Yokusetyenziswa ukuqunjelwa: Iimpawu and Treatment

Phantsi libinzana lezamayeza "ukuqunjelwa" ngokuqhelekileyo bendiqonda inani elikhulu iimpawu ezahlukeneyo lwangaphandle ezinxulumene iingxaki phecana emathunjini, nto leyo zibangelwa yaphula inkqubo ukwetyisa ukutya. Ngenxa yoko igama, emva kokuba yonke ukungacoleki Liguqulwe lithatyathwa lesiGrike elithetha "ukuqunjelwa".

iintlobo elahlukileyo yezifo imbaxa ukuqunjelwa esebenza. iimpawu zayo: buthuntu okanye ukutshisa iintlungu kwindawo esiswini (ekuthiwa-unxantathu epigastric). Ukongeza ukuqaleka, isigulane sifumana imvakalelo edandatheka, ikhukule esiswini. Kwakhona, kusenokubakho flatulence, isicaphucaphu, heartburn kunye belching. Kwinkqubo uphethwe awayiboni naziphi ezimbi engumgquba (akukho zizathu morphological okanye kwemichiza).

Yiloo nto ke unyango ezahlukeneyo ukuqunjelwa kokusebenza kwaloo na ezinye iimpawu.

Khawuqwalasele le mibuzo iinkcukacha ezingaphezulu.

izibalo sifo

ukuqunjelwa - enye ukuphazamiseka zixhaphakileyo nazo kwisiqwenga zesisu. Ngexesha amanyathelo ezahlukeneyo manani, kufunyaniswe ukuba inani lilonke lezigulane abafuna uncedo ukuya gastroenterologist, inani labantu abafunyaniswa functional ukuqunjelwa, esiswini imalunga-70%. Kumazwe aseYurophu, inani abantu sebesazi ngale izigulo ezichazwe, ukuya kwi-40%, kwaye eUnited Afrika - ngaphezu kwe-60%.

Ngaphandle kwento yokuba ukusebenza ukuqunjelwa, iimpawu zazo kakhulu mnandi, kuzisa nobunzima kakhulu ukuba umntu uncedo kuphela ikota amaxhoba ajike abe oyingcali yezonyango. Xa uninzi amatyala ngoxilongo oko lisebenza, kunokuba uhlobo kweziphilayo sifo.

Xa imeko female efanayo kwenzeka malunga elinye kunye namaxesha nesiqingatha kungenzeka ngakumbi.

I-avareji yobudala kwezigulane nale ngxaki - ukusuka kwiminyaka engama-20 ukuya kwezingama-45. Xa abadala, le kwekhono lo iphecana zesisu na anqabe kakhulu. Endaweni yoko, kukho izifo inkqubo yokucola ngakumbi kakhulu, nto leyo ke ukuba iimpawu ezifanayo.

iintlobo zokuphula

ukuqunjelwa ezisebenzayo esiswini, njengoko sele kakuhle, asinto uhlobo kuphela ngezifo. Kukho uguqulelo organic kwayo. Makhe sihlolisise ngokweenkcukacha ezingakumbi phezu iimpawu ezikhethekileyo ngamnye kubo.

1. Organic. Le nto ukuphazamiseka ngenxa isilonda, yaye zizifo ezahlukahlukeneyo zepancreas, inyongo isinyi, kwakunye nezinye izinto ezimbi organic.
2. Esebenzayo. Ivela xa kucime lo maleko dystrophy esiswini kunye duodenum 12 (ayibangelwa isifo), nto leyo yandisa iinyanga ezi-3 kulo nyaka. Oku ene ikhonkco ukubonakala iintlungu kunye nokuphazamiseka le phecana zesisu.

