Гастрит. Лікування гастриту

Гастрит. Лікування гастриту.

Гастрит

Що таке гастрит.

Гастрит – запалення слизової (внутрішньої) оболонки стінки шлунка. Коли запалення переходить на дванадцятипалу кишку формується, так званий, гастродуоденіт. Виділяють два види гастритів і гастродуоденітів: із зниженою і підвищеною кислотністю шлункового соку.

Захворювання бувають гострими – виникають вперше і протікають бурхливо, і хронічними – напади повторюються не дуже часто, але із завидною регулярністю. Якщо гострий гастрит не вилікувати, з часом він переходить у хронічний.

Гастрит і гастродуоденіт найпоширеніші захворювання шлунково-кишкового тракту, за статистикою ними хворіє більше половини дорослого населення Землі.

Причини гастриту

Виникненню гастриту сприяє:

1. Прийом деяких ліків протягом тривалого часу;

2. Неправильне харчування – погане пережовування їжі, вживання неякісних продуктів (в тому числі, c консервантами), любов до гострих і маринованим страв, “сухомятка”, тривалі перерви між прийомами їжі;

3. Helicobacter pylori (хелікобактер пілорі) – бактерія, яка поселяється в шлунку і, зокрема, розноситься тарганами;

4. “Шкідливі” звички – алкоголь у великих кількостях, куріння;

5. Супутні захворювання інших органів травної системи;

6. Харчування “на ходу”, “перекушування”, “всухом’ятку”;

7. Сучасні продукти харчування: очищені злаки, рафіновані олії, присутність консервантів, емульгаторів, в тваринній їжі гормонів та антибіотиків. Розрізняють гастрит зі зниженою і підвищеною секрецією шлункового соку.

Гострий гастрит Причин виникнення і розвитку гострого гастриту множини. Він може викликатися переїданням, вживанням алкоголю, неякісних продуктів, ліків, порушенням обміну речовин, захворювання печінки та нирок. Його суть зводиться до наступного: пошкоджується слизова оболонка шлунка і залози, які в ній міститься. Пошкоджені ділянки запалюються.

Запалення може обмежитися тільки слизової, а може торкнутися і більш глибокі тканини шлунка, аж до м’язів. Розрізняють простий (банальний, катаральний), корозійний і флегмонозний форми гастриту.

Симптоми гострого гастриту

Раптово з’являється тяжкість або біль під ложечкою, відрижка із запахом з’їденої їжі або тухлого яйця. При гострому гастриті мову обсипається нальотом, можливі нудота і навіть блювота.

Через 1-2 дні навіть без лікування всі прояви гастриту проходять, настає повне одужання.

Хронічний гастрит

Це дуже поширене захворювання. Він виявляється в третині випадків при захворюванні органів травлення. Хронічний гастрит – це запалення слизової оболонки шлунка, яке прийняло затяжний характер. Хронічний гастрит розвивається при тривалому негативному впливі на організм. Також розвитку хронічного гастриту сприяють хронічні захворювання.

Розрізняють такі види хронічних гастритів:

хронічний гелікобактерний гастрит (близько 70% всіх зустрічаються гастритів);

хронічний аутоімунний гастрит (близько 15-18% всіх гастритів);

ідіопатичний хронічний гастрит (невідомого походження);

реактивний хронічний гастрит;

особливі форми хронічного гастриту.

До особливих форм хронічного гастриту відносять геморагічний, ригідний, гігантський гіпертрофічний і поліпозний гастрити.

Найбільш поширений варіант хронічного гастриту – хелкобактерний. Викликається він бактеріями Helicobacter pylori, які потрапляють в шлунок і можуть жити там тривалий час, пошкоджуючи оболонку шлунка і викликаючи гастрит.

Симптоми хронічного гастриту

Хронічний гастрит проявляється у зниженні апетиту, неприємним смаком у роті, відрижкою, нудотою і навіть блювотою. Найбільш часті симптоми – розпирання і тиск під ложечкою після їжі, печія. Іноді можливі біль, відчуття тяжкості під ложечкою після їжі.

При пальпаторном обстеженні у гастроентеролога часто пацієнти скаржаться і на болючість в епігастрії (під ложечкою).

