Antral (dumbu) yayo chirwere. Gastritis, maronda, polyps uye Kuparara antral: Zviratidzo neMarapirwo

Gore rino, reCongress of Society of Gastroenterology - kupfuura chinzvimbo pakati dzose Board of Gastroenterology munharaunda. Society of Gastroenterology ane makore anopfuura 100 uye ndiyo kechitatu kwenyika yokusika. congresses Its inoitwa pamakore maviri, nguva imwe neimwe yakasiyana muguta yunivhesiti, uye Akakwezva wenyanzvi siyana unyanzvi - gastroenterologists, vanachiremba vanovhiya, endoscopists, mhuri vanachiremba, pediatricians, uyewo nyanzvi munyaya yokungotaura zvikuru nematambudziko, pane physiology uye zvokurwara pamusoro zvomudumbu hurongwa.

Pokumuka nzira itsva nokurapa gastritis nyika

Chinangwa chikuru reCongress rakanga risati raguma chokudzidzisa vanachiremba uye uvandudze zvavo nyanzvi chechetere - mishumo aiva hurukuro hunhu uye vanachiremba avanoziva mamiriro ruzivo pamusoro nechirwere uye vabatwe zvomudumbu zvirwere, National, European uye dzakawanda mirayiro zviito waida apo murwere akarova antral (dumbu). Vanopfuura 1,500 nyanzvi aiitawo reCongress. Pakati vamwe reCongress wakapindwa boka vanachiremba-endoscopists weRussia.

Helicobacter pylori (Helicobacter pylori) - vakawanda chikonzero gastritis

Sezvo vazhinji vemo vakura iri nechirwere Helicobacter pylori (saka ine kanenge morphological zviri chisingaperi gastritis), munyika dzakawanda dzoKumadokero, nechirwere echirwere gastritis antrum hakunganzi akaora chinokosha. Ichi morphological pfungwa, uye kana kunotoda kurapwa zviratidzo zvokurwara sechinhu dzichipfekeka (nonulcer) dyspepsia. Favorite localization pamusoro Helicobacter pylori, aizivikanwa kuva antral (dumbu), saka chirwere H. pylori gastritis Kazhinji kunotanga kukundwa yacho antrum.

Apa kuti antral gastric mucosa haasi mukuru wechikoro uye parietal masero, zviri pachena kuti hakuna achiperekedzwa gastritis hypoacid. Mukupesana, Helicobacter pylori anokwanisa inotokonya G-masero, ichiwedzera kugadzirwa gastrin, mumwe polyp kukonzera gastric antrum. Chikonzero ichi kuti antral gastritis runowanzotaurwa nezvarwo duodenal urikanwi.

Zvisinei, kwenguva refu kutsungirira chirwere pamwe Helicobacter pylori antral zvinoisa atrophic kuchinja munzvimbo ino, uye Helicobacter zvishoma nezvishoma kufamba munzvimbo proximal nhungamiro, uye izvi zviri kukonzerwa ane urikanwi gastric antrum. Izvi zvinotungamirira mberi atrophy pamusoro gastric epithelium dzomuviri anoratidza pacharo, kunyanya, kuderedza uwandu wechikoro uye parietal masero, uye nokudaro kuti gastric secretion.

Tichifunga zviri pamusoro apa pathogenetic zvinhu, zvinonzwisisika nei vanhuwo kupatsanura echirwere gastritis - Sydney-Houston, 1996 Main chimiro chisingaperi vasiri atrophic gastritis anonzi (antral) gastritis, kana akarova antral (mudumbu) uye hapana secretory kukundikana.

chisingaperi pfungwa nomuviri zvemwana asati

Chirwere pfungwa nomuviri zvemwana asati - chisingaperi kuzvimba, zvinyama kukuvara pancreatic parenchyma nokuparadzwa, uye fibrosis mu akazotevera matanho - kwemakemikari anobudiswa parenchymal kuparadzwa. Kakawanda pamusoro pemamiriro pfungwa nomuviri zvemwana asati, kana akatema nokuda antral (mudumbu) - 6-9%. Chirwere pfungwa nomuviri zvemwana asati anova yakadaro kana pathological muitiro runogara zvinopfuura 6 mwedzi.

