Atrophic gastritis, cov tsos mob thiab tus mob pathophysiology.

Atrophic gastritis, cov tsos mob ntawm uas yog yus muaj los ntawm dyspeptic phenomena ce epigastric yog qhov tshwm sim ntawm ib tug autoimmune inflammatory teb rau nws tus kheej pais plab mucosa, uas yuav pab kom tsis txhob muaj lub cev physiological restoration ntawm pais plab mucosal hlwb. Raws li ib tug tshwm sim, atrophic hloov tshwm sim plhaub, zog mob (peristaltic) thiab sekretoprodutsiruyuschey pais plab zog. Nrog rau xws li ib tug kab mob raws li atrophic gastritis, cov tsos mob ntawm tus kab mob feem ntau tshwm hauv nruab nrab hnub nyoog thiab nyob rau hauv cov neeg laus. Inflammatory cov tshuaj tiv thaiv yuav ntes tsis tau tsuas yog txheej txheem epithelial txheej thiab glandular apparatus, nws kuj kis tau mus rau tag nrho cov txheej daj. Hauv cov mob hnyav tshaj plaws, txoj hau kev yuav pab tau cov khaub zig thiab lwm cov khaubncaws sab nraud povtseg ntawm lub plab phab ntsa.

Atrophic gastritis, cov tsos mob thiab cov tsos mob tshwm sim uas muaj ntau ntau, tshwm sim thaum raug rau sab nraud thiab sab hauv. Lwm yam tseem ceeb xws li: cov zaub mov tsis zoo thiab tsis haum cev, dej cawv, tshuaj ntev thiab lwm tus. Sab hauv (endogenous) ua rau muaj kab mob ntev, cov kab mob ntawm cov plab hnyuv ntxwm hauv cov plab zom mov, qhov kev qaug zog hauv kev tsim kev puas tsuaj, kev cog qoob.

Mob gastritis gastroenterologists sib cais mus rau hauv ob hom: hom A gastritis thiab B. Chronic atrophic gastritis koom gastritis hom A. Qhov no daim ntawv ntawm tus kab mob manifests tshwm sim ntawm autoimmune o, uas tau nyob rau hauv zus tau tej cov tshuaj rau nws tus kheej parietal hlwb. Yog li ntawd, lawv cov proteins ua denatured, cellular ras txog thiab o ntawm mucous membrane tshwm sim. Ib qho kev txawv txav ntawm no gastritis yog ib tug txheej txheem rau lub atrophy ntawm mucous membrane nrog ib tug hnyav txo nyob rau hauv cov xov tooj ntawm lub plab mog hlwb. Nws yog nyob hauv thaj av hauv qab thiab lub plab ntawm lub plab, thiab tso tawm antral atrophic gastritis. Qhov kho cov mucosal yog tu nrho, tsim cov kua txiv pwm kua txob.

Hauv kev ntsuam xyuas ntawm atrophic gastritis, cov tsos mob tshwm sim los ntawm qhov pom ntawm tus neeg mob cov kev tsis txaus siab ntawm tsis mob siab, mob plawv thiab tsis mob siab hauv plab, kub siab, dyspepsia, tsam plab thiab ua kom muaj roj ntxiv, quav. Qhov kev siv ntawm qhov tshwm sim nyob ntawm seb muaj pes tsawg lub hlwb. Nrog tus kab mob no, tsim thiab acidity ntawm pais plab kua txiv txo. Yog li ntawd, qhov tseem ceeb ntawm kev mob ntawm atrophic gastritis yog lub plab ntawm lub plab, zoo nkaus li muaj satiety tom qab ib qho me me ntawm cov zaub mov noj. Feem ntau, atrophic gastritis yog nrog lwm cov kab mob ntawm digestive plab hnyuv siab raum: pancreatitis, plab hnyuv dysbiosis, cholecystitis. Atrophy ntawm mucosa ua rau muaj kev ua txhaum ntawm kev noj cov tshuaj vitamin B12, feem ntau muaj cov ntshav liab tsis muaj ntshav liab B12.

Diagnostic kev ntsuas yog txo mus rau qhov tseeb sib txawv mob ntawm cov ntaub ntawv uas muaj los ntawm gastritis. Qhov kev ntsuas loj tshaj plaws yog qhov kev siv fibroadastroduodenoscopy (FGS), kev siv nqaij mos (daim ntawm lub cev nqaij daim tawv). Ib txoj kev kuaj nqaij feem ntau yog ua los ntawm ntau qhov chaw. Tshawb tawm ntawm lub plab hnyuv ntxwm ntawm lub plab thiab muaj pes tsawg leeg ntawm cov kua txiv peej.

Kev kho mob ntawm atrophic gastritis complex thiab lengthy. Nws yog tsom ntawm kev tswj lub cev qhuav ntawm pais plab kua txiv, nws acidity. Nyob rau hauv atrophy feem ntau, kev kho kev hloov chaw, ua rau koj sau cov tshuaj hydrochloric acid hauv tshuaj kho kom zoo. Yuav tsum ce yog cov khoom noj, cais noj mov. Kev kho mob hauv sanatoria nrog lub pob zeb pob zeb tau txais tos.