Mukati
Kuzvimba kwegastric mucosa ndechimwe chezvirwere zvakajairika zvevanhu. Inenge 80-90% yevanhu munguva yehupenyu hwavo vaiva nechikamu chimwe chechirwere ichi. Mukukwegura, kusvika ku70-90% yevanhu vanotambura nemhando dzakasiyana-siyana dzegastritis. Iyo isingaperi fomu ye gastritis inogona kushandura kuva peptic ulcer, kenza yemudumbu.
Chii chinonzi gastritis?
Gastritis kuzvimba kwemucous layer yemudumbu, zvichitungamira kusashanda kwenhengo iyi. Kana gastritis ichiitika, zvokudya zvinotanga kusagadziriswa zvakanaka, izvo zvinoguma nekuputsika uye kushaya simba. Gastritis, kufanana nezvirwere zvakawanda, yakaoma uye isingaperi. Mukuwedzera, kune gastritis ine yakaderera, yakajairika uye yakakwirira acidity yemudumbu.
Parizvino, gastritis inogona kutonzi chirwere chezana remakore. Vanokuvadza vose vakuru nevana. Uye maererano nehutano hwehutano, muRussia inenge 50% yevanhu vane gastritis mune imwe nzira.
Gastritis inoratidzirwa neakasiyana ekunze uye emukati zvikonzero zvinokonzera kukura kwechirwere. Kliniki, inoitika nenzira yekuzvimba (yakaoma kana isingaperi). Acute kuzvimba kwenguva pfupi. Kukuvadza kune mucous membranes yemudumbu ine concentrated acids, alkalis nemamwe makemikari inouraya zvine njodzi.
Chirwere chenguva refu (chisingaperi) chinoyerera chinoderedza hupenyu hwehupenyu uye chinozviratidza nenzira yemarwadzo, uyewo:
Kurema mudumbu;
chirungurira;
Belching;
kurutsa;
Diarrhea uye / kana kuvimbiswa;
Bloating;
Flatulence - kubuda gasi;
Kufema kwakaipa.
Chimiro chisingaperi chine ngozi atrophy ye gastric mucosa. Somugumisiro, glands dzemudumbu dzinorega kushanda zvakanaka. Atypical masero anoumbwa panzvimbo yemasero ane hutano. Kusaenzana kwemaitiro ekuzviporesa kwemasero egastric mucosa ndeimwe yezvinokonzera maronda uye kenza yemudumbu.
Dumbu ndiro chikamu chinotapukira chegadziriro yekugaya. Anenge matatu maitiro akaomarara ekugayiwa anoitika mairi: uku ndiko kusanganiswa kwemakanika kwechikafu pakoma, kuparara kwemakemikari echikafu, uye kutorwa kwechikafu.
Rusvingo rwemukati rwemudumbu, mucous membrane, rinowanzokuvadzwa, apo zvikamu zviviri zvakasiyana-siyana zvekugaya zvinogadzirwa - gastric juice uye mucus unodzivirira.
Kugaya mudumbu inzira yakanyatsogadziriswa biochemical yemuviri. Izvi zvinosimbiswa neyakajairwa acidic pH yegastric juice (chikamu chayo chikuru ihydrochloric acid), asiwo nemusiyano we acidity paramita muzvikamu zvayo zvakasiyana. High acidity (pH 1,0-1.2) inoonekwa muchikamu chekutanga chemudumbu, uye pasi (pH 5,0-6,0) - pakusangana kwemudumbu nemukati muduku.
Iyo gangaidzo iri muchokwadi chokuti mumunhu ane hutano, dumbu haringozvigayi chete, asiwo gastric juice inogadzirwa nemarara mumativi akasiyana emuviri ane zvinhu zvakasiyana. Panguva imwecheteyo, pH nharaunda musophagus haina kwayakarerekera, uye mu duodenum (chikamu chekutanga chemukati mudumbu) ine alkaline.
