Ntau tus neeg niaj hnub ntsib kev mob plab hnyav dua. Qhov no yog ib qho kev tshwm sim ntawm tus kab mob ntev. Nrog rau qhov exacerbation, yuav tsum muaj qee yam kev kho mob, noj zaub mov, vim tsuas yog ua tsaug rau kev ntsuas tuaj yeem txhim kho koj tus mob, tiv thaiv kev tsis zoo ntawm kev noj qab haus huv.
Ua rau tus kab mob exacerbation
Lub ntsiab tseem ceeb uas ua rau muaj qhov tshwm sim ntawm gastritis nyob rau hauv daim ntawv ntev yog cuam tshuam nrog kev noj zaub mov tsis txaus:
- tsawg thiab noj ntau (ib zaug lossis ob zaug hauv ib hnub);
- pluag zom thiab noj qhuav;
- ua phem rau zaub mov txias thiab kub dhau;
- siv cov khoom tsis zoo;
- nquag noj cov kaus poom thiab ntsim zaub mov uas ua rau mob plab plab.
Exacerbations kuj ua rau tus cwj pwm phem, tshuaj, ua haujlwm tsis zoo. Lub luag haujlwm tseem ceeb hauv kev tsis zoo ntawm tus mob yog ua los ntawm cov kab mob ntev ntawm lub plab zom mov, endocrine, kab mob sib kis thiab lwm yam kab mob.
Cov kws tshaj lijTsis tas li ntawd thov hais tias H. pylori cov kab mob muaj feem cuam tshuam rau kev txhim kho gastritis. Cov kab mob viruses nkag mus rau hauv cov mucosal barrier thiab ncav cuag cov hlwb epithelial. Yog li, lub epithelium puas lawm. Raws li qhov tshwm sim ntawm qhov no, cov tshuaj tiv thaiv inflammatory tshwm sim, cov teeb meem tshwm sim rau ntawm qhov chaw ntawm cov mucous membrane, thiab ulcerations tshwm sim. Raws li qhov tshwm sim, kev kho mob tsim nyog yog xav tau rau exacerbation ntawm gastritis.
Cov tsos mob thiab kev faib tawm kab mob
Mob plab gastritis feem ntau yog asymptomatic. Cov tsos mob ntawm pathological tshwm sim tsuas yog thaum lub sij hawm exacerbations. Cov tsos mob hauv qab no yog cov yam ntxwv zoo tshaj plaws:
- pain;
- dyspeptic;
- dyskinetic;
- asthenovegetative.
Pain syndrome, raws li nws twb paub meej lawm, yog tshwm sim los ntawm qhov mob. Nws yog tsuas yog nyob rau hauv cheeb tsam ntawm txoj cai hypochondrium, muaj ib tug rwj zoo li tus cwj pwm. Dyspeptic syndrome tshwm sim vim kev ua txhaum ntawm lub cev muaj zog thiab kev khiav tawm haujlwm ua los ntawm lub plab. Qhov no yog tshwm sim los ntawm xeev siab, belching, iab hauv qhov ncauj, kub hnyiab, kev hloov hauv qab los noj mov. Txhawm rau tshem tawm cov tsos mob no, kev noj zaub mov tshwj xeeb rau gastritis thaum lub sijhawm exacerbation yog tsim nyog. Dyskinetic syndrome yog txuam nrog kev ua haujlwm tsis zoo ntawm txoj hnyuv, thiab asthenovegetative syndrome yog txuam nrog kev chim siab, pw tsaug zog.
Qee zaum muaj cov tsos mob ntxiv, thiab cov cim saum toj no tshwm sim nrog qee yam nta. Nws nyob ntawm hom kab mob, acid-forming muaj nuj nqi. Ib hom kab mobmob gastritis nrog nce los yog khaws cia muaj nuj nqi secretory. Nws, nyob rau hauv lem, muab faib ua dyspeptic thiab mob. Lwm hom kab mob yog mob gastritis nrog kev txo qis hauv cov kua txiv hmab txiv ntoo.
