Cov txheej txheem o ntawm cov mucous daim nyias nyias ntawm duodenum thiab lub plab yog ib qho mob gastroduodenitis. Nrog rau kev kho raws sij hawm, cov tsos mob sai sai, thiab qhov kev mob tshwm sim tau zoo. Tawm tsam keeb kwm ntawm o, kev ua haujlwm ntawm cov qog tsis hloov, qhov nce lossis ib txwm acidity ntawm cov kua txiv digestive tseem nyob. Nrog rau kev zam ntawm cov mucous daim nyias nyias, txhua qhov chaw ntawm lub plab thiab cov hnyuv ua haujlwm tau zoo. Tus kab mob no ua rau lwm yam mob hnyav dua.
Kev faib tawm
Raws li kev txhim kho ntawm pathology, cov ntaub ntawv hauv qab no ntawm tus kab mob gastroduodenitis yog qhov txawv:
- Focal. Hauv qhov no, cais ntu ntawm txoj hnyuv mucosa raug cuam tshuam. Daim ntawv ntawm tus kab mob no yog ib tug provocateur ntawm peptic ulcer. Sab laug tsis kho, cov txheej txheem inflammatory kis mus rau cov ntaub so ntswg tshiab thiab cov kabmob, thaum kawg ua rau cholecystitis thiab pancreatitis.
- Diffuse. Nrog rau daim ntawv no ntawm txoj kev loj hlob, lub plab, tus Tsov tus tw ntawm duodenum thiab lub Upper epithelial txheej ntawm txoj hnyuv raug cuam tshuam. Cov tsos mob tau zoo tom qab kawm txog kev kho tshuaj nrog rau kev noj zaub mov noj.
Nyob ntawm qhov ntws:
- Erythematous. Nws yog tus cwj pwm raws li thawj hom kab mob, uas cov tsos mob tshwm sim los ntawm kev tsis xis nyob me ntsis tom qab noj mov thiab txo qis qab los noj mov.
- Spicy. Qhov tshwm sim ntau dua ntawm txhua yam cim ntawm tus kab mob: kub siab, mob plab hauv plab, cov quav hniav dawb ntawm tus nplaig, mob taub hau.
- Ntawm. Nws tsim nyob rau hauv qhov tsis muaj lossis kev kho tsis raug ntawm daim ntawv dhau los ntawm tus kab mob. Cov tsos mob tsawg dua. Lub sij hawm ntawm exacerbations yog hloov los ntawm remissions. Nyob rau hauv qhov xwm txheej ntawm kev hloov mus rau theem no, qhov kev pheej hmoo ntawm kev tsim teeb meem loj heev.
Diffuse superficial gastroduodenitis: nws yog dab tsi?
Nyob rau hauv rooj plaub no, cov txheej txheem o yog feem ntau hais thiab cuam tshuam rau thaj tsam loj. Nws yog tus cwj pwm los ntawm edema, uas tuaj yeem ua rau ntau qhov sib txawv, thiab hyperemia ntawm tag nrho cov mucous daim nyias nyias ntawm duodenum thiab plab, uas pom meej meej thaum kuaj endoscopic. Daim duab kho mob yog khaus. Hauv cov neeg laus, tus kab mob no nyuaj rau zam. Daim ntawv no ntawm kev tshwm sim ntawm gastroduodenitis yog heev tshwm sim ntawm tag nrho cov tsis ua hauj lwm nyob rau hauv lub plab system ntawm ib tug neeg. Qhov tsis muaj kev kho mob nyuaj lossis tsis ua raws li tus kws kho mob cov lus pom zoo provokes kev txhim kho ntawm cov teeb meem.
Tshuaj gastroduodenitis: nws yog dab tsi thiab yuav kho li cas?
Qhov no yog ib qho ntawm cov kab mob polyetiological uas feem ntau tshwm sim hauv kev coj noj coj ua hauv plab, tab sis tib lub sijhawm nws yog hom kab mob gastroduodenitis feem ntau. Lub npe ntawm pathologyqhia txog qhov kev puas tsuaj rau lub plab hnyuv mucosa thiab lub plab, piv txwv li, nrog rau tus kab mob no, nws cov kev ua txhaum cai yog ntiav (superficial) thiab, nrog rau kev kho raws sij hawm thiab zoo, yog thim rov qab. Kev kho mob yog nqa tawm tom tsev. Ib qho ntawm cov xwm txheej tseem ceeb tshaj plaws rau kev rov ua tiav yog kev noj zaub mov zoo thiab cov tshuaj uas kws kho mob tau sau tseg. Lub sijhawm nruab nrab ntawm kev kho yog kaum hnub.
Yog vim li cas
Muaj ntau yam paub uas ua rau muaj tus kabmob, tab sis qhov laj thawj tseem ceeb yog suav tias yog kev ua txhaum cai ntawm kev noj qab haus huv.
