Vim li cas cov zaub mov tsis zom rau hauv tus neeg laus: ua rau, tsos mob thiab kho

2024 Tus sau: Isabella Gilson | [email protected]. Kawg hloov kho: 2023-12-17 03:27

Ib qho ntawm cov teeb meem tseem ceeb suav nrog kev noj zaub mov niaj hnub no yog dyspepsia. Nws tshwm sim thaum cov zaub mov tsis zom zoo hauv cov neeg laus lossis cov menyuam yaus, ua rau raws plab, plab stasis, lossis ntuav. Ntau yam laj thawj ua rau muaj tus kab mob no. Tab sis cov neeg feem coob, thiab raws li kev txheeb xyuas kev kho mob, txog li 40% ntawm cov neeg nyob hauv cov teb chaws tsim kho tau ntsib kev zom zaub mov tsis zoo, tsis txhob maj mus ntsib kws kho mob.

Tsuas yog txhua tus neeg mob thib kaum tuaj ntsib kev sab laj nrog tus kws tshaj lij. Lwm tus frivolously tso qhov teeb meem no. Txawm li cas los xij, yog tias cov zaub mov tsis zom rau hauv cov neeg laus thiab tawm ib nrab nrog cov quav, ces nws yog qhov ceev kom paub qhov ua rau ntawm qhov tshwm sim no. Nws tuaj yeem ua tsis tau tsuas yog qhov tshwm sim ntawm kev ua yuam kev hauv kev noj zaub mov, tab sis kuj yog cov tsos mob ntawm tus mob neoplasm. Yog vim li cas qhov kev txheeb xyuasCov ua rau pathology qee zaum tsis yog tsuas yog tshem tawm qhov tsis xis nyob, tab sis yog lub sijhawm los cawm tib neeg txoj sia.

theem pib ntawm digestion

Khoom noj, raws li koj paub, nkag mus rau peb lub cev los ntawm lub qhov ncauj, qhov twg nws raug crushed. Tom qab ntawd, lub resulting loj txav los ntawm txoj hlab pas mus rau lub plab. Ntawm no, tag nrho cov khoom noj ua kua thiab tawg ua rog, proteins thiab carbohydrates. Cov zaub mov ua tiav hauv plab los ntawm 15 feeb. mus txog 7-8 teev, lub sijhawm tshwj xeeb yog nyob ntawm hom kev ua cov khoom, lawv qhov kub thiab txias, nrog rau kev sib raug zoo ntawm ntau yam khoom xyaw ntawm pluas noj. Txhua yam uas tseem tsis tau pom dua dhau mus ntxiv rau hauv duodenum.

Txhua theem ntawm cov zaub mov hauv lub plab zom mov, enzymes ua rau nws. Cov tshuaj no ua rau kev tawg ntawm cov protein, rog thiab carbohydrates rau hauv cov khoom sib cais. Raws li cov txheej txheem no, monosaccharides, amino acids thiab fatty acids raug tsim. Tag nrho cov ntawm lawv nkag mus rau hauv cov hlab ntsha vim kev ua hauj lwm ntawm lub epithelium nyob rau hauv lub phab ntsa ntawm cov hnyuv. Qhov seem "khoom" tom qab ntawd xa mus ntxiv. Ib zaug nyob rau hauv txoj hnyuv loj, cov zaub mov uas tsis tau zom tau raug rau cov kab mob, uas ua rau tsim cov co toxins thiab co toxins.

Tsis ua haujlwm ntawm lub plab zom mov

Yog vim li cas tus mob no thiaj li nrov hu ua "tub nkeeg plab". Tseeb, nyob rau hauv cov ntaub ntawv no, lub cev no tsis ua lub luag hauj lwm muab rau nws. Qhov no ua rau lub fact tias cov khoom noj uas tau nkag mus rau tib neeg lub cev lingers ntev tshaj li niaj zaus nyob rau hauvplab thiab tsis zom li qub.

