Prof. Dr. Konstantin Chernev: Txhua tus neeg thib ob tom qab hnub nyoog 50 xyoo muaj gastritis

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Prof. Dr. Konstantin Chernev: Txhua tus neeg thib ob tom qab hnub nyoog 50 xyoo muaj gastritis
Prof. Dr. Konstantin Chernev: Txhua tus neeg thib ob tom qab hnub nyoog 50 xyoo muaj gastritis
Anonim

Ib yam kab mob uas tshwm sim hauv plab hnyuv yog gastritis. Yog vim li cas rau txoj kev loj hlob ntawm gastritis muaj ntau thiab ntau yam, feem ntau nws yog ib tug phem noj - overeating, overdoing nws nrog fatty, ntsim, heev seasoned zaub mov. Gastritis tuaj yeem tshwm sim los ntawm kev ntxhov siab hnyav thiab haus cawv ntau dhau

"Ntau zaus yog vim li cas rau kev loj hlob ntawm gastritis yog tshuaj, piv txwv li aspirin, tab sis kuj muaj ntau lwm tus. Gastritis kuj tuaj yeem yog qhov tshwm sim ntawm kev lom nrog tshuaj lom neeg tshuaj, quinine los yog qhov tshwm sim ntawm tus kab mob sib kis, nrog rau kev kis tus kab mob Helicobacter pylori. Tus kab mob no zuj zus nyob rau lub caij nplooj zeeg, yog li ntawd tsis suav nrog kas fes thiab cawv. Qhov tshwm sim ntawm gastritis yog txo qis thoob ntiaj teb, tab sis tus kab mob reflux yog nce. Qhov no feem ntau yog vim kev noj cov tshuaj, nrog rau cov khoom noj ceev ceev, cov tais diav kib", piav qhia tus kws kho mob gastroenterologist Prof. Dr. Konstantin Chernev.

Prof. Chernev, vim li cas lub caij nplooj zeeg ua rau peb mob plab ntxiv?

- Cov kab mob plab hnyav thaum lub caij hloov pauv, tab sis tsis tuaj yeem hais meej tias qhov no yog vim li cas. Piv txwv li, nyob rau hauv lub caij nplooj zeeg, lub atmospheric siab hloov, qhov kub thiab txias poob, ib tug tej yam kev hloov nyob rau hauv cov zaub mov raug pom. Tag nrho cov no ua rau qhov xav tau ntau dua ntawm lub cev thiab, hauv qee qhov kev nkag siab, yog qhov kev ntxhov siab rau nws. Qhov no tuaj yeem ua rau muaj kev nce hauv gastrin tso tawm thiab saline-acid secretion. Yog li, cov neeg mob uas muaj gastritis los yog ulcers xav tias aggravation los yog intensification ntawm mob, hnyav tom qab noj mov, kub hnyiab, heartburn. Tab sis txhua yam no kuj tuaj yeem tshwm sim thaum lub caij nplooj ntoo hlav, thaum huab cua hloov pauv.

Lub caij nplooj zeeg lossis lub caij ntuj no, muaj teeb meem xws li los ntshav rwj thiab perforation tshwm sim ntau dua li lub caij ntuj sov. Hauv 15 - 20 xyoo dhau los, cov kab mob rwj tau pom tsawg dua, vim peb twb paub qhov ua rau. Txawm li cas los xij, gastritis tseem muaj ntau heev. Xyaum, tom qab hnub nyoog 50 xyoo, ib nrab ntawm cov neeg muaj gastritis.

Yog li ntawd, yog tias ib tug neeg muaj kev tsis txaus siab ntawm txoj hnyuv, nws yuav tsum tau kuaj xyuas seb puas muaj tus kab mob Helicobacter pylori. Txawm li cas los xij, yog tias muaj cov tsos mob tshwm sim - mob hnyav, ntshav ntshav, poob phaus, ntuav ntshav, qhov no yuav tsum tau kuaj xyuas endoscopic, tshwj xeeb tshaj yog tias tus neeg mob muaj hnub nyoog tshaj 50 xyoo.

Koj paub pes tsawg hom kab mob gastritis thiab nws cov tsos mob yog dab tsi?

- Muaj ob hom kab mob plab - mob thiab mob ntev, thiab mob ntev tuaj yeem ua rau sab nraud, hypertrophic lossis atrophic nyob ntawm seb hom kab mob plab thiab nws cov tsos mob. Nrog mob gastritis, muaj mob nyob rau hauv cheeb tsam ntawm lub hnub ci plexus, ua tsis taus pa, xeev siab thiab ntuav. Tej zaum yuav muaj qhov kub thiab txias me ntsis, tsis qab los noj mov thiab, vim li ntawd, kev qaug zog. Nyob rau hauv mob gastritis muaj

dull pain in solar plexus

poob qab los yog nce qab los noj mov, kub siab, belching. Nyob rau hauv hypertrophic gastritis, feem ntau belching thiab kub siab, lub qab los noj mov yog khaws cia. Hom kab mob gastritis no yog yam ntxwv ntawm cov neeg haus cawv.

