Lub tswv yim ntawm "hyperplastic gastritis" hauv cov tshuaj txhais tau hais tias qhov mob tshwj xeeb ntawm cov mucosa, qhia hauv nws cov thickening, hypertrophy. Nyob rau tib lub sijhawm, nws tuaj yeem ua rau tsim cov polyps lossis cysts hauv plab. Feem ntau lub npe hu ua pathology raug xa mus rau cov mob precancerous. Peb yuav qhia koj ntxiv txog nws tom qab hauv kab lus.
Cov ntaub ntawv hais txog hyperplastic gastritis
Mob plab hyperplastic gastritis yog mob plab, uas tsis tshua muaj. Qhov kev txhais no haum rau ib pawg ntawm cov kab mob sib txawv raws li tsis yog nyob rau hauv cov txheej txheem inflammatory, tab sis nyob rau hauv thawj hyperplasia (kev loj hlob) ntawm gastric epithelium. Txhua yam ntawm cov kab mob no tsis tshua muaj, feem ntau, lawv suav txog tsuas yog 5% ntawm tag nrho cov kab mob plab ntev.
Los ntawm txoj kev, cov kws tshawb fawb pom tias kev txhim kho ntawm hyperplastic gastritis nyob rau hauv cov me nyuam nyob rau hauv tej rooj plaub xaus nrog regression thiab ua tiav rov qab los ntawm mucous daim nyias nyias, thaum nyob rau hauv cov neeg laus qhov no yog tsis pom, thiab kev loj hlob. Lub npe kab mob ua rau nws atrophy.
Ua rau kab mob
Hyperplastic gastritis tseem tsis tau kawm txaus. Ntau yam yog vim li cas rau nws txoj kev loj hlob. Qhov loj tshaj plaws yog hereditary predisposition. Tab sis tsis muaj tsawg tseem ceeb yog:
- kev noj tsis txaus ntawm tus neeg mob;
- muaj kev qaug dab peg ntev (piv txwv li, haus cawv, haus luam yeeb, quav yeeb tshuaj, thiab lwm yam);
- mob ntawm cov txheej txheem metabolic hauv lub cev thiab hypovitaminosis.
Cov kws tshawb fawb tseem ceeb heev rau kev txhim kho cov kab mob piav qhia rau kev ua xua rau zaub mov. Allergens uas nkag mus rau hauv lub mucosa ua rau nws permeable thiab ua rau dysplasia (kev loj hlob tsis zoo) ntawm lub epithelium. Raws li qhov tshwm sim ntawm tag nrho cov no, muaj qhov poob ntawm cov protein ntau, uas, los ntawm txoj kev, kuj yog hu ua ib qho ntawm cov yam ntxwv ntawm txhua hom kab mob hyperplastic gastritis.
Qee cov kws tshawb fawb tseem xav tias nws yog qhov tshwm sim ntawm lub plab anomalies lossis ib qho txawv ntawm kev loj hlob ntawm cov qog nqaij hlav. Thiab nws yuav tsum raug sau tseg tias tag nrho cov xwm txheej no ua rau tib yam tshwm sim - nce kev tsim tawm ntawm cov hlwb epithelial thiab nws cov thickening.
Cov tsos mob
Thaum pib ntawm tus kabmob, cov neeg mob feem ntau tsis xav tias lawv muaj kab mob. Hyperplastic gastritis tshwm tsuas yog tom qab kev hloov pauv tseem ceeb hauv cov mucosa. Thiab cov yam ntxwv ntawm cov kev tshwm sim no ncaj qha cuam tshuam rau daim ntawv ntawm tus kab mob thiab qib ntawm acidity.
Cov tsos mob tshwm sim yog mob plab. Nyob ntawm seb muaj pes tsawg hydrochloric acid nyob rau hauv cov kua txiv hmab txiv ntoo, kub siab los yog belching nrog ib tug lwj saj nyob rau hauv lub qhov ncauj tej zaum yuav tshwm sim. Qee tus neeg mob kuj yws yws ntawm xeev siab, ntuav thiab flatulence.
Atrophic hyperplastic gastritis: nws yog dab tsi?
Ib qho ntawm cov kab mob hyperplastic gastritis yog ib daim ntawv uas muaj qhov tshwm sim ntawm cov mucosa ntawm cov chaw sib koom nrog hyperplasia (kev loj hlob) thiab cell atrophy. Ib qho xwm txheej zoo sib xws ua rau, raws li txoj cai, tsim cov hlwv lossis polyps ntawm cov phab ntsa ntawm lub plab thiab suav tias yog qhov txaus ntshai tshaj plaws, vim nws ua rau muaj kev loj hlob ntawm carcinoma.
Zoo li lwm hom kab mob plab, qhov no tsis muaj tsos mob hnyav. Feem ntau nws tsuas yog kuaj tau thaum kuaj tshwj xeeb.
Tab sis qhov mob hauv plab uas tshwm sim tam sim tom qab noj mov tuaj yeem raug ntaus nqi rau qhov tshwm sim ntawm cov kab mob no. Nws feem ntau muaj qhov hloov pauv tau, tus cwj pwm paroxysmal, tawg mus rau thaj tsam lumbar lossis nruab nrab ntawm lub xub pwg hniav. Qhov tshwm sim ntawm cov kev xav no feem ntau cuam tshuam nrog kev siv qee yam khoom noj.
