Utano, Zvirwere uye Mamiriro
Chii chinonzi gastritis? Aina, classification uye zvinokonzera
Ichi chinyorwa chinorondedzera maitiro emudumbu gastritis uye chimiro chavanogona kutora mukusavapo kwekurapa kwenguva yakakodzera.
Mukuwedzera, iwe uchadzidza pamusoro pehutano hunokosha hunofanirwa kutorwa kushandiswa kwehutano uye kudzivirira kudzokazve kwekugadzira gastritis.
Basic Information
| Mhando dzakakura dzezvirwere | |
| Acute gastritis | Izvo zvinoitika kana uchidya, uchidya zvakakosha kana zvokudya zvakashata, zvisingawanzovi mumuviri, uyewo semugumisiro wekuwedzerwa kudha doro uye fodya. Kazhinji kacho kazhinji gastritis yakawanda, mavara uye maitiro ayo anokurukurwa zvakadzama munyaya yacho, ndeye nyore, umo chirwere chisingadiwi. |
| Atrophic gastritis | Kuvhiringidza kwegastric mucosa, semugumisiro wekuti nhamba yemasero ane utano mumasukisi anotanga kuderera nokukurumidza. Kana kusina kurapwa, kunogona kutora fomu isingaperi uye kunokanganisa kuonekwa kwekenza masero. Saka, usati watanga kurapwa, iwe unofanira kutanga kutanga kuziva kuti chii chinonzi atrophic gastritis, mhando, zvinokonzera uye kurapa iyo, zvichienderana nehutachiona uye kupera, inokurukurwa zvakadzama munyaya yacho. Iyi ndiyo nzira chete iwe unogona kuwana zvakanakisisa kubva mukurapa. |
| Chronic gastritis | Kuvhiringidza kwegastric mucosa, iyo inokuvadza inobata maitiro ayo. Kazhinji inowanikwa kune vanhu avo vakaramba vachichinja fomu yakaoma yegastritis vasingatauri nachiremba. |
| Gastritis ine kuwedzera kwezinga re acidity | Chimiro chechirwere chacho chinokanganisa zvakanyanya muhutu hwemukati, sezvo ine yakakwirira ye acidid muviri unobudisa hydrochloric acid muhombe huru, iyo yakawanda yakawanda inogona kuita kuti kuitika kwekupisa. Kana kusina kukodzera kwakanaka, kupisa kwemaawa kunoshandurwa kuva chirwere uye kuputika, izvo zvinowanzokonzera kubuda ropa. Kurapa chirwere chakadaro kunenge kwakaoma, nokuti munzvimbo dzakakanganisika kune chionda kana, pakuipa, chirwere chepamu chinogona kuumba. Nokudaro, kuziva kuti ndedzipi gastritis ine kuwedzera acidity, iwe uchakwanisa kuona chirwere ichi nokukurumidza uye kuona chiremba. |
| Antacid gastritis | Inoitika pane imwe nguva iyo gastric juice inobereka huwandu husina kukwana hweasiti. Zvechokwadi, iyo inowanikwa, asi yakaoma kurapa kutuka kwegastric mucosa, kuitira kuti kubviswa kwacho kudii kushandisa mushonga wakaoma. |
Yeuka kuti mukurapa kwemarudzi ose e gastritis anoda kudya kwakasimba. Muchiitiko ichi, kusarudzwa kwemiti yakakuteerera iwe muhurumende iyi, zviri nani kukurukura nachiremba wako, sezvo kudya kwacho kuchanyatsoenderana nechimiro icho chirwere chacho chakazviratidza nacho. Mune mhaka ipi zvayo, gadzirira kuti iwe unofanira kusiya kudya kwakatsvuka uye kwakabikwa, pamwe newaini.
Zvadaro, unogona kudzidza zvakawanda pamusoro pemhando dzegastritis uye kurapa kwavo, pamwe nekuwana kuti zvii zvinodzivirira zvichabatsira kudzivirira kudzoka kwavo zvakare.
Atrophic gastritis
Atrophic gastritis ndechimwe chezvinhu zvisingazivikanwi zvechirwere ichi. Izvi zvakananga zvakananga nechokwadi chokuti pakutanga kwekutanga inowedzera kusinganzwisisiki. Mukuwedzera, kusanyanya kuduku kunokonzera kunokonzera nyore nyore kukanganisa kwema malaise, asi kuziva mhando dzemhando dzegastritis uye zviratidzo zvechirwere, iwe uchakwanisa kuona kuvepo kwayo nokukurumidza uye kubvunza chiremba. Zvisinei, yeuka kuti kazhinji inowedzera kune varume vakwegura.
