Ntev tsis quav ntsej, uas feem ntau nrog flatulence, tuaj yeem txhim kho nyob rau hauv ib tus neeg yam tsis tau npaj txhij thiab txhua lub sijhawm, yog li cov lus nug ntuj uas tshwm sim hauv qhov xwm txheej no yog yuav ua li cas tiv nrog tsam plab thiab cem quav, kab mob dab tsi. tuaj yeem ua rau lawv thiab kuv yuav tsum noj dab tsi?
Hnub no, cov tshuaj paub ntau yam kab mob uas tuaj yeem ua rau tus mob no. Yog li ntawd, yog cem quav thiab tsam plab ua rau muaj qhov tsis xis nyob, koj yuav tsum xav txog kev mus ntsib kws kho mob uas yuav pab koj nrhiav qhov ua rau ntawm tus txheej txheem no thiab sau ntawv kho kom tsim nyog.
Basic concepts
Tus mob no hauv kev kho mob hu ua flatulence. Qhov no yog ib tug ntau ntawm cov kua, gases thiab khoom khoom nyob rau hauv txoj hnyuv lumen. Cov tsos mob no tuaj yeem nrog ntau yam kab mob thiab cov kab mob pathological, nrog rau tshwm sim hauv cov neeg noj qab nyob zoo. Gas muaj pes tsawg leeg ntawm lub internalLub plab hnyuv ib puag ncig yog ntau haiv neeg: nyob rau hauv cov nqe lus ntawm ntim, lub ntsiab sawv daws yuav yog nitrogen, carbon dioxide thiab hydrogen. Tsis tas li ntawd, muaj cov pa oxygen, ammonia, hydrogen sulfide, thiab lwm yam.
gases tuaj qhov twg?
Raws li ntau qhov chaw, los ntawm 20 mus rau 70% ntawm cov roj ntim tau nqos hauv cov txheej txheem ntawm kev noj mov, ib feem ntawm cov ntshav, qhov seem yog tsim los ntawm kev ua haujlwm enzymatic ntawm microbes hauv plab hnyuv lumen. Nws yog feem ntau lees txais tias qhov ntim ntawm cov pa roj, uas yog cov khoom ntawm kev ua haujlwm ntawm microflora ib txwm muaj, hauv cov me thiab lub plab tsis pub tshaj 20%, thaum nyob rau hauv txoj hnyuv loj, cov roj no yog cov keeb kwm endogenous nyob rau hauv yuav luag 75-100%. cas.
cem quav yog dab tsi?
Kev cem quav yog qhov tsis muaj plab hnyuv siab rau ob peb hnub. Los yog ib qho mob uas defecation nyuaj. Raws li txoj cai, cov teeb meem no tshwm sim los ntawm ntau yam teeb meem ntawm lub plab zom mov.
Ua rau tus mob no pathological
Yog ib tug neeg noj qab nyob zoo, ces tsam plab thiab cem quav tsis suav hais tias yog pathology, thiab lawv tsis txaus ntshai. Qhov tseeb yog tias qee yam khoom noj tuaj yeem ua rau muaj roj ntau dhau. Cov no yog, piv txwv li, kvass, npias, khob cij dub, poov xab. Tsis tas li ntawd, qhov ua rau ntawm tus mob no tuaj yeem ua rau tsis muaj lactose, plab zom mov thiab noj ntau dhau, haus dej qab zib ntau dhau lossis cov khoom lag luam tsis zoo sib xws. Yog vim li cas rau txoj kev loj hlob ntawm flatulence thiab cem quav yuav ua tau sai sai, thaum, nrog rau cov khoom noj tsis txaus, ib tug neeg nqos cua.cem quav thiab tsam plab yog tshwm sim nrog colitis.
Yog tias qhov xwm txheej txuas ntxiv mus rau qee lub sijhawm - qhov tshwm sim ntawm kev noj zaub mov tsis zoo, tom qab ntawd cov xwm txheej zoo li qub los ntawm kev ua tib zoo hloov cov ntawv qhia zaub mov thiab siv cov khoom noj mis nyuj fermented. Txawm li cas los xij, yog tias cov hnyuv ua haujlwm tsis zoo, thaum cem quav tsis tu ncua thiab nrog o, mob hnyav, qhov no yuav qhia txog kev loj hlob ntawm cov kab mob loj heev.
Cia peb saib qhov ua rau cem quav thiab tsam plab.
