Khoom noj khoom haus dyspepsia hauv cov menyuam yaus yog ib yam kab mob uas tshwm sim los ntawm kev ua txhaum ntawm txoj hnyuv. Feem ntau, cov kab mob no tau kuaj pom hauv cov menyuam yaus hnub nyoog qis dua ib xyoos, tab sis nws kuj tshwm sim hauv cov neeg laus. Qhov hnyav ntawm tus kab mob yog nyob ntawm tus menyuam noj cov zaub mov noj. Thiab qhov no yog vim lub fact tias lub digestive system nyob rau hauv lub hnub nyoog no tsis yog ib txwm npaj txhij mus tiv nrog lub ntim ntawm cov khoom noj. Nws yog ib qho yooj yim los txheeb xyuas tus kab mob nyob rau theem pib, vim tias cov tsos mob tau hais meej.
Ntau yam ntawm dyspepsia
Muaj ntau hom dyspepsia hauv cov menyuam yaus: kev ua haujlwm lossis kev noj zaub mov, tshuaj lom thiab parenteral.
Alimentary form yog kab mob plab uas tshwm sim vim kev noj zaub mov tsis zoo ntawm tus menyuam. Daim ntawv no muab faib ua tsib hom:
- Fermentation yog vim cov txheej txheem fermentation uas tshwm sim vim noj ntau dhau ntawm cov zaub mov uas muaj carbohydrates. Yog li ntawd, nyob rau hauv tus me nyuam txoj hnyuv loj sai saiCov kab mob fermentation multiply.
- Putrefactive - thaum tus menyuam txoj hnyuv tau nyob hauv cov kab mob putrefactive, kev tsim tawm ntawm cov khoom noj uas muaj protein ntau ntau.
- Fat yog ib yam rau cov menyuam yaus uas noj cov zaub mov muaj roj ntau.
- Tsuas. Ib yam txaus ntshai heev ntawm kev noj haus dyspepsia hauv cov menyuam mos. Lub hauv paus ntsiab lus ntawm qhov teeb meem yog cov kab mob hauv plab hnyuv xws li Salmonella, E. coli, Shigella thiab lwm yam kab mob.
Parenteral tshwm sim los ntawm qhov teeb meem tom qab muaj mob, xws li mob ntsws
Ib ntus dyspepsia feem ntau pom hauv cov menyuam yug tshiab 3-5 hnub tom qab yug. Nws kav li ob peb hnub xwb, kom txog thaum tus menyuam lub cev hloov mus rau ib puag ncig sab nraud, tsis tas yuav muaj kev kho mob, vim nws dhau ntawm nws tus kheej.
Causes of nutritional dyspepsia
Qhov laj thawj tseem ceeb ntawm kev loj hlob ntawm dyspepsia hauv cov menyuam yaus yog kev ua txhaum ntawm kev noj zaub mov, feem ntau cov niam txiv hluas pub mis rau menyuam yaus, txhawj xeeb tias lawv yuav quaj tshaib plab.
Yog hais tias tus me nyuam tau muab zaub mov tsis haum rau nws lub hnub nyoog, piv txwv li, lawv qhia cov khoom noj ua ntej thiab ua tsis ncaj ncees lawm, qhov no ua rau muaj kev ua txhaum ntawm kev zom zaub mov hauv cov hnyuv.
Muaj ntau yam tsis zoo uas ua rau muaj kev loj hlob ntawm alimentary dyspepsia (ICD code 10 - K30).
Cov menyuam yaus hnub nyoog qis dua ib xyoos raug kev txom nyem feem ntau, thiab yog vim li cas rau qhov nonyhav:
- Kev noj ntau dhau. Nws feem ntau pom nyob rau hauv cov me nyuam mos noj mis nyuj vim nws yooj yim dua rau tus me nyuam nqus cov mis los ntawm lub raj mis thiab nws tsis tuaj yeem nres, uas thaum kawg ua rau overeating.
- Low hauv digestive enzymes.
