Ntau tus neeg muaj teeb meem plab qhia cov tsos mob xws li kub siab thiab belching. Qhov ua rau, kev kho mob ntawm tus mob hauv qab no tau tham hauv kab lus no. Txawm li cas los xij, ntau tus tseem nug seb puas kub siab thiab belching yog cuam tshuam.
Vim li cas lawv tshwm?
Belching yog ib qho tsos mob ntawm kev tshem tawm roj ntawm lub plab thiab cov hnyuv los ntawm lub qhov ncauj. Mob plawv yog qhov reflux ntawm plab cov ntsiab lus rau hauv txoj hlab pas nrog khaus ntawm cov mucosa thiab cov tsos ntawm ib qho tsis kaj siab kub hnyiab tom qab lub sternum los yog nyob rau hauv lub plab cheeb tsam.
Nrog ntau yam kab mob ntawm txoj hnyuv, kub hnyiab thiab belching tuaj yeem tshwm sim. Cov laj thawj rau lawv cov tsos mob tuaj yeem cuam tshuam nrog kev noj zaub mov, kev noj zaub mov tsis raug lossis kev tsis haum xeeb ntawm lub plab, cov hnyuv me lossis lub zais zis. Belching thiab heartburn tsis tuaj yeem kuaj pom tias yog cov tsos mob ywj pheej. Feem ntau, ua ke, lawv nrog ntau yam kab mob ntawm lub plab.
Belching tom qab noj - aerophagia
Cov tsos mob no tuaj yeem tshwm sim los yog ua kom yuam kev. Cua feem ntau nkag mus rau hauv txoj hlab pas thiab ua rau belching. Qhov no feem ntau ua rau tsis xis nyob lossis tsam plab.
Qhia nqosair:
- noj sai lossis haus;
- qhov ncauj ua pa;
- nasal congestion;
- kev ua pa nyuaj cuam tshuam nrog kev ntxhov siab;
- cov pos hniav zom;
- Cov hniav cuav tsis zoo.
Cov dej qab zib xws li dej qab zib thiab npias tuaj yeem ua rau muaj roj hauv plab thiab txoj hlab pas. Qee cov tshuaj antacids ua rau tsim cov pa roj carbon dioxide los ntawm cov khoom ntawm neutralizing plab acid thiab ua rau cov mob uas ua rau mob plawv thiab belching. Qhov ua rau, kev kho mob ntawm cov tsos mob no nyob ntawm seb cov khoom noj twg tau raug coj los ntawm tus neeg mob. Hloov cov zaub mov normalizes txoj haujlwm ntawm lub plab zom mov.
Hiatal hernia
A hiatal hernia yog ib feem ntawm lub plab mus rau hauv lub hauv siab kab noj hniav vim qhov tsis muaj zog lossis tawg ntawm lub diaphragm. Protrusion thiab compression ntawm lub plab ua rau muaj ntau yam kab mob hauv plab.
Qhov tseeb ua rau hiatal hernia tsis paub, tab sis muaj ntau yam ua rau muaj kev cuam tshuam:
- obesity;
- xeeb tub;
- smoking;
- hnyav kev cob qhia;
- mob ua pa nyuaj tshwm sim los ntawm qhov hnoos tsis tu ncua;
- cov txheej txheem phais cuam tshuam rau lub diaphragm;
- Yug deformities lossis defects.
A hiatal hernia yuav tsis tshwm sim nws tus kheej ntev. Cov tsos mob hnyav muaj xws li mob hauv lub epigastrium los yog tom qab lub sternum, tsis xis nyob tom qab noj mov, kev xav ntawm overeating tom qab noj me me, dyspepsia,qaub saj nyob rau hauv lub qhov ncauj, tas li heartburn thiab belching. Ua rau thiab kev kho mob tau nkag siab zoo, yog li muaj ntau yam kev kho mob tau tsim.
Thaum ib qho hernia ntawm txoj hlab pas qhib ntawm lub diaphragm yog palpated, qee qhov mob tau txiav txim siab nyob rau sab laug sab sauv ntawm lub plab hauv cheeb tsam ntawm lub plab thiab diaphragm.
Diagnosis
Feem ntau, fluoroscopy ib leeg yog txaus los txheeb xyuas tus hernia. Txhawm rau cais tawm thiab txheeb xyuas cov kabmob uas tau pom zoo rau cov kab hluav taws xob, cov khoom siv hluav taws xob sab hauv xws li barium yog siv.
