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Nica Daniela Alexandra

UMFCv, an V

GASTRITE SI

GASTROPATIIEROZIVE SIHEMORAGICE

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• EROZIUNE=dic!n"in#i"a"ea$#c!aei,care n# de%ae"e$#c#lara $#c!aei

• HEMORAGIE=%e"eii dicre"e a#%#nc"e i &en'i r!ii a%rine,(aradic!n"in#i"a"i vi'i&ile ale $#c!aei

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MACROSCOPIC• Ede$• Er!'i#ni

• Z!ne

)e$!ra*ice,c#ex"rava'are

a an*el#iin $#c!aai l#$en#l

"!$ac#l#i

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MICROSCOPIC

• In+l"ra" ina$a"!r alla$inei %r!%rii c#cel#le $!n!n#cleare i

*ran#l!ci"e ne#"r!+le

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ETIOPATOGENIE

• -. Ga"r!%a"ia de "re

• /!c, ar#ri in"ine, e%"ice$ii, "ra#$a"i$eevere, in#+cien"a !r*anica $#l"i%la

•

0.Ga"r!%a"ia ind#a de AINS• /In)i&area cicl!!xi*ena'ei la nivel#l $#c!aei

*a"rice c# caderea in"e'ei i nivel#l#i "i#larde %r!"a*landine end!*ene care a# r!li$%!r"an" in a%ararea $#c!aei

• 1.Ga"r!%a"ia c!r!'iva

• /in*e"ie de aci'i, &a'e a# diveri c!$%#ian!r*anici

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 TA23OU C3INIC

• In *eneral #n" ai$%"!$a"ice

• P!" + %re'en"e4 d#reri e%i*a"rice,*rea"a, vara"#ri

• San*erarile $#c!aei #n" #ne!riin*#ra $ani(e"are clinica i %!"varia de la $ici %ierderi de an*e la)e$!ra*ii evere

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E5P3ORARI PARAC3INICE

• He$!le#c!*ra$a c!$%le"a

• /ane$ie

•

End!c!%ia di*e"iva #%eri!ara• /er!'i#ni i )e$!ra*ii, $#c!aa

(ria&ila i c!n*e"i!na"a, #ne!ri#lcera"ii #%er+ciale a# %r!(#nde in*eneral la nivel#l (!rnix#l#i a#c!r%#l#i *a"ric

• Exa$en#l radi!l!*ic &ari"a"

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DIAGNOSTIC POZITIV

• Se$ne de )e$!ra*ie di*e"iva#%eri!ara

•   /%re'en"a $elenei a#an*el#i in a%ira"#l *a"ric

• End!c!%ie di*e"iva #%eri!ara c#&i!%ii i exa$en )i"!%a"!l!*ic

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 TRATAMENT

•  Tra"a$en" $edical

• -.an"iacide4 )idr!xid de al#$ini# i $a*ne'i#ad$ini"ra" !ral in +ecare !ra 16$l7)

•

0.&l!ccan"i ai rece%"!ril!r de H0,ad$ini"ra"i iv4Rani"idina, Ni'a"idina, Fa$!"idina

• 1.in)i&i"!ri ai %!$%ei de %r!"!ni4 O$e%ra'!l,Pan"!%ra'!l

•

8.anal!*ii %r!"a*landinel!r/in *a"r!%a"ia ind#ade AINS4 Mi!%r!"!l,En%r!"il

• 99 Medica$en"ele e $en"in in d!'e care acreaca %H/#l la $ini$ 8

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•  Tra"a$en" c)ir#r*ical

• / exce%"i!nal

•

/va*!"!$ie c# %il!r!%la"ie i !%rirea(!carel!r de )e$!ra*ie

• /are e+caci"a"e li$i"a"a