Zoyambitsa, zizindikiro ndi zizindikiro za gastritis m'mimba

Kutupa kwa chapamimba mucosa ndi imodzi mwa matenda anthu ambiri. Pafupifupi 80-90% ya anthu m'moyo wawo anali ndi gawo limodzi la matendawa. Mu ukalamba, mpaka 70-90% ya anthu amadwala mitundu yosiyanasiyana ya gastritis. The aakulu mawonekedwe a gastritis akhoza kusintha chironda chachikulu, khansa ya m`mimba.

Kodi gastritis ndi chiyani?

Gastritis ndi kutupa kwa mucous wosanjikiza wa m'mimba, kumabweretsa kukanika kwa chiwalo ichi. Pamene gastritis imapezeka, chakudya chimayamba kusagayidwa bwino, zomwe zimabweretsa kuwonongeka ndi kusowa mphamvu. Gastritis, monga matenda ambiri, ndi pachimake ndi aakulu. Komanso, pali gastritis ndi otsika, wabwinobwino ndi mkulu acidity m`mimba.

Panopa, gastritis akhoza kale kutchedwa matenda a zaka zana. Amapweteka akuluakulu ndi ana. Ndipo malinga ndi ziwerengero zaumoyo, ku Russia pafupifupi 50% ya anthu ali ndi gastritis mwanjira ina.

Gastritis imadziwika ndi zifukwa zosiyanasiyana zakunja ndi zamkati zomwe zimayambitsa kukula kwa matenda. Zachipatala, zimachitika mu mawonekedwe a kutupa (pachimake kapena aakulu). Kutupa koopsa kumakhala kwakanthawi. Kuwonongeka kwa mucous nembanemba m'mimba ndi ndende zidulo, alkalis ndi mankhwala ena zoopsa amapha.

Matenda oyenda nthawi yayitali (osatha) amachepetsa moyo wabwino ndikudziwonetsa ngati ululu, komanso:

• Kulemera m'mimba;

• kutentha pa chifuwa;

• Belching;

• kusanza;

• Kutsekula m'mimba ndi/kapena kudzimbidwa;

• Kutupa;

• flatulence - kutulutsa mpweya;

• Mpweya woipa.

A aakulu mawonekedwe ndi owopsa atrophy wa chapamimba mucosa. Chifukwa cha zimenezi, tiziwalo timene timatulutsa m’mimba timasiya kugwira ntchito bwinobwino. Ma cell atypical amapangidwa m'malo mwa maselo athanzi. An kusalinganiza m`kati kudziletsa machiritso a maselo a chapamimba mucosa ndi chimodzi mwa zifukwa za zilonda ndi khansa ya m`mimba thirakiti.

M'mimba ndi gawo lomwe lili pachiwopsezo kwambiri cham'mimba. Pafupifupi njira zitatu zovutirapo za kagayidwe kachakudya zimachitika mmenemo: uku ndiko kusakanizika kwa chikomokere cha chakudya, kusweka kwa chakudya, ndi kuyamwa kwa michere.

Khoma lamkati la m'mimba, mucous nembanemba, nthawi zambiri limawonongeka, pomwe zigawo ziwiri zomwe zimagayidwa zimapangidwira - madzi am'mimba ndi ntchofu zoteteza.

Chimbudzi m'mimba ndi finely kuchunidwa biochemical ndondomeko ya thupi. Izi zikutsimikiziridwa ndi yachibadwa acidic pH ya chapamimba madzi (chigawo chake chachikulu ndi hydrochloric acid), komanso ndi kusiyana mu magawo acidity mbali zosiyanasiyana. Kuchuluka kwa acidity (pH 1,0-1.2) kumawonedwa kumayambiriro kwa m'mimba, ndi otsika (pH 5,0-6,0) - pamphambano ya m'mimba ndi matumbo aang'ono.

Chododometsa chagona pa mfundo yakuti mwa munthu wathanzi, m`mimba osati kudzigaya yokha, komanso chapamimba madzi opangidwa ndi tiziwalo timene timatulutsa m`madera osiyanasiyana a thupi ndi katundu osiyana. Pa nthawi yomweyo, pH chilengedwe mu kum'mero ​​si ndale, ndipo mu duodenum (gawo loyamba la matumbo aang'ono) ndi zamchere.

