Kev kho mob gastritis zoo nrog acidity siab: nta, txoj kev thiab cov lus pom zoo

Cov txheej txheem:

Kev kho mob gastritis zoo nrog acidity siab: nta, txoj kev thiab cov lus pom zoo
Kev kho mob gastritis zoo nrog acidity siab: nta, txoj kev thiab cov lus pom zoo

Video: Kev kho mob gastritis zoo nrog acidity siab: nta, txoj kev thiab cov lus pom zoo

Video: Kev kho mob gastritis zoo nrog acidity siab: nta, txoj kev thiab cov lus pom zoo
Video: Tshuaj theem vim li cas thiaj tau nqi ?/ Siv kho mob dab tsi?/paris polyphylla use for? 2024, Lub Xya hli ntuj
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Txhua tus neeg hauv nws lub neej sai lossis tom qab ntsib tus kab mob xws li gastritis. Lub pathology ntawm digestive system yog yus muaj los ntawm kev hloov nyob rau hauv lub sij hawm ntawm exacerbations thiab remissions. Cov kab mob ntev ntawm tus kab mob nyob rau hauv qhov tsis muaj kev kho mob cuam tshuam ua rau atrophy ntawm glandular epithelium. Kab lus no yuav muab cov ntaub ntawv qhia txog yuav ua li cas kho gastritis nrog acidity ntau yam.

Shapes and views

Txawm li cas los xij, tus kab mob no mob hnyav thiab mob ntev. Nws yog qhov txawv ntawm nws lub hauv paus chiv keeb:

  • kis tau, tshwm sim los ntawm kev koom tes ntawm cov kab mob Helicobacter pylori (hom B);
  • autoimmune (hom A), muaj keeb kwm caj ces, tsis cuam tshuam nrog kev kis kab mob.

Qib hydrochloric acid txiav txim siab homCov kab mob uas tau muab cais ua gastritis:

  • nrog siab acidity;
  • nrog xoom acidity;
  • low acid.

Vim peb tab tom tham txog kev kho mob gastritis nrog acidity siab, cia peb saib seb nws tshwm sim li cas.

Xyuas ntawm kev kho mob ntawm gastritis nrog siab acidity
Xyuas ntawm kev kho mob ntawm gastritis nrog siab acidity

Irregularities hauv cov txheej txheem enzymatic

Kab mob ntawm cov mucous ua rau cuam tshuam kev ua haujlwm ntawm lub plab. Lub cev tseem ceeb no ua ntau yam haujlwm tseem ceeb hauv kev zom zaub mov. Nrog nws kev koom tes, cov zaub mov txav, cov txheej txheem ntawm nws txoj kev sib cais thiab nqus cov khoom tsim nyog rau lub cev yuav siv qhov chaw hauv nws. Vim lub nra hnyav nrog kev noj zaub mov tsis zoo, lub plab ua rau muaj kev phom sij heev.

Cov phab ntsa sab hauv ntawm lub cev ua rau ob yam tseem ceeb rau kev zom zaub mov - kua txiv hmab txiv ntoo thiab tiv thaiv hnoos qeev. Thaum nws raug puas tsuaj, mob hnyav tshwm sim hauv plab hnyuv, maj mam tig mus rau hauv daim ntawv ntev. Hauv particular, qhov no yog qhia los ntawm kev cuam tshuam ntawm acid-base tshuav nyiaj li cas hauv ntau qhov chaw ntawm lub plab zom mov. Cov kab noj hniav ntawm lub cev yog khaus los ntawm nws tus kheej cov kua txiv hmab txiv ntoo, uas muaj hydrochloric acid nyob rau hauv ntau qhov txawv txav. Tus neeg mob hnov mob thiab hnyav hauv plab. Nrog rau lub sij hawm ntev, lub caustic zais cia provokes tsim ulcers nyob rau hauv lub plab thiab duodenum. Vim li no, qhov tshwm sim ntawm cov cim tsis zoo ntawm ib feem ntawm cov vaj tsev thiab cov kev pabcuam hauv zej zog tsis tuaj yeem tsis quav ntsej. Thaum thawj cov tsos mob ntawm gastritis nrog high acidity tshwm sim, kev kho mob thiab kev noj hausyuav tsum coj lawv qhov chaw ncaj ncees rau txoj kev ua neej ntawm tus neeg mob.