- Kev noj zaub mov tsis haum rau lub hnub nyoog ntawm tus menyuam. Tias yog vim li cas ib tug niam hluas yuav tsum tsis yog tsuas yog paub thaum twg los qhia cov zaub mov ntxiv rau tus menyuam mos, tab sis kuj muaj cov zaub mov twg. Cov kws kho mob qhia kom nres ntawm cov tais diav ib leeg thiab pib qhia lawv rau hauv kev noj zaub mov tsis pub dhau 4 lub hlis yog tias tus menyuam noj khoom noj khoom haus. Yog tias leej niam pub niam mis, ces cov khoom noj ntxiv yuav tsum tau ncua mus txog 6 lub hlis.
- Ntxhais hluas.
Hauv cov menyuam yaus, dyspepsia tshwm sim vim muaj cov hauv qab no:
- noj ntau dhau ntawm cov khoom noj uas nyuaj rau kev zom zaub mov. Cov no suav nrog: kib, ntsim, haus luam yeeb thiab rog.
- Kev noj zaub mov tsis zoo, xws li noj hmo hnyav ua ntej yuav mus pw.
- Hormonal hloov yam ntxwv ntawm kev puberty.
Muaj ntau yam ua rau muaj tshwm sim rau txhua lub hnub nyoog:
- faults nyob rau hauv lub paj hlwb;
- kev tsis haum;
- rickets;
- ntshav qab zib;
- kab mob kab mob;
- avitaminosis;
- tsis hnyav.
Khoom noj khoom haus dyspepsia hauv cov menyuam yaus yog ib yam kab mob hnyav nrog cov tsos mob tsis zoo.
Symptoms of dyspepsia
ClinicalCov tsos mob ntawm dyspepsia nyob rau hauv cov me nyuam mos thiab cov me nyuam loj yog cov tsos mob hauv qab no:
- cem quav raws plab;
- nquag tso quav, mus txog 5 zaug hauv ib hnub;
- muaj kuab thiab pob hauv cov quav;
- bloating;
- nce roj sib cais;
- nrawm saturation;
- txo qis lossis tsis qab los;
- plab hnyuv;
- boob.
Cov tsos mob zoo li no tau pom nyob rau hauv ib lub lis piam, yog tias koj tsis nrhiav kev pab los ntawm tus kws kho mob tshwj xeeb thiab tsis pib kho raws sij hawm, ces tus me nyuam yuav tsim ib daim ntawv hnyav dua - tshuaj lom. Koj tuaj yeem txiav txim siab txoj kev loj hlob ntawm daim ntawv hnyav los ntawm cov cim hauv qab no:
- nce siab hauv lub cev kub, nce mus rau kub taub hau;
- tas li ntawm xeev siab thiab ntuav ntuav;
- raws plab, tus menyuam txoj hnyuv tuaj yeem nqus tau txog 20 zaug hauv ib hnub;
- lub cev qhuav dej hnyav;
- poob fontanel hauv me nyuam mos;
- poob ceeb thawj;
- txo qis hauv kev xav;
- tsis txaus siab rau qhov tshiab thiab yav dhau los tsis pom;
- ncaws thiab qaug dab peg.
Cov tshuaj lom ntawm cov khoom noj khoom haus dyspepsia tuaj yeem ua rau tsis nco qab, tsis nco qab thiab tuag.
Yuav ua li cas hauv lub cev nrog dyspepsia?
Cov mucosa ntawm cov hnyuv me hauv menyuam yaus thiab cov neeg laus tau rov ua dua tshiab sai sai, thaum tag nrho cov as-ham poob nrog rau cov hlwb tuag. Lub epithelium hloov kho nyob rau hauv ob peb hnub. Yog vim li caslub qhov quav reacts heev rau qhov tsis muaj qee yam khoom. Rau cov qauv ntawm cov mucosa, xav tau ntau cov khoom noj khoom haus, nrog rau cov hnub nyoog lawv qhov ntau ntxiv.
Hauv cov kab mob pathogenesis, lub luag haujlwm tseem ceeb yog ua los ntawm kev ua haujlwm exocrine ntawm tus txiav thiab kev sib cais ntawm cov kua tsib. Tom qab cov zaub mov nkag mus rau hauv txoj hnyuv me uas tsis tau zom tag nrho, kev tso tawm cov enzymes raug cuam tshuam. Cov xwm txheej zoo li no ua rau lub cev muaj zog ntawm txoj hnyuv cuam tshuam, cov kab mob kis thoob plaws hauv txoj hnyuv, uas thaum kawg provokes cov txheej txheem ntawm putrefaction thiab fermentation.
