Atrophic gastritis - a kind of gastritis, which is characterized by its feature is the thinning of the mucous membrane of the stomach wall, and therefore decreases the production of gastric juice.It reduces the number of epithelial cells, which are involved in regeneration of the stomach lining.Then comes the formation of gastric secretory deficiency.
In medical practice, atrophic gastritis of the stomach is a fairly common disease.Until now, scientists argue about the etiology of his appearance.Many of them believe that the emergence of this type of gastritis due to chronic inflammation begins.
Atrophic gastritis causes
have a healthy body cells of the gastric mucosa smoothly updated.This is due to their permanent damage due to continuous contact with hydrochloric acid and pepsin - digestive enzyme.But not all of this protective mechanism works perfectly.
There are certain causes of the gastritis.When disturbed the process of cell renewal, then begins an irreversibl
The most significant factor, because of which there is atrophic gastritis gastric Helicobacter infection is recognized.Since it is associated with a majority of gastritis.Bacteria persistiruya in the epithelium of the stomach wall causing chronic gastritis, which in long-term existence is transformed into atrophic.
These bacteria block the receptors that regulate the production of hydrochloric acid.Although normally it should stop excessive acid production.Thereby increased acidity leads to inflammation of tissue and cell death, and when the mechanism of regeneration ends atrophy.
inflammation of the stomach (gastritis) - a phenomenon quite common.And he treated rather faster than atrophic.
There is also such a thing as "atrophic antral gastritis" and "atrophic hyperplastic gastritis."
antral atrophic gastritis mucosal inflammation determined in a certain part of the stomach, which goes into the intestines and is called pyloric.Usually this division originates atrophic process.Gradually, it spread throughout the stomach.The pyloric stomach marked the largest number of glands that secrete mucus that protects the stomach wall.Atrophic antral gastritis leading to necrosis of these glands and their replacement by connective tissue.Consequently, the secretion of mucus is reduced and separated is subjected to acid.
atrophic hyperplastic gastritis defines itself by combining areas of atrophy with areas of hyperplasia arising from undifferentiated cells of the affected area of the stomach and the antrum.Patients with this type of gastritis are made at heightened risk for gastric carcinoma.
Atrophic gastritis symptoms
be aware that some patients may be no pain symptoms.This is a very sad sign.He then indicates the beginning of a malignant process.
characteristic for atrophic gastritis symptoms are a feeling of heaviness after eating, as well as a feeling of "fullness" of the stomach, which may be accompanied by regurgitation with an unpleasant odor.Generally itself halitosis distinguishes this type of gastritis from others.It can also be confused with the smell of "rotten teeth".
due to the weakening of local immunity of the stomach appear frequent poisoning.If hydrochloric acid is used to cope with many pathogens, but now it is not enough for this function.And what a healthy person does not even cause loose stools, then the person with atrophic gastritis can cause severe poisoning.
When antral atrophic gastritis in a patient can occur heartburn, since this location is developed gastritis very high amount of acid.But with atrophic hyperplastic form is never any symptoms at all, except for the deterioration of appetite and weight loss.
should also be noted that due to deterioration absorption of vitamins and minerals deteriorates appearance of the patient, and reduced immunity.Nails become brittle, appears zhelezodefetsitnaya anemia, there is hair loss, headaches, and dizziness.
We have the instability of food, furred tongue with thick white coating, rumbling in the stomach and flatulence.
in the diagnosis of this disease can be very helpful endoscopic examination of the stomach, which is performed using an endoscope visual inspection followed by histological analysis of the affected mucosa.Also, using an endoscope, you can see how this kind of atrophic gastritis - atrophic gastritis or atrophic antral gastritis hyperplastic settled in the stomach;establish the presence of malignancy;determine the amount of hydrochloric acid in the stomach.
also resorted to the method of gastroscopy, scatological study of feces, abdominal X-ray, ultrasound, immunoassay blood.
chronic atrophic gastritis
atrophic chronic gastritis seems many precancerous disease, as against this disease often develop changes such as, for example, intestinal metaplasia (replacement of the epithelium).Also, the rapid growth of the epithelium of the mucosa promotes the development of tumors.
hCG has been ranked among the "stomach" of diseases.And because he - the most common disease of the digestive tract, which contributes to the development of ulcers, and later of stomach cancer.At its heart it is not only inflammation, but also dystrophic - atrophic processes in the mucosa that lead, ultimately, to its failure.It suffers from chronic gastritis almost half of humanity, the truth of which only 10 percent seek professional help.Therefore, such pererozhdaemost progresses from chronic gastritis in chronic atrophic gastritis.
patients with chronic atrophic gastritis complain of feeling transfusion in the stomach after eating.Food is a very long time to digest, which is accompanied by the putrefaction in the stomach, causing a general intoxication of the organism.
urinalysis can be continuously detect acetone.The blood test can be detected hypoproteinemia.With this type of hCG usually disrupted not only the stomach, but the intestines.In general, poor stomach can not affect the entire digestive system.Patients with atrophic CG may suffer from a lack of weight gain, since it has been a sharp decrease in body weight.
