Ntau tus neeg txaus siab rau qhov nws yog - dyspepsia, cov tsos mob uas muaj ntau, tab sis nyob rau hauv txhua rooj plaub lawv yog tus kheej. Koj tuaj yeem kuaj tus kab mob koj tus kheej. Koj tsuas yog xav txog qhov teeb meem. Hauv ICD, dyspepsia txhais tau tias yog ib qho kab mob plab zom mov uas cov zaub mov tsis zom tag nrho. Tus kab mob code yog K30. Cov tsos mob tseem ceeb ntawm dyspepsia feem ntau yog qhov tsis xis nyob hauv lub cev qis, kub siab, xeev siab, kev xav ntawm cov hnyuv, thiab satiety sai tom qab noj mov. Tsis ntev los no, cov kws tshawb fawb tau tsim kev sib raug zoo ntawm kev ntxhov siab thiab qhov tshwm sim ntawm dyspepsia.
Yog li ntawd, nws yuav tsum tsim kom muaj qhov nws yog - dyspepsia. Cov tsos mob thiab kev kho mob ntawm dyspepsia ntawm lub plab thiab cov hnyuv tau qhia hauv kab lus no. Tsis pom zoo siv tshuaj rau tus kheej.
Yog vim li cas
Cov hauv qab no ua rau muaj qhov tshwm sim ntawm tus kabmob:
- nquag glut;
- muaj tus cwj pwm tsis zoo;
- noj tshuaj nruj,cuam tshuam rau txoj hnyuv;
- noj zaub mov tsis zoo;
- xeeb tub;
- muaj cov kab mob hormonal;
- ua txhaum ntawm cov txheej txheem metabolic;
- zom zaub mov tsis zoo;
- Kev ua haujlwm tsis txaus ntawm cov khoom noj khoom haus nyuaj ua rau cov txheej txheem ntawm kev ua zaub mov, uas ua rau muaj kev loj hlob ntawm dyspepsia;
- feem ntau cov kab mob no yog ib yam rau cov menyuam yaus, tshwj xeeb tshaj yog thaum lub sijhawm ua haujlwm ntawm kev zom zaub mov;
- noj cov zaub mov carbohydrate siab;
- kab mob ntawm lub plab zom mov;
- kev ua neej tsis muaj zog;
- muaj cov kab mob oncological;
- kev tsis haum zaub mov;
- tseem muaj kev pheej hmoo suav nrog cov neeg muaj mob ntev thiab mob plab hauv plab.
Symptoms
Cov tsos mob ntawm plab hnyuv dyspepsia suav nrog:
- quav tsis ruaj (cem quav lossis raws plab);
- mob plab plab;
- nce roj tsim;
- nausea;
- mob siab heev.
Cov cim qhia ntawm enzymatic dyspepsia
Cov tsos mob tseem ceeb ntawm enzymatic dyspepsia suav nrog:
- nce roj tsim;
- bloating;
- poob qab los;
- tsis muaj zog;
- nquag tso quav;
Cov tsos mob ntawm fermentative dyspepsia
Fermentative dyspepsia yog tus yam ntxwv los ntawm cov tsos mob xws li:
- raws plab (cov quav muaj ntxhiab tsw);
- mob lossis tsis xis nyob hauv plab;
- xav puv plab;
- nce flatulence;
- bloating.
Cov cim qhia ntawm putrid dyspepsia
Cov kev kho mob tshwm sim ntawm daim ntawv putrefactive ntawm dyspepsia suav nrog:
- xeev siab, qee zaum ntuav;
- qaug zog, qaug zog;
- mob plab ntawm lub sijhawm mob hnyav;
- mob taub hau, kiv taub hau;
- boob.
Cov tsos mob ntawm neurotic dyspepsia
Dyspepsia ntawm qhov xwm txheej neurotic yog tshwm sim los ntawm cov tsos mob hauv qab no:
- poob qab los;
- poob phaus;
- xeev siab, ntuav;
- pw tsis tsaug zog;
- kev xav tsis thoob.
