Autoimmune gastritis: Cov tsos mob, kuaj thiab kho mob

Yog ib tug inflammatory kab mob ntawm lub plab, raws li autoimmune gastritis, yog heev tsawg, nws kuaj tsuas 10% ntawm cov pejxeem. Tus kab mob yog tshuaj ntsuam genetic thiab tshwm sim nyob rau hauv tej yam tej yam kev mob. Yuav ua li cas raws nraim - lub science yog tsis paub tseeb. Ib tug yuav tsuas nco ntsoov tias cov uas tshoov yam yog advanced muaj hnub nyoog thiab cov neeg pluag kev noj haus. Xav txog tus yam ntxwv ntawm cov tsos mob ntawm tus kab mob, nws mob thiab kev kho mob.

Yuav ua li cas yog no pathological txheej txheem?

Cov tib neeg digestive system nyob rau hauv xws tus kab mob nws tus kheej pib noj. Nyob rau hauv lwm yam lus, lub cev los ntawm cov kev tshuaj ua kom puas ib txwm hlwb ua li lub mucosa ntawm lub plab. Qhov no thiaj li lub acidity ntawm pais plab kua txiv, khoom noj khoom haus yog tsis nqis thiab pib nws lwj thiab cov as-ham tsis absorbed nyob rau hauv tej ntaub so ntswg los mus rau hauv cov hlab ntsha. Ib tug neeg noj cov zaub mov pom tau tias nyob rau hauv lub qis lub plab txaus mob. Vim hais tias ntawm no, nws yog tsis ib yam dab tsi los noj mov, thiab tom qab ib tug thaum muaj dystrophy thiab anorexia.

ua rau

Rau ib txhia yog vim li cas, tus neeg tsim xws li ib tug pathology? Zaum no inclined mus rau qhov no saib, hais tias tus tiv thaiv kab mob tsis meej yog raws roj ntsha xwm ntawm txoj kev loj hlob. Nyob rau hauv tas li ntawd, autoimmune gastritis yuav ua rau tus kab mob twg thiaj li raug mus rau hauv lub cev, xws li cytomegalovirus, herpes, raws li zoo raws li hnyav Epstein-Barr virus. Lub causative tus neeg saib xyuas ntawm kab mob no yog rau DVR tsis tau tsuas yog nyob rau hauv cov ntaub so ntswg tab sis kuj nyob rau hauv hauv nruab nrog cev, yuav ua tau lub cev puas ntsoog lub hnyuv ib ntsuj av. Nyob rau hauv txhua rooj plaub, qhov ua rau ntawm tus kab mob no yog txiav txim ib lub zuj zus.

cov tsos mob

Yam ntxwv pathological mob raws li nram no:

• tsam plab;
• nkees thiab mob nkees;
• ib tug unpleasant saj nyob rau hauv lub qhov ncauj ;
• tsis qab los noj mov;
• ib tug ceeb toom tias nws gurgles nyob rau hauv lub plab mog;
• kub siab, belching, ntsis xeev siab, cem quav los yog raws plab;
• hnyav tawm hws, kiv taub hau;
• daj ntseg daim tawv nqaij;
• thinning ntawm lub tes.

Nyob rau hauv tas li ntawd, ib tug ntshiab kos npe rau ntawm ib tug autoimmune gastritis - yog nervousness, txob taus, emotionality. Yog vim li cas yog hais tias lub cev pib mus ua ib tug tsis muaj vitamin B12 thiab B9, li no yuav ua tau rau anemia thiab neurological ntshawv siab.

Cov tsos mob tsis tshwm sim tam sim ntawd thaum lub sij hawm ntawm kev tsim muaj tus kab mob tej zaum yuav manifested ob ua ke thiab nyias.

diagnostics

Kev kho mob yuav tsum tau zoo, nws yog ib qho tseem ceeb heev lub sij hawm yuav ua rau ib tug muaj tseeb kuaj mob. Muaj ntau nyob rau hauv cov ntaub ntawv no siv rau lub Gastroenterology chaw, nyob rau hauv uas lub nram qab no diagnostic cov txheej txheem yog nqa tawm:

• Fibrogastroduodenoscopy nrog me. Nyob hauv ib lub theem ntawm tus kab mob mucosa kuaj edema, hyperemia nws, lub xub ntiag ntawm ulcers thiab erosions. Yog hais tias tus kab mob tau ua mob, pais plab mucosa yuav daj ntseg, atrophic, nrog me me qhov chaw ntawm lwm cov tawv nqaij hlwb.
• X-ray ntawm lub plab, txoj hlab nqos mov thiab duodenum.
• Immunological tsom xam ntawm cov ntshav, vim hais tias nyob rau hauv 30% ntawm cov neeg mob nrog autoimmune ntshawv siab nrhiav nyob rau hauv lwm yam kabmob.
• Probing lub plab, uas txiav txim seb tus acidity ntawm lub cev dej thiab lub xub ntiag ntawm H. pylori.
• Nqa tawm ib polymerase chain reaction uas tso cai rau los mus txiav txim lub Cheebtsam ntawm DNA kab mob nyob rau hauv lub cev thiab cov nqaij mos ntawm tus neeg mob. Nyob rau hauv 7.1% ntawm cov neeg mob nrog autoimmune gastritis qhia lub xub ntiag ntawm Epstein-Barr virus, uas ua rau mononucleosis.
• Ultrasonography ntawm lub plab mog. Nyob rau hauv 80% ntawm cov neeg mob qhia ib qho mob siab nrog ib tug kev hloov nyob rau hauv nws cov qauv, nyob rau hauv 17% ntawm cov neeg mob nrog mob tus po, tej zaum qhia ib qho kev nce thiab consolidation ntawm peripheral lymph node.

