Intestinal metaplasia o ka opu: symptoms, lapaau. Squamous metaplasia - he ...

He nui nā kanaka i diagnosed me na maʻi like gastric intestinal metaplasia, a ua wehewehe aku ma degeneration o ka gastric epithelium i loko o ka intestinal. Hydrochloricʻakika ua hua mai la parietal keena hooki i ka hana kona papa, hiki hoʻomaka e hana eha iaʻi digestive nā loko, a ua nee pūnao.

Ano o ke kanaka i loko o ka hanana o ia i ka maʻi ua manaoia e e weliweli, akā, curable. Inā kahi o na keena o ka'ōpū ia ka hana i nā'ōlelo o ka AeXIeAaOIePEAaI keena, ka mea, ua manaoia he precancerous kulana. ʻOiai lapaʻau ma keia hihia, a ia mea hiki, akā, ma holomua pepa aia mea he prognosis ilihune loa.

He aha ka intestinal metaplasia?

Kēia mea he maʻi i loko i ka gastric mucosa nā'aʻaʻa i UAIAaIN e intestinal keena. No ka mea manawa mua i ka maʻi, ua oi aku mamua o 100 makahiki aku nei i ho'ākāka 'ia ma Kumu Kupfer. Kēia pathology ka loa pinepine e loli ai i ka kūpuna. Wahi a ka 'ikepili helu, 80% o nā mea maʻi i maʻi gastritis a me duodenal ulcer.

I ola kanaka, i ka'aʻaʻa e uhi ana i ka paia o ka opu, a pau ka hōʻano. Inā poho i, na keena hoʻomaka e puunaue vigorously, kūpono ma ka hoʻokāʻoi 'kā lākou poʻe Polenekia a me ka hoʻopakeleʻana i ke kelepona hou. Kēia kaʻina hana ma nā mea maʻi me ka maʻi gastritis ko lakou kupikipikio, no ka mea, o ka mea a gastric gland ua papani iho la i ka hana i ko lakou mau oihana, e alakai ana i ke kahua o ka metaplasia.

'ano o ka maʻi

Metaplasia o ka'ōpū mea a mau ano:

• uuku na naau oʻu (piha, oʻo);
• Colonic (kāpili,ʻiliahi).

Ke oʻo palapala Ua wehewehe aku ma ke alo o ke keena a hiki wale nō ia i loko oʻuʻuku liʻiliʻi: sulfamutsiny, limbic, poepoe lā ia enterocytes. Naʻe, i ka papa kuhikuhiE hiʻona kēia e hōʻoia ana i kēiaʻano o ka pathology i manaoia Paneth keena. 'ōpū'aʻaʻa hoʻomaka e hoohalike ai i ka poe uuku a liʻiliʻi like me ka 'ole a me ka iaea ooieoeiiaeuiiai waiwai.

ʻiliahi metaplasia o ka'ōpū ua wehewehe aku e hihia hoʻi maturation a me ka ulu ana o gastric glands a me epithelium ua loa pinepine poe ma ka AeXIeAaOIePEAaI keena.

Oe e ike i ka gastric Ka maʻi 'aʻai i ka 94% o nā hihia' akomi i kāpili metaplasia. Oia ke ano ua manaoia e e precancerous, lohi lapaʻau ka mea, ua ona.

Eia hou, e pono ke kūʻai 'ana i kumumanaʻo oi loa squamous metaplasia. E mai ia ia ia i loko o oi au mamuli.

He aha ka squamous metaplasia?

A hiʻona o keia pathology mea ia ma ka wahi o ka maʻamau epithelium stratified squamous ahu iho la ua hana. Ma kona Kora naʻEsau, ia mea he kaʻina hana o ka hakahaka o ka lahui differentiated oʻo keena emi oʻo. Ka hope i ka oi aku hiki e ke hakuloli i, e like me ka pinepine iho i loko o kekahi o ka halepaahaoʻAno i loaʻa kiʻekiʻe ia'ku i naʻino wale i aʻe.

No ka laʻana, epithelial squamous metaplasia o gastric'ōpū ulcers kōkua hemohemo i ka hopenaʻino wale i o nā'ūhū a me ka liki oleʻakika. Once ka irritant ua wehe ', ka'aʻaʻa hoi i kona maʻamau moku'āina.

Eia naʻe, e like me ka hoailona o ka pathological kaʻina ia ano metaplasia ole mau i restrictive aʻe. Ua hiki aku i ka mea i kaʻiliahi keena, ho'āʻo ana e hoʻomaʻa, hoʻomaka e loaa i ka nui helu o ka'ōewe mutations a me ka mea hou e hiki ke kū i ko lakou mahele, haliu ae la ia i loko o kūpapakū Ka maʻi 'aʻai.

No ke aha la hiki ana metaplasia?

Kēia maʻi? Acaeoey? No ka mea kēia mau kumu:

• li nui o ka'ōpū naʻau, kena ae la ma keʻano o nā kumumea;
• maʻi li nui o ka esophagus'aʻaʻa;
• pinepine stress;
• hormonal kāna hana;
• ae hookaawale ana i ka gastrointestinal'āpana;
• gastritis, e kahe ana no ka lōʻihi manawa.

Pehea ke ano o ka maʻi hoike?