Cov tsos mob ntawm gastritis nrog high acidity, kev kho mob, kev noj haus
Cov tsos mob ntawm gastritis nrog high acidity, kev kho mob, kev noj haus

Symptoms

Cov tsos mob tshwm sim nrog mob hauv kab noj hniav ntawm lub plab zom mov, provoked los ntawm kev ua kom cov qog qog nqaij hlav, yuav txawv raws li hom kab mob.

Thiab peb tseem yuav sim qhia txog cov tsos mob ntawm gastritis nrog acidity siab, kev kho mob uas yuav nyob ntawm lawv qhov hnyav:

  • Mob nyob rau hauv nruab nrab thiab qis ib cheeb tsam ntawm lub hypochondrium ntawm sab laug sab, nrog rau cov yam ntxwv rub tawm. Qee zaum, lawv tuaj yeem tig mus rau hauv paroxysmal lossis txiav. Yog tias cov tsos mob zoo li no nyob rau sab xis, qhov no yog kab mob antral.
  • Cov cim tshwj xeeb tshaj plaws ntawm qhov tsis sib xws ntawm hydrochloric acid, uas feem ntau kuaj pom tias muaj kab mob, yog kub siab.
  • Ntaus ntawm pluas mov, ntuav. Kev tshwm sim tuaj yeem yog qhov tshwm sim ntawm lub plab oversaturation nrog cov zaub mov acidic thiab qhia qhov tshwm sim ntawm kev yaig.
  • Constipation thiab flatulence tshwm sim los ntawm putrefaction los yog fermentation ntawm cov zaub mov, tshwm sim los ntawm kev cuam tshuam nyob rau hauv txoj hnyuv motility thiab peristalsis.
  • Belching nrog qaub saj qhia tias muaj cov ntsiab lus siab ntawm hydrochloric acid.
  • Dawb txheej ntawm tus nplaig, qee zaum nce lossis txo qis hauv qab los.
  • Thaum tsis muaj zaub mov hauv plab, tshwj xeeb tshaj yog thaum hmo ntuj, tus neeg mob raug cuam tshuam los ntawm kev mob hnyav ntawm qhov mob.
  • Qhov muaj ntshav hauv cov quav thiab ntuav qhia tias tus kab mob no khiav. Nyob tom qabCov mob no yog cim los ntawm kev puas tsuaj, tsis nco qab thiab tachycardia.

Cov cim piav qhia kuj tshwm sim hauv lwm cov kab mob ntawm lub plab zom mov. Cov tsos mob zoo sib xws nrog qee cov kab mob oncological thiab cov kab mob loj tshaj plaws. Cov xwm txheej tau tshaj tawm nrog exacerbation ntawm gastritis nrog siab acidity, kev kho mob uas tsis tuaj yeem ncua sijhawm. Tus kab mob ntev tso cai rau nws tus kheej kom kuaj tau raws li qee qhov xwm txheej: kev ntxhov siab, khoom noj hnyav, lom, haus cawv.

Kev kho mob ntawm exacerbation ntawm gastritis nrog siab acidity
Kev kho mob ntawm exacerbation ntawm gastritis nrog siab acidity

yam cuam tshuam rau acidity

Qhov ua rau ua rau ntau dhau ntawm cov kua dej enzymatic yog cov keeb kwm endogenous thiab exogenous. Xav txog thawj cov uas tuaj ntawm ib puag ncig sab nraud:

  • zaub mov noj qhuav ua rau muaj kev ntxhov siab ntau rau lub plab zom mov thiab yuav tsum muaj cov kua dej ntau hauv plab, uas nws tsis tas yuav tiv nrog;
  • khoom noj txom ncauj ceev ntawm kev khiav tsis ua rau kev zom zaub mov zoo, thiab vim li ntawd, muaj kev ua txhaum hauv nws txoj hnyuv;
  • noj tshuaj tua kab mob;
  • kev sib cuag nrog tshuaj;
  • kev phem ib puag ncig;
  • khoom noj txias lossis kub;
  • khoom tas sij hawm.

