Txoj kev ua neej nyob niaj hnub no yeej tsis tso cai rau peb ua raws li kev coj noj coj ua. Khoom noj txom ncauj ntawm kev khiav, noj hmo lig, noj zaub mov ceev - peb lub cev ua rau tag nrho cov no rau lub sijhawm, ua rau muaj kev ntxhov siab nyob rau hauv daim ntawv ntawm rumbling thiab mob hauv plab, hnyav, flatulence. Leej twg ntawm peb tsis tau ntsib qhov tshwm sim thiab leej twg tau mob siab rau nws? Muaj tseeb ob peb. Tab sis nyob rau hauv vain. Tag nrho cov cim qhia no tuaj yeem qhia txog kev txhim kho ntawm dyspepsia hauv lub cev - kab mob pathology uas yog keeb kwm yav dhau los tshwm sim ntawm cov kab mob loj ntawm lub plab zom mov.
Nyob rau hauv peb tsab xov xwm peb yuav daws cov teeb meem ntsig txog dyspepsia. Cia peb kawm seb yuav ua li cas pathology cuam tshuam nrog qhov tshwm sim xws li kev lwj ntawm cov protein hauv cov hnyuv. Qhov ua rau thiab kev kho mob ntawm tus kab mob kuj yuav raug txiav txim siab hauv cov ntaub ntawv ntawm kab lus. Cia peb sim nkag siab tias yuav ua li cas thiaj li ua tau kom muaj kev noj qab haus huv thiab tsis txhob muaj kab mob zoo li no.
Dispepsia yog dab tsi?
Dyspepsia yog ib yam kab mob ntawm lub plab zom mov txuam nrog kev zom zaub mov.
Pathology tshwm sim vimKev noj zaub mov tsis zoo, feem ntau yog vim tsis txaus ntawm digestive enzymes hauv lub cev.
Dyspepsia yog ib yam kab mob uas tshwm sim los ntawm cov kab mob ntawm lub plab zom mov thiab nws tus kheej tsis ua rau tuag, tab sis txo qis ntawm tib neeg lub neej zoo. Qhov tshwm sim ntawm dyspepsia tuaj yeem ua rau muaj qhov tshwm sim xws li putrefaction ntawm cov protein thiab amino acids hauv cov hnyuv, fermentation ntawm cov zaub mov hauv cov hnyuv, thiab lwm yam.
Txawm li cas los xij ntawm cov enzymes uas ploj lawm, lawv paub qhov txawv:
- cholecystogenic dyspepsia - kab mob tshwm sim los ntawm kev ua tsis zoo ntawm cov kua tsib;
- hepatogenic dyspepsia yog qhov tshwm sim ntawm kab mob siab;
- gastrogenic dyspepsia - ib qho pathology uas tshwm sim los ntawm lub plab tsis ua haujlwm;
- pancreatogenic dyspepsia - qhov tshwm sim ntawm qhov tsis muaj pancreatic enzymes;
- enterogenic dyspepsia - ib qho pathology uas tshwm sim thaum muaj kev ua txhaum ntawm cov kua dej hauv plab;
- mixed dyspepsia - kab mob uas sib txuas cov cim qhia ntawm ntau yam ntawm cov kab mob saum toj no.
Yog tias tsis kho, cov kab mob ua rau mob ntev thiab tuaj yeem ua rau muaj kev ua haujlwm tsis zoo ntawm lub cev, xws li metabolic tsis txaus - qhov tshwm sim tuag rau cov neeg mob ntshav qab zib mellitus, thiab lwm yam.
txheej txheem digestion
Simplistically, cov txheej txheem ntawm kev zom zaub mov zoo li no. Los ntawm lub qhov ncauj kab noj hniav, cov zaub mov nkag mus rau hauv lub plab, qhov twg nws pib zom nyob rau hauv qhov kev txiav txim ntawm gastric kua txiv thiab hydrochloric acid. Zaub mov yog digested thiabib nrab los ntawm cov phab ntsa ntawm lub plab nkag mus rau hauv cov hlab ntsha. Txij li thaum cov khoom noj sib xyaw ua ke nrog hydrochloric acid hauv plab, qhov sib npaug ntawm cov kua qaub thiab alkali hauv lub cev hloov pauv - acidity nce hauv plab. Txawm li cas los xij, qib pH rov qab mus rau qhov qub tom qab cov zaub mov digested nkag mus rau hauv txoj hnyuv me.
