Reflux gastritis yog ib qho pathology uas provokes kev loj hlob ntawm cov txheej txheem inflammatory nyob rau hauv cov ntaub so ntswg ntawm lub plab mucosa. Kev mob tshwm sim tshwm sim vim qhov tseeb tias cov ntsiab lus ntawm duodenum raug pov rau hauv lub plab, acidity ntawm qhov sib txawv heev. Xws li ib tug pov yog hu ua reflux. Nyob rau tib lub sijhawm, kev txhim kho ntawm cov txheej txheem inflammatory hauv cov mucous membrane hu ua gastritis.
Reflux gastritis tuaj yeem tshwm sim vim muaj ntau yam laj thawj thiab tib lub sijhawm nws muaj cov cim tshwj xeeb. Rau kev kho mob ntawm tus kab mob, nws yog ib qho tsim nyog tsis tsuas yog siv cov tshuaj, tab sis kuj ua raws li kev noj zaub mov nruj. Raws li ib qho ntxiv, cov tshuaj ib txwm siv, uas yuav pab ncaj qha rov qab cov qauv ntawm lub plab cuam tshuam. Kab lus no yuav piav qhia txog cov tsos mob, kev noj haus thiab kev kho mob reflux gastritis.
Physiology
Lub sphincter yog ib puag ncig cov leeg uas nyob ntawmciam teb ntawm esophagus thiab plab. Raws nraim tib cov leeg yog nyob ntawm qhov tawm ntawm lub cev. Nws qhib ib txoj hauv kev ntxiv rau hauv duodenum tom qab kev kho mob. Yog hais tias ib tug neeg noj qab nyob zoo, ces txoj hauj lwm ntawm cov kab mob no yog synchronized kiag li. Tom qab lub esophageal sphincter kaw, lub plab pib ua yoj-zoo li txav, yog li ua zaub mov thiab coj nws mus rau duodenum. Tom qab ntawd, lub sphincter qis dua tau qhib, hla cov khoom noj rau hauv cov hnyuv thiab kaw dua.
Lub plab muaj cov qauv zoo sib xws rau qhov laj thawj. Nyob rau hauv txhua qhov ntawm nws lub tuam tsev, cov acidity sib txawv kiag li, uas yog tsim nyog rau tag nrho cov khoom noj. Nyob rau sab ntawm txoj hlab pas, lub acidity yuav tsis muaj zog, nyob rau hauv nruab nrab ntawm lub plab pH yog acidic mus ua zaub mov, thiab ze rau cov hnyuv nws ua alkaline.
Reflux-type gastritis pib tsim thaum cov leeg qis tsis kaw tag lossis qhib thaum tsis muaj zaub mov hauv plab. Vim li no, cov khoom hauv plab hnyuv, uas tau kho tag nrho nrog alkali, pib nkag mus rau hauv antrum (kawg) ntu lossis siab dua hauv ntau qhov sib txawv, uas ua rau kev txhim kho ntawm cov txheej txheem inflammatory.
Kev txhim kho kab mob
Reflux gastritis tuaj yeem tshwm sim rau cov laj thawj hauv qab no:
- Ib tug txiv neej raug kev txom nyem los ntawm duodenitis.
- Tus neeg mob feem ntau noj tshuaj tua kab mob.
- Thaum muaj kev phais mob hauv thaj tsam ntawm cov hnyuv thiab plab, kev puas tsuaj tshwm sim rau cov leeg nqaijlos yog lawv txoj kev ncaj ncees.
- Muaj qhov ua tsis tiav ntawm cov leeg sphincter.
Kev faib tawm
Zoo ntawm qhov reflux, gastritis tshwm sim los ntawm nws txawv raws li duodenal reflux thiab biliary.
Duodenal reflux gastritis yog cov txheej txheem inflammatory uas pib tsim vim retrograde reflux ntawm cov ntsiab lus rau hauv plab los ntawm duodenum. Pathology tuaj yeem txhim kho vim muaj cov kab mob hauv cov hnyuv, yog tias muaj kev kub siab hauv nws, thaum muaj cov leeg tsis muaj zog ntawm cov hnyuv thiab lub plab.