Kev noj haus thiab kev kho
Yog li, xav txog qhov tshwm sim ntawm cov tsos mob tsis zoo li kub hnyiab thiab belching, ua rau. Ob txoj kev kho mob thiab nws cov txheej txheem suav nrog kev teem sijhawm ntawm cov khoom uas tsis ua rau cov mucous membrane. Carbonated dej qab zib, qaub thiab ntsim zaub mov, kas fes thiab tshuaj yej muaj zog tuaj yeem ua rau mob hnyav dua.
Nws raug nquahu kom tsis txhob noj zaub mov uas tuaj yeem ua rau cov tsos mob hnyav xws li kub hnyiab thiab belching. Cov txheej txheem ntawm kev kho mob hauv cov mob hnyav yog kev cuam tshuam kev phais.
Tus kab mob Helicobacter
Dab tsi ntxiv tuaj yeem ua rau mob plawv thiab belching? Ua rau (thiab kev kho mob) tau nkag siab zoo hauv Helicobacter pylori. Cov kab mob no cuam tshuam rau lub plab, ua rau muaj zog ntawm plab acid thiab ulceration ntawm lub plab phab ntsa. Qhov no ua rau tus neeg mob ntsib cov tsos mob xws li kub siab thiab belching. Ua rau, kev kho mob ntawm tus kab mob H. pylori nyob ntawm seb tus kab mob kis tau tus kab mob no, uas yog assimilates.ammonia thiab tso carbon dioxide. Hauv cov kab mob ntev, cov kab mob H. pylori siab tuaj yeem ua rau muaj cov pa roj carbon dioxide ntau hauv lub plab. Kev kis kab mob feem ntau ua rau mob plab.
Kev kuaj mob thiab kev kho mob
Kev kuaj ntshav ntawm plab hnyuv yog ib txoj hauv kev zoo tshaj plaws los kuaj pom tus kab mob H. pylori thiab yuav tsum tau ua hauv tsev kho mob lossis tsev kho mob.
Kev noj haus thiab kev kho rau tus kab mob Helicobacter pylori muaj ntau yam tshuaj. Ntau cov kev tshawb fawb tau pom tias qej tau zoo heev hauv kev kho tus kab mob H. pylori thaum siv nrog Omeprazole.
Tshuaj tua kab mob
Nws raug nquahu kom kho cov kab mob nrog tshuaj tua kab mob ua ke nrog proton twj tso kua mis inhibitors xws li Omeprazole. Proton twj tso kua mis inhibitors tuaj yeem pab nrog kev kho mob los ntawm kev ua yeeb yam thiab soothing lub plab hauv ob sab phlu, thaum cov tshuaj tua kab mob tua cov kab mob thiab tiv thaiv kev loj hlob ntxiv ntawm cov neeg microbial. Qhov no ua rau kom tshem tawm qhov tshwm sim thawj zaug xws li kub hnyiab thiab belching. Thiab qhov tshwm sim nyob rau hauv cov ntaub ntawv ntawm kev kho raws sij hawm yuav tsis tshwm sim nws tus kheej nyob rau hauv daim ntawv ntawm lub plab rwj.
Kev kho mob feem ntau ua rau rov ua tiav, tab sis lub twj tso kua mis proton yuav tsum tau siv ntev. Qhov kev pheej hmoo rov tshwm sim ntawm tus kab mob yog siab, yog li kev kho yuav tsum tau saib xyuas tas li.
Kev siv tshuaj tua kab mob tuaj yeem ua rau mob plab hnyuv lojplab, thiab rov qab kawm tej zaum yuav tsum tau. Kev siv tshuaj tua kab mob ntev ntev tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub plab thiab qhov tsim nyog probiotic yog qhov tseem ceeb rau kev kho mob.
YGastroparesis
Gastroparesis yog ib qho tuag tes tuag taw ntawm cov leeg plab uas tiv thaiv lossis ncua kev nkag ntawm lub plab mus rau hauv cov hnyuv. Qhov laj thawj tuaj yeem cuam tshuam rau cov leeg nqaij ntawm lub plab.
Caus ntawm gastroparesis:
- mob ntshav qab zib (hom I lossis II);
- anorexia nervosa;
- paj lossis nqaij puas vim kev phais lossis lwm yam raug mob;
- kab mob thyroid;
- pancreatitis;
- scleroderma;
- mob tom qab kis kab mob.
