Zinchito dyspepsia: Zizindikiro ndi Chithandizo

Mu azachipatala "dyspepsia" ambiri amadziwira monga ambiri zizindikiro zosiyana kunja kugwirizana ndi mavuto pa mundawo m'mimba, amene amayamba ndi kuphwanya dongosolo la chimbudzi chakudya. Choncho dzina, pambuyo kudzimbidwa onse amachoka Greek amatanthauza "mavuto m'mimba".

Osiyana mitundu ya matenda onse zovuta ndi zinchito dyspepsia. zizindikiro zake: kuzimiririka kapena moto ululu m'dera m'mimba (otchedwa makona epigastric). Kuwonjezera kusapeza, wodwalayo amakhala ndi kumverera kwa kulemera, ndipo zikusefukira m'mimba. Komanso, pangakhale flatulence, nseru, kutentha pa chifuwa ndi belching. Mu ndondomeko matenda alibe kudziwa pathologies aliyense organic (palibe zifukwa morphological kapena amuzolengedwa).

Icho ndicho chiri chosiyana zinchito dyspepsia mankhwala kuti ali zina.

Tiyankhe mafunso amenewa mwatsatanetsatane.

ziwerengero matenda

M'mimba mavuto - mmodzi wa matenda ambiri anakumana kapepala kakuti m'mimba. Pa miyeso zosiyanasiyana zowerengera, chinapezeka kuti chiwerengero cha odwala kupempha thandizo kwa gastroenterologist, chiwerengero cha anthu amene amapezeka monga zinchito dyspepsia, chapamimba, ndi 70%. Mu ku Ulaya, chiwerengero cha anthu poyera kuti matenda anafotokoza, mpaka 40%, ndi States African - oposa 60%.

Ngakhale kuti zinchito dyspepsia, zizindikiro za amene ali zosasangalatsa ndithu, kumabweretsa kusapeza kwambiri kwa munthu kuti athandizidwe kotala mwa anthu akutembenukira kwa katswiri zachipatala. Mu ambiri milandu amapezeka ndi zinchito, osati mtundu organic matenda.

Mu chikhalidwe wamkazi ofanana amapezeka pafupifupi imodzi ndi nthawi theka zambiri.

Avereji odwala ndi vutoli - kuyambira azaka 20 mpaka 45. Okalamba, izi kukanika pa mundawo m'mimba ndi n'kukhala kwambiri. M'malo mwake, pali yaikulu kwambiri matenda m'mimba dongosolo, amene koma ali ndi zizindikiro zofanana.

mitundu ya kuyan'anila

Zinchito chapamimba dyspepsia, ngati inu kale bwino, si njira yokhayo kudwala. Pali Baibulo organic kwake. Tiyeni tione mwatsatanetsatane pa mbali chosiyana ya aliyense wa iwo.

1. Organic. chosokoneza zimachitika chifukwa cha chilonda, ndi matenda osiyanasiyana a kapamba, chikhodzodzo ndulu, komanso ena pathologies organic.
2. Zinchito. Umaoneka outages a wosanjikiza minofu ya m'mimba ndi duodenum 12 (osati chifukwa cha matenda), amene akakhale miyezi 3 pa chaka. Zimenezi siziyenera apezeke kugwirizana kuwonekera ululu ndi kukanika pa mundawo m'mimba.

Gulu la matenda sanali kwachilengedwenso

Malinga ndi njira matenda a matenda zinchito dyspepsia, m'mimba akhoza kugawidwa mu subspecies zitatu:

• Yazvennopodobnom - amakhala ndi ululu dera epigastric.
• Dyskinetic - wodwala akumva kusapeza m'mimba, amene si limodzi ndi ululu waukulu.
• Non-yeniyeni - pa matenda chithunzi cha matenda ali ndi zizindikiro zosiyanasiyana (ndi nseru, kutentha, belching).

zinthu kukulitsa

Mosiyana ndi mitundu zamoyo kulingalira zomwe si cholinga cha nkhani iyi, zinchito dyspepsia akuluakulu ndi ana amatchedwa otsatirawa zifukwa zapadera.

1. Mavuto ndi peristaltic ntchito ulusi minofu ya m'mimba ndi duodenum. Njirazi ndi monga:
   
   - pakalibe ena zosangalatsa za m'mimba pambuyo kugunda ndi chakudya (otchedwa malawi);
   - kuphwanya mkombero wa contractions minofu ya thupi;
   - mavuto ndi galimoto ntchito ya kumatako Dipatimenti ya m'matumbo;
   - zolephera antroduodenalnoy kugwirizana.
   
   
2. Chinawonjezeka propensity kutambasula khoma m'mimba pamene mukudya.
3. Salimbikitsa chakudya, kumwa wambiri tiyi, khofi ndi mowa.
4. Kusuta.
5. Mankhwalawa zosiyanasiyana mankhwala (NSAIDs).
6. Psychological nkhawa.

