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慢性胃炎怎么診斷和治療

SHIJIAN:2015-02-22 00:00:00

人氣:

BIANJI:WANGYOUZHENGLI

標簽:慢性胃炎 內科 

導讀:慢性胃炎是西醫的病名,中醫屬胃脘痛、痞滿、納差、嘈雜、噯氣、惡心、嘔吐、泛酸等范疇。慢性胃炎是由多種不同病因引起的胃粘膜損傷所致的慢性炎癥。慢性胃炎以其時好時壞、反復發作、經久難愈為主要特點。慢性胃炎

幸运飞艇会亏吗  MANXINGWEIYANSHIXIYIDEBINGMING,ZHONGYISHUWEIWANTONG、PIMAN、NACHA、CAOZA、AIQI、EXIN、OUTU、FANSUANDENGFANCHOU。MANXINGWEIYANSHIYOUDUOZHONGBUTONGBINGYINYINQIDEWEIZHANMOSUNSHANGSUOZHIDEMANXINGYANZHENG。MANXINGWEIYANYIQISHIHAOSHIHUAI、FANFUFAZUO、JINGJIUNANYUWEIZHUYAOTEDIAN。MANXINGWEIYANBAOKUOMANXINGQIANBIAOXINGWEIYAN、MANXINGWEISUOXINGWEIYAN,QIZHONGQIANBIAO、WEISUOYOUFENWEIQINGDU、ZHONGDU、ZHONGDUSANGEJIDU。ZAISHIJIANSHANGYIBANWEI:MANXINGQIANBIAOXINGWEIYANQINGDU3NIAN--FAZHANZHONGDU3NIAN--FAZHANZHONGDU3NIAN,YUE9NIANSHIJIAN,YOUZHONGDUQIANBIAOXINGWEIYANFAZHANDAOMANXINGQINGDUWEISUOXINGWEIYAN3NIAN,FAZHANDAOZHONGDU3NIAN,FAZHANDAOZHONGDU3NIAN,GONGYUE9NIANSHIJIAN,YEJIUSHISHUOMANXINGWEIYANYOUFABINGCHUQIDEQINGDUDAOMANXINGWEISUOXINGWEIYANYANZHONGDEZHONGDUYUEWEI18NIANSHIJIAN。HENANDAXUEHUAIHEYIYUANXIAOHUANEIKEYANGDESHENG

  MANXINGWEIYANSHICHANGJIANBINGMA?

  MANXINGWEIYANSHICHANGJIANBING、DUOFABING,RENMENCHANGSHUO“SHIRENJIUWEI”,YEJIUSHISHUOSHIGERENZHONGJIUGERENHUANYOUWEIBING。JULIUXINGBINGXUEDIAOCHAXIANSHI,WOGUODARENQUNMANXINGWEIYANFABINGLVWEI76%。YIYUANMENZHENWEIJINGJIANCHAZHE,YOU80――90%JUNYOUBUTONGCHENGDUDEWEIZHANMOYANZHENG,SHUOMINGMANXINGWEIYANDEQUESHICHANGJIANBING、DUOFABING,ERQIESUIZHUNIANLINGDEZENGCHANG,FABINGLVYUGAO。

  MANXINGWEIYANXINGCHENGDEYINSUYOUNAXIE?

幸运飞艇会亏吗  MANXINGWEIYANXINGCHENGDEYINSUBIJIAODUO,ZHONGYIHEXIYIYOUBUTONGDEJIANJIE,DAZHIFENWEI:

  ?ZHONGYI:

  1、YINSHIYINSU:YINSHIBUJIE、BAOYINBAOSHI、XISHIXINLA、YANJIU、SHENGLENGYINGSHI、BUJIESHIWU、YOUDUSHIWU。

幸运飞艇会亏吗  2、JINGSHENYINSU:YINUYIQI、XINXIONGBUKUAN、TURANTIANZAIRENHUO、GUODUPILAO、YOUSHANG、YUMEN。

幸运飞艇会亏吗  3、JIBINGYINSU:FENGSHIXINGGUANJIEYAN、XINZANGBING、GAN?? BING、DANNANGYAN、DANSHIZHENG、TANGNIAOBING、MANXINGSHENYAN,JUNKEYOUFAMANXINGWEIYAN。

幸运飞艇会亏吗  4、QITABUKEYUJIANYINSU:ZIRANZAIHAI、QIANGXIAN、GUODUJINZHANG、JIE。

  XIYIFENWEI:

