Means the different causes of chronic gastritis caused by a variety of chronic gastric inflammation is a common and frequently-occurring disease is one unit, the incidence of various gastric diseases in the first place. Since the widespread application of endoscopic since awareness of this disease have markedly improved. Often some degree of chronic gastritis atrophy (loss of mucosal function), and metaplasia, often involving the cardia, accompanied by G cell loss and reduction of gastrin secretion, but also involved the gastric body, accompanied by loss of oxyntic glands, leading to gastric acid, pepsin and intrinsic factor reduction.
Most superficial gastritis can be reversed, a small number can be converted to atrophy. Atrophic gastritis increased gradually with age, but can also be reversed mild. Therefore, chronic gastritis and treatment should be started as early as possible from superficial gastritis, atrophic gastritis should also be on treatment adherence.
First, eliminate all possible causes eliminate pathogenic factors, such as to avoid eating a strong stimulation of the gastric diet and drugs, smoking cessation Ji Jiu. Attention to food hygiene, to prevent overeating. Aggressive treatment of mouth, nose, throat chronic disease. Strengthening exercise to improve fitness.
Second, onset of pain medications available atropine, Propantheline, belladonna mixture, piperazine pyridine nitrogen equal. Increased gastric acid, such as verrucous gastritis can cimetidine, ranitidine, aluminum hydroxide and amines. Ethoxy with nitrogen is a local anesthetic, can inhibit the release of antral gastrin, reduced acid. Lack of or no stomach acid to give 1% of the acid may dilute hydrochloric acid or pepsin mixture, accompanied by indigestion tablets may increase with trypsin, Multienzyme so Zhuxiaohuayao. Helicobacter pylori gastric mucosal biopsy were found to increase service antibiotics such as streptomycin, tetracycline, oxytetracycline, gentamicin, furazolidone, kanamycin, neomycin. Hericium tablet containing polysaccharides, peptides can be applied, can also be health stomach ketone. Bile reflux can significantly by metoclopramide and domperidone to increase antral motility, reduction of bile reflux. Cholestyramine, sucralfate combined with bile acid, relieving the symptoms. Iron deficiency anemia can be taken orally or injected iron dextran sulfate.
Eradication of Helicobacter Pylori
Eradication of Helicobacter pylori drug therapy: Omeprazole Capsules 20mg (ie 1), 1, 2 oral; amoxicillin capsule 1.0 (ie 4), 1, 2 oral; metronidazole tablets 0.4 ( or 2), 1, 2 oral; triple therapy 1 week cure rate of 90% or more, is the current standard treatment. Do oral amoxicillin penicillin allergy test negative before the application can use positive clarithromycin capsules 0.25 (1), 1, 2, given orally 1 week, may also be used instead of clarithromycin capsules Mo Xilin capsule. After 1 week of omeprazole capsules alone 20mg, 1 1 given orally, 2-3 weeks, erosive gastritis; duodenal ulcer 4-6 weeks; ulcer 6-8 weeks. If the bloating can be oral domperidone 10mg, 1 3 times a day. Usually pay attention to diet, do not eat too much, to quit alcohol.
Western medicine can be used
1. Antacids: superficial gastritis due to higher gastrin stimulation of gastric acid, to reduce the diffusion of hydrogen ions into the gastric mucosal inflammation. The following drugs can be used.
(1) sucralfate (gastric ulcer Ning): Each 1g, a 3 to 4 times 1 hour before meals and bedtime.
(2) aluminum hydroxide compound (Weishuping): 2-4 tablets per a day 3-4 times, 30 minutes before eating or stomach pain after taking attack chew.
2. Antispasmodic agent: for the relief of spasmodic pain. But not long-term use.
(1) compound belladonna tablets: 1-2 tablets each time orally 3 times a day.
(2) bromide Propantheline (Propantheline): Each oral
15-30mg, 3 times a day, before meals.
3. Zhuxiaohuayao: severe loss of appetite can use.
(1) milk enzyme Health: Oral, adults each 0.3-0.9g, 3 times a day, before meals. 6 months to 2 years of age each taking 0.1-0.2g ,2-5-year-old children each take 0.2-0.5g, 5 years old children each take 0.3-0.6g.
(2) Multienzyme: Oral, 2-3 tablets each time, 3 times a day, before meals swallow.
(3) trypsin (pancreatic hormone, pancreatic enzymes): Oral, each 0.3-1g, 3 times a day, before meals.
4. Make up the acid: used in atrophic gastritis with low acid or acid-free person.
(1) 1% hydrochloric acid: each 2-5ml, 3 times a day, after meals.
(2) pepsin (stomach enzymes): Each tablet oral 0.3-0.6g, be given additional hydrochloric acid 0.5-2ml. Mixture for each oral solution 10ml, 3 times a day, feeding time, or before meals.
5. Weak stabilizers:
(1) of diazepam: an oral 2.5mg, 3 times a day.
(2) oryzanol: an oral 10mg, 3 times a day.
6. To promote gastric emptying agents: reduce gastric acid and bile on the mucosa of the invasion.
(1) ammonium Metoclopramide (metoclopramide): Each 5 1 10mg, 2-3 times a day, before meals.
(2) Duo Panla ketone (Motilium): Each 10-20mg, 3 times a day, before meals.
(3), cisapride (cisapride): Each 5-10mg, 3 times a day, half an hour before taking.
