Kodi mumamvanso kupweteka m'mimba mukamadya? Simukupeza chifukwa? Tiyeni tikambirane za (Functional Dyspepsia)!

Kodi nthawi zambiri mumamva kukhuta, kumva kutentha m'mimba, kapena kungokhumudwa mukatha kudya? Nthawi zina simungapeze chifukwa cha izi, eti? Ngakhale mutapita kwa dokotala ndikuchita mayeso ambiri, anganene kuti, "Simukudwala." Anthu ambiri amakumana ndi izi. Ndicho chimene timachitcha "Functional Dyspepsia", matenda otsegula m'mimba omwe ndi ovuta kupeza chifukwa chomveka bwino.

Kodi `(Functional Dyspepsia)` ndi chiyani? Mwachidule...

Mwachidule, ``Functional Dyspepsia`` ndi vuto lomwe limakhala ndi vuto la kugaya chakudya kosatha, koma palibe chifukwa chomveka chomwe chingapezeke. ``Dyspepsia`` ndi liwu lina lotanthauza kusagaya chakudya. Ndi chitsanzo cha zizindikiro zomwe zimachitika limodzi mutadya komanso panthawi yogaya chakudya. ``Functional`` amatanthauza kuti zizindikiro zanu za kusagaya chakudya sizingagwirizane ndi zifukwa zilizonse zakuthupi (monga zilonda kapena gastritis).

Zizindikiro zanu zingamveke ngati za matenda a zilonda zam'mimba kapena matenda a gastroesophageal reflux (GERD) . Komabe, mayeso akusonyeza kuti ndi anthu ochepa okha omwe ali ndi matendawa. Ena onse ali ndi chomwe chimatchedwa Functional Dyspepsia.

Tangoganizirani, injini ya galimoto yanu ikupanga phokoso, koma makanika sakupeza cholakwika chilichonse. Chilichonse chikuwoneka bwino kuchokera kunja, koma pali cholakwika.

Kodi pali mitundu yosiyanasiyana ya izi?

Matenda a Dyspepsia ogwirizana ndi ntchito ndi matenda osati matenda amodzi okha. Izi zikutanthauza kuti momwe amakhudzira munthu aliyense komanso zizindikiro zomwe amakumana nazo zimatha kusiyana. Madokotala agawa matendawa m'magulu awiri akuluakulu:

1. Matenda a ululu wa m'mimba: Mtundu uwu wa ululu umapezeka makamaka kumtunda kwa mimba ndipo umafanana ndi kutentha pamtima . Sizimakhala zokhudzana ndi chakudya nthawi zonse. Nthawi zina zimatha kuchitika m'mimba yopanda kanthu. Izi zimafanana pang'ono ndi zizindikiro za GERD.

2. Matenda a Postprandial Distress: Uwu ndi mkhalidwe womwe m'mimba mumakhala kusasangalala mukatha kudya. Mwachitsanzo, kumva kukhuta ngakhale mutadya pang'ono (kukhuta msanga), kumva kukhuta, kudzimbidwa, ndi kupweteka m'mimba mukatha kudya. Izi zikufanana pang'ono ndi zizindikiro za matenda a zilonda zam'mimba.

Si aliyense amene ali m'gulu lililonse mwa magulu awiriwa. Anthu ena angakumane ndi zinthu ziwirizi, kapena angakumane ndi zinthu zonse ziwiri.

Kodi zizindikiro zazikulu za izi ndi ziti?

Ndi "Functional Dyspepsia", mutha kukhala ndi chimodzi kapena zingapo mwa zizindikiro izi:

• Ululu m'mimba chapamwamba (ululu wa epigastric):Kupweteka m'mimba chapamwamba, pansi pa nthiti. Malo awa amatchedwa ``epigastrium''. Apa ndi pomwe m'mimba mwanu, kapamba, duodenum (gawo loyamba la matumbo ang'onoang'ono), ndi gawo la chiwindi chanu zimapezeka.
• Kutupa m'mimba: Kumva kusasangalala komanso kukhuta m'mimba mukatha kudya. Izi nthawi zambiri zimagwirizanitsidwa ndi mpweya, kutupa, ndi zina monga mpweya. Zingamvekenso ngati m'mimba mwanu mukukoka.
• Kukhuta ndi kusowa chilakolako: Kumva kukhuta mukudya, mutadya, kapena ngakhale mutadya pang'ono (kukhuta msanga) . Nthawi zina, kutaya chilakolako kumatha kuchitika ngakhale musanayambe kudya.
• Kumva Kupsa: Kumva kutentha pachifuwa, komwe kumadziwikanso kuti "kupsa mtima", kumachitika kawirikawiri ndi zizindikiro izi za kusagaya chakudya. Izi nthawi zambiri zimachitika chifukwa cha asidi m'mimba yomwe imatuluka mum'mero ​​(acid reflux). Muthanso kumva kutentha m'mimba mwanu.

