Matumbo metaplasia m'mimba: zizindikiro, chithandizo. Squamous metaplasia - ndi ...

Anthu ambiri anapezeka ndi matenda monga chapamimba metaplasia m'mimba, omwe amakhala ndi alibe wa epithelium muzituluka mu matumbo a. acid amathiridwa amapangidwa maselo parietal Kusiya ntchito yake, potero ululu ziwalo m'mimba ndipo thupi anawawidwa.

Chikhalidwe cha munthu pa mwambo ngati matenda akuti ndi yoopsa, koma curable. Ngati m'malo maselo a m'mimba zimachitika kubalana maselo m'matumbo, amaona chikhalidwe precancerous. Ngakhale kuti nkhanza mu nkhani iyi ndi n'zotheka, koma pa mitundu patsogolo pali madokotala ananena zawo osauka kwambiri.

Kodi matumbo metaplasia?

Izi ndi matenda amene chapamimba zimakhala mucosa m'malo mwa maselo matumbo. Kwa nthawi yoyamba matendawa yatchedwa zaka zoposa 100, Pulofesa Kupfer. kudwala Izi nthawi zambiri zimakhudza okalamba. Malinga ndi kafukufuku, 80% odwala ndi gastritis aakulu ndi mmatumbo chilonda.

Mu anthu athanzi, minofu kuphimba makoma a mmimba, onse amene kusinthidwa. Ngati kuwonongeka zikachitika, maselo anayamba kugawa mwamphamvu, chifukwa mu kumatheka wawo ndi ayambe selo watsopano. Zimenezi odwala ndi gastritis aakulu maganizo, chifukwa cha zimene England muzituluka ndi anasiya kugwira ntchito zawo, zikubweretsa mapangidwe metaplasia.

mitundu ya matenda

Metaplasia m'mimba ulipo magulu awiri:

• ang'ono matumbo (wathunthu, okhwima);
• Colonic (chosakwanira, mwana).

Mawonekedwe okhwima amakhala ndi kukhalapo kwa maselo zomwe zitha kukhala mu intestine towerengeka; sulfamutsiny, limbic, muyeso enterocytes. Komabe, chochitika chofunika kuti akutsimikiza mtundu wa kudwala amaonedwa maselo Paneth. M'mimba minofu anayamba amafanana ndi intestine yaing'ono monga kapangidwe ndi katundu zinchito.

Mwana metaplasia m'mimba amakhala ndi makutu kusasitsa ndi chitukuko cha zopangitsa muzituluka ndi epithelium nthawi zambiri umaimiridwa ndi maselo m'matumbo.

Muyenera kudziwa kuti khansa muzituluka mu 94% milandu wapezeka chosakwanira metaplasia. Chotero chikhalidwe imatengedwa kuti precancerous, anachedwa mankhwala ndi oopsa.

Komanso, Dziwani makamaka squamous metaplasia. Tiyeni tione mwatsatanetsatane kwambiri.

Kodi squamous metaplasia?

Mbali A cha kudwala izi kuti m'malo mwa yachibadwa epithelium stratified wosanjikiza squamous aumbike. Pakati pake penipeni, ndi ndondomeko ya m'malo kwambiri kusiyanitsidwa maselo okhwima zochepa okhwima. Yotsirizira ndi luso wamkulu kusintha nthawi lidzasinthidwa aliyense wa mitundu selo kuti ndi kukana mkulu zinthu zosiyanasiyana n'koopsa.

Mwachitsanzo, zaminyewa squamous metaplasia zilonda chapamimba m'mimba amathandiza kumasula kuipa kwa michere ndi asidi owonjezera. Kamodzi irritant atachotsedwa, minofu akubwereranso ku boma mwake.

Komabe, monga chizindikiro cha pathological ndondomeko mtundu ngati metaplasia si nthawi zonse zinthu monyanyira. Zimenezi zimabweretsa chakuti maselo mwana, akuyesa kukonza, kuyambitsa kudziunjikira ambiri masinthidwe jini ndipo salinso amatha kudziletsa magawano awo, kutembenuzira khansa gawo lapansi.

N'chifukwa angayambe metaplasia?

matenda akufotokozera pa zifukwa zotsatirazi:

• kutupa kwa akalowa m'mimba chifukwa cha zinthu zosiyanasiyana zimene zingapangitse;
• aakulu kutupa minofu kum'mero;
• pafupipafupi nkhawa;
• matenda m'thupi;
• mkwiyo wa mundawo m'mimba;
• gastritis, ukuyenda kwa nthawi yaitali.

Kodi matenda kumawonetsera liti?