He He maʻi i loko o ia iho i loko o ole ala e hoike mai ai ia ia iho, a me nā mea a pau i ka typical metaplasia symptoms pili i ka maʻi i ka mea i hoʻokumu i kona ulu ana. Mau nā:

• nausea;
• kahe o ka ikaika loa ka makemake;
• achingʻeha ma ka epigastric māhele 'āina.

Mahuahua kaʻakika o ka'ōpū ua pu maʻakika reflux, "pōloli" eha, hiki ke ulu i loko o ka po. Inā intestinal metaplasia me kiola ia i loko o ka esophagus o gastric Contents, e ikea ka luaʻi a me ke kaumaha loa i loko o ka waha.

lapaʻau '

E kuhikuhi i ke ano o ka maʻi, lawe mai histological ninaninau. Ua mea ia mai o ke kanaka kino mai, mai nā'āpana liʻiliʻi o ka'aʻaʻa, a e ke? Anoee. Na Huaolelo pa a epithelial aeee kapa biopsy. Kēia hana o kaʻike, ua noʻonoʻo koi 'ia inā he mea kekahi e hoʻohuoiʻia no malignancy.

E hoʻoholo i ka degere o ke poho a hiki i ka gastrointestinal'āpana, hou noiʻi ua lawe mai ka mea o endoscopic lako a pan. 'aʻaʻa ma lalo e hoʻohuoiʻia, iaʻi lakou me ka kūikawā HW i mea pono e noho malie hoi a hiki i ke kanaka kino. I ka aeee i poino, e kuai i ka kūikawā kala like 'ole, a me ka hiki ke akaka ai ma lalo o ka microscope.

Hiʻona o ka lapaʻau

Inā diagnosed intestinal metaplasia, hana maikaʻiʻole o kēia maʻi ua lawe ka lapaʻauʻia a me expeditious kela ano keia ano. pono e kakau i ka gastroenterologist i ka hoʻomanawanui.

ka lapaʻauʻia lapaʻau

Kēia hana o ka lapaʻau ua hoʻohana 'ia i loko o ka kēia hihia.

• e hoʻopau gastroesophageal reflux maʻi - he maʻi wehewehe aku ma ka kahua hoʻonohonohoʻana e hoolei ana i loko o ka esophagusʻakika Contents o ka opu, e like me ka mea piʻi ka mucosa;
• pale benign hikoko;
• e uhi gastric secretion.

No ka iapaau ana i kou kauka i hoakaka ia i ka hahai ai ':

• Proton EII ni nā mea kūpale - laekahi 'ai' e ho'ēmi i gastricʻakika. "Omeprazole" pono ia, "Rabeprazole" "Pantoprazole".
• Antacids ( "Fosfalyugel", "Maalox") - ai 'i ka paipai i ka neutralization o hydrochloricʻakika.
• H2 - histamine blockers ( "Ranitidine", "cimetidine") - antisecretory ai '.
• Gastroprotectives - ina ka māhuahua kaʻakika o ka opu, e kōkua i ka pale aku i ka make ana o ka mucosa.

ʻoki lāʻau lapaʻau 'uao

Inā makeʻe kulana lapaʻau 'aʻole i lawe mai i ka maikaʻi hopena, laila, ke kauka i waiho akuʻoki kino. Pehea eliminated metaplasia? Keia ua hana ka hoʻohana 'ana i ka hana endoscopic lako a pan e kń i ka degere o ka poino, a me keia ua kapaʻia minimally invasiveʻoki kino. Inā pono, i wehe loa ka poino wahi. Oia ke ano o ka lapaʻau kekahi mau manawa ho'ēmi i kā ka pilikia o carcinogenic me ka ho okumu.

Kāohi

E pale i ka hanana o na maʻi like intestinal metaplasia, e pono e hoʻokō me ka kāohi ana.

He mea pono e pale i ka nānā aku o ka stress, ikaika pane i kekahi stimuli. E hōʻoia i ka piha hoʻonānea.

Hoopili aku i ka hui hoʻomaʻemaʻe hae o ke kino. Gastric intestinal metaplasia mea ole wale ka bacterium Helicobacter, akā, i nā nā mea palahēhē. Eia hou, ina e hoohaumia i ka hui hoʻomaʻemaʻe kūmau, ka pahiki o noho ai kaʻapu kōheoheo, mea e no hoi nāuki mai i ka gastric mucosa.

Oe E hoi pili i ke koena aku hoiʻai. Ma keia hihia ia mea pono e loa haʻalele ia Nine Inch ae pani ai, e like me carbonated kea, spicy, maemae, palemo iho ai, ai. E aho nō e hoʻokomo i loko o kāuʻai i kaʻai, waiwai i loko o dietary puluniu. Ua hiki e keʻano cereal, ka lau, lāʻau ikiʻai, hua, i ka berena, mai a pau me ka hua palaoa o.

ka hopena

Pela, ua ike makou i ka metaplasia. He He mea pepehi maʻi e hiki he hoʻonui i ka maʻi 'aʻai o ka'ōpū. Wale i ka 'eleu hoopii ana i ka hoʻomalu a me ke ana o nā mea a pau i ka mea koi ke' ūlōlohi paha regress i ka luku keʻano o ka hanaʻana.