Erosive gastro: nchoputa, ọgwụgwọ na mgbochi. Erosive gastro: ọgwụgwọ nke ndiife ịgba akwụkwọ

Dị ka ndị dọkịta kwuru na, ihe karịrị 80% nke ọrịa nile akụkọ maka digestive usoro. The kasị nhata bụ erosive gastro. Gịnị ka ọ bụ? Nke a mkpali ọrịa nke mucosal gastric kpụrụ ọtụtụ ozize na ọnyá afọ guzobere na slizistofibrinoznym ọdịnaya. Ke adianade do, otụk mucosa nke duodenum. N'otu oge nsogbu oriri na-edozi mucosa hụrụ ụba acidity nke afo (hypersecretion), e nwere ike ọzịza.

Exogenous ihe mmepe

N'ihi na ihe ndị kasị akpata ọrịa na-agụnye ndị na-esonụ ihe:

- Ogologo oge ọgwụgwọ na antibacterial ọgwụ ọjọọ;

- mmetọ nke na-emerụ ihe oriri (mmanu mmanu, na-atọkwa ụtọ, ọkara okokụre ngwaahịa);

- na-efe efe nke na-edeghị ede oghere na pharynx;

- Ugboro oriri nke na-aba n'anya, ise siga;

- na nje bacteria Helicobacter pylori (H.pylori), nke-eme ka hemorrhagic erosive gastroduodenitis (eziokwu sayensị).

endogenous ihe

N'okpuru nduzi nke oghom ihe (bile acid, hydrochloric acid) egosi na mgbidi nke afo mmerụ ahụ na ọnyá na-guzobere nke mgbe (na-anọghị nke kwesịrị ekwesị ọgwụ) iduga ntoputa nke ọnyá nke afo na duodenum. Akpasu ọdịdị a daa ọrịa: mmiri ọgwụ ọrịa; na-adịgide adịgide ịda mbà n'obi, ike imebi ụjọ usoro; mkpụrụ ndụ ihe nketa (butere n'aka) pụrụ ịrịa. Erosive gastro nwekwara ike ime ka na-enwe nsogbu dịghịzi usoro.

nhazi ọkwa

Systematization dabeere na morphological mgbanwe (bughi) na oge nke ugbu a ọrịa. Gastro nwere ike kere n'ime ọtụtụ iche: nnukwu (ruo ọnwa atọ) na-adịghị ala ala (ihe karịrị ọnwa isii).

Na nzọụkwụ bluetongue mucosa dịghị enwe mbibi. Mgbe Ịchọpụta Otú Nsogbu anya ọzịza, nācha ọbara-ọbara. Nke a na ụdị nke ọrịa na-adị mfe mesoo.

Erythematous gastro egosi mgbe catarrhal ụdị na e ji akpọ nācha ọbara-ọbara.

Ọ bụrụ na ị nwere a-adịghị ala ala erosive gastroduodenitis, mgbe mgbe, a nsia metaplasia (ọdịdị nke gastric mucous mkpụrụ ndụ na-ejikarị na ha anaghị adị).

adakarị picture

Mgbe mbụ ogbo nke ọrịa ngosipụta fọrọ adịghị bilie. Ekemende ọrịa akara cramping mgbu, karịsịa mgbe a nri ruru ka e guzobere onya-ọnyá piloroduodenalnoy deformation mpaghara.

Erosive gastro mgbaàmà ndị dị ka ndị a: a mmetụta nke arọ na afo, ọgbụgbọ, vomiting, acid regurgitation, nrekasi obi. Omume pallor nke anụ ahụ na ọnwụ nke agụụ. Onye ọrịa ọdọhọde nke onye wetara uto ke onu oghere na ihe ejighị n'aka stool (afọ ọsịsa, afọ ntachi).

ụzọ nke nchoputa

Mgbe ụfọdụ, etinyere fibrogastroscopy (EGD) - a oge a na usoro nke nnyocha ahụ na nkọlọ, afo na duodenum. N'ihi nke a, a pụrụ iche ngwaọrụ akpọ fibrogastroscopy. Na nke a na ọgwụ na usoro gastroenterologist ekpebi ogo mbufụt, hà na ọnụ ọgụgụ nke ozize formations.