Ena madokotala amati matenda a dyspepsia zinchito amagwirizana ndi kutulutsidwa kwa yambiri acid amathiridwa mu kapepala kakuti m'mimba, koma tsopano ndi umboni wodalirika wa chiphunzitso chimenechi kulibe.

Mitundu ya kudwala yatsoka

Taganizirani mbali kunja ndi zomverera mkati mwa mtima ndi mmene matenda anafotokoza.

Yazvenopodobnaya zinchito dyspepsia, makamaka yodziwika ndi pachimake ndi yokhalitsa ululu, wosawoneka m'dera epigastric. Iwo amavomereza kuti kutchulidwa usiku kapena pamene munthu amasangalala chifukwa cha njala. Kodi kuthetsa kusapeza mu ntchito mankhwala oyenerera - Mankhwalawa ayenera kumwedwa. Ululu akukhala kwambiri, ngati wodwala akukumana psycho-maganizo wotopa, mwina anaopa pamaso pa matenda ena zoopsa.

Dyskinetic mawonekedwe siudzalandilidwa ngathi lamulo (sanali chilonda zinchito dyspepsia) limodzi ndi zizindikiro monga satiety oyambirira, chidzalo cha mundawo m'mimba, bloating wa pamimba ndiponso nseru.

Pankhani dyspepsia si yeniyeni, pali munthu zovuta m'kagulu madandaulo pa malo osiyanasiyana. mtundu uwu matenda akhozanso kukopeka ndi zizindikiro zimene yeniyeni matenda ena ena amagwirizana ndi kapepala kakuti m'mimba. A chimodzimodzi n'zovuta oterewa chikhalidwe monga zinchito dyspepsia m'mimba. Mankhwala symptomatic a yake.

diagnostics

Ntchito yoyamba akukumana chisamaliro thanzi akatswiri - kusiyanitsa pakati pa dyspepsia kwachilengedwenso ndi zinchito. Monga ulamuliro, yotsirizira chikuchitika mu nkhani ya zizindikiro kuoneka mu mtima popanda zifukwa kunja kuwoneka.

Kuti ndizilankhula molimba mtima za momwe ikuyendera wodwala matenda zinchito, m'pofunika kukhazikitsa kuli muyezo waukulu zitatu:

• Pali nthawi zonse (kobwereza) dyspepsia - umboni ndi kupweteka kwa epigastric, amene akakhale ndi nthawi okwana 3 months pa chaka.
• Sanapezeke kuda matenda organic - zimathandiza kukhazikitsa ultrasound, endoscopy kapena zina matenda ndi amuzolengedwa njira.
• Zizindikiro ananena chiyani kutha pambuyo pogwiritsa ntchito chimbudzi, ndowe chopondapo pafupipafupi ndiponso kugwirizana sasintha - timatha kusiyanitsa dyspepsia ndi azitsegula.

njira zofufuzira

Komanso, n'kofunika kuti akatsimikizire matenda ena ndi zizindikiro zofanana ndi anthu ayende zinchito dyspepsia m'mimba. Mankhwalawa pathologies zimenezi zingakhale ukasintha osiyana.

zinthu zotsatirazi akutsatiridwa kwa cholinga ichi.

1. Anamnesis. Pamene kukambirana chachikulu katswiri zachipatala ayenera kudziwa ngati wodwala akudwala matenda limodzi ndi zizindikiro za dyspepsia. M'pofunika kukhazikitsa chikhalidwe cha otaya ndi kuphunzira kumverera kwa munthu (ngati distension m'mimba ndi, belching, kutentha kapena kupweteka). Nkofunika kudziwa kuti kutenga chakudya anthu pa masiku akale, ngati iye anali pansi chithandizo chilichonse.
2. Anayendera. Pa nthawi m'pofunika kuti achotse kuthekera zosayembekezereka wa kuyan'anila za thirakiti m'mimba, dongosolo mtima, ndi matenda kupuma.
3. Chitsanzo chopereka. Childs, muyenera:

• General kusanthula ndowe;
• Kuphunzira ndowe pamaso pa kuda magazi mwa iwo;
• MAGAZI;
• mtima kuli mitundu ina ya matenda.

4. Studies ndi zida zosiyanasiyana mankhwala:

• esophagogastroduodenoscopy (dzina bwino - gastroscopy);
• Kuphunzira m'mimba mothandizidwa ndi X-ray makina;
• ziwalo ultrasound ili mkati zonse m'mimba;
• ena ndondomeko zofunika.

dongosolo kafukufuku

Kuti zinchito dyspepsia mu ana ndi akulu wakhala matenda molondola, dotolo ali kutsatira ndondomeko zina zochita.

