Differential chirwere pamusoro gastritis: dzinokosha unyanzvi

Anogumbura kuchinja mudumbu vari kuchengetwa vanhu vakawanda. Mune zvimwe zviitiko, munhu asingadi kunyange kuziva pamberi chirwere. Yakakwirira kuitika gastritis chokuita nezvokudya hunhu. Pashure pezvose, kusvikira kutsamwa ari gastric mucosa anotungamirira zvinhu zvakadai kudya Spicy, mafuta uye zvakakangwa zvokudya. Uyezve, mumwe zvinokonzera gastritis ndiyo kunetseka. Sezvo dumbu iri innervated nokuda vagus etsinga. Kazhinji gastritis ikabuda vanhu vanosvuta uye kunwa yakawanda doro. Zviratidzo chirwere ichi akafanana zviratidzo zvirwere zvakawanda. Naizvozvo gastritis chirwere kunokosha chaizvo. Chekutanga, ari kuziva chirwere ichi kunodikanwa kuti chinangwa kurapwa. Chechipiri, nechirwere zvakakodzera kusiyanisa gastritis nevamwe pathologies. Nemhaka inokosha ongororo angachizivisa kwete chete kuzvimba mudumbu, asi pechikuva yake.

Chii gastritis: mhuka

Kuzvimba mucous Kamudzira mudumbu inonzi gastritis. The chirwere chinogona kuva chakasimba kana chirwere. Muchiitiko chokutanga chokutsva anokonzerwa chinhu pamusoro tsamwisa uye zvachose rinorapika. Kana zvokurwara iri chisingaperi, zviri dzakaona thickening chorusvingo mumuviri uye yokutsiva pamusoro mucous Kamudzira pakati connective tishu. Muchiitiko chino, pane zvose kupora nguva (kuregererwa) kana nguva nenguva uye exacerbation. Chirwere uye Mabatirwo gastritis kunoenderana akasiyana siyana chokutsva. Several vakasiyana siyana chirwere. Pakati pavo:

1. Esogastritis. chimiro ichi kuzvimba dzinoratidzwa kosi nyoro. It kunoitika Varwere vakawanda. Kazhinji esogastritis asina mucherechedzo zvekuchipatara zviratidzo, kunyanya mune chirwere.
2. Fibrinous kuzvimba. Zvingamuka nokuda maronda ari gastric makemikari (acids kutsva, alkalis).
3. Phlegmonous gastritis. Pane dambudziko iri abdominal mhango, kupararira chirwere.

Chirwere kuzvimba riri zvachero, erosive, hyperplastic, autoimmune, atrophic, uye zvichingodaro. D. marudzi aya gastritis inofanira chirwere sezvo mangwanani sezvo zvichiita nekuti dzavaigara kazhinji nomudumbu urikanwi, Gerd, kenza.

Ndezvipi nzira nechirwere kuti gastritis?

With nenguva kuonekwa chirwere uye kurapwa zvinogona kuzadzisa kupora yakazara kana kwenguva refu kanganwiro. Chirwere pamusoro gastric gastritis kunosanganisira matanho akawanda. Chokutanga muunganidzwa zvichemo anamnesis. Doctor rinojekesa zviratidzo zviri murefu (nguva, nzvimbo, hunhu kurwadziwa) pavanenge simuka (zvikuru nguva elapses sei pashure zvokudya). Zvinokoshawo kuziva pamusoro zvokudya murwere, kuvapo zvinokangaidza uye dzimwe mhando zvokurwara.

Rinotevera chirwere danho chinhu chinangwa kuzviongorora. Pfungwa rwakabhadharwa kuna zvomudumbu hurongwa. Zvinokosha kuti kuongorora mamiriro mutauro, zvidzidzo abdominal palpation. Nokuti gastritis kunoratidzwa zvisingafadzi nezvekufadza munzvimbo iri epigastric nharaunda, uyewo kuruboshwe repamusoro quadrant. Kakawanda, marwadzo kuoneka pashure maminitsi 15-40 mushure kudya. Izvi zvinoita kuti tikwanise kunzwisisa umo mudumbu iri hunodzorwa ane kushoma.

Uyezve, gastritis Diagnostics zvinosanganisira rabhoritari uye richishanda nzira tsvakurudzo. Aimbova inosanganisira KLA, OAM, gastric pachisara microscopy nhego tishu. Pakati paku zveBhaibheri zvikuru kukosha zvinotora FEGDS.

