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Патология затрагивает «луковицу» — наиболее близкий к желудку отдел кишки [2](https://doct.ru/diseases/bulbity.html). Может протекать как в острой, так и в хронической форме [2](https://doct.ru/diseases/bulbity.html). Часто возникает вместе с другими патологиями ЖКТ, такими как гастрит, дуоденогастральный рефлюкс или нарушения гепатобилиарной системы [2](https://doct.ru/diseases/bulbity.html).\n\n\n\n## Причины\nОсновная причина — **бактерия Helicobacter pylori**, которая провоцирует воспаление слизистой желудка и ДПК [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html)[5](https://ru.wikipedia.org/wiki/%D0%91%D1%83%D0%BB%D1%8C%D0%B1%D0%B8%D1%82)[8](https://xn--d1abuo3e.xn--p1ai/diseases/bulbit/). Также к провоцирующим факторам относят: \n* генетическую предрасположенность [6](https://polyclinika.ru/tech/bulbit-simptomy-lechenie-dieta/)[8](https://xn--d1abuo3e.xn--p1ai/diseases/bulbit/); \n* травмы желудка или кишечника, в том числе полученные во время диагностических манипуляций [8](https://xn--d1abuo3e.xn--p1ai/diseases/bulbit/); \n* язвенные поражения и эрозии двенадцатиперстной кишки [8](https://xn--d1abuo3e.xn--p1ai/diseases/bulbit/). \n\nВ некоторых случаях установить точную причину заболевания не удаётся (идиопатическое течение) [6](https://polyclinika.ru/tech/bulbit-simptomy-lechenie-dieta/)[8](https://xn--d1abuo3e.xn--p1ai/diseases/bulbit/).\n\n## Симптомы\nТочные проявления зависят от клинической формы [7](https://www.nrmed.ru/illness/bulbit/)[9](https://volgograd.medsi.ru/spravochnik-zabolevaniy/bulbit/). Некоторые симптомы: \n* **Боль** разной интенсивности [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html)[9](https://volgograd.medsi.ru/spravochnik-zabolevaniy/bulbit/). При катаральном бульбите — незначительные боли в верхней части живота, при эрозивной форме — более резкие, появляются натощак или после еды [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html)[9](https://volgograd.medsi.ru/spravochnik-zabolevaniy/bulbit/). \n* **Ухудшение аппетита**, тошнота, рвота, отрыжка и изжога [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html). \n* **Если на слизистой образуются язвы**, возможно развитие кровотечения, сопровождающееся рвотой и общей слабостью [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html). \n* **Бульбиты, возникающие на фоне инфекционного процесса**, протекают с повышением температуры, расстройством стула и развитием дисбактериоза [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html).\n\n## Диагностика\nДля диагностики бульбита используют, например: \n* **Эндоскопическое исследование** — позволяет оценить состояние слизистой оболочки, выявить эрозии и взять материал для биопсии [2](https://doct.ru/diseases/bulbity.html)[3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html)[9](https://volgograd.medsi.ru/spravochnik-zabolevaniy/bulbit/). \n* **Лабораторные анализы крови** — выявляют неспецифические для бульбита изменения: снижение эритроцитов, гемоглобина (при эрозивном варианте с кровотечениями), изменение уровня печёночных и панкреатических ферментов [9](https://volgograd.medsi.ru/spravochnik-zabolevaniy/bulbit/). \n* **Анализ кала на скрытую кровь** — проводят при подозрении на кровотечение [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html)[9](https://volgograd.medsi.ru/spravochnik-zabolevaniy/bulbit/).\n\n## Лечение\nЛечение бульбита комплексное [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html). Пациента ведёт гастроэнтеролог, при развитии осложнений — хирург [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html). Некоторые методы терапии: \n* **Диета** — пища должна быть полужидкой и тёплой, из рациона исключают солёные, острые и пряные блюда [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html). \n* **Лекарственные препараты** — антибиотики при наличии хеликобактерий, ингибиторы протонной помпы для уменьшения продукции соляной кислоты, антациды для снижения кислотности и защиты слизистой [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html). \n* **Физиопроцедуры** — магнитотерапия, электрофорез [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html). \n* **Хирургическое лечение** — при формировании язвенных дефектов на слизистой [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html). \n\nВ период ремиссии пациентам рекомендовано санаторно-курортное лечение [3](https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html).","linksData":[{"sourceId":1,"url":"https://o-med.ru/stati/bulbit/","shownUrl":"https://o-med.ru/stati/bulbit/","title":"Бульбит | Заболевание двенадцатиперстной кишки","shortUrl":"o-med.ru","isTranslated":false,"description":"","greenUrl":"o-med.ru"},{"sourceId":2,"url":"https://doct.ru/diseases/bulbity.html","shownUrl":"https://doct.ru/diseases/bulbity.html","title":"Бульбиты - причины, формы, диагностика и лечение","shortUrl":"doct.ru","isTranslated":false,"description":"","greenUrl":"doct.ru"},{"sourceId":3,"url":"https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html","shownUrl":"https://medcentr-Endomedlab.ru/zabolevanija/bulbit.html","title":"Как выявить бульбит | Справочник врача гастроэнтеролога Клиники ЭндоМедЛаб г. 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