Ukuhlelwa izifo non-eziphilayo

Ngokutsho kwikhosi bezonyango ukuphazamiseka, ukuqunjelwa esebenza, nesisu lungohlulwa lube ohlobo ezintathu:

• Yazvennopodobnom - luphawulwa intlungu kummandla epigastric.
• Dyskinetic - isigulana uziva kabi esiswini, nto leyo ezingahambi ahlekise.
• Non-ngqo - umfanekiso bezonyango esi sifo ezahlukeneyo iimpawu (abe isicaphucaphu, heartburn, belching).

mandundu

Ngokungafaniyo iifomu zebhayoloji, nokuqwalaselwa ingeyo Injongo yale ncwadana, ukuqunjelwa olusebenzayo kubantu abadala kunye nabantwana kuthiwa Izizathu ezithile zilandelayo.

1. Iingxaki kunye umsebenzi peristaltic le Imicu izihlunu esiswini kunye duodenum. Ezi ziquka:
   
   - engekho zokuphumla ezithile esiswini emva kokuba ahlaselwa ukutya (ebizwa ngokuba yi-indawo);
   - kophulwa umjikelo ka zokurhwaqela kwezihlunu komzimba;
   - iingxaki umsebenzi lwemoto yeSebe ezimpundu of ikholoni;
   - ukungaphumeleli antroduodenalnoy nolungelelaniso.
   
   
2. Le olungaka olwandisiweyo olule udonga isisu xa zisitya.
3. yokutya engekho mpilweni, esela kukuninzi yeti, ikofu kunye iziselo ezinxilisayo.
4. Ukutshaya.
5. Unyango nge ezahlukeneyo amachiza ezonyango (NSAIDs).
6. zeleka Psychological.

Ezinye iingcali zonyango bathi syndrome of ukuqunjelwa esebenza linxulunyaniswa nokukhululwa oluninzi zehydrochloric acid kwisiqwenga emathunjini, kodwa ngoku ubungqina oluthembekileyo le thiyori ayikho.

Forms ingenzeka ngezifo

Qwalasela iimpawu zangaphandle kunye njengokungathi zangaphakathi ze isigulane ziqhelekile ukuphazamiseka ezichazwe.

Yazvenopodobnaya ukuqunjelwa functional, ikakhulu esibonakala lumngcungcuthekise yaye uhlale ixesha elide, nto leyo kuvela kummandla epigastric. Ndamkela Bathi ngelo ebusuku okanye xa umntu uziva ingqiqo yindlala. Ngaba ukuphelisa kabi ekusebenziseni iziyobisi ezifanelekileyo - asidi. Iintlungu uba kakhulu ngakumbi, ukuba isigulane lifumana uxinzelelo ngokwasengqondweni iimvakalelo, kusenokwenzeka ukuba besaba phambi yesifo esibi.

uhlobo Dyskinetic zokuphula (non-isilonda ukuqunjelwa esebenza) lukhatshwa iimpawu ezifana kuhluthe yokuqala, inzaliseko iphecana zesisu, ukuqumba le esisu kunye isicaphucaphu.

Ngokumalunga ukuqunjelwa non-ezithile, akukho lokuhlela izikhalazo ngezizathu ezahlukeneyo nzima umntu. Olu hlobo lwesifo usenokuphelekwa nezimpawu ezithile kwezinye izifo ezithile ezinxulumene iphecana zesisu. A indlela efanayo kunzima ukubona imeko efana ukuqunjelwa functional isisu. Unyango kwangumqondiso sawo esimisiweyo.

ekuxilongweni

Umsebenzi wokuqala ejongene ukhathalelo lwempilo - ukuba umahluko phakathi ukuqunjelwa zebhayoloji kwaye zisebenza. Ngokuqhelekileyo, le yokugqibela kwenzeka kwimeko xa iimpawu kuvela isigulane kungekho zizathu yangaphandle ebonakalayo.

