Matenda a m'mimba ndi matenda ake. Gastritis, zilonda, mapuloteni komanso kutentha kwa mankhwala: Matenda ndi mankhwala

Chaka chino, Congress ya Sosaiti ya Gastroenterology - yayikulu kwambiri pa maulendo a nthawi zonse a dera la gastroenterologists - inachitika. Sosaiti ya Gastroenterology yakhalapo kwa zaka zoposa 100 ndipo ndi yachitatu padziko lapansi nthawi yolenga. Misonkhano yake imachitika zaka ziwiri zilizonse, nthawi iliyonse mumzinda wina wa ku yunivesite, ndipo amakopeka ndi madokotala a zosiyana siyana - a gastroenterologists, ochita opaleshoni, odwala matupi, madokotala a ana, madokotala, ndi akatswiri omwe amapanga ziphunzitso, zovuta za thupi ndi matenda a mimba.

Kupititsa patsogolo njira zatsopano zapadera zochizira matenda opatsirana pogonana

Cholinga chachikulu cha mpingowo chinali kupitiliza maphunziro a madokotala ndikukweza luso lawo la maphunziro - zokambirana zinaphunzitsidwa ndi madokotala omwe ali ndi chidziwitso chodziŵa za matenda ndi matenda a chiwopsezo cha mimba, malamulo a dziko lonse, a ku Ulaya ndi a dziko lapansi omwe angafunikire ngati wodwalayo akugwidwa ndi dokotala (Mimba). Akatswiri oposa 1500 analowa nawo mu congress. Pakati pa ena, msonkhano umenewu unachitikira ndi gulu la akatswiri a mapulogalamu osungirako zinthu zakale ochokera ku Russia.

Helicobacter pylori ( Helicobacter pylori ) - kawirikawiri zimayambitsa gastritis

Popeza anthu ambiri achikulire ali ndi kachilombo ka Helicobacter pylori (motero, ali ndi zizindikiro zosonyeza kuti thupi lachilendo limakhala lachilendo), m'mayiko ambiri a kumadzulo, matenda omwe amapezeka m'kati mwa chifuwa saganiziridwa kuti ndi odwala. Ichi ndi lingaliro la morphological, ndipo ngati ali ndi zizindikiro za matenda, amawoneka ngati ogwira ntchito (osati ulcer) dyspepsia. Helicobacter pylori, omwe amamukonda kwambiri, amadziwika kuti ndi mimba, choncho Helicobacter pylori nthawi zambiri amayamba ndi zilonda za antrum.

Popeza kuti palibe maselo akuluakulu komanso ochepa kwambiri m'kati mwa mimba mucosa, n'zoonekeratu kuti gastritis sichitsagana ndi chinyengo. Mosiyana ndi zimenezo, Helicobacter pylori amatha kulimbikitsa maselo a G, kuwonjezera kukula kwa gastrin, kumayambitsa mapulogalamu a m'mimba. Ndi chifukwa chake antral gastritis nthawi zambiri imakhala ndi chilonda cha duodenal.

Komabe, kupitiriza mosalekeza kwa Helicobacter pylori mu nthendayi kumabweretsa kusintha kwa dera lino, ndipo helicobacteria pang'onopang'ono imayenda mu njira yowonjezera, yomwe imayambitsa zilonda za m'mimba. Izi zimayambitsa matenda a epithelium a mimba, zomwe zimadziwika, makamaka, ndi kuchepa kwa maselo akuluakulu komanso ochepa kwambiri, ndipo chifukwa chake zimakhala zotsekemera.

Chifukwa cha matenda omwe ali pamwambapa, zikuwonekeratu kuti chikhalidwe chokhalitsa cha gastritis ndi Sydney-Houston, 1996. Chinthu chachikulu cha gastritis chosachiritsika sichimayambitsa matenda (antral) gastritis, pamene chiwalo cha m'mimba chimakhudzidwa ndipo kusowa kwachinsinsi sikumabuka.

Kuchulukira kwachilendo

Kuperewera kwapang'onopang'ono - kutentha kwakukulu, kuwonongeka kwa minofu ya pancreatic ndi kuwonongeka kwa parenchyma, fibrosis ndi m'kupita kwanthawi - kuwonongedwa kwa endocrine parenchyma. Kuchuluka kwa matenda osokoneza bongo, pamene nthendayi imakhudzidwa ndi 6-9%. Kuperewera kwachilomboka kumakhala ngati chonchi chimatha miyezi isanu ndi umodzi.

