Dyspepsia (Ua haujlwm zom zaub mov tsis zoo)

Daim ntawv no suav nrog kev zom zaub mov tsis zoo thiab lawv Cov tsos mob. Cov teeb meem tshwj xeeb, xws li kev noj zaub mov tsis haum thiab kev ua xua, khaus plob tsis so tswj plab, plab hnyuv, kab mob celiac, cem quav, plab rwj thiab duodenal rwj, thiab kab mob gastroesophageal reflux ua rau nws tshwm sim. cov ntaub ntawv cais.

Functional digestive disorders thiab dyspepsia: lawv yog dab tsi?

Functional digestive disorders yog cov teeb meem uas tsis muaj pov thawj qhov mob, tab sis teeb meem kev ua haujlwm ntawm lub plab zom mov. Muaj ob peb hom, cov digestive mob plab (tsis qab los noj mov, xeev siab, kub siab, belching, tsam plab), uas feem ntau hu ua dyspepsia, Thiab digestive teeb meem ntawm txoj hnyuv (mob plab, plab hnyuv, thiab lwm yam) uas yog cov teeb meem nquag.

La dyspepsia, qhov kev xav ntawm lub ntiajteb txawj nqus, "overflow" los yog tsam plab nrog los ntawmbelching rov), los yog mob saum lub umbilicus uas tshwm sim thaum lub sij hawm los yog tom qab noj mov, muaj nyob rau hauv 25% mus rau 40% ntawm cov neeg laus1. Raws li gas plab hnyuv emitted li cua (cov tsiaj nyeg), cia peb paub tseeb, lawv tshwm sim hauv kev xyaum txhua tus, los ntawm 6 mus rau 20 zaug hauv ib hnub txawv ntawm 300 ml mus rau 1 liter / hnub.

Kev zom zaub mov yog dab tsi?

Kev zom zaub mov yog txheej txheem lom neeg uas tib neeg khoom noj khoom haus yog degraded thiab hloov mus rau hauv assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable assimilable cov as-ham uas tom qab ntawd dhau los ntawm txoj hnyuv phab ntsa mus rau hauv cov hlab ntsha.

Kev zom zaub mov pib nyob rau hauv lub qhov ncauj, qhov twg cov zaub mov yog crushed thiab tov nrog qaub ncaug, thiab ces txuas mus rau hauv lub plab, uas secretes digestive kua txiv acids, txuas ntxiv mus rau degrade thiab zom cov zaub mov rau ob peb teev. Thaum tawm hauv lub plab, cov khoom noj uas tau txais predigested (hu ua xim) txuas ntxiv mus rau hauv txoj hnyuv los ntawm kev zom cov kua txiv hmab txiv ntoo los ntawm lub txiav thiab lub gallbladder. Cov zaub mov dhau los ntawm phab ntsa ntawm txoj hnyuv thiab taug kev los ntawm cov ntshav kom siv los ntawm lub cev. Dab tsi tsis tau absorbed, ntxiv rau cov tuag hlwb ntawm lub plab hnyuv phab ntsa dhau los ua cov fecal teeb meem nyob rau hauv txoj hnyuv.

 

Ua rau

A noj zaub mov tsis zoo los yog overeating tej zaum yog thawj qhov ua rautsis xis nyob. Piv txwv li, hauv qee tus neeg, noj cov zaub mov muaj rog, qab zib lossis ntsim, haus cov dej qab zib, kas fes lossis cawv ua rau lub plab zom mov thiab ua rau mob. Kev noj zaub mov ntau dhau tuaj yeem ua rau muaj kev ua haujlwm tsis zoo ntawm lub plab zom mov qee zaum hu ua "mob siab" hauv kev hais lus nrov, lossis kem plab.