Chirwere kuti gastritis rabhoritari nzira

Pakutanga kana uchifungidzira kuti chero anogumbura chirwere kuita zvakafanana ropa uye weti nemiedzo. In chenjera gastritis (kana exacerbations) ari kuchengetwa uye zvishomanana leukocytosis ESR kumhanyisa. Kana kuzvimba utachiona vari noutachiona, ari KLA ane neytrofilloz nzvimbo. Kana nemavhairasi kuzvimba - nokuwedzera kwenhamba lymphocytes. Mune zvimwe zviitiko, rimwe gastric kuongorora. Laboratory chirwere kuti gastritis zvinosanganisira biopsies (zvimedu zvinyama wakatorwa panguva FEGDS). Nzira iyi rinoitwa chete vanenge vanofungidzirwa hyperplastic pezvakaitwa mudumbu. Izvi zvinosanganisira cytological uye histological kuzviongorora. Uyewo, vamwe varwere urease bvunzo rinoitwa. Kunoitawo kuti tione pamberi helicobacter. Kudzidza uku kuitwa 2 munzira (a mweya bvunzo kana microscopy).

Nzira paku Diagnostics gastritis

By paku nzira inosanganisira X-ray, Ultrasound uye endoscopic chirwere kuti gastritis. "The yemandorokwati" anonzi FEGDS. Nemhaka nzira iyi, unogona kuona hunhu kuzvimba, ayo nzvimbo, kuvapo yematambudziko (maronda, hyperplasia isiri yekenza). Uyezve, panguva gastroscopy biopsy akaitawo "fungira" tishu. Mune dzimwe nyika, kudzidza kwakadaro kunobatanidzwa purogiramu kuongorora. Kanoita pathologies akawanda. Pakati pavo - gastritis, peptic urikanwi uye duodenal, benign uye kenza.

Radiological chirwere haisi kunyanya idzidzise mune anogumbura kwendangariro. Kunyange zvakadaro, zvinokosha kuti kuongororwa zvakarurama. Maekisirei mudumbu iri kuitwa vanofungidzirwa peptic urikanwi chirwere chacho matambudziko. Kuti aite differential chirwere, uye abdominal Ultrasound. Zvinobatsira kuziva zvirwere zvakadai pfungwa nomuviri zvemwana asati, cholecystitis uye kuzvimba chiropa. All zvirwere izvi zvinogona kuva akafanana zviratidzo pamwe nomudumbu kuzvimba.

How rokuongorora gastritis kuvana?

Chirwere kuti gastritis muvana kwakafanana nedzevakuru. Zvisinei, maperembudzi vakafunga mune mwana yakaoma zvikuru. Izvi ndezvechokwadi kunyanya vana vaduku vasingakwanisi kutsanangura kuti vane hanya. Kakawanda chenjera gastritis aonekwa mamiriro nomuchetura (zvokudya chepfu). Chirwere kuzvimba mu Kakawanda kacho rwakavapo pakati pauduku, mu kuyaruka. Izvi imhaka yokuti vabereki havafaniri kudzora zvokudya mwana wako, sezvo iye anotanga kupedza nguva yakawanda pamusha. Kugadzirwa gastritis kunoita kudya mafuta zvokudya (zvokudya), machipisi, tika, uye zvichingodaro. G. chirwere nzira inosanganisira X-ray, ultrasonic uye endoscopic kuzviongorora. Kana gastric lavage kuongorora zvirimo kubvisa zvirwere pathologies. Uyewo akaita fecal microscopy. Differential chirwere pamusoro parasitic infestations, biliary dyskinesia, rikwanise appendicitis. zvirwere izvi kuitika kazhinji vana.

Ndezvipi zvirwere abdominal mhango kusiyanisa rikwanise gastritis?

Danho rinokosha zvikuru ndiyo differential zvokuongorora kuti gastritis. Pashure pezvose, zvinokanganisawo yakarurama kurapwa uye mberi kushurudzira. Zvinofanira kucherechedzwa kuti rikwanise gastritis zvekuchipatara kuratidzwa zvakawanda raidudzwa, mukusiyana kune chirwere zvokurwara. Typical zviratidzo zviri kuda kurutsa uye kurutsa, marwadzo chokumusoro mudumbu, wakawedzera muviri tembiricha, vakawedzera kwemwoyo. Kunyanya akazivisa Zviratidzo izvi muvana vaduku. Differential chirwere kuti rikwanise gastritis chiri kuitwa ne zvomusejari, chirwere uye zvemwoyo chirwere, gastric urikanwi.