Cov tsos mob Gastroparesis:
- xav tias plab plab sai sai lossis tom qab noj mov me;
- xeev siab, ntuav;
- tsis txhob poob siab;
Qhov ua rau thiab txoj hauv kev kho mob gastroparesis yuav txiav txim siab qhov tseeb. Txoj kev endoscopic yog qhov yooj yim tshaj plaws thiab tsis muaj mob. Nws tso cai rau koj los txiav txim seb muaj cov kab mob benign thiab qog nqaij hlav cancer.
Kev noj haus
Peb pom zoo cov zaub mov ua kua thiab ib nrab kua. Cov roj ntau hauv cov zaub mov tsis tau qhia vim tias lawv xav tau kev nce ntxiv hauv plab hnyuv thiab tsim cov enzymes ntau ntxiv los ntawm daim siab thiab txiav. Cawv tsis pom zoo rau gastroparesis, vim tias nws tuaj yeem ua rau qis qisplab.
Kev kho mob plab paresis
Kev kho mob gastroparesis yog txoj hauv kev thiab sib xyaw noj zaub mov, kho tshuaj thiab phais.
Heartburn thiab belching: yuav kho li cas nyob ntawm qhov ua rau ua rau cov tsos mob no.
- Kev tsis haum rau qee yam khoom noj tuaj yeem yog vim muaj kev cuam tshuam ntawm lub plab zom mov lossis malabsorption hauv cov hnyuv.
- Lactose intolerance tshwm sim vim tsis muaj lub plab zom mov lactase.
- Hereditary fructose intolerance zoo ib yam li lactose intolerance nyob rau hauv uas muaj ib tug hereditary enzyme deficiency.
- Malabsorption ntawm fructose thiab sorbitol tuaj yeem ua rau txo cov plab hnyuv nqus ntawm cov carbohydrates, ua rau cov kab mob plab noj nws. Kev noj cov lactose, fructose thiab sorbitol los ntawm cov kab mob hauv plab ua rau cov pa paug.
Cov tsos mob ntawm kev noj zaub mov tsis haum thiab nqus tau yog xeev siab, tsam plab, mob plab, raws plab, kub siab thiab belching. Ua rau, kev kho mob nyob ntawm seb muaj enzyme intolerance. Piv txwv li, qhov tsis muaj fructose tuaj yeem ua rau cov tsos mob hnyav dua yog tias tsis ua raws li kev noj haus. Kev noj ntau dhau ntawm fructose thiab / lossis sorbitol tuaj yeem ua rau ntuav, jaundice, qaug zog, siab loj, thiab qaug dab peg.
Kev kho mob tsis haum zaub mov
Kev noj haus yog qhov tseem ceeb rau nws. Yog tias koj muaj lactose intolerant, koj yuav tsum tsis txhob noj cov khoom noj siv mis. fructose intolerance thiabyuav xav tau kev hloov hauv kev noj haus.
kab mob loj hlob hauv cov hnyuv
Tus kab mob no ua rau muaj cov kab mob hauv cov hnyuv loj, uas ua rau muaj roj ntau hauv cov hnyuv, raws li, belching, tsam plab, raws plab, thiab qee zaum kub siab. Tib lub sijhawm, muaj zaub mov tsis txaus.
Yog vim li cas:
- mob ntshav qab zib (hom I lossis II);
- anorexia nervosa;
- paj lossis nqaij puas vim kev phais lossis lwm yam raug mob;
- kab mob thyroid;
- pancreatitis;
- scleroderma;
- plab hnyuv;
- diverticula.
Rau kev kuaj mob, cov kua dej coj los ntawm txoj hnyuv me, uas yuav qhia txog qib ntawm cov kab mob sib kis.
Kev kho mob. Cov tshuaj tua kab mob feem ntau muaj txiaj ntsig zoo hauv kev kho tus kab mob no. Ntau yam khoom noj khoom haus tuaj yeem raug sau los kho cov zaub mov tsis txaus.
biliary dyskenesia
Cov kua tsib tsim nyog rau kev zom cov rog thaum cov zaub mov nkag mus rau hauv cov hnyuv. Bile reflux yog qhov rov qab ntawm cov kua tsib los ntawm txoj hnyuv me mus rau hauv lub plab thiab txoj hlab pas.
Ua rau cov kua tsib stasis:
- pob zeb pob zeb;
- cholecystitis (mob ntawm lub gallbladder);
- cholecystectomy;
- gall zais zis cancer;
- kab mob siab;
- cirrhosis;
- lwm kab mob siab;
Causes Bile Reflux Gastritis:
- pylorus tsis ua haujlwm - lub valve uas cais cov hnyuv me hauv plab;
- peptic ulcers;
- cholecystectomy.
