Muaj ntau tus paub txog qhov tshwm sim ntawm lub cev. Tab sis dab tsi yog burp? Qhov no yog lub npe ntawm kev tso tawm ntawm cov pa roj los ntawm txoj hnyuv, uas nyob rau hauv feem ntau yog nrog los ntawm ib tug tshwj xeeb tsw thiab suab. Nws yog tsim nyog paub qhov txawv belching los ntawm regurgitation. Nrog rau qhov kawg, ib feem ntawm lub plab nkag mus rau hauv qhov ncauj kab noj hniav.
yog dab tsi? Cov tshuaj tiv thaiv ntawm lub cev, uas tuaj yeem nrog tus neeg noj qab nyob zoo. Piv txwv li, raws li ib tug tshwm sim ntawm nqos cua los yog overeating. Hauv qhov kawg, lub siab hauv plab nce ntxiv, nrog rau qhov kev xav ntawm hnyav thiab txawm tias tag nrho.
Hauv kev nthuav dav, dab tsi yog belching, nws los ntawm dab tsi, peb yuav txheeb xyuas hauv kab lus. Muaj ntau ntau yam ntawm nws: nyob ntsiag to, nrov, tsw, ntsiag to, nrog ib tug saj ntawm acid, iab thiab txawm rot. Belching kuj txawv ntawm cov menyuam yaus thiab cov neeg laus - txiv neej thiab poj niam. Tsis tas li ntawd, muaj qhov tshwm sim tshwm sim los ntawm physiological ua rau (kev zom zaub mov tsis zoo, nqos cua, noj khoom txom ncauj thaum mus) thiab pathological (kev tsis haum ntawm plab hnyuv, cardia insufficiency,nqaim ntawm txoj hlab pas).
rau txiv neej
Tam sim no peb yuav tshwj xeeb tshuaj xyuas seb belching yog dab tsi, piav qhia nws cais rau menyuam yaus thiab cov neeg laus. Raws li rau yav tas los, roj yog ib txwm muaj nyob rau hauv lawv lub plab. Yog li ntawd, tsis muaj dab tsi tsis ncaj ncees lawm nrog qhov tseeb tias nws tau tawm hauv qhov me me los ntawm txoj hlab pas thiab qhov ncauj kab noj hniav. Cov roj ntau dhau hauv lub plab ua rau lub siab ntawm nws cov phab ntsa, uas ua rau belching.
yog dab tsi? Nws yog ib txwm ntseeg hais tias nyob rau hauv kev sib raug zoo rau cov txiv neej qhov no yog ib tug ncaj ncees tshwm sim. Tawm tsam keeb kwm yav dhau los ntawm kev noj cov zaub mov loj, dej qab zib carbonated. Tab sis qhov no muaj tseeb tsuas yog nyob rau hauv kev sib raug zoo rau ib leeg manifestations. Yog hais tias lub belching yog ntev, tas mus li - qhov no yog ib qho kev ceeb ntshai heev. Koj yuav tsum mus ntsib kws kho mob, thiab tom qab ntawd tus kws kho mob gastroenterologist.
Nyob rau hauv nws tus kheej, mob belching nyob rau hauv cov txiv neej yuav tsis yog ib tug kab mob ywj pheej. Nov yog cov tsos mob ntawm qee yam kab mob hauv plab lossis ib qho cim qhia tias koj noj tsis zoo.
Vim li cas burping feem ntau yog hom txiv neej? Ua ntej tshaj plaws, qhov no yog vim qhov tseeb tias nws yog ntawm cov txiv neej uas feem ntau ntawm cov tib neeg ua lub neej tsis zoo. Tshwj xeeb tshaj yog, cov txiv neej feem ntau yuav noj ntau dhau, nyiam haus cov cawv carbonated, thiab ua rau tus cwj pwm phem.
Ntxiv rau, nws yog cov txiv neej uas feem ntau koom nrog kev ua haujlwm lub cev. Tom qab noj mov hnyav, lawv tsis muaj sijhawm so txaus. Thiab tom qab lub cev ua si provokes kev ua txhaum ntawm peristalsis ntawm lub plab zom mov, uas ua rau belching.
Upoj niam
Dab tsi ua rau burping hauv cov neeg laus? Raws li rau cov poj niam, feem ntau nws yog tshwm sim los ntawm contraction ntawm cov leeg nqaij. Cov laj thawj tseem ceeb hauv qab no tseem sawv tawm:
- nqos cua thaum noj sai.
- Kev xav tau cov dej qab zib.