Kev faib tawm

Vim li cas cov zaub mov digested hauv cov neeg laus? Yog vim li cas rau qhov no yog kev loj hlob ntawm dyspepsia, uas tuaj yeem yog:

• Functional. Qhov no yog ib hom kab mob ywj pheej. Nws yog vim kev ua haujlwm tsis zoo.
• Organic. Hom dyspepsia no yog ib qho tsos mob ntawm lwm yam kab mob. Piv txwv li, indigestion ntawm cov zaub mov raug sau tseg nyob rau hauv cov ntaub ntawv ntawm lom, kab mob, cholecystitis, thiab lwm yam. Nrog rau cov organic daim ntawv ntawm pathology, cov qauv kev hloov pauv tshwm sim hauv cov hlwb thiab cov ntaub so ntswg ntawm lub plab zom mov. Yog hais tias cov zaub mov tsis zoo digested nyob rau hauv ib tug neeg laus, ces kev kho mob ntawm pathology yuav nyob ntawm seb nws hom. Tias yog vim li cas nws tseem ceeb heev kom txiav txim siab qhov kev kuaj mob kom raug, uas tsuas yog ua tau los ntawm kev mus ntsib kws kho mob tshwj xeeb.

Kev faib tawm ntawm kev ua haujlwm dyspepsia

Cov hom kab mob hauv qab no yog qhov txawv:

1. Ntxawm. Nrog rau hom dyspepsia no, cov zaub mov tsis zom rau hauv cov neeg laus vim yog cov khoom noj muaj protein ntau hauv cov zaub mov. Qhov no yog qhov tseeb tshwj xeeb ntawm cov uas tuaj yeem zom tau ntev. Kev tawg ntawm cov proteins yog nrog los ntawm kev tso tawm cov tshuaj lom neeg lom neeg lub cev. Cov khoom no yog cov nqaij liab (nqaij nyuj, nqaij npuas, yaj) thiab nws cov derivatives (cov hnyuv ntxwm, thiab lwm yam). Kev tsim txom ntawm cov zaub mov no ua rau tsim cov microflora putrefactive hauv cov hnyuv.
2. Fatty or soapy. Vim li cas cov zaub mov tsis zom hauv cov neeg laus uas muaj hom dyspepsia? Txhawb nqa pathologynoj cov roj refractory ntau dhau. Lawv pom muaj nyob rau hauv nqaij npuas thiab yaj rog, nrog rau hauv lawv cov derivatives.
3. Kev fermentation. Hom kab mob no tshwm sim vim qhov tseem ceeb hauv cov zaub mov ntawm cov tais diav npaj los ntawm cov khoom noj uas muaj cov ntsiab lus carbohydrate siab. Cov zaub mov zoo li no pab txhawb txoj kev loj hlob ntawm cov txheej txheem fermentation. Cov zaub mov tsis zom rau hauv cov neeg laus uas noj ntau dhau ntawm cov khoom noj qab zib thiab hmoov txhuv nplej siab, txiv hmab txiv ntoo thiab zib ntab, zaub qhwv thiab peas, legumes, tsev brew thiab kvass, pickled zaub, thiab lwm yam. Hauv qhov no, fermentative microflora pib tsim hauv cov hnyuv.

Kev faib tawm ntawm cov organic dyspepsia

Yog tias cov zaub mov tsis zoo digested hauv cov neeg laus, cov hauv qab no ntawm cov enzyme deficiency tuaj yeem ua rau tus mob no:

1. YPancreatogenic. Hom dyspepsia no yog tshwm sim los ntawm qhov tsis muaj enzymes tsim los ntawm tus txiav.
2. Gastrogenic. Hom kab mob no yog tshwm sim los ntawm kev ua haujlwm tsis zoo ntawm lub zais zais ua haujlwm los ntawm lub plab.
3. Enterogenic. Nyob rau hauv cov ntaub ntawv no, cov zaub mov tsis yog tag nrho digested nyob rau hauv ib tug neeg laus vim yog ib tug ua txhaum ntawm txoj hnyuv quav kua txiv.
4. Hepatogenic. Hom dyspepsia no yog los ntawm kab mob siab.
5. Cholecystitogenic. Kev nqhis dej hauv qhov no yog tshwm sim los ntawm kev ua txhaum ntawm cov kua tsib lub zais zis.
6. Nco. Xws li dyspepsia sib xyaw ua ke ntau hom kab mob ntawm cov kab mob hauv ib zaug.

