Horo o te kopu: etiology me pathogenesis

Horo o te kopu - he mate tika noa, e āhuatanga e te hanganga o erosions i runga i te mata o te membrane mucous o te puku. puta ēnei hē no te necrosis ausia. I roto i to ratou whakaora e kore te nawe tūhonohono i hanga. Horo o te kopu - ko te wā nosological herenga e fakatahai recurrent tukanga kino ma'i i roto i te mucosa pekitīlia. I te tahi taime faaite te reira iho rite te tohu o te gastritis. Na reira, i roto i te tuhinga maha i huaina tenei mate ko gastritis erosive.

Ko te take matua o te mate e tino āhuatanga taiao e e tonu mahi i runga i te tinana tangata. Ēnei āhuatanga ahotea (weranga, hukapuri, wharanga, ru, polytrauma) meinga he takahi o tikanga neurohumoral o ture o whekau maha, ngā te kai me mahi secretory o te puku me paru, whakaiti i te parenga o te rauropi. He he ano hoki te predisposition ira ki te mate. kia whakatika hoki te horo o te kopu i roto i te whakamahi o rongoā (nitrofurans, corticosteroids, waikawa ethacrynic, veroshpiron, tolbutamide), te tūkino waipiro, me te mate o te pūnaha endocrine (mate huka, hyperparathyroidism).

He tokomaha e whakapono e te gastritis erosive whakatika i te mahi pathogenic o Campylobacter (Helicobacter pylori) i roto i te tinana tangata. Kua whakaaturia Facts e huaketo 95% o te iwi, ki te tuwhenua duodenal ki rite tenei ahua o Campylobacter, engari tūroro ki taua mariao pūkete mō te% 1-6 anake o te iwi katoa huaketo ki te tukumate.

Horo o te puku: pathogenesis (mate haereraa)

I raro i te mana o ngā āhuatanga ahotea i roto i te tinana i reira he tukanga matüora matatini me pā-ëtahi, e kua haere tahi e tikanga neural me humoral o ture o nga mahi o ngā pūnaha tinana katoa, rawa te puku, me te paru. secretion nui ake o hormones uho adrenal me histamine, e whakarei ake te secretion o wai pekitīlia ki te hua i roto i te mahi o te pepsin me ona ihirangi o te waikawa pūmāota free. Wä heke pokey o hūpē secretion me i te whakaiti i te mahi mucosal paruru. I tua atu, i reira hukihuki pakū noa o uaua o te puku, me te paru, nui haere uruhanga capillary, ohorere kiko trophism, e arata'i muri ki tauhohe inflammatory, hanganga o erosions me tuwhenua o te mucosa pekitīlia. Ka mauruuru te reira me te pānga tonu o te matū paitini kino ki te mucosa. Ko te kupu, i roto i te pathogenesis o horo pekitīlia ko te āhuatanga matua o te rerekētanga i waenganui i te mahi mucosal arai, me te kaha pakaru o tirotiro pekitīlia intestinal ranei. Homai te maha o oko toto i roto i te rohe i hanga toto whewhe. I roto i tenei mate whakawhanake eu mahi disorders puku, whēkau, ate, repe taiaki me ētahi atu okana me ngā pūnaha.

More maha (30-90%) i roto i te iwi taitamariki te mate he kore tohu motuhake. I te tahi taime tokopā whakakitea, regurgitation waikawa, uaua i reira kia kia mamae i roto i te kopu. faaite ma'i gastritis erosive ki angamaheni tohu haumanu. Mō 80% o tūroro amuamu o tokopā, te paowa, mamae i roto i te tika o runga hautahi, bloating, korere me te kōroke.

Ko te hunga e pāngia tākuta gastritis erosive, e hiahia ana koe ki te whai i te kai e hāngai ana i te whakaiti mahi pekitīlia. Hei whakatutuki i tēnei whāinga e hiahia ana koe ki te kai tika. Tuatahi o te katoa, kai mo te horo pekitīlia tā te kore o te kai muka pokepoke i he taonga i roto i te cellulose (uhikura, kai stringy, te keha, parani taro, me ētahi atu). e kore koe e taea e te kai kai parai. kia mawehe te reira i inu i te kava, te wai koropupū, citrus, kawhe, taro parauri, me te kai matao, me te wera.