- Hlub luag ntxhi.
Qhov tshwm sim tsis muaj mob txaus yog tias nws tsis nrog cov tsos mob ceeb toom ntxiv: mob plab, xeev siab, ntuav, ua npaws. Hauv qhov no, koj yuav tsum ncua txhua yam xwm txheej thiab sab laj nrog kws kho mob!
Cov poj niam cev xeeb tub
Muaj ntau yam ua rau burping tas li. Ib tug ntawm lawv yog cev xeeb tub. Thaum lub sij hawm no, ib tug poj niam raug kev txom nyem tsis tau tsuas yog los ntawm belching, tab sis kuj los ntawm lwm yam tsis kaj siab tsos mob txuam nrog rau lub plab zom mov. Tab sis nyob rau hauv ib tug poj niam cev xeeb tub, belching kuj yog tshwm sim los ntawm tib lub overeating, kab mob ntawm ntau yam kab mob ntawm lub plab zom mov.
Yog tias belching yog nrog los ntawm qaub tsw, nws ua rau kev txiav txim siab los tham txog kev nce acidity ntawm cov kua txiv hmab txiv ntoo. Yog vim li cas rau lub belching tas li nyob rau hauv cov poj niam cev xeeb tub tej zaum yuav muaj raws li nram no:
- Kev mob plab hnyuv loj.
- Kev ua txhaum cai.
- Hormonal tsis ua haujlwm.
x
Thaum lub sijhawm cev xeeb tub ntev, belching kuj yog qhov tshwm sim ntawm qhov kev ntxhov siab loj heev los ntawm tus menyuam hauv plab ntawm leej niam lub plab.
Nyob rau me nyuam
Tam sim no cia peb xav seb vim li cas cov menyuam yaus npau taws. Rau cov me nyuam mus txog ib xyoos, xws liqhov tshwm sim yog ib txwm rau lawv. Thaum pub mis, tus menyuam feem ntau nqos cua. Qhov no ua rau tsam plab, uas yog nrog kev ntxhov siab thiab quaj. Cov roj ntau dhau los ntawm lub plab hauv daim ntawv ntawm belching.
Qhov tshwm sim tsis zoo no cuam tshuam nrog qhov tseeb tias lub plab zom mov ntawm tus menyuam tseem tsis zoo. Yog li ntawd, nws yog ib qho tseem ceeb heev rau cov niam tsis txhob muab tus me nyuam pw tam sim ntawd tom qab pub mis. Tab sis txawm tias tag nrho cov lus qhia ntawm tus kws kho mob tau pom zoo, burping tuaj yeem nrog tus menyuam mus tas li. Tsis muaj laj thawj kev txhawj xeeb ntawm no - nrog loj hlob tuaj, qhov teeb meem ploj mus ntawm nws tus kheej.
Tab sis yog tias qhov tshwm sim no haunts tus menyuam hnub nyoog tshaj ib xyoos, koj yuav tsum sab laj nrog kws kho mob. Tseeb, nyob rau hauv cov ntaub ntawv no, nws muaj peev xwm ua raws li ib tug tshwm sim ntawm cov hauv qab no:
- Kev noj zaub mov tsis raug ntawm tus menyuam.
- Pathologically active salivary qog.
- Rhinitis, adenoids thiab lwm yam txheej txheem inflammatory hauv qhov ncauj kab noj hniav, oropharynx, esophagus.
- Nkauj kho siab heev.
Yog vim li cas "hmoov" burping
Thaum txheeb xyuas qhov ua rau thiab kev kho mob ntawm belching tom qab noj mov, nws yog ib qho tseem ceeb kom paub meej tias dab tsi ua rau tsis muaj kab mob, tsis muaj kev phom sij:
- Nquag haus dej qab zib.
- Smoking.
- Nyob rau zom zom.
- Qhia nrawm heev.
- sib tham txuas ntxiv thaum noj mov.
- nqhis qaub ncaug.
- ua pa nrawm dhau thiab tob dhau.
Belching food
Ntau ntaulub npe yog regurgitation. Vim li cas qhov no tshwm sim? Qhov ua rau ntawm qhov tshwm sim tuaj yeem yog pathological:
- Achalasia cardia.
- Qhov pom ntawm diverticulum hauv txoj hlab pas.
- Hiatal hernia.
Dab tsi tuaj yeem qaub belching tom qab noj mov qhia? Feem ntau yog vim li cas rau nws yog:
- plab ulcer.
- Cov txheej txheem mob ua rau muaj kev cuam tshuam rau lub plab hnyuv. Hauv particular, gastritis.
