Gastritis yog ib yam kab mob mus sij hawm ntev uas tshwm sim nws tus kheej hauv kev hloov pauv hauv cov mucous membrane ntawm qhov mob, thiab feem ntau dystrophic xwm. Nws ua rau muaj kev cuam tshuam ntawm kev tsim dua tshiab thiab atrophy ntawm cov hlwb epithelial, nrog rau kev hloov cov qog noj qab haus huv nrog cov ntaub so ntswg.
Tab sis dab tsi yog atrophic gastritis? Dab tsi yog nws cov tsos mob, ua rau, kho nws li cas, yuav ua li cas thiaj li tshwm sim? Hnub no peb mus tham hluas nkauj.
yam ntxwv ntawm tus kab mob thiab etiology
Ua ntej peb tig mus rau kev xav txog cov tsos mob ntawm atrophic gastritis, nws tsim nyog tham txog qhov nws yog qhov dav.
Yog li, qhov no yog ib qho ntawm cov kab mob txaus ntshai tshaj plaws hauv nqe lus nug. Nws raug kuaj pom yog tias ib tus neeg muaj cov txheej txheem inflammatory hauv lub txiav thiab hauv cov mucous membrane. Kuj thaum lub sijhawm noCov kab mob nres qhov kev ua haujlwm ntawm cov hlwb uas muaj lub luag haujlwm rau kev tsim cov kua txiv hmab txiv ntoo. Vim li no, cov qog uas tsim hydrochloric acid thiab enzymes tom qab tuag.
Atrophic gastritis feem ntau kis mus rau tag nrho lub plab, thiab tsis yog rau ib feem ntawm lub cev. Tsis tas li ntawd, nws yog tus kab mob no uas feem ntau ua rau muaj tus mob precancerous.
Qhov ua rau tus kab mob no muaj xws li hauv qab no:
- Tsis muaj kev noj zaub mov sib npaug thiab sib npaug.
- Kev quav cawv.
- Smoking.
- Kev mob ntawm endocrine system.
- Hereditary predisposition.
Ib yam ntawm cov saum toj no ua ntej ua txhaum ntawm kev ncaj ncees ntawm cov mucous daim nyias nyias, thiab qhov tshwm sim ntawm qhov no yog nws o. Ces tus kab mob no pib sai heev.
Signs
Cov tsos mob tseem ceeb ntawm focal atrophic gastritis yog qhov tsim ntawm cov mob hauv zos hauv cov phab ntsa ntawm lub plab, nrog rau kev ua haujlwm ntawm nws cov chaw noj qab haus huv (kev them nyiaj mechanism).
Tab sis cov kev hloov no tsis tuaj yeem pom. Ntau cov tsos mob ntawm atrophic gastritis muaj xws li:
- Tsis xis nyob hauv cheeb tsam epigastric (saum toj, nruab nrab hauv qab tav).
- mob thiab kub hnyiab tom qab noj mov.
- Xav txog qhov hnyav thiab xeev siab. Pom txawm tias tom qab noj khoom txom ncauj.
Cov cim zoo li no qhia txog thawj daim ntawv ntawm tus kab mob. Yog ibtsis quav ntsej lawv thiab tsis txhob mus ntsib kws kho mob rau kev kho mob, cov tsos mob ntawm atrophic gastritis ntawm lub plab yuav tsis tsuas yog intensified, tab sis kuj yuav supplemented los ntawm xws manifestations:
- Poob qab los.
- Kev mob hnyav.
- poob phaus.
- Txoj kev tsis muaj zog.
- Subfebrile kub.
- Kev tso tawm ntau ntxiv ntawm hydrochloric acid thiab nws nkag mus rau hauv lub lumen ntawm lub plab.
- Nyob rau hauv tag nrho cov acidity.
Ntxiv mus, thaum lub sijhawm no, tus neeg mob tshwj xeeb tshaj yog cuam tshuam los ntawm Helicobacter pylori, kab mob pathogenic. Rau cov kab mob no, hyperacidity yog ib qho chaw zoo tagnrho.
Cov kab mob tsis tuaj yeem ua mob me me, tab sis nyob rau hauv cov xwm txheej zoo no lawv nce sai, uas ua rau muaj qhov tsis zoo. Tom qab tag nrho, cov khoom pov tseg ntawm cov kab mob yog cytotoxins uas ua rau mob ntawm cov mucous membrane.
