Antral (isisu) kunye nezifo zalo. Gastritis, izilonda, polyp ukhukuliseko of antral: Iimpawu and Treatment

Kulo nyaka, i-Congress of the Society of Gastroenterology - eyona nenxa eBhodi rhoqo Zesisu ekuhlaleni. Society of Gastroenterology uneminyaka engaphezu kwe-100 kwaye ixesha sesithathu ekudalweni kwehlabathi. ngeenkongolo zayo olwalubakho rhoqo emva kweminyaka emibini, ixesha nganye kwidolophu kwiyunivesithi eyahlukileyo, kwaye zatsala ingqalelo nabafundisi amakhono ezahlukeneyo - gastroenterologists, oogqirha, endoscopists, usapho oogqirha, oogqirha babantwana, kwakunye iingcali inxaxheba theory, iingxaki angundoqo zomzimba ngezifo kwinkqubo yokwetyisa.

Uphuhliso iindlela ezintsha ukuze unyango wehlabathi gastritis

Eyona njongo ephambili yale Congress uqeqesho oluqhubekayo koogqirha kunye nokuphucula umgangatho wabo - iingxelo waba intetho nabalinganiswa kunye noogqirha eziqhelekileyo kwi imeko yangoku ulwazi malunga isifo kwaye afumane unyango lwezifo wokudla, imithetho yesizwe, yaseYurophu ngamazwe amanyathelo afunekayo xa umguli wambetha antral (isisu). Ngaphezulu kwama-1,500 Iingcali bathatha inxaxheba nkongolo. Phakathi kwabanye kuloo nkongolo kubekho iqela koogqirha-endoscopists of Russia.

Helicobacter pylori (Helicobacter pylori) - ebangela gastritis

Ekubeni uninzi lwabantu abadala losulelwe Helicobacter pylori (kungoko uye ubuncinane iinkalo morphological of gastritis esingapheliyo), kumazwe amaninzi Western, uxilongo bezifo gastritis antrum akujongwa ngokwezonyango ebalulekileyo. Le mbono morphological, yaye kwimeko iimpawu zonyango leengxaki ingqalelo njengoko functional (nonulcer) ukuqunjelwa. kwasendaweni oluthandayo Helicobacter pylori, kwaziwa ukuba antral (isisu), engapheliyo ngoko H. pylori gastritis kudla luqala ngokoyiswa le antrum.

Ngenxa yokuba kule isifo antral esiswini ayikho inqununu kunye Parietal iiseli, kucacile ukuba ezingahambi gastritis hypoacid. Ngokwahlukileyo koko, Helicobacter pylori uyakwazi ukukhuthaza i G-iiseli, ukwandisa ukuveliswa gastrin, liqhubu kunokubangela antrum esiswini. Kungenxa yesi sizathu ukuba gastritis antral unxulunyaniswa isilonda duodenal.

Noko ke, ixesha elide yokuzinga usulelo kunye Helicobacter pylori kukhokelela antral ukuba utshintsho atrophic kule ndawo, yaye Helicobacter kancane kancane kwicala proximal, yaye oku kubangwa isilonda antrum esiswini. Oku kukhokelela yoma ngcembe epithelium esiswini lomzimba esizibonakalisa, ingakumbi, ukunciphisa ubungakanani inqununu Parietal iiseli, ngakho secretion esiswini.

Ukuqwalasela imiba pathogenetic ngentla, siyaqondakala isizathu sokuba kucalulo eliqhelekileyo gastritis ezingapheliyo - Sydney-Houston, 1996 Main uhlobo bezifo gastritis non-atrophic kugqalwa (antral) gastritis, xa walibetha antral (isisu) kwaye akukho ukusilela secretory.

pancreatitis ezingapheliyo

pancreatitis Chronic - ukudumba ezingapheliyo, umonakalo izicwili parenchyma pancreatic ngentshabalalo kwayo, kunye abanesigulo kwi zigaba kamva - yonyango parenchymal intshabalalo. Amaza omoya pancreatitis ezingapheliyo, xa usindwa antral (isisu) - 6-9%. pancreatitis Chronic uba ezinjalo ukuba inkqubo zophendlo lwezifo sihlala iinyanga ezi-6.

