Nabaadguurka ee caloosha, calaamadaha, sababaha, daaweynta

Cudurkaan, sida nabaad guurka ee caloosha la xidhiidha takhasuska ah, gastroenterologists ugu badan ee nno gastroduodenal aadanaha. Cudurku waxaa lagu gartaa in mid ka mid ah toban bukaan maray baaritaanka la isticmaalayo endoscope ah. Waa maxay nabaad guurka ee caloosha? Calaamadaha, keena, daweynta cudurrada this - kuwanu waa arrimo laga wada hadli doonaa in this article.

Sababaha keeni kara formation of erosions gastric

Waayo, markii ugu horeysay ee cudurka su'aasha in idiinku yeedhi inaad noqoto, waxaa la tilmaamay in bartamihii qarnigii 18aad-ka. Sababo cad, arrimaha ugu muhiimsan oo keeni kara in dahaarka erozirovanie ka shiidka ee times kuwa ku badelay, laakiin qaar badan oo iyaga ka mid ah ayaa weli ku haboon. cudurada la midka ah inta badan waxay yeeshaan iyadoo ay sabab u failure ee dheelitirka arrimo dagaal badan iyo difaaca deegaanka gudaha oo ka mid ah xubnaha dheefshiidka. Su'aasha waxay jeelyihiin in kale - waxa sababay xadgudubyada sida. arrimaha ugu weyn ee keenaysay horumarinta ku takhasusay nabaad guurka ka mid ah wac soo socda:

• dhaawac gastric by lagu dhuftay by walxaha shisheeye ama danbe burbur iyo nabro,
• qaliin lagu sameeyay on xubnaha dheefshiidka (caloosha iyo mindhicirka yar 12);
• inta badan galo xaalado walaac, a-kaca xoog nidaamsan ee dareenka xun,
• La xiriira cudurada of caloosha iyo mindhicirka mareenka sida pankreatit;
• beerka iyo cudurka kaadi haysta, sida cirrhosis, la'aan, cagaarshowga, cholelithiasis;
• cudurrada wadnaha ,
• Qofku cuno ee cusbada biraha culus, acids ama alkalis.

Sidoo kale, waxaa jira dhowr arrimood, taas oo nabaad guurka ee caloosha, calaamadaha, taas oo inta badan keena waa la wada xidhay by bukaanka, keeni caadooyinka xun ama caadooyinka cunidda, sida:

• isticmaalka joogtada ah ee cuntooyinka aad u kulul, basbaaska leh,
• Isticmaalka badan ee sigaarka khamriga iyo sigaarka,
• isticmaalka maandooriyaha adiga oo aan waafaqsan qiyaasta lagula taliyey iyo muddada daawaynta.

Sanadihii la soo dhaafay iyada oo loo marayo horumarinta technology caafimaad sare waxay ahaayeen in la ogaado wax lug ah ku ah ee erozirovaniya xub-axaleedka of mareenka dheefshiidka iyo bakteeriyada Helicobacter Pylori.

Noocyada nabaad gastric

Waxaa jira dhawr nooc oo ah cudurada sida nabaadguurka gastric, calaamadaha iyo daaweynta kuwaas oo wax yar ka duwan midba midka kale:

1. nabaad horudhac ah oo dhacda sida cudur oo kala duwan ay sabab u tahay stress, ku xadgudubka qamriga iyo maandooriyaha ee kooxda daroogada magnyl anti-bararka, corticosteroids oo kale.
2. nabaad Sare, kaas oo waxaa loo arkaa dhibaato ka mid ah cudurada sida kelyaha ama cagaarshowga failure, cudurka dhiig, burooyinka mindhicirka.
3. nabaad malignant, taas oo la aasaasay oo ku saabsan asalka ah ee ka dhaca cudurada tilmaamay kansarka, oo ay ku jiraan lymphoma, cudurka Crohn , iyo kuwa kale.