Ukuze ukuthetha ngokuzithemba malunga nenkqubela isigulana kuphazamiseka esebenzayo, kuyimfuneko ukuseka ubukho kweekhrayitheriya ezintathu eziphambili:

• Kukho rhoqo (nezolo) ukuqunjelwa - sinokungqinelwa intlungu epigastric, leyo wandise ixesha lilonke leenyanga ezi-3 kulo nyaka.
• Ayifumaneki imikhondo ukuphazamiseka organic - inceda ukuseka ultrasound, endoscopy okanye ezinye iinkqubo zonyango kunye nemvelo.
• Iimpawu kokubona musa shwaka emva kokusebenzisa indlu yangasese, endleni isitulo frequency kunye guquki awutshintshi - kuba kuvumela ukwahlula phakathi ukuqunjelwa kunye ocaphuka msinya kwamathumbu syndrome.

yenze uphando

Ngaphezu koko, kubalulekile ukuba alawule ezinye izifo ezineempawu ezifanayo nezo eziyelelene ezisebenzayo ukuqunjelwa esiswini. Unyango ezi ezimbi kunokuba ngokupheleleyo ezahlukeneyo.

Le misebenzi ilandelayo yenziwa ukwenzela le njongo.

1. Anamnesis. Xa ingcali zonyango incoko ephambili maliqinisekise ukuba ngaba isigulane abaneengxaki kunye iimpawu ukuqunjelwa. Kuyimfuneko ukuseka uhlobo ukuhamba kwaye bafunde nokuziva umntu (nokuba distension esiswini na, belching, heartburn okanye intlungu). Kubalulekile ukwazi ukuba ukuthatha ukutya kubantu kwiintsuku ezidlulileyo, nokuba awayemnike phantsi naluphi na unyango.
2. Ukuluhlola. Ngelo xesha kuyimfuneko ukuvala amathuba ingenzeka kwephulwa phecana zesisu, inkqubo sentliziyo, kunye nezigulo zokuphefumla.
3. kwiqoqo ndlovu. Ngokuqhelekileyo, kufuneka:

• Uhlalutyo ngokubanzi ndle;
• isifundo endleni ubukho imizila igazi kuzo;
• iimvavanyo igazi;
• ukumiselwa ubukho iintlobo ezithile zizifo.

4. Studies nezixhobo zonyango ezahlukeneyo:

• esophagogastroduodenoscopy (igama eqhelekileyo ngakumbi - gastroscopy);
• ukufunda isisu encediswa kumatshini X-ray;
• amalungu ultrasound ibekwe ngaphakathi esiswini;
• nezinye iinkqubo eziyimfuneko.

plan survey

To ukuqunjelwa ezisebenzayo abantwana kunye nabantu abadala kuye kwafunyaniswa ngokuchanekileyo kangangoko kunokwenzeka, ugqirha kufuneka ukulandela ulandelelwano ezithile lweentshukumo.

Kufuneka siqale ukuhluza kunye uvavanyo yesiqhelo igazi, ngokunjalo ekusekweni nentwana yayo iingqatha. Oku kuza kutyhila ukopha efihlakeleyo kwisiqwenga zesisu.

Ukuba kukho izinxaxhi kwisifundo kwilebhu elinikiweyo kufanele kube lula ukuqinisekisa okanye ukuphikisa uxilongo usebenzisa izixhobo (umz, endoscopy). Ukuba izigulane ungaphezulu kweminyaka engama-50, ezifakwe imiqondiso ingozi (ukugabha igazi, umbala obomvu ukuhamba kwesisu, ifiva, ianemia, kakhulu ilahleko ubunzima), ekuqhubeni gastroscopy engxamisekileyo kuyimfuneko.

Kungenjalo (xa iimpawu ezinobungozi hayi kuvandlakanywa) lokukhetha ebizwa ngokuba yi-unyango empiric usebenzisa iziyobisi amanyathelo antisecretory kunye prokinetic. Kuphela emva nokungabikho nemiba HIV kufuneka kusetyenziswe iindlela instrumental.

Noko ke, kule ndlela, kukho ingozi efihlakeleyo. Inyaniso yokuba izinto ezininzi amayeza kuba nemiphumo emihle kwaye zinciphisa iimpawu nezinye izinto ezimbi ezininzi kakhulu (umz, umhlaza). Oku nzima kakhulu diagnosis ngexesha.

unyango

Ngexesha Uxilongo kusekwa ukuqunjelwa organic okanye esebenza. Unyango lokuqala ijolise bayeke oonobangela bandiqumbisayo isifo. Kwimeko ye zonyango lwakamvanje ziphuhliswe ngabanye, zithathelwa awohluke ngenxa umfanekiso lwezonyango.