Kumva kosasangalatsa, kowawa kwa munthu yemwe ali ndi gastritis - kutentha pamtima - makamaka chifukwa cha kuphwanya kwa acid-base balance mu gawo limodzi la m'mimba. Kuphatikiza apo, kupatuka kwa acidity yokhazikika m'malo ena am'mimba kumapangitsa kuti pathogenesis ya gastritis yokhala ndi acidity yochepa kapena yambiri.

Kukhudza kwambiri m'mimba: chakudya kapena poizoni, kutuluka kwa bile m'mimba, matenda a m'mimba, kumwa mankhwala enaake, zakumwa zoledzeretsa, mowa ndi zinthu zina zimakhudza mkhalidwe wa m'mimba mucosa. Mphamvu yayikulu ya tizilombo toyambitsa matenda pakukula kwa gastritis yatsimikiziridwa.

Zotsatira zadzidzidzi kwakanthawi kochepa pamayendedwe am'mimba zimangokhala ndi mawonetseredwe azachipatala ngati kutupa kwakukulu kwamtunduwu:

• Catarrhal;

• fibrinous;

• Necrotic;

• Phlegmonous.

Catarrhal gastritis imagwirizana ndi zakudya zopanda thanzi komanso poizoni wofatsa. Fibrinous ndi necrotic gastritis nthawi zambiri amayamba chifukwa cha poyizoni ndi mchere wa zitsulo zolemera, acids wambiri ndi alkalis. Phlegmonous gastritis imayamba chifukwa cha kuwonongeka kwa khoma la m'mimba.

Kukumana ndi chofooka chamoyo kwa nthawi yayitali kumatha ndikukula kwa matenda osachiritsika, omwe amakulitsidwa ndi zilonda zam'mimba pamakoma am'mimba. Matenda a gastritis akhoza kukhala zizindikiro za oncological njira mu m`mimba thirakiti.

Mitundu yosiyanasiyana ya mawonetseredwe a gastritis ya m'mimba mwa anthu imatsimikiziridwa ndi magulu awo ovuta. Kufotokozera mwatsatanetsatane zizindikiro za matenda a gastritis n'kofunika kwa gastroenterologists pofotokoza njira zothandizira. Kwa ife, ichi ndi fanizo la mitundu yosiyanasiyana ya matendawa kuti apange lingaliro lodziwika bwino la gastritis mwa owerenga.

Gulu lina la gastritis siligwirizana ndi tizilombo toyambitsa matenda, ngakhale pazigawo zina kugwirizana kumeneku kungawonekere.

Nonmicrobial gastritis amagawidwa m'magulu angapo:

• Zauchidakwa. Matendawa amayamba chifukwa chogwiritsa ntchito zakumwa zoledzeretsa nthawi zonse (mowa uli ndi pH ya alkaline) motsutsana ndi maziko azinthu zina zambiri zomwe zimakhudzana ndi vuto lalikulu la mowa wa ethyl m'thupi;

• Gastritis yopangidwa ndi NSAID. NSAIDs ndi mankhwala omwe si a steroidal odana ndi kutupa omwe amagwiritsidwa ntchito pa matenda ambiri monga antipyretic, analgesic ndi antiplatelet mankhwala. Mankhwala otchuka kwambiri a gulu la pharmacological ndi acetylsalicylic acid (aspirin), analgin, diclofenac, indomethacin, ketoprofen, ibuprofen, piroxicam. Kusalamulira ntchito NSAIDs kumapangitsa kukula kwa gastritis, ndiyeno kusintha kwake mu chapamimba chilonda.

• Pambuyo-kudula. Chotero gastritis akufotokozera pambuyo anakakamizika opaleshoni kuchotsa mbali ya m`mimba.

• Mankhwala chifukwa gastritis. Amayamba chifukwa chakumwa mwangozi kapena mwapadera kwa mankhwala omwe ali ndi mphamvu zolimbana ndi mapuloteni a mucous nembanemba m'mimba.

• Gastritis osadziwika chiyambi.

