Aikin dyspepsia: Bayyanar cututtuka da kuma Jiyya

A karkashin likita Kalmar "dyspepsia" ne fiye gane a matsayin manyan yawan daban-daban na waje cututtuka hade da matsaloli na gastrointestinal fili, wanda ake sa da wani take hakkin da aiwatar da narkewa abinci. Saboda haka sunan, bayan duk bacin da aka fassara daga Girkanci nufin "narkewa kamar matsaloli".

Raba jinsunan duk hadaddun cuta ne aikin dyspepsia. Its bayyanar cututtuka: maras ban sha'awa ko kona zafi a cikin ciki area (abin da ake kira alwatika epigastric). Bugu da kari ga rashin jin daɗi, da mãsu haƙuri abubuwan jin nauyi, kuma daga ciki ambaliya. Har ila yau, akwai iya zama flatulence, tashin zuciya, ƙwannafi da belching. A ganewar asali tsari ba ya gane wani kwayoyin pathologies (babu morphological ko biochemical dalilai).

Wannan shi ne abin da yake daban-daban aikin dyspepsia magani da cewa yana da wasu siffofin.

Ka yi la'akari da wadannan tambayoyi a cikin mafi daki-daki.

cuta statistics

Narkewa kamar matsaloli - daya daga cikin na kowa cuta ci karo a cikin gastrointestinal fili. A lokacin daban-daban na ilimin kididdiga matakan, an gano cewa, jimlar yawan marasa lafiya da neman taimako ga gastroenterologist, da yawan mutanen da suka kamu da ake matsayin aikin dyspepsia, ciki, shi ne game da 70%. A kasashen Turai, da yawan jama'a fallasa da aka bayyana cututtuka, har zuwa 40%, kuma a cikin Afirka States - fiye da 60%.

Duk da cewa da aikin dyspepsia, da bayyanar cututtuka da wanda suke quite m, ya kawo gagarumin rashin jin daɗi ga mutum domin taimako kawai kwata daga cikin wadanda aka jũya zuwa wani likita gwani. A mafi yawan lokuta ana bincikar lafiya shi ne aikin, maimakon kwayoyin irin cuta.

A mace irin wannan yanayin na faruwa a game da daya da rabi sau mafi kusantar.

A talakawan shekaru marasa lafiya tare da wannan matsala - daga 20 zuwa shekaru 45. A cikin tsofaffi, wannan tabarbarewa na gastrointestinal fili ne sosai rarer. A maimakon haka, akwai fiye da tsanani narkewa kamar tsarin cututtuka, wanda duk da haka suna da kama da cututtuka.

daban na take hakki

Aikin na ciki da dyspepsia, kamar yadda ka riga gane, ba kawai irin Pathology. Akwai wani kwayoyin version daga gare ta. Bari mu bincika a cikin mafi daki-daki, a kan rarrabe siffofin kowane daga cikinsu.

1. Organic. Wannan tashin hankali ya taso ne a sakamakon miki, da kuma cututtuka daban-daban na pancreas, gall mafitsara, kazalika da sauran kwayoyin pathologies.
2. Aikin. Bayyana lokacin da wadatar da murdede Layer na ciki da kuma duodenum 12 (ba sa da cutar), wanda yalwata 3 watanni a lokacin shekara. Wannan ya kamata ba za a kamu mahada bayyana zafi da tabarbarewa na gastrointestinal fili.

Nau'in ba nazarin halittu cuta

Bisa ga na asibiti hanya na cuta, aikin dyspepsia, ciki za a iya raba uku subspecies:

• Yazvennopodobnom - ne halin da zafi a cikin epigastric yankin.
• Dyskinetic - haƙuri ji rashin jin daɗi a cikin ciki, wadda aka ba tare da m zafi.
• Non-takamaiman - na asibiti hoto da wannan cuta yana da dama cututtuka (da tashin zuciya, ƙwannafi, belching).

m dalilai

A bambanci ga nazarin halittu siffofin, da la'akari da wanda ba manufar wannan abu, aikin dyspepsia a manya da yara ne ake kira The wadannan takamaiman dalilai.

1. Matsaloli tare da peristaltic aiki na da tsoka zaruruwa na ciki da kuma duodenum. Wadannan sun hada da:
   
   - babu wani shakatawa na ciki bayan da aka buga da abinci (abin da ake kira masauki).
   - wani take hakkin sake zagayowar tsoka contractions na jiki;
   - matsaloli da mota aiki na tsuliya Department of ciwon.
   - kasawa antroduodenalnoy daidaituwa.
   
   
2. A ƙãra propensity zuwa budewa da ciki bango yayin cin abinci.
3. M rage cin abinci, shan a cikin manyan yawa shayi, kofi da giya.
4. Shan taba.
5. Jiyya da dama na kiwon lafiya da kwayoyi (NSAIDs).
6. M danniya.