Cov tsos mob ntawm cov kab mob biliary: mob sab xis sab sauv, xeev siab, ntuav ntawm cov kua tsib, tsam plab, poob phaus, anorexia, kub siab thiab belching.
Cas, kho thaum cev xeeb tub
Cov tsos mob tau tham hauv kab lus feem ntau pom muaj nyob rau hauv cov poj niam cev xeeb tub noj qab haus huv. Lawv yog tshwm sim los ntawm cov neeg kho tshuab compression ntawm lub tsev menyuam loj hlob thiab tas li irritation ntawm gastric mucosa thaum toxicosis. Kev kho mob muaj xws li noj cov zaub mov me me thiab siv cov tshuaj "Rennie", "Gastal", "Maalox". Yog tsis muaj kev kho mob, tom qab yug me nyuam, kub siab thiab belching ploj mus ntawm lawv tus kheej.
Muaj qhov tsis txaus siab ntawm qhov puv, mob lossis kub hnyiab hauv plab plab. Cov tsos mob yog ib ntus thiab tsis muaj kev kawm ntev. Nov yog:
- mob plab;
- siab kub;
- burp;
- nausea;
- sab hauv qhov ncauj;
- tsis xis nyob hauv plab;
- cem quav lossis raws plab;
- txo qis lossis tsis qab los.
Kev tshaib plab muaj ntau yam ua rau, suav nrog kev mob nkeeg, tshuaj noj, noj zaub mov thiab teeb meem kev ua neej.
Kev kuaj mob plab suav nrog kev kuaj ntshav, plab ultrasound, endoscopy, colonoscopy, plab CT thiab MRI, tshuaj xyuas quav thiab kua txiv plab. Tsuas yog tom qab ntawd nws muaj peev xwm tsim tau dab tsi yog qhov ua rau cov tsos mob "mob siab tom qab noj mov". Thiab kev kho mob nrog pej xeem tshuaj kuj muab ib tug zooeffect.
Kev kho mob nrog pej xeem tshuaj
Pib kho mob plab yog:
- kev hloov pauv, noj mov me me los ntawm ib teev;
- slow zom zaub mov;
- zam cawv, luam yeeb thiab kas fes;
- tshem tawm cov khoom noj tsis xav tau los ntawm kev noj zaub mov;
- ua raws txoj cai.
Tshuaj kho mob plab muaj xws li cov tshuaj tiv thaiv kab mob thiab cov kua qaub. Kev kho mob plab yog tsom rau kev daws qhov teeb meem hauv qab. Cov tsos mob ntawm kev zom zaub mov feem ntau yog qhov zoo yog tias nws tshwm sim los ntawm kev ua neej nyob. Qhov kev pom ntawm kev zom zaub mov uas tshwm sim los ntawm kev mob lossis kev kho mob txawv nyob ntawm qhov kev daws teeb meem ntawm tus mob ntawd.
kab mob dab tsi ua rau mob plab?
mob lossis mob uas tuaj yeem ua rau plab hnyuv muaj xws li:
- plab (plab lossis duodenum);
- GERD (tus kab mob gastroesophageal reflux);
- esophagitis;
- hernia ntawm esophageal ib feem ntawm lub diaphragm;
- pob zeb pob zeb;
- xeem peb lub hlis twg ntawm cev xeeb tub;
- pancreatitis;
- gastritis;
- zaub mov lom;
- irritable plahaum syndrome;
- gastroparesis;
- enzyme intolerance;
- mob plawv: angina, plawv nres;
- kab mob thyroid;
- kev nyuaj siab;
- mob plab.
Dab tsi tshuaj ua rau lub siab kub hnyiab los yog belching
- tshuaj aspirin thiabntau lwm yam mob xws li cov tshuaj uas tsis yog-steroidal anti-inflammatory tshuaj (NSAIDs);
- "Prednisolone", "Methylprednisolone", "Medrol";
- tshuaj estrogen thiab tshuaj tiv thaiv qhov ncauj;
- tshuaj tua kab mob zoo li Erythromycin thiab Tetracycline
- tshuaj kho cov thyroid caj pas;
- tshuaj txo cov ntshav siab;
- statins;
Txhua yam tshuaj no tuaj yeem ua rau lub plab thiab plab hnyuv ua haujlwm tsis zoo xws li kub siab thiab khaus (ua rau) yog siv tsis raug.