Kupatsanura: pfungwa nomuviri zvemwana asati doro etiology, chisingaperi idzokororo pfungwa nomuviri zvemwana asati, chirwere, enhaka, idiopathic, autoimmune.

The etiology kuti kudhakwa; kutyora kudya (mafuta zvakakangwa zvokudya); nenguva dzirikure hypotension waitonhora sweats, kufenda; paresis of ura; chirwere compression pamusoro pedyo nadzo: jaundice, duodenostasis, splenomegaly.

Chirwere: CBC: leukocytosis, nokukurumidza erythrocyte sedimentation zvazvingava, eosinophilia.

Directions New nokuti mishonga echirwere gastritis

Pakati useshnyh mirayiridzo pakurapa chirwere atrophic gastritis vanofanira kunzi kuzvitsinhanisa kurapwa, asi kuuita nhasi zvakaoma nokuda kwokushayiwa achigadzirira rakasungwa kukundikana chizvarwa gastric masero pepsin uye hydrochloric asidhi (imwe mishonga mirayiridzo yakadaro - "acidin-pepsin" - manjemanje kashoma kuwana drugstores). Imwe chezvinonhuwira pakurapa chirwere gastritis pamwe pasi acidity ndiko enzayemu kugadzirira, izvo kune pamwero aripire fufune. Ndivo kubudirira Kuparara ari gastric antrum. Izvi zvinosanganisira "Panzinorm". Nokuti kurapa varwere dzakadaro kushandisa zvinodhaka kuti normalize gwenya kushanda mudumbu. murwere nomumwe kuvandudza gastric epithelium cytoprotective ehupfumi kunan'anura "Sucralfate" ( "Venter") uye gadziriro bismuth. In zvinoitirwawo kuchinja dysbiotic akawedzera eubiotics kana probiotics.

Mabatirwo mudumbu madonhwe

Kuvimbisa kurapwa varwere vari gastroenterological mumahofisi nhasi ndiko kushandiswa antioxidants, zvikurukuru kugadzirira mavhitamini A, E uye C. Zvisinei, munyika nhasi vanokurudzira kuti varwere kwete decoctions kana neiya inoiswa muzvinwiwa zvinodhaka, mishonga uye vakazvigadzirira kubva wemisanganiswa wemiriwo. Pakati pavo chinokosha zvinodhaka "mudumbu anodonhedza". Kune akasiyana dzakawanda nawo (choleretic, kudziya, kuchizorodza, etc.). Mumwe Miti izvi muchimiro mudumbu Madonhwe - Rakagadzirirwa kuti pakurapa varwere chisingaperi gastritis pamwe secretory insufficiency uye Kuparara antrum. Kugadzirira "dumbu anodonhedza" inoumbwa zvina chirimwa zvinoriumba. 2 zvinoriumba (yero gentian midzi uye miriwo centaury) ndiko kurwadziwa, zvimwe 2 (chamomil maruva chipimo chemushonga uye caraway year mbeu) vane spasmolytic kushanda.

Kwavanofudza kubata antral (dumbu)?

Gastroenterological dhipatimendi anoita kuchirapa uye chirwere, vanobva, sangano uye methodological basa iri urongwa unyanzvi chipatara hanya varwere gastrointestinal profile. Inopa chimbichimbi kutarisira varwere gastroenterological zvirwere.

The kunzwisisa Zvokusunungurwa zviyero zvainanga magariro uye basa kwadzakabva wevarwere gastroenterological. Anodyara mu kurapwa tsika zviitiko itsva kupa mishonga kuti zvirwere zvomudumbu ino uye kuongorora kunyatsoshanda kuti Implementation yavo.

Inogadzira uye anoita Misangano kwesayenzi-zvinoshanda, misangano zvainanga kudzidzisa migumisiro kuongorora tsika gastroenterology basa. Organization basa wedhipatimendi iri pakutsvaga nzvimbo gastroenterological dhipatimendi.

Vakaronga muchipatara vari dhipatimendi rinoitwa yakananga gastrointestinal kuvhiya, chikuru hanya vanachiremba, mukuru vanoita, mhuri mushonga guta.

The dhipatimendi akatuma varwere chisingaperi nezvirwere zviri zvomudumbu hurongwa. Muchipatara amburenzi zvairatidza vakatakura yakananga amburenzi zvikwata, chiremba pabasa.