Cov tsos mob ntawm fatty indigestion
Fatty dyspepsia yog tus yam ntxwv los ntawm cov tsos mob hauv qab no:
- Nyob raws plab nrog cov yam ntxwv quav (feces npog nrog txheej dawb).
- mob plab.
Cov tsos mob ntawm tsis yog mob plab dyspepsia
Cov tsos mob ntawm qhov tsis yog mob plab hnyuv dyspepsia yog:
- nrawm nrawm los ntawm zaub mov noj;
- tsis xis nyob lossis mob hauv plab ntawm qhov ntswg;
- burp;
- siab kub;
- pw tsis tsaug zog;
- kev ntxhov siab tsis ruaj khov (tearfulness,chim siab).
Kev kuaj mob
Kev kuaj mob dyspepsia ntawm lub plab thiab cov hnyuv tau ua tiav nyob rau hauv muaj ntau yam uas yuav tsum tau ua:
- mob plab tas li, tsis xis nyob hauv lub cev ntau tshaj xya hnub, uas rov tshwm sim tsis tu ncua rau ib hlis lossis peb zaug hauv ib xyoos.
- Tsis muaj kev hloov pauv hauv plab hnyuv ntawm ultrasound, kev kuaj lub cev thiab endoscopic ntawm lub plab sab sauv.
- Lwm lub cim yog qhov kev xav ntawm kev puv thiab khaws cov zaub mov hauv cov hnyuv. Cov kev xav no feem ntau muaj feem cuam tshuam nrog cov pluas noj dhau los.
kev kho mob
Lub sijhawm teem sijhawm ntawm kev kho tshuaj rau dyspepsia hauv cov menyuam yaus thiab cov neeg laus tsuas yog ua tiav tom qab kuaj xyuas kom meej, vim tias cov tsos mob ntawm tus kab mob dyspepsia tuaj yeem qhia cov kab mob hnyav dua. Qhov tseeb, kev kho mob nws tus kheej yog tsom feem ntau ntawm kev tshem tawm cov kev xav tsis zoo uas xa los ntawm tus kab mob (los ntawm qhov mob mus rau qhov kev xav puv, plab, xeev siab).
Tshuaj kho mob plab hnyuv dyspepsia, raws li txoj cai, muaj peb pawg kws tshuaj:
- prokinetics;
- Yantacids;
- tshuaj tua kab mob.
Qhov kev txiav txim ntawm cov tshuaj los ntawm pab pawg ntawm prokinetics yog tsom rau kev ua haujlwm ntawm lub plab zom mov (tso rov ua haujlwm), ntawm cov lus pom zoo tshaj plaws yog cov hauv qab no:
- "Cisapride";
- "Domperidone";
- "Metoclopramide".
Cov tshuaj no pab txhawb kev ua haujlwm ntawm lub plab thiab cov hnyuv, uas yog, ua kom lub plab zom mov, ua rau kom nrawm nrawm thiab tso lub plab los ntawm cov zaub mov (hauv lwm lo lus, lawv ua rau lub plab ua haujlwm hnyav). Txo cov tsos mob ntawm reflux (heartburn). Cov tshuaj no muaj nyob rau hauv cov ntsiav tshuaj, qhov ntau npaum li cas yog txiav txim los ntawm tus kws kho mob.
Antacids yog tsim los ua kom lub plab zom mov ntau dhau (kev tso kua dej hauv plab) - thiab qhov no tseem ceeb heev, vim tias nws yog cov kab mob uas ua rau tus neeg mob mob, uas yog cov tsos mob ntawm plab hnyuv dyspepsia. Cov tshuaj Antacids tau nthuav dav niaj hnub no:
- "Omeprazole";
- "Ranitidine";
- "Almagel";
- "Rabeprazole"
Qee yam ntawm cov tshuaj no muaj nyob rau hauv daim ntawv ntsiav tshuaj, thiab ib co, xws li Almagel, yog nyob rau hauv daim ntawv ntawm ib tug gel zoo li muab tshuaj txhuam uas tau noj ua ntej noj mov.