Feem ntau qhov mob nrog rau qhov tsis qab los noj mov, belching, nce salivation, xeev siab thiab kub taub hau. Qhov kawg yuav qhia tau tias los ntshav hauv plab.
Kev txhim kho ntawm erosive hyperplastic gastritis
Qee zaum, ntawm daim tawv nqaij ntawm lub plab, tawm tsam keeb kwm ntawm nws qhov liab thiab o, ntau yamkev yaig. Tus mob no tau kuaj pom tias yog erosive hyperplastic gastritis.
Nws txoj kev loj hlob tuaj yeem ua rau ob qho tib si kev sib cuag ncaj qha ntawm cov mucosa nrog ib puag ncig nruj (acid, alkali, tshuaj lom neeg, khoom noj uas lwj, thiab lwm yam), ua rau kub hnyiab, thiab ua txhaum txoj kev zais cia ntev.
Erosive gastritis feem ntau nyob twj ywm thiab tuaj yeem ua rau lub plab los ntshav, tshwj xeeb tshaj yog tias nws tshwm sim thoob lub plab.
Dab tsi yog antral gastritis
Tseem kuj muaj qhov tshwm sim xws li antral hyperplastic gastritis.
Antrum yog qhov chaw ntawm kev hloov pauv ntawm lub plab mus rau hauv cov hnyuv, thiab nws txoj haujlwm tseem ceeb ntawm lub cev yog txo qis cov kua qaub hauv cov zaub mov ua ntej nws txav mus rau hauv txoj hnyuv. Tab sis qhov poob ntawm pH kuj txo cov kab mob bactericidal uas cov kua txiv hmab txiv ntoo muaj. Thiab qhov no, nyob rau hauv lem, tso cai rau cov kab mob pathogenic ntau, thiab yog li ntawd lawv feem ntau xaiv lub antrum.
Tus kab mob no kuaj tau li cas
Yuav kom kuaj xyuas kom raug, tus neeg mob tau muab tshuaj ntsuam xyuas sib txawv, vim tias cov cim ntawm txhua hom kab mob tau piav qhia muaj qhov tshwm sim zoo sib xws nrog lwm cov kab mob plab - mob plab, mob plab, cholecystitis, thiab lwm yam.
Hyperplastic gastritis tsuas yog kuaj tau nrog fibrogastroduodenoscopy (FDS). Rau nws siv nyob rau hauv txoj hlab pas, plab thiab duodenum ntawm tus neeg mobIb qho kev sojntsuam tshwj xeeb nrog lub tshuab kho qhov muag tau muab tso rau, vim tias cov duab ntawm lub xeev sab hauv ntawm lub plab zom mov tau tshwm sim rau ntawm tus saib.
txheej txheem no ua rau nws ua tsis tau tsuas yog kuaj cov mucous ntawm lub plab thiab cov hnyuv, tab sis kuj coj mus kuaj rau histological lossis cytological kuaj.
Cov kev tshawb fawb ntxiv suav nrog lub plab X-ray, intragastric pH-metry, kuaj ntshav biochemical, thiab lwm yam. Lawv pab txheeb xyuas qhov teeb meem, ntxiv kev kuaj mob thiab ua kom raug dua.
Hyperplastic gastritis: kho
Kev kho mob plab hnyuv siab raum nyob ntawm cov tsos mob tshwm sim kab mob.
- Yog tias tus neeg mob muaj acidity siab, nws tau muab tshuaj tua kab mob (proton twj blockers) - Omez, Proxium, Lansoprazole, thiab lwm yam.
- Txhawm rau tshem tawm qhov kub hnyiab, lawv siv cov hnab ntim khoom (Phosphalugel, Maalox, Rennie, thiab lwm yam), uas yuav pab tiv thaiv cov mucous membrane ntawm qhov khaus thiab muaj cov kab mob tua kab mob.
- Mucosal atrophy yuav tsum tau hloov kho nrog kua txiv gastric.
- Qhov muaj ntau yam erosions thiab los ntshav los ntawm lawv yuav tsum tau siv cov tshuaj hemostatic tswj los ntawm kev txhaj tshuaj - Vikasol, Etamzilat, thiab lwm yam.
- txhawm rau pab txhawb cov txheej txheem ntawm kev zom zaub mov, yog tias ua txhaum ntawm plab hnyuv, kev npaj enzyme yog siv ("Mezim", "Pangrol", "Festal", thiab lwm yam.
Cov lus qhia raukhoom noj khoom haus
Ntxiv rau, txhua tus neeg mob tau pom tias noj zaub mov muaj protein ntau thiab cov vitamins. Nws yuav tsum yog feem ntau (5-6 zaug hauv ib hnub), thiab cov khoom uas tuaj yeem ua rau lub qhov txhab tawm ntawm nws. Cov khoom yog steamed los yog boiled, tws zoo thiab noj sov.
Nyob rau qee kis (piv txwv li, thaum muaj cov ntshav rov qab los lossis mob atrophic hyperplastic gastritis), kev kho mob yuav tsum muaj kev phais. Nrog nws cov kev pab, polyps raug tshem tawm lossis lub plab rov kho dua.
