Erosive gastroduodenitis: kuongororwa, kurapwa nekudzivirira. Erosive gastroduodenitis: kurapwa nemishonga yevanhu

Maererano nemashoko ekurapa, zvinopfuura 80% zvezvirwere zvose zvinowanikwa mumagetsi. Chirwere chinowanzozivikanwa chinokonzera gastroduodenitis. Chii ichocho? Iyo chirwere chinoputika, umo maitiro akasiyana-siyana akakomba uye zvionda zvine mucous membranous zviri mukati zvinoumba mucous membrane yedumbu. Mukuwedzera, mucosa ye duodenal inoshandiswa. Muchiitiko ichi, mucosal kudya kunovhiringidzika, pane kuwedzera acidity yemudumbu (hypersecretion), kune hutu hwakasimba.

Zvimwe zviitiko zvekufambira mberi

Zvikonzero zvakakurumbira zvekuitika kwechirwere zvinosanganisira zvinhu zvinotevera:

- kurapwa kwenguva refu nemishonga antibacterial;

- kushandiswa kwezvokudya zvinokuvadza (mafuta, zvinonhuwira, semi-ended products);

- zvirwere zvinotapukira zvemukati mutsara uye pharynx;

- kushandiswa kakawanda doro, kusvuta;

- Helicobacter pylori bacteria (H. pylori), iyo inokonzera kukanganisa-hemorrhagic gastroduodenitis (chokwadi chinopupurirwa chokwadi).

Zvinhu zvinogumira

Pasi pesimba rezvinhu zvisina kunaka (bile acids, hydrochloric acid) pamadziro emudumbu kunooneka kuonda uye kuonda izvo kazhinji (pasina kushandiswa kwakakodzera) zvinotungamirira pakuonekwa kwezvironda zve duodenum uye mudumbu. Inokurudzira kuonekwa kwechirwere ichi: zvinetso zvehomoni; Kushungurudzika kwemamiriro ezvinhu, kusagadzirisa hurongwa hwesheyo; Genetic (hereditary). Erosive gastroduodenitis inogona kukonzera kukanganiswa mumuviri wezvirwere.

Kurongwa

Systematization inobva pane morphological change (structural) uye nguva yehutachiona. Gastroduodenitis inogona kugoverwa mumhando dzakasiyana-siyana: yakaoma (kusvika pamwedzi mitatu) uye isingaperi (mwedzi inopfuura mitanhatu).

Muchikamu checatarrha, mucosa haisi kuparadzwa. Apo kuongororwa kuzvidzora, kubwinya kunooneka. Chimiro chechirwere chinorapwa nyore nyore.

Erythematous gastroduodenitis inowanikwa mushure momufananidzo we catarrha uye inopesana nokudzikinurwa kwakanyorwa.

Kana pane chirwere chisingaperi chine gastroduodenitis, kazhinji kune dumbu remetaplasia (kuonekwa kwemukati masero mumudumbu, mumusasa haasipo).

Clinical picture

Pakutanga kwekutanga, zviratidzo zvechirwere hazvikwanisi kusimuka. Zvadaro, murwere anonzwa kurwadziwa, kunyanya mushure mekudya sekuguma kwekugadzirwa kwechirwere chekudya uye chekuonda kwechirwere munzvimbo ye pyloroduodenal.

Zviratidzo zvegastroduodenitis zvinokonzera zvinotevera: manzwiro ekurwadziwa mudumbu, kushungurudza, kusuruvara, maitiro akaoma, kuora mwoyo. Ganda rekare uye kuderera kwechido. Murwere anonyunyuta pamusoro pekuvhiringidza kusinganzwisisiki mumuromo wemuromo uye chigadziko chisina kugadzikana (chirwere, kuvhara).

Nzira dzekuongorora

Muzviitiko zvakawanda, fibrogastroscopy (FGD) inoshandiswa - nzira yemazuva ano yekuongorora sophagus, duodenum uye mudumbu. Nokuda kwezvinangwa izvi, chigadzirwa chinokosha chinonzi fibrogastroscope chinoshandiswa. Nekubatsira kwechirongwa ichi, chirwere chegastroenterologist chinogadzirisa kusimba kwekuvhiringidzika, ukuru uye nhamba yezvigadzirwa zvekuita.

