Antral (esiswini) nezifo zalo. Kolwelwesi, izilonda, ama-polyp kanye ukuguguleka antral: Izimpawu kanye Ukwelashwa

Kulo nyaka, kusho iCongress of Society of Gastroenterology - ambitious iningi iBhodi evamile ye-Gastroenterology umphakathi. Society of Gastroenterology has eminyakeni engaphezu kuka-100 futhi isikhathi emhlabeni wesithathu indalo. congresses yayo ngempumelelo enkulu njalo emva kweminyaka emibili, isikhathi ngasinye edolobheni ezahlukene lasenyuvesi, kantsi futsi yabakhanga odokotela amakhono ahlukahlukene - gastroenterologists, odokotela abahlinzayo, endoscopists, umndeni odokotela, odokotela bezingane, kanye nezifundiswa ezihilelekile kule theory, izinkinga eyisisekelo zomzimba pathology wokugaya ukudla.

I ekuthuthukiseni izindlela ezintsha for ekwelapheni kolwelwesi emhlabeni

Injongo eyinhloko engqungqutheleni Sathola ukuqeqeshwa okuqhubekayo odokotela kanye ngcono izinga labo professional - imibiko kwadingeka inkulumo uhlamvu odokotela ijwayelekile isimo samanje ulwazi mayelana ukuxilongwa kanye nokwelashwa kwezifo wokugaya ukudla, iziqondiso kazwelonke, European ngamazwe izenzo ezidingekayo uma isiguli wamshaya antral (esiswini). Bangaphezu kuka-1,500 ochwepheshe babehlanganyela engqungqutheleni. Phakathi kwabanye kulowo mhlangano ubuhanjelwe iqembu odokotela-endoscopists yeRussia.

Helicobacter pylori (Helicobacter pylori) - imbangela evamile kolwelwesi

Njengoba iningi labantu abadala itheleleke nge Helicobacter pylori (kungakho okungenani izici morphological kolwelwesi ezingamahlalakhona), emazweni amaningi aseNtshonalanga, sitholakele ezingamahlalakhona kolwelwesi antrum akubhekwa emtholampilo abalulekile. Lo mqondo morphological, futhi uma izimpawu zokwelashwa zokugula kubhekwe njengento obusebenzayo (nonulcer) dyspepsia. kwasendaweni Izintandokazi Helicobacter pylori, eyaziwa kube antral (esiswini), ezingamahlalakhona ngakho H. pylori kolwelwesi ngokuvamile iqala kokunqotshwa kwe antrum.

Njengoba sazi ukuthi kule antral mucosa esiswini akulona oyinhloko parietal amaseli, kusobala ukuthi akuyona ephelezelwa kolwelwesi hypoacid. Kunalokho, Helicobacter pylori uyakwazi sikhuthaze G-amaseli, okwandisa ukukhiqizwa gastrin, a polyp kubangele antrum esiswini. Kungenxa yalesi sizathu ukuthi kolwelwesi antral ivame ukuhlotshaniswa isilonda duodenal.

Nokho, yesikhathi eside aphikelele ukutheleleka nge Helicobacter pylori imikhondo antral yezinguquko atrophic kule ndawo, futhi Helicobacter kancane kancane sihambe ngendlela proximal, futhi lokhu kubangelwa isilonda antrum esiswini. Lokhu kuholela yoma kancane kancane epithelium esiswini yomzimba esizibonakalisa, ngokukhethekile, kuncishiswe inani oyinhloko parietal amaseli, ngakho uketshezi esiswini.

Uma ucabangela wamaphuzu pathogenetic, kuyaqondakala ukuthi kungani ngezigaba ezivamile kolwelwesi ezingamahlalakhona - Sydney-Houston, 1996. Ifomu eyinhloko kolwelwesi ezingamahlalakhona kubhekwa non-atrophic (antral) kolwelwesi, mhla ebulala antral (esiswini) futhi akukho ukwehluleka secretory.

pancreatitis okungamahlalakhona

pancreatitis Okungalapheki - ukuvuvukala okungamahlalakhona, umonakalo izicubu parenchyma pancreatic nokubhujiswa kwalo, futhi cystic emabangeni kamuva - endocrine parenchymal ekubhujisweni. Imvamisa le pancreatitis amahlala khona, uma usindwa antral (esiswini) - 6-9%. pancreatitis Okungalapheki iba enjalo uma inqubo sokugembula ihlala izinyanga ezingaphezu kuka-6.

