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ʻO ka mumū o ka ʻōpū o ka ʻōpū kekahi o nā maʻi maʻamau o ke kanaka. Ma kahi o 80-90% o nā kānaka i ko lākou ola ʻana i loaʻa i hoʻokahi manawa o kēia maʻi. I ka wā ʻelemakule, hiki i ka 70-90% o nā kānaka ke loaʻa i nā ʻano like ʻole o ka gastritis. Hiki ke hoʻololi i ke ʻano maʻi o ka gastritis i loko o ka maʻi peptic, ka maʻi ʻōpū.
He aha ka gastritis?
ʻO ka maʻi gastritis ka maʻi ʻeha o ka papa mucous o ka ʻōpū, e alakaʻi ana i ka hana ʻole o kēia kino. Ke loaʻa mai ka maʻi gastritis, hoʻomaka ka ʻai ʻana i ka ʻai ʻana, a ʻo ia ka hopena i ka haki ʻana a me ka nele o ka ikehu. ʻO ka maʻi gastritis, e like me ka hapa nui o nā maʻi, he maʻi a maʻi. Eia kekahi, aia nā gastritis me ka haʻahaʻa, maʻamau a me ka acidity kiʻekiʻe o ka ʻōpū.
I kēia manawa, hiki ke kapa ʻia ka gastritis i ka maʻi o ke kenekulia. Ua hōʻeha lākou i nā mākua a me nā keiki. A e like me nā helu olakino, ma Rūsia ma kahi o 50% o ka heluna he gastritis ma kekahi ʻano.
Hōʻike ʻia ka Gastritis e nā ʻano kumu o waho a me loko e hoʻonāukiuki i ka ulu ʻana o ka pathology. ʻO ka maʻi maʻi, loaʻa ia ma ke ʻano o ka mumū (acute a maʻi paha). He pōkole ka lōʻihi o ka ʻaʻa ʻana. ʻO ka pōʻino i ka mucous membrane o ka ʻōpū me nā waikawa concentrated, alkalis a me nā mea ʻē aʻe he mea make.
ʻO kahi maʻi kahe lōʻihi (chronic) e hōʻemi i ka maikaʻi o ke ola a hōʻike iā ia iho ma ke ʻano o ka ʻeha, a me:
Ke kaumaha ma ka ʻōpū;
puʻuwai puʻuwai;
Belching;
ka luaʻi;
ʻO ka maʻi maʻi a me / a i ʻole ka constipation;
ʻO ka puʻu;
ʻO ka flatulence - hoʻokuʻu kinoea;
Hanu ʻino.
ʻO ke ʻano maʻi he atrophy pōʻino o ka mucosa ʻōpū. ʻO ka hopena, pau ka hana maʻamau o nā ʻōpū o ka ʻōpū. Hoʻokumuʻia nā pūnaewele atypical ma kahi o nā pūnaewele olakino. ʻO kahi kūpono ʻole i ke kaʻina hana o ka ho'ōla ponoʻī ʻana i nā ʻāpana o ka mucosa ʻōpū kekahi o nā kumu o ka maʻi ʻeha a me ka maʻi kanesa o ka gastrointestinal tract.
ʻO ka ʻōpū ka ʻāpana nāwaliwali loa o ka ʻōnaehana digestive. ʻEkolu mau kaʻina hana paʻakikī o ka hoʻoheheʻe ʻana i loko o ia mea: ʻo ia ka hui ʻana o ka coma meaʻai, ka haki ʻana o ka meaʻai, a me ka lawe ʻana i nā meaʻai.
ʻO ka paia o loko o ka ʻōpū, ka mucous membrane, kahi i hoʻopōʻino pinepine ʻia, kahi i hana ʻia ai ʻelua ʻāpana kūʻokoʻa o ka digestion - ka wai ʻōpū a me ka mucus pale.
ʻO ka ʻai ʻana i loko o ka ʻōpū kahi hana biochemical maikaʻi o ke kino. Hoʻopaʻa ʻia kēia e ka pH acidic maʻamau o ka wai ʻōpū (ʻo kāna mea nui ka waika hydrochloric), akā ma ka ʻokoʻa ʻana o nā ʻāpana acidity ma kāna mau ʻāpana like ʻole. ʻIke ʻia ka acidity kiʻekiʻe (pH 1,0-1.2) ma ka ʻāpana mua o ka ʻōpū, a haʻahaʻa (pH 5,0-6,0) - ma ka hui ʻana o ka ʻōpū me ka ʻōpū liʻiliʻi.
Aia ka paradox i ka ʻoiaʻiʻo i loko o ke kanaka olakino, ʻaʻole ʻai wale ka ʻōpū iā ia iho, akā ʻo ka wai o ka ʻōpū i hana ʻia e nā glands ma nā ʻāpana like ʻole o ke kino he mau waiwai like ʻole. I ka manawa like, ʻaʻole kūlike ka pH i loko o ka esophagus, a ma ka duodenum (ka ʻāpana mua o ka ʻōpū liʻiliʻi) he alkaline.