Treatment of this type of gastritis is subject to a strict diet, with the appointment of enzyme preparations, steroids in severe weight loss, assigning resources to produce hydrochloric acid.The physician should be taken into consideration PH acid, so as not to worsen the disease.To do this, you must provide a fence of hydrochloric acid for analysis ph.
But, as mentioned earlier, the timely prevention of the disease is a timely visit to the doctor ...
Focal atrophic gastritis
This type of gastritis distinguishes itself from other forms of atrophic gastritis occurrence of mucosal sites.In other words, such portions with decreasing volume secreting glands and their partial replacement of epithelial tissue.
atrophy glands - is necrosis of the cells that produce digestive enzyme pepsin, and are also involved in the development of a certain amount of hydrochloric acid.
mucosal atrophy - a place of mucous membrane, which has lost the normal function and sometimes substituted or connective or some other cloth.
This type of gastritis occurs because of autoimmune gastritis, as well as due to Helicobacter.When autoimmune gastritis appear antibodies that block the work of their own glands.
Symptoms focal atrophic gastritis is little different from the ordinary manifestations of atrophic gastritis of the stomach.One can only observe patient aversion to dairy products, as well as malabsorption of these products.
Very often this type is accompanied by gastritis enterocolitis, cholecystitis and pancreatitis, because due to the poor performance of the work slows down stomach and other digestive organs.
mandatory pledge and successful treatment of this type of gastritis is a timely visit to the doctor who will give direction to the examination, after which the appropriate treatment.
for treatment usually prescribers to improve gastric motility, for the production and secretion of gastric juice, fermentoterapiya.In certain cases may require surgery.There are cases where after surgery, followed by antibiotic therapy managed to achieve stable recovery.But still it should bear in mind that by this method is used only in advanced forms of focal atrophic gastritis.
Atrophic gastritis treatment
major and radical treatment of atrophic gastritis is drug therapy.Tactics of the doctor must be very selective, that can be a lot of difficulties for him in the sense that because it may be difficult to identify the correct form of atrophic gastritis.In this regard, the doctor faces a choice - to begin treatment ?!
necessary to identify the cause of the disease.If that Helicobacter pylori infection, it is the appointment of appropriate eradication therapy (de-nol, Vilprafen, Ammoksilitsin, metronidazole, etc.).In identifying autoimmune gastritis as a consequence of atrophic gastritis apply appointment of glucocorticosteroids.
the appointment of antisecretory drugs, you need to spend ph meters (estimation of acidity).At least 6 ph prescribe proton pump inhibitors.
replacement therapy includes prescriptions of hydrochloric acid (a natural gastric juice at a dosage tablespoon during meals up to three times a day) enzyme pepsin Atsidin-pepsin (tablets that contain atsidin and pepsin, of which hydrochloric acid is formed)taken to 500 mg three times a day with plenty of water;Abomin - a drug derived from the mucous membrane of dairy calves age (take one tablet up to three times a day).Also conducts injection therapy with vitamins B6, B12.It is mandatory appointment gastroprotectives (Solkoseril) enveloping means (drugs aluminum and bismuth), agents affecting gastric motility (Cisapride, Domperidone, etc.)
Spend diet therapy diet # 1A, with the subsequent transition to a diet №2.Also, the use of prescribed therapeutic mineral water Essentuki number 4 and 17, Narzan for 15 minutes before eating.This method helps to stimulate the glands.
Spend as phytotherapy (fees rose, plantain, St. John's wort, sage and so on.) For 30 minutes before eating.
in remission atrophic gastritis is a good incentive and stimulating replacement therapy.
also necessary to focus attention on the fact that the treatment of this disease should give up bad habits such as drinking alcoholic beverages group, smoking, so as not to jeopardize the result and not to aggravate the condition of the mucosa.Otherwise, the treatment can be delayed for a long time.