当前位置: > 养生之道 > 胃蛋白酶原1偏高 - Pepsinogen 1 is high。
黄金广告位招租QQ:282865654

胃蛋白酶原1偏高 - Pepsinogen 1 is high.

文章导读

胃蛋白酶是我们的胃分泌的一种很常见的酶,主要的功能就是消化蛋白质。如果胃出现了问题,可以通过对胃蛋白酶的检测,从而搞清楚状况。胃蛋白酶原1偏高常见于消化性溃疡和胃炎等疾病,我们可以对这两种疾病的了解,结合自身的症状进行判断,这样能有一个初步的判断。

胃蛋白酶原1偏高 - Pepsinogen 1 is high.

消化性溃疡临床表现

1.消化性溃疡疼痛特点

(1)长期性由于溃疡发生后可自行愈合,但每于愈合后又好复发,故常有上腹疼痛长期反复发作的特点。整个病程平均6~7年,有的可长达一、二十年,甚至更长。

(2)周期性上腹疼痛呈反复周期性发作,为此种溃疡的特征之一,尤以十二指肠溃疡更为突出。中上腹疼痛发作可持续几天、几周或更长,继以较长时间的缓解。全年都可发作,但以春、秋季节发作者多见。

胃蛋白酶原1偏高 - Pepsinogen 1 is high.

(3)节律性溃疡疼痛与饮食之间的关系具有明显的相关性和节律性。在一天中,早晨3点至早餐的一段时间,胃酸分泌最低,故在此时间内很少发生疼痛。十二指肠溃疡的疼痛好在两餐之间发生,持续不减直至下餐进食或服制酸药物后缓解。一部分十二指肠溃疡病人,由于夜间的胃酸较高,尤其在睡前曾进餐者,可发生半夜疼痛。胃溃疡疼痛的发生较不规则,常在餐后1小时内发生,经1~2小时后逐渐缓解,直至下餐进食后再复出现上述节律。

(4)疼痛部位十二指肠溃疡的疼痛多出现于中上腹部,或在脐上方,或在脐上方偏右处;胃溃疡疼痛的位置也多在中上腹,但稍偏高处,或在剑突下和剑突下偏左处。疼痛范围约数厘米直径大小。因为空腔内脏的疼痛在体表上的定位一般不十分确切,所以,疼痛的部位也不一定准确反映溃疡所在解剖位置。

(5)疼痛性质多呈钝痛、灼痛或饥饿样痛,一般较轻而能耐受,持续性剧痛提示溃疡穿透或穿孔。

(6)影响因素疼痛常因精神刺激、过度疲劳、饮食不慎、药物影响、气候变化等因素诱发或加重;可因休息、进食、服制酸药、以手按压疼痛部位、呕吐等方法而减轻或缓解。

2.消化性溃疡其他症状与体征

(1)其他症状本病除中上腹疼痛外,尚可有唾液分泌增多、烧心、反胃、嗳酸、嗳气、恶心、呕吐等其他胃肠道症状。食欲多保持正常,但偶可因食后疼痛发作而惧食,以致体重减轻。全身症状可有失眠等神经官能症的表现,或有缓脉、多汗等植物神经紊乱的症状。

(2)体征溃疡发作期,中上腹部可有局限性压痛,程度不重,其压痛部位多与溃疡的位置基本相符。

胃炎临床表现

1.急性胃炎

起病较急,临床症状轻重不一。最常见的为急性单纯性胃炎,主要表现为上腹痛、腹胀、嗳气、食欲减退、恶心、呕吐等。有沙门菌或金黄色葡萄球菌毒素所致者,多伴有腹泻、发热,甚至脱水、休克。急性糜烂出血性胃炎可有呕血和黑便。急性化脓性胃炎则以全身败血症和急性腹膜炎为主要临床表现。急性腐蚀性胃炎症状最为明显,表现为吞服腐蚀剂后口腔、咽喉、胸骨后、上腹部的剧痛,伴恶心呕吐,甚至呕血。唇、口腔、咽喉黏膜可产生颜色不同的灼痂,有助于各种腐蚀剂的鉴别。

胃蛋白酶原1偏高 - Pepsinogen 1 is high.

2.慢性胃炎

不同类型胃炎的临床表现会有所不同,但症状缺乏特异性,且轻重程度与病变严重程度常不一致。部分患者可无症状。

(1)上腹痛或不适 大多数胃炎患者有上腹痛或不适感。上腹部疼痛多数无规律,与饮食无关。疼痛一般为弥漫性上腹部灼痛、隐痛、胀痛等。

(2)上腹胀和早饱 部分患者会感腹胀,尤其是餐后有明显的饱胀感。常常因为胃内潴留食物、排空延迟、消化不良所致。早饱是指有明显饥饿感但进食后不久就有饱感,进食量明显减少。

(3)嗳气、反酸、恶心 有嗳气,表明胃内气体增多,经食管排出,使上腹饱胀暂时缓解。反酸是由于胃酸分泌增多所致。

(4)其他 严重萎缩性胃炎患者可有消瘦、舌炎、腹泻;自身免疫性胃炎患者伴有贫血。


Reading guide

Pepsin is a very common enzyme secreted by our stomach。 Its main function is to digest protein。 If there is a problem with the stomach, it can be detected by pepsin detection。 High pepsinogen 1 is common in peptic ulcer and gastritis and other diseases, we can understand these two diseases, combined with their own symptoms to judge, so that we can have a preliminary judgment。

胃蛋白酶原1偏高 - Pepsinogen 1 is high.

