Bambanci ganewar asali gastritis: ainihin dabaru

Kumburi canje-canje a cikin ciki an lura a mafi yawan mutane. A wasu lokuta, da mutum ma bai san game da gaban da cutar. Babban abin da ya faru na gastritis Associated da abinci hali. Bayan duk, ga hangula na ciki mucosa leads dalilai kamar cin yaji, m da soyayyen abinci. Bugu da kari, daya daga cikin Sanadin gastritis ne da danniya. Tun lokacin da ciki ne innervated da vagus jijiya. Sau da yawa gastritis tasowa cikin mutanen da suka shan taba da kuma sha mai yawa giya. Alamun wannan cuta sun kama bayyanar cututtuka na da yawa cututtuka. Saboda haka gastritis ganewar asali yana da muhimmanci sosai. Da fari dai, cikin ganewa da wannan cuta ne zama dole ga manufar magani. Na biyu, da ganewar asali ne dole a rarrabe gastritis daga sauran pathologies. Godiya ga na musamman nazarin iya bayyana ba kawai da kumburi da ciki, amma kuma ya mataki.

Mene ne gastritis: jinsunan

Kumburi da mucous membrane na ciki da aka kira gastritis. Cutar na iya zama m ko na kullum. A cikin farko idan da kumburi ne ya sa ta factor na m da kuma gaba daya daman a. Idan Pathology ne na kullum, shi ne lura da kauri bango na jiki da kuma maye na mucous membrane na connective nama. A wannan yanayin, akwai biyu dawo da lokutan (gafarta musu) ko lokaci-lokaci da kuma exacerbation. Ganewar asali da kuma lura da gastritis dogara da iri-iri na kumburi. Da dama banbanci da cutar. Daga cikin su:

1. Esogastritis. Wannan nau'i na kumburi halin da m hanya. Yana auku a mafi yawan marasa lafiya. Sau da yawa esogastritis yana da wani alama na asibiti cututtuka, musamman a kullum.
2. Fibrinous kumburi. Iya ci gaba saboda raunuka na ciki da sinadarai (acid konewa, alkalis).
3. Phlegmonous gastritis. Akwai rauni daga cikin kogon ciki, da baza kamuwa da cuta.

Kullum kumburi YAKE na waje, erosive, hyperplastic, autoimmune, atrophic, da sauransu. D. Wadannan siffofin gastritis Dole ne ya zama kamu a farkon yiwu, saboda su bango ne sau da yawa a ciki miki, Gerd, da ciwon daji.

Mene ne hanyoyin da ganewar asali na gastritis?

Tare dace ganewa na cutar da magani iya cimma cikakken maida ko dogon lokaci gafarta musu. Ganewar asali da na ciki da gastritis ya shafi dama, saukarwa. Na farko shi ne tarin gunaguni da anamnesis. Doctor bayyana abin da cututtuka su ne haƙuri (duration, location, yanayin zafi) a lokacin da suka bayyana (nawa lokaci elapses bayan wani gari). Yana da muhimmanci mu koyi game da rage cin abinci na haƙuri, gaban stressful yanayi da kuma sauran siffofin Pathology.

A gaba bincike mataki ne haƙiƙa jarrabawa. Hankali ne ya biya zuwa narkewa kamar tsarin. Yana da muhimmanci a tantance jihar na harshe, gudanar da ciki palpation. Domin gastritis ne halin da m majiyai a cikin epigastric yankin, kazalika da a hagu na sama quadrant. Mafi sau da yawa, zafi ya bayyana bayan 15-40 minti bayan cin abinci. Wannan ya sa ya yiwu mu fahimci a cikin abin da ciki aka mamaye wani kumburi tsari.

Bugu da kari, cutar na gastritis hada da dakin gwaje-gwaje da kuma instrumental hanyoyin gudanar da bincike. Tsohon hada da KLA, OAM, ciki analysis, bincike da madubin likita Gabar nama. Daga cikin instrumental karatu na musamman muhimmancin yana daukan FEGDS.

