Functional dyspepsia: Zviratidzo neMarapirwo

Under vanachiremba rokuti "dyspepsia" inowanzonzi kunzwisiswa se vakawanda zvakasiyana zvimwewo zviratidzo chokuita zvinetso nemudumbu, izvo zvinokonzerwa kutyorwa nedanho kugaya zvokudya. Saka zita, mushure fufune zvose rinoshandurwa kubva muchiGiriki rinoreva "zvinetso zvomudumbu".

Separate mhando zvirwere zvose zvakaoma dzichipfekeka dyspepsia. Zviratidzo zvacho: pakunzwa kana nokupisa kurwadziwa abdominal nzvimbo (anonzi netriangle epigastric). Kuwedzera kusanzwa, murwere anosangana manzwiro neshungu, uye abdominal dzakayerera. Uyewo, pangava flatulence, kuda kurutsa, chirungurira uye belching. In nechirwere muitiro asingadi kuona chero Organic pathologies (hapana morphological kana nokukanganisika zvikonzero).

Ndizvo yakasiyana dzichipfekeka dyspepsia kurapwa kuti ane zvimwe zvinhu.

Funga nezvemibvunzo iyi zvizere.

chirwere nhamba

matambudziko zvomudumbu - chimwe chezvinhu zvakafanana kunyongana nawo nemudumbu. Panguva dzakasiyana-siyana Statistical matanho, kwakaonekwa kuti uwandu varwere kutsvaka rubatsiro kune gastroenterologist, nhamba yevanhu vari panoonekwa sezvo dzichipfekeka dyspepsia, gastric, inenge 70%. Munyika European, nhamba vanhu pachena kuti zvinorondedzerwa zvirwere, kusvika 40%, uye muna African States - anopfuura 60%.

Pasinei nokuti dzichipfekeka dyspepsia, zviratidzo izvo chaizvo kusingafadzi, kunounza inokosha kusagadzikana kuti murume rubatsiro chete kota vakaurayiwa anotendeukira kuna chiremba. In ruzhinji zviitiko chirwere zviri chadzo, pane makemikari Chirwere.

In munhukadzi zvakafanana ezvinhu kunoitika anenge mumwe uye imwe hafu nguva kazhinji.

Avhareji yezera varwere dambudziko iri - kubva 20 kusvika 45 makore. In vakwegura, dysfunction uyu nemudumbu zviri vashoma zvikuru. Asi, pane zvakawanda zvakakomba zvomudumbu hurongwa zvirwere, izvo zvisinei vane zviratidzo zvakafanana.

marudzi kutyorwa

Functional gastric dyspepsia, sezvo imi kare kunzwisisa, hakusi chete mhando zvokurwara. Pane makemikari shanduro yaro. Ngatikurukurei muudzame pamusoro nevamwe zvinhu neimwe.

1. Organic. chainetsa ichi chinovapo somugumisiro urikanwi, uye zvirwere-siyana rwatata, nduru dundira, uyewo mamwe makemikari pathologies.
2. Dzichipfekeka. Anozviratidza kana achidzima kakawanda pamusoro tsandanyama rukoko mudumbu uye duodenum 12 (kwete anokonzerwa nechirwere), izvo vatiitire nokuti 3 months mugore. Izvi hazvifaniri chirwere kubatana inooneka marwadzo pamwe dysfunction pamusoro nemudumbu.

Kupatsanura vasiri chaivo chirwere

Maererano kunotoda nenzira zvinetso, chadzo dyspepsia, mudumbu inogona kukamurwa subspecies zvitatu:

• Yazvennopodobnom - kunoratidzwa kurwadziwa iri epigastric nharaunda.
• Dyskinetic - murwere anonzwa kusagadzikana mudumbu, usingagoni achiperekedzwa kurwadziwa.
• Non-chaiwo - the kunotoda mufananidzo ichi ane zvakasiyana siyana zviratidzo (vane kuda kurutsa, chirungurira, belching).

sembura zvinhu

Kusiyana nevanhu chaivo siyana, kufunga zvisina chinangwa ichi zvokunyama, chadzo dyspepsia mune vakuru nevana anonzi anotevera zvikonzero chaizvo.

1. Nematambudziko peristaltic kushanda tsandanyama fibers mudumbu uye duodenum. Idzi dzinosanganisira:
   
   - kusavapo vamwe kuzvivaraidza mudumbu pashure nokurohwa zvokudya (unonzi pokugara);
   - kutyorwa kutenderera tsandanyama sunga muviri;
   - matambudziko motor kushanda mumagaro Department of muura;
   - kukundikana antroduodenalnoy Kufambisa.
   
   
2. The zvakawedzera propensity kutambanudza mudumbu rusvingo apo vachidya.
3. Rwara zvokudya, nokumwa akawanda tii, kofi uye doro.
4. Kusvuta.
5. Treatment siyana dzokurapwa zvinodhaka (NSAIDs).
6. Psychological mupfungwa.