Cov tsos mob ntawm gastritis nrog nce lossis khaws cia ua haujlwm zais cia
Cov cim tshwj xeeb muaj nyob hauv daim ntawv dyspeptic ntawm gastritis. Feem ntau lawv tshwm sim thaum ib tus neeg tsim txom cawv, noj cov zaub mov muaj roj lossis cov khoom noj uas muaj cov carbohydrates ntau hauv cov ntsiab lus. Vim tsis noj zaub mov, belching nrog qaub saj, heartburn torments. Qab los ntawm gastritis tsis cuam tshuam. Hauv qee cov neeg mob nws yog siab. Mob tshwm sim tsuas yog tom qab noj mov. Tsis tas li ntawd, muaj qhov kub hnyiab, hnyav thiab puv hauv cheeb tsam epigastric. Tej zaum kuj yuav muaj cem quav, ntuav, uas ua rau mob.
Rau daim ntawv mob yog tus cwj pwm los ntawm qhov mob tshwm sim. Mob txawv. Cov kws tshaj lij tau tsim ib qho kev faib tawm ntawm cov tsos mob no hauv gastritis nrog nce los yog khaws cia zais cia. Nyob rau hauv kev twb kev txuas nrog nws, mob yog txawv:
- by xwm - nchuav, mob thiab dull;
- raws li lub sijhawm tshwm sim - thaum sawv ntxov (ua ntej noj mov thawj zaug), ntxov (15-20 feeb tom qab noj mov), lig (2-3 teev tom qab noj mov), hmo ntuj;
- raws li qhov chaw nyob - feem ntau qhov mob yog nyob rau hauv txoj cai hypochondrium.
khoom noj kom raug: kev noj haus rau exacerbation ntawm gastritis
Kev kho mob plab hnyuv siab raum suav nrog kev kho tshuaj tshwj xeeb, tab sis tseem ceeb duaKev ua neej nyob thiab kev noj haus kuj ua lub luag haujlwm. Txhawm rau rov ua haujlwm zoo ntawm lawv lub cev, cov neeg mob tau qhia kom tso dej cawv, khoom noj tsis zoo (piv txwv li, chips, instant noodles). Kev noj zaub mov tshwj xeeb raug sau tseg. Nws nyob ntawm qhov xwm txheej ntawm tus neeg, theem ntawm tus kab mob, secretory ua haujlwm ntawm lub plab.
Rau gastritis nrog khaws cia lossis nce qhov zais cia, kev noj zaub mov txhua hnub hloov raws li hauv qab no:
- cov khoom uas muaj cov nyhuv stimulating ntawm lub plab kua txiv yog cais tawm ntawm cov ntawv qhia zaub mov;
- cov khoom noj khoom haus tau raug tshem tawm (cov khoom lag luam raug crushed ntau dua, ntau cov khoom noj tau nce thiab feem tsawg tsawg, piv txwv li nws yog qhov zoo tshaj plaws noj ntau zaus, tab sis me me).
Nyob rau hauv cov ntaub ntawv ntawm exacerbation ntawm gastritis, nws yog pom zoo kom mus ntsib ib tug kws tshwj xeeb. Tus kws kho mob yuav sau ib qho kev noj zaub mov tshwj xeeb, txiav txim siab lub sijhawm siv nws. Lub sijhawm ntawm kev noj zaub mov kho mob yog ib qho kev ntsuas tus kheej. Nws nyob ntawm tus kab mob. Raws li txoj cai, nrog rau qhov exacerbation ntawm tus kab mob, kev noj zaub mov No. 1a yog sau. Nyob rau yav tom ntej, thaum tus mob zoo lawm, nws yuav hloov mus rau kev noj haus No.1b, No.1.