Tiyenera kuyamba kuphimba ndi chizolowezi magazi, komanso kukhazikitsa kuda ake mu ndowe za. Izi ati awulule magazi chobisika kapepala kakuti m'mimba.

Ngati pali zolakwika kuphunzira anapatsidwa zasayansi ayenera kukhala zotheka kuti atsimikizire kapena kutsutsa matenda pogwiritsa ntchito zida (mwachitsanzo, endoscopy). Ngati odwala ali aakulu kuposa zaka 50, anaika pangozi zizindikiro (kusanza magazi, mtundu wofiira kayendedwe matumbo, malungo, kuchepa magazi, aakulu kuwonda), akuchita mwamsanga gastroscopy kutero.

Apo ayi (pamene zizindikiro woopsawo si anati) kuti uzipereke otchedwa mankhwala empiric ntchito mankhwala antisecretory ndi prokinetic kanthu. Only atachokako kwa mphamvu zabwino ayenera kugwiritsidwa ntchito njira malangizo.

Komabe, njira imeneyi, pali ngozi chobisika. chakuti ambiri wothandizila pharmacological ndi zotsatira zabwino ndi kuchepetsa zizindikiro za ambiri pathologies ena akuluakulu (mwachitsanzo, khansa). Izi complicates kwambiri matenda yake.

chithandizo

Pa matenda akhoza anakhazikitsa organic kapena zinchito dyspepsia. Chithandizo choyamba cholinga chake ndi kuthetsa zimene zimayambitsa kuti tifulumizane matenda. Pankhani ya njira zatsopano amakonzedwa payekha, atengedwa mu peculiarities chifukwa cha chithunzi matenda.

Zolinga zikuluzikulu za mankhwala:

• kuchepetsa mavuto;
• Kupha zizindikiro;
• muyambirenso kupewa.

Mankhwala zotsatira

njira zotsatirazi ntchito kuchotsa zizindikiro za dyspepsia.

1. Zakudya. Munthu sayenera kutsatira malangizo alionse ovuta chabe matenda a mphamvu. Ndi bwino kusiya kwathunthu mankhwala si mosavuta kukonzedwa matumbo, komanso roughage. Iwo m'pofunika kudya kawirikawiri, koma kudya zochepa. Iwo ali osavomerezeka kusuta, kumwa mowa, kumwa khofi.
2. Akukana kumwa mankhwala ena. Zimagwiritsa funso mankhwala nonsteroidal antiinflammatory, omwe amadza kwambiri uziyenda bwino pa mundawo m'mimba.
3. Psychotherapeutic chikoka. oposa theka la odwala oddly mokwanira, kuchotsa zizindikiro zimene zigwirizana pamodzi ndi zinchito dyspepsia, ngati ntchito pa matenda a placebo. Choncho, njira zofanana amachitira ndi siudzalandilidwa ngathi lamulo Zimatheka, komanso mobwerezabwereza kutsimikiziridwa nchito zake.

mankhwala

mitundu yeniyeni wothandizila pharmacological ntchito wodwala amene anapezedwa dyspepsia zinchito, ndife otsimikiza payekha amaganizira zizindikiro anakhazikitsa.

Kawirikawiri ntchito mankhwala wazotsatira, cholinga mwezi umodzi kapena iwiri ya phwando.

Aliyense njira yapadera za kulimbana ndi matenda ndi kupewa ake sakhala panopa kulibe. Popular zotsatirazi mitundu ya mankhwala:

• mankhwala antisecretory;
• Mankhwalawa ayenera kumwedwa;
• absorbent njira;
• prokinetic magome;
• mankhwala.

Nthawi zina, antidepressants amaoneka, omwe amathanso kuchotsa zizindikiro sanali zamoyo dyspepsia.

Ngati anapezeka ndi zinchito dyspepsia ana, mankhwala ayenera kuchitidwa kutenga nkhani maonekedwe a kukula chamoyo.

machenjerero nkhondowo

Nthawi yambiri njira ntchito ndi mazunzo a sayansi yamakono mankhwala si yapangidwa.

Pa matenda muyambirenso kuti m'pofunika kugwiritsa ntchito mankhwala kale kutsimikiziridwa mogwira ndiyotani pakuchotsa zizindikiro za dyspepsia.

Pamene ntchito nthawi yaitali mankhwala aliwonse sasiya kusapeza mtima, Ndi bwino kuti mankhwala ndi nthumwi zina pharmacological.

Pomaliza

Zinchito (ndi kwachilengedwenso) dyspepsia - mmodzi wa matenda ambiri. Ngakhale kupanda mwina kuopsa pamaso pa zizindikiro kwambiri yafupika khalidwe la moyo. Chifukwa ndi zofunika kukhwimitsa umalimbana kupewa. Kuchita izi, inu angofunika kusunga zakudya yolondola, kuti achotse zotsatira za maganizo pa thupi ndi kwathunthu kumasuka.

Khalani wathanzi!