Vamwe vanachiremba vanoti chirwere pamusoro dzichipfekeka dyspepsia Rinobatanidzwa ne kusunungurwa yakawanda hydrochloric asidhi ari nemudumbu, asi zvino rakavimbika uchapupu dzidziso iyi haako.

Marudzi zvokurwara chiitiko

Funga kwokunze zvinhu uye dzimwe nezvekufadza murwere anowanzoramba pamusoro zvinorondedzerwa zvirwere.

Yazvenopodobnaya dzichipfekeka dyspepsia, zvikurukuru dzinoratidzwa chakasimba uye inogara kwenguva refu marwadzo, anoonekwa ari epigastric nharaunda. Vanobvuma iziviswe panguva usiku kana apo munhu anonzwa pfungwa nzara. Anogona kubvisa kusagadzikana pakushandisa zvinodhaka rakakodzera - antacids. Pain anova zvikuru, kana murwere kusangana psycho-mupfungwa, angangodaro vakatya pamberi vamwe chirwere chakaipisisa.

Dyskinetic chimiro kukanganisa (non-urikanwi dzichipfekeka dyspepsia) achabatsirwa zviratidzo zvakadai mangwanani mukaguta, kuzara nemudumbu, bloating pakati mudumbu uye svoto.

Panyaya dzisiri zvakananga dyspepsia, pane murume zvakaoma patsanura zvichemo pamusoro siyana chikonzero. mhando iyi chirwere angaperekedzwa zviratidzo dzakananga nezvedzimwewo zvirwere chokuita nemudumbu. A zvakafanana chinonetsa rokuongorora mamiriro akadai dzichipfekeka dyspepsia mudumbu. Treatment ndiko symptomatic vayo vakagadzwa.

Diagnostics

Wokutanga basa rakatarisana kutarisirwa utano nyanzvi - kusiyanisa pakati zvipenyu uye dzichipfekeka dyspepsia. Kazhinji, yokupedzisira kunoitika panyaya kana zviratidzo zvinooneka murwere asina zvikonzero kwokunze zvinooneka.

Kuti kutaura nechivimbo pamusoro mberi murwere kushanda chirwere, zvakakodzera kumisa kuvapo zvikuru zvitatu zvinodiwa:

• Pane kugara (idzokororo) dyspepsia - runoratidzwa kurwadziwa epigastric, izvo vatiitire kwenguva zvachose kwenguva 3 months mugore.
• Akasaonekwa kungoda Organic zvirwere - zvinobatsira kumisa Ultrasound, endoscopy kana zvimwe kurapwa uye nokukanganisika dzokuvhiya.
• Vaichengeta zviratidzo regai inonyangarika pashure kuchimbuzi, mutsvina yadzo chetsoka maitikiro uye kusachinja-chinja handishanduki - zvinoita kusiyanisa dyspepsia uye kusagadzikana bowel syndrome.

tsvakurudzo nzira

Uyezve, zvinokosha kutonga vamwe zvirwere nezviratidzo zvakafanana avo pematanho dzichipfekeka dyspepsia mudumbu. The mishonga pathologies izvi zvinogona kuva zvikuru akasiyana.

Zvinotevera mabasa kuitwa kuti chinangwa ichi.

1. Anamnesis. Kana chikuru kukurukurirana chiremba anofanira kuziva kana murwere kutambura kubva zvinetso achiperekedzwa zviratidzo dyspepsia. Zvakakodzera kumisa hunhu aibuda uye kudzidza nemanzwiro munhu (kana abdominal distension iri, belching, chirungurira kana marwadzo). Zvakakosha kuziva kuti kutora zvokudya vanhu mumakore mazuva, uye kana akanga pasi chero kurapwa.
2. Inspection. Panguva zvakafanira kuti kudzivirira kubata panowanikwa kutyorwa kuri nemudumbu, kumwoyo, uye kufema zvirwere.
3. Chiratidzazvizhinji muunganidzwa. Kazhinji, unofanira:

• General kuongorora mutsvina yadzo;
• ongororo mutsvina yadzo kuvapo zvisaririra ropa mavari;
• ropa miedzo;
• kutsunga ariko mamwe zvirwere.

4. Studies ne yezvokurapa zviridzwa siyana:

• esophagogastroduodenoscopy (the Kunyatsoziva zita - gastroscopy);
• kudzidza dumbu tichibatsirwa X-ray muchina;
• Ultrasound nhengo iri mukati abdominal mhango;
• dzimwe nzira zvakafanira.

tsvakurudzo urongwa

To dzichipfekeka dyspepsia muvana uye vakuru yave chirwere zvakarurama sezvingakwanisika, chiremba ane kutevera mumwe kutevedzana kwezviitiko nezviito.

