Erosive gastro: matenda, mankhwala ndi kupewa. Erosive gastro: chithandizo cha mankhwala wowerengeka

Malinga ndi malipoti zachipatala, oposa 80% ya matenda onse chimachititsa dongosolo m'mimba. The chosayenerera ambiri ndi erosive gastro. Ndi chiyani icho? Matenda yotupa imene mucosal chapamimba anapanga kukokoloka ambiri ndi chilonda mapangidwe nkhani slizistofibrinoznym. Komanso, akhudzidwa mucosa wa duodenum ndi. Pa nthawi yomweyo kusokonezedwa zakudya mucosa anati kuchuluka acidity wa m'mimba (hypersecretion), pali chotupa amphamvu.

zinthu Exogenous chitukuko

Pakuti zimakonda matenda komanso zinthu zotsatirazi:

- yaitali ndi mankhwala antibacterial;

- nkhanza chakudya zoipa (wochuluka, zokometsera, theka-yomalizidwa mankhwala);

- matenda opatsirana wa M'mimbamo m'kamwa, pharynx;

- pafupipafupi kumwa mowa, kusuta;

- bakiteriya Helicobacter pylori (H.pylori), amene amachititsa hemorrhagic erosive gastroduodenitis (sayansi).

zinthu amkati

Mchikakamizo cha zinthu chokhwima (ya ndulu asidi, acid amathiridwa) azaonekera pa mpanda wa ulceration m'mimba ndi zironda anapanga nthawi zambiri (pakalibe mankhwala oyenera) kuyambitsa zikamera wa zam'mimba ndi duodenum. Imautsa kuoneka kudwala izi: matenda m'thupi; maganizo okhazikika, chifukwa zikuwononga moyo wamanjenje dongosolo; majini (kumtundu) kutengera za. Erosive gastro akhoza kuyambitsa chisokonezo chitetezo cha m'thupi.

Gawo

Systematization zachokera kusintha morphological (structural) ndi nthawi ya matenda panopa. Gastro akhoza kugawidwa mu njira zingapo: (miyezi itatu) pachimake ndi aakulu (miyezi isanu ndi umodzi).

Pa sitepe bluetongue mucosa si kukumana chiwonongeko. Pamene Kupeza Vuto kuonekera kutupa, redness. Izi mawonekedwe a matenda mosavuta ankachitira.

Erythematous gastro limapezeka pambuyo mawonekedwe catarrhal ndipo amakhala ndi kutchulidwa redness.

Ngati muli ndi aakulu erosive gastroduodenitis, zambiri matumbo metaplasia (maonekedwe a chapamimba maselo mucous kuti bwinobwino iwo kulibeko).

chithunzi matenda

Pa siteji koyamba za mawonekedwe matenda pafupifupi chiyani osadzuka. Kenako mtima amalembedwa cramping ululu, makamaka chakudya chifukwa mapangidwe chilonda-chilonda zone piloroduodenalnoy mapindikidwe.

Erosive zizindikiro gastro ali motere: Ndikumva chisoni m'mimba, nseru, kusanza, asidi regurgitation, kutentha pa chifuwa. Amowabu pallor a khungu ndi kukana kudya. Wodwala anadandaula za kukoma zosasangalatsa mu M'mimbamo m'kamwa ndi chopondapo wosakhazikika (m'mimba, kudzimbidwa).

njira matenda

Nthawi zina, ntchito fibrogastroscopy (EGD) - njira yamakono ya Kuphunzira kum'mero, m'mimba ndi duodenum. Chifukwa chaichi, chipangizo wakupambulika dzinache fibrogastroscopy. Ndi mankhwala ndondomeko gastroenterologist Mzimuyo zovuta kutupa, kukula ndipo chiwerengero cha formations kukokoloka.

