Une kurwadziwa mudumbu here kana uchidya? Hauwani chikonzero here? Ngatitaurei nezve (Functional Dyspepsia)!

Unowanzo nzwa kuguta, kunzwa kupisa mudumbu, kana kungonzwa kusuruvara mushure mekudya here? Dzimwe nguva hautombogoni kuwana chikonzero cheizvi, handiti? Kunyangwe mushure mekuenda kuna chiremba nekuita bvunzo dzakawanda, vanogona kuti, "Hausi kurwara." Vanhu vazhinji vane zviitiko zvakaita seizvi. Ndizvo zvatinodaidza kuti ``Functional Dyspepsia'', chirwere chekugaya chikafu chinonetsa kuwana chikonzero chakajeka.

Chii chinonzi `(Functional Dyspepsia)`? Zvichitaurwa zviri nyore...

Zvichitaurwa zviri nyore, ``Functional Dyspepsia`` chirwere chinowanzo konzera kusagadzikana kugaya chikafu, asi hapana chikonzero chakajeka chinowanikwa. ``Dyspepsia`` ishoko rimwe rinoreva kusagadzikana kugaya chikafu. Ipfungwa yezviratidzo zvinoitika pamwe chete mushure mekudya uye panguva yekugaya chikafu. ``Functional`` zvinoreva kuti zviratidzo zvako zvekushaya chikafu hazvigone kukonzerwa nechero chimwe chezvinhu zvinowanzo kukonzera kusagadzikana kugaya chikafu (senge maronda kana gastritis).

Zviratidzo zvako zvinganzwika sezvechirwere chepeptic ulcer kana chirwere chegastroesophageal reflux (GERD) . Zvisinei, bvunzo dzinoratidza kuti vanhu vashoma chete ndivo vane zvirwere izvi. Vamwe vese vane chinonzi Functional Dyspepsia.

Fungidzira, injini yemotokari yako iri kuita ruzha, asi makanika haakwanise kuona chakaipa. Zvese zviri kuita zvakanaka kubva kunze, asi pane chisina kumira zvakanaka.

Kune mhando dzakasiyana dzeizvi here?

Functional Dyspepsia idambudziko risingangove chirwere chimwe chete. Izvi zvinoreva kuti maitiro aro anobata munhu wega wega nezviratidzo zvaanoona zvinogona kusiyana. Vanachiremba vakaripatsanura kuita mhando mbiri huru:

1. Epigastric pain syndrome: Rudzi urwu rwekurwadziwa runonyanya kunzwika mudumbu uye rwakafanana nekurwadziwa kwechirungurira . Hazviwanzoitika panguva yekudya. Dzimwe nguva zvinogona kuitika mudumbu risina chinhu. Izvi zvakafanana nezviratidzo zveGERD.

2. Postprandial distress syndrome: Iyi inyaya yekuti mudumbu hamuna kugadzikana mushure mekudya. Semuenzaniso, kunzwa wakaguta kunyangwe mushure mekudya zvishoma (kuguta nekukurumidza), kunzwa wakaguta, kuzvimba, uye kurwadziwa mudumbu mushure mekudya. Izvi zvakafanana nezviratidzo zvechirwere chemaronda emudumbu.

Havasi vese vanokwana mune chimwe chezvikamu zviviri izvi. Vamwe vanhu vanogona kusangana nemusanganiswa wezvose, kana kuti vanogona kusangana nemusanganiswa wezvose.

Ndezvipi zviratidzo zvikuru zveizvi?

Kana uine ``Functional Dyspepsia'', unogona kusangana nechimwe kana kupfuura chezviratidzo zvinotevera:

• Marwadzo mudumbu repamusoro (kurwadziwa kwemudumbu):Kurwadziwa mudumbu repamusoro, pasi pembabvu. Nzvimbo iyi inonzi "epigastrium". Apa ndipo panowanikwa dumbu rako, pancreas, duodenum (chikamu chekutanga cheura hudiki), uye chikamu chechiropa chako.
• Dumbu rakazvimba: Kunzwa kusagadzikana uye kuguta mudumbu mushure mekudya. Izvi zvinowanzobatanidzwa negasi, kuzvimba, nezvimwe zvinhu zvakaita segasi. Zvinogonawo kunzwa sekunge dumbu rako riri kudhonza.
• Kuguta uye kurasikirwa nechido chekudya: Kunzwa wakaguta paunenge uchidya, mushure mekudya, kana kunyangwe mushure mekusadya zvakanyanya (kutanga kuguta) . Dzimwe nguva, kurasikirwa nechido chekudya kunogona kuitika kunyangwe usati wadya.
• Kunzwa Kupisa: Kunzwa kupisa muchipfuva, kunozivikanwawo se "heartburn", kunowanzoitika kana paine zviratidzo izvi zvekusagadzikana kwekugaya chikafu. Izvi zvinowanzokonzerwa neacid yemudumbu inokwira mudumbu (acid reflux). Unogonawo kunzwa kupisa mudumbu.