Mu zamankhwala akatswiri, magulu ena a gastritis amagwiritsidwanso ntchito, kuphatikizapo, malinga ndi mtundu wa kufalikira kwa tizilombo toyambitsa matenda:

• Autoimmune gastritis (mtundu A);

• Exogenous gastritis (mtundu B), wokwiya ndi Helicobacter pylori;

• Kuphatikizika kwa gastritis (mtundu A + B);

• Gastritis (mtundu C) chikwiyire NSAIDs, mankhwala irritants kapena ndulu;

• Mitundu yapadera ya gastritis;

• Gastritis motsutsana ndi maziko a kuchepa ndi kuwonjezeka kwa katulutsidwe wa hydrochloric acid;

• Mitundu ina ya morphological ndi zinchito mawonetseredwe a gastritis.

Kusiyanitsa kwawo kumaphatikizapo kugwiritsa ntchito ma laboratory ovuta azachipatala kapena njira zothandizira pa siteji ya matenda. Choncho, kufotokoza kwa gastritis, komwe kumakhala ndi zizindikiro zofanana zachipatala, koma kumasiyana ndi njira zomwe zimayambitsa matenda, sizili ndi chidwi ndi owerenga ambiri.

Tiyeni tikambirane mwatsatanetsatane zizindikiro zazikulu ndi zizindikiro za gastritis, zomwe zingakhale ngati maziko kuti munthu alankhule ndi chipatala kuti athandizidwe.

Zizindikiro ndi zizindikiro za gastritis m'mimba

Gastritis imadziwika ndi zizindikiro zosiyanasiyana, koma imatha kuchitika popanda kutchulidwa. Chizindikiro chodziwika kwambiri ndi kupweteka kwa plexus ya dzuwa, yomwe imakula pambuyo podya mitundu ina ya chakudya, zakumwa ndi mankhwala osokoneza bongo, makamaka omwe awonjezera nkhanza zapamimba mucosa. Nthawi zina ululu umakula kwambiri pakati pa chakudya. Ndi gastritis, zakudya zokometsera, mowa, zakumwa za carbonated ndi zakudya zina, zomwe zimagwiritsidwa ntchito poyambitsa kuwonjezereka kwa gastritis zimatsutsana.

Zizindikiro zofunika, koma zosakhazikika za gastritis ndi kutentha pamtima, kusanza, ndi belching. Matendawa nthawi zina amawonetseredwa ndi kutupa komanso kutulutsa mpweya pafupipafupi. Kuwoneka kwa zizindikiro ziwiri kapena zingapo pamwambazi motsutsana ndi maziko a kupweteka kwa m'mimba ndi chifukwa chokayikira gastritis.

Matendawa amasonyezedwanso ndi kudya zakudya zokometsera, mankhwala osokoneza bongo komanso zakumwa zaukali patangopita nthawi yochepa kuti ululu uyambe.

Ndizovuta kwambiri kuzindikira zizindikiro za gastritis yosatha. Kwa nthawi yayitali, zizindikiro za matendawa zimangokhala ndi chimbudzi chosakhazikika, zolengeza pa lilime, kutopa, kulira ndi kusefukira m'mimba pakati pa chakudya, flatulence, kutsegula m'mimba mobwerezabwereza kapena kudzimbidwa.

Matenda a gastritis nthawi zambiri samakhudza kwambiri momwe wodwalayo alili, kupatula kuchepa kwa moyo. Mu mawonekedwe ofatsa, aakulu gastritis yodziwika ndi kudzimbidwa ndi kutsegula m'mimba. Mu mawonekedwe owopsa, kupatula omwe awonetsedwa - kutulutsa pafupipafupi kwa mpweya wamatumbo, kuchepa magazi, kugona, thukuta lozizira, kuchuluka kwa peristalsis, halitosis.

Zizindikiro za kuchuluka kwa acidity

Zizindikiro zodziwika bwino za gastritis yokhala ndi acidity yayikulu, kuphatikiza pazizindikiro zambiri (kusanza, nseru): +

• Kupweteka kwa nthawi yaitali mu plexus ya dzuwa, kutha pambuyo pa kudya;

• Kutsekula m'mimba pafupipafupi;

• Kupsa mtima pambuyo kudya chakudya chowawasa;

• Kufuna kutulutsa mpweya kuchokera mkamwa pafupipafupi - belching.

