Nabaadguurka ee caloosha, etiology iyo pathogenesis

Nabaadguurka ee caloosha - cudur si caddaalad ah wax caadi ah, waxaa lagu gartaa formation of erosions dushiisa of xuub-axaleedka ee caloosha. cilladaha Kuwani muuqdaan, maxaa yeelay, galleeyda ka saar. In ay bogsashada nabarka connective aan la aasaasay. Nabaadguurka ee caloosha - waa erey shuruud nosological in isku daraa geedi socodka burbur soo noq chronic ee xabka gastric. Mararka qaarkood waxaa muuqato sida calaamad u ah gastritis. Sidaa darteed, in suugaanta ee inta badan cudurkan waxa loo yaqaan gastritis erosive.

Sababaha ugu waaweyn ee cudurka waa u daran deegaanka in si joogto ah ku simaha on jidhka bini'aadamka. arrimaha walaaca (gubasho, qadhqadhyo ku, dhaawac, si lama filaan ah, polytrauma) keeni xadgudub ku ah hababka neurohumoral of regulation xubnaha badan, gaar ahaan cuntada iyo hawlaha secretory ee caloosha iyo mindhicirrada, waxay yarayn iska caabin ah ee u shaqeeyo. Waxa kale oo jira cabista hidde cudurka. nabaadguurka ee caloosha ayaa sidoo kale ka dhalan kara in isticmaalka daawooyinka (nitrofurans, corticosteroids, ethacrynic acid, veroshpiron, tolbutamide), ku xadgudubka qamriga, iyo sidoo kale cudurada of nidaamka hormoonada jidhka ah (diabetes, hyperparathyroidism).

Badan ayaa rumaysan in gastritis erosive baxdo ka tallaabada pathogenic of Campylobacter (Helicobacter Pylori) ee jirka aadanaha. Xaqiiqada ayaa muujiyay in 95% dadka qaba dyspepsia waxa ku dhaca dhab noocan oo kale ah Campylobacter, laakiin bukaannada qaba boogaha sida warsan% dhammaan dadka qaba pathogene kaliya 1-6.

Nabaadguurka ee caloosha, pathogenesis (faafidda cudurka)

Under saameynta ay arrimo stress ee jirka ku jira geedi socodka lagmamaarmaanna u adag oo u dhexeeya la xiriira, kuwaas oo ay la socdaan habab neural iyo humoral of regulation oo ka mid ah hawlaha nidaamka jirka oo dhan, gaar ahaan caloosha iyo mindhicirrada. dheecaan ka soo korodha hormoonnada adrenal kiliyaha iyo histamine, taas oo kor u dheecaan ah ee casiir gastric la kordhiyo waxqabadka ee pepsin iyo content of free aashito. Isla hoos ku nafwaayay of dheecaan xab iyo taas oo yaraynaysa shaqada xuubka ilaaliya. Intaa waxaa dheer, waxaa foosha spasmodic ee muruqyada caloosha iyo mindhicirrada, kor u permeability gaddoonka ah, trophism unugyada dhibtay, taas oo markii danbe u keenaysaa in hawomareenka, formation of erosions iyo boogaha xabka gastric. Waxaa la qadariyo doonaa oo saamayn degdeg ah walxaha sunta ah waxyeello u xabka. Sidaas darteed, pathogenesis ee nabaad gastric waa qaybta ugu muhiimsan ee farqi u dhexeeya shaqada caqabad xuubka iyo awoodda breaking ku jira gastric ama xiidmaha. Marka la eego tirada ay xididada dhiigga ee aagga sameeyay dhiig boog. In cudurkan horumarinta deggan functional xanuunada caloosha, mindhicirrada, beerka, xameetida iyo xubnaha kale iyo nidaamka.

More inta badan (30-90%) ee dadka dhallinyarada ah cudurka waa wax calaamado gaar ah. Mararka qaarkood laab muujiyey, regurgitation acid, mararka qaarkood waxaa laga yaabaa in xanuun caloosha. gastritis erosive Chronic teedu oo leh calaamado la mid ah rugaha caafimaadka. About 80% bukaanada ka cawdaan laab, belching, xanuun midigta sare Rubuca, dibiro, shuban iyo calool.

Kuwa dhakhaatiir cudurka gastritis erosive, waxaad u baahan tahay in la raaco cunto golleeyahay in lagu yareeyo hawl gastric. Si loo gaaro yoolkaas aad u baahan tahay in la cuno midig. First of dhan, cunto, waayo, nabaad gastric ku lug leedahay diidmada oo cunto ah fiber dhab ahayn waa hodan ku cellulose (radishes, hilib stringy, bagalka, kibis bran, iwm). Oo idinku ma cuni karaa cunto la shiilay. Waa inaad ka fogaataan cabitaanka khamriga, biyo naqaska, liinta, kafeega, kibis brown, iyo sidoo kale cuntada qabow iyo kulul.