Peb txhua tus tsawg kawg ib zaug thiab ua ntej ntsib qhov tshwm sim tsis zoo li mob plab. Thiab feem ntau lawv hais tias qhov no yog "kev tshaib plab." ntuav tsis yog ib txwm muaj. Tshwj xeeb tshaj yog thaum yau, qhov tshwm sim no tshwm sim. Qhov tseeb, tsis muaj lub tswv yim zoo li no hauv kev kho mob terminology. Tus kab mob no hu ua dyspepsia, uas yog tus txheej txheem ntawm kev ua haujlwm ntawm lub plab.
Txhais lus, lo lus no txhais tau hais tias qhov tsis zoo ntawm lo lus "kev zom zaub mov". Hais lus ntxhib, qhov no yog ib qho nyuaj lossis cuam tshuam ntawm kev zom zaub mov.
Tam sim no, qhov teeb meem no tau kuaj pom ntau zaus.
Qhov tseeb, dyspepsia tsis yog ib qho kev kuaj mob. Es tsis txhob, nws yog ib qho nyuaj ntawm cov tsos mob tshwm sim uas tuaj yeem nrog ntau yam pathological thiab lub cev nqaij daim tawv los yog qhov tshwm sim ntawm lawv.action.
Vim li cas "kev tshaib plab" tshwm sim? Cia peb kawm saib.
Qhov laj thawj tseem ceeb ntawm dyspeptic manifestations
Raws li qhov ua rau cuam tshuam ntawm kev ua haujlwm ntawm lub plab ib txwm, nws yog txoj cai los faib dyspepsia rau hauv kev ua haujlwm thiab cov organic.
Qhov laj thawj tseem ceeb ntawm thawj tus mob yog:
- Yog tias noj zaub mov nrawm, nws zom tsis zoo, ua rau plab zom mov nyuaj thiab txheej txheem ntawm kev tsim cov kua txiv hmab txiv ntoo nyuaj.
- Kev noj ntau dhau yog ib qho ua rau mob plab. Raws li lawv hais nyob rau hauv lub neej niaj hnub, "lub plab ua tsis tau tejyam" los yog "lub plab tau ua." Cov zaub mov ntau dhau ib txwm ua rau digestion thiab cov zaub mov tsis muaj sij hawm los zom.
- Cov dej qab zib ua rau muaj kev mob plab ntau dhau thiab, raws li, cuam tshuam ntawm plab hnyuv.
- khoom noj "Havy": dhau kib, ntsim, kua txob, ntsev, thiab lwm yam.
- Kev tsim txom kas fes thiab tshuaj yej. Caffeine nce qib ntawm acidity, uas ua rau khaus ntawm lub plab mucosa.
- Cawv cawv kuj tsis yog ib txwm pom tsis tau rau lub plab zom mov.
- Kev ua txhaum kev noj haus. Ob qho tib si nquag thiab noj tsis tu ncua tsis ua rau lub plab ua haujlwm zoo.
- Kev ua kom lub cev muaj zog tom qab noj mov kuj tuaj yeem cuam tshuam txoj kev zom zaub mov.
- Nkauj-siab-xav-xav-xav-xav-xav-xav-xav-xav-tso kuj tsis ua rau tsis pom kev ua haujlwm ntawm lub plab zom mov.
- Ntau cov tshuaj pharmacological raws li kev phivmuaj kab mob hauv plab.
- Helicobacteria tuaj yeem ua rau "kev zom zaub mov".
Dyspepsia ntawm organic keeb kwm
Qhov laj thawj tshaj plaws yog:
- Kab mob ntawm lub plab zom mov.
- Kev cuam tshuam ntawm daim siab, piv txwv li, cholecystitis ib txwm nrog kev zom zaub mov tsis zoo.
- nce acidity ntawm lub plab (nws tshwm sim yog kub siab)
- Kab mob gallbladder.
- YPancreatitis.
- malignant qog ntawm lub plab zom mov.
Nrog rau cov organic dyspepsia, nquag spasmodic mob ntawm paroxysmal xwm yog yam ntxwv. Tsis tas li ntawd, hom dyspepsia no tshwm sim los ntawm lub caij nyoog exacerbations ntawm manifestations, uas, raws li kev soj ntsuam, feem ntau tshwm sim nyob rau hauv lig caij nplooj zeeg los yog thaum ntxov caij nplooj ntoos hlav.
