Autoimmune gastritis: zviratidzo, kuongororwa uye kurapwa

Chirwere chakadaro chechipembenene chemukati, se autoimmune gastritis, hachiwanzoiti, inowanikwa mu 10% chete yevanhu. Chirwere chacho chimiro chemasvikiro uye chinoitika mune mamwe mamiriro ezvinhu. Chaizvoizvo - sayenzi haisati yakanyatsosimbiswa. Zvinogona kuongororwa kuti izvo zvinopisa zvinokwegura uye kusagadzikana. Funga nezviratidzo zvezvirwere zvechirwere ichi, kuongororwa uye kurapwa.

Izvi zvinotanga sei?

Kugadzirisa chirwere chomurume ane chirwere ichi chinotanga kuzvidya. Mune mamwe mazwi, maitiro ezvirwere zvekuzvidzivirira muviri, kubudisa masimba anokwana, anoparadza masero anowanzoita iyo mucosa gastric. Izvi zvinotungamirira kukuderera mu acidity yejusi yakakosha, zvokudya zvinorega kudya uye kuora kwayo kunotanga, uye zvinhu zvinobatsira hazvipindi mumasumbu kana muropa rega. Munhu, achinge adya zvokudya, anonzwa kurwadziwa kwakasimba mumudumbu pasi. Nemhaka yeizvi, anogumira kudya chero chinhu, uye mushure mechinguva unotanga dystrophy uye anorexia.

Zvinokonzera

Ndeipi chikonzero chakaita kuti munhu ave nehutano hwakadaro? Masayendisiti anowanzodavira kuti chirwere chekuchengetedzwa kwepachiviriki ndechekuzvarwa mune zvisikwa. Mukuwedzera, autoimmune gastritis inogona kukonzera utachiona mumuviri, somuenzaniso, cytomegalovirus, herpes, pamwe neAppstein-Barr. Icho chinokonzera causative yehutachiona hwakadaro haisi kuiswa muhutu chete, asiwo kune nhengo dzomukati, zvichiita kuti chitachiona chiparadze gumbo rezvemimba. Chero zvazvingava, chikonzero chekuitika kwechirwere chakadaro chinogadzirwa mumwe nomumwe.

Zviratidzo

Zviratidzo zvezvirwere zvehutano zvinoratidzirwa sezvizvi:

• Bloating;
• Lethargy uye kuneta kukuru;
• Chinhu chisingafadzi shure shure mumuromo ;
• Kutadza kwekudya;
• Munhu anocherechedza kuti ari kutamba mudumbu rake;
• Kushungurudza, kubata, kusuruvara kunononoka, kuvhiringidza kana kurara;
• Kuturuka kwakanyanya, uhuzi;
• Kureba kweganda;
• Kugadziriswa kwezvipikiri.

Mukuwedzera, chiratidzo chakajeka che autoimmune gastritis ndechokutya, kusuruvara, manzwiro. Izvi zvinotsanangurwa nekuti muviri unotanga kushayikwa mavitamini B12 uye B9, zvichikonzera kukanganiswa kwehutachiwana uye hutano.

Zviratidzo zvakadaro hazviiti pakarepo panguva yekuvandudzwa kwechirwere uye zvinogona kuzviratidza pachavo pamwe chete uye zvakasiyana.

Diagnostics

Kuti kurapwa kuve kwakabudirira, zvakakosha zvikuru kuisa zvakajeka kuongorora panguva. Vakawanda munyaya iyi vanotumidzwa kune gastroenterological centre, umo mazano anotevera anoitwa:

• Fibrogastroduodenoscopy ne biopsy. Pakutanga kwekutanga kwekurwara kwechirwere ichi, mucosal edema, iyo hypermiaia, kuvapo kwezvipembenene uye kukanganiswa kunoratidzwa. Kana chirwere chacho chava chisingagumi, maronda emumukoma emudumbu anova akajeka, atrophic, neine maduku ekuderera kwemasero e epithelium.
• X-ray yemudumbu, esophagus uye duodenum.
• Kudzivirirwa kwepabonde kweropa, nokuti mu30% yevarwere, zvinetso zve autoimmune zvinowanikwa mune dzimwe nhengo.
• Kunzwa mudumbu, iyo inosarudza acidity yemvura inoshandiswa ichi ichi uye kuvapo kweHelicobacter.
• Kutakura polymerase chain reaction, iyo inobvumira kutsanangurira DNA yakawanda yemavirusi mumvura uye murwere. Muna 7.1% yevarwere vane autoimmune gastritis, kuvapo kweEppstein-Barr virusi, inokonzera mononucleosis, inoonekwa.
• Ultrasound yechipfuva nhengo dzomuviri. Muchikamu makumi mapfumbamwe nezana (80%), varwere vane chiropa chakawedzerwa nekushandurwa kwaro, 17% yevarwere vane chirwere chakawedzerwa, dzimwe nguva vanoratidza kuwedzera uye kuwirirana kwemakirini emakumbo emakumbo.