Eyona eziphambili iinjongo zonyango:

• ukuncitshiswa kabi;
• ukupheliswa kweempawu;
• Uthintelo zingabuyi.

Drug ebezingalindelekanga

Ezi ndlela zilandelayo zisetyenziselwa ukuba balahle iimpawu ukuqunjelwa.

1. Ukudla. Umntu azibambeleli kuluhlu naluphi na iingcebiso engqongqo, ukubuyisela nje amandla. Kungcono ukulishiya ngokupheleleyo iimveliso ukuba akukho lula ukuqhubekekiswa amathumbu, ngokunjalo wesintlakantlakiso. Uyacetyiswa ukuba adle njalo, kodwa badle ngaphantsi. Oku akunconywa ukutshaya, ukusela utywala, usele ikofu.
2. Ukungahambisani yokuthatha iziyobisi ezithile. Isikakhulu umbuzo iziyobisi nonsteroidal antiinflammatory, nto leyo ibe negalelo elikhulu ekusebenzeni eyiyo iphecana zesisu.
3. impembelelo ngokwasengqondweni. ngaphezu kwesiqingatha izigulane Isimanga, balahle iimpawu eziyelelene ukuqunjelwa esebenzayo, ukuba asetyenziswe ukunyanga placebo. Ngoko ke, iindlela ezifanayo yokujongana copyright nje kuphela, kodwa kwakhona ngokuphindaphindiweyo ezibonakalise impumelelo yayo.

iziyobisi

Iintlobo ezithile ze-arhente amayeza asetyenziselwa nomntu ogulayo kwafunyaniswa ukuba ukuqunjelwa functional, sizimisele ngamnye kuthathelwa ingqalelo ezi mpawu lusekiwe.

Ngokuqhelekileyo isicelo unyango enokwehla, eyenzelwe iinyanga enye okanye ezimbini ulwamkelo.

ayikho ngoku zikho naziphi na iindlela ezizodwa yomzabalazo nesi sifo kunye nothintelo yayo. Popular ntlobo zilandelayo lwamayeza:

• iziyobisi antisecretory;
• asidi;
• indlela izifunxi;
• amacwecwe prokinetic;
• antibiotics.

Kwezinye iimeko, lakhula ziboniswa, nayo bayakwazi ukuphelisa iimpawu non-eziphilayo ukuqunjelwa.

Ukuba unesifo ukuqunjelwa esebenzayo ebantwaneni, unyango kufuneka wenziwe kuthathelwa ingqalelo iimpawu eziphilayo ekhulayo.

yokulwa amaqhinga

iindlela zomsebenzi kunye iintsizi lenzululwazi yezonyango mihla ethatha ixesha elide iye yaphuhliswa.

Xa iingxaki zingabuyi kuyacetyiswa ukuba ukusebenzisa iziyobisi ziye ngaphambili obuvunyiweyo ngempumelelo ukubatshabalalisa iimpawu ukuqunjelwa.

ntoni xa ukusetyenziswa ixesha elide naziphi na iipilisi mayingakunciphisi ukungakhululeki nomonde, kucetyiswa ukuba unyango kunye arhente engenye imithi.

isiphelo

ukuqunjelwa functional (kwaye eziphilayo) - sesinye sezifo ixhaphakileyo. Nangona ebonakala sina phambi iimpawu, ngokuphawulekayo kuncitshiswa umgangatho wobomi. Ngenxa yokuba kubalulekile ukuba ukuthatha amanyathelo ejoliswe ekuthinteleni. Ukuze wenze oku, animele abagci- ukutya echanekileyo, ngaphandle ifuthe uxinezeleko emzimbeni kwaye ukhululeke ngokupheleleyo.

Hlala uphilile!