Nyob rau hauv cov menyuam yaus, dyspepsia, dyskinesia, tsis muaj enzymes, belching thiab gastrointestinal dysfunction yog cov teeb meem feem ntau ntawm lub plab zom mov. Cov me nyuam mos thiab cov menyuam yaus hnub nyoog qis dua ib xyoos feem ntau yuav muaj tus mob no. Paub txog cov tsos mob ntawm dyspepsia, koj tuaj yeem nkag siab lub sijhawm uas muaj qee yam tsis zoo rau kev noj qab haus huv ntawm tus menyuam, thiab nrhiav kev pab los ntawm kws kho mob tsim nyog.
Nuances thiab anatomy
Dyspepsia Syndrome hauv cov menyuam yaus hnub nyoog ib xyoos tau piav qhia los ntawm anatomical nuances, tshwj xeeb, yuav ua li cas defecation tshwm sim. cem quav, raws plab, tus yam ntxwv ntawm cov me nyuam mos, txawv heev ntawm cov kab mob pathological uas txhawj txog tus neeg laus. Thaum muaj hnub nyoog ib hlis (thiab ntxov dua), tus me nyuam yuav tsum tau quav 4-5 zaug ib hnub twg. Thaum muaj hnub nyoog ib xyoos, tus lej no sib raug rau cov zaub mov, tab sis tsis ntau tshaj rau. Hauv cov menyuam mos, thawj rau lub hlis, cov khoom zoo li gruel. Los ntawm rau lub hlis mus rau ib xyoos, lub rooj zaum yuav dai kom zoo nkauj, tab sis rau qee qhov nws tshwm sim tom qab. Thaum tsis muaj impurities thiab lub cev ib txwm muaj ntawm tus menyuam, qhov tshwm sim no yog qhov qauv.
Ib yam yooj yim dyspepsia hauv tus menyuam yog ib qho mob raws plab ntev. Kev zawv plab hauv cov menyuam mos yog suav tias yog nquag (ntau tshaj rau) lub plab zom mov nrog cov kua dej (nyias dua li qub). Cov yam ntxwv ntawm cov khoom (xaj, sib xws, muaj cov ntsiab lus txawv teb chaws) nyob ntawm qhov kev noj haus ntawm tus menyuam, hnub nyoog. Yog tias tus menyuam pub niam mis, qhov tso tawm yuav tsum yog lub teeb xim av, homogeneous, zoo li gruel. Lawv tsis muaj pungent tsw los yog muaj impurities. Pub cov khoom siv dag zog yog qhov ua rau yellowish tint, qaub tsw. Pathology yog qhia los ntawm cov tsos ntawm cov secretions ntawm cov ntshav inclusions, mucous daim nyias nyias. Ua tau dawb pob zeb. Tus me nyuam tuaj yeem suav tias tsis noj qab haus huv yog tias qhov tso tawm yog kua heev.
Cov ntsiab lus thiab qhov tshwm sim
Dyspepsia hauv tus menyuam raug pom yog tias tus menyuam noj ntau dhau lossis tsawg dhau, lawv siv cov khoom noj uas tsis haum rau tus menyuam. Tus kab mob no tsis cuam tshuam nrog kev kis kab mob, nws yog alimentary nyob rau hauv qhov xwm txheej. Mob plab yog piav qhia los ntawm kev ua txhaum ntawm kev pub mis. Feem ntau, qhov tshwm sim tshwm sim vim tias cov khoom noj ntxiv tau muab ntxov dhau los yog muab cov ntim loj heev, cov khoom siv tsis raug. Qee zaum, yog vim li cas yog qhov ntim loj heev ntawm cov mis nyuj sib xyaw noj. Nws nyuaj heev rau kev pub mis niam mis, yog li qhov ua rau dyspepsia yog qhov tsis tshua muaj tshwm sim hauv kev kho mob.
Tshawb nrhiav txhua yam ntawm cov kab mob pathological, txoj hauv kev kho mob, cov tsos mob ntawm dyspepsia hauv cov menyuam yaus, qhov ua rau tshwm sim, cov kws kho mob pom tias qhov teeb meem feem ntau yog vim kev siv cov khoom siv tsis zoo. Tsis yogkev xaiv cov qauv tuaj yeem ua rau muaj qhov tsis zoo, tshwj xeeb tshaj yog thaum muaj hnub nyoog sib tw.
