Kuparara mudumbu: etiology uye pathogenesis

Kuparara mudumbu - chirwere zvakajairika, kunoratidzwa nokuumbwa erosions pamusoro pemvura yacho mucous Kamudzira mudumbu. Kukanganisika uku kuonekwa nekuti zvomene necrosis. Mukuporesa ravo connective vanga haina kuumbwa. Kuparara mudumbu - iri zvimiso nosological izwi iro rinobatanidza idzokororo chisingaperi dzinoparadza pezvakaitwa ari gastric mucosa. Dzimwe chinoratidza pacharo somunhu chiratidzo gastritis. Saka, mabhuku kazhinji chirwere ichi anonzi erosive gastritis.

The kukonzera chirwere akanyanyisa zvezvakatipoteredza zvinhu zviri kuramba kuita pamusoro womunhu. Izvi zvinotemesa musoro (kutsva, frostbite, kukuvara, kuvhunduka, polytrauma) kukonzera kutyorwa neurohumoral zvigadziriswe pakati mutemo zhinji nhengo, kunyanya zvokudya uye secretory mashandiro anoita mudumbu uye ura, kuderedza kurwisa kwakaita nhengo. Panewo majini kubatwa kuti chirwere. The Kuparara mudumbu Zvingamukawo kushandisa mishonga (nitrofurans, corticosteroids, ethacrynic acid, veroshpiron, tolbutamide), doro, uyewo zvirwere zviri kwemakemikari anobudiswa system (chirwere cheshuga, hyperparathyroidism).

Vakawanda vanodavira kuti mashoko erosive gastritis ichibudira kubva pathogenic zviito Campylobacter (Helicobacter pylori) ari mumuviri womunhu. Facts vakaratidza kuti 95% yevanhu vane duodenal nemaronda vane utachiwana pakati Campylobacter chaizvo mhando iyi, asi varwere nemaronda akadaro pamusana 1-6 chete% yevanhu vose nechirwere nayo utachiona.

Kuparara mudumbu: pathogenesis (chirwere kunoita)

Vakadhakwa kunetseka zvinhu mumuviri varipo yakaoma uye Inter-chokuita nokukanganisika urongwa, ayo achiperekedzwa Neural uye humoral zvigadziriswe pakati mutemo mashandiro anoita zvose muviri mugadziriro, kunyanya mudumbu uye ura. Inosimudzira secretion zviri adrenal cortex hormone histamine, izvo hunowedzera secretion zviri gastric muto pamwe kuwedzera basa pepsin uye ayo zviri pachena hydrochloric acid. Panguva imwe chete ungaderedza viscosity kuti madzihwa secretion uye izvo kunoderedza anodzivirira mucosal chaitika. Uyezve, pane spasmodic marwadzo ose tsandanyama mudumbu uye ura, ikawanda rirambe richibvira permeability, zvinyama trophism achishungurudzika, iyo inotungamira vakabva kune anogumbura vamwe, inotungamirwa erosions uye maronda ari gastric mucosa. It achaongwa uye chakonzerwa zvinokuvadza zvine chepfu kuna mucosa. Saka, muna pathogenesis pakati gastric kukurwa kwevhu chinhu chinhu chinokosha kuenderana pakati mucosal chipingamupinyi nerevane nepakumedura mano gastric kana intestinal mukati. Vakapiwa kuwanda midziyo ropa munharaunda aumba ropa urikanwi. In chirwere ichi kuva yakatsiga dzichipfekeka dumbu zvinetso, ura, chiropa, rwatata uye dzimwe nhengo uye hurongwa.

Kazhinji (30-90%) vechiduku chirwere haisi chaizvo zviratidzo. Dzimwe nguva vakaratidzawo chirungurira, iine acid regurgitation, kashoma pangava marwadzo mudumbu. Chirwere erosive gastritis kunoratidza pamwe kwese zvekuchipatara zviratidzo. About 80% wevarwere chokunyunyuta pamusoro chirungurira, belching, marwadzo zvakarurama yokumusoro quadrant, bloating, manyoka uye kupatira.

Avo vari vanachiremba nechirwere erosive gastritis, unofanira kutevera zvokudya zvainanga yokuderedza gastric basa. Kuti vawane chinangwa ichi unofanira kudya zvakanaka. Chokutanga, kudya nokuti gastric kukurwa kwevhu kunosanganisira kuramba zvinonyadzisa internet zvokudya kuti akapfuma cellulose (radishes, stringy nyama, turnips, bran chingwa, etc.). Haugoni kudya fried zvokudya. Zvinofanira kurega doro, mvura carbonated, maranjisi, kofi, mashava chingwa, uyewo chando uye kupisa chikafu.