Ntxiv rau, tawm tsam keeb kwm yav dhau los ntawm kev tiv thaiv tsis muaj zog ntawm lub cev, Helicobacter pylori nkag mus tob rau hauv, vim tias cov hlwb ntawm lub plab thiab nws cov qog raug tshuaj lom. Qhov no feem ntau ua rau mob plab.
Lwm tswb
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tsos mob saum toj no ntawm atrophic gastritis tsis tau pom nyob rau hauv txhua tus neeg mob. Tab sis txhua tus ntawm lawv muaj cov kab mob cuam tshuam nrog cov txheej txheem ntawm kev nqus ntawm ntau yam tshuaj (vitamin, hlau, thiab lwm yam), vim li cas cov kab mob anemic pib tsim.
Nws ua rau cov tsos mobtshwm sim los ntawm qhov tsis muaj cov ntsiab lus no hauv lub cev. Lawv tshwm raws li hauv qab no:
- Hlub hauv qhov ncauj.
- ua tsis taus pa.
- Zoo siab.
- Nyob.
- Apathy.
- Pleness ntawm mucous daim nyias nyias thiab daim tawv nqaij.
- Kev ua txhaum ntawm kev xav ntawm caj dab.
- Mob tus nplaig, nrog rau kev hloov pauv ntawm nws cov xim.
- Ntxawm rau tes thiab plaub hau qhuav.
- mob plab.
- Aerial burp.
- Cov quav tsis khov (cem quav tuaj yeem hloov nrog raws plab).
Tom qab kev kuaj sab nraud, nws tuaj yeem kuaj pom cov hniav thiab cov quav hniav ntawm tus nplaig. Nws kuj yog ib qho ua rau muaj kev ua pa phem, saj zoo sib xws, thiab hypersalivation (nce salivation).
Koj tsis tuaj yeem tsis quav ntsej cov tsos mob ntawm atrophic gastritis ntawm lub plab. Qhov no yog fraught nrog loj txim. Qee cov neeg mob mus ntsib kws kho mob twb thaum lawv cov acidity txo kom alchemy (uas yog, cov kua qaub nyob rau hauv lub plab yog tsis kiag li).
Txhais tau
Ua ntej peb tig mus rau cov hauv paus ntsiab lus ntawm kev tshem tawm cov tsos mob thiab kho atrophic gastritis nrog pej xeem thiab kev kho mob, peb yuav tsum tau sau cov txiaj ntsig uas tshwm sim los ntawm kev tsis quav ntsej tus kab mob. Cov no suav nrog:
- Kev ua txhaum ntawm cov txheej txheem digestive. Lub xeev tsis saib xyuas ua rau muaj kev loj hlob ntawm dysbacteriosis.
- Anemia, beriberi, asthenia.
- Qhov tshwm sim ntawm fermentation thiab cov txheej txheem putrefaction hauv plab.
- ntuav, ntshav hauv qaub ncaug.
- Lub cev qhuav dej tas mus li.
- Kev mob plabswb.
- Kev txo qis hauv kev ua haujlwm zais cia, tsis txaus siab rau zaub mov, kev loj hlob ntawm kev qaug zog, uas hloov mus ua cachexia.
- Tsim nyob rau hauv lub plab phab ntsa ntawm ntau lub hauv paus ntawm cov ntaub so ntswg lymphoid.
- Kev nkag mus ntawm tus kab mob thib ob. Ua tau phlegmonous gastritis.
Nws tsis tuaj yeem hais tsis tau tias nrog tus kab mob no muaj kev pheej hmoo los ntshav hauv plab. Qhov teeb meem no ua rau muaj kev hem thawj loj rau lub neej.
Tshuaj tua kab mob
Nws yog ib qho tseem ceeb heev uas yuav tau xaiv txoj kev kho mob rau atrophic gastritis ntawm lub plab, cov tsos mob thiab ua rau uas tau teev saum toj no. Qhov no, ntawm chav kawm, yog ua los ntawm tus kws kho mob - nws tau sau cov tshuaj uas tsim nyog rau tus neeg mob hauv nws cov xwm txheej tshwj xeeb, thiab ib txwm ua rau cov neeg mob siab rau lub plab.