Chirwere kuzvimba kunoratidzirwa kunyange unopinza. Zviratidzo gastritis anogona kufanana imwe exacerbation zvimwe gastrointestinal zvirwere. Pakati pavo - chirwere cholecystitis, pfungwa nomuviri zvemwana asati, hepatitis, gastric urikanwi uye duodenal chirwere. Gastritis kusiyanisa kubva honye infestation. Kusiyanisa kuzvimba dumbu nezvimwe zvirwere, zvakakodzera kuitisa FEGDS.

Zvinoumba Diagnostics mu atrophic gastritis

Atrophic gastritis ndiyo ngozi kupfuura mamwe marudzi chirwere. Izvi imhaka yokuti kazhinji kunotungamirira kune akaipa kusanduka gastric munyama. Atrophic gastritis rinowanzoberekera mune vakwegura. Clinical kuchiitwa chimiro ichi chirwere effacement zviratidzo. Dzimwe nguva pangava belching, kuda kurutsa, kusagadzikana mudumbu.

Chirwere pamusoro atrophic gastritis inobva endoscopic mufananidzo. Characteristically rive dete masvingo mudumbu, anoparadza pezvakaitwa kuti zviratidzo kuzvimba - edema, hyperemia kuti munyama. Muchiitiko ichi zvakafanira kuitisa biopsy nharaunda sei. Histologically kuzviona Kuparadzwa cellular mamiriro, zvinoderedza kukura kwezvinhu zvine maatomu akafanana, dzichipfekeka kukundikana.

Kusiyana chenjera gastritis rwarisa pathologies

Yeuka kuti dzimwe chikafu chepfu kuitika pamwe chirwere pamusoro gastric dyspepsia, ndiro maitire rikwanise gastritis. A nevamwe chinhu ndiwo specificity chirwere. zvirwere zvinotapukira munogara kunokonzerwa chaicho utachiona. Ivo vanoonekwa ne nokukurumidza kukura kudhaka zviratidzo (kuda kurutsa, fivha, nomusoro, mukuru utera). Kazhinji pamwe gastritis enteritis uye colitis. Kureva, kuwedzera kuparadzwa mudumbu, bowel kuzvimba kunoitika. Izvi kunoratidzwa manyoka, zvemamiriro chitarisiko nouipi zviri pachituru (mitaro ropa, pus), kurwadziwa rezasi mudumbu.

How kusiyanisa kubva appendicitis gastritis?

Chenjera gastritis anofanira kusiyaniswa appendicitis. Pashure pezvose, pakutanga chirwere, zvirwere izvi vane zviratidzo zvakafanana. Kana appendicitis segwapa epigastric marwadzo, yakaderera-sosaiti muviri tembiricha, kuda kurutsa, kurutsa, kushaya kudya. Zvisinei, ari kurapwa mufananidzo chava kuchinja mumaawa mashomanana. Marwadzo "inofamba" zvakarurama iliac nharaunda, tembiricha kunova yepamusorosoro. In vana vaduku musiyano izvi zvirwere pamusoro kunotoda mufananidzo hazvibviri, saka, zvinofanira kunze appendicitis pakutanga. Nokuti chinangwa ichi, kuti KLA rinoitwa uye urinalysis, uye vachiongorora nezvevamwe zviratidzo.

Differential chirwere pakati gastritis uye myocardial infarction

Unofanira kuziva kuti chirwere akadai myocardial infarction, kungava atypical. Mune zvimwe zviitiko, zviratidzo kufanana zviratidzo rikwanise gastritis. Saka, kutanga vanhu vakura vanofanira kuita kwemwoyo unonzi, electrocardiograph. Uyezve, zvinokosha kuti tizive kuti murwere akaona marwadzo ari pamwoyo, wakawedzera BP, tachycardia.

Mabatirwo chenjera gastritis

Chirwere kuti gastritis kunokosha kuita remedial matanho. Zvichienderana chimiro chirwere, pangava kusiyana zvinodhaka mishonga. In chenjera gastritis inokosha nzira kurapwa kuri kudya (Table № 1). Zvinokoshawo etiological kurapa. Nokuti chinangwa ichi Mishonga inorwisa ( "Azithromycin", "metronidazole"). Kana acidity zvinokosha kushandisa "Omez" mishonga "Pantoprazole". rakafukidza zvinoreva vari yakatarwa. Izvi zvinosanganisira "Almagel" zvinodhaka, "De-nol".