Erosive gastritis ntawm lub antrum yog ib qho mob uas tshwm sim hauv thaj tsam ntawm duodenum. Nrog rau kev kho kom zoo, qhov kev cia siab ntawm tus kab mob yog qhov zoo, txawm li cas los xij, yog tias muaj qhov tshwm sim tsis zoo thiab tsis ua raws li tus kws kho mob cov lus pom zoo, tus kab mob tuaj yeem ua rau los ntshav thiab hloov mus ua tus kab mob peptic.
Lub tswvyim ntawm antrum
Nws nyob hauv qab plab. Qhov no yog qhov uas hnoos qeev secreted los ua cov kua qaub, ua zaub mov los ntawm lub plab ua ntej nws nkag mus rau hauv cov hnyuv. Nws yog nws leej twg tso cai rau koj kom tswj tau cov kua qaub-puag nyiaj ntawm lub plab zom mov. Hauv chav haujlwm no, cov khoom tsim tawm uas ua rau kom nce lossis txo qhov tsim cov enzymes uas txhim kho kev thawb ntawm cov zaub mov crushed. Noj li ib feem peb ntawm lub plab.
Vim txoj kev loj hlob
Qhov tseem ceeb yog cov kua txiv hmab txiv ntoo rau ntawm daim tawv nqaij. Nws yog vim muaj kev cuam tshuam ntawm ntau yam sib xyaw ua ke:
- muaj lwm tuskab mob mob plab;
- kev nyuaj siab;
- noj tshuaj rau lub sijhawm ntev, tshaj qhov koob tshuaj ntawm lawv siv, muaj kev phiv los ntawm kev siv;
- Antral erosive gastritis feem ntau tsim nrog NSAIDs, vitamin C thiab glucocorticoid steroids;
- tus cwj pwm phem;
- kev noj zaub mov tsis zoo nrog cov zaub mov ntsim thiab qaub, nrog rau cov dej qab zib uas ua rau khaus khaus;
- Helicobacter pylori nkag rau hauv plab.
Hais txog qhov kawg, nws suav txog li 90% ntawm cov neeg mob erosive antral gastritis, tab sis tsuas yog 10% ntawm cov neeg kis tus kab mob no tsim tus kab mob.
Qhov chaw zoo rau kev txhim kho cov kab mob no yog acidic. Cov kab mob no pab txhawb kev hloov pauv ntawm urea mus rau ammonia, uas ntxiv acidifies ib puag ncig hauv plab. Qhov no provokes kev tuag ntawm epithelial hlwb, raws li qhov tshwm sim ntawm qhov chaw ntawm lub cev raug aggressively tawm tsam los ntawm gastric kua txiv, uas ua rau tsim ntawm ntau yam ulcers uas loj hlob raws sij hawm.
Kev faib tawm ntawm erosive antral gastritis
Raws li cov yam ntxwv ntawm chav kawm, muaj ntau yam kab mob no:
- daim ntawv mob - muaj cov tsos mob tshwm sim rau tus kab mob, tab sis me ntsis exacerbated;
- daim ntawv mob ntev - tus cwj pwm los ntawm cov tsos mob npub, hloov mus rau hauv daim ntawv mob hnyav.
Raws li qib ntawm kev loj hlob ntawm foci, ntau yam hauv qab no yog qhov txawv:
- Antral erosive gastritis ntawm lub plab nrog kev yaig tag, nyob rau hauv uas lub khob hliav qab-zoo li tus outgrowths yog tsim nrog lub xeem kev nyuaj siab los yog rwj nyob rau hauv qhov chaw. Kev o thiab edema tuaj yeem pom ntawm cov ntaub so ntswg nyob ze, txawm hais tias feem ntau tsis pom cov tsos mob tshwm sim.
- Kab mob nrog kev yaig tsis tiav. Cov formations yog tiaj tus, ntau qhov sib txawv thiab cov duab, tsis tshua pom tau, feem ntau tseem ceeb nyob rau hauv lub xub ntiag ntawm hyperemic cheeb tsam uas nyob ib ncig ntawm cov zones.
- Erosive hemorrhagic antral gastritis. Nws yog tus yam ntxwv los ntawm ntau yam me me ulcerations zoo li pricks ntawm lub plab nrog ib tug xim ntawm lub teeb cherry mus rau kaj liab nrog ib tug hyperemic nthuav nto, uas muaj peev xwm tshaj qhov loj ntawm hemorrhagic ulceration ob peb zaug. Los ntshav feem ntau tshwm sim hauv cheeb tsam no.