Kev mob plab zom mov muaj ntau yam kev nthuav qhia :

  • Kev xav ntawm overflow, feem ntau tshwm sim los ntawm kev noj ntawmnoj ntau los yog rog heev uas slows digestion.
  • cov mob plab
  • Kev kub hnyiab tom qab ntawm lub mis (retro-sternal) yog cov tsos mob tseem ceeb ntawm gastroesophageal reflux.
  • cov mob plab tej zaub mov tej thaj chaw deb tej zaum yuav yog vim li cas :

* thaum lawv tshwm sim tom qab noj mov zaub mov ntau dhau;

*tab sis thaum lawv tshwm sim nyob deb ntawm cov pluas noj, nws yog ib qho tsim nyog yuav tsum nco ntsoov xyuas qhov ua tau mob rwj, qhov txhab ntawm lub plab los yog duodenum), Saib peb lub plab rwj thiab duodenal ulcer fact sheet.

  • cov belching (burping) tom qab noj mov yog qhov qub. Lawv feem ntau tshwm sim los ntawm kev tshem tawm ntawm huab cua los ntawm sab sauv ntawm lub plab thiab ncaj qha ntsig txog kev noj cov pa.

    - thaum noj;

    - los ntawm kev haus dej sai heev los yog haus los ntawm cov quav cab;

    - los ntawm zom cov pos hniav (= cov pos hniav);

    - Los ntawm kev noj cov dej haus carbonated tso tawm ntau cov pa roj carbon dioxide.

Kev nqus cua ntau dhau kuj tuaj yeem ua rau hicchau.

Txawm li cas los xij, cov belching no tseem tuaj yeem txuas rau kev tawm tsam ntawm lub plab hauv plab lossis txoj hlab pas (esophagitis, gastritis, ulcer) uas ua rau muaj kev xav nrog tus kws kho mob tshwj xeeb thiab kuaj pom thaum muaj kev pheej hmoo. .

  • cov ntuav (cov pa hauv plab), emitted li cua (tus tsiaj), kuj yog ib qho tshwm sim. Feem ntau ua rau cov plab hnyuv gas yog:

    - lubnoj d'air thaum noj los yog haus. Yog hais tias huab cua tsis yog belched, nws yuav ua raws li tib yam li cov zaub mov;

    - lub hom zaub mov thiab haus. Qee cov khoom noj uas muaj carbohydrates (xws li crucifers, peas qhuav, starches, txiv apples, thiab lwm yam) ferment, ua kom muaj roj ntau dua li lwm tus;

    - lub qeeb plab hnyuv uas tso cai rau cov zaub mov kom ferment ntau nyob rau hauv txoj hnyuv.

    Lawv yog ib feem tseem ceeb ntawm kev chim siab plob tsis so tswj syndrome. Tsis tshua muaj, roj yuav yog cov tsos mob ntawm cov kab mob ntawm cov mucous membrane, xws li cov kab mob inflammatory (Crohn's los yog UC), kab mob celiac lossis zaub mov tsis txaus, qhov zoo tshaj plaws paub tias yog lactose.

  • cov tsam plab yog tshwm sim los ntawm muaj roj nyob rau hauv cov hnyuv thiab sib haum mus rau txoj hnyuv plab. Lawv yog qhov tshwm sim ntawm ntau yam ua rau: khaus plob tsis so tswj, cem quav, kev phiv los ntawm cov tshuaj los yog cov khoom noj khoom haus (tshwj xeeb yog cov khoom noj siv mis).

Tom qab 50 xyoo ib qho kev mob plab tsis raws sijhawm, kev hloov pauv ntawm kev thauj mus los, ua kom pom tseeb rau tus kws tshaj lij kev xav, thiab kev tshuaj ntsuam xyuas (colonoscopy). Tsuas yog qhov kev ntsuam xyuas no yuav ua rau nws muaj peev xwm tshem tawm cov kab mob ntawm cov kab mob colonic mucosa, thiab kom paub meej tias qhov kev kuaj mob ntawm "mob plab" kuj hu ua "functional colopathy".

