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Chronic gastritis with TCM science guide (one)

2013年09月18日

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Chronic gastritis with TCM science guide (one)

 

 

The state administration of traditional Chinese medicine industry of traditional Chinese medicine scientific research special "chronic gastritis prevention and control technology and the transformation and application of normative research of traditional Chinese medicine research

 

 

China's traditional Chinese medicine to

 

 

 

        preface

 

        Strategically despises his tactical importance

 

        Chronic gastritis is one of the most common digestive system disease, has a high incidence in the crowd. Most people may be more or less in the life, long or short experience to stomach pain, bloating, etc. The symptoms of digestive system dysfunction. In general, chronic gastritis is a disease, for a good prognosis with chronic gastritis is not terrible, should maintain a good state of mind, active treatment.

 

        The importance of strategic contempt: maintain good state of mind

 

        Have part of patients after the diagnosis of chronic gastritis, worried and anxious, often travelling around the country each big hospital, taking a variety of drugs, does not obviously alleviate symptoms, it often cause a vicious cycle. There are three factors to attract attention:

 

        1. The digestive system disease is the most closely relationship with the mental state of disease, in a bad mood is very easy to cause chronic gastritis symptom repeatedly, excessive worry about disease can aggravate the instead;

 

        A maverick overwork aggravating illness: 2. From the perspective of traditional Chinese medicine, "the spleen and stomach is the foundation of the day after tomorrow," the source of qi and blood biochemical, on the move, repeated examination can affect the spleen and stomach function, benefit to relief of symptoms;

 

        3. Take several medicines to the stomach more harm than good in the short term, short term again and again to replace the curative effect of drugs on the one hand, is not conducive to play, will cause bad effects to the stomach, but no treatment effect, but also some possible drug interactions.

 

        Should put down the psychological burden of chronic gastritis patients with a positive attitude to face the disease, can be achieved by recreational sports channel mood, distracting.

 

        Tactical value: the standard of diagnosis and treatment of chronic gastritis

 

        Chronic gastritis is a better prognosis disease, but if the symptoms of the disease can't ease, affects the patient's quality of life; If let the progress of the disease, may lead to some serious diseases of poor prognosis. So, don't worry too much about suffering from chronic gastritis, but to face it actively. Mainly includes the following:

 

        Diagnosis: 1. Specification of digestive department should go to normal hospital, after some necessary check clear the causes of disease and the severity of the disease.

 

        2. Standard treatment: in the digestive department under the guidance of specialized subject doctor taking drugs, drug efficacy and disease symptom relief needs certain time, do not replace drugs.

 

        3. Pay attention to the disease and nurse: as the saying goes "treatment stomach trouble three points, seven points and nurse", bad way of life is often the main reason for the onset and recurrence of chronic gastritis, so need to pay special attention to change the bad way of life.

 

        Have a good attitude in the face of disease, we can begin from understanding of chronic gastritis, from the diagnosis, treatment and rehabilitation of chronic gastritis and so on various aspects of chronic gastritis.

 

        Based on article

 

        Understanding of chronic gastritis

 

        1. What is chronic gastritis?

 

        When it comes to chronic gastritis, a lot of people are not unfamiliar. What is chronic gastritis?

 

        Simply put, chronic gastritis is caused by a variety of reasons of chronic inflammation of gastric mucosa, occurred in gastric mucosa, show the gastric mucosa inflammatory cell infiltration, can show the mucosal cells under gastroscope hyperemia and edema, erosion, bleeding, etc. Chronic gastritis is common in clinic, studies have found that among all accept gastroscopy, about 80% ~ 90% were diagnosed as chronic gastritis, men more than women, with the increase of age, the heighten of incidence of chronic gastritis.

 

        2. What are the pathogeny of chronic gastritis?

 

        In daily life, the cause of chronic gastritis are:

        

        (1) the helicobacter pylori infection

 

        Helicobacter pylori infection is the most main etiology of chronic gastritis, is about more than half of the chronic gastritis caused by helicobacter pylori infection.

 

        (2) poor eating habits

 

        Drink strong tea, alcohol, coffee, spicy and coarse food, eat a rush too fast, like eating overheat, too hungry or too full of poor eating habits is easy to cause chronic gastritis. Nonsteroidal anti-inflammatory drugs, corticosteroids, and some in the treatment of diseases of the cardiovascular system drugs, etc. Can also cause chronic gastritis.