ʻO kahi ʻoluʻolu, ʻeha ʻeha o ke kanaka me ka gastritis - heartburn - ʻo ia ka hopena o ka hōʻino ʻana i ke koena acid-base ma kekahi o nā ʻāpana o ka ʻōpū o ka ʻōpū. Eia kekahi, ʻo ka hoʻokaʻawale ʻana o ke koena waikawa mai ka maʻamau i kekahi mau ʻāpana o ka ʻōpū i lalo o ka pathogenesis o ka gastritis me ka acidity haʻahaʻa a kiʻekiʻe paha.
He hopena koʻikoʻi i ke kaʻina hana hoʻoheheʻe: ka meaʻai a i ʻole ka lāʻau make, ka hoʻokuʻu ʻana o ka bile i loko o ka ʻōpū, nā maʻi ʻōpū, ka ʻai mau ʻana i kekahi mau lāʻau lapaʻau, nā mea inu carbonated, ka waiʻona a me nā mea ʻē aʻe e hoʻopilikia maikaʻi i ke ʻano o ka mucosa ʻōpū. Ua hōʻike ʻia ka hopena koʻikoʻi o ka microbial factor i ka hoʻomohala ʻana o ka gastritis.
ʻO ka hopena ulia pōpilikia no ka wā pōkole i ke kaʻina hana digestive e kaupalena ʻia i nā hōʻike lapaʻau ma ke ʻano o ka maʻi ʻeha o kēia ʻano:
Catarrhal;
fibrinous;
Necrotic;
Phlegmonous.
Hoʻopili ʻia ka gastritis Catarrhal me ka maikaʻi ʻole o ka meaʻai a me ka maʻi ʻai maʻalahi. ʻO ka maʻi fibrinous a me ka necrotic gastritis ka mea maʻamau ma muli o ka make ʻana me nā paʻakai o nā metala kaumaha, nā waikawa concentrated a me nā alkali. Hoʻokumu ʻia ka phlegmonous gastritis ma muli o ka pōʻino ʻeha i ka paia o ka ʻōpū.
ʻO ka lōʻihi o ka hoʻolaha ʻana i kahi kino nāwaliwali e pau me ka hoʻomohala ʻana o ka pathogenesis maʻi, i hoʻonui ʻia e nā kaʻina ulcerative ma nā paia o ka ʻōpū. Hiki i ka gastritis ke lilo i mau hōʻailona o nā kaʻina oncological i ka ʻōpū o ka ʻōpū.
ʻO ke ʻano o nā hōʻike o ka gastritis o ka ʻōpū i loko o ke kanaka i hōʻoia ʻia e kā lākou hoʻohālikelike paʻakikī. He mea nui ka wehewehe ʻana i nā hōʻailona lapaʻau o ka gastritis no nā gastroenterologists i ka wā e kuhikuhi ai i nā kaʻina hana lapaʻau. I kā mākou hihia, he hōʻailona kēia o nā ʻano like ʻole o ka maʻi i mea e hana ai i kahi manaʻo ākea o ka gastritis i ka mea heluhelu.
ʻAʻole pili kekahi pūʻulu o ka gastritis me nā microbes, ʻoiai ma kekahi mau manawa e ʻike ʻia kēia pili.
Hoʻokaʻawale ʻia ka gastritis non-microbial i nā hui:
ʻAʻona. Ke ulu nei ka maʻi ma lalo o ka mana o ka hoʻohana mau ʻana i nā mea inu ʻawaʻawa ikaika (he pH alkaline ka waiʻona) e kūʻē i ke ʻano o nā kumu ʻē aʻe e pili ana i ka hopena maikaʻi ʻole o ka nui o ka ethyl alcohol i ke kino;
NSAID-induced gastritis. ʻO nā NSAID nā lāʻau anti-inflammatory non-steroidal i hoʻohana ʻia i nā maʻi he nui e like me nā lāʻau antipyretic, analgesic a me nā antiplatelet. ʻO nā lāʻau lapaʻau kaulana loa o kēia pūʻulu pharmacological he acetylsalicylic acid (aspirin), analgin, diclofenac, indomethacin, ketoprofen, ibuprofen, piroxicam. ʻO ka hoʻohana ʻole ʻana i nā NSAID e hoʻoulu i ka ulu ʻana o ka gastritis, a laila hoʻololi ʻia i loko o ka maʻi ʻōpū.
Ma hope o ka ʻoki ʻana. Hoʻokumu ʻia kēlā ʻano gastritis ma hope o ka wehe ʻana i kahi ʻāpana o ka ʻōpū.
ʻO ka gastritis i hoʻokumu ʻia i ke kemika. Hoʻomohala lākou ma muli o ka ʻai ʻole ʻana a i ʻole ka hoʻohana ʻana i nā kemika i loaʻa nā waiwai koʻikoʻi e kūʻē i nā protein o nā membrane mucous o ka ʻōpū.
ʻAʻole ʻike ʻia ke kumu.