Nabaad noqon kartaa hal ama dhowr ah. Sida magacaba ka muuqata, waxaa la go'aamin karaa by tirada lesions of-axaleedka ee jirka. Waxa intaa dheer in noocyada nabaadguurka, khubaro iftiimiyay waxyaabaha dhowr ah kuwaas oo foomamka iyo noocyada kala duwan ee cudurkan kala duwan.

noocyada cudurka

Like cudur kasta oo kale, nabaad guur ee caloosha, calaamadaha, daaweyn, taas oo ku xidhnaan karaa qaabka socodka waxa loo kala qaybiyaa:

• Sharp, meeshii deegaamaynta waxaa inta badan lagu arko qayb ka mid ah jidhka, kaas oo loo yaqaan "hooseysa". Calaamadaha ugu weyn ee dibadda ee foomka ba'an waa la'aanta ah ee layers epithelial in nabaad jidhka, shahaado daciif ah dhexgalka unugyada lymphocytic iyo maqnaanshaha ku dhowaad dhamaystiran oo kayd fibrin ee salkeeda. Calaamadaha nabaad ba'an ee caloosha had iyo jeer waa mid aad u cad ah oo daran, oo ay xoogga iyo xoog ayaa aad uga badan kuwii lagu arkay cudurka boog ulcer. Daaweynta foomamka ba'an cudurka xaaladaha intooda badan uma hayo in ka badan 2 toddobaad.
• Chronic, kaas oo inta badan ku kooban ee caloosha antral oo ka kooban inta badan ka mid ah wax-u unugyada granulation. Cidhifyada nabaad guurka ee foomkan ku hareereysan lakab oo epithelium hyperplastic, iyo hoose ee waxaa jira qalintaanka furmo iyo qanjiro Dystrophy ventricular. nabaad Chronic of antrum gastric, kaas oo calaamado xoogaa fudud ka badan foomka ba'an, waxay u baahan tahay daaweyn muddo dheer ah 2-6 bilood ama ka badan. Muddada daaweynta ku xidhnaan karaa waxa xaddiga burburka in xuub-axaleedka of caloosha iyo nuglaato jirka ee daroogada.

nooc oo nabaad guurka

Nabaadguurka ee caloosha (calaamadaha, sawirka soo bandhigay in this article) waa dhawr nooc:

1. Dhiigbaxa qoto dheer ama dusha, taas oo ah waxa lagu gartaa joogitaanka huurada dushiisa oo dhiig ah oo waxay hareereeyeen qolof edematous cirro.
2. Oogada waa guri, taas oo ka duwan qar hyperemic jirka iyo nadiifiso hoos, mararka qaarkood la joogitaanka huurada off-caddaani ku saabsan.
3. Buuxi ama hyperplastic bararka, feature ugu weyn ee kaas oo waxaa loo arkaa in ay sameeyaan nabaad polypoid ee jirka ku sugan dusha sare ee caloosha in joogitaanka bararka laalaabka yar.

calaamadaha

Haddii qofka heysta nabaad guurka ee caloosha, calaamadaha waxaa sida caadiga ah oo kaliya la hadal waxa ku saabsan, maxaa yeelay, sida uu ku takhasusay, dahaarka erozirovanie ee marinka dheef shiidka had iyo jeer waa ka badan xanuun badan guurayo. sawir astaamaha waxaa ka mid ah dhacdooyinka soo socda:

• xanuun gobolka gaastari, kaas oo, ku xiran qaab cudurka waxa ku kooban in Rubuca sare ee caloosha ama wadnaha;
• yarayn;
• lallabo iyo matag,
• xanuun gaajo.

Calaamadaha dhiig in nabaad caloosha

Dhiig (dhiigbaxa) nabaad ee caloosha, halkaas oo calaamadaha had iyo jeer ma cad, waxaa lagu sheegi karaa by sifooyinka soo socda:

• daciifnimo iyo daal,
• yaraado heerka hemoglobin;
• reflux duodenogastric ama cudur bile habka wax soo saarka raaca;
• joogitaanka dhiig saxarada soo raaca in waxaa inta badan ka muujiyeen sida ay baddalaan midabka madow.

Dhammaan ka mid ah calaamadaha kor ku xusan iyo astaamaha, ka hadlayaan dhibaatooyinka la mareenka caloosha iyo mindhicirka, waa in ay signal a si loogu daweeyo degdeg ah rugta caafimaadka ee kuugu dhow, halkaas oo bukaan-socodka lagu weydiin doonaa in baaritaan faahfaahsan oo isticmaalaya hababka ugu casriga ah ee cudurka.

Hababka ugu weyn ee cudurka of erosions gastric

nidaamka Baarista joogitaanka tuhunsan yahay erosions gastric ka mid ah endoscopy khasab ah, oo loogu talagalay in lagu helo macluumaad ku saabsan meesha uu xarumaha ka mid ah unugyada ay saameeyeen, ay tirada iyo muuqaalka. Inta lagu guda jiro nidaamkan, waxaad ku Bixisaan kartaa qaybo xayndaabka xabka gastric in la dhiso sababaha muuqaalka kore ee cudurka, iyo sidoo kale in la baabi'iyo kansarka.