Kev npaj ntawm pab pawg tshuaj tua kab mob tau sau tseg yog tias qhov kev kuaj mob pom tias muaj Helicobacter Pylori. Cov txheej txheem hauv qab no feem ntau siv:
1. Kev tswj hwm ntawm peb cov tshuaj hauv qab no:
- "Clarithromycin";
- "Metronidazole";
- "Omeprazole".
2. Qhov thib ob version ntawm cov tswv yim yuav hloov cov tshuaj "Metronidazole" nrog"Amoxicillin".
3. Lub tswv yim thib peb yog sawv cev los ntawm plaub yam tshuaj, uas yog:
- "Tetracycline";
- "Metronidazole";
- Y "Panthroprazole";
- "Bismuth subcitrate".
Ntxiv rau cov tshuaj tshwj xeeb, hauv kev kho mob plab hnyuv dyspepsia, kev siv tshuaj los txhawb lub cev tiv thaiv kab mob.
kev kho neeg zoo
Kev siv cov tshuaj pej xeem thiab cov hau kev rau plab hnyuv dyspepsia tuaj yeem ua tau zoo heev yog tias cov tsos mob ntawm tus kab mob tsis yog tshwm sim los ntawm cov kab mob loj. Thiab qhov no tuaj yeem tsim tau tsuas yog thaum ua cov txheej txheem kuaj mob tsim nyog. Ntawm cov tshuaj uas nrov tshaj plaws thiab pheej yig rau kev kho mob dyspepsia, cov zaub mov hauv qab no tuaj yeem paub qhov txawv:
- Kom normalize plab hnyuv thiab plab hnyuv microflora, txo cov hnyuv spasms, nws raug nquahu kom siv infusions nrog cumin. Ib nrab ib tablespoon ntawm cumin yog nchuav nrog dej npau (marjoram tuaj yeem ntxiv) thiab infused rau 15-20 feeb. Qhov no infusion yog siv rau putrefactive dyspepsia, nce roj tsim.
- Rau qhov kev ua kom zoo ntawm txoj hnyuv, siv cov tshuaj elecampane hauv paus. Xws li kev npaj yog npaj raws li hauv qab no: 1 tablespoon ntawm crushed cag yog nchuav rau hauv ib khob dej txias thiab infused thoob plaws ib hnub.
- Tshem tawm qhov mob thiab ua kom lub cev ua haujlwm ntawm lub plab zom mov yuav pab tau tincture ntawm fennel, marsh calamus cag thiab valerian hauv paus. Hmoov los ntawm crushed keeb kwm ntawm cov nroj tsuag no nyob rau hauvNyob rau hauv sib npaug proportions (ib teaspoonful) yog nchuav nrog boiling dej thiab infused.
- txhawm rau txhawm rau plab hnyuv thiab colic, da dej sov 15 feeb nrog ntxiv ntawm linden paj yog qhov zoo.
- Yog tias tus neeg mob txhawj xeeb txog kev tsim cov roj ntau ntxiv, tom qab ntawd nws raug nquahu kom siv lub decoction ntawm chamomile paj, yarrow, mint nplooj thiab sage. Tag nrho cov tshuaj yog crushed thiab sib tov, rau ib tug decoction, ib tug teaspoon ntawm sib tov yog noj thiab ncuav nrog boiling dej, insist rau ib nrab ib teev.