I ka lāʻau lapaʻau ʻoihana, hoʻohana ʻia nā ʻano like ʻole o ka gastritis, e like me ke ʻano o ka hoʻolaha ʻana o ka pathogenesis:
Autoimmune gastritis (ʻano A);
ʻO ka gastritis exogenous (ʻano B), hoʻonāukiukiʻia e Helicobacter pylori;
ʻO ka maʻi gastritis (ʻano A + B);
ʻO ka maʻi maʻi (ʻano C) i hoʻonāukiukiʻia e nā NSAID, nā mea hoʻonāukiuki a me ka bile;
Nāʻano kūikawā o ka gastritis;
ʻO ka maʻi maʻi e kū'ē i ke kua o ka emiʻana a me ka hoʻonuiʻana i ka huna o ka waika hydrochloric;
ʻO nā ʻano ʻē aʻe o ka morphological a me ka hana o ka gastritis.
ʻO kā lākou hoʻokaʻawale ʻana e pili ana i ka hoʻohana ʻana i nā keʻena lāʻau lapaʻau paʻakikī a i ʻole nā mea hana i ka wā o ka ʻike ʻana i ka maʻi. No laila, ʻo ka wehewehe ʻana o ka gastritis, ka mea e like me nā hōʻailona maʻi like ʻole, akā ʻokoʻa i nā ʻano kumu o ka pathogenesis, ʻaʻole hoihoi i ka lehulehu o ka poʻe heluhelu.
E noʻonoʻo kākou i nā hōʻailona nui a me nā hōʻailona o ka gastritis, hiki ke lilo i kumu no ke kanaka e hoʻopili i kahi keʻena olakino no ke kōkua.
Nā hōʻailona a me nā hōʻailona o ka gastritis ʻōpū
Hōʻike ʻia ka Gastritis e nā ʻano hōʻailona like ʻole, akā hiki ke loaʻa me ka ʻole o nā hōʻike i haʻi ʻia. ʻO ka hōʻailona maʻamau ka ʻeha i ka plexus solar, ka mea i hoʻonui ʻia ma hope o ka lawe ʻana i kekahi mau ʻano meaʻai, nā wai a me nā lāʻau lapaʻau, ʻoi aku ka nui o nā mea i hoʻonui i ka aggressiveness i ka gastric mucosa. I kekahi manawa e ʻoi aʻe ka ʻeha ma waena o ka ʻai. Me ka gastritis, nā meaʻai ʻala, ka waiʻona, nā mea inu carbonated a me nā meaʻai ʻē aʻe, ʻo ka hoʻohana ʻana e alakaʻi i kahi exacerbation o ka gastritis, ua contraindicated.
ʻO nā hōʻailona koʻikoʻi o ka gastritis ka mea nui, ka luaʻi, a me ka belching. Hōʻike ʻia ka maʻi i kekahi manawa e ka ʻōpū a me ka hoʻokuʻu pinepine ʻana i ke kinoea. ʻO ke ʻano o ʻelua a ʻoi aku paha o nā hōʻailona ma luna e kū'ē i ke kua o ka ʻeha o ka ʻōpū he kumu ia e kānalua ai i ka gastritis.
Hōʻike pū ʻia ka maʻi e ka ʻai ʻana i ka meaʻai ʻala, nā lāʻau lapaʻau a me nā wai hoʻoikaika kino ma mua koke o ka hoʻomaka ʻana o ka ʻeha.
ʻOi aku ka paʻakikī o ka ʻike ʻana i nā hōʻailona o ka gastritis mau loa. No ka manawa lōʻihi, ua kaupalena ʻia nā hōʻailona o ka maʻi i nā ʻōpū ʻole, plaque ma ke alelo, ka luhi, ka halulu a me ke kahe ʻana o ka ʻōpū ma waena o ka ʻai, flatulence, recurrent diarrhea or constipation.
ʻAʻohe hopena koʻikoʻi i ka maʻi maʻi maʻi maʻi gastritis, koe wale nō ka emi ʻana o ka maikaʻi o ke ola. Ma ke ʻano haʻahaʻa, ʻike ʻia ka gastritis maʻi e ka constipation a me ka maʻi maʻi. Ma ke ʻano koʻikoʻi, koe wale nō nā mea i hōʻike ʻia - ka hoʻokuʻu pinepine ʻana o nā kinoea ʻōpū, anemia, hiamoe, ke anuanu, hoʻonui peristalsis, halitosis.
Nā hōʻailona o ka acidity kiʻekiʻe
ʻO nā hōʻailona maʻamau o ka gastritis me ka acidity kiʻekiʻe, ma kahi o nā hōʻailona maʻamau (ka luaʻi, nausea):
ʻO ka ʻeha lōʻihi ma ka plexus solar, nalowale ma hope o ka ʻai ʻana;
ʻO ka maʻi maʻi pinepine;
Heartburn ma hope o ka ʻai ʻana i ka mea ʻawaʻawa;
ʻO ke koi pinepine e hoʻokuʻu i nā kinoea mai ka waha - belching.