Txoj kev tsim txom

Vim li cas cov zaub mov tsis zom hauv cov neeg laus?

Tam sim nogastroenterologists tseem tsis tau txheeb xyuas qhov tshwj xeeb ua rau tub nkeeg plab syndrome. Txawm li cas los xij, nws paub tseeb tias kev txhim kho ntawm pathology tau yooj yim los ntawm kev cuam tshuam ntawm qee yam. Ntawm lawv:

• noj ntau dhau, tsis khoom noj khoom haus, noj zaub mov ntau dhau;
• pathologies ntawm gastrointestinal ib ntsuj av, uas yog ntev;
• kev ntxhov siab ntau zaus thiab kev ntxhov siab ntxhov siab;
• kev ua neej nyob tsis muaj chaw;
• siv tsis tau tshuaj, tshwj xeeb tshaj yog cov tshuaj hormones thiab tshuaj tua kab mob;
• smoking;
• Helicobacter pylori kab mob;
• haus kas fes ntau dhau;
• kab mob plab tsis ntev los no (salmonellosis, giardiasis, thiab lwm yam);
• tshuaj lom lub cev nrog tshuaj;
• hnub nyoog hloov pauv;
• dysmotility ntawm duodenum thiab plab.

Qee zaum dyspepsia tshwm sim vim kev kho hniav. Lawv muaj peev xwm provoke qhov nkag ntawm cov kab mob pathogenic rau hauv lub plab zom mov. Cov tsos mob ntawm "tub nkeeg plab" kuj tshwm sim nrog kev tsim txom ntawm cawv. Ethanol intoxication cuam tshuam rau lub luag haujlwm ntawm lub cev. Qhov no yog qhov ua rau tib neeg xav tias xeev siab thaum lub hangover. Nws yog provoked los ntawm undigested zaub mov, uas yog thawb rov qab.

Lwm qhov ua rau ntawm pathology yog atony ntawm lub plab. Qhov mob no ua rau txo qis hauv cov suab nrov ntawm nws cov leeg nqaij. Hauv qhov no, cov zaub mov tsis txav mus rau qhov raug. Nws yogaccumulates nyob rau hauv lub plab, pib tso siab rau nws cov phab ntsa. Cov txheej txheem no ntxiv txo cov leeg nqaij. Feem ntau, atony tshwm sim hauv cov poj niam cev xeeb tub.

Ntawm cov laj thawj uas cov zaub mov tsis zom rau hauv tus neeg laus tuaj yeem yog cov hauv qab no:

1. Npaj plab zais zis. Cov txheej txheem zoo sib xws yog tshwm sim los ntawm kev hloov pauv hormonal lossis ua haujlwm tsis zoo hauv kev ua haujlwm ntawm cov qog qog ntshav.
2. cuam tshuam hauv cov metabolism. Kev cuam tshuam ntawm lub plab qee zaum tshwm sim vim qhov qeeb ntawm kev tso tawm enzymes uas txhawb kev zom zaub mov. Cov txheej txheem no yog pov thawj ntawm enterogenic, hepatogenic, pancreatogenic lossis gastrogenous insufficiency.
3. Cov kab mob sib sau ua ke ntawm lub plab mucosa. Cov kab mob zoo li no ua rau muaj qhov tshwm sim ntawm pathology.

Nws tsim nyog sau cia tias thaum xa mus rau tus kws kho mob nrog kev tsis txaus siab tias zaub mov tsis zom rau hauv tus neeg laus, qhov ua rau ua haujlwm tsis zoo hauv 30-35% ntawm cov neeg mob tsis tuaj yeem txheeb xyuas.