- YGastroesophageal reflux.
- Lwm yam kab mob, suav nrog mob qog noj ntshav.
Yog tias koj tsis quav ntsej qaub qaub rau lub sijhawm ntev, qhov kev tsis saib xyuas zoo li no tuaj yeem ua rau muaj kev txhim kho ntawm Barrett's syndrome - cov mucous ntawm txoj hlab pas hloov pauv. Nws ua plab hnyuv ntau.
Burping tom qab noj zaub mov tsis zoo yuav tsis ua mob. Yog tias koj raug kev txom nyem los ntawm belching nrog saj ntawm iab ntev, qhov no qhia tias muaj qee yam txheej txheem pathological hauv lub cev:
- mob duodenitis. Kev ua xua thiab o nce siab ntawm duodenum, uas provokes lub casting ntawm duodenal txheem.
- Kev hloov pauv hauv lub diaphragm, suav nrog hernia.
- Qhov tshwm sim ntawm kev raug mob. Hauv particular, txhua yam ntse compression ntawm lub cev hauv cheeb tsam plab.
- Qhov tshwm sim ntawm kev phais. Piv txwv li, yog tias thaum lub sijhawm ua haujlwm cov leeg nqaij ntawm cov khoom noj sphincter raug puas los yog raug tshem tawm ib nrab.
- Pobtom qab tshuaj. Feem ntau tom qab antispasmodics thiab cov leeg nqaij so. Yog vim li cas cov tshuaj no kuj txo cov suab nrov ntawm cov leeg ntawm txoj hlab pas sphincter.
Thaum koj nplawm zoo li no, koj tuaj yeem hnov cov yam ntxwv tsw ntawm cov qe lwj hauv koj lub qhov ncauj. Vim li cas qhov no tshwm sim? Ntau qhov laj thawj sawv tawm:
- Zenker's diverticulum. Qhov no yog lub npe ntawm lub protrusion ntawm phab ntsa ntawm lub plab zom mov.
- Atrophy ntawm plab.
- Crohn's disease.
- YPyloric stenosis.
Neurotic belching
Qee zaum yuav muaj cua daj cua dub ntawm lub plab khoob. Vim li cas qhov no tshwm sim? Qhov tseeb yog tias txawm tias lub xeev neurotic ntawm lub cev tuaj yeem ua rau qhov tshwm sim no. Nrog nws, ib tug neeg ua pa ntau zaus los yog sib sib zog nqus. Qhov no ua rau muaj qhov tsis txaus ntseeg ntawm lub plab cov leeg, ua rau tus neeg nto qaub ncaug.
Tseem muaj laj thawj los tham txog qhov hu ua neurotic belching. Tsis tas li ntawd, nws yuav ua tau nrog cov hauv qab no: tsis xis nyob thaum haus cov kua, "qhib hauv caj pas", xeev siab, ntuav, tsis xis nyob hauv plab, tsis qab los noj mov.
Sign of disease
Belching tuaj yeem yog cov tsos mob ntawm ntau yam mob hnyav. Cia peb ib leeg tawm cov uas raug tshaj plaws ntawm lawv:
- Kev tsis txaus ntawm Bauhinian valve (lub npe ntawm kev faib tawm ntawm cov hnyuv me thiab loj).
- YDuodenogastric reflux. Ib qho mob hnyav heev thaum cov ntsiab lus ntawm duodenum raug tshem tawmrov qab mus rau lub plab.
- Kab mob cuam tshuam rau kab mob biliary - cholecystitis, tsub zuj zuj ntawm pob zeb hauv lub gallbladder.
- plab hnyuv dysbacteriosis. Tus kab mob tuaj yeem tshwm sim los ntawm kev tiv thaiv kab mob thiab tshuaj tua kab mob.
- mob pancreatitis. Belching ntawm no yuav yog ib qho ntawm cov tsos mob nrog rau kev tsim roj ntau ntxiv thiab ua txhaum txoj hnyuv.
- Pathology ntawm lub diaphragm. Feem ntau ua rau yog herniated diaphragm. Nws tsim tawm tsam keeb kwm ntawm congenital pathologies ntawm txoj hlab pas, tsis muaj zog ntawm cov nqaij ntshiv vim qhov hnyav hnyav, tsis tu ncua overeating thiab systematic hnyav lub cev exertion.
- mob plab. Ntxiv nrog rau belching, cov neeg mob yws yws ntawm qhov tsis qab los noj mov, mob ntshav qab zib, hnyav hauv plab hnyuv, qhov pib sai ntawm satiety tawm tsam keeb kwm ntawm kev poob qis.