Kev ua haujlwm dyspepsia
Thaum "kev tshaib plab" tshwm sim, raws li lawv hais, tawm ntawm xiav, thaum tsis muaj kev kuaj mob ntawm plab hnyuv, ces, feem ntau, muaj kev ua haujlwm dyspepsia, piv txwv li kev cuam tshuam ntawm kev ua haujlwm ntawm lub plab., provoked los ntawm ib yam dab tsi. Nws yog ib txwm ua kom paub qhov txawv ntawm hom kev ua haujlwm dyspepsia hauv qab no:
- Dyspepsia ntawm qhov fermentative xwm. Nws yog ib qho yooj yim los twv tias hom kab mob no provokes kev siv cov khoom uas provoke fermentation txheej txheem nyob rau hauv lub plab. Cov no yog cov khoom noj uas muaj carbohydrates ntau, cog fiber ntau, thiab fermented haus xws li npias thiab kvass.
- Dyspepsia ntawm fatty xwm. Nws tshwm sim los ntawm kev noj ntau cov zaub mov muaj roj ntau
- Dyspepsia ntawm qhov xwm txheej putrefactive. Nws tshwm sim los ntawm cov khoom noj muaj protein ntau. Kuv xav tshwj xeeb tshaj yog nco txog hom dyspepsia hauv kev sib txuas nrog lawv qhov tshwj xeeb zaus hauv lub sijhawm tsis ntev los no. Cov tsos mob ntawm plab zom mov yog qhov tsis kaj siab.
Tsis ntev los no, lub npe hu ua cov khoom noj protein kom poob phaus tau dhau los ua qauv: Dukan noj, Kremlin noj. Cov zaub mov no yog ua raws li kev noj cov protein ntau ntxiv thiab txo qis ntawm cov carbohydrates kom tsawg. Nws yog vim qhov tsis txaus ntawm cov protein-carbohydrate cov ntsiab lus ntawm cov khoom noj khoom haus, vim tias qhov kev xav tau ntawm cov txheej txheem metabolic tau pib hauv lub cev, thiab cov txiaj ntsig poob tau tiav. Tab sis cov kws kho mob thoob plaws ntiaj teb tau taw qhia txog qhov mob tshwj xeeb ntawm cov khoom noj tshwj xeeb no: lawv ua rau lub nra hnyav rau hauv plab hnyuv, siab, thiab raum. Nyob rau hauv lub cev muaj ib tug tsub zuj zuj ntawm lom cov khoom ntawm cov protein puas, uas yog, tsuas yog intoxication ntawm lub cev. Hmoov tsis zoo, qhov tshwm sim ntawm cov kab mob pathological no tuaj yeem hloov tsis tau thiab cuam tshuam rau kev ua haujlwm ntawm lub plab zom mov kom dyspepsia dhau los ua tus khub tsis tu ncua hauv lub neej ntawm tus hlub ntawm cov khoom noj, tab sis kuj ntawm lwm yam kabmob.
Kev tshwm sim ntawm dyspepsia
Hmoov tsis zoo, kev zom zaub mov yog qhov tsis txaus ntseeg vim tias nws tsis muaj qhov txawv txav tseem ceeb uas ib tus tuaj yeem 100% hais tias cov no yog qhov tshwm sim ntawm kev ua haujlwm dyspepsia, thiab tsis yog lub tswb nrov.pathological kab mob ntawm lub plab zom mov ntawm lub cev. Yog li, cov kws kho mob qhia: yog tias cov tsos mob dyspeptic ua rau lawv tus kheej hnov txog peb lub hlis, tsis hais txog qib twg, qhov no yog qhov laj thawj tseem ceeb rau kev kuaj xyuas seb puas muaj kab mob hauv plab.
Cia peb saib cov tsos mob tseem ceeb ntawm kev zom zaub mov.
Symptomatics
Cov tsos mob hauv qab no ntawm kev zom zaub mov yog qhov txawv:
- Mob plab, feem ntau spasmodic.
- Xav txog qhov tsis xis nyob thiab hnyav hauv plab hnyuv, tshwj xeeb tshaj yog tom qab noj mov.
- Qhov kev xav ntawm kev puv nrog zaub mov tshwm sim sai heev, cov khoom noj tau noj me me, tom qab ntawd los muaj kev pheej hmoo siab thiab mob siab rau kev ua kom puv, ua raws li qhov tsis muaj lossis ua txhaum ntawm kev noj qab haus huv ib txwm muaj thiab txawm tias kev txhim kho ntawm aversion. rau zaub mov.