Chizindikiro: kuperewera kwa matenda osokoneza bongo, matenda opatsirana achilendo, opatsirana, obadwa, odiopathic, autoimmune.

Etiology: uchidakwa; Kudyetsa zakudya (mafuta, zakudya zokazinga); Nthaŵi zina hypotension ndi thukuta lozizira, kutaya; Paresis wa matumbo; Matenda a kupanikizika kwa ziwalo zozungulira: jaundice, duodenosis, splenomegaly.

Kusanthula: kuyesa magazi ambiri: leukocytosis, kuthamanga kwa ESR, eosinophilia.

Njira zatsopano zothandizira matenda a gastritis aakulu

Zina mwa mankhwala omwe amachitidwa pa chithandizo cha matenda aakulu a atrophic gastritis ndi mankhwala othandizira, koma n'zovuta kuchitapo lero chifukwa cha kusowa kwa mankhwala kuti athetse kukanika kwa maselo opangidwa ndi pepsin ndi hydrochloric acid (imodzi mwa mankhwala a mtundu uwu ndi Acidin-Pepsin - posachedwa Kawirikawiri mumapeza mu pharmacies). Chimodzi mwa zigawozikulu za mankhwala osakanikirana a gastritis omwe ali ndi asidi otsika ndi mapangidwe a enzyme, omwe pamapeto pake amawombetsa matenda osokoneza bongo. Zimathandiza kuthetsa chifuwa cha m'mimba. Izi zikuphatikizapo "Panzinorm". Powachiritsa odwala amenewa, amagwiritsidwa ntchito mankhwala osokoneza bongo . Odwala payekha kuti apangitse kachipangizo ka epithelium m'mimba amalembedwa kuti "Sucralfate" ("Venter") ndi bismuth kukonzekera. Pankhani ya kusintha kwa dysbiotic, eubiotics kapena probiotics akuwonjezeredwa.

Kuchiza ndi madontho a m'mimba

Masiku ano, kugwiritsa ntchito antioxidants, makamaka makonzedwe a mavitamini A, E, ndi C, ndi mankhwala odalirika kwa odwala mu dipatimenti ya gastroenterological. Komabe, lero, osati ma broths kapena tinctures, koma okonzeka phytopreparations okonzeka ku kusakaniza kwa mankhwala a zitsamba, akulimbikitsidwa kwa odwala. Zina mwa izo, mankhwala "chapamimba madontho" amayenera kusamala. Pali mitundu yambiri (choleretic, mtima, kuchepetsa, etc.). Imodzi mwa mitunduyi monga mawonekedwe a m'mimba amachitiramo chithandizo cha odwala omwe ali ndi matenda aakulu a gastritis omwe alibe chitsimikizo chokwanira komanso kukomoka kwa chiwalo cha m'mimba. Mankhwalawa "madontho a m'mimba" ali ndi zigawo 4 zazomera. Zachigawo ziwiri (mizu ya gentian chikasu ndi therere ya mphero-mphero) ndi owawa, 2 zina (maluwa a chamomile ndi chitowe mbewu) ali ndi antipasmodic zotsatira.

Kodi mankhwalawa amapezeka kuti?

Dipatimenti ya Gastroenterology imapanga chithandizo chamankhwala, uphungu ndi bungwe komanso njira zothandizira odwala omwe ali ndi matenda opatsirana pogonana. Amapereka thandizo lachangu kwa odwala ndi matenda a m'mimba.

Zimapanga zovuta zowonongeka zokhudzana ndi chikhalidwe cha anthu ndi abambo odwala matendawa. Amalongosola zomwe zakhala zikukwaniritsidwa mu chipatala popereka chithandizo chamankhwala pa matenda a chiwerengero cha kadyedwe ndikuyesa kuwonetsa mphamvu ya kulengeza kwake.

Kukonzekera ndi kuchititsa misonkhano ya sayansi ndi yothandiza, seminayi ndi cholinga chofotokozera zotsatira za kafukufuku wa sayansi pa ntchito ya mimba. Gulu la ntchito ya dipatimenti likugwiritsidwa ntchito ndi malamulo pa gastroenterological department.

Chiwerengero cha zipatala m'nthambichi chikuchitidwa motsogoleredwa ndi makampani ogwira ntchito zachipatala, opaleshoni ya chigawo, ogwira ntchito zachipatala za mzindawo.

Odwala omwe ali ndi matenda aakulu a dongosolo la m'mimba amatumizidwa ku dipatimentiyi. Kuchekera kuchipatala kwa zizindikiro zadzidzidzi kumayendetsedwa ndi magulu a ambulansi, dokotala wogwira ntchito.