Tib neeg feem ntau tsis quav ntsej txog kev noj zaub mov tsis zoo raws li kev cuam tshuam me me- "raug txim" luv luv rau kev noj zaub mov sai dhau los yog rau kev noj zaub mov ntsim. Txawm li cas los xij, rau ntau lab tus, cov tsos mob ntawm kev zom zaub mov yog mob ntev, mob, thiab feem ntau nkag siab yuam kev.
Txawm hais tias cov tsos mob xws li mob plawv thiab mob plab tau pom dav dav, Cov kws tshawb fawb tam sim no tau muab faib ua ntau yam mob plab zom mov raws li "lub plab- mob hlwb," es tsis yog teeb meem plab, muab cov lus piav qhia tshiab rau cov tsos mob uas tau mob plagued ntev rau cov neeg mob.
Tsab ntawv xov xwm no yuav tshawb xyuas cov tsos mob ntawm kev noj zaub mov tsis zoo, cov cim ceeb toom yuav tsum tau saib xyuas kev kho mob, thiab kev pom zoo zaum kawg ntawm lawv cov laj thawj.
Cov tsos mob tseem ceeb ntawm Indigestion (Dyspepsia)
Clinically, dyspepsia yog txhais tau tias yog mob tsis tu ncua lossis rov mob plab plab lossis tsis xis nyob. Nws txawv ntawm qhov kub siab (gastroesophageal reflux), txawm hais tias ob feem ntau tshwm sim.
Raws li cov lus qhia los ntawm American Gastroenterological Association, "thawj" cov tsos mob ntawm kev zom zaub mov yog qhov tshwj xeeb thiab txwv. Txhawm rau kom tau txais kev kuaj mob, cov neeg mob feem ntau ntsib ib lossis ntau dua ntawm plaub cov tsos mob tseem ceeb hauv qab no:
1. Postprandial fullness (ib qho kev xav ntawm "khoom")
Qhov kev xav no tau piav qhia tias qhov tsis xis nyob ntawm cov khoom noj uas tseem tshuav hauv plab rau lub sijhawm ntev. Sarah Jenkins, tus kws kho mob plab thiab tus kws tshawb fawb txog kev ua haujlwm ntawm lub plab zom mov hais tias "Nws tsis yog qhov kev xav ntawm kev puv nkaus xwb, nws yog qhov kev xav ntawm 'kab'," piav qhia Dr. "Cov neeg mob feem ntau tshaj tawm tias ib txwm noj - qhov loj me zoo li noj hmo Thanksgiving tsis txaus." Cov tsos mob no cuam tshuam nrog * teeb meem plab hnyuv *, qhov twg lub plab sab sauv tsis tuaj yeem so kom txaus kom haum rau zaub mov.
2. Thaum ntxov satiety (tsis muaj peev xwm ua kom tiav ib pluag mov)
Kev satiety thaum ntxov txawv ntawm kev satiety dav dav thiab hais txog kev noj qab haus huv sai sai tom qab pib noj, feem ntau ua rau tsis muaj peev xwm ua tiav ib qho - qhov loj me. Cov tsos mob no yog ib qho cim tseem ceeb ntawm kev ncua lub plab zom mov, qhia tias lub plab muaj teeb meem txav zaub mov mus rau hauv cov hnyuv.
3. Mob plab plab
Upper plab mob yog hais txog qhov mob nyob rau hauv lub plab mog sab sauv (hauv qab cov tav, nyob rau hauv nruab nrab sab sauv quadrant). Tsis zoo li qhov kub hnyiab tshwm sim los ntawm cov kua qaub reflux uas radiates upwards rau hauv siab, mob plab sab sauv yog localized. Cov neeg mob piav qhia tias nws yog ib qho mob npub, cramping, lossis mob throbbing.
Upper Abdominal Burning Sensation
Kev kub nyhiab hauv plab yog feem ntau yuam kev rau kev kub hnyiab, tab sis nws tsis tawg mus rau hauv caj pas. Nws yog ib qho khaus kub hnyiab nyob rau hauv lub plab mog. Cov tsos mob no feem ntau cuam tshuam nrog visceral hypersensitivity, txhais tau hais tias cov hlab ntsha hauv plab yog oversensitive rau plab acid uas tsis nquag txhawb lub plab "ib txwm" .
Cov tsos mob thib ob thiab sib tshooj
Txawm hais tias plaub yam tsos mob tau hais los saum toj no yog cov txheej txheem kuaj mob, kev zom zaub mov tsis tshua tshwm sim ib leeg. Cov tsos mob thib ob feem ntau ua rau mob nyuaj thiab ua rau muaj kev nyuaj siab rau cov kws kho mob.
Cov kev xav ntawm lub plab nruj los yog o, xeev siab (uas tej zaum yuav los yog tsis tuaj yeem nrog ntuav), thiab nquag hiccups yog cov tsos mob tshwm sim, feem ntau tshwm sim los ntawm tus neeg mob tsis nco qab nqos cua (aerophagia) kom txo qis plab.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tsos mob twg tsis yog qhov zoo ntawm kev zom zaub mov yooj yim. Cov txheej txheem kuaj mob hais tias: " ntuav ntuav, nqos nyuaj, lossis cov quav dub tsis yog cov tsos mob ntawm plab hnyuv." "Cov no yog cov cim ceeb toom uas yuav qhia tau tias muaj kab mob peptic ulcer." Yog li, yog tias cov tsos mob no tshwm sim, thov mus nrhiav kev kho mob sai, lossis, raws li kev qhia ntawm tus kws kho mob, kawm txog cov kab mob plab hnyuv uas muaj cov khoom xyaw (xws li Rebamipide) txhawm rau txhim kho koj cov kev paub txhua hnub.
