Autoimmune gastritis: Zizindikiro, Matendawa ndi Chithandizo

Ndi yotupa matenda a m'mimba, monga gastritis autoimmune, ali osowa kwambiri, izo wapezeka 10 okha% ya anthu. Matendawa majini ndi amapezeka akamaziwononga. Kodi kwenikweni - sayansi ndi chosadziwika. Limodzi likhoza kuona kuti zinthu n'zothandiza ndi ukalamba ndi zakudya m'thupi. Taganizirani zizindikiro khalidwe la matenda, matenda ake ndi mankhwala.

Kodi ndondomeko izi pathological?

The anthu m'mimba dongosolo pa matenda amenewa yokha akuyamba kudya. Mu mawu ena, chitetezo ndi kutuluka chitetezo yeniyeni kuwononga maselo yachibadwa kupanga ndi mucosa m'mimba. Izi amachepetsa acidity wa madzi chapamimba, chakudya salinso m'mimba ndipo ayamba kuvunda wake ndi zakudya si odzipereka mu minofu kapena mu m'magazi. Munthu kutenga chakudya amamvera m'munsi pamimba ululu zokwanira. Chifukwa cha ichi, palibe chilichonse yaitali kudya, ndipo patapita kanthawi akufotokozera dystrophy ndi matenda a anorexia.

zimayambitsa

Pazifukwa zina, munthu anapanga kudwala zimenezi? Asayansi amakonda ndi zimene amakhulupirirazi, kuti chitetezo cha m'thupi matenda ndi cholowa chikhalidwe cha chitukuko. Komanso, autoimmune gastritis angachititse matenda afika mu thupi, monga cytomegalovirus, nsungu, komanso katundu Epstein-Barr HIV. The causative wothandizila matenda izi ziri akuyendera osati minofu komanso ziwalo, kuchititsa chitetezo cha m'thupi kuwononga thirakiti m'mimba. Mulimonsemo, chifukwa cha matenda anatsimikiza payekha.

zizindikiro

Khalidwe zizindikiro pathological ali motere:

• bloating;
• ulesi ndi kutopa chaukali;
• ndi zosasangalatsa kukoma pakamwa ;
• kusafuna kudya;
• munthu amaona kuti gurgles pamimba;
• kutentha, belching, nseru wofatsa, kudzimbidwa kapena m'mimba;
• lolemera thukuta, chizungulire;
• wotumbululuka khungu;
• kupatulira wa misomaliyo.

Komanso, chizindikiro bwino ndi gastritis autoimmune - ndi mantha, irritability, emotionality. Chifukwa chake n'chakuti thupi limayamba kuona chosowa vitamini B12 ndiponso B9, potero kupangitsa magazi m'thupi ndi matenda a ubongo.

Zizindikiro zimenezi chiyani sadzafika nthawi yomweyo nthawi kudwala matenda uoneke onse ichitikire ndipo payokha.

diagnostics

Chithandizo kuti azigwira, ndikofunika nthawi kuti apange matenda zolondola. Ambiri Pankhaniyi ntchito ku malo gastroenterology, imene kutsatira matenda akutsatiridwa:

• Fibrogastroduodenoscopy ndi biopsy. Pa siteji oyambirira a mucosa matenda wapezeka edema, hyperemia izo, pamaso pa zilonda ndi erosions. Ngati matendawa sizikutha, chapamimba mucosa amakhala wotumbululuka, atrophic, ndi madera aang'onoang'ono kusinthika kwa maselo a khungu.
• X-ray za m'mimba, kum'mero ndi duodenum.
• kusanthula Immunological magazi, chifukwa 30% ya odwala matenda autoimmune ali wapezeka ziwalo zina.
• Akufufuza mpata m'mimba, omwe ndiyo acidity wa madzimadzi thupi ndi kukhalapo kwa H. pylori.
• Upeleka polymerase unyolo anachita kuti amalola kudziwa zigawo za mavairasi DNA mu mthupi ndipo zimakhala wodwala. Mu 7.1% odwala ndi gastritis autoimmune kuulula pamaso pa Epstein-Barr HIV, kamene kamayambitsa mononucleosis.
• Ultrasonography wa pamimba. 80% odwala amasonyeza chiwindi zikuluzikulu ndi kusintha kapangidwe ake, 17% odwala ndi ndulu zikuluzikulu, nthawi zina anathandiza achuluke kuphatikiza a mwanabele zotumphukira.