Nā hōʻailona o ka haʻahaʻa acidity
ʻO nā hōʻailona maʻamau o ka gastritis me ka haʻahaʻa a i ʻole ka acidity:
ʻO ka ʻono ʻino mau i ka waha
Ke kaumaha ma ka ʻōpū ma hope o ka ʻai ʻana;
"Burping" popopo hua ";
Ka halulu;
Nausea i ke kakahiaka;
Nā pilikia me ka maʻamau o ka ʻōpū;
ʻAla ʻino mai ka waha.
Nā hōʻailona o ka exacerbation o ka gastritis
ʻO ka hoʻi hou ʻana o ka gastritis maʻi i hōʻike ʻia e nā ʻano hōʻailona like ʻole, ʻo nā hōʻailona maʻamau ka:
ʻO ka ʻeha mau a i ʻole ka manawa ma ka plexus solar, e hoʻonui koke ma hope o ka ʻai ʻana, a i ʻole ke ʻano, me ka hoʻokē ʻai lōʻihi;
Belching me ka ea, wela i ka sternum, ʻeha puʻuwai ma hope o ka ʻai ʻana, ʻono metala ma ka waha;
Nausea, ka luaʻi kakahiaka o ka meaʻai semi-digested me kahi ʻono ʻawaʻawa, i kekahi manawa ka luaʻi ʻana i ka bile;
Hoʻonui i ka salivation, makewai, nāwaliwali;
Nā hōʻailona o ka dyspepsia (constipation, diarrhea);
ʻO ka noʻonoʻo, palpitations, headache.
Hoʻohui ʻia nā hōʻailona o ka exacerbation o nā ʻano gastritis erosive (koʻikoʻi) e ka luaʻi ʻana me ke koko koko, i kekahi manawa e luaʻi ana me kahi kala ʻeleʻele o ka luaʻi. Hōʻike ʻia ke kahe ʻana o ka ʻōpū i ka wā o ka ʻōpū e nā feces ʻeleʻele. I kekahi manawa hiki ke hoʻoholo ʻia ke koko o ka ʻōpū e nā ʻano hana lab. Hōʻike ʻia ke kahe nui o loko e ka ʻili o ka ʻili a me nā mucous membrane a maʻalahi ke hoʻoholo ʻia e ke kala o ka sclera o nā maka, dizziness, a me ka tinnitus.
ʻEha ma ka ʻōpū me ka gastritis
Gastralgia - ʻeha ma ka paia o ka ʻōpū (cavity) - kahi hōʻailona koʻikoʻi o ka gastritis. I kēia manawa, hele pū ʻia nā ʻeha me nā maʻi ʻē aʻe o ka ʻōpū o ka ʻōpū, i kapa ʻia ʻo "acute abdomen". Hōʻike ʻia nā manaʻo leʻaleʻa ma ke ʻano o ka ʻeha, a me ke kī ʻana, ke kaomi ʻana, ka pana ʻana, ke ahi a me nā ʻano ʻeha ʻē aʻe.
ʻO ka ʻeha e like me ka gastralgia he hōʻailona ia o ka myocardial infarction, ka mumū o nā membrane o ka puʻuwai a me nā māmā, a me nā ʻaoʻao ʻaoʻao. Hiki ke ʻike ʻia ka ʻeha o ka ʻōpū me nā maʻi viral, bacterial a me nā parasitic pathologies i loko o ka ʻōpū, nā pilikia wahine kūikawā, neurosis, diabetes.
Ma ka home, hiki iā ʻoe ke ʻike i ka ʻeha i hoʻokumu ʻia e ka gastritis. ʻO ka hiʻohiʻona nui o ka gastritis a me ka hoʻokaʻawale ʻana iā ia mai nā maʻi ʻē aʻe o ka "acute opu" he mau ʻeha e piʻi aʻe ma hope o:
ʻO ka ʻai ʻana, ʻoi aku ka laʻa a me ka puhi ʻana;
ʻO ka hoʻohana ʻana i ka waiʻona a i ʻole kekahi mau lāʻau lapaʻau, ma kahi o nā lāʻau anti-inflammatory non-steroidal;
Hoʻomaha lōʻihi mai ka ʻai ʻana.
ʻO nā koho i koe no ka loaʻa ʻana o ka ʻeha i loko o ka ʻōpū me ka ʻole o nā mākau lapaʻau a me ka hiki ke hoʻohana i nā ʻano noiʻi ʻenehana a me nā instrumental hiki ke huikau me nā hōʻailona o nā maʻi ʻē aʻe.
Nā kumu o ka gastritis
ʻO ka hoihoi nui nā kumu e hoʻomaka ai ke ʻano maʻi o ka gastritis. E hoʻokaʻawale i nā kumu waho a me loko e hoʻonāukiuki i ka uluʻana o ka maʻi. ʻO ka mea mahalo, i kekahi poʻe, ulu mālie ka gastritis a ʻaʻohe hopena koʻikoʻi i ke kino. ʻO ia, ʻoi aku ka nui o nā kumu o ka gastritis ma hope o nā kumu he nui a me kā lākou hui pū ʻana.