Clinical manifestation of peptic ulcer

1. pain characteristics of peptic ulcer

(1) Long-term ulcer can heal itself after the occurrence of ulcer, but recurrence is good after healing, so it often has the characteristics of epigastric pain recurrence for a long time. The average duration of the disease was 6~7 years, some of which lasted for one, twenty years, or even longer.

(2) Periodic epigastric pain occurs repeatedly and periodically, which is one of the characteristics of this kind of ulcer, especially duodenal ulcer. The onset of mid upper abdominal pain can last for several days, weeks or longer, followed by a longer relief. It can happen all year round, but it is common in spring and autumn.

胃蛋白酶原1偏高 - Pepsinogen 1 is high.

(3) the relationship between rhythmic ulcer pain and diet has obvious correlation and rhythm. During the period from 3 a.m. to breakfast during the day, gastric acid secretion is the lowest, so there is little pain during this period. The pain of duodenal ulcer occurs between meals and lasts until it is relieved after eating or taking acid drugs. Some patients with duodenal ulcer suffer from midnight pain due to the high level of acid in the stomach at night, especially those who have eaten before going to bed. The occurrence of gastric ulcer pain is irregular, often occurs within 1 hour after meal, and gradually relieves after 1 to 2 hours until the above rhythm appears again after eating.

(4) The pain of duodenal ulcer in the pain site mostly occurred in the mid-upper abdomen, or above the umbilical cord, or in the right part above the umbilical cord; the pain of gastric ulcer mostly occurred in the mid-upper abdomen, but slightly higher, or in the left part under the xiphoid process and the xiphoid process。 The pain range is about centimeter in diameter。 Because the location of visceral pain in the cavity on the body surface is generally not very accurate, so the location of pain may not accurately reflect the location of the ulcer。

(5) The nature of pain is blunt pain, burning pain or hunger-like pain, which is generally mild and tolerable。 Persistent severe pain indicates ulcer penetration or perforation。

(6) Influencing factors such as mental stimulation, excessive fatigue, inadvertent diet, drug effects, climate change and other factors often induce or aggravate pain, which can be alleviated or alleviated by rest, eating, taking acidic drugs, pressing pain sites with hands, vomiting and other methods.

2. other symptoms and signs of peptic ulcer

(1) In addition to mid-upper abdominal pain, other gastrointestinal symptoms include increased salivary secretion, heartburn, nausea, vomiting, acid belching, belching, nausea and vomiting. Most of the appetite is normal, but I can be afraid of eating because of the pain after the attack. Systemic symptoms may be manifestations of insomnia and other neurological disorders, or symptoms of vegetative nerve disorders such as bradycardia and hyperhidrosis.

(2) During the onset of signs ulcer, the upper and middle abdomen may have localized tenderness, which is not severe。 The tenderness sites are mostly consistent with the location of ulcer。

Clinical manifestation of gastritis

1。 acute gastritis

The onset is more acute and the clinical symptoms vary. The most common is acute simple gastritis, mainly manifested as upper abdominal pain, abdominal distention, belching, anorexia, nausea, vomiting and so on. People with Salmonella or Staphylococcus aureus toxin are often accompanied by diarrhea, fever, dehydration and shock. Acute erosive hemorrhagic gastritis can have hematemesis and black stool. Acute septic and acute peritonitis are the main clinical manifestations of acute suppurative gastritis. The most obvious symptoms of acute corrosive gastritis are severe pain in the mouth, throat, sternum and upper abdomen, nausea and vomiting, and even hematemesis after taking corrosives. The color of the lips, mouth and throat can produce different color eschar, which is helpful for the identification of various corroding agents.

胃蛋白酶原1偏高 - Pepsinogen 1 is high.

2. chronic gastritis

秒速快3The clinical manifestations of different types of gastritis are different, but the symptoms lack specificity, and the degree of severity is often inconsistent with the severity of the lesion。 Some patients can be asymptomatic。

(1) upper abdominal pain or discomfort. Most gastritis patients have upper abdominal pain or discomfort. Most of the upper abdominal pain is irregular and has nothing to do with diet. Pain is usually characterized by diffuse upper abdominal pain, pain and swelling.

(2) patients with upper abdominal distension and early satiation may feel abdominal distention, especially after meals. Often due to retention of food in stomach, delayed emptying and indigestion. Early satiation is characterized by a sense of hunger, but soon after eating, there is a sense of satiety and a marked decrease in food intake.

(3) belching, acid regurgitation, nausea and belching indicate that the gas in the stomach increases and is discharged through the esophagus, which temporarily relieves the satiety of the upper abdomen。 Acid reflux is due to increased secretion of gastric acid。

(4) Other patients with severe atrophic gastritis may have emaciation, glossitis and diarrhea; patients with autoimmune gastritis are accompanied by anemia.

江苏快三开奖结果 江苏快三开奖结果 江苏快三开奖结果 江苏快三开奖结果 江苏快三开奖结果 江苏快三开奖结果 江苏快三开奖结果 秒速快三 江苏快三开奖结果 江苏快三开奖结果