Fibrogastroscopy si ikuchitika ndi amphamvu gag reflex. Anthu otere analangiza radiography, ultrasound ndi biopsy (ngati n'koyenera). Kulongosolerana matenda, dokotala chimaika mankhwala oyenera. Komanso, chitsanzo magazi amatengedwa pamaso pa leukocytes ndi mlingo erythrocyte sedimentation (chosonyeza ponso kudwala).

Kodi kuchitira erosive gastro: mankhwala

Kuikidwa ndi mankhwala zotsatirazi:

- wothandizira antibacterial ( "amoxicillin", "ndi mankhwala a metronidazole"), iwo kuthetsa tizilombo Helicobacter pylori;

- bismuth mankhwala ( "De-nol") - zimakhudzanso astringent ndi kutupa m'malo olumikizirana mafupa;

- Mankhwalawa ayenera kumwedwa ( "Almagel", "Maalox") - ndichepe acidity ndi kuchepetsa chikoka aukali zinthu chowawa.

Matenda erosive gastro ankachitira yaitali zikuphatikizapo kuvomerezedwa kudya pang'ono, amene anafuna kuti achotse kwa mankhwala zakudya ndi dongosolo fibrous ndi CHIKWANGWANI yosakongola (chinangwa mkate, turnips, stringy nyama, radish). Tiyeneranso kwathunthu kusiya chilichonse mowa, kusuta fodya, kumwa enaake, zamzitini chakudya, khofi, tiyi wamphamvu, yokazinga ndi zakudya mchere. Chakudya ayenera kukhala ofunda ndi thermally ankachitira.

Pa kuphika m'pofunika kuchepetsa kadyedwe ya zonunkhira. Chakudya tikulimbikitsidwa mawola 2-3 kudya chakudya chochepa. Kumanga katundu ali motere: Mpweya wotentha patties, meatballs, oat grits ndi monga chimanga, soups mucous, jellies, scrambled mazira, nonfat wowawasa kirimu, otsika-mafuta tchizi mitundu zovuta, mkaka pasteurized. Onse zakudya izi ndi zotsatira mankhwala ochotsa asidi.

Therapy ntchito mankhwala wowerengeka

Zitsamba akhoza kuchepetsa alili ndiponso kuchiza erosive gastro. Chithandizo cha mankhwala wowerengeka molumikizana ndi njira za makolo mankhwala akuwonetsa zotsatira zabwino:

- awiri a therere la liziwawa St. John, yarrow, chamomile maluwa wothira gawo limodzi celandine. Onse zigawo zikuluzikulu mu makina khofi pogaya ufa, anatsanulira mu botolo zingalowe ndi kudzaza kwa 500 ml ya madzi owiritsa. Tiyeni izo brew kwa usiku ndi kupita naye chakudya 1/3 chikho. Nthawi chithandizo - 1,5 miyezi.

- Mbali ina ya liziwawa St. John, masamba bearberry, ananyamuka m'chiuno wothira magawo awiri a chicory, centaury magawo anayi dymyanki udzu. Kupanga mbewu ufa. Awiri akuluakulu supuni Thirani 500 ml otentha madzi, usiku ndi kumwa decoction wa ¼ chikho asanadye.

- Mukasinjira zidutswa zitatu za chipatso cha chitowe, mbali eyiti wa St. John wa liziwawa, plantain, cudweed, anayi a knotweed, centaury, zidutswa ziwiri za pomwepo kenaka, peppermint ndi wamba yarrow gawo limodzi. Brew kulemera okwana spoons awiri mu 500 ml ya madzi otentha, Brew usiku ndi kumwa kotala chikho.

Adzalandira wabwino odana ndi yotupa katundu wa nyanja buckthorn mafuta, ndi uchi. Kutchula zosakaniza izi mu zakudya zanu. Koma musanagwiritse ntchito concoctions mankhwala amalangiza upo ndi dokotala, popeza ena zitsamba zingachititse munthu kukwiya. Kudziteteza ku matenda, kudya bwino ndipo nthawi adafikapo.