Qhov Tseem Ceeb Qhov txawv - Gastritis vs Duodenal Ulcer
Gastritis tau niaj hnub no dhau los ua lus hauv tsev, qhia tias nws pom ntau npaum li cas ntawm cov pejxeem. Hauv kev txiav txim siab pathological, nws tuaj yeem txhais tau tias yog qhov mob ntawm lub plab mucosa. Duodenal ulcers tuaj yeem suav hais tias yog ib hom kab mob uas tshwm sim hauv gastritis lossis kab mob peptic ulcer uas nws aetiopathogenesis zoo ib yam li gastritis. Yog li, qhov sib txawv tseem ceeb ntawm gastritis thiab duodenal ulcer yog tias gastritis yog ib yam kab mob thaum duodenal ulcers yog ib yam ntawm cov kab mob uas tshwm sim los ntawm gastritis.
Gastitis yog dab tsi?
Cov kab mob ntawm lub plab yog hu ua gastritis. Cov tsos mob feem ntau cuam tshuam nrog tus mob no suav nrog,
- mob Epigastric
- Ntaus thiab ntuav
Nyob zoo ib tsoom niam txiv kwv tij neej tsas sawv daws
Cov tsos mob no yog hu ua cov tsos mob dyspeptic.
Nws tuaj yeem faib ua ob pawg raws li mob plab thiab mob plab ntev nyob ntawm lub sijhawm ntawm cov tsos mob. Nyob rau hauv daim ntawv mob ntawm gastritis, cov tsos mob uas tau hais los saum no yog qhov hnyav tab sis nyob rau lub sijhawm luv luv. Hauv cov kab mob gastritis ntev, cov tsos mob tsis tshua mob hnyav tab sis pheej mob ntxiv.
Acute Gastritis
Caus
- NSAIDS thiab aspirin ua rau mob plab los ntawm inhibiting prostaglandin synthesis
- Alcohol
- Muaj zog acidic lossis cov ntsiab lus tseem ceeb tuaj yeem ua rau gastritis los ntawm kev ua kom cov parietal hlwb ntawm lub plab mucosa
- Kev ntxhov siab ntawm lub cev hnyav hauv cov xwm txheej xws li intracranial lesions, sepsis, thiab ntau yam kev raug mob
Morphology
Hauv qhov mob me, cov tsos mob feem ntau yog tsawg, thiab qhov tshwm sim ntawm qhov txhab tsis tshua muaj. Microscopically lub lamina propria zoo li edematous thiab erythematous. Txawm hais tias tus naj npawb ntawm cov kab mob inflammatory tam sim no tsawg, muaj cov kab mob tuaj yeem ua rau lawv cov infiltration.
Acute Gastric Ulcers
Mob plab plab yog ib qho teeb meem ntawm kev mob plab hnyav. Vim yog cov nyhuv ntawm gastric acidity, overlying mucosa tuaj yeem raug puas, uas ua rau muaj kev yaig. Lub mucosa sim kho qhov kev puas tsuaj los ntawm kev tsim cov fibrin plug los npog hauv qab daus daim nyias nyias, yog li tiv thaiv kev puas tsuaj ntxiv rau phab ntsa plab. Ulceration yog vim qhov tsis ua hauj lwm ntawm cov txheej txheem kho no los kho cov kev puas tsuaj zoo thiab ua tau zoo.
Ua rau mob plab mob plab
- NSAID
- Nyob rau hauv cov neeg mob uas nyob rau hauv ib tug hnyav physiological kev nyuaj siab, lub exaggerated vagal stimulation ua rau zus tau tej cov gastric acids. Tsis tas li ntawd, qhov mucosal barrier raug cuam tshuam los ntawm cov kab mob hauv qab no ntxiv qhov ua rau muaj qhov txhab.
Kev nyuaj siab
- Bleeding (Qee lub sij hawm vim los ntshav ntau, yuav tsum tau muab ntshav los tiv thaiv hypovolemic shock).
- Cov phab ntsa plab hnyuv tuaj yeem ua rau muaj kab mob peritonitis thiab cov hemorrhages sab hauv.
- Kev tshem tawm ntawm cov kab mob hauv qab feem ntau ua rau ua tiav kev daws teeb meem ntawm cov kab mob no
mob plab
Caus
- Helicobacter pylori kab mob
- Autoimmune gastritis
- Radiation raug mob
- Cov kab mob xws li amyloidosis thiab Crohn tus kab mob
Tus kab mob Helicobacter pylori Chronic
Helicobacter pylori yog cov kab mob kis kab mob uas muaj kab mob uas nyob hauv qab lub plab hnyuv. Nws tiv taus lub plab acidity los ntawm kev tsim cov urease enzyme uas cleaves urea hauv cov hnoos qeev kom tso tawm ammonia uas neutralizes acidity ntawm gastric kua txiv.
Lawv lub peev xwm los tsim cov kab mob plab ntev thiab kev puas tsuaj ntawm epithelial yog txuas rau cov noob kab mob CAG A thiab VAC A.
Helicobacter pylori yog suav tias yog cov kab mob carcinogenic vim nws txoj kev sib raug zoo nrog gastric carcinoma thiab lymphoma.