Pasi pechikonzero chezvikonzero zvakasiyana-siyana, masero emuviri acho anogumira kubudisa zvinhu zvakakwana zvemuviri wekudya, zvichiita panzvimbo yavo.
Pasinei nokuti iyo inrophic gastritis, iyo mienzaniso iyo inoratidzwa pasi apa, inowanzowirirana nekuwedzera kana kuderera kwezinga re acidity mudumbu, dambudziko guru nderokuti, maererano neongororo dzakawanda, inofanirwa kubuda kwekenza masero.
Zviratidzo zvikuru ndezvi:
- Mushure mokudya, kunyange mumaduku mashoma munzvimbo yeplexus yezuva kune manzwiro ekurwadziwa uye kusagadzikana.
- Kunyange nekugara uchishanyira mazino uye mazino akazara anobva mumuromo, pane kunhuhwidza kunofadza. Mukuwedzera, zviratidzo zvishomanana zvinogona kuumbwa mumuromo.
- Mumuviri, kugunun'una kunonzwika nguva nenguva.
- Ikoko kunogona kuva nekunyorova, kuvhiringidzika kana kurara.
- Utoro hwomurwere hunodonha zvakanyanya.
- Anemia inokura, iyo iyo maziso anotaridzika, ganda rinova rakatsvuka, uye rurimi runotanga kusungira nguva nenguva.
- Hemmonal background yakanganiswa, izvo zvinogona kutungamirira kumangwanani ekutanga kwekumera.
Atrophic gastritis, mavara uye maitiro ayo anotsanangurwa munyaya ino, inoda kuti mufambiro wezvidzidzo zvakadaro segastroscopy kana kuti endoscopy. Nekubatsira kwavo, chiremba haazokwanisi kungonzwisisa kuti masvingo emudumbu akave akaonda sei, asiwo kuti aone kuti zvipembenene zvegastric zvakaparadzwa sei.
Mukuwedzera, mumakiriniki akawanda emazuva ano nokuda kwekuonekwa kweatrophic gastritis inoshandiswa gastropanel, iyo inobvumira nzira isiri iyo inoparadzanisa kuongorora nyika ye gastric mucosa.
Ko kurwara kunoratidzika sei?
Zvichienderana nechetatu pane iyo atrophic gastritis iripo, marudzi echirwere ichi chakakamurwa kuva mafomu mana:
- Hazvirevi. Ichi ndicho chikamu chekutanga chechirwere. Ndicho chiratidzo chokutanga chekuti kupisa kunogona kuonekwa mudumbu mucosa. Inogadziriswa chete nekubatsira kwekupedzisira. Kana chiremba achishandisa nzira yekugadzirisa yekuongorora, zvino nemubatsiro wake anokwanisa kazhinji kuziva kuti kuwanda kwemasvingo ekudzivirira ndewei, panguva ipi iyo kupera kwee epithelium, uye nemamwe zviratidzo zvisingaoneki zvinogadza nyika iyo hypersecretion yemasero iripo.
- Sharp. Kuvhiringidza maitiro pa gastric mucosa inotanga kukura nokukurumidza. Kune edema yemasukisi, kuparadzwa kwe epithelium, iyo inogona kutungamirira kunyange kukura kwemucosa, pamwe chete neukoukocyte kupinda mukati mudumbu.
- Moderate. Gastric cells anoshandurwa zvishoma. Kuti uzive gastritis panguva ino, chiremba achada kuongorora gastric mucosa kune masero akabatwa. Mukuwedzera, pane dzimwe nguva, kuongororwa kunoitwa, iyo inoratidza kuti zvakasimba sei maviri acho akachinja.
- Chronic.