Kev hloov pauv ntawm cov zaub mov ua tiav los ntawm lub plab mus rau cov hnyuv yog ua los ntawm pyloric valve, uas ib ntus qhib thiab kaw nrog kev hloov pauv tsis tu ncua ntawm ib puag ncig hauv cov hnyuv.
Ntau dhau acidity yog neutralized los ntawm plab hnyuv kua txiv. Vim yog qhov nruab nrab ntawm cov ntsiab lus hauv plab hnyuv, pH theem hloov pauv ntawm alkaline mus rau acidic, thiab vice versa.
Lub plab thiab cov hnyuv me (txawm tias lub sijhawm luv luv) tau tiv thaiv los ntawm acidity siab los ntawm putrefactive microflora, uas ua rau cov khoom lwj ntawm cov khoom lwj. Tsis muaj microbes nyob rau hauv cov qhov chaw ntawm lub plab zom mov, nrog rau cov kab mob putrefactive.
Vim qhov tsis muaj enzymes, zaub mov tsis zom tag nrho. Cov khoom lwj tau dhau los ua cov txheej txheem pathological, tsim cov khoom siv tshuaj lom ntawm kev lwj ntawm cov proteins hauv cov hnyuv tshwm sim, nrog rau kev tso tawm roj.
Types of dyspepsia
Txhua yam khoom noj muaj proteins, rog thiab carbohydrates. Qhov feem pua ntawm cov tshuaj no hauv cov khoom sib txawv yog txawv. Yog li ntawd, tib neeg kev noj haus yuav tsum muaj ntau yam - nrog rau cov khoom noj, nws yuav tsum tau txais tag nrho peb yam. Txawm li cas los xij, kev tsim txom ntawm txhua yam khoom tuaj yeem ua rau lub cev tsis ua haujlwm thiab ua rau muaj kev loj hlob ntawm dyspepsia.
Muaj peb hom kab mob:
- Putrid dyspepsia yog hom kab mob uas tshwm sim los ntawm kev noj cov protein ntau, tshwj xeeb tshaj yog siv sijhawm ntev los zom. Nws tuaj yeem yog nqaij liab, pates, sausages. Ib puag ncig zoo yog tsim nyob rau hauv lub cev rau kev loj hlob ntawm putrefactive microflora, uas ua rau lwj ntawm cov protein nyob rau hauv txoj hnyuv. Kev kho mob ntawm daim ntawv no ntawm dyspepsia yog tsom feem ntau ntawm kev tshem tawm cov kab mob plab thiab rov ua kom qhov sib npaug ntawm cov plab hnyuv microflora.
- Fermentative dyspepsia tshwm sim thaum noj ntau dhau ntawm cov khoom noj uas muaj carbohydrates. Cov no suav nrog cov hmoov nplej, khoom qab zib, zaub qhwv, legumes, zib ntab, ntxiv rau mash, kvass, pickled zaub. Cov khoom zoo li no pab txhawb txoj kev loj hlob ntawm fermentation microflora, uas ua rau fermentation nyob rau hauv lub digestive saw.
- Fatty dyspepsia yog hom kab mob uas tshwm sim tawm tsam keeb kwm yav dhau los ntawm kev noj zaub mov ntxiv uas muaj roj ntau. Cov no suav nrog nqaij npuas lossis yaj rog. Fatty indigestion qee zaum hu ua soapy.
Cas of putrefactive dyspepsia
Putrid dyspepsia tsim tsis tau tsuas yog los ntawm kev noj ntau dhau ntawm cov zaub mov muaj protein ntau. Qhov ua rau ntawm pathology tuaj yeem yog cov khoom noj tsis zoo, nrog rau cov enzymes tsawg hauv lub cev - plab hnyuv proteases, pepsin, trypsin. Qhov tsis muaj enzymes feem ntau yog vim tib neeg txoj kev ua neej, tab sis qee zaum nws tuaj yeem tshwm sim nws tus kheej liCongenital defect.
Yog tias tsis muaj cov tshuaj uas decompose proteins hauv lub cev, lossis muaj cov zaub mov muaj protein ntau, ces nws tsis tawg tag, tab sis nyob rau hauv daim ntawv semi-processed nws nkag mus rau hauv cov hnyuv loj. Nyob ntawd nws decomposes, tab sis tsis nyob rau hauv tus ntawm ib txwm microflora, tab sis nyob rau hauv tus ntawm cov conditionally pathogenic.
