{"id":8179,"date":"2020-01-09T12:15:44","date_gmt":"2020-01-09T10:15:44","guid":{"rendered":"http:\/\/saptamanagiurgiuveana.ro\/wp\/?p=8179"},"modified":"2020-01-09T12:15:46","modified_gmt":"2020-01-09T10:15:46","slug":"gastrite","status":"publish","type":"post","link":"https:\/\/saptamanagiurgiuveana.ro\/wp\/2020\/01\/09\/gastrite\/","title":{"rendered":"GASTRITE"},"content":{"rendered":"\n<p>Mai \u00eent\u00e2i, este foarte important\u0103 definirea unor termeni:<\/p>\n\n\n\n<p>Dispepsie=durere\/disconfort localizat\n\u00een etajul abdominal superior, cu caracter persistent\/recurent;<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img fetchpriority=\"high\" decoding=\"async\" width=\"300\" height=\"175\" src=\"http:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2020\/01\/gastrita.jpg\" alt=\"\" class=\"wp-image-8181\"\/><\/figure>\n\n\n\n<p>Gastritele=grup\nheterogen de afectiuni caracterizate prin leziuni inflamatorii ale mucoasei\ngastrice.<\/p>\n\n\n\n<p>&nbsp;Gastritele sunt de mai multe tipuri \u00een func\u021bie\nde localizarea acestora la nivelul stomacului, aspectul pe care mucoasa\ngastric\u0103 \u00eel are la examenul endoscopic, tipul histopatologic.<\/p>\n\n\n\n<p>&nbsp;<strong>Diagnosticul\npozitiv de gastrit\u0103 este pus doar \u00een urma examenului histopatologic. <\/strong>Nu se\npoate pune ca diagnostic de certitudine pe baza semnelor si simptomelor,\nanalize de s\u00e2nge, etc. Ve\u021bi auzi de multe ori oameni care se pl\u00e2ng de faptul ca\nau gastrit\u0103 f\u0103r\u0103 ca ace\u0219tia sa fi f\u0103cut un examen endoscopic in urma c\u0103ruia s\u0103\nse ia \u0219i o biopsie \u0219i astfel s\u0103 se pun\u0103 diagnosticul de certitudine.<\/p>\n\n\n\n<p>Clinic:\n<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Pacienti\nasimptomatici<\/li><li>Sindrom dispeptic<\/li><li>Anemie\nferipriva\/megaloblastic\u0103<\/li><li>Hemoragie\ndigestiva superioara. <\/li><\/ul>\n\n\n\n<p>Pentru proba biopsie se fac minim 5 recolt\u0103ri\ndin zone diferite a stomacului pentru a putea cuprinde o arie c\u00e2t mai mare din\nmucoasa gastric\u0103; dac\u0103 exist\u0103 leziuni vizibile la momentul examenului\nendoscopic, se va preleva \u021besut gastric \u0219i de la acel nivel.<\/p>\n\n\n\n<figure class=\"wp-block-image size-large\"><img decoding=\"async\" width=\"366\" height=\"360\" data-src=\"http:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2020\/01\/81695190_2458921064359230_1636904189323902976_n.jpg\" alt=\"\" class=\"wp-image-8180 lazyload\" src=\"data:image\/svg+xml;base64,PHN2ZyB3aWR0aD0iMSIgaGVpZ2h0PSIxIiB4bWxucz0iaHR0cDovL3d3dy53My5vcmcvMjAwMC9zdmciPjwvc3ZnPg==\" style=\"--smush-placeholder-width: 366px; --smush-placeholder-aspect-ratio: 366\/360;\" \/><\/figure>\n\n\n\n<p>Cauze: <\/p>\n\n\n\n<p>&nbsp;Cauzele\ngastritelor sunt variate. Printre cele mai importante, amintim: <\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Consum de alcool,\ncafea<\/li><li>Infectia cu H.\nPylori<\/li><li>Administrare de\nmedicamente pe cale orala precum aspirina sau antiinflamatoare non steroidiene<\/li><li>Situa\u021bii de\nstress major(traumatisme, stress chirurgical), etc.<\/li><\/ul>\n\n\n\n<p>&nbsp;Gravitatea simptomelor si semnelor cre\u0219te \u00een\nfunc\u021bie de v\u00e2rst\u0103, tipul preparatului ingerat, cantitatea ingerat\u0103, macanism de\nac\u021biune, istoric de hemoragie digestiv\u0103 superioar\u0103 sau de ulcer gastric, etc.<\/p>\n\n\n\n<p>&nbsp;\u00cen\ncazul unei gastrite cu H. Pylori, exist\u0103 mai multe metode de diagnostic:<\/p>\n\n\n\n<p>Invazive (EDS si biopsie gastrica antru +\ncorp):<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>frotiu \u0219i examen\nmicroscopic direct;<\/li><li>examen\nhistologic, colora\u021bie Giemsa;<\/li><li>test rapid la\nureaza;<\/li><li>culturi\nbacteriene;<\/li><\/ul>\n\n\n\n<p>Non-invazive:<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>teste serologice\n(IgG anti-HPylori, ELISA);<\/li><li>test respirator\ncarbon-uree;<\/li><li>antigen H.Pylori\nfecal;<\/li><li>detec\u021bie prin PCR\n(greu accesibil, cost ridicat);<\/li><\/ul>\n\n\n\n<p>!!!! Testarea se face la 14 zile de la oprirea\ninhibitorului de pomp\u0103 de protoni, la 28 de zile de la oprirea antibioticului\n\u0219i a medica\u021biei cu bismut.