Tus mob no ua rau muaj cov khoom muaj tshuaj lom ntau, xws li skatole, indole, ammonia, hydrogen sulfide thiab lwm yam. Cov tshuaj no ua rau lub plab hnyuv mucosa, uas cuam tshuam rau nws txoj kev txav, thiab qhov tshwm sim yog raws plab. Kev nrawm nrawm ntawm cov zaub mov tsis tso cai rau kev zom zaub mov kom zoo. Nrog rau kev noj haus dyspepsia, txiv qaub ntsev yog tsim nyob rau hauv lub cev, uas tua bifidobacteria uas ib txwm nyob rau hauv cov hnyuv noj qab haus huv.
Yog vim li cas thiaj tseem ceeb rau cov niam txiv yuav tsum xyuam xim rau thawj cov tsos mob ntawm lub sij hawm thiab nrhiav cov lus qhia ntawm tus kws kho mob tshwj xeeb.
Kev kuaj mob dyspepsia
Yog tias muaj kev xav tias tus menyuam muaj mob dyspepsia, nws yog qhov ceev kom nrhiav kev qhia los ntawm tus kws tshaj lij. Nws yuav sau ib qho anamnesis, nrhiav pom los ntawm nws niam nws txiv thaum thawj cov tsos mob tshwm sim, lawv hais li cas. Tom qab ntawd, tus kws kho mob yuav soj ntsuam cov tsos mob thiab ntxiv rau kev tshuaj ntsuam xyuas.kev kuaj fecal.
Nws yog ib qho tseem ceeb rau tus kws kho mob kom raug kuaj xyuas kom raug, tsis suav nrog kev txhim kho lwm yam kab mob, xws li:
- mob enteritis;
- atrophic gastritis;
- mob pancreatitis.
Yuav kom tau txais cov ntaub ntawv raug ntxiv ntawm tus menyuam txoj hnyuv, cov niam txiv yuav tsum paub yuav ua li cas sau cov quav los ntawm tus menyuam.
khaws quav rau tshuaj ntsuam
Txhua tus neeg laus paub tias yuav tsum khaws cov zis thiab quav thaum sawv ntxov, tom qab tus neeg sawv ntxov. Tab sis nws yog ib qho nyuaj heev los yuam ib tug me nyuam yaus kom nws cov hnyuv tag sawv ntxov. Ntau tus niam txiv ua rau enemas, tab sis cov kws kho mob tsis qhia ua qhov no. Cov menyuam mos tuaj yeem khaws cov quav txawm tias lawv lub plab khoob thaum tav su. Qhov tseem ceeb yog muab khaws cia rau hauv lub tub yees.
Yuav ua li cas sau quav rau kev tshuaj ntsuam ntawm tus menyuam:
- ua ntej tshaj, yuav ib lub thawv tshwj xeeb nrog rab diav yas ntawm lub hau ntawm lub tsev muag tshuaj;
- tsis tas yuav tsum ntxuav tus menyuam ua ntej sau quav, vim nws tsis tuaj yeem kwv yees thaum nws xav tso nws cov hnyuv;
- koj tuaj yeem khaws cov quav los ntawm cov ntaub so ntswg uas siv tau ib rab diav tshwj xeeb uas tuaj nrog lub thawv;
- qhov kev tshuaj ntsuam tau raug xa mus rau lub tub yees, thiab thaum sawv ntxov nws raug xa mus rau chav kuaj xyuas.
Koj tsis tuaj yeem khaws cov quav rau ntau tshaj ob hnub, qhov twg cov ntaub ntawv tau txais yuav tsis raug. Nws yog qhov zoo dua los sau cov khoom nyob rau hnub ua ntej kev xeem.
Tom qab tau txais cov ntaub ntawv ntawm kev tshuaj ntsuam, tus kws kho mob plab menyuam yausyuav txiav txim siab thiab xaiv ib txoj kev kho mob rau tus menyuam.
kev kho mob
Txhawm rau tshem tawm cov tsos mob ntawm dyspepsia uas tsis zoo rau menyuam yaus, nws yog ib qho tseem ceeb kom nrhiav tau qhov ua rau ntawm lawv qhov tsos. Tom qab nws pom, ib qho kev kho mob tag nrho raug xaiv, uas suav nrog:
- ua raws kev noj haus;
- noj tshuaj;
- lwm cov kev kho mob, xws li plab tuck massage, pab txo qhov mob thiab txhim kho plab zom mov.