Kuj, nws tuaj yeem tshwm sim los ntawm:
- Helicobacter pylori kab mob;
- siv sijhawm ntev ntawm cov tshuaj tua kab mob;
- tus cwj pwm phem;
- kev tshaib kev nqhis;
- tshuaj lom nrog tshuaj lom lossis tshuaj lom;
- nquag ua xua;
- haus cawv ntau ntau;
- keeb kwm ntawm kab mob plab;
- kev ntxhov siab tsis tu ncua, kev ua haujlwm dhau;
- kab mob ntev ntawm lub raum, siab thiab tso zis.
daim duab kho mob
Qhov tsis txaus ntseeg ntawm tus kab mob yog qhov tseeb tias nyob rau hauv thawj theem ntawm kev txhim kho, lub tsev kho mob yuav luag tsis qhia thiab, vim li ntawd, kev kuaj mob lig. Kev tsis xis nyob tsuas yog thaum lub sij hawm exacerbation. Cov tsos mob tseem ceeb uas qhov no pathology tuaj yeem xav tias yog qhov mob hu ua tshaib plab, lawv tshwm sim nrog lub plab khoob thaum sawv ntxov. Tom qab noj mov, lawv hla.
Txawm li cas los xij, lawv tuaj yeem rov qab los thaum yav tsaus ntuj ob lossis peb teev tom qab noj hmo. Qhov mob feem ntau yog nyob rau sab laug hypochondrium. Tsis tas li ntawd, cov tsos mob ntawm tus kab mob gastroduodenitis yog:
- mob nkees;
- nauseous;
- tsis muaj zog;
- ntua;
- mob taub hau;
- iab lossis qaub saj hauv qhov ncauj;
- -Burping nrog qhov tsis hnov tsw tsw;
- siab kub;
- dawb txheej ntawm tus nplaig;
- siab roj ntau lawm;
- bloating;
- kev xav puv thiab hnyav hauv plab nrog txhua pluas noj tsawg tshaj plaws;
- mob plab lossis cem quav;
- tsis lossis tsis qab los;
- poob phaus.
Kab mob ua rau cov vitamin metabolism tsis zoo. Qee lub sij hawm tom qab kev loj hlob ntawm tus kab mob, cov cim qhia tias tsis muaj cov vitamins ntawm pab pawg B, A, C tshwm sim. Lub tsev kho mob ntawm tus kab mob sib txawv hauv cov kev kawm sib txawv, cov ntaub ntawv, hauv cov menyuam yaus thiab cov neeg laus.
Cov tsos mob ntawm tus kab mob hauv menyuam yaus
Cov kab mob pathology tuaj yeem ua rau mob hnyav thiab mob ntev. Tus kab mob gastroduodenitis nyob rau hauv cov menyuam yaus yog tshwm sim los ntawm cov tsos mob hauv qab no:
- plab qwj;
- tsis qab hauv qhov ncauj;
- mob lub sijhawm luv uas tshwm sim nyob rau hauv lub plab lossis duodenum;
- plab puv;
- nausea;
- mob raws plab lossis cem quav;
- poob phaus tsis tau piav qhia;
- tsis qab los.
Yog tus me nyuam muaj cov tsos mob saum toj no, nws yuav tsum tau mus ntsib kws kho mob kom kuaj thiab kuaj xyuas raws sijhawm. Kev noj tshuaj rau tus kheej tuaj yeem ua rau kev hloov pauv ntawm tus kab mob mus rau hauv daim ntawv mob ntev lossis ua rau muaj qhov tshwm sim loj. Kev kho mob suav nrog kev pw tsaug zog, noj zaub mov nruj, noj tshuaj.
Cov tsos mob ntawm tus neeg laus
Cov tsos mob ntawm tus kab mob gastroduodenitis nyob rau hauv cov neeg laus tshwm sim li:
- nthuav qhov mob ntawm qhov mob hnyav, uas yog nyob hauv thaj chaw epigastrium;
- tsis qab los;
- xeev siab, ntuav;
- mob plab lossis cem quav;
- kev qaug zog, mob taub hau;
- nce salivation;
- dawb tuab txheej ntawm tus nplaig.
Cov tsos mob saum toj no tsis ruaj khov thiab yog li ntawd feem ntau tus neeg tsis mloog lawv, thiab qhov no yog fraught nrog kev hloov pauv ntawm gastroduodenitis superficial mus rau theem ntev thiab tsim cov teeb meem.
khoom noj khoom haus
Raws li tau hais ua ntej, khoom noj tshwj xeeb ua lub luag haujlwm tseem ceeb hauv cov txheej txheem rov qab los. Tus kws kho mob noj zaub mov lossis kws kho mob gastroenterologist txhim kho kev noj zaub mov raws li acidity ntawm cov kua txiv digestive ntawm tus neeg.