Kuwonjezera pa izi, zinthu zina monga izi zitha kuwonekanso:

• Kutupa kwambiri
• Kusanza kapena kutsekeka
• Ngati muli ndi IBS (irritable bowel syndrome), zizindikiro zanu (monga kuyenda m'mimba pafupipafupi kapena kudzimbidwa) zingawonjezerenso.
• Kumva kupsinjika maganizo kapena kusasangalala ndi maganizo.

N’chifukwa chiyani `(Functional Dyspepsia)` imachitika? Kodi zimayambitsa chiyani?

Madokotala amatcha matenda "ogwira ntchito" kuti ndi matenda omwe alibe chifukwa chodziwikiratu komanso chodziwikiratu cha zizindikiro. Chifukwa chimodzi cha izi chingakhale kulumikizana kwapafupi pakati pa matumbo anu ndi ubongo wanu (gut-brain axis) . Matenda amtundu uwu akuwoneka kuti akugwirizana ndi dongosolo lanu la mitsempha ndi momwe mumamvera ndikumva ululu kapena kusasangalala.

Ngakhale palibe chifukwa chimodzi chokha cha "Functional Dyspepsia", zinthu zingapo zingayambitse izi:

• Kusamva bwino kwa visceral: Tangoganizirani kuti mitsempha yanu ndi yovuta kwambiri. Mungathe kuchitapo kanthu mwakuthupi chifukwa cha kupsinjika maganizo. Mwina mukulimbitsa minofu yanu mosazindikira, kapena kugaya chakudya kwanu kukuchepa chifukwa cha kupsinjika maganizo. Mwinanso mungakhale okhudzidwa kwambiri ndi zinthu zomwe zimachitika m'ziwalo zanu. Izi zingapangitse kuti kugaya chakudya kukhale kosasangalatsa ngakhale pamene zinthu zikuyenda bwino.
• Matenda a mayendedwe a m'mimba:Izi zikutanthauza kuti pali mavuto ndi momwe chakudya chimayendera ndikuyenda kudzera m'thupi lanu (GI tract). Izi zitha kukhalanso chifukwa cha kusalumikizana bwino pakati pa ubongo wanu ndi kugaya chakudya. Mitsempha ndi minofu m'thupi lanu sizingagwire ntchito bwino. Izi zingayambitse kuti chakudya chizimitse pamalo amodzi, kapena ziwalo sizingapumule mokwanira ndikuletsa chakudya kudutsa.
• Matenda a m'mimba: Kusalinganika kwa tizilombo toyambitsa matenda m'matumbo mwanu (otchedwa microbiome yanu) kungayambitse zizindikiro za matenda a dyspepsia. Mwachitsanzo, mabakiteriya a H. pylori amatha kuwononga mkati mwa mimba mwanu, zomwe zimayambitsa kutupa ndikupangitsa kuti ikhale yovuta kukhudzidwa ndi asidi m'mimba. Komanso, ngati mabakiteriya akukula kwambiri m'matumbo ang'onoang'ono, zingayambitse kutupa ndi kuvutika kugaya mafuta.
• Eosinophilic duodenitis: Anthu ena omwe ali ndi vuto la dyspepsia apezeka kuti ali ndi maselo oyera ambiri otchedwa eosinophils m'gawo loyamba la matumbo ang'onoang'ono (duodenum). Izi zingayambitse kutupa kwa nthawi yayitali (duodenitis). Ma eosinophils awa alipo kuti akutetezeni ku chitetezo chamthupi chanu, matenda, ndi ziwengo. Izi zitha kuchitika chifukwa cha matenda omwe mudakumana nawo kale kapena ziwengo chifukwa cha chakudya.

Kodi ndi zinthu ziti zomwe zimayambitsa vutoli?