Cov Teeb Meem ntawm Kab Mob Helicobacter pylori Chronic
- mob atopic gastritis
- mob plab hnyuv
- Lymphoma
Daim duab 01: Helicobacter pylori gastritis
Kev kis kab mob feem ntau yog nyob hauv lub antrum. Tab sis nyob rau hauv cov kab mob hnyav, cov kab mob tuaj yeem pom thoob plaws hauv lub plab mucosa ua rau pan gastritis. Helicobacter pylori tuaj yeem ua rau duodenal ulcers uas nws pathogenesis yuav tau tham nyob rau tom kawg ntawm kab lus no.
Diagnosis
Kev kuaj mob yog los ntawm kev qhia pom muaj kab mob hauv plab hnyuv
Noninvasive method
- Urea ua pa ntsuas
- Anti pylori IgG hauv cov ntshav
- quav pylori antigen test
Kev tawm tsam
Cov txheej txheem no qhia tau tias muaj cov kab mob hauv cov qauv kuaj kab mob endoscopic.
- Histology
- Urease test on biopsy material
Kev kho tus kab mob H.pylori
- Proton twj tso kua mis inhibitor b.d. + Clarithromycin 500 mg b.d. + amoxicillin 1g b.d. rau 7days
- Proton twj tso kua mis inhibitor b.d. + Clarithromycin 500 mg b.d. + metronidazole 400 mg rau 7 hnub
Autoimmune Gastritis
Tsis zoo li H.pylori gastritis, autoimmune gastritis tsis cuam tshuam rau lub antrum.
Duodenal Ulcers yog dab tsi?
Duodenal ulcers yog vim tus kab mob peptic ulcer uas yog tshwm sim los ntawm qhov tshwm sim ntawm rwj nyob rau hauv lub plab hnyuv kab mob vim yog gastric acid induced cellular raug mob. Tus mob no feem ntau cuam tshuam rau thawj feem ntawm duodenum thiab lub plab ntawm lub plab.
Aetiopathogenesis
- Kab mob peptic ulcer (PUD) yog vim qhov tsis sib xws ntawm gastric acidity thiab mucosal tiv thaiv mechanisms.
- Yuav luag tag nrho cov kab mob duodenal uas tshwm sim nrog PUD yog vim Helicobacter pylori
Caus
- YHelicobacter pylori
- NSAID
- YZollinger Ellison Syndrome
- Smoking
- High-dose steroid therapy
- COPD thiab cawv cirrhosis
- Kev nyuaj siab
- Hypercalcemic status
Morphology ntawm Duodenal Ulcers tshwm sim hauv PUD
- Feem ntau nyob hauv thawj ntu ntawm duodenum
- Feem ntau nyob ib leeg, puag ncig thiab ua kom nrawm nrawm tawm cov kab mob nrog lub hauv paus huv
- Nyob rau hauv Zollinger Ellison syndrome ntau qhov mob tshwm sim hauv tag nrho duodenum. Cov kab mob no qee zaum txuas mus rau jejunum thiab.
Daim duab 02: Gastric Ulcer Antrum
Cov kab mob phem heev yog qhov tsawg kawg nkaus hauv thawj feem ntawm duodenum. Yog li, duodenal ulcers nyob rau hauv thawj feem ntawm duodenum tsis tshua muaj kev biopsies.
Kev nyuaj siab
Kev hloov pauv tsis zoo yog qhov tsawg heev.
Dab tsi zoo sib xws ntawm Gastritis thiab Duodenal Ulcers?
Tus kab mob Helicobacter pylori yog qhov ua rau ntawm ob qho xwm txheej
Qhov txawv ntawm Gastritis thiab Duodenal Ulcers yog dab tsi?
YGastritis vs Duodenal Ulcers |
|
| Cov kab mob ntawm plab hnyuv hu ua gastritis. | Duodenal ulcers yog tshwm sim los ntawm peptic ulcer kab mob tshwm sim los ntawm qhov tshwm sim ntawm ulcers nyob rau hauv lub plab hnyuv ib ntsuj av vim gastric acid induced cellular raug mob. |
| Type | |
| Nov yog kab mob. | Nov yog ib hom kab mob uas tshwm sim hauv gastritis lossis PUD. |
| Duodenum | |
| Cov kab mob feem ntau tshwm sim hauv plab. | Cov kab mob tshwm sim hauv duodenum. |
Summary – Gastritis vs Duodenal Ulcer
Gastritis thiab duodenal ulcers yog ob qho kev cuam tshuam txog kab mob uas tshwm sim hauv plab hnyuv vim qhov tsis sib xws ntawm cov kua qaub ntawm cov ntsiab lus hauv plab thiab cov txheej txheem tiv thaiv mucosal. Nyob rau hauv gastritis, lub plab mucosa tau o, thiab cov txheej txheem inflammatory ua rau cov kab mob xws li rwj nyob rau hauv lub plab ntawm lub plab los yog duodenum. Qhov no yog qhov sib txawv ntawm gastritis thiab duodenal ulcer.
Download PDF Version ntawm Gastritis vs Duodenal Ulcer
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv Ntawm Gastritis thiab Duodenal Ulcer.