7. Antibiotics:
(1) streptomycin: a 0.5g, 2 times a day.
(2) Berberine: a 0.3g, 3 times a day.
(3) furazolidone (furazolidone): Each oral 0.1g, 2-3 times a day.
(4) gentamicin: oral administration of 80 000 units each, 2-3 times.
Can use the proprietary Chinese medicines
1, food stagnation type:
(1) Paul and the pill Modified: each 6g, 2 times a day, with warm water. Adult children over 7 years the amount of service l / 2,3-7 year-old child services for adults in 1 / 3.
(2) appetizer hawthorn pills: pills for each l, 2 times a day, warm water.
(3) within Hawthorn Pills: each adult service 9g, 2 times a day, warm water. Children reduce it.
(4) of hawthorn pills: 1 pill each time, 3 times a day, warm water.
(5) woody nut ball: Each 3-6g, 2 times a day, warm water.
(6) Incense of Lag pills: each sub-6g, 2 times a day, warm water.
(7) betel 4 Pills: water pills each 6g, or a large pill, a pill each time, all day 2-3 times, warm water.
(8) chest Shun Qi Wan: Each 3-9g, 1-2 times a day, warm water.
2. Cold Coagulation stagnation type:
(1) good pill attached: each 3-6g, 2 times a day, warm water. Children over 7 years for 1 / 2 volume, 3-7-year-old adult children for 1 / 3 of adult content.
(2) Stomach pain tablets: Each 5, 2 times a day, morning and night or pain when warm water.
(3) 10 Hong pain pills: 1 pill each time for adults, 2 times a day, warm water. Adult children over 7 years serving in 1 / 2, 3-7-year-old child services for adults in 1 / 3.
(4) Pill Pill gas twist: each 6-9g, 2 times a day, warm water.
3. Incoordination between liver and:
(1) Xiangshayangwei pill (granule, oral solution): water pills each 9g, or pill dose per 1.2g, are 2 times a day, warm water. Or granules 1 bag each time, 2 times a day, boiled water. Or oral solution for each one, 2 times a day.
(2) Xiangsha flat stomach pill: for each adult service 9g, 3 times a day, warm water. Children over 7 years each time 6g, 3 1
7-year-old children each time 3g.
(3) Shugan stomach pill: The pill, for each adult l pill, or water pills each time 3-6g, are 3 times a day, warm water. Adult children over 7 years serving in 1 / 2, 3-7-year-old child services for adults in 1 / 3.
(4) costas Shun Qi Wan: The pill, a pill for each adult, 2 times a day; or water pills every 6-9g, 2-3 times a day, warm water. Adult children over 7 years serving in 1 / 2.
(5) Incense of Qi Wan: Each 3-6g, 2 times a day, fasting warm water.
(6) stomach tablets: Each 6, 2 times a day, warm water.
(7) Shugan and stomach pills: 1 pill each time, 3 times a day, after meals warm water. Adult children over 7 years serving in 1 / 2, 3-7-year-olds serving adults in 1 / 3.
(8) Incense Shu Qi Wan: 2 pills each time, 2-3 times, warm water.
(9) Qizhiweitong Granules: 1 bag each time, 2-3 times a brew of service.
4. Transhepatic the Heat:
(1) Zuojinwan: Each 3-6g, 2 times a day, warm water.
(2) Modified Zuojinwan: Each 6g, 2-3 times a day, warm water. Adult children over 7 years serving in 1 / 2, 3-7-year-old child services for adults in 1 / 3.
(3) stomach benefits capsule: Every time 6, 3 times a day, warm water.
5. Spleen and Stomach Deficiency Type:
(1) Pill for: pill dose each time a pill, or water pills each 5-9g are 2 times a day, warm water.
(2) Guifu Lizhong Wan: 1 pill each time, 2 times a day, with ginger or warm water.
(3) Aconite Pill: The pill, a pill each time, or water pill every 6g, or a pill every 8-12 pills, are 2-3 times a day, fasting warm water. Dose for children reduce it.
(4) Shengui Pill for: time 1-2 pills a day 1-2 times, with ginger or warm water.
(5) spleen pill: big pill, a pill each time, or a small pill each 9 grams, or 8 per pill pill, are 2-3 times day, warm water. Children reduce it.
(6) Wenzhongjianpi Pills: 6 grams each time, 2-3 times, warm water.
(7) Kai spleen pills: 1 pill each time, 2-3 times, with warm water. Adult children over 7 years the amount of service l / 2,3-7 year-old child services for adults in 1 / 3.
(8) Zhizhu: Each 6-12g, 2 times a day, warm water.
(9) appetite pill: Each 6-9g, 2 times a day, warm water
(10) Zhishixiaopi pill: each 6g, 3 times a day, warm water.
(11) Deficiency stomach Granule: 1-2 bags each time, 2 times a day, water flushes the clothing. Dose for children reduce it.
(12) Wenweishu granules: 1 bag each time, 2 times a day, boiled water. 3 months for treatment.
6. Gastric stasis contact type:
Yuan Hu painkillers: 4-6 grams each time, 2 times a day, warm water.
7. Stomach Yin Deficiency type:
Polygonatum Granules: 1 bag each time, 2 times a day, boiled water.
Third, surgical treatment of chronic atrophic gastritis with moderate or severe dysplasia in the present opinion of precancerous lesions and more, it was advocated surgical treatment should be considered.
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