Tinofanira kutanga achivhara pamwe yokungoitawo bvunzo ropa, uyewo achitanga zvisaririra yaro faeces. Izvi zvicharatidza kubuda kweropa iri nemudumbu yakavanzwa.

Kana pane zvarakasiya pamamiriro murabhoritari kudzidza zvinofanira zvinogoneka kusimbisa kana agodzivisa nechirwere uchishandisa zvokushandisa (semuenzaniso, endoscopy). Kana varwere vakura kupfuura makore 50, akagadza zviratidzo ngozi (kurutsa ropa, tsvuku ruvara bowel kufamba, fivha, kupererwa neropa, zvikuru uremu), kuita okukurumidzira gastroscopy zvakakodzera.

Zvikasadaro (kana ngozi zviratidzo havasi kuchengetwa) kunan'anura inonzi empiric kurapa kushandisa zvinodhaka antisecretory uye prokinetic chiito. Chete pashure kusazvikudza zvakanaka emuchina zvinofanira kushandiswa paku nzira.

Zvisinei, mune izvi, pane ngozi yakavanzwa. Chokwadi chokuti vazhinji pharmacological vamiririri vane kunobatsirawo uye kuderedza zviratidzo zvimwe pathologies dzakakomba dzakawanda (semuenzaniso, kenza). Izvi zvinoomesa zvikuru nenguva kuongorora chirwere.

mabatiro

Panguva chirwere chinogona kusimbiswa Organic kana dzichipfekeka dyspepsia. Treatment kutanga anokanda kubvisa zvinokonzera kuti kutsamwisa chirwere. Kana matsva dzokurapa dzinokudziridzwa nomumwe, vari kufungwa peculiarities ari kunotoda mufananidzo.

Zvinangwa chikuru kurapwa:

• rutapudzo kuti kusagadzikana;
• kubviswa zviratidzo;
• ndambosvuta dziviriro.

Drug-zvinokonzerwa

Zvinotevera nzira inoshandiswa kubvisa zviratidzo dyspepsia.

1. Diet. Mumwe havafaniri vanoomerera chero kunyatsoteerera mazano, anongoti normalize simba. Zviri nani chose kusiya zvigadzirwa dzisina kupatsanurwa muura nyore, uyewo roughage. Zvinokurudzirwa kudya kakawanda, asi vanodya zvishoma. Hazvina varumbidzwa kuputa, kunwa doro, kunwa kofi.
2. Kurambwa kutora zvimwe zvinodhaka. Zviri kazhinji kumubvunzo nonsteroidal mishonga antiinflammatory, vane simba kukanganisa zvakakodzera kushanda nemudumbu.
3. Psychotherapeutic simba. vanopfuura hafu varwere oddly zvakakwana, kubvisa zviratidzo pematanho dzichipfekeka dyspepsia, kana kushandiswa pakurapa kurapa kunonyaradza pfungwa. Saka, kufanana nzira yokubata kukanganisa hakusi chete zvichibvira, asiwo kakawanda nekusimba kugona kwaro.

zvinodhaka

Mhando chaiwo pharmacological yomuchipatara inoshandiswa murwere akanga akawanikwa dzichipfekeka dyspepsia, takatsunga nomumwe kufungisisa yakasimbiswa zviratidzo.

Kazhinji aishanda empirical kurapa, rakagadzirirwa mumwe kana miviri kugamuchirwa.

Chero anokosha nzira hondo pamwe chirwere uye kudzivirirwa kwayo asingatangi parizvino dziripo. Popular marudzi anotevera mishonga:

• antisecretory zvinodhaka;
• antacids;
• absorbent nzira;
• prokinetic mahwendefa;
• mishonga.

Mune zvimwe zviitiko, antidepressants vanoonekwa, izvo achigonawo kubvisa non-zvoutachiona zviratidzo dyspepsia.

Kana nechirwere dzichipfekeka dyspepsia nevana, kurapwa yaifanira kufungisisa zvinhu kuwedzera muviri.

rwisana nzira

Time-unoparadza nzira basa kutambudzika ano nesayenzi yezvokurapa haina dzakabudirira.

At kuitazve zvirwere zvinokurudzirwa kushandisa zvinodhaka kuti kare nekusimba kubudirira ndichipfeka kubvisa zviratidzo dyspepsia.

Kana kushandiswa chero mapiritsi refu hazvirevi kutapudza murwere kusanzwa, Zvinokurudzirwa kurapwa pamwe nzira pharmacological nevamiririri.

mhedziso

Functional (uye zvipenyu) dyspepsia - chimwe chezvinhu zvakafanana zvirwere. Pasinei pachena kushaya kukomba pamberi zviratidzo, yekudyidzana kwakaderedza huri upenyu. Nekuti zvakakosha kutora matanho zvainanga dziviriro. Kuti aite izvi, chete haufaniri kuchengeta kwechokwadi kudya, kuti haabatanidzi matambudziko kunetseka pamusoro muviri uye zvakazara dzikama.

Stay utano!