{"id":6322,"date":"2025-09-03T09:05:00","date_gmt":"2025-09-03T06:05:00","guid":{"rendered":"https:\/\/neolife.ro\/enayati\/?p=6322"},"modified":"2025-09-02T16:31:56","modified_gmt":"2025-09-02T13:31:56","slug":"ce-este-ulcerul-gastric-si-duodenal","status":"publish","type":"post","link":"https:\/\/neolife.ro\/enayati\/noutati\/ce-este-ulcerul-gastric-si-duodenal\/","title":{"rendered":"Ce este ulcerul gastric \u0219i duodenal?"},"content":{"rendered":"<p>Ulcerul gastric sau duodenal este o ran\u0103 deschis\u0103 care se formeaz\u0103 la nivelul mucoasei stomacului (ulcer gastric) sau al primei por\u021biuni a intestinului sub\u021bire \u2013 duodenul (ulcer duodenal). Aceste ulcere apar atunci c\u00e2nd bariera natural\u0103 care protejeaz\u0103 peretele digestiv este afectat\u0103, permi\u021b\u00e2nd acidului gastric s\u0103 erodeze \u021besutul.<\/p>\n<h3><strong>Care sunt simptomele ulcerului gastric sau duodenal?<\/strong><\/h3>\n<p>Simptomele pot varia \u00een func\u021bie de localizarea ulcerului (stomac sau duoden) \u0219i de severitatea acestuia. Unele persoane pot fi asimptomatice, \u00eens\u0103 cele mai frecvente manifest\u0103ri includ:<\/p>\n<ul>\n<li><strong>Durere sau arsur\u0103 \u00een capul pieptului (epigastru)<\/strong> \u2013 cea mai frecvent\u0103; poate ap\u0103rea \u00eentre mese sau noaptea \u0219i se amelioreaz\u0103 temporar dup\u0103 m\u00e2ncare sau antiacide<\/li>\n<li><strong>Balonare, senza\u021bie de plenitudine sau disconfort dup\u0103 mese<\/strong><\/li>\n<li><strong>Grea\u021b\u0103 sau v\u0103rs\u0103turi<\/strong><\/li>\n<li><strong>Sc\u0103dere a apetitului \u0219i pierdere \u00een greutate<\/strong><\/li>\n<li><strong>Eructa\u021bii (r\u00e2g\u00e2ieli) frecvente<\/strong><\/li>\n<li><strong>Senza\u021bie de foame dureroas\u0103 la c\u00e2teva ore dup\u0103 mas\u0103 (\u00een ulcerul duodenal)<\/strong><\/li>\n<li><strong>V\u0103rs\u0103turi cu s\u00e2nge sau aspect de \u201eza\u021b de cafea\u201d<\/strong> \u2013 semn de s\u00e2ngerare digestiv\u0103<\/li>\n<li><strong>Scaune negre, lucioase (melena)<\/strong><\/li>\n<li><strong>Oboseal\u0103 accentuat\u0103<\/strong> \u2013 din cauza anemiei prin pierdere cronic\u0103 de s\u00e2nge<\/li>\n<\/ul>\n<h3><strong>Care sunt cauzele \u0219i factorii de risc?<\/strong><\/h3>\n<p>Cele mai frecvente cauze sunt:<\/p>\n<ul>\n<li><strong>Infec\u021bia cu <a href=\"https:\/\/neolife.ro\/noutati\/ce-este-helicobacter-pylori-si-cum-actioneaza\/\">Helicobacter pylori<\/a><\/strong> \u2013 o bacterie ce afecteaz\u0103 mucoasa gastric\u0103<\/li>\n<li><strong>Consumul frecvent de antiinflamatoare nesteroidiene (AINS)<\/strong><\/li>\n<li><strong>Stresul sever sau interven\u021biile chirurgicale majore<\/strong> \u2013 pot favoriza apari\u021bia ulcerelor de stres<\/li>\n<li><strong>Fumatul \u0219i consumul de alcool<\/strong> \u2013 agraveaz\u0103 eroziunea mucoasei<\/li>\n<li><strong>Excesul de cafea sau condimente picante<\/strong> \u2013 pot irita stomacul<\/li>\n<\/ul>\n<h3><strong>Cum se stabile\u0219te diagnosticul?<\/strong><\/h3>\n<p>Diagnosticul ulcerului se stabile\u0219te prin:<\/p>\n<ul>\n<li><strong><a href=\"https:\/\/neolife.ro\/noutati\/endoscopia-digestiva-superioara-cand-este-recomandata-si-ce-trebuie-sa-stii\/\">Endoscopie digestiv\u0103<\/a> superioar\u0103<\/strong> \u2013 permite vizualizarea direct\u0103 a leziunii \u0219i recoltarea de biopsii<\/li>\n<li><strong>Testare pentru Helicobacter pylori<\/strong> \u2013 prin biopsie, test respirator, test din scaun sau s\u00e2nge<\/li>\n<li><strong>Analize de s\u00e2nge<\/strong> \u2013 pot indica anemie sau semne de inflama\u021bie<\/li>\n<\/ul>\n<h3><strong>Ce op\u021biuni de tratament exist\u0103?