Kunzwa kusingafadzi, kunorwadza kwemunhu ane gastritis - chirungurira - chinonyanya kukonzerwa nekuputsika kwe-acid-base balance mune chimwe chezvikamu zvegumbo remuviri. Uye zvakare, kutsauka kweiyo acid chiyero kubva kune yakajairwa mune dzimwe nzvimbo dzemudumbu inokonzeresa pathogenesis ye gastritis ine yakaderera kana yakanyanya acidity.
Kukanganisa kwakanyanya pakugadzirisa kugaya: chikafu kana chepfu yemakemikari, kuburitswa kwebile mudumbu, hutachiona hwematumbo, kugara uchinwa mimwe mishonga, zvinwiwa zvekabhoni, doro uye zvimwe zvinhu zvinokanganisa mamiriro egastric mucosa. Iko kusimba kwakakomba kweiyo microbial factor pakukura kwegastritis kwakaratidza.
Mhedzisiro yenguva pfupi yekukurumidzira pakugaya inongogumira kune kuratidzwa kwekiriniki nenzira yekuzvimba kwakanyanya kweanotevera hunhu:
Catarrhal;
fibrinous;
Necrotic;
Phlegmonous.
Catarrhal gastritis inobatanidzwa nekushaya kudya kwekudya uye kunyorova kwekudya chepfu. Fibrinous uye necrotic gastritis inowanzokonzerwa nehuturu nemunyu wesimbi inorema, concentrated acids uye alkalis. Phlegmonous gastritis inokonzerwa nekukuvara kunorwadza kumadziro emudumbu.
Kugara kwenguva refu kune chipenyu chisina simba kunopera nekuvandudzwa kwechirwere chisingaperi, chinowedzerwa nemaronda emaronda pamadziro emudumbu. Gastritis inogona kuva chiratidzo che oncological process mudumbu remukati.
Izvo zvakasiyana-siyana zvekuratidzwa kwegastritis yemudumbu muvanhu zvinosimbiswa nemhando yavo yakaoma. Kutsanangudza zviratidzo zvekiriniki zvegastritis zvakakosha kune gastroenterologists pakurondedzera maitiro ekurapa. Muchiitiko chedu, uyu mufananidzo wemhando dzakasiyana dzechirwere kuitira kuumba pfungwa yakajairika ye gastritis muverengi.
Rimwe boka re gastritis harina kubatanidzwa nehutachiona, kunyange pane dzimwe nguva kubatana uku kunogona kuonekwa.
Non-microbial gastritis yakakamurwa kuva mapoka akati wandei:
Chidhakwa. Chirwere ichi chinokura pasi pesimba rekushandisa nguva dzose yezvinwiwa zvinodhaka zvakasimba (doro rine alkaline pH) kumusana wezvimwe zvinhu zvakawanda zvinosanganiswa nehuwandu husina kunaka hwehuwandu hwakawanda hwe ethyl doro pamuviri;
NSAID-induced gastritis. NSAIDs isiri-steroidal anti-inflammatory drugs inoshandiswa muzvirwere zvakawanda se antipyretic, analgesic uye antiplatelet mishonga. Mishonga yakakurumbira yeboka remishonga iyi ndeye acetylsalicylic acid (aspirin), analgin, diclofenac, indomethacin, ketoprofen, ibuprofen, piroxicam. Kusadzora kushandiswa kweNSAIDs kunokurudzira kukura kwegastritis, uye ipapo kuchinjwa kwayo kuva gastric ulcer.
Post-resection. Gastritis yakadaro inokura mushure mekumanikidzwa kuvhiyiwa kubviswa kwechikamu chedumbu.
Kemikari inokonzera gastritis. Ivo vanokura semhedzisiro yetsaona kana yakakosha kupinza kwemakemikari ane hukasha zvimiro kurwisa mapuroteni emuchu membranes yemudumbu.
Gastritis isingazivikanwi kwakabva.
Mukurapa kwehunyanzvi, mamwe maitiro egastritis anoshandiswawo, kusanganisira, zvichienderana nerudzi rwekupararira kwepathogenesis:
Autoimmune gastritis (rudzi A);
Exogenous gastritis (mhando B), inotsamwiswa neHelicobacter pylori;
Yakasanganiswa gastritis (rudzi A + B);
Gastritis (rudzi C) inotsamwiswa neNSAIDs, makemikari anogumbura kana bile;
Mhando dzakasiyana dzegastritis;
Gastritis inopesana nekuderera kwekuderera uye kuwedzera mukugadzirwa kwehydrochloric acid;
Mamwe maitiro e morphological uye anoshanda kuratidzwa kwegastritis.