Nrog nws qib siab, nws raug nquahu kom tsis suav cov tais diav, txhua yam txuj lom, nrog rau cov khoom noj tshiab thiab ncuav pastries. Thaum lub sijhawm kho, koj yuav tsum noj tsawg kawg tsib zaug hauv ib hnub thiab sim noj tib lub sijhawm. Ua raws li kev noj haus yuav tsum yog peb lub hlis. General tswv yim hais tiasNws raug nquahu kom lo rau:
- Siv cov kua ntau dua hauv daim ntawv ntawm compote, jelly, mis nyuj, dej ntxhia nrog cov ntsiab lus alkali.
- Muab zaub kib, thiab qhia cov zaub boil rau hauv cov zaub mov, nyiam beets, carrots thiab qos yaj ywm.
- Los ntawm cov khoom nqaij, nqaij qaib los yog nqaij luav yog nyiam dua.
- cov ntses muaj rog tsawg tau tso cai: hake, liab salmon, cod.
- Tsis txhob noj zaub mov uas ua rau muaj kua txiv hmab txiv ntoo ntau ntxiv: hnyuv ntxwm, nqaij haus luam yeeb, dej haus carbonated, rye qhob cij, kas fes, kua txiv hmab txiv ntoo.
Tshuaj Kho Mob
Tshuaj uas tau qhia hauv kev kuaj mob ntawm tus kab mob gastroduodenitis superficial:
- tshuaj tua kab mob: Clarithromycin, Amoxicillin, thiab Metronidazal, uas kuj muaj cov nyhuv antiprotozoal.
- Cov tshuaj tua kab mob hauv plab: De-Nol.
- Proton twj tso kua mis inhibitors: Omeprazole, Dexrabeprazole, Rabeprazole, Esomeprazole.
- tshuaj tiv thaiv kab mob: Cimetidine, Ranitidine, Famotidine.
- Antacids: Maalox, Gastal, Almagel.
- Sedatives raug pom zoo hauv tsev kho mob rau lub paj hlwb.
Cov chav kawm, kev kho mob thiab ntau npaum li cas yog xaiv los ntawm tus kws kho mob ib leeg rau txhua tus neeg mob, nyob ntawm nws tus mob thiab kev kuaj mob.
Teeb meem thiab kev tiv thaiv hauv menyuam yaus thiab cov neeg laus
Kev kuaj mob rau menyuam yaus yog qhov zoo yog tias pib kho raws sijhawm. Txwv tsis pub, tej zaumkev loj hlob ntawm pathologies hauv qab no:
- pancreatitis;
- peptic ulcer;
- dysbacteriosis;
- yaig ntawm mucous membranes;
- hlau deficiency anemia;
- oncology.
ntsuas kev tiv thaiv muaj raws li hauv qab no:
- kho raws sijhawm ntawm kev zom zaub mov;
- zam lossis txo qhov xwm txheej ntxhov siab;
- saib xyuas txhua hnub thiab khoom noj khoom haus;
- saib koj noj;
- kho mob tsis haum, tiv thaiv lawv txoj kev hloov mus rau theem ntev;
- ua kom lub cev tiv thaiv kab mob;
- kev tawm dag zog;
- tsis tshaib plab.
Siv tshuaj tsoos tsho
Rau kev kho mob gastroduodenitis superficial nyob rau theem pib, pej xeem zaub mov uas tau raug pov thawj rau ntau xyoo tau ua pov thawj lawv tus kheej:
- noj cov qos yaj ywm txhua hnub kom txog thaum cov tsos mob ploj mus.
- Cia li haus dej sov ntawm St. John's wort thaum sawv ntxov, ces mus pw thiab muab lub cua sov tso rau ntawm koj lub plab.
- Noj ib decoction ntawm chamomile paj nyob rau hauv tus nqi ntawm 200 ml ua ntej yuav mus pw. Kev kho mob kom txog thaum cov tsos mob ploj mus yog kwv yees li tsib lub hlis.
- Noj cov nplooj aloe tshiab nrog pluas tshais. Cov nroj tsuag no pab kom normalize acid-base tshuav.
- Nrog acidity ntxiv, nws raug pom zoo kom haus kua txiv hmab txiv ntoo tsawg kawg ob zaug ib hnub. Ua tsaug rau cov txiaj ntsig zoo ntawm cov txiv hmab txiv ntoo no, qhov kub hnyiab thiab tsis xis nyob hauv lub plab yuav ploj mus.
- Ib decoction ntawm parsley thiab dill muaj cov nyhuv zoo. Tsis tas li ntawd,lawv tuaj yeem muab ntxiv rau cov zaub mov npaj txhij.
Txawm li cas los xij, ua ntej siv cov tshuaj no, koj yuav tsum sab laj nrog koj tus kws kho mob.
Tag nrho cov exacerbations ntawm superficial gastroduodenitis yog vim kev ua txhaum ntawm tus kws kho mob cov lus pom zoo rau kev noj zaub mov kom raug thiab kev kho mob tsis zoo. Yog li ntawd, lawv yuav tsum tsis txhob muab pov tseg.