Tom kawg, kev loj hlob sai, cuam tshuam qhov ib puag ncig ib puag ncig thiab ua rau muaj qhov tshwm sim ntawm dysbacteriosis, thiab cov kab mob uas muaj peev xwm nkag mus rau hauv qis qis ntawm cov hnyuv me thiab pib cov txheej txheem ntawm kev lwj hauv nws.
Rotting yog exacerbated los ntawm cov proteins ntxiv uas zais cov phab ntsa hauv plab nrog nce peristalsis. Nyob rau hauv tus txheej txheem ntawm kev lwj, cov tshuaj lom yog tsim uas yog absorbed rau hauv cov hlab ntsha thiab ua rau intoxication ntawm lub cev. Lub luag haujlwm tseem ceeb hauv kev kho mob dyspepsia yog nrhiav txoj hauv kev los tiv thaiv kev lwj ntawm cov protein hauv cov hnyuv. Thiab txoj hauv kev ntawm neutralizing cov khoom lom hauv lub cev kuj yuav tsum tau txiav txim siab.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias, nyob rau hauv qhov tsim nyog txwv, noj cov khoom saum toj no tsis ua rau muaj kab mob hauv lub cev. Txawm li cas los xij, ntau dhau ntawm cov zaub mov zoo li no lossis noj thaum yav tsaus ntuj, thaum cov haujlwm ntawm cov hnyuv txo qis, ua rau muaj qhov tsis zoo thiab cuam tshuam rau lub cev tsis zoo.
Symptoms
Raws li tau sau tseg ua ntej, dyspepsia yog keeb kwm yav dhau los rau kev txhim kho cov kab mob ntawm lub plab zom mov, yog li cov cim qhia ntawm pathology zoo ib yam li cov tsos mob ntawm kev mob plab. Kev tshwm simFunctional dyspepsia nyob ntawm seb hom pathology.
Fatty dyspepsia, piv txwv li, yog tshwm sim los ntawm hnyav hauv plab, belching, flatulence. Cov neeg mob qhia qhov mob hauv plab, hnyav dua los ntawm kev noj mov. Cov quav muaj ntau heev thiab feem ntau muaj cov khoom noj uas tsis sib xyaw ua ke.
Fermentative dyspepsia yog tus cwj pwm los ntawm kev muaj zog rumbling hauv cov hnyuv, flatulence. Cov neeg mob qhia qhov mob nyob rau hauv lub plab mog, nrog rau nquag mus rau chav dej. Hauv qhov no, cov quav muaj cov ntxhiab tsw qab thiab cov kua dej sib xws. Qhov tshwm sim ntawm fermentation hauv cov hnyuv kuj yog cem quav.
Cov tsos mob ntawm fermentation yuav tsum tsis txhob ignored. Tsis muaj kev kho kom raug ua rau maj mam kis kab mob ntawm cov phab ntsa hauv plab. Nyob rau tib lub sijhawm, cov yeeb yaj kiab tiv thaiv ntawm cov mucous daim nyias nyias yuav tsum tau tsim, uas yav tom ntej yuav tso cai rau cov kab mob pathogenic ua kom muaj zog dua. Sij hawm dhau mus, pob zeb fecal tsim nyob rau hauv txoj hnyuv.
Cov neeg mob raug kev txom nyem los ntawm fermentation dyspepsia kuj tseem ceeb ib qho kev qhia sab nraud ntawm qhov tshwm sim ntawm tus kab mob - lub npe hu ua "fecal" plab. Nws tshwm sim vim tias cov hnyuv ua rau poob qis hauv qhov hnyav ntawm cov khoom noj uas tsis tau ua tiav.
Kev tshwm sim ntawm putrefactive dyspepsia
Dyspepsia ntawm kev lwj ua rau tso tawm cov tshuaj lom hauv lub cev, xws li cresol, skatole, phenol. Raws li qhov tshwm sim ntawm cov tshuaj tiv thaiv, cov pa roj tau tsim uas ua rau muaj qhov tshwm sim ntawm flatulence. Cov roj nyiam nthuav dav thiab nias rau ntawm phab ntsa ntawm cov hnyuv, ua rau muaj kev tsis sib haum xeeb hauv plab. Yog vim li cas rau qhov no yog kev lwj ntawm cov protein nyob rau hauv cov hnyuv. Cov tsos mob ntawm tus mob pathological yog ua tiav los ntawm kev tsis txaus siabcolic thiab mob. Cov txheej txheem inflammatory tsim nyob rau hauv txoj hnyuv. Lub cev nqaim nqaim, thiab "plugs" daim ntawv nyob rau hauv qhov chaw nqaim, uas ncab qhov chaw uas tsis yog mob.