- Cais, nws tsim nyog txwv koj txoj kev mloog ntawm qee cov nroj tsuag uas tau siv dav heev hauv txhua qhov ua tau rau txoj hnyuv dyspepsia:
- Dandelion - keeb kwm, nplooj, paj yog siv rau kev kho mob. Nyob rau hauv daim ntawv ntawm tshuaj yej, dandelion muaj nyob rau hauv lub antibacterial kev kho mob regimen. Txhawm rau normalize kev ua haujlwm ntawm lub plab zom mov, kua txiv los ntawm cov nplooj tshiab ntawm cov nroj tsuag thiab decoction ntawm crushed dandelion paus yog siv. Ib qho tshuaj zoo heev rau dyspepsia yog zaub xam lav nrog cov nplooj tshiab dandelion - cov zaub mov no tuaj yeem raug suav nrog hauv koj cov zaub mov;
- Mint yog cov nroj tsuag muaj tannins, cov roj tseem ceeb, flavonoids, vitamins thiab carotene. Nws yog siv nyob rau hauv daim ntawv ntawm infusion ntawm nplooj thiab chaw muag tshuaj cawv tincture, uas yuav pab tau tshem ntawm qhov mob thaum lub sij hawm exacerbation ntawm dyspepsia thiab txo cov tsos mob ntawm flatulence.
Kev noj haus
Raws li koj tuaj yeem pom, kev kuaj pom raws sijhawm ntawm cov tsos mob thiab kev kho mob dyspepsia ntawm lub plab thiab cov hnyuv yuav pab ua kom cov kev noj qab haus huv rov zoo li qub. Tab sis muaj lwm txoj kev kho, yam tsis muaj qhov tsis tuaj yeem kov yeej tus kab mob. Kev noj zaub mov noj yog ib feem tseem ceeb ntawm kev kho mob plab hnyuv dyspepsia. Nyob ntawm seb hom kab mob twg, kev noj zaub mov kho tau raug sau tseg. Cov ntsiab cai dav dav rau kev noj zaub mov yog:
- sijhawm noj mov nruj;
- kev faib khoom ntawm cov khoom;
- ua raws li txoj cai ua noj;
- cais tawm ntawm kev noj zaub mov tsis raug tso cai.
Kev noj zaub mov yog txhawm rau txhim kho plab hnyuv, normalizing cov quav, tshem tawm ntawm plab tsis xis nyob.
Fermentative dyspepsia. Nrog rau daim ntawv no ntawm tus kab mob hauv kev noj haus, nws yog ib qho tsim nyog los txwv cov khoom noj uas muaj cov carbohydrates yooj yim digestible. Cov no suav nrog:
- qos yaj ywm mashed;
- jelly;
- txiv hmab txiv ntoo thiab txiv hmab txiv ntoo qhuav (raisins, qhuav apricots, prunes);
- niam;
- khoom qab zib;
- jam;
- muffin;
- khoom noj muaj fiber ntau (bran, legumes, txiv ntseej).
Cov protein ntau yuav tsum tau nce ntxiv. Txhawm rau ua qhov no, koj yuav tsum noj cov nqaij ntshiv thiab ntses, cov khoom lag luam soy, qe nyob rau hauv daim ntawv ntawm omelettes. Tshem tawm cov khoom noj uas tsim roj los ntawm koj cov zaub mov:
- apples;
- cabbage;
- bananas;
- legumes;
- putrefactive dyspepsia.
Thaum noj zaub mov kho rau daim ntawv no ntawm dyspepsia, cov protein noj tsawg tsawg. Tsis suav nrog kev siv nqaij, nqaij qaib, ntses, khoom noj siv mis, qe, buckwheat thiab oatmeal.
Pom zoo kho yoo mov li ob hnub nrog rosehip decoction thiab tshuaj yej qab zib. Tom qab yoo mov, kev siv cov carbohydrates nyob rau hauv daim ntawv ntawm crackers raug tso cai,mov porridge hauv dej. Koj tuaj yeem siv cov kua zaub neeg tsis noj nqaij lossis cov uas ua nrog cov kua zaub thib ob. Tsis tas li ntawd, fermented mis nyuj cov khoom muaj nyob rau hauv cov khoom noj, pab mus rau normalization ntawm plab hnyuv microflora. Kefir, fermented ci mis nyuj, yogurt, acidophilus raug tso cai.
Decoction of oak bark copes well nrog raws plab. Tom qab qhov ploj ntawm cov tsos mob ntawm dyspepsia, maj mam nthuav dav ntawm cov ntawv qhia zaub mov kom txog thaum ua tiav rov qab mus rau cov khoom noj niaj hnub.