- Burping thiab kub siab yog cov tsos mob feem ntau ntawm "kev zom zaub mov" hauv cov neeg laus.
- Tau tawv ncauj, feem ntau xaus rau ntuav.
- Npaj roj tsim.
- Kev tsis zoo ntawm kev noj qab haus huv, tsis muaj zog.
- Zoo los yog, conversely, cem quav.
- Kev qaug cawv ntau tuaj yeem tshwm sim.
Cov tsos mob thiab kev kho mob ntawm "mob plab" hauv cov neeg laus muaj kev cuam tshuam.
Ntau zaus, dyspepsia tuaj yeem pom tom qab noj mov hnyav, noj cov zaub mov muaj roj, thiab txawm tias lub cev ua haujlwm tseem ceeb tuaj yeem ua rau muaj kev cuam tshuam los ntawm txoj hnyuv. Cov tsos mob ntawm digestion nyob rau hauv ib tug me nyuam tsis yog tshwj xeeb tshaj yog txawv los ntawmlaus.
Rov hais dua, yog tias qhov tshwm sim ntawm cov tsos mob dyspeptic tsis tu ncua thiab pom tau ntev, ces qhov no yog vim li cas mus ntsib kws kho mob thiab kuaj xyuas. Kev kho mob raws sij hawm yuav pab kom tsis txhob muaj qhov tshwm sim tsis zoo thiab cov kab mob pathologies uas yuav ua rau mob ntev.
Ua ntej xav txog kev kho mob plab hauv cov neeg laus, koj yuav tsum paub koj tus kheej nrog kev kuaj mob ntawm tus kab mob no.
Diagnosis
- Fibrogastroduodenoscopy (FEGDS). Yog tias tsim nyog, kuj coj mus kuaj biooptical. Qhov no yog ib txoj hauv kev los txiav txim siab plab rwj. FEGDS yog ib txoj hauv kev endoscopic uas suav nrog kev kuaj pom ntawm qhov chaw ntawm lub plab, nrog rau duodenum siv lub tshuab endoscope video.
- Complex ultrasound ntawm lub xeev ntawm cov kabmob hauv nruab nrog cev - thiab tsis yog lub plab zom mov xwb.
- Kev tshawb nrhiav kev kuaj rau Helicobacter pylori - tus kab mob ua rau tus kab mob.
- Kev kuaj ntshav dav dav, uas tso cai rau koj kom tau txais cov duab dav dav ntawm lub xeev ntawm lub cev thiab txiav txim siab muaj cov txheej txheem inflammatory hauv lub cev.
- Kev tshuaj xyuas dav dav ntawm cov quav yog ua los txhawm rau txhawm rau txiav txim siab muaj qhov zais zais los ntawm cov kabmob hauv nruab nrog cev.
Yog tias tag nrho cov txheej txheem ntawm kev ntsuam xyuas saum toj no tsis muab daim duab ntawm qhov muaj tus kab mob, ces feem ntau nws yog kev ua haujlwm tsis zoo. Nyob rau hauv cov ntaub ntawv no, kev kho mob yog muab, tsom rau txo qis thiab tshem tawm cov tsos mob tsis kaj siab los ntawm txoj hnyuv thiab normalizing lub plab.
HowPuas yog koj tus menyuam raug kho mob plab? Xav paub ntau ntxiv hauv qab no.
Txoj Kev Kho Mob
Cov hauv qab no yog cov lus pom zoo tsis yog tshuaj:
- Nws tsis pom zoo kom pw tom qab noj mov. Koj tuaj yeem taug kev lossis koom nrog kev tawm dag zog lub cev tsis pub dhau ib nrab teev tom qab noj mov.
- Kev ua kis las yog qhov zoo rau koj, tab sis nws yog qhov zoo tshaj kom tsis txhob muaj kev tawm dag zog uas cuam tshuam rau cov leeg ntawm lub plab kab noj hniav, piv txwv li, kev cob qhia xovxwm yog qhov zoo tshaj plaws zam.
- Thaum pw tsaug zog, lub taub hau yuav tsum tau nce siab me ntsis kom tsis txhob muaj cov plab zom mov nkag mus rau hauv txoj hlab pas thiab, raws li, kub siab.
- Ua raws li cov txheej txheem ntawm kev noj zaub mov kom raug thiab kev noj zaub mov tsis zoo: tsis txhob noj ntau dhau, cov khoom noj uas muaj acidity, txo qis noj kib, rog, qab ntsev, haus luam yeeb.