Nrog putrefactive dyspepsia, intoxication ntawm lub cev tshwm sim, yog li tus neeg mob xav tias muaj kev puas tsuaj, tsis muaj zog, thiab txo qis hauv kev ua haujlwm. Nws tuaj yeem cuam tshuam los ntawm kiv taub hau thiab mob taub hau, qee zaum muaj mob muaj qhov nce me ntsis hauv lub cev.
Pathology kuj yog qhov tshwm sim ntawm xeev siab thiab ntuav, tsam plab thiab mob plab, nquag mushy tsaus quav nrog cov ntxhiab tsw qab.
Kev mob plab hnyuv plab yuav siv ob hom:
- mob,
- spicy.
Daim ntawv mob tshwm sim tom qab noj ntau dhau ntawm cov protein, piv txwv li tom qab noj barbecue ntau dhau ntawm kev noj mov. Tus kab mob no yog ib ntus thiab daws sai sai ntawm nws tus kheej lossis nrog kev pab ntawm cov tshuaj uas muaj enzymes.
Cov kab mob dyspepsia yog qhov qhia txog kev ua haujlwm GI hnyav thiab xav tau kev noj zaub mov, hloov kev ua neej, thiab siv tshuaj.
Diagnosis
Kev tshuaj ntsuam dyspepsia yog qhov sib txawv thiab suav nrog ntau yam. Ntxiv nrog rau kev kuaj xyuas tus kws kho mob, muaj cov kev kuaj mob kuaj pom tias muaj protein ntau hauv cov hnyuv loj - biochemistry, UAC, nrog rau cov txheej txheem kev tshawb fawb.
Thaum kuaj thiab sib tham, tus kws kho mob txheeb xyuas cov tsos mob uas yuav qhia tautus neeg mob muaj kab mob hauv plab hnyuv, ua rau cov duab dav dav ntawm tus neeg mob txoj kev noj qab haus huv, txiav txim siab seb txoj kev kuaj mob twg los siv.
Zoo tag nrho, tus neeg mob raug xa mus rau kev soj ntsuam dav dav ntawm cov zis thiab ntshav. Feem ntau, tus neeg mob tau kuaj ntshav kom ntxaws yog tias muaj cov protein rotting hauv txoj hnyuv loj yog xav tias (biochemistry).
Txhawm rau txiav txim siab hom dyspepsia, tus neeg mob cov quav raug tshuaj xyuas. Qee zaum yuav tsum tau kuaj ua pa lossis kuaj fecal antigen. Kev kuaj ua pa tso cai rau koj los txiav txim siab hom kab mob uas ua rau muaj kev cuam tshuam hauv lub plab zom mov.
Qhov tshwm sim ntawm dyspepsia yog pov thawj los ntawm ntau cov nqaij leeg tsis tau ua tiav hauv cov quav, cov quav muaj ammonia thiab muaj cov tshuaj tiv thaiv alkaline. Hauv lub xeev noj qab haus huv, ib puag ncig yuav tsum yog acidic.
Fecal tsom xam pab kom paub qhov txawv dyspepsia los ntawm cov txheej txheem inflammatory hauv txoj hnyuv - nyob rau hauv cov ntaub ntawv ntawm pathology raws li kev xav, tsis muaj erythrocytes, leukocytes thiab hnoos qeev hauv cov khoom siv lom neeg.
Kev kuaj mob kuj tau lees paub los ntawm cov kab mob ntawm txoj hnyuv - hnyuv, plab, txiav txiav hauv cov txheej txheem ntawm kev ntsuas ntsuas.
Instrumental method of research
Yuav kom muab tshuaj kho kom raug rau tus neeg mob, nws yog ib qho tsim nyog los tsim kom muaj lub plab zom mov ntawm lub plab zom mov ua tsis tiav. Tom qab kev kuaj sim, yog tias muaj qhov tsis txaus ntseeg ntawm cov protein rotting hauv txoj hnyuv (biochemistry, OAM, OAC), lawv mus rauinstrumental tshawb fawb txoj kev. Nyob rau theem no, cov kab mob organic nrog cov tsos mob zoo ib yam li dyspepsia yuav tsum raug cais tawm ntawm kev xav.
