li kev haus cawv, nws yuav tsum tau muab tso tseg thaum lub sij hawm exacerbation ntawm gastritis thiab siv cov tshuaj pharmacological uas muaj kev cuam tshuam rau lub plab zom mov. Kev haus dej cawv tsis tu ncua yog ib qho kev hem thawj tiag tiag rau kev txhim kho gastritis ntawm lub plab.
Cov tshuaj rau gastritis ntawm lub plab
Nyob rau hauv lub arsenal ntawm gastroenterologists rau kev kho mob thiab kev tiv thaiv ntawm gastritis, muaj ntau yam pharmacological pawg ntawm cov tshuaj, xws li:
Enterosorbents - activated carbon, smecta;
Antacids;
Antiseptics thiab tshuaj tua kab mob;
tshuaj tiv thaiv kab mob;
Tetracycline tshuaj tua kab mob;
Antihistamines (H2 subtypes).