Yuav ua li cas saib?
Dyspepsia hauv tus menyuam tuaj yeem pib yog tias cov zaub mov tau noj tsis txaus, cov zaub mov ua tsis raug lossis cov roj teeb uas tsis sib haum xeeb. Qhov tshwm sim ntawm tus mob pathological yog siab dua yog tias tus menyuam tsis tau saib xyuas kom zoo, tsis quav ntsej txog kev tu cev. Qhov no feem ntau cuam tshuam txog theem ntawm kev ua noj, tab sis overheating, hypothermia, cov pawm nruj heev tuaj yeem ua lub luag haujlwm.
Cov pab pawg muaj kev pheej hmoo rau steatorrhea, fermentative, toxic dyspepsia hauv cov menyuam yaus suav nrog cov menyuam mos ntxov ntxov thiab cov neeg uas muaj cov teeb meem metabolic tau txais los ntawm kev yug los. Kev phom sij ntau dua rau cov menyuam yaus uas nws qhov hnyav dua li qub, nrog rau cov neeg mob rickets.
Txoj cai thiab qhov tshwm sim ntawm kev tsis saib xyuas lawv
Kev kho mob dyspepsia hauv tus menyuam feem ntau yog xav tau rau kev pub mis tsis raug, tsis txaus ua tib zoo ua zaub mov. Kev kho mob kuj tseem yuav xav tau yog tias cov neeg laus muab cov khoom me me uas lub plab zom mov tsis tuaj yeem tiv nrog vim nws qhov kev txhim kho tsis zoo. Tag nrho cov no txhawb kev cuam tshuam ntawm cov enzyme systems, uas nyob rau hauv tag nrho cov me nyuam yaus muaj kev puas tsuaj vim muaj hnub nyoog. Nws yog kev cai los tham txog peb qhov txawv ntawm dyspepsia: fermentative, putrefactive, steatorrhea.
Forms and types
Fermentative dyspepsia hauv tus menyuam raug pom yog tias muaj ntau cov carbohydrates nkag mus rau hauv lub cev nrog zaub mov. Nws yog peculiarnoj cov zaub mov ntau dhau. Feem ntau, overfeeding tshwm sim nrog khoom noj khoom haus, mashed zaub thiab txiv hmab txiv ntoo. Cov txheej txheem tsis tawg hauv lub plab zom mov, uas ua rau muaj kev ua haujlwm peristalsis, uas tshwm sim nws tus kheej raws li raws plab.
Putrid dyspepsia hauv cov menyuam yaus tshwm sim yog tias ntau tshaj ntawm cov qauv protein los nrog zaub mov. Yog hais tias muaj ntau cov proteins nyob rau hauv lub plab zom mov, ua kom tiav kev puas tsuaj yog tsis yooj yim sua, thiab cov txheej txheem putrefactive yog qhib los ntawm cov molecules. Cov no yog localized nyob rau hauv lub plab hnyuv ib ntsuj av thiab ua rau zus tau tej cov tshuaj lom. Skatol, indole, acetic acid nkag mus rau cov ntaub so ntswg thiab lub cev. Cov tshuaj no irritates lub receptors nyob rau hauv cov hnyuv mucous daim nyias nyias, vim hais tias lub peristalsis ntawm lub cev yog activated. Tus me nyuam raug kev quav dej ntau thiab tsis tu ncua, nws ntuav, cov qog ua kua qaub ntau dua li qhov qub.
Steatorrhea yog xws li dyspepsia nyob rau hauv ib tug me nyuam, nws qhov txawv feature yog ib tug ntau ntawm fatty qauv nyob rau hauv lub tso tawm thaum lub sij hawm tso quav tso. Qhov tshwm sim tuaj yeem cuam tshuam yog tias tus menyuam tau noj zaub mov rog dhau. Cov txheej txheem tau piav qhia los ntawm qhov tsis muaj peev xwm ntawm cov tshuaj muaj nyob hauv plab zom mov kom ua tiav cov rog no. Thaum lub sij hawm cov tshuaj tiv thaiv, fatty soap acids yog tsim, vim hais tias cov secretions tau ib tug ci thiab yellowish tint. Xws li ib tug tshuaj yog secreted abundantly, nws yog heev fatty. Nws tsis yog qhov nyuaj rau kev ceeb toom steatorrhea yog tias koj saib xyuas tus menyuam: nws yog ib qho teeb meem los ntxuav lub lauj kaub, cov ntaub qhwv los ntawm cov kua nplaum.