Lub spectrum ntawm kev tshawb fawb tsis tu ncua muaj ntau yam. Cov txheej txheem kev kuaj mob feem ntau yog endoscopy, thaum lub sij hawm kuaj xyuas qhov mob ntawm cov kab mob hauv cov hlab pas, plab, thiab cov hnyuv. Thaum lub sij hawm tus txheej txheem, ib tug me me ntawm cov ntaub so ntswg mucosal yog feem ntau coj mus rau histological tsom xam. Txoj kev tshawb no tso cai rau peb los txiav txim qhov muaj lossis tsis muaj cov kab mob kauv Helicobacter pylori hauv lub cev.
Ntxiv rau qhov kev kuaj mob endoscopic, muaj:
- kuaj mob ultrasound, uas pab txheeb xyuas cov kab mob xws li mob pancreatitis, kab mob gallstone, thiab lwm yam.
- Electrogastrography thiab electrogastroenterography yog cov txheej txheem uas kuaj pom kev ua haujlwm tsis zoo ntawm lub plab zom mov. Cov txheej txheem yog ua raws li kev kawm txog kev muaj peev xwm ntawm cov leeg ntawm cov phab ntsa ntawm lub plab thiab cov hnyuv kom cog lus nyob rau hauv lub zog ntawm hluav taws xob impulses. Electrogastrography tshuaj xyuas lub motility ntawm lub plab, electrogastroenterography yog cov txheej txheem hluas uas tshuaj xyuas cov hnyuv motility.
- lub plab scintigraphy pab txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau lub plab cov leeg nqaij (Gastroparesis).
- Esophagomanometry yog ib txheej txheem uas ntsuas lub peev xwm ntawm txoj hlab pas kom cog lus.
- Antroduodenal manometry ntsuas kev txawj tsav tshebduodenum, thiab plab. Cov txheej txheem yog raws li kev sau npe ntawm lub siab hauv plab, duodenum thiab jejunum, uas tau ua ib txhij.
- Esophagogastroduodenoscopy yog ib qho kev kho mob uas tuaj yeem siv los txheeb xyuas qhov mob, mob plab, reflux esophagitis hauv tus neeg mob.
- X-ray.
kev kho mob ntawm Purid Dyspepsia
Kev kho mob ntawm cov neeg mob kuaj pom tias muaj cov kab mob putrefactive dyspepsia pib nrog kev noj zaub mov nruj. Qhov kev ntsuas no yog qhov tsim nyog txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhaws). Thiab qhov nruab nrab ntawm cov khoom puas tsuaj uas tso tawm thaum lub sij hawm putrefactive dyspepsia tuaj yeem zam tau los ntawm kev txwv cov zaub mov. Thaum pib, tus neeg mob tau txais kev tshaib kev nqhis rau 1-1.5 hnub, lawv raug tso cai noj cov tshuaj yej tsis muaj qab zib thiab dej. Qhov no yog ua raws li kev noj haus uas tsis suav nrog kev noj haus rau ob peb hnub:
- carbohydrates - qhob cij thiab pastries;
- khoom noj;
- fried foods;
- khoom ib nrab tiav.
Yog tias muaj mob hnyav ntawm lub cev, tus neeg mob tau muab cov tshuaj tso rau hauv cov hlab ntsha nrog cov ntsiab lus zoo (5% kua qabzib, thiab lwm yam). Maj mam, carbohydrates tau nkag mus rau hauv tus neeg mob noj zaub mov, tab sis tib lub sijhawm, kev noj zaub mov nrog cov coarse fibers yog txwv. Raws li txoj cai, tom qab ob peb lub lis piam tus neeg mob tus mob rov zoo li qub - koj tuaj yeem maj mam qhia cov protein rau hauv nws cov zaub mov. Cov khoom fermented mis nyuj pab kom tsis txhob muaj cov txheej txheem ntawm kev lwj.
quav quav normalization yog yooj yim los ntawm kev siv astringents,adsorbents, xws li cov pa roj carbon activated, pab tshem tawm cov tsos mob ntawm flatulence.
Anspasmodics ("No-Shpa") txo cov neeg mob ntawm qhov mob tshwm sim los ntawm kev txwv tsis pub cov leeg nqaij hauv plab.