Introduction to Diet 1a
Kev Noj Qab Haus Huv No. 1a tau sau tseg hauv thawj hnub ntawm kev kho mob gastritis nyob rau theem ntawm exacerbation. Pom zoo ua noj yog boiling los yog steaming nyob rau hauv semi-kua thiab kua daim ntawv. Noj cov tais diav nkaus xwb nyob rau hauv daim ntawv ntawm tshav kub - tsis txias thiab tsis kub. Qhov zoo tshaj plaws kub yog los ntawm 40 mus rau 50 degrees. Feem ntaucov khoom tsim nyog thiab cov tais diav yog qhia hauv lub rooj. Ntawm cov no, koj tuaj yeem ua cov ntawv qhia zaub mov rau ib lub lim tiam nrog exacerbation ntawm gastritis.
| Product group | Cov khoom tsim nyog lossis txwv muaj | Kev xaiv ua noj |
| Sups | Nrog nplej, hlaws barley, oatmeal | Pom zoo mucous decoctions hauv mis nrog ntxiv ntawm cov cereals teev |
| Ntses | ntau yam muaj roj tsawg (xws li zander) | Steam ntses soufflé |
| khoom noj | Nyob, nyuj, luav | Ntshiab, steamed nqaij soufflé |
| Ntsuab | YSemolina, mov thiab buckwheat hmoov | Mis los yog kua txiv hmab txiv ntoo |
| zaub | Yuav luag txhua | Zaub tsuas yog tso cai rau noj hauv homogenized, piv txwv li hauv daim ntawv me nyuam noj |
| Fats | Butter tsis ntxiv ntsev, zoo-refined txiv roj roj | Cov rog tau tso cai me me los ua cov tais diav |
| Qe | Tsis ntau tshaj 3 lossis 4 ib hnub | qe mos, steamed omelet |
| Ntaus | ||
| txiv hmab txiv ntoo, khoom qab zib | Qab Zib, zib ntab, tsis yog acid berries thiab txiv hmab txiv ntoo | |
| Drinks | Rose hips, nplej bran, non-acidicberries thiab txiv hmab txiv ntoo | Decoctions ntawm qus sawv, nplej bran, kua txiv diluted nrog dej thiab qab zib, tsis muaj zog tshuaj yej nrog mis nyuj los yog cream |
Sample daily menus
Cia peb pib nrog noj zaub mov 1a, vim nws yog thawj zaug uas tau muab tshuaj rau kev mob plab. Noj tshais tuaj yeem muaj ob yam khoom - qe thiab mis nyuj. Cov qe yog mos boiled. Ob peb daim yog txaus. Mis (1 khob) tsuas yog sov me ntsis thiab qaug cawv. Thaum lub sijhawm khoom noj txom ncauj tom ntej, koj raug tso cai haus 1 khob mis nyuj ntxiv thiab 180 g ntawm txiv hmab txiv ntoo jelly.
Noj su yog txaus siab dua hauv cov zaub mov no. Cov zaub mov rau exacerbation ntawm gastritis muaj xws li ib tug slimy kua zaub raws li mov thiab mis nyuj (400 g), me ntsis nqaij steam soufflé. Txiv hmab txiv ntoo jelly (125 g) yog siv rau khoom qab zib. Cov khoom noj txom ncauj txhua hnub muaj 2 haus dej qab zib - ib khob mis nyuj thiab ib khob ntawm rosehip broth. Rau noj hmo, boil 1 soft-boiled qe thiab semolina porridge nyob rau hauv cov mis nyuj (300 g). Tsis ntev ua ntej yuav mus pw, lawv haus ib khob mis nyuj.
Tom qab 1-2 lub lis piam ntawm kev noj zaub mov, noj rau hauv cov xwm txheej ntawm kev noj haus No. 1a, lawv hloov mus rau lwm lub rooj No. 1b. Nws lub hom phiaj yog kom me ntsis sparing lub digestive system. Kwv yees li ib hnub noj mov qhia tias yuav noj dab tsi thaum gastritis flares tuaj yeem ua raws li hauv qab no:
- rau pluas tshais tseem ceeb - cutlets nrog mis nyuj sauce, siav los ntawm nqaij thiab steamed (110 g), grated porridge boiled los ntawm buckwheat thiab mis nyuj (200 g) thiab 1 khob mis nyuj;
- rau cov khoom noj txom ncauj tom ntej - 1 khob txiv hmab txiv ntoo jelly;
- rau noj su - mashed kua zaub raws li mov thiab mis nyuj (400 g), ib co nqaij steammeatballs thiab txiv hmab txiv ntoo jelly rau khoom qab zib (125g);
- rau cov khoom noj txom ncauj txhua hnub - 1 khob ntawm rosehip broth, qee cov crackers (100 g);
- rau noj hmo - ntses fillet cutlets nrog sunflower roj (115 g), txiv hmab txiv ntoo jelly (180 g);
- ua ntej pw - 1 khob mis nyuj.