Kusiyanisa kwavo kunosanganisira kushandiswa kwerabhoritari yezvokurapa yakaoma kana nzira dzekushandisa padanho rekuongorora chirwere. Nokudaro, kutsanangurwa kwegastritis, iyo inenge yakafanana nekliniki zviratidzo, asi zvakasiyana mumagadzirirwo ehutachiona hwehutachiona, haisi kufarira kune vakawanda vaverengi.
Ngatigarei zvakadzama pamusoro pezviratidzo zvikuru uye zviratidzo zvegastritis, izvo zvinogona kushanda sechikonzero chekuti munhu ataure nesangano rezvokurapa kuti abatsirwe.
Zviratidzo uye zviratidzo zvemudumbu gastritis
Gastritis inoratidzwa nezviratidzo zvakasiyana-siyana, asi inogona kuitika pasina kuratidzwa kuratidzwa. Chiratidzo chinonyanya kukosha ndechekurwadziwa mu solar plexus, iyo inowedzera mushure mekutora mamwe marudzi ezvokudya, zvinwiwa uye zvinodhaka, kunyanya izvo zvakawedzera utsinye kune gastric mucosa. Dzimwe nguva kurwadziwa kunowedzera pakati pekudya. Ne gastritis, zvokudya zvinonaka, doro, zvinwiwa zvekabhoni uye zvimwe zvekudya, kushandiswa kweiyo kunotungamirira kukuwedzera kwegastritis, zvinopesana.
Zvinokosha, asi zvishoma zvinogara zviratidzo zvegastritis chirungurira, kurutsa, uye belching. Chirwere chacho dzimwe nguva chinoratidzwa nekuputika uye kubuda kwegasi kakawanda. Kuonekwa kwezviviri kana kupfuura zvezviratidzo zviri pamusoro pamusoro pemashure ekurwadziwa kwepamuviri chikonzero chekufungidzira gastritis.
Chirwere chacho chinoratidzwawo nekudya kwezvokudya zvinonaka, zvinodhaka uye zvinwiwa zvine utsinye nguva pfupi kusati kwatanga kurwadziwa.
Zvakanyanya kuoma kuziva zviratidzo zvekusingaperi gastritis. Kwenguva yakareba, zviratidzo zvechirwere zvinongogumira kune zvigaro zvisingawanzoitiki, plaque parurimi, kuneta, kurira uye kuputika mudumbu pakati pekudya, flatulence, manyoka anowanzoitika kana kuvhara.
Chronic gastritis kazhinji haina kukanganisa kwakakura pahutano hwemurwere, kunze kwekuderera kwehupenyu hwehupenyu. Muchimiro chinyoro, chisingaperi gastritis chinoratidzwa nekuvhara uye manyoka. Muchimiro chakanyanya, kunze kweavo vanoratidzwa - kazhinji kubuda kwemagasi emukati, kupererwa neropa, kurara, kutonhora kudikitira, kuwedzera peristalsis, halitosis.
Zviratidzo zvekukwira acidity
Zviratidzo zvinowanzoitika zvegastritis ine acidity yakakwira, kuwedzera kune zviratidzo zvakajairika (kurutsa, kusvotwa):
Kurwadziwa kwenguva refu mu solar plexus, kunyangarika mushure mekudya;
Kakawanda manyoka;
Chirungurira mushure mekudya chikafu chinovava;
Kuda kazhinji kupfuudza magasi kubva mumuromo - belching.
Zviratidzo zvepasi acidity
Zviratidzo zvinowanzozivikanwa zvegastritis ine yakaderera kana zero acidity:
Kuravira kwakashata mumuromo
Kurema mudumbu mushure mekudya;
"Kuputika" mazai akaora ";
Rumbling;
Nausea mangwanani;
Matambudziko nekugara kwematumbo;
Kunhuwa kunonyangadza kubva mumuromo.
