Hau qua nghiem trong do nhiem Hpylori

Tags: ung thu da day, viem da day, dac biet la, mo benh hoc, cac yeu to, niem mac, viem teo, trieu chung, dieu tri, vi khuan, bieu hien, nhiem, khang, mien, loet


Cac trieu chung viem da day man do nhiem H. pylori thuong it bieu hien, co the gap dau bung, chan an, buon non va non. Nang hon co the gap cac trieu chung do bien chung cua viem teo niem mac da day do nhiem H. pylori man tinh nhu loet va ung thu da day.

Da day khoe manh nho dau?

Da day khoe manh nho co 2 yeu to: Chat nhay: (day khoang 0,2mm) bao phu niem mac da day. Cac yeu to gay hai lam gian doan hoac bao mon lop bao ve nay tao ra cac lo hong de axit da day tham vao, lam ton thuong niem mac da day, gay chot, loet, xuat huyet da day.

Suc de khang cua niem mac: Luu luong mau toi niem mac, suc tai tao te bao bieu mo niem mac ton thuong la yeu to quan trong de bao ve su toan ven cua niem mac.

Vi khuan H.P (Helicobacter pylori) co trong 92% benh nhan loet ta trang va 65% benh nhan loet da day. Chung ky sinh o giua lop chat nhay va lop te bao bieu mo niem mac da day, tiet cac chat gay hai cac te bao bieu mo niem mac va giam do quanh cua lop chat nhay.

Hau qua nghiem trong do nhiem Hpylori
 Vi khuan H.pylori trong niem mac da day.

Nguy co do viem teo niem mac da day

Khi benh nhan co nhung trieu chung nghi ngo can duoc chi dinh soi da day va lam xet nghiem mo benh hoc. Noi soi da day lay it nhat 2 mau benh pham tai cac vung hang vi, than vi va day vi. Xet nghiem mo benh hoc giup danh gia muc do va su phan bo cua viem teo niem mac da day. Benh nhan can duoc chi dinh cac xet nghiem khac nhu:

Tim vi khuan H. pylori dua vao lay manh sinh thiet; lam xet nghiem urease nhanh, qua hoi tho; nuoi cay vi khuan lam khang sinh do; xet nghiem huyet thanh tim khang the khang H. pylori.

Xac dinh viem teo niem mac da day do tu mien dua vao xet nghiem khang the khang te bao thanh va yeu to noi, dinh luong cobalamin, gastrin trong mau…

Viem teo niem mac da day la mot thuat ngu mo hoc voi dac trung viem man tinh, te bao tuyen cua niem mac da day mat di hoac bi thay the bang cac te bao bieu mo dang niem mac ruot, cac tuyen mon vi va mo xo. Day la bieu hien giai doan cuoi cua cac benh ly nhu viem da day man tinh do nhiem vi khuan H. pylori, cac yeu to ngoai sinh khac va benh ly tu mien dich chong lai cac te bao tuyen cua da day, dac biet la te bao thanh va yeu to noi. Viem teo niem mac da day do vi khuan H. pylori thuong khong co trieu chung nhung nguy co dien tien toi ung thu da day rat cao.

Bieu hien viem teo niem mac da day la bieu hien cua giai doan cuoi cua viem da day man tinh do nhiem H. pylori va tu mien dich. Nhiem H. pylori cap tinh thuong kho phat hien tren lam sang, tuy vay co the co cac trieu chung khong dac hieu nhu: dau bung vung thuong vi, non, buon non, cam giac am ach, doi khi co sot. Trieu chung co the ton tai vai tuan khi H. pylori da bi tieu diet.

Bieu hien cua viem teo niem mac da day do tu mien thuong la cac trieu chung cua thieu hut chat cobalamin (vitamin B12) ma nguyen nhan la do thieu hut yeu to noi, chat co tac dung giup hap thu vitamin B12. Benh co khoi dau am tham va tien trien cham chap. Thieu hut cobalamin tac dong chu yeu den he huyet hoc, tieu hoa va than kinh. Gay ra thieu mau hong cau khong lo, xuat huyet giam tieu cau… Trieu chung co the gap la: met moi, hoa mat, chong mat, u tai, hoi hop, dau nguc… tham chi la cac bieu hien cua suy tim sung huyet. Bieu hien tren he tieu hoa nhu: viem luoi mieng, chan an, tieu chay dan toi sut can. Bieu hien tren he than kinh la hau qua do mat myelin o ca than kinh ngoai vi lan trung uong: roi loan cam giac, yeu co, mat dieu hoa; de cau kinh, giam tri nho, loan than…

Co gang dieu tri dao nguoc qua trinh viem teo

Khi chan doan viem teo niem mac da day duoc xac dinh, can tien hanh dieu tri theo 3 muc tieu: loai tru tac nhan gay benh, dac biet la trong truong hop viem teo do nhiem vi khuan H. pylori; dieu tri cac trieu chung cua viem teo niem mac da day do tu mien; cuoi cung la co gang dao nguoc qua trinh viem teo.

Dieu tri diet vi khuan H. pylori doi hoi su phoi hop khang sinh va cac tac nhan chong tiet acid nhu thuoc uc che bom proton, ranitidine bismuth citrate (RBC). Viec khong tuan thu dieu tri va vi khuan khang khang sinh la yeu to quan trong dan toi dap ung dieu tri kem. Hien nay, phac do diet H. pylori duoc khuyen cao la 3 thuoc cho dot dieu tri dau tien, neu khong co hieu qua se duoc thay bang phac do 4 thuoc sau do. Moi dot dieu tri tu 10-14 ngay. Viem teo niem mac da day tu mien tap trung vao dieu tri giam viem, dieu tri trieu chung, bo sung vitamin B12, giam cac yeu to kich ung qua trinh tu mien: vi khuan H. pylori, cac gia vi kich ung da day…

Chu y theo doi sau dieu tri

Can xac dinh vi khuan H. pylori da duoc dieu tri triet de hay chua it nhat la 4 tuan sau ket thuc dieu tri, co the dung cac xet nghiem khong xam nhap nhu test urease qua hoi tho.

Viem teo niem mac da day do nhiem H. pylori se co nguy co cao dien toi loet va ung thu day day. Voi nguyen nhan tu mien, nguy co nay la benh thieu mau hong cau khong lo, polyp va ung thu da day. Benh nhan can duoc theo doi chat che, khong nhung tren lam sang ma dac biet la cac dau hieu qua hinh anh noi soi da day va xet nghiem mo benh hoc.
Viet Bao (Theo SK&DS)

Tìm hiểu: ung thu da day, viem da day, dac biet la, mo benh hoc, cac yeu to, niem mac, viem teo, trieu chung, dieu tri, vi khuan, bieu hien, nhiem, khang, mien, loet

Xem Bản Tiếng Việt Có Dấu: Hậu quả nghiêm trọng do nhiễm H.pylori

Ban co the doc ban tieng Viet co dau cua bai viet Hậu quả nghiêm trọng do nhiễm H.pylori bang cach nhan chuot vao duong dan tren.

Lien he ve tin Hau qua nghiem trong do nhiem Hpylori

Nhan xet, hay lien he ve tin Hau qua nghiem trong do nhiem Hpylori co the gui bang duong dan o duoi. Ban nen gui kem tieu de bai viet Hau qua nghiem trong do nhiem Hpylori de lam tham khao. Bai viet nay thuoc chuyen de Tin suc khoe trong chuyen muc Suc khoe.

Cac tin khac:

Xem tiep ... Tin suc khoe
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