Since the gastroscope, X-ray capsule endoscopy and other advanced detection methods used in clinical patients, gastric inflammation appears
Since the gastroscope, X-ray capsule endoscopy and other advanced detection methods used in clinical patients, gastric inflammation appears to be growing, because there are quite a few people think antralgastritis will become cancer, so the patient of gastritis "is fear and fear.
The types of gastritis
Gastritis is a common disease, more common in china. The stomach is divided into three parts, the upper part of the stomach is called the stomach, the middle is called the stomach, the lower part is called the stomach antrum. If the inflammation is part of gastric antrum, gastric inflammation. According to the pathological change of gastric inflammation can be divided into two categories. The lesion is only involved in the superficial layer of the gastric mucosa, which is called chronic superficial gastritis. The lesions involving the glands of the stomach, causing atrophy of the glands, are called chronic atrophic gastritis. Atrophic gastritis is rare, accounting for about 5%~10% of chronic gastritis, the canceration rate is 2.55%, each 100 atrophic gastritis patients, 10 years after about 2.55 people may become gastric cancer. Thus, not all antralgastritis will become cancer, only atrophic gastritis is the possibility of cancer. The resolution is still superficial gastritis atrophic, is the most reliable endoscopy. Gastric antral mucosa was biopsied by endoscope, and then the pathological sections were observed under microscope. Atrophic gastritis, gastric mucosal glands may be reduced, there may be intestinal metaplasia or dysplasia.
Two, gastric inflammation and intestinal metaplasia
Antral gastric mucosa gland atrophy, intestinal mucosal cell morphology and cell regeneration, namely intestinal metaplasia (the intestinal metaplasia). If the form with the same colorectal, called colorectal metaplasia; if morphology and intestinal glands, called intestinal metaplasia; intestinal metaplasia is not cancer, colonic metaplasia nor will become cancer, including incomplete colonic metaplasia thatpossibility carcinoma is large, known as gastric cancer the "pre cancerous lesions, patients should be followed up regularly. General should be done every six months to 1 years to do a 1 endoscopy, in order to detect early cancer, early treatment.
Three, the etiology of gastric sinusitis
(a) in acute gastritis.
(two) bile reflux into the stomach, long-term stimulation of gastric mucosa.
(three) Hp infection. Hp grows below the mucus of the stomach, on the surface of the gastric mucosa, and gradually destroys the mucosa, leading to inflammation or atrophy of the glands.
(four) the autoimmune response, that is, the patient itself produces a variety of antibodies, destruction of gastric mucosal cells and glands.
(five) the long-term use of non steroidal anti-inflammatory drugs, such as aspirin and indomethacin.
Four, treatment of gastritis
Eat sweet food, drink tea, coffee, quit smoking. Because the food and tea, sweet coffee will increase gastric acid secretion, protect the function of gastric mucosal damage; smoking can cause bile reflux, and gastric mucosal blood circulation; drinking can weaken the resistance of gastric mucosa. The second is to eat quantitative timing, eat slowly. Don't eat soft food for many years.
(three) drug treatment
The main drug is to protect the gastric mucosa or kill Hp drugs; followed by symptomatic treatment drugs. So far there is no specific medicine can cure gastritis. The gastric mucosal protective agent can choose 1gtid of sucralfate, bismuth potassium citrate (bismuth pectin, 2 pieces of bid or Goodnow) teprenone orally 50mgtid. The general course of treatment for 1 ~ 3 months, do not have to take medicine for many years, it is necessary to take medication for a period of 1 ~ 2 years is unnecessary. Symptomatic treatment is also very important, abdominal distension, bile reflux can choose 10mgtid domperidone, metoclopramide 10mgtid or Mosa Billy 5mgtid. Water available ranitidine 150mgbid acid. Folic acid (FA) has certain curative effect on intestinal metaplasia, Shanghai digestive disease clinical research institute chose some accompanied by intestinal metaplasia or dysplasia in chronic atrophic gastritis patients, treated with FA orally, after six months of glandular atrophy and intestinal metaplasia was significantly improved.
(four) the stomach is afraid of nine, medication care
1 fear of mental stress for a long time depression, depression or mental trauma, prone to gastroesophageal reflux disease.
2 fear of overwork, whether physical or mental work, overwork can cause gastrointestinal insufficiency, excessive gastric acid and mucus, gastric mucosal damage by reducing the number of two.
3 three drinking excessive alcohol itself can directly affect the gastric mucosa, can also cause fatty liver, cirrhosis and acute and chronic pancreatitis, aggravate the gastric injury.
4 four are addicted to smoking smoking can stimulate the secretion of gastric acid and pepsin, increase the gastric mucosa damage.
5 five fear of hunger and satiety uneven hunger relatively excessive secretion of gastric acid and pepsin, if overeating and excessive dilatation of the stomach, food, long residence time caused by gastric injury.
6 six bacterial infections have been identified that Helicobacter pylori is one of the important reasons for patients with gastric ulcer and duodenal ulcer, Helicobacter pylori by dental tableware, and closely contact infect others.
7 if seven night eating at night to eat before going to bed is the most bad habits, especially after the fall, the long night to night eating, not only caused a lack of sleep can lead to obesity, "autumn fat", but also because of night eating to stimulate the secretion of gastric ulcer induced by excessive.
8 if eight nitrite nitrite is carcinogenic arch-criminal as everyone knows, the rotten fish, rotten vegetables, cooked Nitrate Nitrite Content in meat rotten food are very high, long-term consumption will make the risk of gastric cancer is significantly increased.
9 nine afraid of indiscriminate use of drugs drug therapy, but there are side effects on the body, can cause drug gastric injury: but there are side effects on the body, can cause gastric damage drugs: aspirin, indomethacin, phenylbutazone and prednisone and many antibiotics, and digitalis, reserpine and a variety of anticancer drugs and antihistamines.
In short, eliminating pathogenic factors, adjust the psychological factors, avoid stimulating factors and human factors favorable gastritis rehabilitation.
The other five, the treatment of gastritis
Some people think that patients with gastric sinusitis surgery can prevent gastric cancer, this is wrong. On the one hand, not all antralgastritis will become cancer, on the other hand surgery can not prevent gastric cancer after surgery, in the incidence of gastric cancer is higher than no surgery 6%. Only patients with severe intestinal metaplasia or severe atypical hyperplasia, the need for surgery. Because at this time the possibility of cancer has changed greatly.
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