Cov yam ntxwv endogenous suav nrog:

  • Y kab mob kab mob;
  • cuam tshuam hauv cov txheej txheem metabolic;
  • avitaminosis;
  • ua haujlwm tsis ua haujlwmhauv endocrine system;
  • mob ntshav siab.
Kev kho mob ntawm erosive gastritis nrog siab acidity
Kev kho mob ntawm erosive gastritis nrog siab acidity

Qhov tseem ceeb ntawm kev kuaj mob kom raug

Kev kho mob plab nrog acidity siab nrog cov tshuaj yuav tsum pib nrog kev kuaj mob raws sijhawm thiab raug. Txoj hauv kev no yuav pab ua kom muaj kev kho mob zoo thiab tshem tawm sai sai. Qhov tseeb yog tias tus kab mob no, nyob ntawm daim ntawv ntawm tus kab mob, muaj cov duab sib txawv kiag li.

Mob plab tuaj yeem tshwm sim ntawm nws tus kheej, tab sis nws kho tau sai heev. Kev mob ntev yuav tsum tau siv zog ua haujlwm ntawm ob tus neeg mob thiab tus kws kho mob tshwj xeeb. Tus kws kho mob yuav tsum paub seb thaj tsam twg ntawm lub plab qhov mob ua kom pom tseeb yog nyob, thiab raws li qhov no, ua qhov kev kuaj mob. Qhov tob ntawm qhov txhab, qib ntawm acidity thiab qhov xwm ntawm chav kawm kuj tseem ceeb. Raws li, nyob ntawm seb hom kab mob, cov tsos mob ntawm gastritis nrog acidity siab, kev kho mob, kev noj haus muaj lawv tus kheej nuances uas tus neeg mob yuav tsum paub txog.

Tus kab mob mob hnyav nrog mob hnyav. Lub luag haujlwm ntawm tus kws kho mob tshwj xeeb yog ua raws li cov kauj ruam hauv qab no: tshem tawm cov laj thawj uas tshwm sim los ntawm qhov pib ntawm tus kab mob, stimulation ntawm lub plab zom mov, kev tiv thaiv kev tiv thaiv.

Kev kho mob gastritis ntev nrog acidity siab yog ua raws li kev tswj hwm ntawm kev tsim cov plab hnyuv thiab tshem tawm cov hauv paus hauv paus. Hauv qhov no, qhov tseem ceeb ntawm kev noj haus. Tus neeg mob yuav tsum tau tso cai rau lub sijhawm pw tsaug zog txaus thiabso, kev tawm dag zog yuav tsum yog nruab nrab.

Endoscopic, kuaj thiab kuaj ultrasound yuav tsum tau ua los txiav txim qhov kev kuaj mob.

Kev kho mob ntawm gastritis nrog zib mu nrog siab acidity
Kev kho mob ntawm gastritis nrog zib mu nrog siab acidity

xov xwm zoo

Tsis txhob xav tias tus mob yuav ploj mus ntawm nws tus kheej. Kev kho kom zoo yog qhov yuav tsum tau ua. Txwv tsis pub, tus kab mob yuav loj hlob mus rau ib tug ntev, tsis tas li ntawd, nws muaj peev xwm ua rau kev loj hlob ntawm ulcers thiab malignant qog.

Muab rau hauv tus account etiology, ib qho kev kho mob tsim tswv yim rau kev kho mob gastritis nrog siab acidity yog siv. Yeej, nws yog tsom rau kev puas tsuaj tag nrho ntawm cov kab mob Helicobacter pylori. Txoj kev kho tshem tawm tau raug kuaj xyuas thiab ua tiav cov txiaj ntsig xav tau hauv ob lub lis piam.

Qhov kev xaiv tshuaj thib peb no suav nrog ob hom tshuaj tua kab mob thiab cov tshuaj tiv thaiv uas tuaj yeem cuam tshuam cov kua qaub ntawm lub plab mucosa. Lawv tau tsim kom muaj lub twj tso kua mis hydrogen, lub enzyme lub luag haujlwm rau kev tsim cov hydrochloric acid. Vim qhov thaiv ntawm cov txheej txheem enzymatic, acid tsim yog txo.

Cov tshuaj tua kab mob siv rau cov tswv yim no suav nrog: "Metronidazole", "Amoxicillin", "Teteracycline", "Clarithromycin". Nrog rau cov tshuaj tua kab mob, cov tshuaj tua kab mob hauv qab no tau siv: Lansoprazole, Rabeprazole, Omeprazole, Esomeprazole, Pantoprazole.