Raws li kev xaiv tshuaj, feem ntau cov kws tshaj lij nres ntawm cov hauv qab no:
- Maalox;
- Mezim;
- Cisapride.
Cov tshuaj no pab txhawb txoj kev zom zaub mov, vim tias cov hnyuv microflora rov qab los, hnyav thiab mob hauv plab ploj mus.
Khoom noj khoom haus rau dyspepsia
Yog tias koj tsis ua raws li kev noj zaub mov tshwj xeeb, kev kho tshuaj yuav tsis ua rau muaj txiaj ntsig. Kev noj zaub mov yog raws li kev txo qis cov khoom noj los ntawm tus menyuam thiab ua kom lub cev muaj dej sib npaug.
Kev noj zaub mov rau menyuam yaus uas muaj dyspepsia yog tsim los rau 5 hnub:
- Nyob rau thawj hnub koj yuav tsum tau so ntawm kev pub mis rau lub sijhawm 8 teev. Thaum lub sij hawm no, tus me nyuam yuav tsum tau tso cai haus dej ntau dua. Ob leeg me nyuam cov tshuaj yej thiab cov khw muag tshuaj tshwj xeeb uas pab tshem tawm lub cev qhuav dej ("Rehydron") tsim nyog.
- Hnub thib ob, tus me nyuam tau noj li niaj zaus, tab sis tsuas yog cov zaub mov noj tsuas yog txo. Cov khoom noj ntxiv tsis tau qhia rau lub sijhawm no. Cov zaub mov yuav tsum yog 75% ntawm cov hnub nyoog.
- Hnub peb, kev pub mis yuav tshwm sim li qub, tab sis qhov feem txo qis dua 10%, tus nqi uas ploj lawm yog hloov ua kua.
- Hnub plaub, tus me nyuam tau noj li qub, raws li nws hnub nyoog qeb. Tsis muaj zaub mov ntxiv.
- Hnub thib tsib, tso cai los qhia txog cov khoom noj uas muaj cov khoom noj uas tus menyuam tau noj ua ntej. Cov khoom noj tshiab tsis tau qhia.
Khoom noj rau cov menyuam yaus hnub nyoog qis dua ib xyoos yuav tsum tau teem sijhawm nruj rau lub hlis. Los ntawm cov lus hauv qab no, koj tuaj yeem paub tias thaum twg thiab ntau npaum li cas los qhia cov khoom noj ntxiv rau tus menyuam, nrog rau cov khoom noj uas tus menyuam yuav tsum tau noj.
Tsis txhob quav ntsej nws thiab txiav txim siab rau koj tus kheej thaum twg thiab ntau npaum li cas ntxiv cov zaub mov tshiab rau kev noj haus. Qhov kev txiav txim siab no tuaj yeem ua rau muaj kev loj hlob ntawm pathologies loj, uas yuav nyuaj rau kho.
Kev txaus ntshai ntawm kev noj ntau dhau
Cov me nyuam mos tswj tsis tau cov zaub mov uas lawv noj. Yog li ntawd, nws yog ib qho tseem ceeb kom ntseeg tau tias cov feem cuam tshuam nrog cov hnub nyoog. Kev pub mis ntau kuj tuaj yeem ua rau dyspepsia hauv tus menyuam. Hauv cov lus hauv qab no, koj tuaj yeem pom cov qauv kev noj haus rau cov menyuam yaus txog ib xyoos los ntawm ib hlis. Koj yuav tsum tsis txhob nruj me ntsis ua raws li cov cai no, vim hais tias tag nrho cov txiaj ntsig yog qhov nruab nrab, thiab qhov qab los noj mov hauv cov menyuam yaus yog txiav txim siab los ntawm tus kheej, tab sisnws tseem tsim nyog them nqi rau cov ntsiab lus no.
Yog tias koj pom cov tsos mob ntawm kev noj zaub mov ntau dhau hauv koj tus menyuam (nquag regurgitation, nce roj tsim, hnyav hnyav), ces koj yuav tsum kho nws cov zaub mov.