Ua tiav kev yaig kis thoob plaws hauv cov mucosa thiab tshwm sim, raws li txoj cai, vim muaj cov txheej txheem mob ntev.
daim duab kho mob
Erosive antral gastritis zoo ib yam li gastritis zoo tib yam, tab sis txawv ntawm qhov tom kawg ntawm qhov chaw ntawm kev tsom mus rau kis kab mob. Yog li ntawd, thaum kuaj xyuas, kev kuaj mob tsis raug, yuav ua rau muaj qhov mob ntawm duodenum.
Cov tsos mob ntawm tus kab mob no yog raws li nram no:
- saj dynamics - qhov no tuaj yeem ua rau tus neeg mob tsis kam noj zaub mov,uas yav tas los nws nyiam dua lwm tus;
- spasms hauv plab plab;
- nyob rau hauv daim ntawv mob ntev, tej zaum yuav tawm hws ntau dhau thaum pw tsaug zog, nkees nkees thiab tsis muaj zog;
- yuav ntuav ntshav;
- plab, plab, xeev siab, quav tsis ruaj;
- kub hnyiab thiab tsis xis nyob hauv thaj tsam epigastric.
Cov tsos mob tej zaum yuav maj mam thiab qhov muag plooj, tab sis kev puas tsuaj rau lub plab tseem tuaj yeem txhim kho, uas yuav ua rau los ntshav. Hauv qhov no, yuav pom cov cim hauv qab no:
- lub cev kub nce;
- faints thiab twilight xeev ntawm kev nco qab tshwm;
- pallor ntawm epidermal integuments yog tsim.
Hauv cov xwm txheej no, yuav tsum tau pw hauv tsev kho mob xwm txheej ceev, vim tias ncua sij hawm tuaj yeem ua rau tuag taus.
Diagnosis
Kev kuaj pom tseeb ntawm erosive antral gastritis yog ua tau nrog cov kev tshawb fawb hauv qab no:
- ntsuas cov kua qaub hauv plab txhawm rau txhawm rau txhawm rau ua haujlwm tsis zoo thiab txiav txim siab tsim cov plab hnyuv;
- Ultrasound txhawm rau kuaj xyuas lwm yam kab mob ntawm lub plab zom mov;
- kev tshuaj ntsuam dav dav ntawm quav, zis, ntshav;
- endoscopy thiab biopsy - qhov mob ntawm cov mucosa, qhov xwm txheej ntawm tus kab mob, qhov muaj cov qog nqaij hlav raug kuaj - tsawg kawg 5 cov qauv raug coj mus kuaj, suav nrog 2 ntawm lub plab ntawm lub plab;
- noj anamnesis, nug tus neeg mob.
Tom qab kev kuaj mob tau tsim, daim ntawv thiab qib ntawm tus kab mob raug tsim, kev kho tau raug sau tseg.
Tseeb kho mob
Raws li tau sau tseg saum toj no, hauv 90% ntawm cov neeg mob, tus kab mob no tshwm sim los ntawm cov kab mob Helicobacter pylori. Yog li ntawd, kev kho mob ntawm erosive antral gastritis tshwm sim los ntawm qhov tshwj xeeb no yog xam hauv qab no.
Cov kev cai hauv qab no yuav tsum tau ua raws:
- nres kev txhim kho ntawm cov txheej txheem rwj;
- cov tshuaj siv yuav tsum ua rau txhua hom kab mob no;
- cov kev mob tshwm sim tsawg tsawg;
- tshuaj noj tshuaj feem ntau yog yooj yim;
- kab mob tua kab mob yuav tsum siab.
Kev kho mob zoo tshaj plaws yog txoj kab peb kab. Hauv qhov no, nws tau muab:
- hauv thawj kaum xyoo - thawj ob lub lis piam ntawm kev noj "Amoxicillin" thiab "Clarithromycin";
- nyob rau tib lub sijhawm, Tripotassium Bismuth Dicitrate thiab PPI tau ntxiv rau cov tshuaj saum toj no;
- thaum lub sijhawm thib peb, qhov ntau npaum li cas thiab cov ntsiab lus ntawm thawj ob txoj kev xaiv tau ua ke.
Ib lub tswv yim ob theem kuj siv tau, uas:
- Amoxicillin thiab Clarithromycin tau noj thawj lub lim tiam, nrog rau PPIs (Rabeprazole, Lansoprazole) hauv koob tshuaj kho;
- ntawm theem thib ob, PPIs tau khaws cia, uas Tetracycline, Metronidazole, Bismuth Subcitrate tau ntxiv.
Yog qhov kev kho no tsis ua tiavCov txiaj ntsig xav tau, siv cov tshuaj nitrofuran, uas yuav tsum tau tshem tawm txhua hom kab mob, txawm tias cov uas tau txhim kho cov tshuaj tiv thaiv yav dhau los.