Daim ntawv mob plab hnyav tshaj plaws yog atrophic. Nws yog tus cwj pwm los ntawm qhov mob tas li, tas li dryness thiab saj tsis zoo nyob rau hauv lub qhov ncauj. Mob plab feem ntau tshwm sim tom qab noj mov. Tus neeg mob yog daj ntseg, nrog ib tug smoothed, tawg thiab liab tus nplaig. Kev kuaj hu ua gastroscopy tuaj yeem xav tau. Nws muaj cov khoom siv fiber optic los ntawm lub qhov ncauj, nrog kev pab ntawm cov mucous membranes tau kuaj xyuas, thiab yog tias tsim nyog, cov ntaub so ntswg raug coj mus kuaj hauv chav kuaj.

Dab tsi yog yam uas yuav ua rau muaj tus kabmob?

- Lub plab rwj thiab gastritis feem ntau tshwm sim hauv cov neeg mob hnub nyoog 40 xyoo, thiab qhov tshwm sim ntawm duodenal rwj peaks thaum muaj hnub nyoog 60 xyoo.

Nicotine nce plab hnyuv thiab txo cov ntshav ntws mus rau lub plab thiab duodenum. Qhov no ua rau exacerbation ntawm rwj thiab gastritis. Cawv kuj tuaj yeem ua rau gastritis los ntawm kev ua kom lub plab tso rau hauv lub plab thiab kev puas tsuaj rau mucosal. Txawm li cas los xij, tsis muaj ntaub ntawv hais txog nws lub luag haujlwm hauv kev tsim cov kab mob rwj, tab sis nws yog qhov tseeb tias nws ua rau cov tsos mob hnyav dua. Cov neeg mob yuav tsum zam cov tshuaj uas ua rau mob plab lossis "tes" ntawm qhov txhab. Cov neeg ua haujlwm no yog cov luam yeeb, cawv, tshuaj tsis yog tshuaj tiv thaiv kab mob, tshuaj aspirin, thiab steroids.

Kev kho mob yog dab tsi?

- Thaum nws los kho tus mob plab, tus neeg mob yuav tsum nyob hauv txaj rau qee lub sijhawm. Tsis txhob noj thiab haus cov kua dej xwb - dej los yog chamomile tshuaj yej. Tom qab ib hnub lossis ob hnub, nws tuaj yeem pib noj cov kua zaub, porridges thiab purees.

Nyob rau hauv mob gastritis, kev kho mob muaj feem xyuam nrog kev noj zaub mov, kev noj zaub mov nruj, zom zaub mov zoo, muab cov cwj pwm phem. Yog tias gastritis yog qhov tshwm sim ntawm tus mob, kab mob hauv qab yog kho

Tsis muaj kev kho mob gastritis tuaj yeem ua rau mob plab lossis plab los ntshav. Kev kis kab mob Helicobacter pylori ua rau muaj kev pheej hmoo ntawm kev mob qog noj ntshav hauv plab. Lwm yam teeb meem yog gastric perforation, yaig ntawm gastric mucosa thiab lub cev qhuav dej.

Peb tuaj yeem tiv thaiv peb tus kheej li cas?

- Kev tsis txaus siab hauv kev hloov pauv hauv plab tsis yog qhov tshwj xeeb thiab tsis zoo thiab feem ntau tuaj yeem tsis meej pem nrog lwm qhov laj thawj. Kev tiv thaiv kab mob gastritis yog qhov nyuaj heev, txij li feem ntau nws txhim kho raws li cov txheej txheem tsis meej. Txij li thaum mob gastritis feem ntau yog qhov tshwm sim ntawm qhov mob hnyav, kev ntsuas yuav tsum tau coj los daws nws cov harbiners. Cov no feem ntau yog cov xwm txheej ntxhov siab xws li ntshav poob, kub hnyiab, hnyav dhau, kev phais loj, thiab lwm yam. Nyob rau hauv tas li ntawd, noj gastroprotectors thiab antacids.

Nws yog ib qho tsim nyog yuav tsum tau nruj me ntsis txwv tsis pub lwm yam kev puas tsuaj uas tuaj yeem ua rau gastritis, xws li noj qee yam tshuaj, tshwj xeeb tshaj yog cov tshuaj uas tsis yog tshuaj steroidal anti-inflammatory, overeating thiab haus dej cawv, nrog rau lwm yam aggressive yam uas yuav ua tau. kom khaus plab.

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