Zizindikiro za acidity yochepa

Zizindikiro zodziwika bwino za gastritis yokhala ndi acidity yochepa kapena zero: +

• Kusalekeza zoipa kukoma mkamwa

• Kulemera m'mimba pambuyo pa kudya;

• "Kuphulika" mazira owola ";

• Kulira;

• Mseru m'mawa;

• Mavuto ndi matumbo okhazikika;

• Fungo lonyansa lochokera mkamwa.

Zizindikiro za exacerbation ya gastritis

Kubwereranso kwa gastritis yosatha kumadziwika ndi zizindikiro zosiyanasiyana, zizindikiro zodziwika bwino ndi izi:

• Kupweteka kosalekeza kapena kwanthawi mu solar plexus, komwe kumawonjezeka mukangodya, kapena mosemphanitsa, ndikusala kudya kwanthawi yayitali;

• Belching ndi mpweya, moto sternum, kutentha pa chifuwa pambuyo kudya, zitsulo kulawa mkamwa;

• Mseru, kusanza kwa theka-digested chakudya m`mawa ndi khalidwe wowawasa kukoma, nthawi zina kusanza ya bile;

• Kuwonjezeka kwa salivation, ludzu, kufooka;

• Zizindikiro za dyspepsia (kudzimbidwa, kutsegula m'mimba);

• Chizungulire, palpitations, mutu.

Zizindikiro za exacerbation wa erosive (oopsa) mitundu ya gastritis akuwonjezeredwa ndi kusanza ndi magazi kuundana, nthawi zina kusanza ndi mdima mtundu masanzi. Kutuluka kwa m'mimba panthawi yamatumbo kumawonekera ndi ndowe zakuda. Nthawi zina kutuluka kwa m'mimba kungadziwike ndi njira za labotale. Kutaya magazi kwakukulu m'kati kumaonekera chifukwa cha kuyanika kwa khungu ndi mucous nembanemba ndipo kumadziwika mosavuta ndi mtundu wa sclera wa maso, chizungulire, ndi tinnitus.

Ululu m'mimba ndi gastritis

Gastralgia - kupweteka kwa khoma la m'mimba (mphako) - chizindikiro chofunikira cha gastritis. Panthawiyi, zowawa zimatsagana ndi matenda ena a m'mimba, omwe amatchedwa "acute abdomen". Zomverera zosasangalatsa zimawonetsedwa ngati ululu, komanso kubaya, kukanikiza, kuwombera, kuwotcha ndi mitundu ina ya ululu.

Ululu wofanana ndi gastralgia ukhoza kukhala chizindikiro cha infarction ya myocardial, kutupa kwa nembanemba ya mtima ndi mapapo, ndi kuthyoka kwa nthiti. Ululu m'mimba akhoza kuonedwa ndi tizilombo, bakiteriya ndi parasitic pathologies m'matumbo, mavuto enieni akazi, neurosis, shuga.

Kunyumba, mutha kuzindikira ululu womwe umabwera chifukwa cha gastritis. Chodziwika kwambiri cha gastritis ndikuchisiyanitsa ndi matenda ena a "mimba pachimake" ndi zowawa zomwe zimawonjezeka pambuyo pake:

• Kudya, makamaka zokometsera ndi kusuta;

• Kugwiritsa ntchito mowa kapena mankhwala ena, makamaka osagwiritsa ntchito steroidal anti-inflammatory drugs;

• Kupuma nthawi yayitali pakudya.

Zotsalira zotsalira za zochitika zowawa m'mimba popanda luso lachipatala komanso luso logwiritsa ntchito ma laboratory ndi njira zofufuzira zogwiritsira ntchito zingathe kusokonezeka mosavuta ndi zizindikiro za matenda ena.

Zifukwa za gastritis

Chochititsa chidwi kwambiri ndi zomwe zimayambitsa matenda a gastritis. Perekani zinthu zakunja ndi zamkati zomwe zimayambitsa kukula kwa matendawa. Chosangalatsa ndichakuti, mwa anthu ena, gastritis imakula pang'onopang'ono ndipo sichikhudza thupi. Ndiye kuti, mwina, zomwe zimayambitsa gastritis zimabisika kumbuyo kwazinthu zambiri komanso kuphatikiza kwawo.