 

        (3) the spirit of psychological factors

 

        Career in competitive strength, mental pressure big, the incidence of chronic gastritis is significantly higher than ordinary people, tension, anxiety, rage, sorrow, etc all can cause the body autonomic nerve function disorder, cause of chronic gastritis, or cause the symptoms of chronic gastritis.

 

        (4) the climate environment factors

 

        Climate change and the seasonal alternate, if the body can't adapt to in the short term, besides may suffer from illnesses such as colds, may also cause of chronic gastritis. For people who has been suffering from chronic gastritis, seasonal changes, the weather gets cold may cause chronic gastritis recurrence.

 

        In addition, the factors such as heredity, with other disease also has promoting effect to the occurrence of chronic gastritis.

 

        3. The chronic gastritis can be divided into several types?

 

        Chronic superficial gastritis and chronic gastritis can be divided into two types of chronic atrophic gastritis.

 

        Also called the atrophic gastritis, chronic superficial gastritis mainly gastric mucosa of chronic inflammatory cell infiltration is given priority to, can also be associated with active inflammation, is atrophic gastritis and relative, the difference between the two main is whether there is a watch on the gastric mucosa gland atrophy. What are the main symptoms of patients with chronic gastritis?

 

        Most patients suffering from chronic gastritis may you won't feel uncomfortable, just told by the doctor in the gastroscopy had chronic gastritis. Part of the chronic gastritis patients will appear uncomfortable symptoms, such as abdominal discomfort, bloated with feeling, pain, poor appetite, belching, acid regurgitation, heartburn, etc., some people will also show a forgetful, anxiety, depression and mental symptoms. Improper diet, emotional depression, overworked or climate change could induce the occurrence of these symptoms.

 

        In addition, it is worthy of attention: the weight of the symptoms of chronic gastritis patients with the damage degree of gastric mucosa under gastroscope is not, that is to say, if suffer from chronic gastritis, not whether symptoms alone YanChongLai judging the severity of the disease the main depends of gastroscope and pathology results.

 

        Diagnosis of article

 

        I have chronic gastritis?

 

        Diagnosis: 1. The symptoms you just "may" suffer from chronic gastritis

 

        As mentioned earlier, the symptom of chronic gastritis has a lot of, in addition to the stomach bilges, stomach and digestive system symptoms, there could be some mental symptoms such as anxiety, depression, etc.

 

        But not the symptoms of chronic gastritis disease specificity, the so-called "no disease specificity" mainly includes the following three aspects: the meaning of

 

        (1) in some patients with chronic gastritis and no symptoms, but found that gastric mucosa in gastroscopy has certain damage.

 

        (2) for symptomatic patients, is not to say that something or some symptoms can diagnosis of chronic gastritis, functional dyspepsia, and other chronic stomach disease also can appear with similar symptoms of chronic gastritis.

 

        The severity of the symptoms (3) cannot fully represent the severity of chronic gastritis.

 

        So by symptoms in the diagnosis of chronic gastritis is not reliable, stomach pain, bloating, appetite is bad symptoms of digestive system such as just "may" suffer from chronic gastritis, real diagnosis of chronic gastritis need to rely on gastroscopy and pathological examination.

 

        2. The diagnosis of chronic gastritis: gastroscopy and pathological examination

 

        The diagnosis of chronic gastritis to gastroscopy and pathological histology of gastric mucosa.

 

        Gastroscopy by insert a root with a lens duct in the stomach, can directly see the condition of the gastric mucosa, at the same time can take a small piece of gastric mucosa by biopsy forceps histologic examination under the microscope. Belongs to pathological diagnosis of chronic gastritis, the gold standard or wait for pathologic examination report. However, two different types of chronic gastritis is slightly different. For chronic superficial gastritis gastritis, through previous studies found that gastroscope inspection results and has the very good consistency between pathologic examination, so at endoscopy in the diagnosis of chronic superficial gastritis is basic it can be confirmed; But if gastroscopy doubt is chronic atrophic gastritis, also need to be confirmed by pathological findings.

 

Unfinished, full text links: http://www.cntcmvideo.com/zgzyyb/html/2013-09/13/content_77666.htm