  • cov mob plab thiab mob sternum yog cov tsos mob tseem ceeb ntawm gastroesophageal reflux. Tham nrog peb cov ntaub ntawv gastroesophageal reflux.
  • cov Mob plab tuaj yeem yog vim muaj zaub mov ntau dhau, tab sis nws yuav tsum nco ntsoov txhawm rau txheeb xyuas qhov ua tau mob rwj. Nws yog ib qho mob tshwm sim ntawm lub plab los yog duodenum, uas ua rau mob thiab mob tom qab noj mov. Tshawb xyuas peb cov kab mob plab hnyuv thiab duodenal ulcer fact sheet.

Lwm yam ua rau digestive disorders

  • Thaum cov tsos mob tshwm sim sai sai thiab nrog los ntawm kev tsis xis nyob, feem ntau yuav ua rau kab mob gastrointestinal los yog ib tug lom zaub mov. Qhov no hu ua gastroenteritis. Kev xeev siab, ntuav thiab raws plab yog cov tsos mob tshwm sim ntau tshaj plaws. Kev pheej hmoo ntawm cov kev ntxhov siab yuav tsum ua rau kev sib tham nrog cov pa roj hauv plab (lub cev qhuav) lossis lwm qhov ua rau mob, xws li kev tawm tsam ntawm cov nqaijsaib.
  • Muaj ntau pharmaceuticals, suav nrog tshuaj tua kab mob, tshuaj aspirin, lossis tshuaj tua kab mob (cov tshuaj uas tsis yog tshuaj steroidal anti-inflammatory), tuaj yeem ua rau mob plab, raws plab lossis cem quav.
  • Kev ntxhov siab thiab kev ntxhov siab yog qee zaum txaus los ua teeb meem digestive.

Cov "hu ua" mob haumxeeb

Txawm hais tias muaj kev kuaj mob ntau, tus kws kho mob yuav tsis pom ib qho laj thawj los piav qhia lub plab zom mov tsis haum. Txawm li cas los xij, qhov mob, tsis xis nyob lossis cov tsos mob tshwm sim, tab sis lawv ua haujlwm tau zoo, vim muaj teeb meem ua haujlwm thiab tsis muaj kab mob lossis cov kab mob organic.

Rau "sab sauv" mob plab, peb hais txog "kev ua haujlwm dyspepsia" thiab rau "tso" colic mob "functional colopathy" lossis "mob plab hnyuv".

Hauv qee tus neeg nrog ua haujlwm dyspepsia, lub plab tsis distent raws li nws yuav tsum tau tom qab noj mov, ua rau muaj kev xav ntawm overflow.

Thaum twg los tham?

txawm yog lub plab zom mov tsis haum feem ntau tsis muaj teeb meem, qee cov cim ceeb toom yuav tsum qhia koj mus ntsib kws kho mob sai. Nov yog ob peb yam:

  • Sudden pib ntawm digestive disorders yam tsis muaj kev piav qhia meej;
  • Mob plab heev, hauv ” nkaug »;
  • Yog tias cov tsos mob tshwm sim los yog ntxhov siab heev;
  • Yog cov tsos mob tshwm sim thaum rov qab los ntawm kev mus ncig
  • Yog cov tsos mob tshwm sim tom qab noj tshuaj tshiab.
  • Nqa nyuaj nyuaj los yog mob thaum nqos;
  • xeev siab ntuav ua rau zaub mov tsis haum;
  • Qhov hnyav;

Cov cim tseem ceeb tshaj:

  • Muaj ntshav nyob rau hauv ntuav los yog nyob rau hauv cov quav;
  • Muaj ua npaws ;
  • daj ntseg los yog yellowish discoloration ntawm ob lub qhov muag;
  • Lub cev qhuav dej (cramps, qhov muag hollow, nquag tso zis, qhov ncauj qhuav, thiab lwm yam);

 

Sau ntawv cia Ncua