Leej twg appoints cov kev kho mob?

Feem ntau, yog hais tias tus neeg mob yuav Gastroenterological Center, nais maum kuaj nws, thiab ntxiv kev kho mob yog nqa tawm los ntawm ob tug tshwj xeeb - ib tug kws kho mob-gastroenterologist thiab immunologist.

Tus kws kho mob-immunologist txiav txim dab tsi theem ntawm kev loj hlob yog tus kab mob no thiab yuav ua li cas nws yog ua tau kom tsis txhob ntxiv kev puas tsuaj rau lub hnyuv ib ntsuj av.

Gastroenterologist muab kho tiv thaiv tiv thaiv puas pais plab mucosa, assigns tsim nyog txoj kev kho los ntawm cov uas zaug rau cov kev ua ntawm tus mob huam, lus zoo thaum lub sij hawm tus kab mob loj hlob.

txoj kev kho mob

Yog hais tias mob autoimmune gastritis, kev kho mob nws yuav tsum tau ib tug neeg. Nws nyob rau hauv daim ntawv ntawm tus kab mob, theem ntawm txoj kev loj hlob, qhia cov tsos mob thiab cov kev hloov uas tau tshwm sim nyob rau hauv lwm yam kabmob. Kev kho mob yuav tsum tau tswj los mus tshem tawm qhov ua rau ntawm tus kab mob, raws li tau zoo raws li rau tshwj kom txhob Helicobacter, thiab kab mob, kev hloov nyob rau hauv lub paj hlwb thiab kab systems.

Basic ntsiab cai ntawm kev kho mob

Yog hais tias paub hais tias autoimmune gastritis, tus neeg mob yuav tsum ua raws li ib tug khoom noj tshwj xeeb. Nyob rau hauv rooj plaub no yuav raug tshem tawm los ntawm cov khoom noj ntawm kub thiab cov zaub mov txias uas yuav tsum muaj mechanically, thermally thiab sib dawb siab zoo. Banned ntse, qab ntsev, ntsim, khoom kib. Cov khoom noj yuav tsum tau ib tug protein (xws li ib tug ntses, steamed los yog hau nqaij mis) uas muaj cov vitamins thiab fiber (jellies, cereals, kis, khoom noj siv mis, boiled los yog pureed txiv hmab txiv ntoo thiab zaub). Koj muaj peev xwm tsis haus dej haus kas fes, kis, ncuav, tshuaj yej, ncuav thiab khoom qab zib. Khoom noj khoom haus yuav tsum tau heev dua lwm yam nyob rau hauv daim ntawv ntawm tshav kub.

Yog hais tias tus neeg mob suffers los ntawm sab kev mob, tus kws kho mob prescribes anticholinergics ( "Metacin", "Platifillin"), antispasmodics ( "papaverine", "Tsis muaj-spa"), raws li zoo raws li cov tshuaj los txo lub cev muaj zog ua si ntawm lub hnyuv thiab plab ( "Reglan" "Motilium").

Yuav kom txhim kho txoj kev mob ntawm lub pais plab mucosa, muab cov hauv qab no tshuaj: "Venter", "Bismuth", "plantaglyutsid", thiab txo lub acidity - "Almagel", "Ranitidine" thiab lwm tus neeg.

Rau hauv loj heev Atrophy ntawm txheej tsa hloov txoj kev kho: "abomin", "Mezim", "acidin-pepsin", "Panzinorm", "Pankurmen" tshuaj, uas ua nyob rau hauv qhov kev txiav txim ntawm lub plab hnyuv microflora, multivitamins.

Yog hais tias qhov yuav tsum tau tshwm sim, nws yog tsim nyog los noj anti-microbial thiab anti-kis cov kab mob. Tsuas yog nyob rau hauv zaj lus tim khawv muaj herbal tshuaj, massage, qoj ib ce kho, physiotherapy, acupuncture, balneological txoj kev kho.

Tsis tas li ntawd, tus neeg yuav alleviate tus mob siv tshuaj tshuaj. Autoimmune gastritis kho ib co kua txiv plantain thiab tej yam ntuj tso hiav txwv buckthorn roj, tab sis nyob rau hauv txhua rooj plaub, txoj kev kho yuav tsum tau muab xwb nyob rau hauv kev kho mob saib xyuas.

tau teeb meem

Yog hais tias tus kab mob no yog tsis kho nyob rau hauv ib tug raws sijhawm mus pib, Atrophy ntawm lub qog ua kua membrane yuav tsuas vam meej thiab cov tsos mob - nce. Raws li ib tug tshwm sim, tej zaum nws yuav ua tau ib tug adenocarcinoma. Tsis tas li ntawd, lwj liam tus cwj pwm rau kev kho mob ua rau yus hlau tsis muaj peev xwm anemia thiab polyhypovitaminosis.

xaus

Yog li, yog tias ib tug neeg mam li nco dheev ceeb toom tias gurgles nyob rau hauv lub plab, muaj yog kub siab, muaj kev phem ua tsis taus pa thiab lwm yam coj txawv txawv ces ntawm lub cev, ces nws yuav tsum tau sai li sai tau mus ntsib ib tug kws kho mob. nws feem ntau qhia txoj kev loj hlob ntawm autoimmune gastritis, ncua kev kho mob uas ua rau yus mob.