Kev kho neeg mob rau dyspepsia
Nws tuaj yeem nyuaj heev rau cov niam txiv los txiav txim qhov ua rau tsam plab hauv tus menyuam tom qab noj mov. Kev kho mob ntawm cov tsos mob no yuav tsum tau ua los ntawm tus kws kho mob tshwj xeeb tom qab pom qhov ua rau tus mob no. Tus kws kho mob yuav pom zoo kom noj tshuaj npaj los yog zaub mov noj tshuaj. Cov zaub mov hauv qab no yuav pab daws cov tsos mob ntawm dyspepsia:
- Nplej qab zib. Txhawm rau npaj nws, koj yuav tsum noj 1 teaspoon ntawm mov thiab ncuav nws nrog ib liter dej. Muab tso rau ntawm qhov hluav taws kub qis kom ua noj kom txog thaum lub mov yog boiled tag. Qhov tshwm sim yuav tsum yog muab tshuaj txhuam, uas yog lim los ntawm gauze thiab muab rau tus menyuam ob dia txhua 2-3 teev.
- Decoction of oak bark yuav pab kho cov quav. Txhawm rau npaj nws, koj yuav xav tau 1 teaspoon ntawm tws bark, uas yog poured rau hauv ib khob dej thiab xa mus rau simmer rau 15 feeb ntawm ib tug qeeb hluav taws. Tom qab ntawd, cov kua zaub raug tshem tawm ntawm qhov hluav taws kub, txias, dej ntxiv rau qhov xav tau thiab tso cai rau haus rau tus menyuam hnub nyoog qis dua 1 xyoos, ib teaspoon txog 5 zaug hauv ib hnub.
- Nws yog ib qho tseem ceeb tsis yog tsuas yog txhawm rau tshem tawm cov tsos mob, tab sis kuj nrhiav kom pom qhov ua rau tsam plab tom qab noj mov. Kev kho mob tuaj yeem ntxiv los ntawm kev siv lub decoction ntawm pomegranate tev. Txhawm rau npaj nws, koj xav tau ib teaspoon ntawm hmoov,tau los ntawm qhuav pomegranate tev, uas yog poured rau hauv 500 ml ntawm dej kub, khaws cia nyob rau hauv ib tug da dej rau 15 feeb. Tom qab ntawd, lub broth yog infused rau ob teev thiab lim. Ib tug me nyuam mus txog rau ib xyoos tau txais ib teaspoon ntawm cov nyiaj tsis pub tshaj peb zaug ib hnub twg.
Khoom noj khoom haus dyspepsia hauv cov menyuam yaus raug kho sai yog tias tag nrho cov lus pom zoo ua raws, tab sis nws tseem zoo dua los tiv thaiv nws txoj kev loj hlob. Nws yog qhov zoo dua rau cov niam txiv los ntsuas kev tiv thaiv.
Tiv thaiv dyspepsia
Kev tiv thaiv kev mob plab hnyuv ntawm hom no yog ua raws li ntau txoj cai:
- niam txiv yuav tsum muaj kev sib haum xeeb thiab sib npaug pub rau lawv tus menyuam raws li nws hnub nyoog;
- tsis noj ntau dhau lossis noj zaub mov tsis txaus;
- cov tub ntxhais hluas yuav tsum coj txoj kev noj qab haus huv;
- xav tau kev tawm dag zog tsis tu ncua;
- qhia kev tu cev nruj ua ntej noj mov;
- yuav tsum tau mus ntsib tus kws tshaj lij, tsawg kawg ib xyoos ib zaug.
Qhov kev cia siab rau cov menyuam yaus uas tau kuaj pom tias muaj dyspepsia feem ntau yog qhov zoo, xaus nrog kev rov qab sai thiab ua tiav yam tsis muaj qhov tshwm sim lossis teeb meem. Tab sis yog tias cov niam txiv tsis nrhiav kev pab raws sijhawm, tsis ua raws li tus kws kho mob cov lus pom zoo, ces qhov kev cia siab yuav tsis zoo siab. Tus me nyuam tuaj yeem tsim cov tshuaj lom, thiab nws yuav ua rau tus me nyuam tsis nco qab lossis tuag lawm.