ʻO nā kumu nui o waho o ka gastritis:
Ka hopena ma nā paia o ka ʻōpū o ka maʻi bacteria Helicobacter pylori, emi pinepine nā maʻi bacteria a me nā haʻi. Ma kahi o 80% o nā mea maʻi i loaʻa i ka gastritis e hūnā i ka bacteria kūpaʻa i ka waikawa e komo ikaika i loko o ka paia o ka mucosa gastric, huna i nā mea kikoʻī e hoʻonāukiuki i ka mucous membrane, e hoʻoulu i kahi loli kūloko i ka pH o nā paia a me ko lākou mumū. ʻO ka pane hope loa, no ke aha e hoʻopilikia nui ai kēia mau bacteria i kekahi poʻe, ʻaʻole i nā poʻe ʻē aʻe, ʻaʻole i ʻike ʻia;
Nā pilikia ʻai. Ua hoʻopaʻa ʻia ʻo ka ʻai maikaʻi ʻole ke kumu maʻamau o ka gastritis. He ʻoiaʻiʻo ka ʻōlelo no ka ʻai nui a me ka ʻai ʻole. Pono e hoʻololi i ka meaʻai me nā meaʻai meaʻai i waiwai i nā huaora a me nā mea kanu fiber, e hoʻomaʻamaʻa i ka peristalsis. Eia nō naʻe, me ka hoʻomohala ʻana o nā pae mua o ka gastritis, pono ia e pale i nā meaʻai i loaʻa i nā meaʻai momona, a me nā meaʻai momona, ʻala, canned a pickled;
Hoʻokaʻawale ʻia ka inu ʻona ma ke ʻano he kumu ʻokoʻa o ka gastritis o ka ʻōpū. ʻO ka Ethanol i nā mea liʻiliʻi he mea koʻikoʻi ia o nā kaʻina biochemical i loko o ke kino, akā naʻe, ʻo ka nui o ka waiʻona e hoʻonāukiuki i kahi imbalance acid-base i ke kino. Eia kekahi, ʻo ka waiʻona i nā ʻano nui me ka hoʻohana maʻamau e hōʻeha nui i nā ʻāpana digestive ʻē aʻe - ke ake, pancreas, a he hopena maikaʻi hoʻi i nā kaʻina metabolic i loko o ke kino;
Ua ʻike ʻia kekahi mau lāʻau lapaʻau i hoʻohana nui ʻia i ka lāʻau lapaʻau e like me anti-clotting (antiplatelet), analgesic a me nā lāʻau anti-inflammatory he hopena koʻikoʻi koʻikoʻi - hoʻonāukiuki lākou i ka mucosa ʻōpū. ʻO ka pinepine, loaʻa ka gastritis e nā lāʻau anti-inflammatory non-hormonal (aspirin, analgin) a me nā hormones glucocorticoid (prednisone). Manaʻo ʻia kēia mau lāʻau lapaʻau e hoʻohana pono ʻia no nā kumu lāʻau lapaʻau, ma ka hapa, ma nā ʻāpana liʻiliʻi, ma hope o ka ʻai ʻana;
Hoʻomaopopo kekahi poʻe noiʻi i ka hopena i ka ulu ʻana o ka gastritis o nā helminthic invasions, ke koʻikoʻi maʻamau, nā kemika koʻikoʻi, ale ʻia a i ʻole ka manaʻo.
ʻO nā kumu nui o loko (e pili ana i ka hōʻino ʻana i ka homeostasis) nā kumu o ka gastritis:
Congenital kanaka predisposition i gastrointestinal maʻi;
Duodenal reflux - ka hoʻolei pathological o ka bile mai ka duodenum i loko o ka ʻōpū. ʻO ka bile, komo i loko o ka lua o ka ʻōpū, hoʻololi i ka pH o ka wai a hoʻonāukiuki i ka membrane mucous. I ka hoʻomaka ʻana, ulu ka ʻā o ka antrum o ka ʻōpū, a laila pili kāna mau keʻena ʻē aʻe;
ʻO nā kaʻina hana autoimmune, ka pōʻino i ka pae immune o nā waiwai pale o nā ʻāpana o ka mucosa gastric. ʻO ka hopena, pau ka hana maʻamau o nā cell a nalowale ko lākou mau waiwai kumu. Hoʻomaka kēia hanana i kahi cascade o nā hopena liʻiliʻi e hoʻololi i ka pH o ka wai, a alakaʻi i ka huhū mau o nā paia o ka ʻōpū. Loaʻa ka ʻona endogenous a me ka hōʻino ʻana i ke kūʻē ʻana o ka mucous membrane i ke ʻano koʻikoʻi o ka wai gastric;
ʻO nā hewa o ka hormonal a me ka metabolism o ka vitamina, ka hopena reflex o ka pathogenesis o nā kino e pili ana i ka ʻōpū.
Nā ʻano o ka gastritis:
Me ke kōkua o nā mea hana a me nā ʻano hana, ua ʻike ʻia nā ʻano like ʻole o ka gastritis. Eia naʻe, ua māhele ʻia nā mea a pau i ka gastritis me:
ʻO ka maʻamau a iʻole ka hoʻonuiʻia o ka acidity;
Zero a haʻahaʻa ʻakika.