Nyob rau hauv cov ntaub ntawv ntawm biliary (bile) reflux gastritis, pathology cuam tshuam cov reflux ntawm cov kua tsib rau hauv lub plab. Feem ntau, nws yuav tsum nkag mus rau hauv duodenum los ntawm cov kab mob subhepatic thiab raug tso tawm. Tab sis cov kua tsib los ntawm cov hnyuv nkag mus rau hauv lub plab. Cov laj thawj tseem ceeb tuaj yeem raug hu ua kev sib cog lus tsis txaus ntawm cov leeg pylorus, mob stagnation tau pom nyob rau hauv duodenum, kev sib koom tes ntawm cov leeg nqaij hauv plab thiab cov hnyuv cuam tshuam.
Tus kab mob tshwm sim li cas
Reflux gastritis tuaj yeem tshwm sim thawj zaug yam tsis muaj tsos mob lossis cov tsos mob yuav mob me. Vim li no, ib tug neeg rau lub sij hawm ntev yuav tsis txawm paub txog kev loj hlob ntawm pathology. Vim muaj cov tsos mob zoo sib xws, ntau tus neeg tsis meej pem reflux gastritis nrog reflux esophagitis (reflux ntawm plab cov ntsiab lus rau hauv txoj hlab pas).
Tib lub sijhawm, cov kua qaub hauv lub plab hloov pauv tas li, uas ua rau cov cell degeneration sai sai rau cov uas.lawv cov haujlwm thiab cov yam ntxwv tuaj yeem zoo li cov kab mob hauv plab. Xws li qhov tshwm sim yog qhov txaus ntshai heev, vim tias muaj kev pheej hmoo siab ntawm cov cell degenerating mus rau cov qog nqaij hlav cancer.
Kev txheeb xyuas tus kab mob los ntawm cov tsos mob
Cov tsos mob hauv qab no ntawm reflux gastritis yuav qhia tau tias muaj kab mob:
- Ib qhov mob npub, mob tshwm sim hauv thaj tsam epigastric.
- Ib tug neeg poob qab los sai.
- Txawm tias tus neeg mob tsis tau noj dab tsi los, nws muaj lub siab tias lub plab puv thiab hnyav heev.
- Ib yam phem heev yuav tshwm sim hauv qhov ncauj.
- Nyob rau hauv lub xub ntiag ntawm biliary reflux gastritis, yuav muaj ib tug iab burp.
- Nyob hauv cov ces kaum ntawm qhov ncauj, qhov txhab me me, qaug dab peg pib maj mam tsim.
- Ib tug neeg mob cem quav, ces raws plab.
- Nyhav pib poob sai.
Kev kuaj kab mob
Yuav kom kuaj mob xws li reflux gastritis, nws yuav tsum tau kuaj xyuas kom meej. Rau qhov no, siv cov kev kuaj mob hauv qab no:
- FGDS.
- Ultrasound ntawm cheeb tsam hepatobiliary, uas suav nrog daim siab, gallbladder, subhepatic bile ducts, pancreas.
- Tus pH ntawm plab yog saib xyuas thoob plaws hnub.
- Biopsy ntawm lub plab, uas yog ua ncaj qha thaum kuaj xws li fibrogastroduodenoscopy.
Kev kho mob ntawm pathology
Nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li kev kho mob kom sai li sai taurestore lub cev ib txwm ua ntawm contraction ntawm sphincters thiab neutralize cov kua tsib acids thiab alkaline Cheebtsam ntawm refluxate. Txog niaj hnub no, rau kev kho mob reflux gastritis, nws yog ib txwm siv:
- Cov khoom tshwj xeeb uas tsim cov yeeb yaj kiab tiv thaiv ntawm lub plab tag nrho, thiab tseem tuaj yeem txo qis acidity - antacids ("Rennie", "Almagel").
