Dyspepsia (Matenda ogwirira ntchito)

Tsambali likulimbana ndi magwiridwe antchito am'mimba ndi awo zizindikiro. Mavuto enieni, monga kusalolera kwa chakudya ndi chifuwa, matenda opweteka a m'mimba, matenda a m'mimba, matenda a celiac, kudzimbidwa, zilonda zam'mimba ndi zilonda zam'mimba, ndi matenda a reflux a gastroesophageal. mutu wa mafayilo osiyana.

Kusagwira ntchito m'mimba ndi dyspepsia: ndichiyani?

Zinchito m`mimba matenda ndi matenda amene palibe kutsimikiziridwa chotupa, koma zovuta ntchito m`mimba dongosolo. Pali mitundu ingapo, ndi kugaya chakudya m'mimba (kusafuna kudya, nseru, kutentha pamtima, belching, kutupa), komwe kumatchedwa dyspepsia, Ndipo kugaya chakudya m'matumbo (kutupa, mpweya wa m'mimba, ndi zina zotero) zomwe zimakhala zovuta nthawi zambiri.

La dyspepsia, kumverera uku yokoka, “kusefukira” kapena bloating pamodzi ndikumangirira izi), kapena kupweteka pamwamba pa umbilicus yomwe imapezeka panthawi kapena pambuyo pa chakudya, imapezeka mu 25% mpaka 40% ya akuluakulu.1. Kuti Mpweya matumbo otulutsa ngati mphepo (zinyama), tiyeni titsimikizire, zimachitika pafupifupi aliyense, kuyambira 6 mpaka 20 pa tsiku zimasiyana 300 ml mpaka 1 lita / tsiku.

Kodi chimbudzi ndi chiyani?

Digestion ndi njira yachilengedwe yomwe anthu amakhalamo zakudya amawonongeka ndikusandulika kukhala zakudya zofananira zomwe zimadutsa khoma lamatumbo kulowa m'magazi.

Kugaya chakudya kumayambira m’kamwa, mmene chakudya chimaphwanyidwa n’kusakaniza ndi malovu, kenako n’kupitiriza m’mimba, zimene zimatuluka. madzi am'mimba zidulo, kupitiriza kunyonyotsoka ndi pogaya chakudya kwa maola angapo. Mukatuluka m'mimba, zakudya zomwe zidakonzedweratu (zotchedwa chyme) pitirizani kuphwanyidwa m'matumbo ndi timadziti ta m'mimba kuchokera ku kapamba ndi ndulu. Zakudya zopatsa thanzi zimadutsa khoma la matumbo ndikudutsa m'magazi kuti zigwiritsidwe ntchito ndi thupi. Zomwe sizinatengedwe, zomwe zimawonjezeredwa ku maselo akufa a khoma la m'mimba zimakhala zonyansa m'matumbo.

 

Zimayambitsa

A zakudya zoipa kapena kudya kwambiri mwina ndicho chifukwa chachikulu chakusapeza bwino m'mimba. Mwachitsanzo, mwa anthu ena, kudya mafuta, zotsekemera kapena zokometsera, kumwa zakumwa za carbonated, khofi kapena mowa kumakwiyitsa dongosolo la m'mimba ndipo zimayambitsa ululu. Chakudya chochuluka kwambiri chingayambitse matenda am'mimba omwe nthawi zina amatchedwa "vuto la chiwindi" m'mawu otchuka, kapena kunyoza.

Matenda am'mimba khalani ndi ulaliki wosiyanasiyana :

  • Kumva kusefukira, nthawi zambiri amayamba chifukwa cha kudyazakudya zambiri kapena zonenepa kwambiri zomwe zimachepetsa chimbudzi.
  • The kupweteka m'mimba
  • Kuwotcha kuseri kwa fupa lachiberekero (retro-sternal) ndiye chizindikiro chachikulu cha gastroesophageal Reflux.
  • The kupweteka m'mimba zakudya zakutali zitha kukhala chifukwa :

* zikachitika atangomaliza kudya chakudya chowonjezera;

*koma zikachitika patali ndi chakudya, m'pofunika kukumbukira kuti azindikire zotheka Zilonda zam'mimba, chilonda pa akalowa m'mimba kapena duodenum), Onani tsamba lathu la zilonda zam'mimba ndi zilonda zam'mimba.

  • The kumangirira (burping) mutatha kudya ndi bwino. Nthawi zambiri amayamba chifukwa cha kuthamangitsidwa kwa mpweya wochokera kumtunda wa m'mimba ndikugwirizana mwachindunji ndi kuyamwa kwa mpweya.

    - pakudya;

    - kumwa mowa mwachangu kapena kumwa kudzera mu udzu;

    - pa kutafuna chingamu (= chingamu);

    - ndi kumwa zakumwa za carbonated kutulutsa mpweya wambiri wa carbon dioxide.

Kulowetsa mpweya wambiri kungakhalenso chifukwa cha chikoko.

Komabe, belching izi zitha kulumikizidwa ndi kuukira kwa akalowa m'mimba kapena kum'mero ​​(esophagitis, gastritis, chilonda) zomwe zimalungamitsidwa maganizo ndi dokotala katswiri ndi endoscopy ngati kulimbikira. .