Hiki ke ʻike ʻia nā hōʻailona o ka gastritis me ka acidity haʻahaʻa a kiʻekiʻe paha, akā naʻe, ua hana ʻia ka maʻi hope loa ma ke kumu o ka noiʻi ʻana i ka wai o ka ʻōpū i loaʻa ma ka hoʻāʻo ʻana, a me ka pH-metry intragastric me ka hoʻohana ʻana i nā sensor kūikawā i hoʻokomo ʻia i loko o ka ʻōpū. He mea maʻalahi ke ala hope i ka nānā ʻana i ka wā lōʻihi o nā ʻāpana wai o ka ʻōpū. I kekahi mau hihia, ua hoʻoholo pololei ʻia ka pH o ka ʻōpū o ka ʻōpū, i ke aʻo ʻana i ka pH urine.
ʻAka ʻākaʻikaʻi
Hōʻike ʻia ia e ka ʻeha nui ma ka plexus solar a i ʻole ka piko, maʻamau he ʻano paroxysmal. Ua emi ka ʻeha ma hope o ka ʻai ʻana i ka meaʻai meaʻai, hoʻoikaika i waena o ka ʻai. ʻO ka ʻeha ma ka hypochondrium akau he hōʻike ia o ke komo ʻana o ka wai ʻōpū i loko o ka duodenum. Hōʻike ʻia ka Pathology e ka heartburn, kakahiaka maʻi, belching popopo, ʻōhumu i loko o ka ʻōpū, ka maʻi maʻi (ʻoi aku ka maʻamau o ka constipation no ka gastritis me ka acidity haʻahaʻa), kahi ʻono o ka metala i ka waha.
I kekahi mau hihia, hoʻomau ka maʻi i ka subclinically, me ka exacerbations manawa ma hope o ka inu ʻana i ka waiʻona, nā lāʻau lapaʻau o ka hui NSAID, cardiac glycosides (digitis), hoʻomākaukau potassium, hormones (prednisolone, dexamethasone, hydrocortisone). Hiki ke hoʻonāukiukiʻia ka hoʻouka kaua ma ka hoʻohanaʻana i ka meaʻai "kaumaha". Hoʻoholo ʻia ke ʻano o ka gastritis e ka noiʻi olakino.
ʻO Gastritis me ka haʻahaʻa haʻahaʻa
ʻO ka ʻakika i loko o ka ʻōpū ke komo i ka haki mua ʻana o nā fiber meaʻai koʻikoʻi.
ʻO ka gastritis me ka haʻahaʻa haʻahaʻa e hōʻike pinepine ʻia e ke kaumaha i loko o ka ʻōpū, wikiwiki ka satiety ma hope o ka ʻai ʻana, hoʻonui i ka hoʻokumu ʻana o nā kinoea ʻōpū. I kekahi mau hihia, hiki ke hoʻoponopono ʻia ka maʻi ma o ka lawe ʻana i nā enzyme digestive (festal, gastal). Hiki iā ʻoe ke mālama i ka gastritis anacid ma ka home, maʻalahi loa. No ka mea ua emi ka waiwai o ka wai ʻōpū, pono ʻoe e nahu i ka meaʻai no ka manawa lōʻihi. ʻO ka wili me ka mālama pono ʻana i ka coma meaʻai i loko o ka waha waha a me ka hoʻomaʻamaʻa ʻana me ka kohu he ʻano hana lapaʻau maikaʻi ʻole no ka mālama ʻana i ka gastritis.
ʻO ka maʻi gastritis
Catarrhal gastritis hoʻomohala ma lalo o ka mana o nā lāʻau aggressive (aspirin, NSAIDs ʻē aʻe), nā mea inu ʻino (ka waiʻona, carbonated lemonades me ka hoʻohana pinepine ʻana) a me nā meaʻai kaumaha (momona, paʻakai, puhi ʻia, pickled). ʻIke ʻia hoʻi ka gastritis acute e kūʻē i ke ʻano o nā maʻi ʻona (salmonellosis a me nā mea ʻē aʻe), a me ke ʻano o ka renal a me ka pau ʻole o ka ate. Hiki ke hoʻonāukiuki ʻia nā ʻano maʻi o ka gastritis e nā pathologies ʻaʻole pili pono i ka gastrointestinal tract (pneumonia, frostbite). ʻO kēia ma muli o ka hōʻiliʻili ʻana o nā huahana underoxidized i loko o ke koko i ka wā ʻeha nui o ka māmā, kahi e hoʻoulu ai i nā paia o ka ʻōpū. E wehewehe pū i ka maʻi gastritis ma ke kua o ke kaumaha.
ʻO ka phlegmonous gastritis - he hopena o ka ʻeha i manaʻo ʻia a pōʻino paha i nā paia o ka ʻōpū (nā pine, aniani, nā kui). Hōʻike ʻia ka maʻi e ka purulent fusion o nā paia o ka ʻōpū.