Zifukwa zazikulu zakunja za gastritis:

• Impact pa makoma a m'mimba mabakiteriya Helicobacter pylori, zochepa mabakiteriya ena ndi bowa. Pafupifupi 80% ya odwala matenda gastritis secrete asidi zosagwira mabakiteriya kuti mwachangu kudutsa khoma la chapamimba mucosa, secrete zinthu zenizeni kuti kukwiyitsa mucous nembanemba, yotithandiza m`deralo kusintha pH makoma ndi kutupa. Yankho lomaliza, chifukwa chiyani mabakiteriyawa amawononga kwambiri anthu ena, osati kwa ena, sichidziwikabe;

• Kusokonezeka kwa kadyedwe. Zatsimikiziridwa kuti kuperewera kwa zakudya m'thupi ndizomwe zimayambitsa gastritis. Mawuwa ndi oona pa kudya mopambanitsa komanso kusala kudya. M`pofunika kusiyanitsa zakudya ndi zomera zakudya wolemera mu mavitamini ndi zomera CHIKWANGWANI, amene normalizes peristalsis. Komabe, ndikukula kwa magawo oyambilira a gastritis, ndikofunikira kupewa zakudya zomwe zili ndi masamba obiriwira, komanso mafuta, zokometsera, zamzitini ndi zokazinga;

• Kumwa mowa mopitirira muyeso alekanitsidwa monga osiyana chifukwa cha gastritis m`mimba. Mowa wocheperako ndi gawo lofunikira lazachilengedwe m'thupi, komabe, mowa wambiri umayambitsa kusalinganika kwa asidi m'thupi. Kuphatikiza apo, mowa wambiri ndikugwiritsa ntchito pafupipafupi umawononga kwambiri ziwalo zina zam'mimba - chiwindi, kapamba, komanso zimakhudzanso kagayidwe kachakudya m'thupi;

• Zadziwika kuti mankhwala ena omwe amagwiritsidwa ntchito kwambiri mu mankhwala monga anti-clotting (antiplatelet), analgesic ndi anti-inflammatory drugs ali ndi zotsatira zoopsa - amakwiyitsa mucosa ya m'mimba. Nthawi zambiri, gastritis imayamba chifukwa cha mankhwala osatulutsa mahomoni (aspirin, analgin) ndi mahomoni a glucocorticoid (prednisone). Mankhwalawa akulimbikitsidwa kuti agwiritsidwe ntchito mosamalitsa pazifukwa zachipatala, pang'onopang'ono, pang'ono, mutatha kudya;

• Ofufuza ena amawona momwe chitukuko cha gastritis cha helminthic invasions, kupsinjika kwanthawi yayitali, mankhwala aukali, kumeza mwangozi kapena mwadala.

Waukulu mkati (zokhudzana ndi kuphwanya homeostasis) zimayambitsa gastritis:

• Kobadwa nako umunthu ku matenda a m'mimba;

• Duodenal reflux - kutupa kwa bile kuchokera ku duodenum kupita m'mimba. Bile, kulowa m'mimba ya m'mimba, amasintha pH ya madzi ndikukwiyitsa mucous nembanemba. Poyamba, kutupa kwa m'mimba kumayamba, ndiyeno madipatimenti ake ena amakhudzidwa;

• Autoimmune njira, kuwonongeka pa chitetezo mlingo wa zoteteza katundu wa chapamimba mucosa. Zotsatira zake, maselo amasiya kugwira ntchito bwino ndikutaya katundu wawo woyamba. Chodabwitsa ichi chimayambitsa kutsika kwazinthu zazing'ono zomwe zimasintha pH ya madzi, ndipo zimayambitsa kukwiya kosalekeza kwa makoma am'mimba. Pali amkati kuledzera ndi kuphwanya kukana kwa mucous nembanemba kwa aukali chilengedwe cha chapamimba madzi;

• Kuphwanya kwa mahomoni ndi vitamini kagayidwe, mphamvu ya reflex ya pathogenesis ya ziwalo zoyandikana ndi m'mimba.