Ndi matenda palokha mu zosatheka kumaonekera, ndi onse lililonse zizindikiro metaplasia zokhudzana ndi matenda amene achititsa kuti chitukuko. Njirazi ndi monga:

• nseru;
• kusafuna kudya;
• kupweteka ululu m'dera epigastric.

Kuchuluka acidity m'mimba limodzi ndi Reflux asidi, "njala" ululu, akhoza kukula mu usiku. Ngati matumbo metaplasia limodzi m'ng'anjo kum'mero ya nkhani chapamimba zimakhala kusanza ndi kuwawa pakamwa.

diagnostics

Kuzindikira mtundu wa matenda, ikuchitika Kupenda histological. Ndi kuti thupi la munthu akuchokera tating'ono ting'ono minofu ndi akuphunziridwa. Njira mpanda kapena maselo zaminyewa otchedwa biopsy. Njira imeneyi matenda imatengedwa chofunika ngati pali kukayikitsa chotupa chija.

Pofuna kudziwa mlingo wa kuwonongeka kwa mundawo m'mimba ofufuza ikuchitika mwa zida endoscopic. Minofu pansi kukayikirana, papezeka utoto wapadera kuti kwathunthu vuto lililonse kuti thupi la munthu. Pamene maselo kuonongeka, iwo kukhala mtundu wapadera, ndipo bwinobwino chooneka ndi maso.

Features mankhwala

Ngati matenda matumbo metaplasia, chithandizo cha matenda ikuchitika mankhwala ndi mtundu expeditious. Wodwala ayenera analembetsa kuti gastroenterologist a.

mankhwala chithandizo

Njira imeneyi mankhwala ntchito milandu zotsatirazi:

• kuthetsa gastroesophageal Reflux matenda - matenda yodziwika ndi kuwaza mwadongosolo kupita kum'mero zili acidic m'mimba, monga kumawononga mucosa;
• popewa chosaopsa zotupa;
• kupondereza katulutsidwe muzituluka.

Kuchipatalako dokotala anu angakupatseni mankhwala zotsatirazi:

• Purotoni kutulutsa zoletsa - mankhwala amakono kuchepetsa acidity muzituluka. "Omeprazole" kuwachitira, "Rabeprazole" "Pantoprazole".
• Mankhwalawa ayenera kumwedwa ( "Fosfalyugel", "Maalox") - mankhwala amalimbikitsa neutralization asidi hydrochloric.
• H2 - histamine blockers ( "Ranitidine", "cimetidine") - mankhwala antisecretory.
• Gastroprotectives - ngati acidity kuchuluka kwa m'mimba, iwo kupewa kuwonongedwa kwa mucosa ndi.

alowererepo opaleshoni

Ngati mankhwala ndiwofatsa wosatenga chifukwa zabwino, ndiye dotolo angakulangizeni opaleshoni. Kodi kwathetsa metaplasia? Izi zachitika ntchito yapadera zida endoscopic kuchepetsa mlingo wa choipa, ndi iyi akutchedwa opaleshoni asang'ambe. Ngati ndi kotheka, malo owonongeka kunachotsedwa kwathunthu. Njira imeneyi imagwira mankhwala kangapo amachepetsa chiopsezo formations carcinogenic.

kupewa

Kupewa pakutchulidwa matenda monga metaplasia matumbo, muyenera kutsatira njira zodzitetezera.

M'pofunika kuti asapanikize anthu ndi nkhawa, ndithu kulabadira zimene zikuchitika kulikonse. Onetsetsani kuti athe kumasuka.

Amatsatira mfundo ukhondo wa zakudya. Muzituluka matumbo metaplasia si bakiteriya Helicobacter, komanso matenda ena. Komanso, ngati malamulo a ukhondo zisakuyenda, Mwina chotenga poyizoni chakudya, kuti zidzalimbikitsa limakhumudwitsa mucosa muzituluka.

Muyeneranso n'kudziphatika kwa chakudya chamagulu. Pankhaniyi m'pofunika kusiya kwathunthu mmalo ngati mankhwala, monga zakumwa enaake, zokometsera woyengeka, mchere zakudya, nyama. Ndi bwino monga chakudya chanu chakudya, wolemera mu CHIKWANGWANI zakudya. Zingakhale zosiyanasiyana monga chimanga, masamba, zitsamba, zipatso, mkate tirigu lonse.

Pomaliza

Motero, taona kuti metaplasia amenewa. Izi ndi matenda oopsa amene angathandize kuti khansa ya mmimba. Only pempho yake kwa katswiri ndi kusunga malangizo zonse zofunikira amachepetsa kapena amayambiranso njira yowononga.