<\/p>\n\n\n\n<p>&nbsp;Primul\npas dup\u0103 depistarea H. Pylori este de a trata infec\u021bia iar \u00een acest sens exist\u0103\nmai multe scheme de tratament:<\/p>\n\n\n\n<ol class=\"wp-block-list\"><li>Terapia\nsecven\u021bial\u0103, 10-14 zile: <\/li><\/ol>\n\n\n\n<p>IPP+Amoxicilina apoi\nIPP+Claritromicin\u0103+Metronidazol<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Terapia\nconcomitent\u0103, 10-14 zile:<\/li><\/ul>\n\n\n\n<p>IPP+Amoxicilin\u0103+Claritromicin\u0103+Metronidazol<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Tripla terapie cu\nlevofloxacin\u0103, 10-14 zile:<\/li><\/ul>\n\n\n\n<p>IPP+Amoxicilin\u0103+Levofloxacin\u0103<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Cvadrupla terapie\ncu bismut, 10-14 zile:<\/li><\/ul>\n\n\n\n<p>IPP+Bismut+Tetraciclin\u0103+Metronidazol<\/p>\n\n\n\n<p>&nbsp;Dup\u0103 determinarea cauzelor gastritei \u0219i\ntratarea acestora, gastrita trebuie \u021binuta sub control \u0219i evaluat\u0103 periodic\nprin exmene de specialitate.<\/p>\n\n\n\n<p>&nbsp;Trebuie avut \u00een vedere faptul c\u0103 majoritatea\npacien\u021bilor cu gastrit\u0103 prezint\u0103 forma eroziv\u0103 a acesteia, astfel \u00eenc\u00e2t ace\u0219tia\npot pierde s\u00e2nge f\u0103r\u0103 a fi con\u0219tien\u021bi de acest lucru, aceast\u0103 forma de gastrit\u0103\nfiind \u0219i cea care progreseaz\u0103 cel mai repede spre ulcer gastric. Orice\nmodificare a scaunului(scaun negru, lucios, urat mirositor, asem\u0103n\u0103tor cu\np\u0103cura), orice senza\u021bie de reflux, grea\u021b\u0103, v\u0103rs\u0103turi, etc trebuie investigate.<\/p>\n\n\n\n<p>\u00a0Principalul tratament (dup\u0103 cel medicamentos) este reprezentat de un regim bogat \u00een fructe \u0219i legume, sc\u0103derea aportului de carne, alcool, renun\u021barea la fumat, oprirea consumului de cafea \u0219i b\u0103uturi carbogazoase.<\/p>\n\n\n\n<p><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Mai \u00eent\u00e2i, este foarte important\u0103 definirea unor termeni: Dispepsie=durere\/disconfort localizat \u00een etajul abdominal superior, cu&#8230;<\/p>\n","protected":false},"author":1,"featured_media":8167,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_kadence_starter_templates_imported_post":false,"footnotes":""},"categories":[2],"tags":[],"class_list":["post-8179","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-stiri"],"featured_image_urls":{"full":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n.jpg",313,360,false],"thumbnail":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n-313x220.jpg",313,220,true],"medium":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n.jpg",313,360,false],"medium_large":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n.jpg",313,360,false],"large":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n.jpg",313,360,false],"1536x1536":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n.jpg",313,360,false],"2048x2048":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n.jpg",313,360,false],"covernews-featured":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n.jpg",313,360,false],"covernews-medium":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n.jpg",296,340,false],"mailpoet_newsletter_max":["https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-content\/uploads\/2019\/12\/78763958_2432612053646618_3860931460277993472_n.jpg",313,360,false]},"author_info":{"info":["Mihaita Grigore"]},"category_info":"<a href=\"https:\/\/saptamanagiurgiuveana.ro\/wp\/category\/stiri\/\" rel=\"category tag\">Stiri<\/a>","tag_info":"Stiri","comment_count":"0","_links":{"self":[{"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/posts\/8179","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/comments?post=8179"}],"version-history":[{"count":1,"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/posts\/8179\/revisions"}],"predecessor-version":[{"id":8182,"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/posts\/8179\/revisions\/8182"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/media\/8167"}],"wp:attachment":[{"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/media?parent=8179"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/categories?post=8179"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saptamanagiurgiuveana.ro\/wp\/wp-json\/wp\/v2\/tags?post=8179"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}