Kev kho mob nrog pej xeem tshuaj
Qee lub tswv yim pab kom tshem tau lub siab kub hnyiab.
1. Aim kom lub cev hnyav.
Thaum kub kub tuaj yeem tshwm sim rau txhua tus, GERD feem ntau tshwm sim rau cov neeg laus rog rog lossis rog. Nyob rau hauv cov ntaub ntawv no, lub siab ntawm lub plab yuav nce. Yog li ntawd, koj yuav muaj kev pheej hmoo siab ntawm gastric acid reflux mus rau hauv txoj hlab pas.
2. Know what zaub mov yuav tsum zam.
Txawm koj hnyav npaum li cas los xij, muaj qee yam khoom noj uas tuaj yeem ua rau muaj kev pheej hmoo ntawm cov tsos mob. Sim tsis txhob siv:
- txiv lws suav thiab lwm yam khoom siv txiv lws suav;
- khoom noj muaj roj (xws li zaub mov ceev);
- fried;
- citrus kua txiv;
- soda;
- caffeine;
- chocolate;
- qej;
- bow;
- mint;
- cawv.
Los ntawm kev txwv lossis zam lawv tag nrho, kojkoj tuaj yeem txo koj tus mob. Koj tseem tuaj yeem khaws daim ntawv teev zaub mov kom paub cov khoom noj muaj teeb meem.
3. Nyuaj me tab sis ntev.
Kev zom zaub mov ua rau lub plab qis dua, uas tuaj yeem tiv thaiv cov kua qaub hauv plab rov qab. Txawm li cas los xij, koj tuaj yeem txo qhov kub siab los ntawm kev noj tsawg dua.
Nws tseem ceeb heev kom tsis txhob tsaug zog tom qab noj mov. Qhov no tseem tuaj yeem ua rau mob plawv thiab belching. Nws tsis pom zoo kom mus pw tam sim tom qab noj mov. Yog tias qhov no tsis tuaj yeem zam tau, tom qab koj mus pw, sim tsa koj lub taub hau siab kom tsis txhob kub hnyiab hmo ntuj.
4. Ntawm zaub mov pab.
Ua ntej, kev noj zaub mov tsis muaj rog, muaj protein ntau tau pom zoo. Kev txo qis kev noj zaub mov ntxiv tuaj yeem txo koj cov tsos mob, thaum tau txais cov protein ntau thiab fiber ntau yuav ua rau koj ntau thiab tiv thaiv kev noj ntau dhau.
Tom qab txhua pluas mov, koj tuaj yeem zom cov pos hniav yam tsis muaj mint - qhov no yuav ua rau kom cov qaub ncaug hauv koj lub qhov ncauj nce ntxiv thiab tiv thaiv cov kua qaub los ntawm txoj hlab pas.
5. Qu haus luam yeeb.
Nyob rau hauv cov neeg tsis haus luam yeeb, kev ua haujlwm ntawm lub plab hnyuv sphincter, uas yog lub luag haujlwm tiv thaiv kev rov qab los ntawm plab acids, yog qhov zoo thiab ua haujlwm zoo li qub.
Cov pa luam yeeb thib ob kuj tuaj yeem ua teeb meem yog tias koj tawm tsam nrog cov tsos mob ntawm kub siab thiab kub hnyiab.
6. Haus tshuaj ntsuab infusions.
Cov tshuaj ntsuab hauv qab no yog siv los txo cov tsos mob tsis zoo:
- chamomile;
- licorice;
- zephyr;
- slippery elm.
Siv ob qho tib si ua tincture thiab ua tshuaj yej.
7. Tsis txhob hnav khaub ncaws nruj.
Hnav khaub ncaws nruj dhau ib ncig ntawm lub plab tuaj yeem ua rau kub siab. Qhov no yog qhov tseem ceeb tshwj xeeb nrog txoj siv tawv tawv.
8. Sim cov tswv yim so kom txaus.
Yoga yog qhov zoo rau kev kho thiab so. Nws cov kev tawm dag zog yuav ua rau tus ntsuj plig thiab lub cev rov qab mus rau qhov qub. Txawm hais tias koj tsis yog yogi, koj tuaj yeem sim ua kom ntsiag to thiab ua pa tob rau ob peb feeb ob peb zaug hauv ib hnub kom txo koj cov kev ntxhov siab.