- Tshuaj raws li ursodeoxycholic acid, uas yog tsom rau nruab nrab cov kua tsib acids ncaj qha. Lawv sai sai tig lawv mus rau hauv cov dej-soluble daim ntawv ("Ursosan", "Ursofalk").
- Tshuaj uas normalize lub plab thiab cov hnyuv ("Motilium", "Trimedat").
- Yog tias lub plab acidity siab dhau lawm, koj yuav tsum tau siv tshuaj ntxiv txhawm rau txhawm rau inhibiting cov synthesis ntawm hydrochloric acid ("Ranitidine", "Famotidine").
khoom noj kom raug
Kev noj zaub mov rau tus mob reflux gastritis yog tus neeg mob yuav tsum tshem tawm tag nrho cov zaub mov tsis zoo ntawm nws cov zaub mov, tshwj xeeb tshaj yog cov khoom noj ceev, nrog rau cov haus luam yeeb, ntsim thiab kib.
Qhov no yog qhov tseem ceeb: yog tias koj tsis ua raws li tag nrho cov cai ntawm kev noj zaub mov nruj, ces txawm tias noj cov tshuaj ntau tshaj plaws yuav tsis muaj txiaj ntsig.
Cov cai tseem ceeb ntawm kev noj haus rau kev kho mob reflux gastritis:
- Los ntawm kev noj zaub mov koj yuav tsum tshem tawm cov khoom noj uas ua rau khausmucous daim nyias nyias ntawm lub plab thiab hnyuv.
- Tsis txhob haus cov zaub mov ntsim, kas fes, dej cawv, khoom noj kib thiab haus luam yeeb, dej qab zib, thiab qhob noom xim kasfes.
- Tag nrho cov zaub mov yuav tsum sov thaum noj.
- Cov zaub mov yuav tsum yog feem ntau - koj yuav tsum noj ntau zaus, tab sis hauv qhov tsawg tshaj plaws tau.
- Cov zaub mov tseem ceeb hauv cov zaub mov yuav tsum yog grated los yog slimy soups, boiled qe, low-fat fish and meat, low-fat, low-fat sauces, a variety of cereals and jelly, fat-free cottage cheese, stewed zaub thiab txiv hmab txiv ntoo.
- Tsis txhob haus dej haus thaum noj mov.
Kev kho mob reflux gastritis nrog kev noj zaub mov yuav tsum tau ntxiv los ntawm kev tsis lees paub qee tus cwj pwm. Piv txwv li, koj yuav tsum tsis txhob khoov, tshwj xeeb tshaj yog tom qab noj mov, nrog rau ib nrab ntawm lub cev. Koj tsis tuaj yeem nqa qhov hnyav, pw ntawm lub hauv ncoo siab heev, lossis ua txoj haujlwm kab rov tav tam sim tom qab noj mov. Qhov no yuav ua kom ceev kev kho mob ntawm reflux gastritis, thiab cov tsos mob yuav tsis tshua meej.
Kev kho mob ntawm pathology nrog pej xeem tshuaj
Rau kev kho mob reflux gastritis, cov tshuaj pej xeem siv tsuas yog cov zaub mov uas twb tau kuaj dua ntau xyoo lawm. Qhov txhais tau zoo tshaj plaws suav nrog cov hauv qab no:
- Dandelion raws syrup. Txhawm rau npaj cov tshuaj, koj yuav tsum muab cov paj dandelion thiab ib nrab ib kilogram suab thaj nyob rau hauv ib lub hub peb-liter. Koj yuav tsum tau kis nws nyob rau hauv cov khaubncaws sab nraud povtseg, ces zuaj kom txog thaum lub kua txiv tshwm. Tom qab ntawd, ib tug tablespoonDilute lub resulting syrup nyob rau hauv 100 ml ntawm dej sov. Cov tshuaj noj peb zaug ib hnub twg. Raws nraim tib yam zoo phoov tuaj yeem npaj los ntawm chamomile. Chamomile phoov yog noj tib yam.
- Qos yaj ywm decoction. Nws yog ib qho tsim nyog kom huv si ntxuav ob peb qos tubers, ces txiav lawv mus rau hauv pieces nrog rau tev thiab boil rau ib teev. Txij lub sij hawm, koj tuaj yeem ntxiv me me dej. Qhov tshwm sim decoction yog noj mus txog 6 zaug ib hnub twg ntawm 100 ml.
- Qos yaj ywm kua txiv. Nqa cov qos yaj ywm nyoos thiab grate nws. qhwv lub resulting chips nyob rau hauv cheesecloth thiab nyem lub kua txiv tawm ntawm nws. Koj yuav tsum haus cov kua txiv no ntau zaus. Qhov siab tshaj plaws ntawm koob tshuaj ib hnub twg yog 6 zaug 100 ml.
- Kua txiv los ntawm celery paus. Nyem cov kua txiv hmab txiv ntoo los ntawm celery hauv paus ib yam li cov qos yaj ywm. Noj ib tablespoon ob zaug hauv ib hnub, ua ntej noj mov.
- Sib tov ib tablespoon ntawm yarrow, mint, St. John's wort thiab ncuav peb khob ntawm boiling dej. Tso cov khoom kom infuse nyob rau hauv ib lub thermos rau ib hnub. Tom qab ntawd cov infusion yuav tsum tau ua tib zoo lim thiab qaug dej hauv ob peb lub me me txhua ob teev.
Yog tias koj xav tias muaj kev txhim kho ntawm reflux gastritis, nws yog ib qho tseem ceeb mus ntsib kws kho mob gastroenterologist. Tom qab ntawd, ua txhua yam kev kawm tsim nyog. Nco ntsoov tias tsuas yog ib tus kws kho mob tuaj yeem xaiv txoj kev kho mob zoo tshaj plaws rau reflux gastritis, uas yuav ua ketshuaj zoo, noj thiab tshuaj ntsuab.
Muaj Teeb Meem
Feem ntau, reflux-type gastritis tuaj yeem kho tau yooj yim. Tab sis yog tias kev kho mob pib lig dhau lawm, tus neeg mob tuaj yeem tsim teeb meem. Ntawm lawv:
- atrophic gastritis;
- mob reflux gastritis yuav dhau mus ntev;
- plab plab;
- txhim kho cov txheej txheem oncological hauv plab hnyuv.
Yog koj saib xyuas koj kev noj qab haus huv, ces tag nrho cov teeb meem no yuav zam tau yooj yim.
Tiv thaiv kab mob
Yuav kom tsis txhob raug kev txom nyem los ntawm cov kab mob tsis zoo li reflux gastritis yav tom ntej, nws txaus los ua raws cov lus qhia yooj yim:
- Ua kom koj cov zaub mov noj qab nyob zoo li sai tau.
- Txhua yam kab mob ntawm txoj hnyuv yuav tsum tau kho raws sijhawm, thiab kev kho yuav tsum xaiv kom raug.
- Tsis txhob haus cawv ntau.
Tsis tas li, tsis txhob hnov qab tias nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas nrog cov kws kho mob tsis tu ncua, yog li ntawd thaum tsis muaj cov tsos mob qhia meej meej ntawm kev mob plab reflux, cov kab mob tuaj yeem kuaj pom ntxov li sai tau. Cov kev cai yooj yim yuav pab kom koj muaj lub plab thiab cov hnyuv. Txawm li cas los xij, yog tias koj pom qee qhov tshwm sim ntawm kev ua txhaum ntawm kev ua haujlwm ntawm lub plab zom mov, nws raug nquahu kom nrhiav kev pab los ntawm kws kho mob. Cov neeg nyob rau hauv lawv cov kev txheeb xyuas ntawm reflux gastritis hais tias nws yog kev kho mob raws sij hawm uas tso cai rau lawv kom tau zoo thiab seamlessly tshem tawm ntawm tus kab mob no.pathology.