  • The chisangalalo (gasi wa m'mimba), wotulutsidwa ngati mphepo (zinyama), nawonso ndizochitika zachilendo. Zomwe zimayambitsa gasi m'matumbo ambiri ndizo:

    - pakumeza mlengalenga podya kapena kumwa. Ngati mpweya si belched, izo kutsatira njira yomweyo chakudya;

    - pa mtundu wa chakudya ndi zakumwa. Zakudya zina zokhala ndi ma carbohydrate (monga crucifers, nandolo zouma, zowuma, maapulo, ndi zina zotero) zimafufumitsa, kutulutsa mpweya wochuluka kuposa zina;

    - pa kuyenda pang'onopang'ono m'matumbo zomwe zimapangitsa kuti chakudya chifufumire kwambiri m'matumbo.

    Iwo ndi mbali yofunika ya irritable bowel syndrome. Nthawi zambiri, mpweya udzakhala chizindikiro cha matenda a mucous nembanemba, monga matenda otupa (Crohn's kapena UC), matenda a celiac kapena tsankho lazakudya, zomwe zimadziwika bwino kuti lactose.

  • The bloating amayamba chifukwa cha kukhalapo kwa gasi m'matumbo ndipo amafanana ndi kutuluka kwa matumbo. Izi ndi zotsatira za zifukwa zosiyanasiyana: matumbo okwiya, kudzimbidwa, zotsatira za mankhwala kapena zowonjezera zakudya (makamaka zomwe zimakhala ndi mkaka).

Pambuyo pa zaka 50, kutupa kulikonse kosayembekezereka, kusinthidwa kwa ulendo, kumatsimikizira malingaliro a katswiri, ndi endoscopy (colonoscopy). Kufufuza kumeneku kokha kudzatheketsa kuthetsa matenda a colonic mucosa, ndikutsimikizira kuti "matumbo okwiya" amatchedwanso "functional colopathy".

  • The kupweteka m'mimba ndi ululu wa sternum ndi chizindikiro chachikulu cha gastroesophageal Reflux. Onani tsamba lathu la reflux la gastroesophageal.
  • The kupweteka m`mimba kungakhale chifukwa cha chakudya mopitirira muyeso, koma m`pofunika kukumbukira kuti azindikire zotheka Zilonda zam'mimba. Ndi zilonda zam'mimba kapena duodenum, zomwe zimayambitsa kupweteka komanso kukokana mukatha kudya. Onani tsamba lathu la zilonda zam'mimba ndi zilonda zam'mimba.

Zina zomwe zimayambitsa matenda am'mimba

  • Zizindikiro zikabwera mwadzidzidzi ndipo zimatsagana ndi kusapeza bwino, chomwe chimayambitsa kwambiri ndi matenda a m'mimba kapena chakupha chakupha. Izi zimatchedwa gastroenteritis. Mseru, kusanza ndi kutsekula m'mimba ndizo zizindikiro zofala kwambiri. Kulimbikira kwa matenda kuyenera kuyambitsa kukaonana ndi gastroenterologist kuti azindikire vuto la kutsekula m'mimba (kusowa madzi m'thupi) kapena chifukwa china, zamankhwala kapena opaleshoni, monga kuukira kwa appendicitis.
  • ambiri Mankhwala, kuphatikizapo maantibayotiki, aspirin, kapena othetsa ululu (mankhwala osagwiritsidwa ntchito ndi kutupa), angayambitse kupweteka kwa m'mimba, kutsegula m'mimba kapena kudzimbidwa.
  • Nkhawa ndi kupsinjika maganizo nthawi zina zimakhala zokwanira kuyambitsa mavuto a m'mimba.

Zomwe zimatchedwa "zovuta". zinchito

Ngakhale atayesedwa kwambiri, dokotala sangapeze chifukwa chilichonse chofotokozera matenda ammimba. Ululu, kusapeza bwino kapena zizindikiro zilipo, koma zimagwira ntchito, chifukwa cha vuto logwira ntchito osati matenda kapena chilonda cha organic.

Kwa matenda a m'mimba "chapamwamba", timalankhula za "functional dyspepsia" ndi "low" colic disorders "functional colopathy" kapena "matumbo okwiya".

Mwa anthu ena ntchito dyspepsia, m'mimba sichimatuluka monga momwe iyenera kukhalira mutadya, zomwe zimachititsa kuti muzimva kuti mukusefukira.

Nthawi yofunsira?

ngakhale matenda ammimba Nthawi zambiri zimakhala zopanda vuto, zizindikiro zina zochenjeza ziyenera kukulimbikitsani kuti muwone dokotala mwachangu. Nazi zochepa:

  • Kuyamba kwadzidzidzi kwa matenda am'mimba popanda kufotokozera momveka bwino;
  • Kupweteka kwam'mimba kwambiri, ” kuba ";
  • Ngati zizindikiro zikupitirirabe kapena zikuvutitsa kwambiri;
  • Ngati zizindikiro zikuchitika pobwerera kuchokera ku ulendo
  • Ngati zizindikiro zimachitika mutamwa mankhwala atsopano.
  • Zovuta kumeza kapena kupweteka pamene mukumeza;
  • Mseru kusanza kumabweretsa kusalolera kwa chakudya;
  • Kuchepa thupi ;

Zizindikiro zoopsa kwambiri:

  • Kukhalapo kwa magazi m'kusanza kapena m'chimbudzi;
  • Kukhalapo kwa malungo ;
  • Jaundice kapena kutayika kwachikasu kwa maso;
  • Kutaya madzi m'thupi (kukodza, maso a dzenje, kusafuna kukodza pafupipafupi, pakamwa pouma, etc.);

 

Siyani Mumakonda