Gastro - inflammation of the mucous membrane of the stomach and duodenum. This disease is one of the most common diseases of the gastrointestinal tract, along with gastritis. According to statistics, more than half of the urban population suffering gastroenterological diseases, and the share of gastritis and gastroduodenitis the lion's share - 70 to 80% according to various experts.
Gastro is polyetiology disease, that is, for its appearance, a combination of several factors: psychogenic causes uncertainty in nutrition and infection with Helicobacter pilory. The researchers also believe that the genetic predisposition is important - if the next of kin suffer from diseases of the gastrointestinal tract, the probability of ill gastroduodenitom greatly increased.
By psychogenic reasons gastroduodenita include frequent stress and increased nervousness due to insufficient rest. Stresses as acute sporadic and small constant, extremely negative impact on the gastrointestinal tract along its entire length, from the saliva in the mouth and ending mechanism defecation. In turn, disturbed digestion stressful triggers instability that creates a vicious circle, without tearing which effectively treat diseases of the stomach and intestines is not possible.
Errors in the diet has become so familiar to the ordinary citizen, it is often not perceived in such a capacity. However, they have been and remain one of the most important factors that disrupted the activities of the gastrointestinal tract and contribute to development of the disease. This includes as a lack of diet and nutrition of poor quality, the food industry, often even in the most unprofitable state - cold food, in cold, hastily. Is it any wonder that the disease was so common in today's society.
Helicobacter pylori - bacteria responsible for diseases of the stomach and duodenum. This bacteria multiply in the mucous membrane, violates its protective properties, resulting in formation of surface defects - erosion and ulcers, which affect aggressive gastric juice, exacerbating inflammation.
Like any inflammatory disease, isolated acute, chronic gastro, and sharpen. The most common chronic gastro, medical help, patients are usually treated in the acute stage. Typically, the process is a consequence of chronic untreated acute, but the disease is often chronic primary that is initially appears as a chronic disease, occurring with periods of exacerbation and remission.
Depending on the nature of the pathological process occurring in the lining of the stomach and duodenum, distinguish the following forms of chronic gastroduodenitis:
- Surface gastro. In this form of the mucous membrane of the stomach and duodenum swollen, thickened folds;
- Hypertrophic gastro. The mucous membrane hyperemia, in some areas there are hemorrhages (bleeding melkotochechnye), swollen, covered with fibrinous-slimy coating;
- Mixed form gastroduodenita. The mucous membrane of the whole looks like when hypertrophic gastro, but there are pockets of atrophy;
- Erosive gastroduodenitis. The mucous membrane swelling, hyperemic, contains multiple erosions covered fibrinopurulent mucoid plaque.
Depending on the secretory function of:
- Gastroduodenit with reduced secretory function (reduced acidity);
- Gastroduodenit with normal secretory function;
- Gastroduodenit with increased secretory function (increased acidity).
Symptoms gastroduodenita extremely diverse, and the form of their manifestation depends on the nature of the flow, they have an acute gastroduodenitis bright, pronounced, but short-term, in chronic gastroduodenitis - constant, worse during exacerbations.
The most characteristic symptoms gastroduodenita include: aching pain in the epigastric region (epigastrium) and a half or two hours after a meal, accompanied by nausea, feeling of heaviness and fullness in the epigastrium, belching, heartburn. Language is covered with dense yellow bloom and Patriotic, which manifests the appearance of the teeth imprints on its side surfaces. Abdominal palpation tenderness in the epigastric region. It is also a symptom of gastroduodenitis is a violation of the excretory function of the intestine may be diarrhea, constipation or alternating constipation with diarrhea.
Patients with chronic gastroduodenitis pale, irritable, have marked weight loss, frequent sleep disturbances, fatigue appears.
Because the symptoms are many and gastroduodenita are not specific to the disease, but also for other diseases of the gastrointestinal tract, its diagnosis is quite complex and requires a number of studies. The core is fibrogastroduodenoscopy - a method to examine in detail the gastric mucosa and duodenal ulcers, take the analysis of gastric and duodenal contents and, if necessary, and a small piece of tissue for histological examination to detect Helicobacter pylory. The estimation of the secretory function of the stomach (intragastric pH-meter), and motor function. Be sure to carry out laboratory tests of blood, urine, feces.
Treatment gastroduodenita acute and chronic form passes aggravated by the following scheme:
- Bed rest for a week;
- A strict diet (Table №1);
- Antibiotic therapy directed against Helicobacter pylori;
- Supplementation regulating acidity and motor function of the stomach and duodenum.
After the acute symptoms subside gastroduodenita dietary recommendations table №1 my table №5, appointed by the non-drug agents and anti-inflammatory actions of rehabilitation: physical therapy, physiotherapy, reception of medicinal mineral water, etc.
Treatment gastroduodenita chronic form, regardless of whether the surface gastroduodenit patient, or mixed, or any other form, should be complex. During lulls the patient should follow a diet table №5, to comply with diet and rest, very good results balneoterapija recommended prophylactic course of spa treatment once a year. Even if achieved complete remission, you must be mindful of their propensity to gastroduodenita, and as a preventive measure to comply with the rules of a healthy diet for life.