- plab rwj. Sour eructation nyob rau hauv tus kab mob no yog cov tsos mob tshaj plaws. Muaj mob hauv plab, kev txwv tus kheej tom qab noj mov, txo qis qab los noj mov, cem quav ntev, ntuav tsis tsim nyog thiab xeev siab.
- mob plab. Nrog rau tus kab mob plab no, ib tug neeg, raws li txoj cai, raug kev txom nyem los ntawm belching. Tshwj xeeb tshaj yog nyob rau theem ntawm exacerbation ntawm tus kab mob. Ntxiv rau nws, tus neeg yws yws ntawm mob plab, kub siab, mob hnyav thiab puv plab hauv plab.
- Kab mob gastro-esophageal reflux. Qhov no pathology kuj feem ntau nrog los ntawm belching hnyav.
- YScleroderma. Kab mob autoimmune yog ib qho kev loj hlob ntawm cov kab mob sib txuas. Tej zaum yuav cuam tshuam rau txoj hlab pas - raws li qhov tshwm simnws qhov kev puas tsuaj tas mus li, thiab vim yog qhov tshwm sim.
- Achalasia ntawm cardia. Kwv yees li ib feem peb ntawm cov neeg mob yws yws ntawm qhov mob belching raug kev txom nyem los ntawm cov kab mob ntawm txoj hlab pas. Achalasia cardia yog ib yam kab mob ntev, qhov tshwm sim ntawm kev ua haujlwm tsis zoo ntawm kev so ntawm txoj hlab pas sphincter.
- Zenker's diverticulum. Tus kab mob no muaj npe tom qab tus kws kho mob German uas xub pom nws. Feem ntau nws pom nyob rau hauv cov txiv neej hnub nyoog 45-50 xyoo.
Diagnosis
Belching tsis yog ib qho kab mob ywj pheej, tab sis yog cov tsos mob ntawm qee yam kab mob lossis kab mob. Yog hais tias nws manifests nws tus kheej systematically, mob, nrog rau lwm yam tshwm sim, koj yuav tsum hu rau koj tus kws kho mob. Tus kws kho mob yuav xa koj mus rau tus kws kho mob gastroenterologist. Los yog lwm tus kws tshaj lij, yog tias belching hauv koj rooj plaub tsis qhia txog kab mob plab.
Tus kws kho mob yuav suav nrog hnub nyoog ntawm tus neeg thov, qhov tseeb tias nws muaj kab mob ntev. Tshwj xeeb, kab mob plab thiab lub paj hlwb.
Cov txheej txheem kuaj mob hauv qab no tuaj yeem raug sau:
- kuaj ntshav thiab kuaj ntshav biochemical.
- Coprogram.
- Stool analysis.
- YUltrasound.
- Colonoscopy.
- YEsophagogastroduodenoscopy.
Kev kho mob
Cia peb tham ntxiv txog qhov ua rau thiab kev kho mob belching tom qab noj mov. Txij li thaum belching tsuas yog ib qho tsos mob xwb, cov kev kho mob tau sau tseg nyob ntawm tus kab mob uas ua rau nws. Kev kuaj mob ntawm no tsuas yog txiav txim siab los ntawm tus kws kho mob tshwj xeeb raws li txoj hauv kevkev tshawb nrhiav kev kuaj mob. Kev kho mob, kev saib xyuas, thiab kev phais, kev kho mob phais tuaj yeem raug sau npe.
Yog tias tsis muaj kab mob tshwm sim, tus kws kho mob yuav qhia koj kom noj zaub mov kom raug. Cov tais diav nrog cov ntsiab lus siab ntawm cov kua ntses, txuj lom, seasonings raug cais tawm. Tus neeg mob yuav tsum txwv nws tus kheej rau kev siv qe, nqaij nruab deg, cheeses. Koj yuav tsum tsom mus rau cov khoom noj uas tsis muaj carbohydrates thiab digestible, tig mus rau cov khoom noj khoom haus fractional. Ua zaub mov los ntawm steaming, stewing thiab boiling.
Yog li ntawd belching tsis tsim txom koj, thawj yam uas koj yuav tsum tau ua yog tso tus cwj pwm phem, tsis suav cov zaub mov uas ua rau muaj roj ntau ntxiv los ntawm koj cov zaub mov, thiab ua raws li kev noj qab haus huv. Tsis txhob hnov qab txog kev tiv thaiv kab mob ntawm cov kab mob hauv plab.