Ntau yam ua rau tus kab mob no
Thaum cem quav, quav yuav tawv thiab sib sau ua ke ntau hauv cov lumen ntawm txoj hnyuv. Lawv tiv thaiv kev tshem tawm cov pa tawm ntawm cov hnyuv. Feem ntau cem quav thiab flatulence feem ntau ua rau thiab suav nrog:
- haus dej tsis txaus.
- Kev noj haus tsis zoo.
- Tsis txaus noj fiber ntau.
- Kev noj zaub mov yooj yim digestible uas pab txo cov leeg nqaij.
- Kev noj tshuaj.
- Ntau zaus ntxhov siab thiab ntxhov siab ntau dhau.
- kev ua neej nyob tsis ntev.
- tus cwj pwm phem.
kab mob dab tsi tuaj yeem ua rau tsam plab thiab cem quav?
Kab mob uas ua rau cem quav thiab flatulence yog raws li nram no:
- dysbacteriosis;
- helminthiasis;
- kab mob plab;
- gastritis;
- colitis;
- cirrhosis ntawm daim siab;
- mob pancreatitis.
Ntxiv rau, xws li cov xwm txheej pathological tuaj yeem yog qhov tshwm sim tseem ceeb ntawm kev ua rau lub neej muaj kev phom sij xws li plab hnyuv. Nws yuav tsum raug sau tseg tias nrog cov kab mob no, cov txheej txheem ntawm kev tshem tawm cov pa roj yog cuam tshuam loj heev.
Persistent bloating, uas yog nrog cem quav, kuj tau pom nrog o ntawm pancreas, uas tshwm sim vim kev ua txhaum ntawm lub luag haujlwm ntawm kev tsim cov kua txiv hmab txiv ntoo thiab cov txheej txheem ntawm kev zom zaub mov.
Kev tsis haum tshuaj
Ntxiv rau cov xwm txheej saum toj no, kev tsim roj ntau dhau tuaj yeem ua rau muaj kev tsis haum tshuaj, uas muaj pob liab liab ntawm daim tawv nqaij, ua kua ntswg. Hauv qhov xwm txheej no, kev tshem tawm kev sib cuag nrog cov tshuaj tsis haum yog suav tias yog qhov tseem ceeb hauv kev kho mob ntawm flatulence. Mob plab, tsam plab thiab cem quav tuaj yeem ntxhov siab heev.
Cov tsos mob ntawm tus mob pathological
Txawm qhov ua rau muaj qhov tshwm sim ntawm plab hnyuv thiab cem quav, lawv lub xub ntiag yog vim li cas mus ntsib kws kho mob. Cov tsos mob uas yog yam ntxwv ntawm tus mob no yog raws li nram no:
- hnyav hauv plab;
- burping, hiccup;
- xav tag;
- rumbling, heartburn, plab hnyuv colic;
- tsis qab los;
- pw tsis tsaug zog;
- ncig mob;
- mob thiab tsis xis nyob hauv plab;
- mob plawv, tachycardia.
Kev mob tshwm sim hauv menyuam yaus
Nws ntseeghais tias cem quav thiab tsam plab nyob rau hauv cov me nyuam nyob rau hauv thawj lub hlis ntawm lub neej yog lub ntsiab ua rau quaj, tsis xis nyob thiab tsis kam noj mov (hauv 70% ntawm cov neeg mob). Ib qho xwm txheej zoo sib xws hauv tus menyuam muaj qhov kev piav qhia ntawm lub cev: cov enzymes thaum lub sijhawm yug los ua haujlwm txhawm rau ua kom cov khoom noj khoom haus lactotrophic. Lawv yog cov inferior nyob rau hauv kev sib raug zoo rau lwm yam khoom, vim hais tias tus me nyuam lub plab zom mov reacts sharply rau cov kev ua yuam kev nyob rau hauv leej niam txoj kev noj haus. Hauv cov menyuam yaus, cov leeg nqaij ntawm lub plab zom mov tsis txaus tsim, uas ua rau tsis zoo peristalsis. Cov seem cardial thiab fundus ntawm lub plab yog tsim tsawg dua li cov pyloric seem. Cov menyuam yaus kuj muaj kev ua haujlwm dysbacteriosis, qis acidity ntawm lub plab, qhov sib txawv ntawm kev loj hlob ntawm txoj hnyuv loj, ntau dhau permeability ntawm plab hnyuv epithelium, thiab lwm yam. Cov cim hauv qab no qhia tias flatulence thiab cem quav hauv tus menyuam mos:
- tsis txhob tso zis ntau tshaj ib hnub;
- ntu ntawm kev ntxhov siab uas tshwm sim tom qab pub mis, tsis muaj laj thawj thiab tso tseg tsis tu ncua lossis tom qab cua sov siv rau hauv plab;
- lub sijhawm ntawm kev quaj tshwm sim, qee zaum tib lub sijhawm lossis ib ntus tom qab pub mis;
- plab o, nyuaj rau kov;
- thaum ntxhov siab, tus menyuam rub nws txhais ceg mus rau hauv plab.