Mhando dzechirwere
Ndeapi rudzi rwemhando iyo chirwere ichi chinogona kutora? Tafura iri pasi apa ichakubatsira kunzwisisa izvi.
| Antral | Muchikamu chezasi chemukati, mune imwe nguva pedyo ne duodenum, kanyoro kaduku ka "tube" inoumbwa, nenzira iyo iyo gastritis inoratidzwa. Nzvimbo dzakashata dzemudumbu dzakasvibiswa, dzichifukidzwa nezvisungo zvakasiyana. Iyo acidity iyo ine antral gastritis inogona kuderera zvishoma, kana inoramba iri panzvimbo imwe chete. Mukuwedzera, nerudzi urwu rwechirwere mune vamwe varwere mumuromo mutsva rinotanga kukura maitiro ekuonda. |
| Focal | Muchizivo chetachiona pane nzvimbo dzine mazita ekutaura kwezvirwere. Muzviitiko zvisingawanzoitiki, pangave nekuwedzera muzinga re acidity, iro rinowirirana zvakananga nekuti nzvimbo dzakanaka dzemudumbu dzinokwana zvachose basa revanhu vakavhiringidzika. |
| Diffuse | Ndicho chirevo chikuru chekutanga kwe dystrophic changes. Chiratidzo chayo chikuru ndechokuti glandric glands inowedzera zvishoma nezvishoma, semugumisiro wekuti basa ravo rinowanzosvibiswa uye masero mashoma anotanga kuonekwa kakawanda. Mukuwedzera, chiratidzo chakajeka chechirwere chinogona kushanda sechisimbiso chemakumbo emakumbo. |
Nzira dzekurapwa kweatrophic gastritis
Pamusana pekuti kune mazhinji emhando uye marudzi e-atrophic gastritis, vanachiremba vasati vambogadzira nzira yakafanana yekurapa kwavo. Izvi zvakabatana zvakananga nekuti masero akaparara semugumisiro wechirwere ichi haasi kudzorerwa.
Zvisinei, chiremba mushure mekuongororwa kwega munhu anogona kuita zvakanakisisa kurapa mumwe nomumwe murwere uye kumupa kudya kwakakodzera.
Chronic gastritis
Kana iwe usingaendi kunechiremba kune gastritis yakaoma kana kuti usatevera zvinokurudzirwa zvaakakupa pamusoro pekurapa kwake uye kudzivirira, chirwere chinozopedzisira chinotora fomu isingaperi. Mukuwedzera, kutaridzika kwaro kunogona kukanganisa kunyange huwandu hwezvinhu zvinoshamisa, somuenzaniso, kana iwe kwenguva refu uchingoputsa kudya.
| Nezvikonzero zvekubva | |
| Endogenous | Inowanikwa mumatambudziko apo gondritis yakaoma yakaoma nekuvapo kwehutachiona uye zvirwere zvinotapukira, kurwara uye chirwere cheshuga. Izvo zvinoitikawo kana chikafu chisina kuremekedzwa, hapana mazino, semugumisiro wezvokudya zvinopinda mukati mudumbu zvisingatsvaki kusvibiswa, nokudaro kuedza kudzvinyirira zvakanyanya pazviri. |
| Inonzwisisika | Kazhinji kazhinji inowanikwa kune vanhu vave vachikurukura nemakemikari kwenguva yakareba. Somuenzaniso, vanhu vari kushanda mumakemikari ekugadzirwa. |
| Nokuda kwekugadzira gastric juice | |
| Uye yakasimba acidity | Gastric juice inopiwa muhurukuro yakakura kwazvo. |
| Iine asidi asidi | Icho chinonyanya kushanda chemuviri chakanyanya kuderedzwa. |
| Mhando dzekugara gastritis yemudumbu maererano nechiratidzo chechirevo chake, chinoonekwa ne biopsy | |
| Non-Atrophic | Gastric glands zvinokanganisa, asi kwete atrophy. |
| Subatrophic | Gastric gland zvishoma atrophy. |
| Mixed | Kuvhiringidza mucosa kunogona kuchinja zvakanyanya kusvika kune chironda chakakomba, sechikonzero chemuviri mishonga inogona kuitika. |
Mukuwedzera, zvose zvisingagoneki gastritis zvinogona kugoverwa maererano nekutarisa kwemaitiro mukati memudumbu kusvika mumuviri, gastritis uye antral body.
Nzira dzekurapa kwekusingaperi gastritis
Kuziva kuti ndechipi chinonzi gastritis, iwe unogona kukurumidza kuziva kuti chirwere chacho chichava chisingaperi, chichakubatsira iwe panguva yakakodzera kuti uone chiremba kuti aite chimwe chinhu. Yeuka kuti kana iwe usingabhadhari gastritis kwenguva refu, zvipembenene kana kunyange masero emukenza zvinogona kuonekwa pamadziro emudumbu. Kuti chiremba aongorore zvakakwana rudzi rwechirwere uye agadzirise kurapwa, mimwe miongorudzo yezvechiremba inosarudzwa, somuenzaniso, gastroscopy, kuongorora ropa kana kuyerwa kwezinga re acidity.