Raws li txoj cai, kev xaiv yog tsim los ntawm cov tshuaj no:
- "Flemoxin Solutab". Penicillin tshuaj tua kab mob ntawm cov kab mob bactericidal. Nws tuaj yeem siv tau los ntawm 6 lub hlis (tab sis rau cov menyuam mos - tsuas yog nyob rau hauv daim ntawv ntawm kev ncua). Qhov koob tshuaj txhua hnub rau tus neeg laus yog 1000 - 1500 mg. Lub ntim ntim yuav tsum muab faib ua thaum sawv ntxov thiab yav tsaus ntuj. Raws li txoj cai, cov tshuaj tua kab mob no ua ke hauv kev kho mob ua ke. Nws yuav tsum tau noj tsawg kawg 10 hnub.
- "Panklav". Ib tug dav spectrum penicillin tshuaj tua kab mob. Nws tuaj yeem noj tau tsuas yog txij li hnub nyoog 12 xyoos, qhov hnyav ntawm tus neeg mob tsawg kawg yog 40 kg. Rau cov neeg mob uas muaj kev noj qab haus huv ib nrab, tus qauv yog 750 mg. Cov koob tshuaj tau muab faib ua peb koob. Yog ibQhov mob hnyav heev, koj yuav tsum noj 500 mg 3 zaug hauv ib hnub. Kev kho mob kav, raws li txoj cai, los ntawm 5 mus rau 14 hnub.
- Ospamox. Nws yog hais txog tib yam li thawj cov tshuaj tua kab mob teev tseg. Cov koob tshuaj zoo sib xws, 1000-1500 mg / hnub. Hauv cov xwm txheej hnyav, nws yuav tsum tau nce mus rau 3 g. Ospamox tau noj nrog cov zaub mov kom txo tau qhov tsis zoo ntawm cov tshuaj ntawm lub plab. Lub sijhawm ntawm kev kho mob yog txiav txim siab tus kheej, tab sis nws yog tsawg kawg yog 7 hnub.
Cov tshuaj no yog qhov zoo tshaj plaws hauv kev tshem tawm cov tsos mob thiab kho focal atrophic gastritis. Thiab cov kev txheeb xyuas kom paub tseeb tias qhov ntawd. Kuj tseem muaj cov tshuaj Gonoform, Amosin, Amoxicar, Grunamox, Amoxicillin, Ecobol thiab lwm yam tshuaj tua kab mob, tab sis tus kws kho mob gastroenterologist yuav txiav txim seb tus twg yuav tsum tau kho.
Proton twj tso kua mis inhibitors
Lawv kuj raug sau tseg kom tshem tawm cov tsos mob tsis zoo thiab kho focal atrophic gastritis. Kev tshuaj xyuas kom paub tseeb tias cov tshuaj no pab kom tshem tawm cov kab mob mucosal sai sai uas tau tshwm sim vim muaj kev cuam tshuam acidity. Lawv txo qhov tsim cov hydrochloric acid los ntawm thaiv cov twj tso kua mis proton hauv parietal hlwb.
txhais tau tias zoo tshaj plaws ntawm pab pawg no yog cov tshuaj tiv thaiv kab mob:
- Y "Omeprazole". Raws li txoj cai, koob tshuaj txhua hnub yog 20 mg. Hauv cov xwm txheej hnyav thiab thaum exacerbation, nws yog ob npaug. Nws yog qhov zoo tshaj rau noj cov tshuaj thaum hmo ntuj. Nco ntsoov noj cov ntsiav tshuaj nrog dej ntau. Kev kho mob kav los ntawm 14mus txog 30 hnub.
- Y "Bioprazole". Ib qho tshuaj ntsiav ib hnub yog txaus, uas tsuas muaj 20 mg ntawm cov khoom xyaw nquag. Nws yog ib nqi sau cia hais tias cov tshuaj no yog absorbed sai heev nyob rau hauv lub plab.
- "Omezol". Ib qho tshuaj me me uas tau sau tseg txawm tias rau duodenal ulcers. Ib ntsiav tshuaj muaj 40 mg ntawm cov khoom xyaw nquag, yog li tus kws kho mob yuav muab tshuaj rau tus kheej. Raws li txoj cai, ib thooj ib hnub yog txaus.
- Controllock. Ib qho inhibitor uas nws cov khoom tseem ceeb yog pantoprazole. Nws tshwj xeeb tshaj yog nyob rau hauv cov nyhuv maj mam ntawm lub plab mucosa. Yog li ntawd, cov kev kho mob feem ntau yog ntev. Qhov no yog qhov tsim nyog los tiv thaiv kev rov qab los.
