Raws li cov ntaub ntawv kho mob, ntau dua 80% ntawm tag nrho cov kab mob tshwm sim hauv plab hnyuv. Feem ntau pathology yog erosive gastroduodenitis. Nws yog dab tsi? Qhov no yog ib tug kab mob inflammatory uas muaj ntau erosive formations thiab ulcers nrog mucofibrinous ntsiab lus nyob rau hauv lub plab mucosa. Tsis tas li ntawd, lub duodenal mucosa cuam tshuam. Nyob rau tib lub sijhawm, kev noj zaub mov ntawm cov mucosa cuam tshuam, nce acidity ntawm lub plab (hypersecretion) raug pom, thiab mob hnyav tshwm sim.
Exogenous yam ntawm kev loj hlob
Qhov feem ntau ua rau tus kabmob muaj xws li cov hauv qab no:
- kev kho mob mus sij hawm ntev nrog tshuaj tua kab mob;
- kev tsim txom ntawm cov zaub mov tsis zoo (fatty, ntsim, khoom noj yooj yim);
- kab mob pathologies ntawm qhov ncauj kab noj hniav thiab pharynx;
- haus ntau zaus, haus luam yeeb;
- Helicobacter pylori (H.pylori) kab mob uas ua rau erosive-hemorrhagic gastroduodenitis (scientifically proven fact).
Endogenousปัจจัย
Raws li kev cuam tshuam ntawm cov yam tsis zoo (cov kua tsib acids, hydrochloric acid), cov kab mob tshwm sim ntawm cov phab ntsa ntawm lub plab thiab daim ntawv qhov txhab, uas feem ntau (thaum tsis muaj kev kho kom zoo) ua rau mob ntawm duodenum thiab plab. Provoke qhov tsos ntawm no pathology: hormonal ntshawv siab; kev nyuaj siab mus tas li uas cuam tshuam tsis zoo rau lub paj hlwb; genetic (hereditary) predisposition. Erosive gastroduodenitis tuaj yeem ua rau muaj kev cuam tshuam hauv lub cev tiv thaiv kab mob.
Kev faib tawm
Systematization yog raws li kev hloov pauv ntawm morphological (cov qauv) thiab lub sijhawm ntawm cov kab mob. Gastroduodenitis tuaj yeem muab faib ua ntau hom: mob (txog peb lub hlis) thiab ntev (ntau tshaj rau lub hlis).
Nyob rau theem catarrhal, cov mucosa tsis puas. Thaum kuaj pom, qhov o thiab liab yog pom. Tus kab mob no kho tau yooj yim.
Erythematous gastroduodenitis tshwm tom qab daim ntawv catarrhal thiab yog tus cwj pwm los ntawm kev hais tawm liab.
Yog hais tias muaj kab mob erosive gastroduodenitis, plab hnyuv metaplasia feem ntau tshwm sim (qhov tsos ntawm cov qog nqaij hlav hauv plab, lawv ib txwm tsis tuaj).
daim duab kho mob
Thaum pib, kev tshwm sim ntawm tus kab mob xyaum tsis tshwm sim. Nyob rau hauv lub neej yav tom ntej, tus neeg mob muaj kev mob cramping, tshwj xeeb tshaj yog tom qab noj mov vim yog tsim ntawm cicatricial-ulcerative deformity nyob rau hauvpyloroduodenal zone.
Erosive gastroduodenitis cov tsos mob muaj raws li nram no: ib qho kev xav ntawm hnyav hauv plab, xeev siab, ntuav, qaub belching, heartburn. Muaj pallor ntawm daim tawv nqaij thiab txo qis hauv qab los noj mov. Tus neeg mob yws ntawm qhov tsis txaus siab tom qab lub qhov ncauj thiab cov quav tsis ruaj khov (zaub, cem quav).
Txoj kev kuaj mob
Qee qhov xwm txheej, fibrogastroscopy (FGDS) yog siv - ib txoj hauv kev niaj hnub los tshuaj xyuas cov hlab pas, duodenum thiab plab. Rau cov hom phiaj no, ib qho cuab yeej tshwj xeeb hu ua fibrogastroscope yog siv. Nrog kev pab los ntawm cov txheej txheem kho mob no, tus kws kho mob gastroenterologist txiav txim siab qhov mob hnyav, qhov loj thiab tus naj npawb ntawm erosive formations.