Cov zaub mov txwv tsis pub
Nrog gastritis nrog kev khaws cia thiab nce qhov zais cia, koj tsis tuaj yeem noj qee yam zaub mov. Nws yog ib nqi sau cia hais tias lawv cov kws kho mob txwv tsis pub noj tsis tsuas yog thaum exacerbations, tab sis kuj thaum lub sij hawm remissions (mus ntev). Cov npe suav nrog cov khoom noj thiab cov tais diav uas txhawb nqa cov kua txiv hmab txiv ntoo. Yog li, los ntawm cov ntawv qhia zaub mov thaum exacerbation ntawm gastritis thiab tom qab ntawd thaum lub sij hawm kev zam txim, lawv yuav tsum tau muab tshem tawm:
- fatty soups;
- nqaij nyuj thiab nqaij qaib;
- -fatty sausages, ntses khoom, stew;
- -cov nqaij muaj zog thiab nqaij ntses;
- okroshka;
- -kev haus luam yeeb hnyuv ntxwm thiab ntses khoom;
- khoom noj kaus poom;
- marinades;
- carbonated thiab cawv, kas fes, cocoa, kvass.
mob gastritis nrog txo qis ntawm cov kua txiv hmab txiv ntoo
hom kab mob no tuaj yeem ua rau mob. Txawm li cas los xij, nws muaj qee qhov peculiarities. Feem ntau, tsis hnov mob. Vim li cas cov tsos mob no tsis tshwm sim nrog cov kab mob no, tab sis nws puas yog tus kab mob gastritis tau piav qhia saum toj no? Qhov tseeb yog tias muaj mob nrog nce lossis ib txwm muajtso zis mob vim muaj kev zais zais siab.
Tab sis muaj qhov zam. Nrog gastritis nrog txo secretory muaj nuj nqi, tseem muaj qee zaum mob. Los ntawm cov xwm, lawv dull, mob, aggravated tom qab noj mov. Txhawm rau kom tsis txhob hnov qab, tib neeg feem ntau tsis kam noj. Tsis muaj ib qho chaw tshwj xeeb ntawm kev tsis xis nyob. Tsis muaj sijhawm teem sijhawm rau qhov pib mob. Yeej, lawv pib hnov qhov chaw hauv ib nrab ib teev lossis 1 teev tom qab noj mov. Qhov mob hnyav nyob ntawm qhov zoo thiab qhov ntau ntawm cov zaub mov noj.
Dyspeptic syndrome nrog gastritis nrog txo qis secretory muaj nuj nqi yog tshwm sim los ntawm cov tsos mob hauv qab no:
- xav qhov hnyav, puv lossis puv hauv cheeb tsam epigastric;
- ua pa tsis zoo;
- khoom noj rotten;
- tsis qab nyob hauv qhov ncauj;
- nauseous;
- drooling;
- kev tshaib plab.
Dyskinetic syndrome yog tus cwj pwm los ntawm kev hloov raws plab thiab cem quav. Cov neeg mob kuj yws ntawm flatulence. Cov tsos mob tsis zoo no tshwm sim vim muaj kev txav ceev ntawm cov zaub mov hauv plab hnyuv.