Mitundu ya gastritis:

Mothandizidwa ndi zida ndi njira zogwirira ntchito, mitundu yambiri ya gastritis idapezeka. Komabe, aliyense amagawidwa mu gastritis ndi:

• Normal kapena kuchuluka acidity;

• Zero kapena otsika acidity.

Zizindikiro za gastritis ndi otsika kapena mkulu acidity akhoza ambiri amasiyanitsidwa, Komabe, matenda omaliza amapangidwa pamaziko a kafukufuku chapamimba madzi opezedwa ndi kufufuza, komanso intragastric pH-metry ntchito wapadera masensa anaikapo m`mimba. Yotsirizira njira yabwino kuti nthawi yaitali kuwunika chapamimba madzi magawo n'zotheka. Nthawi zina, pH ya zam'mimba imatsimikiziridwa mwanjira ina, pophunzira mkodzo pH.

Acidic gastritis

Amadziwika ndi ululu wowawa kwambiri mu solar plexus kapena mumchombo, nthawi zambiri ndi chikhalidwe cha paroxysmal. Kupweteka kumachepa mutatha kudya chakudya, kumakula pakati pa chakudya. Ululu mu hypochondrium yoyenera ndi umboni wa ingress ya chapamimba madzi mu duodenum. Matendawa amadziwika ndi kutentha pamtima, matenda am'mawa, kuphulika kovunda, kulira m'mimba, kutsegula m'mimba (kutsekula m'mimba kumakhala kofala kwambiri kwa gastritis yokhala ndi acidity yochepa), kukoma kwachitsulo mkamwa.

Nthawi zina, matendawa amapitilira pang'onopang'ono, ndikuchulukirachulukira pambuyo pomwa mowa, mankhwala a gulu la NSAIDs, mtima glycosides (digitis), kukonzekera kwa potaziyamu, mahomoni (prednisolone, dexamethasone, hydrocortisone). Kuwukirako kumatha kukwiyitsidwa ndikugwiritsa ntchito chakudya "cholemera". Mtundu wa gastritis umatsimikiziridwa ndi kafukufuku wamankhwala.

Gastritis ndi otsika acidity

Asidi m'mimba amakhudzidwa ndi kuwonongeka koyambirira kwa ulusi wazakudya.

Gastritis ndi otsika acidity zambiri kuwonetseredwa ndi kulemera m`mimba, mofulumira satiety pambuyo kudya, kuchuluka mapangidwe m`mimba mpweya. Nthawi zina, matendawa amatha kuwongoleredwa potenga ma enzymes am'mimba (festal, gastal). Mutha kuchiza gastritis ya anacid kunyumba, ndizosavuta. Popeza madzi am'mimba amachepetsa katundu, muyenera kutafuna chakudya kwa nthawi yayitali. Kusamalitsa kugaya chakudya chikomokere m'kamwa ndikuchikonza ndi malovu ndi njira yabwino yopanda mankhwala yochizira gastritis.

pachimake gastritis

Catarrhal gastritis amayamba mothandizidwa ndi mankhwala aukali (aspirin, NSAIDs zina), zakumwa zovulaza (mowa, mandimu a carbonated omwe amagwiritsidwa ntchito pafupipafupi) ndi zakudya zolemetsa (mafuta, mchere, kusuta, kuzifutsa). Pachimake gastritis amadziwikanso motsutsana maziko a poizoni matenda (salmonellosis ndi ena), komanso motsutsana maziko aimpso ndi chiwindi kulephera. Pachimake mitundu ya gastritis akhoza chikwiyire ndi pathologies osati mwachindunji thirakiti m`mimba (chibayo, frostbite). Ichi ndi chifukwa kudzikundikira underoxidized mankhwala m`mwazi pa kwambiri kutupa m`mapapo, zomwe zimayambitsa kutupa makoma a m`mimba. Kufotokozanso pachimake gastritis pa maziko a maganizo.

Phlegmonous gastritis - zotsatira za kuvulala mwadala kapena mwangozi pamakoma a m'mimba (zikhomo zomeza, galasi, misomali). Matendawa akuwonetseredwa ndi purulent maphatikizidwe makoma a m'mimba.