Pamusoro peizvi, mamwe mabasa akadai seaya anogonawo kuonekwa:

• Kuchekwa zvakanyanya
• Kusvotwa kana muromo
• Kana uine chirwere chebowel syndrome (IBS), zviratidzo zvako (semuenzaniso kufamba-famba kwemudumbu kana kuvimbiwa) zvinogonawo kuwedzera.
• Kunzwa kushushikana kana kusagadzikana mupfungwa.

Sei `(Functional Dyspepsia)` iyi ichiitika? Ndezvipi zvikonzero?

Vanachiremba vanoti chirwere che "functional disorder" chirwere chisina chikonzero chakananga uye chiri pachena chezviratidzo. Chimwe chikonzero cheizvi chingave hukama hwepedyo pakati peura hwako neuropi hwako (gut-brain axis) . Mhando idzi dzezvirwere zve functional dzinoita sedzine chekuita nehurongwa hwako hwetsinga uye manzwire aunoita uye unonzwa kurwadziwa kana kusagadzikana.

Kunyangwe pasina chikonzero chimwe chete che "Functional Dyspepsia", zvinhu zvakawanda zvinogona kukonzera izvi:

• Kusanzwa zvakanaka kwemuviri: Fungidzira kuti sisitimu yako yetsinga inonyanya kunzwa. Unogona kuita zvinhu zvinokunetsa mumuviri. Ungangove uchisimbisa tsandanyama dzako usingazive, kana kuti sisitimu yako yekugaya chikafu inogona kunge ichidzikira nekuda kwekunetseka. Ungangovewo uchinzwa zvinhu zvinoitika mumuviri wako. Izvi zvinogona kuita kuti kugaya chikafu kusanzwa zvakanaka kunyangwe kana kuri kufamba zvakanaka.
• Zvirwere zvekufamba kwemudumbu:Izvi zvinoreva kuti pane matambudziko nemafambiro anoita chikafu nemudumbu mako (GI tract). Izvi zvinogonawo kukonzerwa nekusataurirana zvakanaka pakati pehuropi hwako nedumbu. Tsinga netsandanyama dziri mudumbu mako zvinogona kunge zvisiri kushanda zvakanaka. Izvi zvinogona kukonzera kuti chikafu chigare panzvimbo imwe chete, kana kuti nhengo dzemuviri dzingasasununguka zvakakwana uye dzisabvumira chikafu kupfuura nepakati.
• Kusagadzikana kwemudumbu: Kusagadzikana kwehutachiona huri mudumbu rako (hunonzi microbiome yako) kunogona kukonzera zviratidzo zvekushaya simba kwemuviri. Semuenzaniso, bhakitiriya H. pylori inogona kukuvadza dumbu rako, zvichikonzera kuzvimba uye zvichiita kuti rive nyore kubatwa neacid yemudumbu. Zvakare, kana bhakitiriya ikakura zvakanyanya mudumbu diki, zvinogona kukonzera kuzvimba uye kuoma kugaya mafuta.
• Eosinophilic duodenitis: Vamwe vanhu vane dyspepsia inoshanda vakaonekwa kuti vane rudzi rwakawandisa rwemasero machena eropa anonzi eosinophils muchikamu chekutanga cheura hudiki (duodenum). Izvi zvinogona kukonzera kuzvimba kwenguva refu (duodenitis). Ma eosinophils aya aripo kuti akudzivirire kubva kumasoja emuviri wako, hutachiona, uye allergies. Izvi zvinogona kukonzerwa nehutachiona hwawakambosangana nahwo kana allergies yechikafu.

Ndezvipi zvinhu zvinokonzera njodzi yechirwere ichi?