Kev teem sijhawm tuaj yeem ua tau raws li hauv qab no: thaum sib txuas "Clarithromycin" thiab "Amoxicillin", thawj zaug pom zoo ob zaug ib hnub rau 500 mg, qhov thib ob - rau 1 g.inhibitors, tus kws kho mob xaiv cov tshuaj tsim nyog tus kheej. Qhov pom zoo koob tshuaj Pantoprazole yog 40 mg ob zaug ib hnub twg, Lansoprazole yog 30 mg, lwm yam tshuaj antisecretory yog sau rau ntawm 20 mg.

Thaum kawg ntawm chav kawm, kev tshuaj xyuas yog ua kom pom muaj tus kab mob Helicobacter pylori.

Kev kho mob ntawm gastritis nrog siab acidity nrog tshuaj
Kev kho mob ntawm gastritis nrog siab acidity nrog tshuaj

Lwm yam tshuaj ntawm txoj kev kho mob

Cov chav kho mob tsis txwv rau tshuaj tua kab mob. Tsis tas li ntawd, cov tshuaj no ua rau muaj kev phiv: xeev siab, tsis haum tshuaj thiab raws plab. Nws yog ib qho tseem ceeb uas cov tshuaj no tau noj nyob rau hauv kev saib xyuas ntawm tus kws kho mob. Tus kws kho mob gastroenterologist uas paub txog kev kho mob plab nrog acidity siab nrog cov tshuaj ntawm tus neeg mob sab nraud, thaum ua raws ntau lub hom phiaj tseem ceeb:

  • normalization ntawm qib acidity;
  • kev puas tsuaj ntawm cov kab mob Helicobacter pylori;
  • tshem tawm qhov mob;
  • normalization ntawm cov txheej txheem tsim dua tshiab;
  • ntxiv dag zog rau kev tiv thaiv lub cev.

Txhawm rau coj tus neeg mob tus mob kom rov zoo tag nrho, nrog rau cov tshuaj tua kab mob thiab cov tshuaj tiv thaiv, cov neeg ua haujlwm pabcuam raug muab tshuaj. Cov no yog cov tshuaj uas muaj lub hnab ntim, tshuaj loog thiab kho kom rov zoo.

Yuav kom tsis txhob mob hauv plab, nws raug nquahu kom noj tshuaj xws li "No-shpa", "Galidor" thiab "Papaverine".

Pom zoo lub hnab ntim khoom npaj rau kev kho mob plab nrog acidity siab: De-nol, Phosphalugel, Gastro-norm, Vikalin.

Tshuaj los ntawm histamine receptor blockersCov hauv qab no txhais tau tias: "Telfast", "Ranitidine", "Caesera".

Qee zaum nws yuav tsim nyog siv tshuaj neurotropic: Buscopan, Aprofen, Difacil.

Kev kho mob ntawm gastritis nrog siab acidity pej xeem tshuaj
Kev kho mob ntawm gastritis nrog siab acidity pej xeem tshuaj

Yuav ua li cas nrog cov erosive formations?

Thaum cov mucous txheej ntawm lub plab raug cuam tshuam, qhov kev kuaj mob yog erosive gastritis. Nws raug faib ua cov ntawv hauv qab no:

  • ntsim;
  • gastritis reflux;
  • antral;
  • hemorrhagic.

Cov kab mob hauv daim ntawv qhov txhab tuaj yeem tshwm sim hauv ib daim ntawv thiab hauv pab pawg. Nyob rau hauv thawj theem ntawm tus kab mob, lub foci ntawm cov phab ntsa ntawm lub plab yog me me, feem ntau nrog ib tug nce nyob rau hauv acidity. Kev kho mob erosive gastritis nrog acidity siab, los ntshav thiab mob hnyav yuav tsum pib nrog mus rau tsev kho mob lossis hu rau lub tsheb thauj neeg mob. Tsis muaj ib qho xwm txheej twg yuav tsum tsis quav ntsej nws cov tsos mob, ib tus yuav tsum tau soj ntsuam tob thiab ua raws li cov txheej txheem uas tus kws kho mob gastroenterologist tau sau tseg. Tus kab mob Advanced yuav tsum tau phais.

Qee zaum, cov tsos mob thawj zaug tau txo qis nrog Reni, Maalos, thiab Gastal.