Kev kho mob nrog pej xeem tshuaj
Lawv siv thaum pib ntawm kev loj hlob ntawm tus kab mob nrog kev mob loog, qaub belching, heartburn attacks.
Kev kho mob erosive antral gastritis nrog pej xeem cov tshuaj tuaj yeem ua tiav nrog cov kua txiv qos, uas yog ua thaum sawv ntxov hauv ib khob, haus dej ib teev ua ntej noj mov. Tom qab noj nws, koj yuav tsum tau pw rau ib nrab ib teev. Rau pluas tshais, nws yog qhov zoo dua los noj oatmeal thiab tshuaj yej unsweetened. Nws yog siv rau 10 hnub, tom qab ntawd so so rau tib lub sijhawm thiab rov ua dua kom txog thaum kho tau.
Koj tuaj yeem kho cov kua txiv hmab txiv ntoo los ntawm nplooj ntawm zaub qhwv dawb. Npaj kua txiv yog me ntsis rhuab thiab haus ib nrab khob ib nrab ib teev ua ntej noj mov. Nws tuaj yeem khaws cia hauv lub tub yees ntev txog 2 hnub.
Koj tuaj yeem siv tshuaj ntsuab decoctions:
- cag ntawm calamus yog crushed kom tau 1 tsp. khoom. Cov ntaub ntawv nyoos yog nchuav nrog ib khob dej npau, qhwv thiab infused rau 40 feeb. Noj strained sov ib nrab teev ua ntej noj mov.
- Burdock cag yog av rau 1 tsp. cov khoom, ncuav 0.5 liv ntawm boiling dej, insist 12 teev nyob rau hauv ib lub thawv ntim. Nws yog siv thaum nruab hnub rau ib nrab khob hauv ib daim ntawv sov.
- Koj tuaj yeem noj aloe kua txiv 1 tsp. ib nrab ib teev ua ntej noj mov rau 1.5hli (siv cov nroj tsuag tsis muaj hnub nyoog qis dua 3 xyoos).
- Ncuav cov nplooj nplooj nrog txiv hmab txiv ntoo vodka (0.5 l), boil thiab boil rau 5 feeb, lim, ncuav rau hauv ib lub raj mis thiab cork. Noj ib nrab ib teev ua ntej noj mov rau 1 tbsp. l.
tshuaj ntsuab tshuaj ntsuab kuj tseem siv tau (piv txwv li, txiv qaub tshuaj thiab mint, 15 g txhua, lwm yam tshuaj uas txo qhov mob ntawm lub plab mucosa).
Kev kho mob nrog pej xeem cov tshuaj yuav tsum muaj nrog kev sib tham ntawm tus kws kho mob yuav tsum tau ua.
Khoom noj
Nrog rau kev kho mob thiab kev noj haus rau erosive antral gastritis. Nws suav nrog kev noj zaub mov zoo nrog cov zaub mov muaj protein ntau (tsis muaj ntsim cheeses, qe, tsev cheese, ntses thiab nqaij ntshiv) thiab txo qis feem pua ntawm kev noj cov khoom noj carbohydrate. Zaub (Cabbage, zucchini, carrots, beets) yuav tsum muaj nyob rau hauv cov ntawv qhia zaub mov.
Zaub mov yuav tsum tsis txhob ntsev los yog ntsim. Kev kho cua sov tuaj yeem ua tau raws li hauv qab no:
- stewing;
- rau ob peb;
- baking;
- ua noj.
Nqaij npuas yuav tsum tau npaj los ntawm cov nqaij minced.
Nyob rau theem mob hnyav, cov khoom tau noj hauv daim ntawv puree hauv me me 5-6 zaug hauv ib hnub.
Cov zaub mov uas tuaj yeem ua rau tsam plab, mob, kub siab yog cais tawm ntawm cov ntawv qhia:
- fried and fatty foods;
- yeast thiab confectionery;
- nqaij npuas;
- radish;
- cucumbers;
- taum.
Txoj kev txwv tseem ceeb tseem cuam tshuam txog thaum kawg ntawm lub neej.
Nyob hauv kaw
Erosive antral gastritis tshwm sim feem ntau, zoo li lwm yam kab mob zoo sib xws, vim raug cov kab mob Helicobacter pylori. Kev kho mob yuav tsum yog txhawm rau tiv thaiv lawv. Nyob rau hauv thawj theem thiab lub sij hawm ntawm kev zam txim, nws muaj peev xwm siv pej xeem tshuaj. Thoob plaws hauv lub neej, ib tug yuav tsum ua raws li kev txwv kev noj zaub mov nruj.