Kune zvimwe zvinhu zvakawanda zvinowedzera njodzi yekubatwa ne "Functional Dyspepsia":

• Zvinhu zvepfungwa: Matambudziko epfungwa akadai sekuzvidya mwoyo, kuora mwoyo (kusagadzikana kwepfungwa), kana zviitiko zvinoshungurudza kana kushungurudzwa kwakaitika kare.
• Nhoroondo yemhuri: Nhoroondo yemhuri yezvirwere zvetsinga kana zvimwe zvirwere zvemudumbu zvakaita seIBS.
• Kunzwa kwekudya: Kunzwa kwekudya kune zvimwe zvekudya (semuenzaniso, zvekudya zviri muboka re `(FODMAPs)`) kana kusanzwa kwekudya kune zvimwe zvekudya (semuenzaniso, `(kusanzwa kwelactose)` - kuoma kugaya mukaka nezvigadzirwa zvemukaka).
• Kuora mwoyo: Izvi zvinoreva kuva nematambudziko akasiyana-siyana ekusawirirana, akadai seasthma, eczema, uye fever yeuswa.

Vanachiremba vanonzwisisa sei izvi chaizvo?

Vanachiremba vanoongorora `(Functional Dyspepsia)` mushure mekusimbisa zviratidzo zvako uye kubvisa zvimwe zvinokonzera (semuenzaniso `(GERD)`, `(Peptic Ulcer Disease)`). Dzimwe nguva ungave uine chimwe chezvirwere izvi wobva warapwa. Zvisinei, kana kurapwa ikoko kusingaderedzi zviratidzo zvako zvekusagadzikana kwekugaya, saka unofanira kuramba uchifunga nezve `(Functional Dyspepsia)`.

Zviratidzo zve "Functional Dyspepsia" hazviwanzoonekwa uye zvinogona kuuya zvoenda. Vanachiremba vanoongorora chirwere ichi nekufunga nezvezvinhu zvinotevera:

• Zviratidzo izvi zvaramba zviripo kwemwedzi mitatu here?
• Kwava nemwedzi mitanhatu here kubvira zviratidzo zvatanga?
• Zviratidzo izvi hazvirerutsi here nekumedza, kubuda mweya (manyoka), kana kubuda ura?
• Zviratidzo izvi hazvina chekuita nekurwadziwa kunokonzerwa nematombo emunduru (biliary colic) kana mamwe marwadzo emunduru here?

Kana vanachiremba vangosimbisa kuti une dambudziko rekugaya chikafu (dyspepsia), vachatsvaga chikonzero chemuviri (semuenzaniso, chironda, hutachiona). Vanogona kuita bvunzo dzakadai sedzinotevera:

• Kuongororwa kweropa: Tarisa kana paine hutachiona uye zvirwere zvakajairika.
• Kuongororwa kwekufema: Semuenzaniso, bvunzo yekufema yeurea inogona kutarisa kuvapo kwebhakitiriya H. pylori. Kuongororwa kwekufema kwehydrogen kunogona kutarisa kukura kwebhakitiriya mudumbu.
• Zvidzidzo zvekubuda kwechinhu mudumbu: Tarisa kuti chikafu chinokurumidza/chinonoka sei chinopinda mudumbu chichibva mudumbu chichienda mudumbu diki.
• Endoscopy yepamusoro: Chubhu yakatetepa inopinzwa nemuromo kuti ione mukati medumbu, gurokuro , uye chikamu chekutanga cheura hudiki. Izvi zvinoitirwa kutarisa chero chinhu chisingawanzoitika, senge chironda. Kana zvichidikanwa, chidimbu chidiki chenyama (biopsy) chinogona kutorwa kuti chiongororwe.

Kurapwa kweizvi ndekupi?

Kana bvunzo dzikaratidza chikonzero chiri pachena (semuenzaniso, kukura kwemabhakitiriya zvakanyanya, chirwere chekufamba), chiremba wako ndiye anotanga akurapa izvozvo. Zvisinei, kazhinji, kunyangwe mushure mekurapa zvikonzero izvi, zviratidzo zvako zve "Functional Dyspepsia" hazviperi zvachose. Nokudaro, chiremba wako achapa mamwe marapirwo ekubatsira kudzora zviratidzo zvako. Izvi zvinowanzova musanganiswa wemishonga yakasiyana-siyana .