Kev tiv thaiv cem quav thiab flatulence hauv cov menyuam yug tshiab yog nyob rau hauv cov txheej txheem pub mis kom raug. Dab tsi yog qhov txaus ntshai ntawm cem quav, nrog flatulence?
Nthuav cem quav nrog tsam plab tuaj yeem ua rau muaj kev loj hlob ntawm cov kab mob xws li:
- qhov quav;
- o ntawm hemorrhoids, nrog los ntawm cov ntshav los ntawm qhov quav;
- colon diverticulosis;
- tsim cov txheej txheem inflammatory hauv qhov quav thiab cov hnyuv sigmoid (proctosigmoiditis, secondary colitis);
- kab mob siab thiab kab mob biliary tract;
- paraproctitis.
Yog tias quav stagnate hauv caecum, qhov no tuaj yeem ua rau reflux enteritis, uas cov quav nkag mus rau hauv cov hnyuv me thiab enteritis tshwm sim ib txhij.
Ntev thiab nthuav dav ntawm lub plab
Feem ntau, flatulence thiab cem quav yog qhov yuav tsum tau ua ua ntej rau kev ua kom ntev thiab nthuav dav ntawm qhov quav, uas cuam tshuam rau daim duab kho mob ntawm tus kab mob nws tus kheej thiab nws txoj kev kho mob. Txawm li cas los xij, qhov txaus ntshai tshaj plaws rau ib tus neeg yog tsim cov qog nqaij hlav hauv cov hnyuv, qhov pom ntawm qhov pom los ntawm cov ntshav impurities hauv cov quav, yuag sai sai thiab kev noj qab haus huv ntev.
Yuav ua li cas cem quav thiab plab?
Kev kuaj mob thiab kev kho mob
Kev kuaj mob thiab kho cov kab mob no yuav tsum tau ua los ntawm tus kws kho mob uas yuav ua cov kev tshawb fawb kom tsis suav nrog cov kab mob no:
- daim siab pathology;
- dysbacteriosis;
- neuroses;
- kab mob kab mob;
- hemorrhoids.
Kev kho mob cem quav uas tshwm sim ua ke nrog flatulence implies:
- kho qhov noj;
- nce lub cev ua si;
- siv tshuaj laxative thiab lwm yam tshuaj;
- siv lwm yam tshuaj;
- special gymnastics.
Ib qho tseem ceeb hauv kev tshem tawm cov kab mob pathological no yog kev kho cov hnyuv microflora thiab cov txheej txheem ntawm kev tsim roj ntau dhau ntawm nws tus kheej. Kev kho mob plab thiab cem quav feem ntau yog ua los ntawm txoj hauv kev.
Tshuaj tua kab mob
Cov npe tseem ceeb ntawm cov tshuaj rau flatulence thiab cem quav yog:
- laxatives;
- adsorbents;
- khoom enzyme;
- antifoam;
- tshuaj tua kab mob hauv zos;
- prokinetics.
- pro- thiab prebiotics.
Cov tshuaj dab tsi rau cem quav thiab cem quav? Cov tshuaj laxative nto moo tshaj plaws suav nrog: Bisacodyl, Senadexin, Glycelax, Guttalax, castor roj.
Raws li adsorbents, kws kho mob tau sau tshuaj "Enterosgel", "Laktofiltrum", "Smecta", activated carbon, "Polysorb", "Filtrum-STI".
qeb ntawm cov khoom enzyme suav nrog Enzistal, Mezim, Pacreatin, Panzinorm, Festal, Creon, Micrasim.
Defoamers lossis carminatives raug sau tseg kom tshem tawm cov pa ntau dhau ntawm cov hnyuv, thiab cov tshuaj nrov tshaj plaws los ntawm pawg no yog: Simethicone, Espumizan, Pepsan-R Simicol.