Ganewar asali gastritis dakin gwaje-gwaje da hanyoyin

A farko wuri idan kana zargin da duk wani mai kumburi cuta yin kowa jini da fitsari gwaje-gwaje. A m gastritis (ko exacerbations) yana lura da wani kadan leukocytosis ESR hanzari. Idan kumburi pathogens ne kwayoyin cuta, da KLA yana neytrofilloz wuri. Lokacin da kwayar kumburi - wani karuwa a yawan lymphocytes. A wasu lokuta, a na ciki da bincike. Laboratory ganewar asali gastritis hada biopsies (guda na nama dauka a lokacin FEGDS). Wannan hanya ne da za'ayi kawai a lokuta da ake zargin hyperplastic matakai a ciki. Wadannan sun hada da cytological da histological jarrabawa. Har ila yau, wasu marasa lafiya urease gwajin da aka yi. Yana ba ka damar gane gaban helicobacter. Wannan binciken ne da za'ayi a 2 hanyoyi (a numfashin gwajin ko bincike da madubin likita).

Hanyoyin da instrumental bincikowa da gastritis

By instrumental hanyoyin hada da X-ray, duban dan tayi da kuma endoscopic ganewar asali gastritis. "A zinariya misali" An dauke FEGDS. Godiya ga wannan hanya, ku iya sanin yanayin kumburi, ta wuri, gaban rikitarwa (ulcers, hyperplasia). Bugu da kari, a lokacin gastroscopy biopsy yi "da ake zargin" nama. A wasu ƙasashe, irin wannan binciken ne kunshe a cikin nunawa shirin. Wannan ya hana da dama pathologies. Daga cikin su - gastritis, peptic miki da duodenal, benign da kuma ciwon daji.

Radiological ganewar asali ne ba musamman m, a kumburi tafiyar matakai. Duk da haka, ya zama dole ga wani cikakken ganewar asali. X-haskoki na ciki ne da za'ayi a cikin zargin peptic miki cutar da ta rikitarwa. Domin yin wani bambanci ganewar asali, da kuma na ciki duban dan tayi. Ya taimaka wajen gano cututtuka kamar pancreatitis, cholecystitis da hepatitis. Duk wadannan cututtuka zai iya samun irin wannan bayyanar cututtuka na kumburi da ciki.

Yadda za a gane asali gastritis a yara?

Ganewar asali gastritis a yara ne kamar a manya. Duk da haka, cutar da ake zargin a cikin wani yaro mafi wuya. Wannan Gaskiya ne, na matasa da yara wanda ya iya bayanin abin da suka da damuwa game da. Mafi sau da yawa m gastritis bayyana a kan bango na guba (abinci mai guba). Kullum kumburi a yawancin lokuta faruwa ne a tsakiyar yara, a cikin samartaka. Wannan shi ne saboda gaskiyar cewa iyaye ba su iko da rage cin abinci na yaro, kamar yadda ya fara ciyar mai yawa lokaci daga gida. Development of gastritis inganta cin m abinci (azumi abinci), kwakwalwan kwamfuta, crackers, da sauransu. G. bincike hanyoyin hada da X-ray, ultrasonic da endoscopic jarrabawa. Idan ciki lavage bincika abinda ke ciki don kawar da cututtuka pathologies. Kuma yi fecal bincike da madubin likita. Bambanci ganewar asali parasitic infestations, biliary dyskinesia, m appendicitis. Wadannan cututtuka faruwa mafi sau da yawa a cikin yara.

Mene ne cututtuka na kogon ciki bambance m gastritis?

A mafi muhimmanci mataki ne bambanci ganewar asali gastritis. Bayan duk, shi rinjayar da daidai magani da kuma kara forecast. Ya kamata a lura da cewa a cikin m gastritis asibiti manifestations ne mafi pronounced, da bambanci ga kullum Pathology. Hankula cututtuka su ne tashin zuciya da kuma amai da zafi a cikin sama ciki, ta ƙara jiki zafin jiki, ta ƙara zuciya rate. Musamman furta wadannan cututtuka a matasa da yara. Bambanci ganewar asali m gastritis da aka gudanar tare da m, dauke da kwayar cutar da kuma cututtukan zuciya, ciki miki.