Signs andkev tshwm sim
Cov tsos mob ntawm fermentative dyspepsia nyob rau hauv cov menyuam yaus, putrefactive, oily, feem ntau yog me me. Tus menyuam tsis ntuav kiag li, lossis qhov no tau pom, tab sis tsis tshua muaj. Cov quav nrog dyspepsia ntau dua li qub, tab sis tsis pub ntau tshaj kaum zaug hauv ib hnub. Raws li txoj cai, chav kho mob yog xyaum hauv tsev kho mob.
Yog tias qhov tshwm sim nrog cov paug tawm, tus menyuam feem ntau ntuav, lub cev qhuav dej tau pom, qhov mob hnyav heev, nws ua rau muaj kev xav tias yuav kis tus kabmob.
Ua ntej yuav mob raws plab, tus me nyuam txhawj xeeb, quaj. Tawm tsam keeb kwm yav dhau los ntawm dyspepsia, qab los noj mov tsis zoo, qhov tsis kam ua tiav ntawm cov zaub mov yog ua tau. Feem ntau, qhov kub thiab txias yog khaws cia nyob rau hauv qhov qub, tej zaum yuav nce mus rau subfebrile. Yog tus menyuam ntuav, ces tam sim ntawd tom qab noj mov, lossis ib nrab mus rau ob teev tom qab noj mov.
Chair: tshwj xeeb mloog
Qhov tshwm sim tseem ceeb ntawm dyspepsia hauv tus menyuam yog kev ua txhaum ntawm cov quav. Kev faib tawm yog nquag, kua. Lub fermentative daim ntawv ntawm pathological mob yog feem ntau pom. Nws manifests nws tus kheej li kua secretions. Defecation tshwm sim 5-8 zaug ib hnub twg. Cov xim ntawm qhov paug tawm yog ntsuab, suav nrog cov mucous Cheebtsam, cov pob dawb dawb tuaj yeem ua tau. Visually, cov khoom zoo li tws boiled qe.
Qhov ntxoov ntxoo ntawm cov quav yog vim qhov tsis raug cuam tshuam nrog cov kua tsib enzymes. Whitish inclusions yog xab npum derivatives ntawm fatty acids. Yog hais tias tus mob hnyav heev, cov tshuaj lom nyob rau hauv cov hnyuv, uas ua rau enter altoxicosis. Nyob rau tib lub sijhawm, cov paug tawm yog dej, cov quav muaj nyob hauv cov kua hauv flakes.
Nuances of tsos mob
Fermentative dyspepsia hauv menyuam yaus ua rau muaj roj ntau lawm, thiab cov phab ntsa ntawm txoj hnyuv stretch. Qhov no tuaj yeem ua rau mob plab hauv plab. Tus menyuam muaj kev txhawj xeeb, kev kuaj pom tso cai rau koj pom tias tsam plab me ntsis. Rumbling nyob rau hauv txoj hnyuv yog qhov txawv ntawm kev siv lub phonendoscope, tab sis txawm tias tsis muaj nws, qee zaum lub suab tuaj yeem hnov. Mob hauv plab ploj thaum gases dhau - tom qab ntawd tus me nyuam calms down.
Feem ntau, tus menyuam tus mob yog qhov txaus siab. Lub cev qhuav dej ua rau dryness thiab blanching ntawm daim tawv nqaij, ib txheej dawb yog pom ntawm tus nplaig. Tshwj xeeb tshaj yog lub luag hauj lwm kev kho mob ntawm fermentative dyspepsia nyob rau hauv ib tug me nyuam yog tsim nyog yog hais tias tus kab mob pathological ua rau mob hnyav. Qhov no tuaj yeem ua tau yog tias qhov teeb meem nyuaj los ntawm kev kis tus kab mob pathological microflora, tab sis hauv kev xyaum, qhov no tsawg heev. Yog tias tus me nyuam tsis tau txais kev pab, cov tsos mob ntawm kev lom neeg maj mam nce ntxiv, ua rau mob raws plab thiab ntuav. Tus me nyuam feem ntau lethargic, daim tawv nqaij qhuav, leaching ntawm ntsev los ntawm lub cev yuav ua rau convulsions.