Wasu likita kwararru gardamar cewa ciwo na aikin dyspepsia ake dangantawa da saki mai yawa na hydrochloric acid a cikin gastrointestinal fili, amma yanzu abin dogara shaida wannan ka'idar ba ya wanzu.

Siffofin Pathology aukuwa

Ka yi la'akari da waje siffofin da ciki majiyai na haƙuri ne na hali na bayyana cuta.

Yazvenopodobnaya aikin dyspepsia, da farko halin da m da kuma dogon zafi, wanda ya bayyana a cikin epigastric yankin. Sun yarda ya furta a dare ko a lokacin da mutum ji mai ji yunwa. Za a iya kawar da rashin jin daɗi a cikin yin amfani da dace kwayoyi - antacids. Pain zama mafi tsanani, idan wani haƙuri yana fuskantar Psycho-wani tunanin danniya, ya iya ji tsõron gaban wasu mummunan cuta.

Dyskinetic nau'i na ƙeta (ba miki aikin dyspepsia) yana tare da bayyanar cututtuka kamar farkon satiety, cikar da gastrointestinal fili, bloating na ciki da kuma tashin zuciya.

Game da ba-takamaiman dyspepsia, akwai wani mutumin da wuya ga rarraba gunaguni a kan daban-daban filaye. Wannan irin cuta iya a tare da bayyanar cututtuka da suke da takamaiman wasu sauran cututtuka hade da gastrointestinal fili. A irin wannan abin kwaikwaya wuya a gane asali a yanayin kamar aikin dyspepsia ciki. Jiyya ne symptomatic na ta nada.

bincikowa da

A farko aiki fuskantar harkokin kiwon lafiya masu sana'a - bambance tsakanin mai nazarin halittu da kuma aikin dyspepsia. Matsayin mai mulkin, da karshen daukan wuri a cikin al'amarin lokacin bayyanar cututtuka bayyana a wani haƙuri ba tare da wani waje a bayyane dalilai.

Domin magana da amincewa a game da ci gaban da mãsu haƙuri ne mai aikin cuta, shi wajibi ne don tsayar da wanzuwar uku babban sharudda:

• Akwai m (maimaita) dyspepsia - evidenced da zafi a cikin epigastric, wanda yalwata a total tsawon watanni 3 a lokacin shekara.
• Ba a samu ba burbushi na kwayoyin cuta - yana taimaka kafa duban dan tayi, endoscopy ko wasu na asibiti da kuma biochemical hanyoyin.
• Ya lura bayyanar cututtuka ba bace bayan yin amfani da bayan gida, tumbi stool mita da kuma daidaito ba su canja - shi damar rarrabe tsakanin dyspepsia kuma m hanji ciwo.

bincike da hanyoyin

Bugu da kari, yana da muhimmanci a yi sarauta daga sauran cututtuka da cututtuka kamar irin waɗanda cewa raka aikin dyspepsia ciki. A lura da wadannan pathologies iya zama matuƙa, daban-daban.

Wadannan ayyuka suna da za'ayi don wannan manufa.

1. Anamnesis. Lokacin da farko hira da kiwon lafiya gwani dole ne a san ko haƙuri yana fama da cuta tare da bayyanar cututtuka na dyspepsia. Wajibi ne a tabbatar da yanayin da ya kwarara da kuma koyi da ji na wani mutum (ko na ciki distension ne, belching, ƙwannafi ko zafi). Yana da muhimmanci a san cewa shan abinci a mutane a cikin past kwanaki, da kuma ko ya an hõre wani magani.
2. Dubawa. A lokacin shi wajibi ne don ware da yiwuwar faru na take hakki na gastrointestinal fili, zuciya da jijiyoyin jini tsarin, da kuma na numfashi cuta.
3. Misali tarin. Yawanci, kana bukatar:

• Janar bincike na tumbi.
• nazarin tumbi ga gaban burbushi na jini a cikinsu.
• jini gwaje-gwaje;
• tabbatar da dalilin da wanzuwar wasu iri cututtuka.

4. Nazarin da daban-daban likita kida:

• esophagogastroduodenoscopy (da more saba sunan - gastroscopy).
• binciken na ciki da taimakon da X-ray machine.
• duban dan tayi gabobin located a cikin kogon ciki.
• sauran dole hanyoyin.

binciken shirin

Don aikin dyspepsia a yara da kuma manya da aka yi fama kamar yadda suka fade, likita yana zuwa bi a wasu jerin ayyuka.