Zviratidzo zvekuwedzera kwegastritis
Kudzokororwa kwekusingaperi gastritis kunoratidzwa nemhando dzakasiyana dzezviratidzo, zvinowanzoitika zviratidzo ndezvi:
Nguva dzose kana periodic kurwadziwa mu solar plexus, iyo inowedzera pakarepo mushure mekudya, kana zvakasiyana, nekutsanya kwenguva refu;
Belching nemhepo, kupisa mu sternum, chirungurira mushure mekudya, kuravira kwesimbi mumuromo;
Nausea, kurutsa kwemangwanani kwehafu-yakagayiwa chikafu chine hunhu hunovava kuravira, dzimwe nguva kurutsa bile;
Kuwedzera salivation, nyota, kushaya simba;
Zviratidzo zve dyspepsia (kuvimbiswa, manyoka);
Chidzungu, palpitations, musoro.
Zviratidzo zvekuwedzera erosive (zvakaoma) mafomu egastritis anowedzerwa nekurutsa neropa, dzimwe nguva kurutsa nemuvara wakasviba wekurutsa. Kubuda ropa mudumbu panguva yekubuda ura kunoratidzwa netsvina nhema. Dzimwe nguva kubuda ropa mudumbu kunogona kutsanangurwa chete nenzira dzerabhoritari. Kubuda ropa kukuru kwemukati kunoratidzwa nekupenya kweganda uye mucous membranes uye inotsanangurwa zviri nyore neruvara rwe sclera yemaziso, dzungu, uye tinnitus.
Marwadzo mudumbu ane gastritis
Gastralgia - kurwadziwa mumadziro emimba (cavity) - chiratidzo chinokosha chegastritis. Zvichakadaro, marwadzo anoperekedzwa nezvimwe zvirwere zvemuviri wemimba, izvo zvinosanganiswa zvinonzi "acute abdomen". Kunzwa kusingafadzi kunoratidzwa nenzira yekurwadziwa, pamwe nekubaya, kudzvanya, kupfura, kupisa uye mamwe marudzi emarwadzo.
Marwadzo akafanana negastralgia anogona kuva chiratidzo chemyocardial infarction, kuzvimba kwemembrane yemoyo nemapapu, uye kuputsika kwembabvu. Kurwadziwa mudumbu kunogona kuonekwa nehutachiona, bhakitiriya uye parasitic pathologies mumatumbo, matambudziko emadzimai chaiwo, neurosis, chirwere cheshuga.
Pamba, unogona kuziva marwadzo anokonzerwa negastritis. Iyo inonyanya hunhu hwegastritis uye kuisiyanisa kubva kune mamwe pathologies e "acute abdomen" marwadzo anowedzera mushure:
Kudya, kunyanya zvinonhuwira uye kusvuta;
Kushandisa doro kana mimwe mishonga, kunyanya isiri-steroidal anti-inflammatory drugs;
Kumbozorora kwenguva refu kubva pakudya.
Izvo zvakasara zvingasarudzwa zvekuitika kwemarwadzo mudumbu mukusavapo kwehutano hwehutano uye kukwanisa kushandisa marabhoritari uye nzira dzekutsvakurudza dzinoshandiswa zvinogona kuvhiringidzika nyore nyore nezviratidzo zvezvimwe zvirwere.
Zvikonzero zve gastritis
Chinonyanya kufarira ndezvikonzero zvinokonzera chimiro chisingaperi che gastritis. Govera kunze uye zvemukati zvinhu zvinomutsa kukura kwechirwere. Sezvineiwo, mune vamwe vanhu, gastritis inokura zvishoma nezvishoma uye haina mhedzisiro yakakosha pamuviri. Izvi zvinoreva, zvichida, zvikonzero zvegastritis zvakavanzwa shure kwezvinhu zvakawanda uye kusanganiswa kwavo.