Yog tias pom cov tsos mob ntawm dyspepsia nyob rau theem pib, cov lus pom zoo saum toj no muaj peev xwm pab ua haujlwm ntawm lub plab zom mov. Xav txog kev kho "mob plab" nrog tshuaj.
Tshuaj kho mob
Txoj kev kho mob ntawm kev ua haujlwm dyspepsia raug txo kom tshem tawm cov tsos mob dyspeptic, qhov tshwm sim thiab normalization ntawm plab hnyuv. Nws yog ib qho tsim nyog los pab lub cev rov ua haujlwm tsis zoo ntawm lub plab zom mov.
Cov kev kho mob feem ntau suav nrog:
- Noj tshuaj laxative lossis, ntawm qhov tsis sib xws, tshuaj tiv thaiv kab mob. Lawv raug coj mus txog rau thaum cov tsos mob uas lawv xav kom ploj mus.
- Painkillers tsom tshem tawm qhov mob spasmodic hauvplab.
- YEnzymes. Lawv yog cov pab hauv kev ua cov enzymatic ntawm cov khoom noj tuaj, pab ua kom tawg.
- H2-histamine blockers. Lawv tso cai rau koj kom txo qis acidity ntawm cov kua txiv hmab txiv ntoo.
Yog hais tias dyspeptic tshwm sim yog qhov tshwm sim ntawm cov kab mob hauv plab, ces cov kev mob tshwm sim saum toj no yuav tsum tau nrog kev kho mob ntawm cov kab mob uas ua rau dyspepsia.
Dyspepsia hauv menyuam yaus
Nws tsim nyog sau cia cais dyspepsia hauv cov menyuam yaus.
Raws li cov neeg laus, dyspepsia hauv cov menyuam yaus kuj yog kev zom zaub mov. Nws tsuas yog muaj cov yam ntxwv me me uas feem ntau ua rau muaj kev ntxhov siab ntawm cov niam txiv. Tshwj xeeb tshaj yog qhov tseem ceeb yog kev hloov kho raws sij hawm ntawm kev chim siab digestive muaj nuj nqi nyob rau hauv cov me nyuam, txij li thaum lub sij hawm ntev dyspepsia ntawm cov menyuam yaus muaj peev xwm ua rau muaj teeb meem tshwm sim, piv txwv li, paub zoo tias "lub cev qhuav dej", uas yog qhov txaus ntshai heev rau tus menyuam lub cev. Tshwj xeeb yog tias dyspepsia tshwm sim tawm tsam keeb kwm yav dhau los ntawm lwm cov kab mob ntev lossis mob hnyav.
Yuav ua li cas rau cov menyuam tsis plab?
Ua rau dyspepsia hauv menyuam yaus
Nyob rau hauv me nyuam mos nws yog:
- overfeeding;
- prematurity;
- kev txhim kho ntawm plab hnyuv;
- enzymatic deficiency, ob qho tib si pathological thiab physiological (qhov no txhais tau hais tias tus menyuam lub cev tsuas yog tseem tsis tau npaj txhij rau zom ib yam khoom vim qhov tsis txaus ntawm cov enzymatic system);
- toonoj ntxov;
- Kev tsis muaj peev xwm ntawm plab hnyuv ntawm cov menyuam mos kom tiv nrog ntim khoom noj.
Tom qab ib xyoos thiab thaum muaj hnub nyoog laus
Ntau zaus, cov niam txiv xav pub lawv cov menyuam noj thiab ua rau nws dhau. Thaum muaj hnub nyoog ntxov, kev loj hlob ntawm dyspepsia yog txhawb nqa los ntawm kev siv cov khoom tsim kev puas tsuaj, xws li khoom qab zib, chips, dej qab zib carbonated, khoom noj ceev, thiab hnyuv ntxwm. Rau cov menyuam yaus txoj hnyuv, cov zaub mov no nqa lub nra tshwj xeeb thiab raug mob.
Tsev Kawm Ntawv thiab cov tub ntxhais hluas
Vim qhov hloov pauv hormonal sai hauv lub cev thiab kev loj hlob ntawm cov kab mob hauv nruab nrog cev, lub sijhawm tshwm sim ntawm kev ua haujlwm dyspepsia kuj tuaj yeem ua tau, thaum dheev, qhov tseeb, tawm ntawm xiav, tsis muaj kev hloov pauv tshwj xeeb hauv kev noj zaub mov ib txwm muaj., tus me nyuam yws txog plab thiab plab hnyuv.