Kev tshwm sim ntawm tus mob

Yuav ua li cas thiaj txiav txim siab tias zaub mov tsis zom rau hauv tus neeg laus? Kev kho mob ntawm dyspepsia yuav tsum tau pib tam sim tom qab pib ntawm nws thawj cov tsos mob, uas yog:

• mob hauv thaj av epigastric, uas feem ntau cuam tshuam thaum hmo ntuj;
• nce plab hnyuv thiab plab;
• zoo siab txawm tias so ntev los ntawm kev noj mov;
• plab zom mov, qhia los ntawm xeev siab, kub siab thiab ntuav.

Cov tsos mob ntawm dyspepsia, nyob ntawm nws hom, yuav muaj qee qhov sib txawv. Cia wb mus saib lawv.

Cov cim qhia ntawm daim ntawv fermentative ntawm pathology

Cov tsos mob ntawm hom mob no yog qhia nyob rau hauv qhov mob hnyav thiab mob raws plab, uas yog cov tsos mob los ntawm cov quav tsis muaj xim nrog cov ntxhiab tsw qab thiab cov kua dej, ua npuas ncauj. Hom dyspepsia no, provoked los ntawm cov zaub mov, uas muaj ntau cov fiber ntau, feem ntau tshwm sim nyob rau hauv ib tug mob daim ntawv. Rau fermentative pathology, muaj kev tawm tsam hnyav yog qhov tsis zoo, nws tuaj yeem kho tau zoo.

Cov cim qhia ntawm daim ntawv putrefactive ntawm pathology

hom dyspepsia no tshwm sim rau cov neeg uas nyiam cov khoom noj protein - nqaij, ntses thiab qe. Cov tsos mob ntawm daim ntawv no ntawm pathology yog:

• mob plab nrog cov ntxhiab tsw tsw;
• tsis ua haujlwm ntawm cov txheej txheem metabolic;
• txo qis hauv kev tiv thaiv kab mob;
• tsis qab los.

Cov cim ntawm fatty daim ntawv ntawm pathology

Nrog hom dyspepsia no, cov neeg mob yws ntawm rumbling hauv plab, raws plab, tsam plab thiab tsis muaj zog. Lub rooj zaum hauv cov ntaub ntawv no yog kua thiab nquag, lub teeb, nrog rau qhov tseem ceeb ntawm qhov nruab nrab lossis alkaline cov tshuaj tiv thaiv.

Kev tshuaj xyuas microscopic ntawm cov quav qhia pom cov pob zeb loj ntawm cov xab npum fatty soaps thiab fatty acids.

Cov cim qhia ntawm cov organic syndrome

Cov tsos mob ntawm dyspepsia, uas yog ib qho kab mob sib kis hauv plab hnyuv pathologies, tau tshwm sim raws li hauv qab no:

• kev puas tsuajxwm txheej;
• faus;
• migraines;
• muscular qaug zog;
• tsaus ntuj pw tsis tsaug zog thiab tam sim no pw tsaug zog;
• mob plab thiab plab tsis xis nyob;
• qaug cawv thiab flatulence, uas tsis nrog ntuav.

Kev tshem tawm ntawm kev ua haujlwm dyspepsia

Yog tias, rau ib qho lossis lwm qhov, cov zaub mov tsis zoo digested hauv tus neeg laus, kev kho mob yuav tsum tau ua tiav. Ntxiv nrog rau kev siv tshuaj, tus neeg mob tau pom zoo ua haujlwm uas ua rau muaj qhov ua kom zoo thiab noj zaub mov zoo, nrog rau kev ua neej nyob.

Cov kev kho mob ntawm kev ua haujlwm dyspepsia muaj nyob rau hauv kev cais tawm ntawm cov zaub mov ntawm cov rog, ntsim thiab ntsev. Tus neeg mob yuav tsum noj txog yim zaug hauv ib hnub thiab tib lub sijhawm hauv qee qhov me me. Yog tias tsim nyog, ntxiv rau:

• antacids ("Almagel", "Gaviscon");
• proton twj tso kua mis inhibitors ("Rabeprazole", "Omeprazole");
• sedatives ("Grandaxin", "Phenazepam").