Zvinonyanya kukosha zvekunze zvikonzero zvegastritis:
Kukanganisa pamadziro emudumbu ebhakitiriya Helicobacter pylori, kazhinji mamwe mabhakitiriya uye fungi. Inenge 80% yevarwere vakaonekwa kuti vane gastritis secrete acid-resistant mabhakitiriya anopinda mukati memadziro egastric mucosa, anobudisa zvinhu zvakananga zvinogumbura mucous membrane, zvinokurudzira shanduko yemunharaunda mu pH yemadziro uye kuzvimba kwavo. Mhinduro yekupedzisira, nei mabhakitiriya aya achikonzera kukuvadza kukuru kune vamwe vanhu, uye kwete kune vamwe, haisati yazivikanwa;
Matambudziko ekudya. Yakave yakasimbiswa kuti kudya kwakashata ndicho chikonzero chinowanzokonzera gastritis. Chirevo chacho ndechechokwadi kune zvose kudyisa uye kuderedza. Izvo zvinodikanwa kusiyanisa chikafu nekudya kwezvirimwa zvakapfuma mavhitamini uye chirimwa fiber, iyo inojairika peristalsis. Nekudaro, nekuvandudzwa kwematanho ekutanga egastritis, zvinodikanwa kuti udzivise zvikafu zvine coarse yemiriwo fiber, pamwe nemafuta, zvinonhuwira, zvemumagaba uye zvakabikwa;
Kudhakwa kwedoro kunoparadzaniswa sechimwe chikonzero chegastritis yemudumbu. Ethanol mune zvidiki chikamu chakakosha cheiyo biochemical maitiro mumuviri, zvisinei, huwandu hukuru hwedoro hunomutsa acid-base kusagadzikana mumuviri. Pamusoro pezvo, doro muhukuru hukuru nekushandiswa nguva dzose rinokuvadza zvakanyanya dzimwe nhengo dzekudya - chiropa, pancreas, uye zvakare ine zvinokanganisa maitiro emetabolism mumuviri;
Zvave zvichionekwa kuti mamwe madhiragi anoshandiswa zvakanyanya mumishonga se-anti-clotting (antiplatelet), analgesic uye anti-inflammatory drugs ane chirwere chakakomba - anotsamwisa gastric mucosa. Kazhinji, gastritis inokonzerwa nemishonga isiri-hormonal anti-inflammatory drugs (aspirin, analgin) uye glucocorticoid hormones (prednisone). Iyi mishonga inokurudzirwa kuti ishandiswe zvakasimba kune zvinangwa zvekurapa, zvishoma, mudiki, mushure mekudya;
Vamwe vatsvakurudzi vanocherechedza kukanganisa kwekugadzirwa kwegastritis yehelminthic invasions, kusagadzikana kusingaperi, makemikari ane utsinye, akamedzwa netsaona kana nemaune.
Iyo huru yemukati (inoenderana nekutyorwa kwehomeostasis) inokonzera gastritis:
Kuberekwa kwevanhu kunokonzera zvirwere zvepamuviri;
Duodenal reflux - pathological kukanda bile kubva duodenum mudumbu. Bile, kupinda mugomba remudumbu, inoshandura pH yejusi uye inoshatisa mucous membrane. Pakutanga, kuzvimba kwe antrum yemudumbu kunokura, uye ipapo mamwe madhipatimendi ayo anobatanidzwa;
Autoimmune maitiro, kukuvadzwa padanho rekudzivirira rezvidziviriro zvemasero egastric mucosa. Nekuda kweizvozvo, masero anomira kushanda zvakajairika uye anorasikirwa neayo ekutanga maitiro. Chiitiko ichi chinokonzeresa kuyerera kwezvinoitika zvidiki zvinoshandura pH yemuto, uye zvinotungamira mukutsamwisa nguva dzose kwemadziro emudumbu. Iko kune endogenous kudhakwa uye kutyora kwekupokana kwe mucous membrane kune hukasha nharaunda yegastric juice;
Kutyorwa kwehomoni uye vitamin metabolism, iyo reflex mhedzisiro yepathogenesis yenhengo dziri pedyo nemudumbu.