Fibrogastroscopy haisi kuitwa ne strong gag reflex. Vanhu vakadaro vanokurudzirwa radiography, ultrasound uye biopsy (kana zvichidikanwa). Achitaura nezvekuongorora, chiremba anorayira kurapa kwakakodzera. Mukuwedzera, kuongororwa kweropa kunotorwa nokuda kwekuvapo kwe leukocytes uye ESR (kuwedzera kwavo kunoratidza chirwere).

Nzira yekurapa erosive gastroduodenitis: chirwere chemishonga

Mishonga inotevera inorayirwa:

- antibacterial agents ("Amoxicillin", "Metronidazole"), vanobvisa mabhakitiriya Helicobacter pylori;

- Bismuth zvinodhaka ("De-nol") - zvine simba uye rinoderedza kupisa;

- antacids (Almagel, Maalox) - kuderedza asidi uye kuderedza simba rinokuvadza rezvinhu zvakaipa.

Chirwere chisingaperi chinonzi gastroduodenitis chinorapwa kwenguva refu uye chinosanganisira kubata zvakamanikidzwa kune kudya kunosanganisira kubviswa kwezvinhu zvakagadzirwa nefibrous structure uye yakawanda fiber (bran bran, turnip, nyama yakasungwa, radish) kubva pakudya. Uyewo, unofanira kubvisa zvachose chero doro, fodya, zvinokonzerwa necarbon, zvokudya zvemakakani, kofi, tiyi yakasimba, yakabikwa uye yakasviba. Zvokudya zvinofanira kuva zvitsva uye zvinopisirwa zvakasimba.

Pakubika, unofanira kuderedza kushandiswa kwezvinonhuwira. Zvokudya zvinokurudzirwa kuti zvipedzwe nguva dzose maawa maviri muzvikamu zviduku. Zvigadziriswa zvinowanikwa zvinotevera: steam cutlets, meatballs, oatmeal uye semolina pari, masobho mucous, jelly, mazai anonyorova, mafuta-e-cream anooma, mazinga akaoma emhando dzakashata, mukaka usina kupisa. Zvose zvekudya izvi zvine utachiona.

Kurapa nekubatsira kwemishonga yevanhu

Mishonga yemishonga inogona kuderedza mamiriro emurwere uye kunyange kuporesa gastroduodenitis. Kurapa nemishonga yevanhu pamwe chete nemasikirwo emadzitateguru ekuratidza zviratidzo zvakanaka:

- Zvikamu zviviri zvemuriwo weSt. John's wort, yarrow, chamomile maruva akavhenganiswa nechimwe chikamu che celandine. Zvose zvikamu zviri pasi pekaseji kusvika ku powdery state, inyura mu thermos uye udururire 500 ml yemvura yakabikwa. Rega usiku uimire uye utore 1/3 mukombe usati wadya. Nguva yerapi iyi 1.5 mwedzi.

- Chimwe chikamu cheSt. John's wort, mashizha e bearberry, mahudyu, akabatanidzwa nezvikamu zviviri zvechicory, zana uye mazana mana emiriwo. Ita poda kubva mumiti. Zvipfeko zviviri zvakakura zvinokwira 500 ml yemvura inodziya, kusimbisa usiku uye kunwa decoction ye ¼ mukombe usati wadya.

- Gadzira zvikamu zvitatu zve caraway, zvikamu masere zveSt. John's wort, musango, cucumber, zvikamu zvina zvemakumbo, chikuru-chikuru, zvikamu zviviri zve rhizome ya ayr, mint, uye chikamu chimwe cheyarrow. Brew kubva mumuviri wose wezvipu zviviri mu 500 ml yemvura inopisa, unomira usiku hwose uye kunwa kwekombe mukombe.

Zvakanaka zvinopesana nekuvhiringidza zvinhu zvine mafuta e-buckthorn mafuta uye uchi. Itai zvinhu izvi muzvokudya zvenyu. Asi tisati tashandisa zvinodhaka zvemiriwo, tinokukurudzira kuti ubvunze chiremba, sezvo mamwe maruva angakonzera kusagadzikana. Kuti uzvidzivirire kubva pane chirwere ichi, idya uye chengeta nguva dzose.