Muna bukatar mu fara nunawa da na yau da kullum jini gwajin, kazalika da kafa ta burbushi a faeces. Wannan zai bayyana a boye zub da jini a cikin gastrointestinal fili.

Idan akwai sabawa a wani dakin gwaje-gwaje ba nazari ya zama zai yiwu a tabbatar ko shanyewa cutar ta amfani da kayayyakin aiki, (msl, endoscopy). Idan marasa lafiya ne girmi shekaru 50, shigar da hadari ãyõyi (amai da jini, ja launi na hanji ƙungiyoyi, zazzabi, anemia, mai tsanani nauyi asara), dauke da fitar da gaggawa gastroscopy zama dole.

In ba haka ba (lõkacin da m bayyanar cututtuka ba su lura) to designate a da ake kira empiric far amfani da kwayoyi antisecretory da prokinetic mataki. Kawai bayan wani rashi tabbatacce muhimmancin da ya kamata a yi amfani da instrumental hanyoyin.

Duk da haka, a cikin wannan m, akwai wani boye hadari. Ganin cewa yawancin pharmacological jamiái da kyau sakamako da kuma rage bayyanar cututtuka na da yawa wasu tsanani pathologies (misali, ciwon daji). Wannan ƙwarai dagula dace ganewar asali.

magani

A lokacin da ganewar asali za a iya kafa kwayoyin ko aikin dyspepsia. Jiyya farko da nufin a kawar da Sanadin cewa tsokana cutar. A cikin hali na latest hanyoyin kwantar da hankali suna ci gaba akayi daban-daban, an ɗauke shi zuwa lissafi peculiarities na asibiti hoto.

Babban burin da magani:

• rage rashin jin daɗi.
• kawar da cututtuka.
• da komowa rigakafin.

Drug-effects

Wadannan hanyoyin da ake amfani da su rabu da bayyanar cututtuka na dyspepsia.

1. Rage cin abinci. Daya ya kamata ba bi zuwa wani m shawarwari, kawai normalize da ikon. Shi ne mafi alhẽri gaba daya watsi da kayayyakin da cewa ba su da sauƙi sarrafa hanjinsu, kazalika da roughage. A bu mai kyau zuwa ga ci mafi sau da yawa, amma ci kasa. An ba da shawarar hayaki, ya sha barasa, sha kofi.
2. Kin amincewa da shan wasu magungunan. Shi ne yafi wata tambaya na nonsteroidal antiinflammatory kwayoyi, wanda da karfi da tasiri a kan dace aiki na gastrointestinal fili.
3. Psychotherapeutic tasiri. fiye da rabin na marasa lafiya Oddly isa, rabu da cututtuka cewa raka aikin dyspepsia, idan amfani da magani daga placebo. Saboda haka, irin wannan hanyoyi da ake rubutu da ƙeta ne ba kawai zai yiwu, amma kuma akai-akai tabbatar da ingancinta.

kwayoyi

Specific iri pharmacological jamiái amfani ga mai haƙuri wanda aka samu a aikin dyspepsia, suna m akayi daban-daban shan la'akari da kafa bayyanar cututtuka.

Yawancin lokaci amfani empirical far, tsara don daya ko watanni biyu na liyafar.

Wani musamman hanyoyin da gwagwarmaya tare da cutar da kuma kareshi a halin yanzu ba ya wanzu. Popular wadannan iri magunguna:

• antisecretory kwayoyi.
• antacids.
• absorbent nufin;
• prokinetic Allunan,
• maganin rigakafi.

A wasu lokuta, antidepressants aka nuna, wanda su ma iya rabu da wadanda ba nazarin halittu bayyanar cututtuka na dyspepsia.

Idan kamu da aikin dyspepsia a yara, magani ya kamata a za'ayi shan la'akari da fasali na girma kwayoyin.

fama dabara

Lokaci-cinyewa hanyoyin da aiki tare da wahalar da na zamani likita kimiyya ba a ci gaba.

A sake komowa cuta shi ne bu mai kyau don amfani da kwayoyi da cewa baya tabbatar da tasiri a cikin yin kawar da cututtuka na dyspepsia.

Lokacin da dogon lokacin da amfani da wani kwayoyi ba ya rage haƙuri rashin jin daɗi, an shawarar zuwa lura da madadin pharmacological jamiái.

ƙarshe

Aikin (da nazarin halittu) dyspepsia - daya daga cikin na kowa cututtuka. Duk da bayyana rashin muhimmancin a gaban bayyanar cututtuka, rage muhimmanci ingancin rayuwa. Saboda yana da muhimmanci a dauki matakai da nufin rigakafin. Don yin wannan, kana bukatar kawai kalla a daidai rage cin abinci, to ware da tasiri na danniya a jiki da kuma cikakken shakata.

Zauna lafiya!