Mhando dze gastritis:
Nekubatsirwa kwezvishandiso uye nzira dzekushanda, zvakawanda zvakasiyana-siyana zvegastritis zvakaonekwa. Zvisinei, munhu wose akakamurwa kuva gastritis ne:
Normal kana kuwedzera acidity;
Zero kana pasi acidity.
Zviratidzo zvegastritis zvine yakaderera kana yakakwira acidity zvinowanzo zivikanwa, zvisinei, kuongororwa kwekupedzisira kunoitwa pahwaro hwechidzidzo chegastric muto wakawanikwa nekuferefeta, pamwe ne intragastric pH-metry uchishandisa ma sensors akaiswa mudumbu. Iyo yekupedzisira nzira iri nyore mune iyo yenguva yakareba yekutarisa gastric juice parameters inogoneka. Mune zvimwe zviitiko, iyo pH yegastric zvirimo inotemerwa zvisina kunanga, mukudzidza weti pH.
Acid gastritis
Iyo inoratidzirwa nekurwadziwa kwakanyanya mu solar plexus kana muguvhu, kazhinji yemhando yeparoxysmal. Kurwadziwa kunopera mushure mekutora chikafu chekudya, kunowedzera pakati pekudya. Marwadzo ari right hypochondrium chiratidzo che ingress ye gastric juice mu duodenum. Pathology inoratidzwa nekupisa kwemoyo, hurwere hwemangwanani, belching yakaora, kurira mudumbu, manyoka (kuzvimba kunowanzoitika kune gastritis ine acidity shoma), kuravira kwesimbi mumuromo.
Mune zvimwe zviitiko, chirwere chacho chinopfuurira zvishoma nezvishoma, nekuwedzerwa nguva nenguva mushure mekunwa doro, zvinodhaka zveboka reNSAID, cardiac glycosides (digitis), potassium kugadzirira, mahomoni (prednisolone, dexamethasone, hydrocortisone). Kurwiswa kunogona kutsamwiswa nekushandiswa kwezvokudya "zvinorema". Mhando ye gastritis inotsanangurwa nekutsvakurudza kwezvokurapa.
Gastritis ine yakaderera acidity
Iyo asidhi iri mudumbu inobatanidzwa mukuparara kwekutanga kwehupfu hwekudya.
Gastritis ine acidity yakaderera inowanzoratidzwa nekuremerwa mudumbu, kukurumidza kuguta mushure mekudya, kuwedzera kuumbwa kwemagasi emukati. Mune zvimwe zviitiko, chirwere chinogona kugadziriswa nekutora ma enzymes ekudya (festal, gastal). Iwe unogona kurapa anacid gastritis kumba, zviri nyore kwazvo. Sezvo gastric juice yakaderedza zvinhu, unofanira kutsenga zvokudya kwenguva yakareba. Kunyatso kugaya kwechikafu chekudya mumuromo wemuromo uye kuchigadzira nemate ndiyo inoshanda isiri yekurapa nzira yekurapa gastritis.
Acute gastritis
Catarrhal gastritis inokura pasi pesimba remishonga yehasha (aspirin, mamwe maNSAID), zvinwiwa zvinokuvadza (doro, carbonated lemonades nekushandiswa nguva dzose) uye kudya kunorema (mafuta, munyu, kuputa, kusanganiswa). Acute gastritis inozivikanwawo nekumashure kwehutachiona hwehutachiona (salmonellosis nevamwe), pamwe chete nekumashure kwekutadza kwerenal uye chiropa. Acute mafomu egastritis anogona kutsamwiswa nema pathologies asina hukama zvakananga negwara remudumbu (pneumonia, frostbite). Izvi zvinokonzerwa nekuunganidzwa kwezvigadzirwa zve underoxidized muropa panguva yekuzvimba kwakanyanya kwemapapu, izvo zvinokonzera kuzvimba kwemadziro emudumbu. Rondedzera zvakare acute gastritis kumashure kwekushushikana.
Phlegmonous gastritis - mhedzisiro yekukuvadza nemaune kana netsaona kumadziro emudumbu (akamedzwa mapini, girazi, zvipikiri). Chirwere ichi chinoratidzwa nepurulent fusion yemadziro emudumbu.