Zizindikiro za catarrhal (zosavuta) pachimake gastritis zimawonekera patatha maola 5-8 mutakumana ndi vuto. Pathogenesis imayamba ndi kutentha kwa dera la epigastric (mawu ofanana: m'dzenje la m'mimba, mu plexus ya dzuwa). Ululu akufotokozera m`dera lino, nseru, kusanza, zitsulo kulawa m`kamwa. Poizoni-infectious gastritis akuwonjezeredwa ndi kutentha thupi, kusanza kosalekeza ndi kutsekula m'mimba. Mkhalidwe woopsa umadziwika ndi kusanza kwamagazi - ichi ndi gastritis yowononga (necrotic). Phlegmonous gastritis imawonetseredwa ndi zochitika za peritonitis: khoma la m'mimba lokhazikika, kugwedezeka.

Matenda gastritis

Mu magawo oyambirira, matendawa amapitirira popanda zizindikiro zowala. Hypersensitivity kwa mitundu ina ya chakudya nthawi ndi nthawi kuwonetseredwa mu mawonekedwe a kutentha pa chifuwa ndi bloating. Nthawi zambiri pamakhala kumverera kwachisoni ndi m'mimba yodzaza, zolengeza ndi mawonekedwe achilendo amapezeka pa lilime.

Matenda a gastritis amatha kukhala pa msinkhu uliwonse: kuyambira zaka 20 mpaka kukalamba. Matendawa amakhala ndi nthawi exacerbation ndi chikhululukiro. Pa nthawi ya exacerbation, zizindikiro za gastritis aakulu sizimasiyana ndi zizindikiro za pachimake mawonekedwe a matenda - ululu, kuphatikizapo nseru, nthawi zina kusanza. Zomverera zosasangalatsa zimakulitsidwa mutatenga mitundu ina ya chakudya. Nthawi zambiri ichi ndi ena ya mankhwala kuti muyenera kukumbukira ndi kuyesa kusaganizira zakudya kapena kuchepetsa kumwa.

Kuwala kwa mucous nembanemba kungakhale chizindikiro cha matenda ena - atrophic gastritis. Izi zimachitika chifukwa cha kuchepa kwa vitamini B m'thupi₁₂. Vitaminiyi ndi yofunika kwambiri pakupanga magazi. Atrophic gastritis sangakhale ndi zizindikiro zina, kupatula zotuwa. Kuopsa kwa matendawa ndikuti ndi chizindikiro cha kukula kwa maselo a khansa mu epithelium ya m'mimba. Kuzindikira kwa kuchepa kwa magazi m'thupi motsutsana ndi maziko a zizindikiro za gastritis ndi nthawi yowunikira kwambiri thanzi.

Thupi la munthu limakhala ndi chitetezo chachikulu, kotero kusintha kwa moyo, kudya zakudya komanso kuperekedwa moyenera mankhwala ovuta kumawonjezera mwayi wochiza matenda amtundu uliwonse wa gastritis.

Kodi mungadzithandize bwanji kunyumba?

Chifukwa chofala cha gastritis ndikumwa mopitirira muyeso kwa zinthu ziwiri izi:

• Aspirin (acetylsalicylic acid);

• Mowa (ethyl mowa, ethanol).

ndi aspirin ndi analogues ake zotchulidwa ndi cardiologists kwa nthawi yaitali tsiku ndi kuvomerezedwa ntchito pofuna kupewa m`mnyewa wamtima infarction ndi zikwapu. Anthu zikwi makumi ambiri tsiku ndi tsiku amatenga aspirin ngati njira yolepheretsa mapangidwe a magazi, zomwe zimapangitsa kuti vuto la kugwiritsa ntchito bwino kwa NSAID likhale lofunika kwambiri.