Yuav ua li cas?
Kev kho mob dyspepsia hauv cov menyuam yaus pib nrog kev txiav txim siab qhov tseeb ntawm cov kab mob pathological. Ua ntej, nws yog ib qho tsim nyog kom tshem tawm cov kab mob sib kis. Qhov no tsuas yog ua tau hauv tsev kho mob, yog li kev kho mob tsis raug xaiv yam tsis muaj kev tso cai los ntawm kws kho mob. Yog tias daim ntawv mob me me, qhov tsis muaj tus kab mob tau lees paub, tus kws kho mob tsim ib qho kev pab kho tus mob hauvtom tsev.
Thawj kauj ruam hauv kev kho yog xaiv txoj kev noj zaub mov zoo. Tshem tawm cov khoom noj uas ua rau cov kab mob pathology. Ib lossis ob txoj kev pub mis yog hloov nrog tshuaj yej, dej so, thiab cov ntim ntawm lwm cov pluas noj raug txo. Nyob rau thawj hnub ntawm kev kho mob, tus menyuam tau txais txog li 70 ml ntawm niam cov kua mis ib zaug, uas yog, txhua qhov kev pub mis tsis pub dhau plaub feeb. Yog tias cov khoom siv dag siv tau siv, tsuas yog cov khoom siv kho kom haum xwb. Preference yog muab rau cov kua mis qaub. Tsis pub ntau tshaj 70 ml ntawm cov zaub mov yuav tsum tau noj rau ib txoj kev.
Khoom noj khoom haus: dab tsi los saib?
Thaum muaj dyspepsia thaum lub sijhawm so tshuaj yej, nws yog ib qho tsim nyog yuav tsum pub tus menyuam tsis yog mis nyuj lossis cov khoom sib xyaw, tab sis nrog cov kua qabzib ntsev. Koj tuaj yeem siv tsib feem pua qabzib, isotonic sodium chloride, rehydron. Cov me nyuam me raug tso cai ntsuab tshuaj yej thiab dej nplej nrog kua txiv hmab txiv ntoo, dej ntshiab. Pectins tau los ntawm cov carrots muaj peev xwm nqus tau cov tshuaj lom hauv zos hauv cov hnyuv, cov roj molecules thiab lwm yam khoom tsim tawm thaum lub sij hawm tsis tiav ntawm cov khoom. Mucus ntawm mov, hmoov txhuv nplej siab envelop lub mucous daim nyias nyias, tiv thaiv phab ntsa ntawm txoj hnyuv los ntawm kev txhoj puab heev los ntawm cov tshuaj lom, txhawb kev tsim kho.
Nyob hauv tsev, tus menyuam tuaj yeem noj zaub qhwv zaub. Ib nrab ib kilogram ntawm carrots yog ntxiv rau ib liter ntawm ntshiab kua thiab boiled rau ib nrab ib teev. Ntsev lub kua zaub nrog peb grams ntsev. Boiled carrots yog crushed rau hauv puree los ntawm ib tug sieve thiab kua yog ntxiv rau lub gruel kom txog thaum tag nrho cov ntim yog sib npaug zos rau ib liter. Yog ibtus me nyuam ntuav, xws li cov khoom yog siv nyob rau hauv ib tug teaspoon txhua 5-10 feeb. Cov kua dej txhua hnub yog 150 ml / kg.
Yog tus me nyuam tsis ntuav, raws plab tsis muaj zog, tus mob maj mam zoo, koj tuaj yeem nce cov zaub mov. Cov zaub mov dhau los ua rau qhov nruab nrab ntawm hnub rau hnub. Kev taw qhia ntawm cov khoom noj ntxiv yuav tsum yog qeeb, maj mam, du. Thawj zaug cov khoom noj ntxiv tuaj yeem muab tau ob lub lis piam tom qab kev loj hlob ntawm dyspepsia, qee zaum tom qab. Thaum xaiv cov khoom noj ntxiv, nws yog ib qho tsim nyog yuav tsum tau siv cov khoom uas tus menyuam tau txais txiaj ntsig zoo dua li lwm tus.