Zviratidzo zvecatarrhal (zvakareruka) acute gastritis zvinoonekwa maawa 5-8 mushure mekusangana nedambudziko. Pathogenesis inotanga nekunzwa kutsva munzvimbo ye epigastric (mafanana: mugomba remudumbu, mune solar plexus). Marwadzo anokura munzvimbo iyi, kusvotwa, kurutsa, kuravira kwesimbi mumuromo. Toxic-infectious gastritis inowedzerwa nefivha, kuramba kurutsa uye manyoka. Mamiriro akakomba anoratidzwa nekurutsa kweropa - iyi inoora (necrotic) gastritis. Phlegmonous gastritis inoratidzwa nezviitiko zve peritonitis: rusvingo rwemudumbu rwakaoma, mamiriro ekudengenyeka.
Chisingaperi gastritis
Mumatanho ekutanga, chirwere chinopfuurira pasina zviratidzo zvakajeka. Hypersensitivity kune mamwe marudzi ezvokudya inoratidzwa nguva nenguva nenzira yekupisa uye kuputika. Kazhinji kune manzwiro ekuremerwa nedumbu rakazara, plaque uye yakasarudzika muenzaniso inowanikwa parurimi.
Chimiro chisingaperi che gastritis chinogona kukura pazera ripi zvaro: kubva pamakore makumi maviri kusvika kuzera. Chirwere ichi chinoratidzwa nenguva dzekuwedzera uye kuregererwa. Munguva yekuwedzera, zviratidzo zvekusingaperi gastritis hazvisi zvakasiyana nezviratidzo zvechimiro chechirwere chechirwere - marwadzo, akabatanidzwa nekunyunyuta, dzimwe nguva kurutsa. Kunzwa kusingafadzi kunowedzera mushure mekutora mamwe marudzi ezvokudya. Kazhinji iyi imwe seti yezvigadzirwa zvaunofanira kurangarira uye kuyedza kusabvisa kubva mukudya kana kudzikamisa manwiro.
Pallor of the mucous membranes inogona kuva chiratidzo cheimwe chirwere - atrophic gastritis. Zvinoitika kumashure kwekushomeka kwevhitamini B mumuviri12. Iyi vhitamini yakakosha zvikuru pakuumbwa kweropa. Atrophic gastritis inogona kunge isina zvimwe zviratidzo zvinoshamisa, kunze kwekupenya. Ngozi yechirwere ndechekuti chiratidzo chekukura kwekenza masero mu epithelium yemudumbu. Kuonekwa kweanemia kunopesana nemashure ezviratidzo zvegastritis ndiyo nguva yekunyatsoongorora mamiriro ehutano.
Muviri wemunhu une zviwanikwa zvekudzivirira zvakakura, saka shanduko yemararamiro, kudya kwekudya uye kurongeka kwakaomarara kurapwa kunowedzera zvakanyanya mukana wekurapa chero rudzi rwegastritis.
Ungazvibatsira sei kumba?
Chikonzero chinowanzokonzera gastritis kunwa zvakanyanya kwezvinhu zviviri zvinotevera:
Aspirin (acetylsalicylic acid);
Doro (ethyl doro, ethanol).
Aspirin uye analogues ayo anotemerwa neve cardiologists kwenguva refu yezuva nezuva uye inosungirwa kushandiswa kuitira kudzivirira myocardial infarction uye sitiroko. Makumi ezviuru zvevanhu zuva nezuva anotora aspirin senzira yekudzivisa kuumbwa kweropa, izvo zvinoita kuti dambudziko rekushandisa zvakachengeteka kweNSAIDs rikurumidze.
Acetylsalicylic acid gadziriro ine yakanakisa antiplatelet zvivakwa, kureva kuti, inodzivirira kuvandudzwa kweropa mumidziyo. Kuputika kweropa ndicho chikonzero chikuru chemyocardial infarction uye cerebral stroke. Zvisinei, aspirin nedzimwe NSAID dzine mhedzisiro isingafadzi - inotsamwisa mucous membranes yegumbo remudumbu. Varwere vane hypertensive vanoshandisa mishonga iyi zuva nezuva pamwe chete nemimwe mishonga. Kudya zvisina mwero aspirin uye analogues ayo anogona kumutsa rimwe dambudziko kune munhu anorwara - gastritis. Izvi ndezvechokwadi kune vanhu vose vezera rezera rinotambura nehutachiona, angina pectoris, avo vakatambura kana kuti vari pangozi yekuvandudza myocardial infarction.