Hōʻike ʻia nā hōʻailona o ka gastritis acute catarrhal (maʻalahi) 5-8 mau hola ma hope o ka ʻike ʻana i kahi kumu pilikia. Hoʻomaka ka Pathogenesis me kahi ʻeha wela ma ka ʻāina epigastric (synonyms: i ka lua o ka ʻōpū, i ka plexus solar). Hoʻoulu ka ʻeha ma kēia wahi, nausea, luaʻi, ʻono metala ma ka waha. Hoʻohui ʻia ka gastritis ʻona-infectious e ke kuni, ka luaʻi mau a me ka maʻi maʻi. Hōʻike ʻia kahi maʻi koʻikoʻi e ka luaʻi koko - ʻo ia kahi maʻi ʻeha (necrotic) gastritis. Hōʻike ʻia ka phlegmonous gastritis e nā phenomena o peritonitis: kahi paʻa o ka ʻōpū o ka ʻōpū, kahi kūlana haʻalulu.
ʻO ka maʻi maʻi gastritis
I nā pae mua, hele ka maʻi me ka ʻole o nā hōʻailona mālamalama. Hōʻike ʻia ka hypersensitivity i kekahi ʻano meaʻai i kēlā me kēia manawa ma ke ʻano o ka heartburn a me ka bloating. Loaʻa pinepine ka manaʻo kaumaha me ka ʻōpū piha, kahi plaque a me kahi ʻano hiʻohiʻona i loaʻa ma ke alelo.
Hiki ke hoʻomohala ʻia ke ʻano maʻi o ka gastritis i kēlā me kēia makahiki: mai 20 mau makahiki a hiki i ka makahiki. Hōʻike ʻia ka maʻi e nā manawa o ka exacerbation a me ke kala ʻana. I ka wā o ka exacerbation, ʻaʻole ʻokoʻa nā hōʻailona o ka gastritis maʻi mai nā hōʻailona o ke ʻano o ka maʻi maʻi - ʻeha, hui pū me ka nausea, i kekahi manawa ka luaʻi. Hoʻonui ʻia nā manaʻo leʻaleʻa ma hope o ka lawe ʻana i kekahi mau ʻano meaʻai. ʻO ka maʻamau, ʻo ia kekahi o nā huahana āu e hoʻomanaʻo ai a hoʻāʻo e haʻalele i ka meaʻai a i ʻole ka palena ʻai.
He hōʻailona paha ka ʻulaʻula o ka mucous membrane o kekahi maʻi - atrophic gastritis. Aia ia ma ke kua o ka hemahema o ke kino o ka huaora B12. He mea koʻikoʻi kēia vitamina no ka hoʻokumu ʻana i ke koko. ʻAʻole loaʻa nā hōʻailona ʻē aʻe o ka gastritis atrophic, koe wale ka pallor. ʻO ka pōʻino o ka maʻi he hōʻailona ia o ka ulu ʻana o nā maʻi kanesa i loko o ka epithelium o ka ʻōpū. ʻO ka ʻike ʻana i ka anemia ma ke ʻano o nā hōʻailona o ka gastritis kahi manawa e nānā pono ai i ke kūlana o ke olakino.
Loaʻa i ke kino o ke kanaka nā kumu waiwai palekana, no laila, hoʻololi ke ʻano o ka nohona, ka ʻai ʻana i ka meaʻai a me ka lāʻau paʻakikī i kuhikuhi pono ʻia e hoʻonui nui i ka hiki ke hoʻōla i kekahi ʻano o ka gastritis.
Pehea ʻoe e kōkua ai iā ʻoe iho ma ka home?
ʻO ke kumu maʻamau o ka gastritis ka hoʻohana nui ʻana i nā mea ʻelua:
Aspirin (acetylsalicylic acid);
ʻO ka waiʻona (ethyl alcohol, ethanol).
Aspirin a ua kuhikuhi ʻia kāna mau analogues e nā cardiologists no ka hoʻohana lōʻihi i kēlā me kēia lā a me ka hoʻohana pono ʻana i mea e pale ai i ka myocardial infarctions a me nā hahau. He ʻumi kaukani o ka poʻe i kēlā me kēia lā e lawe i ka aspirin ma ke ʻano he mea e pale ai i ka hoʻokumu ʻana o nā clots koko, kahi e wikiwiki ai ka pilikia o ka hoʻohana palekana ʻana i nā NSAID.
ʻO ka hoʻomākaukau ʻana o ka Acetylsalicylic acid he waiwai antiplatelet maikaʻi loa, ʻo ia hoʻi, ke pale nei lākou i ka hoʻomohala ʻana o nā clots koko i loko o nā moku. ʻO nā ʻōpala koko ke kumu nui o ka myocardial infarction a me ka cerebral stroke. Eia naʻe, he hopena maikaʻi ʻole ka aspirin a me nā NSAID ʻē aʻe - hoʻonāukiuki lākou i nā mucous membrane o ka ʻōpū o ka ʻōpū. Hoʻohana nā mea maʻi hypertension i kēia mau lāʻau i kēlā me kēia lā me ka hui pū me nā lāʻau ʻē aʻe. ʻO ka ʻai ʻole o ka aspirin a me kāna mau analogues hiki ke hoʻonāukiuki i kahi pilikia hou no ka mea maʻi - gastritis. He ʻoiaʻiʻo kēia no nā poʻe āpau o ka poʻe ʻelemakule e loaʻa ana i ka hypertension, angina pectoris, ka poʻe i loaʻa a i ʻole ka pilikia o ka hoʻomohala ʻana i ka myocardial infarction.