Kukonzekera kwa acetylsalicylic acid kuli ndi katundu wabwino kwambiri wa antiplatelet, ndiko kuti, kumalepheretsa kukula kwa magazi m'mitsempha. Kutsekeka kwa magazi ndizomwe zimayambitsa matenda a myocardial infarction ndi cerebral stroke. Komabe, aspirin ndi NSAID zina zimakhala ndi zotsatira zosasangalatsa - zimakwiyitsa mucous nembanemba yam'mimba. Odwala matenda oopsa amagwiritsa ntchito mankhwalawa tsiku ndi tsiku limodzi ndi mankhwala ena. Kumwa aspirin mopanda malire ndi zofanana zake kungayambitse vuto lina kwa munthu wodwala - gastritis. Izi ndi zoona kwa anthu onse achikulire omwe akudwala matenda oopsa, angina pectoris, omwe avutika kapena ali pachiopsezo chokhala ndi matenda a myocardial infarction.

mowaamagwiritsidwa ntchito kwambiri ndi magulu ena a nzika. Mwa anthu omwe ali ndi matenda a m'mimba, ngakhale kumwa mopitirira muyeso kwa Mowa kungayambitse kuwonjezereka kwa gastritis. Mowa uli ndi mphamvu za alkaline. Nthawi zonse neutralization ya acidic chilengedwe cha m'mimba ndi Mowa amalenga chikhalidwe mkwiyo wa makoma.

Pakalipano, palibe chifukwa chochotsera aspirin ndi mankhwala ena ofunika (chitsulo, potaziyamu, mahomoni, ndi zina zotero) pamndandanda wamankhwala othandiza. Werengani mosamala zolemba za mankhwala ndikuwamwa molingana ndi chiwembu chomwe dokotala amalimbikitsa.

Makamaka, mutha kuchepetsa zotsatira za kumwa aspirin motere:

• Kuchepetsa mlingo umodzi (funsani dokotala);

• Kumwa mankhwala madzulo a chakudya;

• Kumwa madzi ochuluka;

• Kusintha kuchokera ku aspirin kupita ku ma analogue amakono a zipolopolo (THROMBO-ASS).

Popereka aspirin ndi NSAID zina, kusamala kuyenera kuchitidwa ngati wodwala ali ndi:

• Erosive ndi zilonda zam`mimba matenda pachimake siteji;

• Kusalolera kwaumwini kwa kukonzekera kwa acetylsalicylic acid;

• Chizoloŵezi cha magazi m'mimba;

• Mphumu;

• impso kulephera;

• Mimba mwa amayi.

Nthawi zonse auzeni dokotala ngati muli ndi zoletsa pakugwiritsa ntchito aspirin. Izi zidzathandiza dokotala kuyenda, kusankha mlingo woyenera wa mankhwalawa, m'malo mwake ndi ma analogi abwino kwambiri kapena mankhwala a gulu lina la pharmacological, kusintha njira zogwiritsira ntchito, ndi kuchepetsa kuchuluka kwa ntchito ya aspirin.

Kugwiritsa ntchito mopanda nzeru kwamankhwala aliwonse kumatha kukhala ndi zotsatirapo zoyipa ndikulepheretsa kuyamwa kwamankhwala ena omwe aperekedwa. Maantacid okhala ndi aluminiyamu mumlingo waukulu amayambitsa kudzimbidwa, mankhwala okhala ndi potaziyamu amachepetsa acidity yam'mimba (nthawi zina izi ndi zothandiza). Potaziyamu imathandizanso amayi panthawi yosiya kusamba.

Pankhani ya tsankho kwa magulu ena a mankhwala, amasinthidwa ndi ena. Mwachitsanzo, histamine-H2 blockers akhoza kukhala m'malo otere. Mankhwala omwe ali m'gulu ili (cimetidine, ranitidine) ndi mankhwala osokoneza bongo. Mapiritsiwa amalembedwa ngati njira yoyendetsera acidity m'mimba, ndipo, chifukwa chake, kuchepetsa kupweteka kwa hyperacid gastritis.

Koma mowa, ayenera kusiyidwa pa nthawi exacerbation wa gastritis ndi ntchito pharmacological wothandizila kuti ndi aukali kwambiri pa m`mimba thirakiti. Kumwa mowa nthawi zonse ndikoopsa kwambiri pakukula kwa gastritis ya m'mimba.

Mankhwala a gastritis am'mimba

Mu nkhokwe za gastroenterologists zochizira ndi kupewa gastritis, pali magulu angapo amankhwala amankhwala, kuphatikiza:

• Enterosorbents - activated carbon, smecta;

• Maantacids;

• Antiseptics ndi mankhwala ophera tizilombo;

• mankhwala oletsa kutsekula m'mimba;

• Tetracycline mankhwala;

• Antihistamines (H2 subtype).