Thaum muaj fermentative dyspepsia, chav kawm ntawm kev kho mob pib nrog kev noj zaub mov uas muaj cov ntsiab lus tsawg ntawm cov zaub mov carbohydrate. Nws raug tso cai kom suav nrog cov zaub mov muaj protein ntau hauv cov ntawv qhia zaub mov (nqaij broth, steamed nqaij qaib, butter) thaum txo cov nplej, pastries, txiv hmab txiv ntoo, zaub, qos yaj ywm thiab qhob cij. Cov tshuaj adsorbing (Polysorb, Smecta), probiotics (Bifikol,"Laktrofiltrum"), nrog rau cov tshuaj enzymatic ("Pancreatin", "Creon"). Maj mam, raws li tus neeg mob rov zoo, cov khoom noj uas muaj carbohydrate tau nkag mus rau hauv nws cov zaub mov hauv qhov txwv.

Kev kho rau putrefactive dyspepsia yog ua tiav zoo ib yam li siv rau daim ntawv fermentative. Ua ntej ntawm tag nrho cov, cov zaub mov muaj protein ntau yog cais los ntawm kev noj haus. Nyob rau tib lub sijhawm, probiotics thiab sorbents tau siv. Qhov xav tau tshuaj tua kab mob yog txiav txim los ntawm tus kws kho mob.

Kev kho mob ntawm adipose dyspepsia yog ua nrog kev txwv ntawm kev suav nrog cov rog hauv cov zaub mov. Cov zaub mov tseem ceeb rau tus neeg mob yuav tsum yog tsev cheese tsis muaj rog thiab cov nqaij tsis muaj rog, cov ntses boiled, thiab lwm yam. Kev noj zaub mov carbohydrates kuj yuav tsum muaj tsawg. Kev kho tshuaj muaj nyob rau hauv kev teem caij ntawm calcium carbonate, gastroprotectors thiab vitamins, suav nrog ascorbic thiab nicotinic acid.

YKev tshem tawm cov organic dyspepsia

Thaum xa mus rau tus kws kho mob uas yuav kuaj xyuas qhov tseeb, nws yuav nkag siab tias vim li cas cov zaub mov tsis zoo rau cov neeg laus. Kev kho mob ntawm cov ua rau cov organic dyspepsia yog kev kho cov kab mob hauv qab. Nyob ntawm seb hom kab mob pathology, kev kho mob tactics tseem yuav raug teev tseg. Piv txwv li, yog tias qhov ua rau mob plab plab plab yog peptic ulcer lossis gastritis, ces tus neeg mob tau qhia rau:

1. Kev noj haus. Nws cov zaub mov tsis suav nrog ntsim, ntsev thiab rog zaub mov. Cov khoom noj uas muaj fiber ntau, xws li txiv hmab txiv ntoo, rye qhob cij, kua txiv hmab txiv ntoo, zaub, thiab lwm yam, yuav tsum tsis suav nrog cov khoom noj txhua hnub. Tsim nyog muaj nyob rau hauvnco ntsoov tias lawv txhua tus pab txhawb qhov mob ntxiv.
2. Nyob rau hauv rooj plaub ntawm kev kuaj pom tus kab mob Helicobacter pylori, txoj kev kho tshuaj tua kab mob tau raug sau tseg. Nws yuav tsum muaj ob hom tshuaj tua kab mob.
3. Kom normalize acidity - txo nws nrog cov tshuaj uas yog ib feem ntawm cov proton twj tso kua mis inhibitors pawg, los yog nce nws los ntawm stimulating acid-forming hlwb nrog Plantaglucid. Hauv qhov kawg, cov kua txiv hmab txiv ntoo tuaj yeem siv tau.
4. Noj tshuaj uas pab tsim lub plhaub tiv thaiv kab mob plab ("De-Nola", "Sucralfata", thiab lwm yam)

Thaum pom pom qhov txhab qhib, kev phais yog ua. Cov neoplasm uas tau tshwm sim kuj yog qhov qhia rau nws.

Yog tias "lub plab tsis xis nyob" yog tshwm sim los ntawm kev ua haujlwm hormonal tsis ua haujlwm, ces kev kho mob yog kws kho mob endocrinologist.