慢性浅表性胃炎,怎么办?

in #health2 years ago

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俗话说:“十人九胃”,意思是说胃病是很常见的病,有不少人因为经常胃不舒服,去医院做了胃镜检查,报告结果常常是“慢性浅表性胃炎”。

患者拿到这个报告,想弄明白这到底是个什么病,有些人就四处打探,甚至再次相信百度,获得了一些耸人听闻的解释。比如,“慢性浅表性胃炎要立即治疗”、“慢性浅表性胃炎是胃癌的前奏”等等。

医学上,慢性浅表性胃炎是指胃黏膜呈慢性浅表性炎症的一种疾病,但从胃镜检查中拿到这个结果无需过于担心。这是因为,在临床上胃镜报告的结果几乎没有正常的,消化科似乎有个行业内的惯例,只要是胃镜检查没有其他明显异常,就给出一个慢性浅表性胃炎的结果。

多数内镜下诊断的慢性浅表性胃炎其实没有多少意义,很多只是功能性消化不良。如果其他检查结果也没什么异常,也就无需治疗。这种情况下,患者的胃癌的风险和一般人没什么差别,不必恐慌。

实际上仅用胃镜去查看,是无法证实胃黏膜是否有炎症的,若想证实它是真正的炎症,需要取下一小块胃黏膜组织,做成病理标本,放到显微镜下做病理观察。

即使胃黏膜真是炎症,那也不必过于担心,胃黏膜本身是一个修复能力特别强的结构,它每天都在被自身分泌的胃酸腐蚀、消化,又不断地长出崭新的胃黏膜,只要不再继续做伤害它的事情,如酗酒、服用止痛药等,很快胃黏膜就能自我修复,完好如初了。

若是合并其他感染或异常,则要根据病因进行治疗,如合并感染幽门螺旋杆菌,则需要考虑进行幽门螺旋杆菌的根治。

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Source: https://steemit.com/cn/@coldhair/5ptggo

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nice post but can't understand the language.