Doroinoshandiswa zvakanyanya nemamwe mapoka evagari. Muvanhu vanofarirwa nezvirwere zvegastrointestinal turakiti, kunyange kunwa zvine mwero ethanol kunogona kukonzera kuwedzera kwegastritis. Doro rine alkaline properties. Nguva dzose neutralization yenzvimbo ine acidic yemudumbu ine ethanol inogadzira mamiriro ekutsamwisa kwemadziro.
Zvichakadaro, hapana chikonzero chekubvisa aspirin nemamwe madhiragi anokosha (simbi, potasium, mahomoni, nezvimwewo) kubva pakurongwa kwemishonga inobatsira. Nyatsoverenga zvinyorwa zvemishonga uye uzvitore maererano nechirongwa chinokurudzirwa nachiremba.
Kunyanya, iwe unogona kuderedza mhedzisiro yekutora aspirin nenzira dzinotevera:
Kuderedzwa kamwe chete dose (bvunza chiremba wako);
Kutora mushonga manheru ekudya;
Kunwa mvura yakawanda;
Shanduko kubva kuAspirin kuenda kune yemazuva ano shell analogues (THROMBO-ASS).
Paunenge uchiraira aspirin nedzimwe NSAID, kuchenjerera kunofanira kushandiswa kana murwere ane:
Erosive uye peptic ulcer chirwere muacute stage;
Kusashivirira kwega kwega kune acetylsalicylic acid kugadzirira;
Tsika yekubuda ropa mudumbu;
Bronchial asima;
itsvo kutadza;
Mimba muvakadzi.
Gara uchiudza chiremba wako kana uine chero zvirambidzo pakushandisa aspirin. Izvi zvichabatsira chiremba kufamba, kusarudza muyero chaiwo wemushonga, woutsiva nemaanalogue akakodzera kana zvinodhaka zveboka rakasiyana remishonga, kugadzirisa nzira dzekushandisa, uye kuderedza kuwanda kwekushandisa aspirin.
Kushandiswa kusina musoro kwemishonga chero ipi zvayo kunogona kuva nemigumisiro yakaipa uye kukanganisa kutorwa kweimwe mishonga inorayirwa. Maantacids ane aruminiyamu muhukuru hunokonzera kuvimbiswa, mishonga ine potassium inoderedza asidi yemudumbu (mune dzimwe nguva ichi chinhu chinobatsira). Potassium inobatsirawo kuvakadzi panguva yekuenda kumwedzi.
Muchiitiko chekusashivirira kune mamwe mapoka emishonga, anotsiviwa nemamwe. Semuenzaniso, histamine-H2 blockers inogona kuva inotsiva yakadaro. Mishonga iri muboka iri (cimetidine, ranitidine) inopfuura-the-counter zvinodhaka. Aya mahwendefa anorayirwa senzira yekugadzirisa acidity mudumbu, uye, semugumisiro, kuderedza marwadzo mu hyperacid gastritis.
Kana iri doro, inofanira kusiiwa panguva yekuwedzerwa kwe gastritis uye kushandiswa kwemishonga yemishonga ine simba rinotyisa pamakumbo emimba. Nguva dzose kunwa doro ndeyechokwadi kutyisidzira kukura kwegastritis yemudumbu.
Mishonga ye gastritis yemudumbu
Mune arsenal ye gastroenterologists yekurapa nekudzivirira gastritis, kune akati wandei emishonga mapoka emishonga, kusanganisira:
Enterosorbents - activated kabhoni, smecta;
Antacids;
Antiseptics uye disinfectants;
antidiarrheal mishonga;
Tetracycline antibiotics;
Antihistamines (H2 subtype).