- "Nolpaza". Cov tshuaj zoo ib yam li hauv kev txiav txim rau Controllock. Tab sis nws yog txwv tsis pub coj mus rau cov neeg muaj hnub nyoog qis dua 18 xyoo. Cov analogue yog ib qho tshuaj hu ua "Ultera". Ib qho tshuaj twg yog noj thaum sawv ntxov, qhov koob tshuaj yog txiav txim los ntawm tus kws kho mob.
Ntxiv rau cov nyiaj teev tseg, tseem muaj cov ntsiav tshuaj raws li rabeprazole thiab esomeprazole. Lawv kuj raug muab tshuaj los txo cov tsos mob thiab kho atrophic gastritis rau cov neeg laus. Kev npaj nrog esomeprazole yog qhov tshwj xeeb uas lawv cov khoom nyob hauv tib neeg lub cev tau ntev (qhov no yog vim li cas rau qhov tsawg kawg nkaus koob tshuaj). Thiab cov tshuaj rabeprazole feem ntau yog qhia rau cov kab mob.
Lwm tshuaj
Ntxiv rau qhov saum toj no, muaj ntau yam tshuaj uas pab tshem tawm cov tsos mob thiab kho mob atrophic gastritis.
Kev tshuaj xyuas ntawm cov neeg uas tiv nrogTus kab mob no, xyuas kom rov zoo tuaj sai dua yog tias koj muab cov tshuaj no nrog cov enzymes. Nrog rau qhov mob no, ib qho ntawm ob tuaj yeem muab rau:
- Y "Pancreatin". Nws muaj proteases, lipase thiab amylase. Cov enzymes no txhawb kev zom tau yooj yim ntawm carbohydrates, cov protein thiab cov rog, vim tias lawv tau nqus sai dua. Tsis tas li ntawd, cov tshuaj tau them nyiaj rau pancreatic insufficiency thiab txhim kho cov txheej txheem digestive. Ib tug neeg yuav tsum haus 150,000 units, muab faib ua 3-4 siv.
- Enzistal. Cov tshuaj ua ke no muaj lipolytic, proteolytic thiab amylolytic teebmeem. Nws tseem txhawb kev zom zaub mov sai, thiab tseem txhawb kev tso tawm ntawm cov enzymes hauv cov hnyuv, plab, txiav, thiab cov kua tsib. Cov tshuaj yuav tsum tau noj thaum noj mov lossis tam sim tom qab nws. Nws raug tso cai siv tshuaj txij li hnub nyoog rau rau xyoo. Cov menyuam yaus hnub nyoog qis dua 12 xyoos tau pom 1 ntsiav tshuaj peb zaug hauv ib hnub. Txhua tus laus - 3.
Ntxiv rau cov enzymes, koj yuav tsum tau noj H2-histamine receptor blockers. Lawv kuj pab tshem tawm cov tsos mob ntawm focal atrophic gastritis.
Qhov kev xaiv zoo tshaj plaws yog Famotidine. Nws inhibits zus tau tej cov hydrochloric acid, nce pH thiab txo cov kev ua ntawm pepsin. Nws txaus los noj 20 mg ob zaug ib hnub.
Vitamins Vitamins
Ntxiv rau cov tshuaj no, cov kws kho mob feem ntau sau tshuaj cyanocobalamin (vitamin B12). Nws yog qhov tseem ceeb hauv kev kho mob thiab tiv thaiv kab mob ntshav qab zib uas tshwm sim nrog focal thiab antral atrophic gastritis. Cov tsos mob ntawm tus kab mob no txo qis heev tom qab pib noj cov vitamin B12.
Y Nws tuaj yeem siv tau rau hauv cov hlab ntsha, subcutaneously, intralumbarly thiab intramuscularly. Yog tias tus neeg mob tau kuaj pom tias muaj hlau tsis txaus lossis posthemorrhagic anemia, ces nws yuav tsum noj 30-100 micrograms peb zaug hauv ib lub lis piam.
Kev Sib Tw
Txij li thaum peb tab tom tham txog cov tsos mob thiab kev kho mob ntawm atrophic gastritis, kev kho neeg pej xeem, uas yog siv los ntawm ntau yam hauv kev kho mob, yuav tsum tau xav txog. Nov yog qee cov zaub mov txawv:
- Sib tov elderberry thiab chamomile (20 g txhua), txiv qaub balm thiab peppermint (15 g txhua), fennel thiab linden paj (10 g txhua), 1 tbsp. l. sib sau ncuav boiling dej (300 ml) thiab xa rau 10 feeb ntawm tsawg tshav kub. Haus cov kua txiv hmab txiv ntoo hauv peb koob - txhua zaus tom qab noj mov.