Pali zinthu zina zomwe zimawonjezera chiopsezo cha "Functional Dyspepsia":

• Zinthu zamaganizo: Matenda amisala monga nkhawa, kuvutika maganizo (matenda a maganizo), kapena zochitika zoopsa kapena nkhanza zomwe zidachitikapo kale.
• Mbiri ya banja: Mbiri ya banja ya matenda a mitsempha kapena matenda ena a m'mimba monga irritable bowel syndrome (IBS).
• Kusamvana ndi chakudya: Kusamvana ndi zakudya zina (monga zakudya zomwe zili m'gulu la `(FODMAPs)`) kapena kusamvana ndi zakudya zina (monga, `(kusamvana ndi lactose)` - kuvutika kugaya mkaka ndi zinthu zopangidwa ndi mkaka).
• Atopy: Izi zikutanthauza kukhala ndi matenda osiyanasiyana a ziwengo, monga mphumu, eczema, ndi hay fever.

Kodi madokotala amamvetsa bwanji izi?

Madokotala amazindikira `(Functional Dyspepsia)` atatsimikizira zizindikiro zanu ndikuchotsa zifukwa zina (monga `(GERD)`, `(Peptic Ulcer Disease)`). Nthawi zina mungakhale kale ndi chimodzi mwa izi ndipo mulandire chithandizo. Komabe, ngati chithandizocho sichichepetsa zizindikiro zanu zosagwira bwino ntchito m'mimba, ndiye kuti muyenera kuganizirabe `(Functional Dyspepsia)`.

Zizindikiro za "Functional Dyspepsia" sizimapezeka nthawi zonse ndipo zimatha kubwera ndi kutha. Madokotala amazindikira vutoli poganizira zinthu zotsatirazi:

• Kodi zizindikirozi zapitirira kwa miyezi itatu kapena kuposerapo ?
• Kodi papita miyezi isanu ndi umodzi kuchokera pamene zizindikirozo zinayamba?
• Kodi zizindikirozi sizimachepa pomeza, kutulutsa mpweya (kutsegula m'mimba), kapena kuchita chimbudzi?
• Kodi zizindikirozi sizikugwirizana ndi ululu womwe umabwera chifukwa cha miyala ya ndulu (biliary colic) kapena ululu wina wa ndulu?

Madokotala akatsimikizira kuti muli ndi vuto la kusadya bwino m'mimba (dyspepsia), adzafufuza chifukwa chakuthupi (monga zilonda zam'mimba, matenda). Angakuyezeni mayeso ngati awa:

• Kuyezetsa magazi: Yang'anani matenda ndi mikhalidwe yofala.
• Mayeso a mpweya: Mwachitsanzo, mayeso a mpweya wa urea angayang'ane kupezeka kwa mabakiteriya a H. pylori. Mayeso a mpweya wa hydrogen angayang'ane kukula kwa mabakiteriya m'matumbo.
• Kafukufuku wokhudza kuchotsa chakudya m'mimba: Onani momwe chakudya chimayendera mofulumira/pang'onopang'ono kuchokera m'mimba mwanu kupita m'matumbo ang'onoang'ono.
• Endoscopy Yapamwamba: Chubu chopyapyala chimayikidwa kudzera pakamwa kuti chiyang'ane mkati mwa m'mimba, m'mero , ndi gawo loyamba la matumbo ang'onoang'ono. Izi zimachitika kuti ziwone ngati pali chilichonse chachilendo, monga chilonda. Ngati pakufunika, chidutswa chaching'ono cha minofu (biopsy) chingatengedwe kuti chikaunikidwe.

Kodi chithandizo cha izi ndi chiyani?

Ngati mayeso avumbulutsa chifukwa chenicheni (monga kukula kwa bakiteriya, vuto la kuyenda), dokotala wanu adzachichiza kaye. Komabe, nthawi zambiri, ngakhale mutachiza zifukwa izi, zizindikiro zanu za "Functional Dyspepsia" sizimatha kwathunthu. Chifukwa chake, dokotala wanu adzakupatsani chithandizo china chothandizira kuwongolera zizindikiro zanu. Izi nthawi zambiri zimakhala kuphatikiza kwa mankhwala angapo .

Mankhwala ena omwe amagwiritsidwa ntchito pa "Functional Dyspepsia":

• Ngati pali matenda a bakiteriya , maantibayotiki amalembedwa.
• Prokinetics ndi mankhwala omwe amalimbikitsa kayendedwe ka kugaya chakudya.
• Mankhwala ochepetsa asidi m'mimba: proton pump inhibitors (PPIs) (monga omeprazole) kapena H2 blockers (monga Ranitidine).
• Mankhwala oletsa kuvutika maganizo otchedwa Tricyclic antidepressants omwe ali ndi mlingo wochepa kuti achepetse mitsempha yamagazi ndikuchepetsa ululu (ngakhale kuti awa ndi mankhwala operekedwa pochiza kuvutika maganizo, amagwiritsidwanso ntchito pa mlingo wochepa pa matenda ngati awa).