Ukwahlukanisa: pancreatitis of omsakazo oludakayo, ezingamahlalakhona pancreatitis yansukuzonke, esithathelanayo, lezinceku, idiopathic, sokuhlasela kwamasosha omzimba.

Etiology zokusetshenziswa kabi kotshwala; ukwephulwa yokudla (okunamafutha, ukudla okuthosiwe); hypotension gqwa nokujuluka abandayo, yokufikelwa nge; paresis emathunjini; syndrome kokucindezelwa kwezitho eduze: jaundice, duodenostasis, splenomegaly.

Ihlahlubo: CBC: leukocytosis, yashesha erythrocyte sedimentation isilinganiso, eosinophilia.

Iziqondiso okusha ekwelapheni kolwelwesi okungamahlalakhona

Phakathi izinkomba useshnyh ekwelapheni ezingamahlalakhona kolwelwesi atrophic kufanele ngokuthi replacement therapy, kodwa ukuchitha ku namuhla kunzima ngenxa yokuntuleka Amalungiselelo ukulungiswa ukwehluleka nokukhiqizwa kwamangqamuzana esiswini ka pepsin futhi hydrochloric acid (omunye imikhiqizo kwalezi zindawo - "acidin-pepsin" - muva akuvamile ukuthola drugstores). Esinye sezakhi ekwelapheni ezingamahlalakhona kolwelwesi ne asidi ongaphakeme iyona amalungiselelo enzyme, okuyinto ngezinga elingakanani isinxephezeliso ukuqunjelwa. Ziyakwazi aphumelele Ukuwohloka antrum esiswini. Lezi zihlanganisa "Panzinorm". Ukuze nokwelashwa kweziguli enjalo usebenzisa izidakamizwa ukuthi kujwayeleke motor umsebenzi esiswini. nesineke ngamunye yokuthuthukisa epithelium esiswini izakhiwo cytoprotective uqoke "Sucralfate" ( "Venter") kanye amalungiselelo bismuth. Esimeni izinguquko dysbiotic ungeze eubiotics noma probiotics.

Ukwelashwa nokuvikelwa esiswini amathonsi

ukwelashwa Ukuthembisa iziguli emahhovisi gastroenterological namuhla ukusetshenziswa Antioxidants, e amalungiselelo ikakhulukazi amavithamini A, E kanye C. Nokho, namuhla batusa ukuthi iziguli Iziphungo noma isithako nomuthi, herbal and ngomumo okulungiselelwe kusuka Izingxube amakhambi. Phakathi kwabo Kuyaphawuleka izidakamizwa "isisu lehla". Kukhona izinhlobonhlobo eziningana ke (choleretic, efudumele, opholile, njll). Enye yalezi zinhlobo ngesimo esiswini amathonsi - Oklanyelwe nokwelashwa kweziguli kolwelwesi ezingamahlalakhona esingamahlalakhona secretory nokuguguleka kwenhlabathi antrum. Ukulungiselela "isisu lehla" siqukethe izingxenye ezine isitshalo. 2 izingxenye (ophuzi gentian impande kanye imbiza centaury) kuyinto okubabayo, 2 ngaphezulu (chamomile izimbali umthamo kanye imbewu caraway) nethonya spasmolytic.

Lapho aphathe antral (esiswini)?

umnyango Gastroenterological wenza umsebenzi zokwelapha kanye kusebenta kwahulumende, yokubonisana, lwenhlangano methodological ku okuhlinzeka izikhungo zokunakekela ezikhethekile esibhedlela iziguli iphrofayela emathunjini. Inikeza usizo oluphuthumayo iziguli izifo gastroenterological.

Isakhiwo ukuvuselelwa izinyathelo ezihlose lithathelwe social nomshikashika iziguli gastroenterological. Izimila e umkhuba emtholampilo yezinguquko ezintsha nezinto zokwelapha zezinga izifo wokugaya ukudla bese uhlaziya ukusebenza ekusetshenzisweni kwazo.

Ulungiselela futhi enze izingqungquthela yesayensi-esisebenzayo, izingqungquthela okuhloswe ngaso ethula imiphumela yocwaningo ku umkhuba yesevisi Gastroenterology. Inhlangano ka umsebenzi emnyangweni kunqunywa yokuma umnyango gastroenterological.

esibhedlela ehlelwe uMnyango wenziwa isiqondiso ukuhlinza emathunjini, ukunakekelwa okuyisisekelo odokotela, odokotela jikelele, imithi umndeni edolobheni.

UMnyango wathumela iziguli izifo wokugaya ukudla. Esibhedlela yizinkomba eziphuthumayo eyenziwa bebheke ambulensi nabasebenza, udokotela on duty.