Alcoholhoʻohana nui ʻia e kekahi mau ʻano o nā kamaʻāina. I ka poʻe i predisposed i nā maʻi o ka ʻōpū o ka ʻōpū, ʻo ka hoʻohana ʻana i ka ethanol hiki ke hoʻonāukiuki i kahi exacerbation o ka gastritis. Loaʻa i ka waiʻona nā waiwai alkaline. ʻO ka neutralization mau o ke kaiapuni acidic o ka ʻōpū me ka ethanol e hana i kahi kūlana no ka huhū o nā paia.
I kēia manawa, ʻaʻohe kumu e haʻalele ai i ka aspirin a me nā lāʻau koʻikoʻi ʻē aʻe (hao, potassium, hormones, etc.) mai ka papa inoa o nā lāʻau lapaʻau pono. E heluhelu pono i nā hōʻike i nā lāʻau lapaʻau a lawe iā lākou e like me ke kumu a ke kauka.
ʻO ka mea kūikawā, hiki iā ʻoe ke hōʻemi i nā hopena ʻaoʻao o ka lawe ʻana i ka aspirin ma kēia mau ala:
Hoʻemi ʻia ka nui hoʻokahi (e nīnau i kāu kauka);
ʻO ka lawe ʻana i ka lāʻau lapaʻau i ka pō o ka ʻai ʻana;
inu wai nui;
ʻO ka hoʻololi ʻana mai ka aspirin i nā analogues shell hou (THROMBO-ASS).
Ke kuhikuhi ʻana i ka aspirin a me nā NSAID ʻē aʻe, pono e mālama ʻia inā loaʻa ka mea maʻi:
ʻO ka maʻi maʻi erosive a me ka peptic ulcer i ka pae koʻikoʻi;
ʻO ka hoʻomanawanui ʻana o kēlā me kēia kanaka i ka hoʻomākaukau ʻana i ka acetylsalicylic acid;
ʻO ka manaʻo o ke koko gastrointestinal;
Hānō Bronchial;
hakuʻala ʻole;
Hapai i na wahine.
E haʻi mau i kāu kauka inā loaʻa iā ʻoe nā kapu i ka hoʻohana ʻana i ka aspirin. E kōkua kēia i ke kauka e hoʻokele, koho i ke ʻano kūpono o ka lāʻau lapaʻau, hoʻololi iā ia me nā analogues kūpono a i ʻole nā lāʻau lapaʻau o kahi hui pharmacological ʻē aʻe, hoʻoponopono i nā ʻano o ka noi, a hoʻemi i ka pinepine o ka hoʻohana ʻana i ka aspirin.
ʻO ka hoʻohana ʻole ʻana i nā lāʻau lapaʻau hiki ke loaʻa nā hopena maikaʻi ʻole a keakea i ka lawe ʻana i nā lāʻau lapaʻau ʻē aʻe. ʻO nā antacids i loaʻa i ka alumini i loko o nā nui nui ke kumu o ka constipation, nā lāʻau lapaʻau i loaʻa i ka potassium e hoʻemi i ka acidity o ka ʻōpū (i kekahi mau mea he waiwai pono kēia). He mea maikaʻi hoʻi ka potassium i nā wahine i ka wā menopause.
I ka hihia o ka intolerance i kekahi mau pūʻulu o nā lāʻau lapaʻau, ua pani ʻia lākou e nā mea ʻē aʻe. No ka laʻana, hiki i nā blockers histamine-H2 ke hoʻololi. ʻO nā lāʻau lapaʻau i loko o kēia hui (cimetidine, ranitidine) he mau lāʻau lapaʻau ma luna. Kuhi ʻia kēia mau papa i mea e hoʻoponopono ai i ka acidity i loko o ka ʻōpū, a ma muli o ka hopena, e hōʻemi i ka ʻeha i ka hyperacid gastritis.
E like me ka waiʻona, pono ia e haʻalele i ka wā o ka exacerbation o ka gastritis a me ka hoʻohana ʻana i nā lāʻau pharmacological i loaʻa ka hopena koʻikoʻi i ka gastrointestinal tract. ʻO ka hoʻohana pinepine ʻana i ka waiʻona he mea weliweli maoli ia i ka ulu ʻana o ka gastritis o ka ʻōpū.
Nā lāʻau no ka gastritis o ka ʻōpū
I loko o ka arsenal o nā gastroenterologists no ka mālama ʻana a me ka pale ʻana i ka gastritis, aia kekahi mau pūʻulu pharmacological o nā lāʻau lapaʻau, ʻo ia hoʻi:
Enterosorbents - kalapona i ho'ā 'ia, smecta;
Antacids;
Antiseptics a me nā disinfectants;
nā lāʻau antidiarrheal;
ʻO nā lāʻau'alopelo Tetracycline;
Antihistamines (H2 subtype).