Fibrogastroscopy tsis ua nrog lub zog gag reflex. X-rays, ultrasound thiab biopsy (yog tias tsim nyog) raug pom zoo rau cov neeg no. Tom qab qhia qhov kev kuaj mob, tus kws kho mob tau sau cov kev kho kom tsim nyog. Tsis tas li ntawd, kev kuaj ntshav yog coj mus rau qhov muaj cov leukocytes thiab ESR (lawv qhov kev nce ntxiv qhia txog pathology).
Yuav ua li cas kho erosive gastroduodenitis: tshuaj kho mob
Cov tshuaj hauv qab no tau sau tseg:
- tshuaj tua kab mob ("Amoxicillin", "Metronidazole"), lawv tshem tawm cov kab mob Helicobacter pylori;
- tshuaj bismuth ("De-nol") - muaj cov nyhuv astringent thiab txo qhov mob;
- antacids ("Almagel", "Maalox") - txo cov kua qaub thiab txo qis kev cuam tshuam ntawm cov yam tsis zoo.
Chronic erosive gastroduodenitisNws raug kho ntev dua thiab suav nrog kev ua raws li kev noj haus, uas txhais tau hais tias kev cais tawm ntawm kev noj zaub mov ntawm cov khoom noj uas muaj cov qauv fibrous thiab ntxhib fiber (bran qhob cij, turnips, sinewy nqaij, radishes). Koj yuav tsum tau tso tseg tag nrho cov cawv, luam yeeb, dej qab zib carbonated, zaub mov kaus poom, kas fes, tshuaj yej muaj zog, kib thiab qab ntsev. Khoom noj yuav tsum sov thiab siav.
Thaum ua noj, koj yuav tsum txwv koj cov txuj lom. Cov zaub mov raug pom zoo kom noj txhua 2-3 teev hauv ib qho me me. Cov khoom uas yuav tsum tau muaj yog cov nram qab no: steam cutlets, meatballs, oatmeal thiab semolina porridge, mucous soups, kissels, mos-boiled qe, qes-rog qaub cream, tsawg-rog nyuaj cheese, pasteurized mis nyuj. Tag nrho cov khoom noj uas tau teev tseg muaj cov nyhuv antacid.
Kev kho mob nrog pej xeem tshuaj
tshuaj ntsuab tuaj yeem txo tus neeg mob tus mob thiab txawm kho tus kab mob gastroduodenitis. Kev kho mob nrog cov tshuaj pej xeem ua ke nrog cov kev kho ib txwm muaj qhia tau zoo:
- Ob feem ntawm St. John's wort, yarrow, paj chamomile tov nrog ib feem ntawm celandine. Sib tov tag nrho cov khoom xyaw hauv lub tshuab kas fes mus rau hmoov, ncuav rau hauv ib lub thermos thiab ncuav 500 ml ntawm boiled dej. Cia nws brew ib hmos thiab noj 1/3 khob ua ntej noj mov. Lub sijhawm kho yog 1.5 lub hlis.
- Sib tov ib feem ntawm St. John's wort, nplooj bearberry, sawv hips nrog ob feem ntawm chicory, centaury thiabplaub ntu ntawm fumigation nyom. Ua hmoov nplej. Ncuav ob diav loj rau hauv 500 ml ntawm boiling dej, insist hmo ntuj thiab haus lub decoction ¼ khob ua ntej noj mov.
- Sib tsoo peb feem ntawm cumin txiv hmab txiv ntoo, yim feem ntawm St. Los ntawm tag nrho cov loj, brew ob tablespoons nyob rau hauv 500 ml ntawm dej kub, insist tag nrho hmo ntuj thiab haus ib khob peb lub hlis twg.
Hiav txwv buckthorn roj thiab zib ntab muaj cov khoom tiv thaiv zoo. Muab cov khoom xyaw no tso rau hauv koj cov zaub mov. Tab sis ua ntej siv tshuaj ntsuab decoctions, peb qhia koj mus ntsib kws kho mob, vim qee cov tshuaj ntsuab tuaj yeem ua rau muaj kev cuam tshuam tsis zoo. Txhawm rau tiv thaiv koj tus kheej los ntawm cov kab mob no, noj kom raug thiab kuaj xyuas tsis tu ncua.