幸运飞艇会亏吗  1、WEIZHANMOBAOHUYINZISUNSHANGYINSU:BULIANGDEYINSHIXIGUAN、XIYAN、XUJIU、FUYONGFEIZAITILEIKANGYANYAO,YIYANBUMANXINGGANRANZAODENGDOUKEXINGCHENGGONGJIYINZI,POHUAIWEIZHANMOBAOHUYINZI。

幸运飞艇会亏吗  2、XIJUNGANRANYINSU:JINNIANLAIFAXIAN,YOUMENLUOXUANGANJUNYUMANXINGWEIYANYOUYIDINGDEYINGUOGUANXI。QIZHONGWEIKUIYANG、MILANXINGWEIYAN、WEIYOUMENLUOXUANGANJUNFABINGYANGXINGJIANCHULVWEI99%YISHANG。

  ?3、DANZHIFANLIUYINSU:SHIERZHICHANGNEIRONGWUZHUYAOYOUDANZHI、CHANGYEHEWEIYE,ZHEXIEYETIYOUQISHIDANYEFANLIUCIJIYOUMENDAOZHIGUANBISHIDIAO,DANZHIFANLIURUWEI,CIJIWEIZHANMOFAYAN,YANZHONGSHIFANLIUDAOSHIGUAN,XINGCHENGFANLIUXINGSHIGUANYAN。

幸运飞艇会亏吗  4、MIANYIYINSU:MIANYIGONGNENGXIAJIANG,TIZHIXURUO。

幸运飞艇会亏吗  5、QITAJIBINGYINSU:XINSHUAI、DONGMOGAOYAYINQIDEWEIZHANMOGEIXUEQUEYANG、JIAKANG、TANGNIAOBING、MANXINGSHENSHANGXIANPIZHIJINENGJIANTUIDENG。

  MANXINGWEIYANDOUYOUNAXIEZHENGZHUANG?

幸运飞艇会亏吗  MANXINGQIANBIAOWEIYANYUMANXINGWEISUOXINGWEIYANDEZHENGZHUANGJIBENXIANGTONG,ZHISHICHENGDUQINGZHONGBUYI,DATILINCHUANGBIAOXIANWEI:

  ?YI、WEIBUZHENGZHUANG:WEIWANTONG、WEIWANBUYINYINZUOTONG,HUOZUOYOULEIXIAGONGCUANZHANGTONG,YUCIJIXINGSHIWUHOUJIAZHONG,YIFANFU,YIXIERENTENGTONGYOUGUILV、YIXIETENGTONGWUGUILV,GEBIERENCHUXIANZHENFAXINGCITONG,YINSHUIHUOJINSHIHOUJIANQING。WEIWANPIMAN:JINSHIHOUSHANGFUBUZHANGMANBUSHI,YANZHONGZHESHIZHANGMANNANREN,HUOCANHOU1XIAOSHIZUOYOUZHANGMANBUSHI。

幸运飞艇会亏吗  CAOZA:WEIWANBUJINSHIHOUHUOJIESHI,SITONGFEITONG,SIZHANGFEIZHANG,YIZHONGHENNANYANMINGDEBUSHIGAN,SHIERCHUXIANHUOSHAODUOJINSHIHUOSHISHENGLENGCIJIXINGSHIWU,JINSHIBUYIXIAOHUADESHIWUSHIYICHUXIAN。

幸运飞艇会亏吗  AIQI:SHIHOUAIQIPINFA,HUOZHENFAXINGAIQI、ENI。

  NACHA:WUJIEGAN,BUSIYINSHI。

幸运飞艇会亏吗  FANSUAN:SHIHOUZIGANWEIWANSHIYOUFANSUANDEGANJUE。

幸运飞艇会亏吗  FANSUAN:YOUSHAOXUDESUANSHUIHUOSHIWUFANCHUKOUZHONG。

  OUTU:SUANKUDESHIWUCONGWEIZHONGTUCHU。

  ?EXIN:SHIGANWEIZHONGBUSHI、GANHUI、BUYITUCHU。

  ?ER、YANBUZHENGZHUANG:

  KOUGAN:DUOZAIYEJIANCHUXIAN,YANZHONGSHIZHENGTIANKOUGAN。

  KOUKU:DUOZAIZAOCHENQICHUANGHOUCHUXIAN,YANZHONGSHICANHOUCHUXIAN。

  KOUCHOU:KOUZHONGCHOUQIZHONG,YIBANZIJIWUGANJUE。

  KOUSHESHENGCHUANG:BUSHICHUXIANKOUQIANGKUIYANG。

  MANXINGYANYAN:YANBUGAN、YANG、TONG。

  SAN、TOUBUZHENGZHUANG:

  ?TOUYUN:SHIWUHUNHUAXUANZHUAN,YANZHONGSHITIANXUANDIZHUAN。

  ?TOUTONG:TOUBUBUSHIDEYINYINZUOTONG。

  SI、QUANSHENZHENGZHUANG:

幸运飞艇会亏吗  SHENKUNFALI:JINGCHANGPIJUAN,SIZHIWULI,TUISUANYAOKUN。

幸运飞艇会亏吗  JIANBEITONG:JIANBUHUOBEIBUSUANKUNYINTONGBUSHI。

  ?SHIYANDUOMENG:YEJIANXIUXIZHUANGTAIBULIANG,NANYIRUSHUIHUOSHUIERBUSHIHUOSHUIHOUDUOMENGYIXING,ZAOQIHOUKUNJUANFALI。

幸运飞艇会亏吗  ?XIAOSHOU:TIZHONGBUDUANXIAJIANG。

  慢性胃炎如何檢查確診?
1、首選: 胃鏡檢查:凡具有慢性胃炎的臨床基本特征,應進行內窺鏡檢查,觀察胃粘膜炎癥狀況。
病理活檢:做胃鏡檢查時,無論輕重均應進行病理活檢,從胃粘膜組織細胞觀察炎癥及病情級度(輕、中、重級度及惡變)。
2、再選:
胃電圖:輔助檢查,幫助診斷胃電圖信息分析可能出現胃炎。
X線鋇透:對胃潰瘍、胃下垂、消化道腫瘤相對較好。

  慢性萎縮性胃炎有什么標準?
1、具備臨床基本癥狀1―3項以上:
2、胃鏡檢查:鏡下胃粘膜色澤紅白相間,以白相為主,或局部灰白色,胃粘膜變薄,粘膜下血管網透見。
幸运飞艇会亏吗3、病理學活檢:做胃鏡時在胃部典型炎癥部位取活體組織,胃粘膜腺體萎縮1/3為輕度萎縮性胃炎、萎縮2/3為中度萎縮性胃炎、重度為大部分腺體萎縮。

  什么是腸腺上皮化生?
幸运飞艇会亏吗?胃表面全部是胃腺細胞,它的形態如柱狀,上下一樣,主要分泌胃酸、胃蛋白酶、腐蝕消化食物。 腸腺上皮細胞在腸道,腸腺細胞形態如杯狀,上大下小,在腸道表面吸收胃消化后食物中的營養成份,再通過管道轉化為精微物質,生氣化血,營養四肢百骸。如果在胃的粘膜表面發現了腸道的腺體細胞,稱為“腸腺上皮化生”。

  腸腺上皮化生與胃癌有什么關系
組織病理學研究發現,胃癌發生后,其周圍全是腸腺上皮細胞。所以一般認為,胃癌是產生在腸腺上皮化生的基礎上,與胃癌有直接的關系。因此一旦發現胃粘膜中有腸腺上皮細胞就要重視治療,力爭根除,防止癌變。

幸运飞艇会亏吗  SHENMESHIBUDIANXINGZENGSHENG,TASHIAIBIANMA?

  BUDIANXINGZENGSHENG,YECHENGYIXINGZENGSHENG,TABIXUTONGGUOZUZHIBINGLIXUEQIEPIAN,ZAIGAOBEIXIANWEIJINGXIACAINENGFAXIAN,TADEXINGTAISHIZAIZHENGCHANGXIBAODEDINGDUAN,CEMIANCHUXIANYIGELONGQIDEXIAOPAOZHUANGWUZHI,BUDIANXINGZENGSHENGJIAOYIFASHENGAIBIAN。

  ZHILIAO:

  1. 平時多吃營養豐富,清淡、易消化的食物,少量多餐,少吃甜食及易脹氣、油蒸、油炸食物。禁煙酒及辛辣。
2. 避免或不用對胃有刺激的食物及藥物。
3. 淺表性胃炎可服用硫糖鋁,胃炎合劑;萎縮性胃炎常伴缺酸的癥狀,可給予稀鹽酸,胃蛋白酶合劑。
4. 保持良好的心理狀態,避免急躁、生氣、激動等不良情緒。
幸运飞艇会亏吗5. 要定期檢查胃鏡,到醫院隨訪,在醫生的指導下用藥治療。

  ?

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