Classification: pancreatitis of umyalezo sinxilisayo, pancreatitis ezondeleyo nezolo, ezosulelayo, ilifa, idiopathic, sokuhlasela.

I-umyalezo we butywala; ephula yokutya (ezinamanqatha, ukutya eqhotsiweyo); hypotension ezuza ukubila ezibandayo, niphele; paresis yethumbu; syndrome ucinezelo amalungu ezikufutshane: senyongo, duodenostasis, splenomegaly.

Uxilongo: ICBC: leukocytosis, ekhawulezayo izinga neentlenge erythrocyte, eosinophilia.

Umkhomba-ndlela entsha yonyango gastritis ezingapheliyo

Phakathi useshnyh ndlela ku ukunyanga gastritis ezingapheliyo atrophic kufuneka ngokuba unyango endaweni, kodwa kubhiyozwe kunzima namhlanje ngenxa yokungabikho amalungiselelo kukulungiswa iiseli esiswini isizukulwana ukungaphumeleli pepsin kwaye zehydrochloric acid (enye amachiza myalelo - "acidin-pepsin" - mva kunqabile ukufumana ku drugstores). Enye inxalenye yonyango bezifo gastritis kunye iasidi ephantsi na amalungiselelo enzyme, leyo othile sisilela ukungacoleki kokutya. Bayaphumelela xa yomhlaba olinywe antrum esiswini. Ezi ziquka "Panzinorm". Kuba unyango izigulane ezinjalo usebenzisa iziyobisi ezenza kube yinto motor umsebenzi esiswini. isigulane ngamnye ukuphucula epithelium esiswini iipropati cytoprotective ityumbe "Sucralfate" ( "Venter") kunye amalungiselelo bismuth. Kwimeko apho utshintsho dysbiotic wongezelela eubiotics okanye probiotics.

Unyango kuncipha isisu

unyango elithembisayo izigulane ofisi gastroenterological namhlanje ukusetyenziswa antioxidants, kumalungiselelo ezithile iivithamini A, E no-C Noko ke, namhlanje sicebisa ukuba izigulane decoctions okanye tinctures, leengcambu kunye axhobele ukusuka kwimixube wemifuno. Phakathi kwabo ephawulekayo iziyobisi "isisu tsakisi". Kukho iintlobo ezininzi kuwo (choleretic, efudumeleyo, elithozamisayo, njalo njalo). Enye yezi ntlobo ngohlobo ngamathontsi zesisu - Yenzelwe ukuba unyango kwezigulane gastritis ezingapheliyo kunye insufficiency secretory kunye ukhukuliseko antrum. Ukulungiselela "esiswini sihlisa" iqulathe amacandelo amane zezityalo. amacandelo 2 (gentian yellow ingcambu kunye nemifuno centaury) na ubukrakra, 2 (chamomile iintyatyambo idosi iimbewu caraway) zibe nefuthe spasmolytic.

Apho babaphatha antral (isisu)?

isebe Gastroenterological owenza umsebenzi zonyango kunye diagnostic, thethwano, sombutho kunye methodological kubonelelo nezibhedlela ezikhethekileyo kwizigulane kunye profile zesisu. Inika yononophelo olungxamisekileyo kwizigulane izifo gastroenterological.

Zakhiwo yamanyathelo kwimo ejoliswe kukhubazeko loluntu kunye nabasebenzi izigulane gastroenterological. Nokufakelwa okwenziwayo clinical izinto ezintsha ukunika unyango lwezifo kwinkqubo yokwetyisa kwaye sihlaziye ukusebenza nokuphunyezwa kwawo.

Liqulunqa ibe uphumeza iinkomfa zenzululwazi eziluncedo, iisemina ezijolise ekwaziseni iziphumo uphando ukwenza lwenkonzo Gastroenterology. Umbutho umsebenzi weli sebe emiselwe indawo zeSebe gastroenterological.

esibhedlela olucwangcisiweyo kwisebe oluqhutywa kwicala ukuhlinza emathunjini, oogqirha zokhathelelo ezingundoqo, oogqirha jikelele, amayeza isixeko usapho.

Isebe kuthunyelwa izigulane kunye nezifo ezingapheliyo kwinkqubo yokwetyisa. Esibhedlela izinto ezibonisa likaxakeka zivezwa kwicala amaqela zezigulane, ugqirha besemsebenzini.