Intaa waxaa dheer, waayo, ururinta macluumaad dhamaystiran oo kaa caawin doona ogaado doorashada ee siyaabaha ugu wax ku ool ah oo therapy laga yaabaa in loo baahan yahay daraasado lagmamaarmaanna u ah dhiig, kaadida iyo saxarada ee bukaanka.

daaweynta Conservative ee erosions: daawooyinka, qaliin

Ujeedada ugu weyn ee daaweynta nabaad gastric waa boogta, baabi'inta xanuun iyo ka hortagga dhiig. nabaad Sare ayaa sidoo kale waxa ay tilmaamaysaa daaweynta cudurka sababaya, taas oo keentay in dhibaatooyin la caloosha. Gastroenterologists bixiyaan bukaanka liiska daawooyinka kooxaha soo socda:

1. Gastroprotectives, taas oo ka mid ah macnihiisu yahay "Cytotec", "Simaldrat" iyo "Gelusil".
2. Holinoliticheskie wakiilka - a daroogada "Scopolamine" ama "Atropine".
3. blockers histamine - daawooyinka "Gastrozol", "Omeprazole" "cimetidine", "ranitidine", "Omez" iyo "Metronidazole".
4. Antasid - diyaarinta calcium carbonate "Almagel" "Maalox" iyo kuwa kale.
5. Daroogooyinka iyo saamayn gaashaamashada - hydroxide aluminium, bismuth ama dhoobo cad.

Haddii uu jiro dhiigbax nabaad a gastric dhiigbaxa kuwaas oo astaamaha yihiin dhalaalaya ku filan, daaweynta ugu horayn waxa si toos ah loo joojiyo dhiigga oo ka mid ah lavage gastric biyo qabow iyo faleebo xididka dhiigga ama qaybaha. Sidoo kale, hubi hordhaca ah ee acid aminocaproic, vikasola iyo duro fibrinogen in kordhin kartaa xinjirowga dhiigga iyo in laga hortago khasaare ay waaweyn.

Si loo yareeyo khatarta nabaad on goobta ka shaqeeya laser ama polyps elekrokoagulyatsiya fuliyay deegaanka isbitaalka. Xaaladaha daran, ama qaliin caloosha endoscopic lagu samayn karaa at dhiigbaxa bukaanka systemic, inta lagu guda jiro taas oo qayb ka mid ah caloosha laga saaro, yaabay by erosions.

hababka dhaqanka ee daaweynta nabaad gastric

Inta badan gastroenterologists, dhakhaatiirta talin in daawaynta cudurada sida nabaadguurka gastric, calaamadaha of hadlaya oo ka mid ah jirin dhiigbax gudaha, si ay door biday in ay dawayn lahaa dad. Waxaa xusid mudan in halkan waxaan aan la hadlayaan bedelay daroogada decoctions iyo infusions kala duwan. Marka cudurka loo yaqaan nabaad guurka ee caloosha (astaamaha, daaweynta daawooyinka dad waa in si taxadar leh kala hadasho takhtarkaaga ah), hababka "awow hooyo" waa kaabaha in laga nafiso xanuunka iyo in la yareeyo waqtiga kabashada ah xub-axaleedka of mareenka dheefshiidka.

Sida daawooyinka anti-bararka talinayaa aqbalo shaah dhirta la chamomile, johannesört St John iyo yarrow. Hayso wanaagsan saamayn iyo decoctions knotweed, ee xikmadda iyo reexaanta. Cabitaanka shaaha oo kale waa ka fiican nus-saac ama hal saac cuntada ka hor. L. si aad u wanaagsan sida macaaneeye ah shah dhirta isticmaalka daawooyinka malab shinni dabiiciga ah, waxa intaa ku daray in decoction koobka 1-2 saacadood. Intaas waxaa sii dheer, ay cadaato saamaynta togan on xabka gastric la nabaad propolis la safeeyey, taasoo u baahan tahay in si tartiib ah milmaan afka saacado subax kasta.

shardi A ee samaynta therapy for nabaad gastric waa cunto, kaas oo bixiya for saarida dhameystiran ka dufanka leh menu iyo shiilay cuntada bukaanka, oo dhir udgoon kulul, pickles iyo alaabta sigaar cabbin, marinades iyo khamriga.