Yog tias muaj enzyme deficiency, tus neeg mob tau muab tshuaj hloov kho, ua ke nrog qhov pom zoo kom noj cov vitamins B.
Qee zaum, yuav tsum tau kho tshuaj tua kab mob, cuam tshuam thaum muaj kev hem thawj ntawm kev kis kab mob lossis mob plab hnyuv.
Fermentative dyspepsia. Daim ntawv qhia tshuaj ntsuab
Kev kho rau fermentative dyspepsia zoo ib yam li kev kho mob ntawm putrefactive dyspepsia. Thaum pib, lawv mus yoo mov - rau 36 teev tus neeg mob tsis noj dab tsi tshwj tsis yog cov tshuaj yej tsis qab zib. Tom qab ntawd maj mam qhia cov zaub mov hauv me me. Tus neeg mob noj zaub mov yuav tsum muaj cov khoom uas tsis ua rau cov txheej txheem fermentation hauv cov hnyuv. Cov khoom no suav nrog:
- txiv hmab txiv ntoo, zaub, txiv hmab txiv ntoo, mis nyuj, almonds yog cov khoom noj alkaline;
- niam;
- zaub zaub uas pom zoo kom zom kom ntev li ntev tau thiab tsis txhob noj yav tsaus ntuj;
- dej ntxhia.
Kev haus dej haus cawv yog qhov tseem ceeb heev rau kev mob plab, cov neeg mob tau qhia kom haus tsawg kawg 1.5 litres dej ib hnub.
Thaum muaj enzyme deficiency, cov neeg mob tau sau tshuaj chemically synthesized, nrog rau kev qhia txog kev kho cov kab mob plab uas ua rau tsis muaj lawv tus kheej enzymes hauv lub cev.
Muaj qee lub sijhawm uas yuav tsum tau noj tshuaj tiv thaiv kab mob kom txo qisacidity ntawm lub plab, nrog rau kev noj cov tshuaj prokinetics - cov tshuaj uas ua kom lub plab zom mov.
Dyspepsia tshwm sim tsis tau tsuas yog rau cov neeg laus, tab sis kuj rau cov me nyuam. Kev kho cov txheej txheem fermentation hauv cov menyuam yaus txoj hnyuv kuj tau ua los ntawm kev ua raws li kev noj zaub mov txhua lub lim tiam raws li kev noj tsawg kawg nkaus ntawm cov khoom noj uas muaj carbohydrates.
Ntxiv nrog rau kev kho tshuaj, qee zaum lawv siv cov tshuaj noj zaub mov raws li kev siv cov khoom cog. Piv txwv li, decoctions ntawm dill, txiv qaub balm, chamomile, pomegranate tev pab nrog flatulence.
Homeopaths pom zoo kom siv cov compresses sov rau lub plab, ua lub teeb zaws ntawm qhov chaw ntawm qhov mob hauv cheeb tsam - cov txheej txheem yuav pab tshem tawm qhov mob thiab ua kom muaj roj sib cais.
Cov lus pom zoo dav dav hauv kev tiv thaiv dyspepsia yog ib yam: koj yuav tsum zom zaub mov kom huv si, tsis txhob noj hmo, tsis txhob noj ntau dhau. Thiab nco ntsoov tias qhov sib npaug ntawm cov kua qaub thiab alkali hauv lub cev yog qhov tseem ceeb heev. Nrog rau kev paub txog kev noj zaub mov zoo, koj lub cev yuav hnov zoo.
Raws li cov lus saum toj no, cov lus xaus hauv qab no tuaj yeem kos tau. Dyspepsia yog ib yam kab mob uas tshwm sim los ntawm kev noj zaub mov tsis zoo ntawm tus neeg. Nws ua rau kev loj hlob ntawm cov kab mob loj ntawm lub plab zom mov hauv lub cev.
Hauv kev kho mob, raws li kev faib tawm, muaj ntau hom dyspepsia. Ib qho ntawm cov no yog putrefactive dyspepsia, uas yog inextricably txuas nrog xws li ib tug tshwm sim xws li lwj ntawm cov protein nyob rau hauv txoj hnyuv. Biochemistry, serological kev tshawb fawb, endoscopy, ultrasound - tag nrho cov txheej txheem no nquag siv nyob rau hauv kev kuaj mob ntawm dyspepsia. Nrog rau kev tshuaj xyuas raws sijhawm, pathology teb zoo rau kev kho mob.