- Hauv qhov sib npaug, sib tov nplooj nplooj, St. John's wort thiab chamomile. Ncuav nyob rau hauv ib khob ntawm boiling dej. Qhwv nrog ib tug phuam rau ib teev thiab cia nws brew. Tom qab ntawd lim thiab haus hauv 4 koob tshuaj nrog lub sijhawm sib npaug ntawm lawv.
- Muab tib tus nqi ntawm nplooj nplooj, tshuaj ntsuab wormwood thiab burdock, 1-2 tbsp. l. sau cov ncuav boiling dej nyob rau hauv ib tug thermos. Cia kom infuse thaum hmo ntuj. Haus tag nrho cov khoom xyaw rau hnub tom ntej.
- Yaug cov cag tshiab parsley kom huv si thiab qhuav, ces chop. Noj 3 tbsp. l. loj thiab ncuav ib khob ntawm boiling dej. Cia kom infuse thaum hmo ntuj. Tom qab ntawd koj tuaj yeem noj 1 tbsp. l. ua ntej noj mov.
- Cawm calamus cag. Noj 20 grams thiab ncuav vodka (100 ml). Muab 2brew rau lub lis piam, ces lim thiab nyem tawm cov muaj pes tsawg leeg. Haus 15 tee ua ntej noj mov. Koj tuaj yeem dilute lawv hauv me me dej (1 tbsp yog txaus).
Ua ntej koj siv tshuaj kho pej xeem, koj yuav tsum sab laj nrog koj tus kws kho mob. Yog tias koj ntseeg qhov kev tshuaj xyuas, cov tshuaj no tshem tawm cov tsos mob ntawm atrophic gastritis, tab sis lawv tuaj yeem ua rau mob plab hnyav dua yog tias koj ua rau lawv noj ntau dhau.
Kev noj mov
Thaum tham txog cov tsos mob thiab kev kho mob ntawm atrophic gastritis, kev noj zaub mov yuav tsum tau ua tib zoo saib. Txij li thaum, nrog rau cov kab mob tseem ceeb, cov cheeb tsam tau tsim nyob rau hauv lub plab uas tsis ua haujlwm secretory, ib tug neeg yuav tsum tau saib xyuas kev noj zaub mov tsis zoo.
Tus neeg mob tau txais kev noj haus 1a. Nws yuav tsim nyog kom tshem tawm ntawm kev noj haus txhua yam khoom uas tuaj yeem ua rau muaj kev nce hauv secretory kev ua si lossis thermal, tshuaj lom neeg thiab kev ua haujlwm ntawm cov mucous membrane.
Kev tswj hwm nruj nruj tau tsim - khoom noj thiab dej haus yuav tsum tsis txhob txias dua +40 ° C thiab tsis kub tshaj +50 ° C. Cov ntawv qhia zaub mov tsuas yog kissels, mashed qos yaj ywm, soufflés, chav cutlets, grated soups thiab cereals. Ua ntej yuav ua noj, cov nqaij yuav tsum tau ntxuav ntawm daim tawv nqaij, tendons, films thiab fascia, thiab tseem soaked nyob rau hauv dej ntev.
Nov yog yam koj tuaj yeem noj:
- nag hmo los yog qhob cij qhuav (qib 1 thiab 2), ntshiv biscuits.
- Kiab, nqaij nyuj, qaib, nqaij nyuj, luav.
- Steam omelet or soft-boiled qe.
- Kremmis nyuj, steamed soufflé los yog tsev cheese casserole.
- Tolokno.
- Boiled zaub (ci los yog grated).
- Txiv hmab txiv ntoo nyob rau hauv daim ntawv ntawm jelly, mousse los yog jelly.
- Nyob zoo ib tsoom niam txiv kwv tij neej tsa phooj ywg sawv daws.
Koj tuaj yeem ua rau koj cov zaub mov nrog me ntsis roj txiv roj lossis butter tsis muaj ntsev. Nws raug tso cai haus cov kua txiv hmab txiv ntoo qab zib nrog ntxiv dej thiab decoctions raws li bran thiab sawv hips.