Kuphatikiza apo, palinso njira zina zochiritsira komanso zowonjezera :

• Ma formula ochokera ku zomera: Mwachitsanzo, makapisozi okhala ndi peppermint ndi mafuta a caraway, kapena zosakaniza za zitsamba monga Iberogast® (muyenera kufunsa dokotala wanu ngati izi zikupezeka ku Sri Lanka).
• Mankhwala opumulira maganizo ndi thupi:Kusinkhasinkha, yoga, biofeedback (njira yodziwira ntchito za thupi ndikuphunzira kuzilamulira), psychotherapy.
• Kusintha zakudya: Dziwani zakudya zomwe sizili bwino kwa inu ndipo zikukupangitsani kuti zizindikiro zanu zikhale zovuta kwambiri mwa kuchita "zakudya zochotsa" (kusiya ndikuyang'ana gulu limodzi la zakudya) ndikusintha zakudya zanu za tsiku ndi tsiku moyenera.
• Kujambula Thupi: Kafukufuku wina wasonyeza kuti njira imeneyi imaperekanso mpumulo.

Kodi chimachitika ndi chiyani ngati muli ndi `(Functional Dyspepsia)`? Kodi mungayembekezere chiyani?

Kwa anthu ambiri, Functional Dyspepsia ndi matenda osatha omwe amabwereranso m'moyo wawo wonse. Zingatenge nthawi, komanso kuyesa pang'ono, kuti mupeze mankhwala ndi zizolowezi zomwe zimakugwirani ntchito ndikuchepetsa zizindikiro zanu. Mutha kupeza mpumulo, koma sizingathetsedwe kwathunthu. Koma chofunika kwambiri, sichoncho chachikulu. Choncho musadandaule.

Kodi ndiyenera kupita kwa dokotala liti?

Muyeneradi kufunsa upangiri wa dokotala ngati muli ndi:

• Ngati simunayesedwe matenda a m'mimba.
• Ngati zizindikiro zanu zasintha kapena zikuipiraipira.
• Ngati umasanza pafupipafupi.
• Ngati kulemera kwanu kukuchepa popanda chifukwa.

Popanda chifukwa chomveka bwino kapena mankhwala enieni, kuzindikira "Functional Dyspepsia" kungakhale kovuta kwa iwo omwe akufuna mayankho. "Functional GI disorders" ndi yovuta kwambiri. Zimakhudza ubongo wanu, mitsempha yanu, zakudya zanu, moyo wanu, komanso nthawi zina ngakhale zifukwa zomwe zimayambitsa matenda m'thupi lanu. Ndicho chifukwa chake zingakhale zovuta kuzithetsa.

Mayeso azachipatala angathandize kuzindikira ndi kuchotsa zinthu zina zomwe zimayambitsa matendawa. Koma pamapeto pake, inu nokha ndiye amene mungamvetse bwino zomwe zimapangitsa kuti zizindikiro zanu zikhale bwino komanso zomwe zimazikulitsa. Mukayesa njira zosiyanasiyana zochiritsira ndikuzindikira zomwe zimayambitsa matendawa, mudzapeza njira yanu yapadera yokhalira ndi Functional Dyspepsia.

Tenga uthenga kunyumba

• "(Functional Dyspepsia)`` ndi vuto lenileni lomwe mumamva. Sili "m'maganizo mwanu mokha."
• Izi zimathetsedwa poletsa zizindikiro, zomwe zingathandizidwe ndi kusintha kwa moyo, zakudya, komanso mwina mankhwala.
• Ndikofunikira kwambiri kugwira ntchito ndi dokotala. Muuzeni momveka bwino za zizindikiro zanu, zomwe mukumva, komanso zomwe mwayesa.
• Musataye mtima. Anthu ambiri amapeza njira zothetsera vutoli. Simuli nokha!

Kusagwira ntchito bwino kwa thupi, kusadya bwino chakudya, kupweteka m'mimba, kudzimbidwa, kutupa pachifuwa, kugaya chakudya, kupsinjika maganizo