Ndiani anorayira kurapwa?

Kazhinji, kana murwere achitendeukira kune gastroenterological center, nyanzvi mbiri - an immunologist uye gastroenterologist - anoongororwa uye anobatwa zvakare.

Iyo nyanzvi yemasikirini inotarisa pachikamu chipi chekusimudza chirwere ichi uye kuti zvinokwanisika sei kumisa kuparadzwa kwakanyanya kwepuropa remimba.

Gastroenterologist inorapa nzira dzekurapa kwehutachiona hwemucheche yemudumbu, inogadza kurapa kwakakodzera, nerubatsiro rwokuti basa remuviri wepamuviri, rinotambudzwa panguva yekuvandudzwa kwechirwere, rinodzorerwa.

Nzira yekurapa

Kana autoimmune gastritis ichiongororwa , kurapwa kunofanira kuva munhu oga. Izvo zvinoenderana nechimiro chechirwere, danho rekufambira mberi, zviratidzo zvakaratidzwa uye kuchinja kwakaitika kune dzimwe nhengo. Kurapa kunofanirwa kuve nechinangwa chokubvisa chikonzero chechirwere, uyewo kurwisana neHelicobacter uye hutachiona hwehutachiwana, hunochinja mumatambudziko uye nemagetsi.

Nheyo dzekurapa

Kana imwe gastritis inogadziriswa ichionekwa, murwere anofanirwa kubatana nechikafu chinokosha. Muchiitiko ichi, zvakakosha kubvisa kubva kune kudya kwekudya kunotonhorera uye kunopisa, izvo zvinofanirwa kushandiswa, kushandiswa kwetsika uye zvemakemikari. Pasi pekudziviswa, rakapinza, munyu, zvinonaka, zvokudya zvakabikwa. Zvokudya zvinofanira kuva mapuroteni (kusanganisira hove yakadzika kana nyama yakabikwa yakagadzirwa), ine mavitamini uye fiber (jellies, zviyo, mousses, michero yekurairi, kupukunyuka kana kupiswa michero nemiriwo). Iwe haugoni kushandisa kofi, zvingwa zvinotapira, keke, tei, keke, masipi. Zvokudya zvinofanira kutorwa chete mufomu inotonhora.

Kana murwere ane chirwere chakakomba, chiremba anorayira anticholinergics (Metacin, Platifillin), antispasmodics (Papaverin, No-shpa), uyewo zvinodhaka zvinoshandiswa kuderedza motokari inoshanda mumukumbo uye mudumbu (Cerucal, "Motilium").

Kuvandudza mamiriro ehutachi mucosa, zvinodhaka zvinotevera zvinorayirwa: "Venter", "Bismuth", "Plantaglucid", uye kuderedza asidi - Almagel, Ranitidine nevamwe.

Nezwi rinonzi mucosal atrophy, kurapwa kwemaitiro kunorondedzerwa: "Abomin", "Mezim", "Acidin-pepsin", "Panzinorm", "Pankournen", kugadzirira kunochenesa utumbo microflora, multivitamins.

Kana pane chido chakadai, ipapo antimicrobial nemishonga yemishonga inorwarisa inofanira kuendeswa. Chengetano maererano nezviratidzo, phytotherapy, kushambadza, kurapa maitiro, physiotherapy, reflexotherapy, balneotherapy inoitwa.

Uyewo, varwere vazhinji vanoshandisa mushonga wekodha kuti kuderedza mamiriro acho ezvinhu. Zvimwe zvinokonzera gastritis, zvimwe zvinoshandiswa nemuchero we plantain nemafuta egungwa-buckthorn mafuta, asi chero zvakadaro, kurapa kunofanira kuitwa kunze kwekutarisirwa kwachiremba.

Zvinetso zvinogona kuitika

Kana chirwere chacho chisati chakatanga kuonekwa munguva yakakodzera, iyo inrophy ye mucous membrane ichafambira mberi, uye zviratidzo zvichawedzera. Somugumisiro, panogona kuva adenocarcinoma. Uyewo, kushaya hanya nemaonero ehutano kunotungamirira kusina kushaya anemia uye polyhypovitaminosis.

Mhedziso

Nokudaro, kana munhu kamwe kamwe anoona kuti kuputika mukati mudumbu, kuora mwoyo, kufema kwakaipa uye zvimwe zviratidzo zvisingaoneki zvemuviri, anofanira kubvunza chiremba nekukurumidza. Kazhinji izvi zvinoratidza kukurudzirwa kwega autommune gastritis, kusingatarisirwi kurapwa kunotungamirira kumatambudziko akaoma.