Nyob rau hauv rooj plaub ntawm cov kab mob puas, cov tshuaj tua kab mob Metronidazole, Amoxicillin, Clarithromycin muaj txiaj ntsig. Ib hom mob hnyav ntawm tus kab mob cuam tshuam nrog kev siv tshuaj ntau dua. Nyob rau hauv lub complex noj cov tshuaj regenerating; Almagel, Maalox.

Lub tswv yim los tawm tsam cov kab mob erosive yog tsom rau kev kho zaum kawg nrogCov khoom ua tau zoo:

  • txo qis cov kua qaub hauv plab kab noj hniav yog ua tiav los ntawm kev siv tshuaj "Famotidine" thiab "Ranitidine";
  • txhim kho kev txav ntawm lub plab zom mov yog txhawb nqa los ntawm prokinetics siv Metoclopramide, Motilium, Cerucal;
  • cov roj nplua nyeem yog siv los tshem tawm qhov mob;
  • Creon, Festal, Mezim pab normalize digestive txheej txheem;
  • rau kev los ntshav sab hauv, kev txhaj tshuaj yog siv tshuaj xws li Vakasol, Dicyon thiab thioctic acid;
  • txhawm rau txhim kho lub cev tiv thaiv kab mob, pom zoo cov vitamin complexs.

Ntau tus kws kho mob txhawb nqa cov txheej txheem tsis zoo hauv kev kho mob gastritis nrog acidity siab. Folk tshuaj tau ntse siv nyob rau hauv kev kho mob ntawm ulcers nyob rau hauv lub plab kab noj hniav. Aloe kua txiv tau ua pov thawj nws tus kheej ua ib qho zoo heev los tiv thaiv thiab kho tus neeg sawv cev. Plantain muaj peev xwm rov ua dua cov ntaub so ntswg puas. Hiav txwv buckthorn roj yog zoo siv ib nrab ib teev ua ntej noj mov, raws li nws muaj ib tug enveloping khoom.

Kev kho mob nrog pej xeem tshuaj

Koj tsis tuaj yeem sim nrog lwm txoj kev kho mob gastritis nrog acidity siab yam tsis tau sab laj nrog kws kho mob tshwj xeeb. Feem ntau, kev tawm tsam ywj pheej tawm tsam tus kab mob xaus rau qhov teeb meem, vim tsis yog txhua yam khoom siv tau zoo yuav haum rau tib neeg.

txhawm rau txhim kho cov txheej txheem enzymatic hauv plab, cov nroj tsuag hauv qab no feem ntau siv: St. John's wort, mint, calamus cag, centaury, chamomile, fennel, agrimony, angelica,blackberries.

Ib txoj kev nrov yog cov kua txiv hmab txiv ntoo tshiab. Haus nws ntawm lub plab khoob thaum sawv ntxov rau 10-14 hnub. Tom qab so ob lub lis piam, rov kho dua.

Carrot kua txiv tau kho zoo ib yam. Koj yuav tsum xaiv ob peb paub tab, qab zib hauv paus zaub. Nws raug nquahu kom haus cov kua txiv hmab txiv ntoo uas tau los ntawm lawv ntawm lub plab khoob ib nrab teev ua ntej noj mov.

Flax noob muaj txiaj ntsig zoo rau ntawm phab ntsa ntawm lub plab zom mov. Lawv tuaj yeem ua ke nrog cov zaub mov ua cov khoom xyaw ntxiv lossis ua rau hauv infusions. Txawm li cas los xij, yog tias koj raug kev txom nyem los ntawm flatulence, linen tuaj yeem ua rau qhov teeb meem no. Nws yog qhov zoo dua tsis siv nws los ua ib qho kev ywj pheej, tab sis ua rau nws ua ke nrog lwm cov tshuaj ntsuab.

Ntawm no yog qee cov zaub mov yooj yim tshaj plaws uas siv cov tshuaj pej xeem. Kev kho mob ntawm gastritis nrog siab acidity yog ua tiav nrog kev pab los ntawm licorice paus, psyllium noob, chamomile, calendula.