Raws li Dr. Komarovsky, pawg muaj kev pheej hmoo siab tshaj plaws rau kev tsim cov kab mob yooj yim (ua haujlwm) dyspepsia suav nrog cov menyuam yaus uas muaj ntshav qab zib, rickets, raug kev txom nyem los ntawm ntau yam kev tsis haum tshuaj, kab mob autoimmune.
Ntau yam ntawm menyuam yaus dyspepsia
Cov menyuam yaus muaj tib hom dyspepsia ib yam li cov laus. Saum toj no, peb tshuaj xyuas lawv kom ntxaws.
Cov tsos mob feem ntau ntawm GI siab rau cov menyuam yaus yog:
- nce flatulence;
- nquag regurgitation (hauv cov menyuam mos thiab menyuam mos);
- -pw tsis tsaug zog, ntxhov siab, chim siab;
- tsis qab los;
- xeev siab thiab ntuav;
- mob plab.
Kev ntsuas tsis raws sijhawm los ua kom zoo thiab tsim kom muaj qhov ua rauCov kab mob dyspeptic tuaj yeem ua rau muaj cov kab mob lom, uas yog qhov tshwm sim los ntawm qhov dav dav pallor thiab tsis muaj zog, nrog rau kub taub hau, ntuav rov qab thiab ua rau lub cev tsis zoo.
Koj tsis tuaj yeem kho tus kheej, koj yuav tsum mus ntsib kws kho mob, thiab yog tias xav tau ceev, hu rau lub tsheb thauj neeg mob.
Txoj kev kuaj mob dyspepsia
Kev kuaj mob yog tsom rau kev sib txawv ntawm cov kab mob yooj yim ntawm cov kab mob xws li fermentopathy / enteritis, colitis thiab lwm yam kab mob hauv plab hnyuv.
Cov kev kuaj mob hauv qab no yog siv:
- plab x-ray;
- duodenal suab;
- kev tshuaj xyuas ntawm intraesophageal (intragastric) ib puag ncig;
- Ultrasound ntawm lub plab zom mov;
- esophagogastroduodenoscopy;
- kab mob quav kab mob;
- ntshav biochemistry;
- coprogram;
- UAC and OAM;
- kuaj ntshav kuaj rau enzymes;
- tshuaj xyuas cov quav rau helminthic ntxeem tau.
Yuav ua li cas txhim kho plab zom mov?
Cov tshuaj hauv tsev zoo tshaj plaws rau kev yooj yim dyspepsia suav nrog:
- Ua raws li kev noj zaub mov tsis suav nrog cov zaub mov hnyav, thiab thawj ob peb teev ntawm tus kab mob exacerbation - noj mov tsis suav nrog. Muab dej rau tus me nyuam xwb.
- Txhim kho cov dej thiab cov hluav taws xob sib npaug ntawm lub cev vim kev poob dej vim yog ntuav thiab raws plab. Qhov no yog qhov txais tos ntawm "Rehydron", los yog kev daws teeb meemsodium chloride, los yog qabzib. Yuav kho mob plab me nyuam li cas nrog tshuaj?
- Restoration ntawm plab hnyuv microflora. Lawv siv tshuaj xws li Linex, Bifidum, Bifiform, Acipol, thiab lwm yam.
- Yuav kom tshem tawm cov co toxins thiab txo qhov flatulence, lawv noj cov tshuaj sorbents, xws li cov npe nrov "Smecta", thiab "Atoxil", "Enterosgel".
- Kev ruaj khov ntawm kev zom zaub mov yog ua nrog kev pab ntawm kev npaj enzymatic: "Creon", "Pancreatin". Thaum muaj hnub nyoog laus dua, cov menyuam raug muab "Festal", "Mezim".
Kev kho mob plab yuav tsum tau ua nruj me ntsis raws li kev saib xyuas kev kho mob.
Cov ntawv mob hnyav heev ntawm dyspepsia yuav tsum tau mus pw hauv tsev kho mob thiab kho mob hauv tsev. Cov tshuaj lom neeg ntawm dyspepsia yog cov teeb meem nyuaj ntawm qhov yooj yim dyspepsia, thaum kev kho mob sab nraud tsis muaj txiaj ntsig vim qhov mob hnyav, lossis kev saib xyuas sab nraud pib qeeb.
Peb tau saib cov tsos mob thiab kho mob plab.