Kev Tshawb Fawb Txog Kev Ua Haujlwm Dyspepsia
Qhov tseem ceeb tshaj plaws hauv kev nkag siab cov tsos mob dyspepsia yog los ntawm kev faib tawm ntawm kev ua haujlwm dyspepsia (FD). Yav dhau los, yog tias tus neeg mob yws yws ntawm plab zom mov, tab sis qhov kev kuaj pom tau pom qhov tshwm sim ib txwm muaj (tsis muaj qhov txhab), cov kws kho mob yuav kuaj nws tias "tsis yog- ulcer dyspepsia" thiab feem ntau ntaus nqi rau kev puas siab puas ntsws. Txawm li cas los xij, tam sim no qhov no tau hloov pauv loj heev.
Qhov kev faib tawm tshiab no yog ua raws li cov ntaub ntawv tshiab qhia tias nyob rau hauv kwv yees li 70% ntawm cov neeg mob uas muaj kev ua haujlwm dyspepsia, lub plab "khoom siv" (lub plab nws tus kheej) zoo li qub, tab sis nws "software" ( paj hlwb) tsis ua haujlwm.
Ob qhov kev mob physiological tam sim no ntseeg tau ua rau cov tsos mob no:
1. Visceral hypersensitivity. Nruas nyob rau hauv lub plab phab ntsa ua rhiab heev. Ib txwm mob plab (bloating los ntawm zaub mov) los yog gastric acid secretion yog txhais los ntawm lub hlwb raws li mob hnyav. Qhov no piav qhia tias vim li cas cov tshuaj antacids feem ntau tsis muaj txiaj ntsig hauv cov mob ntev - cov kua qaub hauv plab tsis siab; nws tsuas yog hais tias cov hlab ntsha yog oversensitive.
2. Kev mob plab hnyuv motility. Ib txoj kev tshawb fawb tsis ntev los no tau tshaj tawm hauv Gastroenterology qhia tias kev ua haujlwm dyspepsia thiab gastroparesis (gastric paralysis) tuaj yeem nyob hauv ib qho kab mob. Ntau tus neeg mob tau ntsib ntxov satiety thiab tsam plab vim tsis muaj zog lossis tsis muaj kev sib koom ua ke ntawm plab cov leeg nqaij.
Kev tswj cov tsos mob thiab cov kev xaiv dhau ntawm Antacids
Raws li peb txoj kev nkag siab ntawm lub plab - lub hlwb axis tob zuj zus, kev kho mob rau cov tsos mob dyspepsia tau hloov zuj zus mus tas li. Thaum dhau -- cov tshuaj tiv thaiv kab mob (xws li calcium carbonate) thiab proton twj tso kua mis inhibitors (PPIs) tseem yog thawj - kab kev kho mob, muaj kev paub ntau ntxiv tias lawv tsis yog panacea rau kev ua haujlwm tsis zoo. Yog tias qhov tshwm sim hauv qab yog cov hlab ntsha rhiab heev es tsis yog lub plab acid ntau dhau, neutralizing plab acid tsuas yog kho cov tsos mob, tsis yog lub hauv paus ua rau. Yog li ntawd, niaj hnub kev kho cov tsos mob ntawm tus kab mob no feem ntau suav nrog cov tshuaj prokinetic (xws li betaine HCl), uas yog siv los ua cov tshuaj noj thiab feem ntau yog tsim los txhawb kev zom zaub mov. Lawv nquag siv los ua kom lub plab acid secretion, yog li pab kev zom zaub mov thiab protein. Qhov no yog tshwj xeeb tshaj yog muaj txiaj ntsig zoo rau cov neeg uas muaj cov kua qaub qis hauv plab (uas tuaj yeem ua rau muaj teeb meem digestive, tsam plab, flatulence, thiab kev nqus tsis zoo).
Xwb, neuromodulators, xws li qis - koob tshuaj tricyclic antidepressants (TCAs), tam sim no tsis yog siv los kho kev nyuaj siab, tab sis yog "txo" qhov excitability ntawm lub plab hlab ntsha, ncaj qha kho mob plab sab sauv. Indigestion yog ib tug complex physiological txheej txheem nrog rau lub paj hlwb, gastric mechanisms, thiab digestive chemicals. Paub txog cov tsos mob tshwj xeeb-mob plab, thaum ntxov satiety, thiab mob plab sab sauv- yog thawj kauj ruam hauv kev kuaj mob.
Raws li kev nkag siab txog kev noj qab haus huv tau hloov zuj zus los ntawm qhov yooj yim "paj kua qaub ntau dhau" mus rau ntau qhov kev xav ntawm "lub plab- lub hlwb tsis ua haujlwm," tus neeg mob cov tsos mob tau txais dav dua, thiab cov kev xaiv kho mob tau ua ntau dua. Yog tias cov tsos mob tshwm sim ntau tshaj li ob lub lis piam los yog nrog los ntawm kev poob phaus lossis nqos nyuaj, nws yog ib qho tseem ceeb uas yuav tau mus ntsib kws kho mob gastroenterologist kom txiav txim qhov mob hauv qab.