Txoj kev noj zaub mov
Nrog exacerbation ntawm gastritis ntawm lub plab nrog secretory insufficiency, tshwj xeeb khoom noj khoom haus kuj yuav tsum tau. Cov kws tshaj lij qhia ua raws li kev noj zaub mov zoo thiab cov khoom noj uas muaj cov vitamins thiab cov protein ntau rau ib lub lim tiam (lossis ntev dua me ntsis). Nws muaj ob peb lub hom phiaj. Ua ntej, noj zaub mov thaum exacerbation ntawm gastritis tiv thaiv cov tsos ntawm pathological hloov nyob rau hauv lub mucosa.daim nyias nyias uas kab lub plab. Thib ob, kev noj zaub mov kho mob rov qab ua haujlwm secretory ntawm cov qog ntawm lub plab.
Nrog gastritis, kev ua haujlwm ntawm lwm yam kabmob hauv nruab nrog cev raug ntsuas. Nrog rau kev nyiam raws plab, noj zaub mov No. 4b, thiab tom qab me ntsis - noj zaub mov No. 4c. Yog tias pom pom tias muaj kev puas tsuaj rau lub txiav, daim siab, lub gallbladder, ces kev noj zaub mov No. 5a lossis noj zaub mov No. 4b yog qhov tsim nyog nrog kev hloov mus ntxiv rau kev noj zaub mov No. 4c lossis No. 5.
Cov yam ntxwv ntawm kev kho tshuaj
Puas muaj peev xwm xaiv cov tshuaj ntawm koj tus kheej thaum muaj kev mob plab hnyav? Hais txog kev kho tshuaj, nws yog ib qho tsim nyog yuav tau tham nrog tus kws kho mob. Tsis muaj ib qho txuj ci kho mob uas tuaj yeem tshem tau cov kab mob gastritis. Kev npaj tau raug xaiv coj mus rau hauv tus account lub acidity ntawm gastric kua txiv, muaj lwm yam kab mob ntawm lub plab hnyuv ib ntsuj av.
Yog li, ib qho ntawm cov tshuaj yog Almagel nyob rau hauv ib lub vial nyob rau hauv daim ntawv ntawm kev ncua rau kev tswj qhov ncauj. Ntawm nws cov indications yog gastritis nrog nce thiab ib txwm secretion thaum lub sij hawm exacerbation. "Almagel" yog hais txog cov tshuaj antacid. Nws tiv thaiv lub plab mucosa los ntawm qhov tsis zoo ntawm cov kua txiv hmab txiv ntoo. Ib zaug nyob rau hauv lub cev, cov tshuaj neutralizes dawb hydrochloric acid, tsis provoke theem nrab hypersecretion ntawm gastric kua txiv.
Rau kev kho mob ntawm gastritis ntev nrog secretory insufficiency, kws kho mob sau:
- kev hloov pauv kev kho (hydrochloric acid, kev npaj kua txiv gastric, tshuaj nrog pancreatic enzymes);
- txhais tau tias txhawb kev tso tawm ntawm hydrochloric acid ("Plantaglucid").
Tib lub sijhawm, cov kws tshaj lij pom qhov tseeb tias kev kho tsis tuaj yeem hloov pauv thaum lub sijhawm ua rau hnyav dua. Cov tshuaj no tsuas yog siv thaum lub sijhawm tshem tawm thiab tsis muaj kev yaig. Thiab ib qho tseem ceeb tshaj plaws nuance - nrog gastritis nrog tsis txaus tso kua txiv gastric, koj tsis tuaj yeem haus cov tshuaj anticholinergic thiab cov tshuaj uas muaj belladonna hauv lawv cov muaj pes tsawg leeg txhawm rau tshem tawm qhov mob. Cov neeg ua hauj lwm no txo qis qhov tso tawm ntawm digestive enzymes thiab hydrochloric acid.
mob plab nyob rau theem mob hnyav yog ib yam mob uas yuav tsum tau mus ntsib kws kho mob. Tsuas yog tus kws kho mob tshwj xeeb tuaj yeem kuaj xyuas kom raug thiab sau ntawv kho kom raug uas yuav ua rau muaj txiaj ntsig tiag tiag, txo cov tsos mob tsis zoo thiab tib lub sijhawm yuav tsis ua rau muaj kev phom sij rau kev noj qab haus huv.
