Kukokoloka kwa m'mimba: etiology ndi pathogenesis

Kukokoloka kwa m'mimba - matenda zofala, amakhala ndi mapangidwe erosions padziko nembanemba mucous m'mimba. zopindika enawa chifukwa necrosis zikundiyendera. Mu machiritso awo connective chilonda si anapanga. Kukokoloka m'mimba - ndi makonzedwe nosological mawu amene Chili kobwereza aakulu njira zowononga mu mucosa muzituluka. Nthawi zina kumaonekera monga chizindikiro cha gastritis. Choncho, mabuku zambiri matenda amatchedwa erosive gastritis.

The chikuchititsa mavuto a matenda ali kwambiri zinthu zachilengedwe kuti mowirikiza akuchita pa thupi la munthu. nkhawa mfundozi (amayaka, frostbite, kuvulala, mantha, polytrauma) chifukwa kuphwanya njira neurohumoral cha lamulo ziwalo zambiri, makamaka chakudya ndi ntchito secretory ya m'mimba ndipo matumbo, kuchepetsa kulimbikira kwa lake. Palinso kutengera za kumtundu matenda. Kukokoloka m'mimba Zingabukenso kugwiritsa ntchito mankhwala (nitrofurans; corticosteroids; asidi ethacrynic; veroshpiron; tolbutamide), kumwa mowa mwauchidakwa, komanso matenda a dongosolo endocrine (shuga, hyperparathyroidism).

Anthu ambiri amakhulupirira kuti gastritis erosive ukapezeka ku kanthu tizilombo wa Campylobacter (Helicobacter pylori) mu thupi la munthu. Mfundo asonyeza kuti 95% ya anthu ndi zilonda mmatumbo ali ndi kachilombo chimodzimodzi mtundu uwu Campylobacter, koma odwala ndi zilonda ngati mlandu% 1-6 okha a anthu onse omwe ali ndi tizilomboto lapansi.

Kukokoloka kwa m'mimba: pathogenesis (matenda kupitilira)

Mchikakamizo cha zinthu kupanikizika thupi pali zovuta ndi yapakati-okhudzana njira amuzolengedwa, amene anatsagana ndi njira ubongo ndi humoral cha lamulo la ntchito za machitidwe onse thupi, makamaka m'mimba ndipo matumbo. Kuchuluka katulutsidwe mahomoni adrenal kotekisi ndi histamine, amene kumapangitsanso katulutsidwe wa madzi muzituluka ndi kuwonjezeka mu ntchito ya pepsin ndi wokhutira wa acid amathiridwa ufulu. Imodzi utachepa kukhuthala ntchofu katulutsidwe ndi omwe amachepetsa zoteteza mucosal ntchito. Komanso, pali spasmodic chidule minofu ya m'mimba ndipo matumbo, kuchuluka permeability capillary minofu trophism maganizo, imbaenda kenako kwa zochita yotupa, mapangidwe erosions ndi zilonda za mucosa muzituluka. Iwo adzayamikiridwa ndi zotsatira yomweyo zinthu zoipa angaononge mucosa lapansi. Motero, pathogenesis osefukira muzituluka ndi mfundo za zikusiyana pakati pa mucosal chotchinga ntchito ndi luso kunyema zili chapamimba kapena m'mimba. Popeza chiwerengero Mitsempha m'dera anapanga magazi chilonda. Mu matenda chimenechi khola zinchito matenda m'mimba, matumbo, chiwindi, kapamba ndi ziwalo zina ndi kachitidwe.

Nthawi zambiri (30-90%) mu achinyamata matenda ndi zizindikiro zenizeni. Nthawi zina owonetseredwa kutentha, asidi regurgitation, kawirikawiri pangakhale kupweteka m'mimba. Matenda erosive gastritis kuwonetsera ndi zizindikiro mmene matenda. Pafupifupi 80% odwala amadandaula kutentha, belching, ululu ufulu chapamwamba nusu, bloating, kutsegula m'mimba ndi kudzimbidwa.

Anthu amene madokotala anandipeza erosive gastritis, muyenera kutsatira zakudya umalimbana kuchepetsa ntchito muzituluka. Pofuna kuti izi muyenera kudya bwino. Choyamba, kudya kukokoloka chapamimba kumatanthauza kukana kwa coarse chakudya CHIKWANGWANI wolemera mapadi (Palestina ankalima, stringy nyama, turnips, chinangwa mkate, etc.). Simungathe kudya chakudya yokazinga. Izo ziyenera musiye mowa, madzi enaake, zipatso, khofi, chakudya bulauni, komanso kuzizira ndipo otentha chakudya.