Беременность и язвенная болезнь.

Беременность и язвенная болезньБеременность и язвенная болезнь.

Здравствуйте, друзья!

Продолжаем тему о патологии органов пищеварения из числа экстрагенитальных заболеваний.

Чтобы иметь здоровое потомство, нужно оздоровление всех очагов заболеваний.

Язвенная болезнь — это хроническое заболевание. Имеет свои особенности:

— встречается чаще, чем другие заболевания желудочно-кишечного тракта)

— хроническое течение

— частые рецидивы (частые обострения, сменяющиеся с ремиссией)

— сезонность обострения (весеннее-осенние периоды)

— возникновение язвы в желудке или двенадцатиперстной кишке)

— женщины заболевают реже, чем мужчины (и все же заболевают).

Имеют место основные и предрасполагающие факторы для развития язвенной болезни.

Основные факторы, способствующие возникновению язвы:

— нарушение нейро-гуморальных механизмов, регулирующих процессы пищеварения  

      * нервно-психические факторы

      * гормональные нарушения (нарушение функции гипофиза и надпочечников)

— нарушение местных механизмов пищеварения

— изменение структуры слизистой оболочки желудка

— изменение структуры слизистой оболочки двенадцатиперстной кишки.

Предрасполагающие факторы:

— наследственность

— конституциональные особенности

— условия внешней среды

     * нарушение режима питания

     * воздействие лекарственных препаратов и других химических веществ…

У беременных   основная симптоматика язвенной болезни такая же, как и  вне беременности:

— Боли – разнообразного характера, обусловлены

  1. повышенным тонусом двенадцатиперстной кишки и желудка

  2. увеличением давления в двенадцатиперстной кишке и желудке

  3. спазмы в области двенадцатиперстно-желудочного отдела;

Очень редко язвенная болезнь протекает безболезненно – «немая язва». Для нее характерны (из-за кровотечения):

   * «кровавая рвота»

   * дегтеобразный стул.

— Тошнота, рвота, отрыжка, изжога, запоры. Изжога может появиться и при пониженной кислотности, и даже при полном отсутствии соляной кислоты в желудочном содержимом. Причина изжоги чаще всего, — из-за забрасывания желудочного содержимого в пищевод (в желудочном содержимом есть кислые продукты, образующиеся в результате брожения пищевой массы).

Беременность благоприятно влияет на течение язвенной болезни – во время беременности сохраняется ремиссия язвенной болезни. Благоприятное течение язвенной болезни во время беременности, возможно, связано с рядом факторов, возникающих в результате беременности:

— изменение секреторной функции желудка:

  * снижение кислотообразования

  * повышение слизеобразования

  понижение моторной функции желудка

— усиление кровоснабжения желудка

— снижение уровня гормона гастрина (при поступлении пищи в желудок — вырабатывается гормон гастрин, стимулирующий выработку соляной кислоты).

Появление острой язвы впервые во время беременности  — явление очень редкое. Осложнения (кровотечение, перфорация язвы, стеноз) язвенной болезни во время беременности тоже встречается крайне редко.

Неосложненная  язвенная болезнь не является противопоказанием для наступления и продолжения беременности и родов.

При осложненной язвенной болезни беременность отягощается всеми теми последствиями, как и при любой  другой тяжелой экстрагенитальной патологии.

Многие симптомы осложнений беременности похожи на симптоматику язвенной болезни (их может дифференцировать врач). Поэтому очень важно раннее обращение к врачу при любом отклонении в состоянии беременной женщины.

Беременность также допустима при отсутствии части желудка после ее резекции по поводу язвенной болезни, под тщательным наблюдением врачей.

Берегите себя и будьте здоровы, милые женщины. Сохраните свое здоровое потомство.

Да хранит вас БОГ!

Надеюсь, информация была полезной.

С уважением и добрыми пожеланиями   Расалиджа.

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