Mazuva ano gastritis gastric marudzi anongoda nzira yakabatana yekurapa kwavo, umo kudya kunozobatanidzwa nemhando yemishonga inovhara masvingo emudumbu. Mukuwedzera, zvinodhaka zvinogona kuva ne adsorbent uye zvinopesana nemagetsi. Chero mamiriro ezvinhu, mushonga unofanirwa kutorwa maawa mashomanana mushure mekudya, apo mahwendefa achaderedza simba remucosal kuvhiringidza uye kubvumira mudumbu kugadzikana kugadzikana zvokudya.
Gastritis ane high acidity
Mhando dzose dzegastritis dzine high acidity dzinobudirira nekuda kwekunyanyisa kwepachivande chekudzivirira kwekudya. Chiratidzo chikuru chekuitika kwavo ndekuvapo kwekurwadziwa kwehutano syndrome, iyo inoitika musina chinhu chisina chinhu kana maawa mashomanana mushure mekudya. Marwadzo anowirirana zvakananga nekubatana kwehydrochloric acid uye inopisa gumbo remadziro uye inogona kuwanikwa munzvimbo yepigastric zone kana kuruboshwe hypochondrium.
Mhando dze gastritis ne high acidity:
- Kemikari.
- Chinokosha.
- Antral.
Pasinei nokuti izvo zviratidzo zveimwe yemhando idzi zvakafanana, midzi inokonzera kuitika kwavo yakasiyana.
Zvinoshamisa kuti kutanga kwechirwere ichi kunogona kuchinjwa kwete chete nekuvapo kwemaitiro akaipa kana bhakitiriya Helicobacter pylori, asiwo iro genetic factor, izvo zvinogona kukonzera kunyange nheyo yegastritis. Mune zvimwe zviitiko, kutaridzika kwemhando ipi neipi ye gastritis uye kuwedzera acidity kunogona kuchinjwa kunyange nekushayikwa kweokisijeni inokonzerwa nekutambudzika kana zvirwere zve systemic.
Nzira dzekurapa gastritis nekuwedzera acidity
Kurapa kwegastritis uye high acidity inofanira kushandiswa neyanyanzvi anoziva uyo achakurapa kurapwa zvichienderana nemigumisiro yekuongororwa uyezve gore negore kuongororwa, achakwanisa kusarudza zvakasiyana-siyana zvekururamisa, kuchinja zvichienderana nekukura kana kuderedza chirwere chacho. Mukuwedzera kumarara, chirwere chacho chinogona kuonekwa nekuitisa chidzidzo chegastric juice. Saka, chiremba achakwanisa kuongorora munguva kwete kwete chete fomu, asiwo danho regastritis, uyewo kuziva kuti bhakitiriya Helicobacter pylori rakakonzera kukura kwayo.
Zvinoshamisika kuti kana uchisimudza urongwa hwemishonga, kutanga kwete muzinga we acidity asi mamiriro ayo iyo mucosa gastric iripo inoongororwa. Kana gastritis ine kuwedzera acidity yakaoma, ipapo padanho rekutanga chiremba anonyora mishonga inogona kuderedza marwadzo uye kubvisa kupisa.
Acute gastritis
Nzira yekuvhiringidzika, iyo inokonzera gastric mucosa, inonzi acute gastritis. Anokwanisa kuonekwa chero ipi zvayo, saka zviratidzo zvokutanga dzinofanira kutanga dzichiona chiremba.