Kullum kumburi da aka bayyana, ba sosai kamar yadda kaifi ne. A bayyanar cututtuka na gastritis iya kama wani exacerbation sauran gastrointestinal cuta. Daga cikin su - a kullum cholecystitis, pancreatitis, hepatitis, ciki miki da duodenal cuta. Gastritis bambance daga tsutsa infestation. Rarrabe tsakanin kumburi da ciki daga wasu cututtuka, shi wajibi ne don gudanarwa FEGDS.

Features na bincikowa a atrophic gastritis

Atrophic gastritis ne mafi hatsari fiye da sauran siffofin da cutar. Wannan shi ne saboda cewa shi sau da yawa take kaiwa zuwa m canji na ciki kyallen takarda. Atrophic gastritis sau da yawa yakan faru a cikin tsofaffi. Clinical alama ce ta wannan nau'i na cuta ne effacement bayyanar cututtuka. Wani lokaci akwai iya zama belching, tashin zuciya, da rashin jin daɗi a cikin ciki.

Ganewar asali atrophic gastritis dangane da endoscopic hoto. Characteristically thinning ganuwar da ciki, hallakaswa matakai cewa ãyõyin kumburi - edema, hyperemia na kyallen takarda. A wannan yanayin wajibi ne a gudanar da wani biopsy na shafa yankunan. Histological jarrabawa bayyana ãr na salon salula tsarin, saukarwa a cikin adadin abubuwa, aikin hanawa.

Ba kamar m gastritis dauke da kwayar cutar pathologies

Ka tuna cewa wasu abinci mai guba faruwa tare da ciwo na ciki dyspepsia, wanda shi ne halayyar m gastritis. A rarrabe ne bayani dalla-dalla da cutar. Cututtuka suna ko da yaushe ya sa ta musamman pathogens. Suna halin da m cin gaban maye cututtuka (tashin zuciya, zazzabi, ciwon kai, janar rauni). Sau da yawa da shi a hade tare da gastritis enteritis da colitis. Wannan shi ne, ban da lalata ciki, hanji kumburi faruwa. Wannan yana bayyana da zawo, mahaukaci bayyanar impurities a stool (zane na jini, ruɓaɓɓen jini), zafi a cikin ƙananan ciki.

Yadda za a bambanta daga appendicitis gastritis?

M gastritis dole ne a bambanta daga appendicitis. Bayan duk, a farkon wannan cuta, wadannan cututtuka da irin wannan bayyanar cututtuka. Lokacin da appendicitis da aka alama epigastric zafi, low-sa jiki zafin jiki, tashin zuciya da amai, rashin ci. Duk da haka, da na asibiti hoto an fara canji a 'yan sa'o'i. Pain "motsa" a dama iliac yankin, da zazzabi zama mafi girma. A matasa da yara rarrabe tsakanin wadannan cututtuka a kan asibiti hoto ne ba zai yiwu, saboda haka, ya kamata a cire appendicitis da fari. Domin wannan dalili, da KLA aka yi da kuma urinalysis, kuma dubawa na musamman cututtuka.

Bambanci ganewar asali tsakanin gastritis da kuma tsokar zuciya infarction

Ya kamata ka san cewa wata cuta kamar tsokar zuciya infarction, na iya zama atypical. A wasu lokuta, da cututtuka kama bayyanar cututtuka na m gastritis. Saboda haka, mazan mutane ya kamata farko sanya wani electrocardiogram. Bugu da kari, shi wajibi ne don gano ko haƙuri lura zafi a cikin zuciya, ta ƙara jini, tachycardia.

Jiyya na m gastritis

Ganewar asali na gastritis da muhimmanci a gudanar da wani remedial matakan. Dangane da tsari da cutar, za'a iya bambance-bambance a cikin miyagun ƙwayoyi far. A m gastritis asali Hanyar magani ne rage cin abinci (Table № 1). Yana da muhimmanci etiological far. A saboda wannan dalili Maganin rigakafi ( "Azithromycin", "metronidazole"). Lokacin da acidity wajibi ne a yi amfani da "Omez" magunguna "Pantoprazole". Yanã rufe nufin an kuma nada. Wadannan sun hada da "Almagel" kwayoyi, "De-nol".