Лікування гастриту

Як це не сумно гедоністам, лікування гастриту завжди починають з дієти.

При прийомі їжі гастроентерологи рекомендую дотримуватися таких правил:

Їжа і напої не повинні бути дуже холодними або гарячими;

Тверда їжа завжди ретельно повинна прожовувати;

Прийом їжі повинен здійснюватися кілька разів на день (не менше 5), але невеликими порціями.

Helicobacter pylori – бактерія хелікобактер досить складно виліковна. Схема лікування хелікобатера обов’язково включає кілька антибіотиків і триває 10-14 днів.

При печії і кислої відрижки для лікування гастриту застосовують фосфалюгель в поєднанні з Маалокс. Дози призначаються лікарем.

Мотіліум рекомендується гастроентерологами для хової функції шлунка. Для загоєння слизової оболонки шлунка гастроентерологи можуть рекомендувати такий препарат, як солкосерил. Також застосовуються калефлон, гастрофарм, карнітин – 20% розчин, масло обліпихи.

рекомендутся приймати негазовані мінеральні води малої та середньої мінералізації, переважно лужні. Їх приймають у теплому вигляді (37-38 градусів) 3 рази на день за 1-1,5 год до їжі (газ попередньо видаляють), курс лікування – 21-24 дні. При супутньому холециститі, коліті, що протікає з рідким стільцем, приймають мінеральну воду більш високої температури (42-46 градусів).

Дієта при гастриті

Для гастриту із зниженою функцією секреції (із зниженою або нормальною кислотністю) рекомендується дієта з супів (Крупова та овочеві) на різних нежирних бульйонах, нежирне м’ясо (навіть смажене, але без твердої скоринки), нежирна риба, всі свіжі і не дуже кислі кисломолочні продукти, черствий хліб різних сортів, сухарі, овочі та фрукти – як варені, так і в сирому вигляді, молоко, яйця – сирі і омлети, різні добре проварені каші, фруктові та овочеві соки, вершкове масло, чай каву, какао – на воді (можна з молоком), цукор. Прийом їжі – не рідше 5 разів на день, краще всього – у вигляді пюре.

Для гастриту з підвищеною функцій секреції шлунка рекомендується дієта, яка б нейтралізувати надмірне виділення соляної кислоти. Не рекомендується їсти смажене. З продуктів можна вживати молоко, кефір, йогурт, негострий сир, некислий і свіжий сир, вершки, сирки, кисле; яйця готувати або на пару, або відварювати; нежирну рибу і м’ясо відварювати. Овочі та зелень вживати добре відвареними або у вигляді пюре, сирими можна вживати лише салат, цибуля, кріп. Хліб рекомендується їсти сухий, або сухарі, що не здобне печиво. З м’ясопродуктів – дієтичні сосиски, нежирні шинку і окіст. Дозволяється також копчену, але нежирну рибу. Супи при гастриті з підвищеною кислотністю варяться на будь-яких нежирних бульйонах (не з кубиків!) З потертими овочами або крупами. Тонкі або бані макаронні вироби дозволені до вживання. Каші – з усіх сортів круп, добре проварені. З жирів можливо вживання вершкового, топленого і рослинного масла (соняшникова, оливкова). Соуси вживати не рекомендується, за винятком тих, які приготовлені на м’ясному або рибному бульйоні. Дозволені і сметанні соуси. Прянощі повністю виключаються – допускається трохи кориці, лаврового листа. Можна пити чай, какао і кави.

Заборонені до вживання: алкоголь – повністю, свіжоспечені або здобні кондитерські вироби, булки, тверді сири, житній хліб, бобові (горох, квасоля, сочевиця), товсті макарони, смажені яйця, жирне м’ясо і / або риба, консерви, прянощі, смажена картопля і картопля фрі, капуста, ріпа, редис, цибуля ріпчаста, фрукти з шкіркою (сюди ж відносять і помідори), особливо виноград, сало, грудинку, жирну сметану, цукерки, шоколад, все гостре. Також потрібно дотримання режиму харчування з 5 прийомів їжі на день невеликими порціями.

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