Mimwe mishonga inoshandiswa pakurapa "Functional Dyspepsia":

• Kana paine hutachiona hwebhakitiriya , mushonga unorwisa mabhakitiriya unorayirwa.
• Prokinetics mishonga inokurudzira kufamba kwegadziriro yekugaya chikafu.
• Mishonga inoderedza acid yemudumbu: proton pump inhibitors (PPIs) (semuenzaniso omeprazole) kana H2 blockers (semuenzaniso Ranitidine).
• Mishonga yeTricyclic antidepressants ine madosi mashoma ekudzikamisa tsinga dzemuviri uye kuderedza marwadzo (kunyange zvazvo iyi iri mishonga inopihwa yekuora mwoyo, inoshandiswawo mudosi shoma kune zvirwere zvakaita seizvi).

Pamusoro pezvo, kunewo nzira dzekurapa dzinobatsira uye dzimwe nzira:

• Mafomula anogadzirwa nemiti: Semuenzaniso, makapisi ane peppermint nemafuta ecaraway, kana musanganiswa wemiti wakaita seIberogast® (uchafanira kubvunza chiremba wako kana izvi zviripo muSri Lanka).
• Mishonga yekuzorora kwepfungwa nemuviri:Kufungisisa, yoga, biofeedback (nzira yekuziva mashandiro emuviri uye kudzidza kuadzora), psychotherapy.
• Kuchinja kwekudya: Ziva kuti ndezvipi zvekudya zvisina kunaka kwauri uye zviri kuita kuti zviratidzo zvako zviwedzere kuipa nekuita "Elimination diet" (kumira wotarisa boka rezvekudya rimwe chete panguva) uye kugadzirisa kudya kwako kwezuva nezuva zvinoenderana.
• Kubata Acupuncture: Dzimwe ongororo dzakaratidza kuti nzira iyi inopawo zororo.

Chii chinoitika kana uine `(Functional Dyspepsia)`? Chii chaungatarisira?

Kune vanhu vazhinji, Functional Dyspepsia chirwere chisingaperi chinodzoka muhupenyu hwavo hwese. Zvinogona kutora nguva, uye kuedza nekukanganisa, kuti uwane marapirwo netsika dzinoshanda kwauri uye kuderedza zviratidzo zvako. Unogona kuwana zororo, asi zvingasapera zvachose. Asi, chinonyanya kukosha, hazvina kuipa. Saka usazvidya mwoyo.

Ndinofanira kuona chiremba rini?

Zvechokwadi unofanira kutsvaga rubatsiro rwechiremba kana uine:

• Kana usati waongororwa zvirwere zvemudumbu.
• Kana zviratidzo zvako zvikachinja kana kuti zvikanyanya kuipa.
• Kana uchirutsa kakawanda.
• Kana huremu hwako huri kudzikira pasina chikonzero.

Pasina chikonzero chakajeka kana mushonga chaiwo, kuongororwa kwe "Functional Dyspepsia" kunogona kuvhiringidza zvishoma kune avo vari kutsvaga mhinduro. "Functional GI disorders" yakaoma zvishoma. Inosanganisira uropi hwako, tsinga dzako, kudya kwako, mararamiro ako, uye dzimwe nguva kunyange zvikonzero zviri pachena mumuviri wako. Ndosaka zvichigona kuoma kugadzirisa.

Kuongororwa kwechiremba kunogona kubatsira kuona uye kubvisa zvimwe zvinhu zvinokonzera chirwere. Asi pakupedzisira, ndiwe wega unogona kunyatsonzwisisa zvinoita kuti zviratidzo zvako zvive nani uye zvinoita kuti zviwedzere kuipa. Sezvaunoedza kurapwa kwakasiyana uye kuona zvinokonzera chirwere chako, uchawana nzira yako yega yekurarama neFunctional Dyspepsia.

Tora meseji kumba

• "(Functional Dyspepsia)" kusuruvara chaiko kwaunonzwa. Hazvisi "mupfungwa dzako chete."
• Izvi zvinodzorwa nekudzora zviratidzo, izvo zvinogona kubatsirwa nekuchinja mararamiro, kudya, uye pamwe nemishonga.
• Zvakakosha kushanda nachiremba. Taura pachena nezvezviratidzo zvako, zvauri kunzwa, uye zvawakaedza.
• Usarasa tariro. Vanhu vazhinji vanowana nzira dzekurarama nadzo nedambudziko iri. Hausi wega!

Kushaya simba kwemuviri , kusagadzikana kwekugaya chikafu, kurwadziwa mudumbu, kuzvimba, kuzvimba kwechipfuva, kugaya chikafu, kushushikana