Ukukhusele esiswini: umyalezo kunye Pathogenesis

Ukukhusele esiswini - isifo eliqhelekileyo, luphawulwa ukuyilwa erosions phezu komhlaba lowo inwebu imazi ibonakalisa esiswini. Ezi iziphene kuvela kuba necrosis phezulu. Xa impiliso kwabo: kukuqulungana nokuqina akukho ukusekwa. Ukhukuliseko esiswini - ligama nosological olunemiqathango ehlanganisa iinkqubo nezolo ezingapheliyo entshabalalo kwi isifo esiswini. Ngamanye amaxesha kubonakala ngathi ukuba uphawu gastritis. Ngoko ke, le ncwadi rhoqo esi sifo kuthiwa gastritis ilunga.

Iimbangi ezingundoqo sifo obugqithileyo iimeko zokusingqongileyo ukuba rhoqo ukwenza emzimbeni womntu. Le miba (ukutsha, frostbite, ukwenzakala, ukothuka, polytrauma) kungabangela kophulwa kweendlela neurohumoral wesi amalungu ezininzi, ingakumbi ukutya kunye nemisebenzi secretory isisu kunye namathumbu, ukunciphisa kweelana eziphilayo. Kukho kwakhona yofuzo ukuya sifo. Ukukhusele isisu kwakhona kuvela ekusebenziseni amayeza (nitrofurans, corticosteroids, ethacrynic acid, veroshpiron, tolbutamide), ukusebenzisa kakubi utywala, ngokunjalo nezifo kwinkqubo yonyango i (seswekile, hyperparathyroidism).

Abantu abaninzi bakholelwa ukuba gastritis ilunga kuvela intshukumo yayintsholongwane eyosulela kakhulu Campylobacter (Helicobacter pylori) emzimbeni womntu. Izibakala zibonise ukuba ama-95% abantu abane izilonda duodenal bosulelwa kanye olu hlobo Campylobacter, kodwa izigulane izilonda ezinjalo akhawunti ye% 1-6 kuphela bonke abantu abasuleleke gciwane.

Ukukhusele esiswini: Pathogenesis (progression disease)

Phantsi yempembelelo miba emzimbeni kukho iinkqubo ezintsonkothileyo ezinxulumene-inter kwemichiza, ezo zihamba iindlela zemithambo kunye humoral wesi imisebenzi yazo zonke iinkqubo zomzimba, ingakumbi isisu kwakunye namathumbu. secretion Ukwanda hormone neuron adrenal kunye histamine, leyo yandise secretion yejusi esiswini kunye ukwanda umsebenzi pepsin kunye nesiqulatho wayo zehydrochloric acid free. Kwangaxeshanye lehla viscosity yencindi secretion kwaye kunciphisa umsebenzi mucosal olukhuselayo. Ukongezelela koko, kukho ucutheko spasmodic izihlunu isisu kunye namathumbu, ukwanda capillary permeability, izihlunu trophism kuphazanyiswa, nto leyo ekhokelela kamva ukusabela ukudumba, ukubunjwa erosions kunye nezilonda na isifo esiswini. Iya kuthakazelelwa yaye ngoko nangoko kwezinto ezinobungozi yityhefu isifo. Ngoko, kwi Pathogenesis sokhukuliseko esiswini lilungu engundoqo ukungangqinelani phakathi umsebenzi mucosal isithintelo kunye nesakhono uqhekeke kwiziqulatho esiswini okanye emathunjini. Ngenxa inani imithambo yegazi kummandla kuyilwa ukopha isilonda. Kule sifo ukuphuhlisa ezizinzileyo ezisebenzayo ukuphazamiseka isisu, amathumbu, isibindi, injeke kunye namanye amalungu kunye neenkqubo.

Kwixesha elininzi (30-90%) kubantu abatsha isifo akukho zimpawu ezithile. Maxa wambi heartburn abonisa, regurgitation acid, kunqabile ukuba kusenokubakho iintlungu esiswini. gastritis Chronic ilunga abonisa ngemiqondiso boqobo clinical. Malunga ne-80% ezigulane ezikhala heartburn, belching, iintlungu kwi ekunene eliphezulu ikota yesangqa, ukuqunjelwa, urhudo nokuqunjelwa.

Abo oogqirha kwafunyaniswa gastritis ilunga, kufuneka ulandele ukutya ejolise ekunciphiseni umsebenzi esiswini. Ukuze kufikelelwe kule njongo kufuneka ukuba udle ekunene. Okokuqala, ukutya ukuze ukhukuliseko esiswini ibandakanya ukwala lokutya ifayibha ezirhabaxa ukuba zizityebi neselulosi (radish, inyama stringy, theniphu, bran isonka, njalo njalo). Awukwazi ukutya du. Kufuneka nikhumke iziselo ezinxilisayo, amanzi nezihlwahlwazayo, zesitrasi, ikofu, isonka esimdaka, kwakunye nokutya ebandayo kunye nobushushu.