Prokinetics yog cov tshuaj uas ua rau cov plab hnyuv motility thiab pab nrog cem quav,plab hnyuv thiab gas. Ntawm lawv yog cov tshuaj xws li: "Motilac", "Motilium", "Passage", "Trimedat", "Gastricumel", "Ganaton", "Aviollant"
Pro- thiab prebiotics txhawb kev loj hlob ntawm cov nroj tsuag ib txwm nyob hauv txoj hnyuv loj. Ntawm cov nyiaj no yuav tsum tau sau tseg: "Duphalac", "Lactusan", "Normaze", "Maxilak", "Bifilong", "Bifinorm", "Acipol", "Acilac", "Bifidin", "Lineks", "Bifiform".
Nws yuav tsum tau muab sau tseg tias cov tshuaj uas muaj cov nyhuv laxative feem ntau yog muab rau cov cem quav. Tab sis tsis txhob hnov qab tias saline laxatives yog contraindicated nyob rau hauv mob cem quav. Hauv qhov no, nws yog qhov zoo dua los muab kev nyiam rau cov tshuaj nrog cov khoom xyaw tshuaj ntsuab.
Nyob rau cem quav thiab tsam plab
Ua raws li kev noj zaub mov kom raug hauv pathology yog qhov tseem ceeb heev. Ua ntej tshaj plaws, koj yuav tsum ua raws li cov cai rau kev sib txuas cov khoom. Kev noj cocoa, kas fes thiab chocolate txo kom tsawg.
Cov kev cai yooj yim ntawm kev noj haus rau cov kab mob pathology raws li kev txiav txim siab tseem ceeb:
- Noj zaub mov thiab dej haus ntawm chav tsev kub. Tshuaj yej tuaj yeem haus tau ib teev tom qab noj mov.
- Kev suav nrog hauv kev noj zaub mov ntawm fermented mis nyuj cov khoom, zaub, txiv hmab txiv ntoo (cov fiber muaj nyob rau hauv lawv activates peristalsis).
- Haus yam tsawg 2 litres dej uas tsis yog carbonated ib hnub twg. Txiv hmab txiv ntoo haus, unsweetened compotes, kua txiv diluted nrog dej, ntsuab tshuaj yej kuj tso cai.
- Tsis suav nrog ntu ntawm kev noj ntau dhau, zom zaub mov kom zoo. Kev teem caij zaum kawg - tsis pub dhau 3 teev ua ntej yuav mus pw.
Dab tsi ntxiv noj zaub mov rau cem quav thiab tsam plab qhia? Normalize plob tsis so tswj cov khoom xws li: sauerkraut, celery, chicory. Ib decoction ntawm flaxseed yog heev pab tau. Qhov zaus ntawm flatulence yog txo yog tias koj suav nrog tshuaj ntsuab hauv kev noj haus: thyme, dill, sage, mint, fennel. Cov piam thaj thiab ntsev yuav tsum nruj me ntsis txwv.
Pom zoo kom boil lossis steam zaub mov. Fried thiab crispy ci zaub mov tsis suav nrog hauv kev noj haus.
Cov kws kho mob pom zoo kom cov neeg mob tso cov cwj pwm tsis zoo: noj khoom txom ncauj thaum mus, yoo mov, tham thaum noj mov. Koj yuav tsum tau ua raws li kev noj zaub mov uas yuav ua rau lub plab zom mov ua haujlwm ntawm lub sijhawm, uas yuav pab tswj cov enzymes thiab cov kua txiv hmab txiv ntoo tso tawm thaum lub sijhawm no.
Rau cem quav thiab flatulence, nws yog ib qho tseem ceeb kom tshem tawm cov khoom noj mashed thiab minced nqaij los ntawm kev noj haus - ua li no cov hnyuv yuav ib txwm nyob zoo thiab tshem tawm cov co toxins sai dua.
Thaum sawv ntxov nws pom zoo kom haus ib khob dej sov nrog kua txiv qaub. Rau pluas tshais, nws yog qhov zoo tshaj plaws noj txiv hmab txiv ntoo los yog zaub zaub xam lav, porridge boiled los yog qaub-mis nyuj khoom.
Peb tau saib qhov ua rau thiab kho cem quav thiab tsam plab. Cov no yog cov tsos mob tsis kaj siab heev uas yuav tsum tau muab tshem tawm sai li sai tau. Kev noj tshuaj rau tus kheej, txawm li cas los xij, tsis tsim nyog ua - nrhiav kev pab los ntawm cov kws tshaj lij.