Amene amaika mankhwala?

Kawirikawiri, ngati wodwala akukhala Gastroenterological Center, Atayang'ana, ndi chithandizo zina ikuchitika mwa akatswiri awiri - dokotala-gastroenterologist ndi immunologist.

The dokotala-immunologist kudziwa zimene siteji ya chitukuko ndi matenda ndi momwe n'zotheka kusiya kuwononga dzikoli kwa mundawo m'mimba.

Gastroenterologist amapereka zikunena achire ndi mucosa kuonongeka chapamimba, anapereka mankhwala yoyenera imene akuchira ntchito pa mundawo m'mimba, chakhungu pa chitukuko matenda.

njira ya chithandizo

Ngati anapezeka ndi autoimmune gastritis, mankhwala ayenera kukhala payekha. Izo zimatengera mtundu wa matenda, siteji ya chitukuko, anasonyeza zizindikiro zosinthira amene anachitika ziwalo zina. Chithandizo ayenera umalimbana kuthetsa chifukwa cha matenda, komanso kulimbana Helicobacter, ndi tizilombo, kusintha mu kachitidwe mantha ndi mtima.

zoyamba za chithandizo

Ngati matenda autoimmune gastritis, wodwala ayenera kutsatira zakudya zapadera. Pankhaniyi Tisawasale zakudya chakudya otentha ndi ozizira omwe uyenera kukhala umakaniko, thermally ndi mankhwala wofatsa. Zoletsedwa lakuthwa, mchere, zokometsera, yokazinga zakudya. The zakudya ayenera kukhala mapuloteni (kuphatikizapo nsomba, steamed kapena yophika nyama kutungira) munali mavitamini ndi CHIKWANGWANI (jellies, dzinthu, ndiwo zochuluka mchere, mkaka, yophika kapena pureed zipatso ndi masamba). Simungathe kumwera khofi, ndiwo zochuluka mchere, makeke, tiyi, chofufumitsa ndi maswiti. Chakudya ayenera kukhala yekha mu mawonekedwe a kutentha.

Ngati wodwala akudwala ululu, dokotala n'kukulemberani anticholinergics ( "Metacin", "Platifillin"), MANKHWALA OLETSA VUTOLI ( "papaverine", "No-spa"), komanso mankhwala kuchepetsa galimoto ntchito za m'mimba ndi m'mimba ( "Reglan" "Motilium").

Kusintha mkhalidwe wa mucosa chapamimba, mankhwala mankhwala zotsatirazi: "Venter", "Bismuth", "plantaglyutsid", ndi kuchepetsa acidity - "Almagel", "Ranitidine" ndi ena.

Mu manja choopsa cha mucous yoikidwa m'malo mankhwala: "abomin", "mezim", "acidin-pepsin", "Panzinorm", "Pankurmen" mankhwala, chifukwa mu dongosolo la microflora ndi matumbo, multivitamins.

Ngati kufunika n'lakuti, m'pofunika kuti atenge wothandizila odana ndi tizilombo tating'onoting'ono ndi odana ndi tizilombo. Only pa umboni womwe unachitikira mankhwala azitsamba, kutikita thupi mankhwala physiotherapy, kutema mphini, balneological mankhwala.

Komanso, odwala ambiri kuchepetsa chikhalidwe ntchito mankhwala azitsamba. Autoimmune gastritis ankachitira ena plantain madzi ndi masoka nyanja buckthorn mafuta, koma Mulimonsemo, mankhwala ayenera kuperekedwa kokha moyang'aniridwa ndi achipatala.

zosokonezeka zotheka

Ngati matenda si ankachitira m'nthawi yake kuyamba, manja a nembanemba mucous kokha patsogolo ndi zizindikiro - kuwonjezeka. Chifukwa, izo kungakhale adenocarcinoma. Komanso, osasamala maganizo thanzi kumabweretsa chitsulo akusowa magazi m'thupi ndi polyhypovitaminosis.

Pomaliza

Choncho, ngati munthu mwadzidzidzi amaona kuti gurgles mmimba, pali kutentha, pali zoipa mpweya ndi zinthu zina zachilendo kwa thupi, ndiye ayenera kukhala posachedwapa kuwona dotolo. zambiri limasonyeza chitukuko cha gastritis autoimmune, anachedwa mankhwala imbaenda mavuto aakulu.