  1. Koj yuav tsum noj ib feem me me ntawm cov hauv paus hniav ntawm licorice (10 g) thiab simmer rau ib nrab ib teev. Insist lub broth, dilute nrog me ntsis dej thiab faib ua 4 koob.
  2. Plantain noob, qhuav calendula thiab chamomile yog noj nyob rau hauv sib npaug. Ib diav ntawm qhov sib tov yog brewed nrog ib khob ntawm boiling dej. Siv cov infusion ntawm 4 teev ib hnub twg.
  3. Flax noob, mint, linden paj, calamus cag thiab licorice sib tov sib npaug. Tag nrho cov khoom ntawm kev sau yuav tsum tau crushed thiab sib tov kom huv si. Los ntawm tag nrho cov loj, noj ib diav thiab ncuav dej kub npau npau. Infuse rau 60 feeb thiab nco ntsoov strain. Qhov no yog qhov feem rauib piv. Tag nrho, koj yuav tsum haus 3 khob ib hnub.

Txoj kev tsis sib xws yog cov kev pabcuam zoo hauv kev kho mob gastritis ntev nrog acidity siab (cov tsos mob ntawm tus kab mob no tau piav qhia hauv tsab xov xwm). Cov tshuaj ntsuab muaj txiaj ntsig zoo, tab sis lawv cov txiaj ntsig tsis sai sai.

Kev noj haus

Yuav kom tsis txhob coj koj tus kheej mus rau lub xeev tseem ceeb, nws yog qhov zoo dua los ua raws li cov cai yooj yim ntawm kev noj haus thiab tsim kom muaj kev noj zaub mov tsis tu ncua. Overeating, overeating qhuav khoom noj txom ncauj, yoo mov - tag nrho cov no cuam tshuam lub cev ua hauj lwm ntawm lub plab. Qhov no suav nrog cov cwj pwm phem, tshuaj yej muaj zog heev thiab cov zaub mov muaj roj.

Nrog rau txhua yam kab mob plab, nqaij haus luam yeeb, kib, ntsim, nceb, zaub mov kaus poom thiab dej qab zib nrog roj tsis suav nrog kev noj haus. Txhawm rau pab lub plab tiv thaiv nws txoj haujlwm, koj yuav tsum noj zaub mov kom tsawg, nrog me me ntawm cov pluas noj.

Nutritionists qhia kom siv cov khoom uas koom nrog kev kho mob nyuaj. Yog tias koj noj 10 nplej ntawm almonds txhua hnub, koj tuaj yeem ntxiv koj lub cev nrog cov vitamins thiab kab kawm uas ploj lawm.

Normalize acidity yuav pab tau tshiab los yog boiled beets. Cov ntawv qhia zaub mov yuav tsum muaj cov zaub xam lav los ntawm cov zaub noj qab haus huv no.

Kev hloov tshuaj zoo yog zib ntab. Kev kho mob gastritis nrog acidity siab nrog cov khoom muv yog ib txoj kev paub ntev thiab muaj pov thawj. Koj yuav tsum sib tov ib teaspoon ntawm zib mu thiab propolis, noj thiab haus dej huv.

Nws pom zoo kom noj nqaij qaib proteins, plums, txiv apples.

Cov lus pom los ntawm tib neeg kev tshuaj xyuas

Nws yuav tsim nyog ua tib zoo mloog cov neeg sau txog kev kho mob gastritis nrog acidity siab. Kev tshuaj xyuas ntawm ntau tus neeg mob nyob rau hauv thawj qhov chaw qhia tau hais tias yuav tsum tau mus kuaj raws sij hawm. Kev npaj tshuaj ntsuab yog nrov heev hauv kev tawm tsam tus kab mob. Cov kua txiv hmab txiv ntoo, ntsuab txiv apples, noob flax, aloe nrog zib mu, propolis, hiav txwv buckthorn roj yog siv. Cov neeg taw qhia tias kev noj zaub mov tsis zoo ua haujlwm zoo. Ntawm cov tshuaj, cov hauv qab no tuaj yeem paub qhov txawv: "Flemoxin Solutab", "Fromild", "De-nol", los ntawm probiotics - "Linex".

Zoo kawg

Pom tseeb, muaj ntau txoj hauv kev los daws qhov mob plab. Txiav txim siab rau koj tus kheej yuav ua li cas xaiv ib txoj hauv kev kho mob gastritis nrog acidity siab, tab sis tsis txhob hnov qab kom tau txais lus qhia los ntawm tus kws kho mob gastroenterologist.

Pom zoo: