Kab mob plab hnyuv, uas ib leeg lossis ntau qhov mob tshwm sim ntawm lub plab hnyuv thaum lub sijhawm mob, hu ua erosive gastritis. Kev kho mob yuav tsum yog tsom rau kev tshem tawm cov ua rau, normalizing acidity ntawm gastric kua txiv thiab kho cov mucous daim nyias nyias. Thaum lub sijhawm mob hnyav, koj yuav tsum ua raws li kev noj haus.
ntse zoo
Kev kho mob plab erosive hauv daim ntawv no yuav tsum yog txhawm rau kho qhov chaw ntawm lub plab mucosa. Nws cov chav kawm ceev yog txhawb los ntawm ntau yam kev ntxhov siab uas tus neeg mob tau ntsib. Erosions zoo ib yam li qhov txhab nrog ib qho kev mob loj tshaj plaws ntawm qhov distal seem. Lawv txoj kab uas hla tsis tshaj 3 hli. Qhov ntau tshaj plaws yog superficial erosive gastritis. Nws yog provoked los ntawm kev nyuaj siab.
Chronic form
Nws yog qhov txaus ntshai tshaj plaws rau tib neeg noj qab haus huv. Muaj ntau erosionsgastric mucosa, uas tej zaum yuav nyob ntawm ntau theem ntawm kev kho. Cov kab mob yog cov Islands tuaj me me uas siab me ntsis saum cov mucosa. Cov kab mob me me tuaj yeem nyob rau saum, uas zoo ib yam li qhov tshwm sim ntawm kab mob plab ntawm tib lub npe.
Yam kev yaig
Raws li tus qauv morphological, cov ntaub ntawv hauv qab no yog qhov txawv:
- superficial (mob, tsis tiav lossis tiaj) - npog nrog cov quav hniav lossis cov ntshav, tsis tshua muaj - huv, tiaj, me me, nrog hyperemia ntawm qhov chaw;
- ua tiav (hloov, nce siab, inflammatory-hyperplastic), tsis kho li 2-3 xyoos nrog kev rov ua haujlwm tsis tu ncua, polypoid, txog li 15 hli inch, elevated saum mucosal nto.
Erosive gastritis raws li ICD-10
Cov ntawv luv no sawv cev rau International Classification of Diseases. Txhua yam mob muaj nws tus kheej cipher, suav nrog tsab ntawv Latin thiab cov lej uas haum rau hauv daim npav lossis keeb kwm kho mob. Cov ntaub ntawv no raug tshuaj xyuas ib ntus txhua 10 xyoo. Theem tom ntej ntawm kev hloov kho yog teem rau 2018.
Erosive gastritis raws li ICD-10 hais txog ntu K.29. Nws yog nws leej twg, nrog rau daim ntawv saum npoo, muaj tus lej 29.3.
Lub hauv paus tshwm sim
Erosive gastritis tsis tshwm sim los ntawm kos. Nws feem ntau yog ua ntej los ntawm lwm yam kab mob ntawm txoj hnyuv, uas tus neeg mob tsis mus rau kws kho mob. Nws sim kho tus kheej, uas tsis ua rau muaj dab tsi zoo. Advanced daim ntawv ntawm tus kab mob notuaj yeem xaus tsis zoo.
Ua rau erosive gastritis yog raws li nram no:
- tus cwj pwm phem;
- noj qee yam tshuaj rau lub sijhawm ntev: paracetamol, NSAIDs - txuas ntxiv kev kho mob nrog cov tshuaj no tuaj yeem ua rau muaj kev hloov pauv ntawm erosive gastritis mus rau malignant neoplasm;
- noj ntsim zaub mov;
- malnutrition;
- noj kub lossis txias dhau;
- nkag mus rau hauv lub plab ntawm cov ntsiab lus ntawm duodenum yog tias tsis ua haujlwm ntawm gastroduodenal sphincter thaum lub plab zom mov;
- tshuaj lom uas nkag mus rau hauv lub cev raws li kev ua haujlwm ntawm tib neeg;
- cim ntshav qab zib ketoacidosis;
- thyroid dysfunction;
- reflux;
- mob ntshav qab zib mellitus;
- kev cuam tshuam kev phais, txij li kev tsim cov hydrochloric acid hauv thawj kaum hnub tom qab kev phais nce 4 zaug;
- hypoxia hauv cov mob hnyav thiab mob ntev: coma, ua pa hnyav lossis lub plawv tsis ua haujlwm, kub hnyiab loj, raug mob;
- kev ntxhov siab rau ntawm lub mucosa los ntawm voluminous neoplasms nyob rau hauv submucosal txheej;
- kab mob plab hnyuv;
- muaj cov kab mob Helicobacter pylori hauv plab hnyuv.
Symptomatics
Raws li tau hais los saum toj no, tus kab mob tuaj yeem tshwm sim hauv ob hom, txhua tus muaj nws tus yam ntxwv.
Cov tsos mob ntawm tus mob erosive gastritis:
- cov quav ua kua tshwm, uas muaj cov ntshav, qhia tias los ntshav sab hauv;
- ntuav muaj cov ntsiab lus hauv plab, ntshav txhaws, hnoos qeev thiab kua txiv plab;
- xeev siab lossis kub siab tom qab noj mov;
- muaj qhov mob paroxysmal lossis mob tsis tu ncua hauv plab, hnyav dua tom qab noj mov thiab thaum yaig tsim;
- Lub ncauj yuav hnov qhuav thiab iab;
- yuav muaj qhov txo qis hauv qab los yog nws tsis ua tiav.
Cov tsos mob ntawm tus mob erosive gastritis:
- gastric los ntshav tshwm sim;
- burping tshwm sim;
- quav yuav tsis ruaj tsis khov - raws plab yog hloov los ntawm cem quav;
- nausea;
- siab kub;
- mob plab.
Yam erosive gastritis
Cov hauv qab no yog qhov txawv:
- superficial - yog qhov pib ntawm daim ntawv mob ntev, thaum txheej txheej sab saud ntawm cov mucosa raug kev txom nyem, qhov chaw epithelium txo qis, acidity nce, qhov mob hauv zos tshwm sim;
- antral - lub npe rau qhov chaw ntawm erosions nyob rau hauv qis ntawm lub plab, hu ua antral, feem ntau tshwm sim los ntawm cov kab mob;
- reflux yog hom kab mob hnyav tshaj plaws nrog kev tsim cov erosions loj;
- erosive-hemorrhagic - gastritis, uas pom los ntshav, tuaj yeem ua rau tuag taus;
- ulcerative - ntau yamdaim ntawv mob, erosion maj mam tig mus rau hauv ulcers.
Erosive gastritis tuaj yeem tshwm sim nws tus kheej hauv daim ntawv focal, tshwm sim los ntawm qhov muaj ntau qhov txhab. Nws tuaj yeem tsis meej pem nrog mob qog noj ntshav thiab yuav tsum tau tshawb fawb zoo.
Diagnosis
Yuav kom kuaj tau tus kab mob erosive gastritis, tus kws kho mob yuav tsum tau muab tshuaj ntsuam xyuas endoscopic. Cov txheej txheem no yog qhov tsis zoo rau tus neeg mob, tab sis tsis muaj cov analogues ntawm nws niaj hnub no. Tus kws kho mob ntxig ib qho endoscope rau hauv lub plab zom mov los ntawm lub qhov ncauj kab noj hniav, uas yog lub raj nrog lub teeb thiab lub koob yees duab thaum kawg. Los ntawm nws txoj kev siv, lub xeev ntawm txoj kev no raug soj ntsuam. Nyob rau tib lub sijhawm nrog kev kuaj xyuas, kev khawb tawm ntawm cov mucous membrane yog ua rau biopsy.
Txoj kev kuaj mob ntxiv yog raws li hauv qab no:
- X-ray txhawm rau kuaj cov qog, mob thiab yaig thaum noj cov tshuaj barium dhau los ntawm txoj hnyuv thiab ua rau nws, uas cov kab mob ua rau pom pom;
- ntshav thiab quav tshuaj - nrog kev pab los ntawm thawj zaug, ntshav ntshav tau kuaj pom tias nrog cov ntshav hauv plab, thiab cov qe ntshav liab hauv cov quav tau txiav txim siab, nce tus lej uas tseem qhia qhov kawg.
Kev kho mob gastritis
Nws yuav tsum yog lub hom phiaj tseem ceeb ntawm kev tshem tawm qhov laj thawj. Helicobacter pylori yog cov tshuaj tua kab mob ntau tshaj plaws. Hauv qhov no, siv cov tshuaj hauv qab no rau cov kab mob erosive:
- "Amoxicillin";
- YClarithromycin;
- Levofloxacin
- Tetracycline.
Txoj kev kawm yuav tsum tsis txhob cuam tshuam, vim tias cov kab mob kab mob tuag tau ntev thiab, yog tias lawv tsis raug puas tsuaj tag, lawv tuaj yeem rov tsim dua tshiab txhua lub sijhawm.
Tom ntej no, nws yog ib qho tsim nyog yuav tsum normalize cov kua qaub ntawm lub plab. Hauv qhov no, cov tshuaj tiv thaiv acid thiab tshuaj tiv thaiv kab mob:
- "Nizatidin";
- "Magnesium hydroxide";
- "Almagel";
- Maalox;
- Rennie thiab lwm tus.
Lawv txhua tus muaj lub luag haujlwm sib txawv, yog li koj yuav tsum tsis txhob coj lawv yam tsis muaj kws kho mob qhia.
Kev ua ntawm cov kua txiv hmab txiv ntoo yog muted los ntawm cov tshuaj no, yog li cov enzymes raug muab los pab txhawb kev zom zaub mov:
- "Digestal";
- Mezim.
Txhawm rau txo qhov mob, tus kws kho mob yuav sau tshuaj antispasmodics:
- "No-shpa";
- "Papaverine".
Thaum kawg, koj yuav tsum rov qab kho lub plab hnyuv. Txhawm rau ua qhov no, noj cov tshuaj hauv qab no:
- Trental;
- Iberogast.
Nrog lawv pab, cov ntaub so ntswg cuam tshuam tau zoo dua nrog cov pa oxygen, uas ua kom cov txheej txheem rov tsim dua sai dua.
Txhawm rau txo cov tsos mob thiab ua kom lub qhov txhab zoo nyob rau hauv erosive gastritis, siv cov tshuaj hauv qab no:
- sedatives;
- Yantispasmodics;
- tshuaj tiv thaiv oxidant;
- reparants;
- Yantacids.
In complexphysiotherapy tuaj yeem kho tau. Nrog pom los ntshav, laser, thermo- thiab electrocoagulation tuaj yeem raug sau. Brackets, endoscopic stitching kuj tseem siv tau. Tsis tas li ntawd, txhaj tshuaj sclerosants thiab adrenaline tuaj yeem muab tau.
Yog hais tias los ntshav, cov tshuaj hemostatic raug sau los ntawm kev txhaj tshuaj rau hauv cov hlab ntsha lossis intramuscular txhaj ntawm cov tshuaj hauv qab no:
- Vikasol;
- "Thioctic acid";
- "Dicinon".
Nyob rau hauv cov ntshav hnyav, electrocoagulation tau sau tseg, tab sis qee zaum txoj kev tsis ua haujlwm, ces lub plab thiaj li raug phais, vim qhov no yog tib txoj hauv kev cawm tib neeg txoj sia.
kev kho neeg zoo
Lawv yuav tsum tau siv tom qab sab laj nrog koj tus kws kho mob.
Cov tshuaj zoo tshaj plaws hauv kev kho mob plab erosive yog raws li hauv qab no:
Nyob rau hauv sib npaug zos proportions coj sage, horsetail, St. John's wort, peppermint, flax noob, yarrow, plantain nplooj, uas yog tov. Ib diav yog muab los ntawm qhov sib tov, uas yog muab tso rau hauv ib khob ntawm boiling dej, nyob rau hauv uas lub infusion yog nqa tawm rau peb teev. Cov nyiaj tau txais kaum feeb ua ntej noj mov
- Green apples grated. Ob tablespoons zib mu ntxiv rau lawv. Qhov sib tov yog noj 5 teev ua ntej noj mov. Tom qab noj mov, tsis txhob noj tib lub sijhawm. Hauv thawj lub lim tiam ntawm kev kho mob, kev sib tov yog noj txhua hnub, tom ntej - peb zaug, thib peb - ib zaug, tom qab ntawd tag nrhorov ua dua hauv lub voj voog tshiab. Kev kho mob yog peb lub hlis.
- Yog tias koj muaj acidity tsawg, koj tuaj yeem haus kua txiv pineapple peb zaug hauv ib hnub ua ntej noj mov rau peb lub lis piam.
- Buckwheat zib ntab nyob rau hauv tus nqi ntawm 250 g yog tov nrog ib nrab ib liter ntawm txiv roj roj. Noj 1 tbsp. l. 3 zaug ib hnub ib nrab ib teev ua ntej noj mov.
- Propolis tincture yog npaj raws li qhov sib piv - 3 feem ntawm propolis rau 10 feem ntawm vodka. 20 tee diluted nyob rau hauv ib khob dej thiab noj thaum sawv ntxov ntawm lub plab khoob. Kev kawm yog 2-3 lub hlis, yuav tsum muaj ob zaug ib xyoos nrog so.
- Mis nyuj sib xyaw nrog mummy. Cov chav kawm yog 3 lub hlis thiab suav nrog kev nkag mus rau 1 tbsp. l. ua ntej pw.
- Linden zib ntab yog tov nrog kua txiv aloe hauv qhov sib piv ntawm 1: 1. Nws tau noj ua ntej noj mov peb zaug hauv ib hnub.
- Hiav txwv buckthorn kua txiv yog diluted nrog dej hauv qhov sib piv ntawm 1: 1. Nws pab txhawb rau lub hnab ntim ntawm mucosa thiab nws cov restoration. Haus ib nrab khob ua ntej noj mov.
- Ib nplooj aloe uas tau tsim muaj ntau tshaj peb xyoos tau muab tso rau hauv lub tub yees ntawm lub tub yees rau ib teev. Tom qab ntawd, kua txiv yog nyem tawm ntawm nws, uas yog noj ua ntej noj mov, ib diav ntawm ib lub sij hawm. Kev kho mob yog 1-2 lub hlis.
- Kuj yog cov tshuaj zoo tshaj plaws rau kev kho mob plab erosive yog daim ntawv qhia hauv qab no: nqa ib khob nplej nplej, ncuav dej thiab tso rau ntawm windowsill. Tom qab nws sprouts, cov nplej yog ntxuav. Sprouts yog txiav nrog ib tug riam los yog dhau los ntawm ib tug nqaij grinder. Qhov sib tov yog noj nyob rau hauv 1 tbsp. l. ntawm lub plab khoob.
Kev noj haus
Cov ntawv qhia zaub mov rau erosive gastritis suav nrog cov khoom noj tshiab hauv kev noj haus. Tus neeg mob yuav tsumtxais cov pluas noj feem. Cov khoom no suav nrog:
- cov txiv hmab txiv ntoo thiab zaub tsis tshua muaj: zaub ntsuab, pears, taub dag, txiv tsawb, txiv duaj, celery, carrots, txiv apples;
- qhov chaw ntawm cov zaub fiber ntau uas pab kho lub plab zom mov: nplej xim av, millet, buckwheat;
- zaub roj, qe, cov khoom noj muaj roj tsawg;
- nqaij ntses thiab nqaij, boiled los yog steamed.
Cov zaub mov hauv qab no yuav tsum tsis txhob noj:
- pab kom muaj roj ntau dhau hauv cov hnyuv: legumes, dos, cabbage, broccoli thiab lwm yam;
- khoom noj tsis txaus, rog thiab hnyav: qos yaj ywm kib, nqaij nyuj thiab nqaij npuas;
- smoked nqaij;
- khoom noj ntsev;
- cawv;
- khoom noj txias thiab kub, vim tias thawj zaug ua rau cov ntshav ncig tsis zoo hauv thaj chaw yaig, thiab qhov thib ob ua rau cov txheej txheem inflammatory;
- muffin;
- chocolate;
- nqaij nplej;
- dej qab zib heev.
Txoj kev txwv rau cov khoom no yuav tsum tau ua nruj me ntsis thaum lub sij hawm exacerbation ntawm erosive gastritis.
Nyob rau hauv tus kab mob, koj yuav tsum tau ua raws li kev noj haus naj npawb 5. Kev noj ntau ntau yog 5-6 zaug hauv ib hnub. Cov zaub mov yuav tsum tau chewed zoo. Koj tsis tuaj yeem noj ntawm kev khiav, hloov lub sijhawm ntawm cov zaub mov thaum nruab hnub. Koj tsis tas yuav noj cov khoom noj uas muaj coarse fiber, nqaij nrog tendons. Cov txiv hmab txiv ntoo thiab zaub yuav tsum tau ntxuav.
Yog muajerosive gastritis nrog acidity siab, koj yuav tsum tau siv hydrocarbonate ntxhia dej, uas yuav tsum tsis yog-carbonated, ib khob ib teev ua ntej noj mov.
Raws li piv txwv, hauv qab no yog cov ntawv qhia ib hnub rau tus neeg mob uas muaj kab mob erosive.
Noj tshais: tsev cheese casserole, cocoa.
thib ob pluas tshais: cov khoom ci nrog cov roj tsawg lossis butter me ntsis.
Noj su: kua zaub tsis muaj rog raws li tsiaj lossis nqaij qaib. Lean ntses fillets thiab steamed zaub.
noj hmo: steamed zaub nrog nqaij, rosehip compote.
Rau hmo: fermented mis nyuj khoom xws li bifidok, yogurt los yog kefir.
Nyob hauv kaw
Kev kho mob plab erosive yuav tsum yog txhawm rau tshem tawm qhov ua rau, tshem tawm cov kua qaub thiab rov ua kom cov mucous membrane. Qhov tshwm sim feem ntau yog qhov cuam tshuam rau lub plab ntawm pathogenic microflora hauv daim ntawv ntawm cov kab mob Helicobacter pylori. Tab sis muaj lwm yam laj thawj rau tus kab mob no. Tus kab mob thaum los ntshav yog kev hem thawj rau tib neeg lub neej. Nws yuav muaj kev phais kom tshem lub plab. Yeej, kev kho mob yog kho. Tom qab kev sab laj nrog koj tus kws kho mob, koj tuaj yeem siv cov tshuaj pej xeem hauv kev kho mob, uas yuav pab txo lub sijhawm kho. Kev kho mob yuav tsum nrog kev noj haus 5.