kev pab kho mob
Txhawm rau txhawb cov txheej txheem digestive, qee zaum cov kws kho mob tau sau tshuaj enzyme npaj. Cov menyuam yaus tuaj yeem muab tshuaj pancreatin hmoov lossis Creon. Cov txhais tau tias "Prolipase", "Pantsitrat" tau ua pov thawj lawv tus kheej zoo. Lawv muaj microscopic capsules ntawm active compounds. Cov tshuaj tau ua pov thawj tias muaj kev nyab xeeb, txhim khu kev qha, siv tau. Muaj tseeb, lawv kim heev, tsis yog txhua tsev neeg muaj peev xwm them taus lawv. Yog tias nws tsis tuaj yeem yuav cov khoom kim heev, koj yuav tsum saib cov tshuaj enzyme npaj, cov lus qhia uas qhia tias lawv tsim nyog rau cov menyuam yaus. Cov kev xaiv pheej yig tshaj plaws yog pancreatin hmoov lossis cov ntsiav tshuaj tsis muaj coated.
Enzymatic dragees tau nthuav tawm hauv hnab - "Festal", "Mezim". Lawv yuav tsum tsis txhob siv, txij li cov khoom rau cov neeg laus tau raug tsim los uas tsis haum rau lub cev ntawm cov menyuam mos. Feem ntau, Smecta yog siv los kho cov neeg laus thiab menyuam yaus. Cov tshuaj nquag ntawm lub hnab ntim tshuaj thiab tiv thaiv cov hnyuv mucosa,nqus cov khoom txaus ntshai thiab tsim kev puas tsuaj los ntawm cov kab mob. Cov menyuam yaus hnub nyoog ib xyoos raug pom zoo siv ib lub hnab rau ib hnub, muab faib ua ntau yam txheej txheem. Cov tshuaj yog yaj nyob rau hauv boiled kua los yog ib tug tov ntawm ntsev thiab piam thaj. Koj tuaj yeem siv cov dej nplej los dilute cov hmoov.
Txoj kev kho: dab tsi ntxiv yuav pab tau?
Txhawm rau ntxuav tus menyuam lub cev sai sai ntawm cov khoom phom sij, tshuaj lom neeg, cov khoom tsim thaum lub sijhawm zom zaub mov tsis tiav, siv ntau yam sorbents. Hauv khw muag tshuaj, Enterosgel thiab Polyphepan tau nthuav tawm ntau. Qhov yooj yim tshaj plaws thiab pheej yig tshaj sorbent muaj nyob rau hauv cov tshuaj txee ntawm yuav luag txhua tus neeg yog activated charcoal. Nws yog qhov zoo dua los tso siab rau qhov kev xaiv tshwj xeeb rau tus kws kho mob: kev siv ntau dhau thiab siv tsis raug tuaj yeem ua rau lub cev tsis zoo, txawm tias qhov no yog qhov kev nyab xeeb tshaj plaws.
Yog tias tus menyuam muaj cov roj ntsha muaj zog tshwj xeeb, lub raj tuaj yeem muab tso rau hauv tsev kho mob kom tshem tawm cov huab cua. Txhawm rau txo qhov mob hauv plab, koj tuaj yeem sau tshuaj antispasmodics. Cov tshuaj classic hu ua "Papaverine", qhov nrov "No-Shpa" yog tsim los ntawm tib yam khoom xyaw.
Nuances and treatment
Nyob rau hauv alimentary dyspepsia, kev kho tshuaj tua kab mob tsis zoo thiab tsis tau qhia. Tom qab kho cov kab mob pathological, nws yog ib qho tsim nyog yuav tsum suav nrog cov kab lis kev cai nyob hauv tus menyuam noj. Lawv nplua nuj nyob rau hauv kev npaj tshwj xeeb - Linex thiab Bifidumbacterin.
Yog tias tus mob raug ntsuas los ntawm qhov nruab nrab lossis hnyav, muajkev pheej hmoo ntawm lub cev qhuav dej ntawm lub cev, tus me nyuam raug tso tseg rau kev kho mob hauv tsev kho mob. Kev daws cov piam thaj thiab ntsev cov ntsiab lus yog nchuav rau hauv cov hlab ntsha ntawm tus menyuam mob. Cov kws kho mob saib xyuas tus menyuam tus mob, muab tshuaj kho cov tsos mob, yog tias tsim nyog.