<\/strong><\/h3>\n<p>Tratamentul ulcerului are scopul de a reduce acidul gastric, vindeca mucoasa \u0219i elimina factorii declan\u0219atori:<\/p>\n<p><strong>Tratament medicamentos<\/strong><\/p>\n<ul>\n<li><strong>Inhibitori ai pompei de protoni (IPP)<\/strong><\/li>\n<li><strong>Blocan\u021bi H2<\/strong><\/li>\n<li><strong>Antibiotice<\/strong><\/li>\n<li><strong>Antiacide<\/strong><\/li>\n<li><strong>Prostaglandine <\/strong><\/li>\n<\/ul>\n<h3><strong>Ce complica\u021bii pot ap\u0103rea dac\u0103 nu este tratat?<\/strong><\/h3>\n<ul>\n<li><strong>S\u00e2ngerare digestiv\u0103<\/strong> \u2013 poate duce la anemie sau hemoragie sever\u0103<\/li>\n<li><strong>Perfora\u021bie<\/strong> \u2013 ulcerul creeaz\u0103 o gaur\u0103 \u00een peretele stomacului\/duodenului (urgen\u021b\u0103 medical\u0103)<\/li>\n<li><strong>Penetra\u021bie<\/strong> \u2013 extinderea leziunii \u00een alte organe (pancreas, ficat)<\/li>\n<li><strong>Stenoze<\/strong> \u2013 \u00eengustarea por\u021biunii afectate, cu dificultate la trecerea alimentelor<\/li>\n<li><strong>Transformare malign\u0103 (risc sc\u0103zut, dar posibil \u00een ulcerul gastric)<\/strong><\/li>\n<\/ul>\n<h3><strong>Cum poate fi prevenit ulcerul?<\/strong><\/h3>\n<p>De\u0219i nu toate cazurile de ulcer pot fi prevenite, exist\u0103 m\u0103suri importante care pot reduce semnificativ riscul apari\u021biei acestei afec\u021biuni:<\/p>\n<ol>\n<li><strong> Evitarea utiliz\u0103rii excesive de antiinflamatoare nesteroidiene (AINS)<\/strong><\/li>\n<li><strong> Tratamentul infec\u021biei cu Helicobacter pylori<\/strong><\/li>\n<li><strong> Renun\u021barea la fumat<\/strong><\/li>\n<li><strong> Limitarea consumului de alcool<\/strong><\/li>\n<li><strong> Gestionarea stresului<\/strong><\/li>\n<li><strong> Alimenta\u021bie echilibrat\u0103<\/strong><\/li>\n<li><strong> Monitorizarea simptomelor \u0219i controale medicale regulate<\/strong><\/li>\n<\/ol>\n<p>Ulcerul gastric \u0219i duodenal este o afec\u021biune tratabil\u0103, dar care poate deveni grav\u0103 dac\u0103 este ignorat\u0103. Consultul la timp, diagnosticul corect \u0219i tratamentul adecvat pot preveni complica\u021biile \u0219i pot duce la vindecare complet\u0103. Nu ezita s\u0103 ceri sfatul medicului gastroenterolog dac\u0103 ai simptome sugestive sau factori de risc asocia\u021bi.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Ulcerul gastric sau duodenal este o ran\u0103 deschis\u0103 care se formeaz\u0103 la nivelul mucoasei stomacului (ulcer gastric) sau al primei por\u021biuni a intestinului sub\u021bire \u2013 duodenul (ulcer duodenal). Aceste ulcere apar atunci c\u00e2nd bariera natural\u0103 care protejeaz\u0103 peretele digestiv este afectat\u0103, permi\u021b\u00e2nd acidului gastric s\u0103 erodeze \u021besutul. Care sunt simptomele ulcerului gastric sau duodenal? Simptomele [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":6323,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[29],"tags":[],"class_list":{"0":"post-6322","1":"post","2":"type-post","3":"status-publish","4":"format-standard","5":"has-post-thumbnail","7":"category-articole"},"acf":[],"_links":{"self":[{"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/posts\/6322","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/comments?post=6322"}],"version-history":[{"count":2,"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/posts\/6322\/revisions"}],"predecessor-version":[{"id":6327,"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/posts\/6322\/revisions\/6327"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/media\/6323"}],"wp:attachment":[{"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/media?parent=6322"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/categories?post=6322"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/neolife.ro\/enayati\/wp-json\/wp\/v2\/tags?post=6322"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}