| catarrhal | Kuchengetwa kakawanda. Vakafukidza porusvingo gastric, naro mudumbu anotanga nesimba kubudisa madzihwa kuti kutsamwisa panowanikwa edema kana akatsvuka. Kana chenjera gastritis allergen akaparirwa kusunungurwa kuna dumbu, munhu mapundu maitiro, edema kana akatsvuka anozviratidza paganda kwemaminitsi anoverengeka. With chimiro ichi gastritis nokuda vaunganidza nebhitumini dumbu rusvingo substantially thicken. Uyezve, pamusoro pemvura yaro, pane urema muchimiro ulceration siyana, kubuda ropa kana serous exudate unhani pairi masero epithelial zvishoma nezvishoma kufa. |
| kungatikanganisa | Rinooneka nokuda nomuchetura dzichiitika makemikari. In chimiro ichi gastritis kungatikanganisa zvokurwara inogona kukamurwa coagulation (mufushwa) uye kollikvatsionny (nyoro) necrosis. Mune zvisingawanzoitiki nguva somuenzaniso kana nomuchetura nemishonga, zvinogona kunotoreva kukura mwoyo, chitaka, kana itsvo kukundikana. Panyaya iyi, mudumbu rusvingo anogona zvakakuvadza kuitira kuti mukati ayo kuwira pedyo nhengo. |
| fibrinous | Chikuru Chikonzero parinowanika chinhu kutapuriranwa hunhu chirwere kukonzerwa siyana nomuchetura, izvo kwakaguma gastric mucosa kaviri zvakakomba kuchinja. Kana fibrinous gastritis kukura kupinda purulent exudation, kuzvimba marudzi ari kunze gastric masvingo yepakutanga firimu, pasi iyo vakachinja nyama iri nzenza kubatana. Zvinokosha kuona kuti mune nyaya kukuvara rinenge haana simba, firimu iri nyore kubviswa, saka panguva kurutsa zvinhu zvinogona kuwanikwa zvavo. |
| phlegmonous | Rinomiririra iziviswe purulent gastritis, Virtual nokuda kutyorwa mucosal kuvimbika. Kuzvimba kunoitika pamusana kukuvara ari gastric rusvingo noruoko vatorwa zvinhu Somuenzaniso, kana murwere Akaparadza hombe hove pfupa, kana tsono. kuchinja izvi kukanganisa akaturikidzana ose mudumbu, kusanganisira serosa, zvichiguma murwere dzakabudirira peritonitis kana perigastrit. |
Mabatirwo chenjera gastritis
Kana murwere mushonga upi, iva nechokwadi kuudza chiremba wako kuitira kuti akakwanisa kupa zvakarurama kurapwa. Uyezve, kunyange gastritis hachisisiri ikoko, unofanira kugara kumushanyira gastroenterologist.
Chenjera gastritis, mifananidzo, zvinokonzera, dziviriro uye kurapwa vave munyaya ino, kunoda kuti rinokosha kudya abvume. Uyezve, pashure pokuiswa zvinoratidza chirwere, murwere vanofanira kutsanya masikati, kuti varege mutoro mudumbu.
In pakurapa rikwanise gastritis anofanira kukurukura kubvisa zvinokonzera, triggering chiitiko chacho. Kana chenjera gastritis kwakakonzerwa muchetura inobva hunodiwa kushandisa gastric lavage.
antacid gastritis
Kana dumbu asingagoni kutsungirira Chizvarwa ane zvakakwana uwandu ane iine acid muchimiro gastritis sokuti hypoacid kuti pasina kurapwa nokukurumidza kushandurwa antacid, panguva iyo gastric muto iri duku hydrochloric acid. Somugumisiro, zvokudya hazvina ozeyewa zvakanaka, ari zvomudumbu muitiro inofambidzana vakashanda, uye mune kwazvo nzira antacid gastritis, kana kwete hazviiti. It anowanzodanwa chirwere Varwere vakwegura, izvo kunooneka pacharo muchimiro kusagadzikana mudumbu, kunoitika pakarepo pashure zvokudya.
Kakawanda, antacid gastritis hwapedyo nokuda murombo madyiro, kushushikana, nhodzera zvakaipa kana simba rokuzvidzivirira, iyo kunotadzisa gastric munyama kubudisa antibodies zvakakwana.
Treatment antacid gastritis
Kana antacid gastritis kurapwa enzayemu mishonga inobatsira kugaya zvokudya, nguva dzose pamwe chete vaitofanira kudya. Kana gastritis chakabata kunowanzoitika kushanda ura, varwere vakanga raitongwa chinodhaka, kunobatsira pane basa rake. Uyezve, iyi nyaya, tevera yakarurama Hourly kudya uye chero nyaya kuti vasadyisa. Panguva iyoyowo, yeuka kuti tisisina antacid gastritis kufambidzana Zvisinei haangavi, kana ukaramba mukanyatsoteerera kune mishonga vanorumbidza, unogona kuramba utano panguva yakakodzera chechetere.
mhedziso
Yeuka kuti kusarudza mhando, chimiro uye nzira gastritis kuyerera kunogona chete kuva chiremba. Hapana nyaya regai kutora mishonga ushandiswe nemhuri yako neshamwari - ose chete chakafanana gastritis kunoda munhu yokusvika kurapwa, uye mushonga kuti zvakabatsira kuti akabatsira mumwe munhu kukurira gastritis, zvingava nemigumisiro yakaipa pamusoro chitunha mumwe. Zvichengetedze uye vaine utano!
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