Fibrogastroscopy na-adịghị rụrụ na a siri ike gag mpiaji. Ndị dị otú ahụ na-gwara radiography, ultrasound na biopsy (ma ọ bụrụ na ọ dị mkpa). Doo nchoputa, dọkịta ahụ na-ahọpụta ndị kwesịrị ekwesị ọgwụ. Ke adianade do, ọbara sample-e n'ihi na ọnụnọ nke leukocytes na erythrocyte sedimentation ọnụego (nke na-egosi onye na-abawanye daa ọrịa).

Olee otú na-emeso erosive gastro: aṅụ ọgwụ

Họpụtara ndị na-esonụ ọgwụ ọjọọ:

- antibacterial elekọta mmadụ ( "amoxicillin", "metronidazole"), ha kpochapụ bacteria Helicobacter pylori;

- bismuth ọgwụ ( "De-nol") - nwere astringent mmetụta na belata mbufụt;

- antacids ( "Almagel", "Maalox") - ibelata acidity na belata ike ike mmetụta nke oghom ihe.

Adịghị ala ala erosive gastro emeso ogologo ma na-agụnye amanyere bụ iwu nke achọghị, nke e bu n'uche ka ewepu si nri ngwaahịa na a fibrous Ọdịdị na crude eriri (bran achịcha, turnips, stringy anụ, radish). Ọ kwesịkwara kpamkpam ahapụ ọ bụla na-aba n'anya, ụtaba, carbonated ọṅụṅụ, nri mkpọ, kọfị, ike tii e ghere eghe, na nnu oriri. Food ga-ekpo ọkụ na-thermally mesoo.

N'oge nri ka ọ dị mkpa amachi oriri nke uda di iche iche. Food na-atụ aro ọ bụla 2-3 awa iri obere òkè. Nkịtị na ngwaahịa ndị dị ka ndị a: Steam patties, meatballs, oat grits na cereal, mucous soups, jellies, scrambled àkwá, nonfat gbara ụka ude, ala-abụba ike cheese iche, pasteurized mmiri ara ehi. All nke ndị a ihe oriri nwere antacid mmetụta.

Agwọ iji mpako na ịgba akwụkwọ

Herbs nwere ike belata ọrịa na-arịa na ọbụna ịgwọ erosive gastro. Ọgwụgwọ nke mpako na ịgba akwụkwọ na njikọ na omenala ụzọ nke ọgwụ na-egosi ezi ihe:

- Abụọ nke ogwu St. Jọn wort, yarrow, chamomile okooko osisi weere na otu akụkụ nke celandine. All mmiri na kọfị igwe ka Mike na ntụ ntụ, wụsara n'ime a agụụ karama ma jupụta 500 ml nke sie mmiri. Ka ọ na ime biya maka abalị na tupu a nri 1/3 cup. Duration ọgwụgwọ - 1,5 ọnwa.

- One akụkụ nke St. Jọn wort, bearberry epupụta, bilie n'úkwù weere na abụọ n'akụkụ nke chicory, centaury na anọ n'akụkụ dymyanki ahịhịa. Mee osisi ntụ ntụ. Abụọ nnukwu ngaji Yet 500 ml esi mmiri, abalị na-aṅụ a decoction nke ¼ cup tupu eri.

- Mike atọ iberibe nke mkpụrụ nke cumin, asatọ akụkụ nke St. Jọn wort, plantain, cudweed, anọ nke knotweed, centaury, abụọ iberibe rhizome, pepemint na nkịtị yarrow otu akụkụ. Ime biya ngụkọta nke ịdị arọ nke abụọ spoons na 500 ml nke mmiri ọkụ, ime biya n'otu ntabi anya, na-aṅụ nkeji iri na ise cup.

Nwere ezi mgbochi mkpali Njirimara nke oké osimiri buckthorn mmanụ na mmanụ aṅụ. Itinye a Efrata na ihe oriri gị. Ma tupu iji herbal concoctions nwere ike ikwu na a oge na a dọkịta, ebe ọ bụ na ụfọdụ herbs nwere ike ime ka iwe. Iji chebe onwe ha site na ọrịa a, rie kwesịrị ekwesị na mgbe nile na-enyocha.