Kudzimbidwa

Kudzimbidwa (dyspepsia) ndikumva pang'ono pang'ono m'mimba kapena pamimba. Nthawi zambiri zimachitika nthawi kapena mutangotha ​​kudya. Zitha kumveka ngati:

• Kutentha, kutentha, kapena kupweteka m'dera pakati pa mchombo ndi kumunsi kwa chifuwa cha m'mawere
• Kukhuta kosasangalatsa komwe kumayamba atangoyamba kumene kudya kapena kudya kutatha

Kuphulika ndi mseru sizizindikiro zochepa.

Kudzimbidwa sikuli kofanana ndi kutentha pa chifuwa.

Nthawi zambiri, kudzimbidwa sichizindikiro cha vuto lalikulu lathanzi pokhapokha ngati limachitika ndi zizindikilo zina. Izi zingaphatikizepo:

• Magazi
• Vuto kumeza
• Kuchepetsa thupi

Nthawi zambiri, kusapeza bwino kwa vuto la mtima kumalingaliridwa kuti ndi kudzimbidwa.

Kutaya mtima kumatha kuyambitsidwa ndi:

• Kumwa zakumwa zambiri za khofi
• Kumwa mowa kwambiri
• Kudya zokometsera, mafuta, kapena mafuta aliwonse
• Kudya kwambiri (kudya mopitirira muyeso)
• Kudya mofulumira
• Kudya zakudya zamtundu wapamwamba
• Kusuta kapena kutafuna fodya
• Kupsinjika kapena kukhala wamanjenje

Zina mwazomwe zimayambitsa kudzimbidwa ndi izi:

• Miyala
• Gastritis (pamene gawo lakumimba limatupa kapena kutupa)
• Kutupa kwa kapamba (kapamba)
• Zilonda (mmimba kapena zilonda zam'mimba)
• Kugwiritsa ntchito mankhwala ena monga maantibayotiki, aspirin, ndi mankhwala opweteka kwambiri (NSAID monga ibuprofen kapena naproxen)

Kusintha momwe mumadyera kumatha kuthandizira zizindikiritso zanu. Zomwe mungachite ndi izi:

• Lolani nthawi yokwanira ya chakudya.
• Pewani mikangano panthawi yachakudya.
• Pewani chisangalalo kapena kuchita masewera olimbitsa thupi mukangomaliza kudya.
• Tafuna chakudya mosamalitsa komanso mokwanira.
• Pumulani ndikupumula ngati kudzimbidwa kumayambitsidwa ndi kupsinjika.

Pewani aspirin ndi ma NSAID ena. Ngati mukuyenera kuwatenga, chitani choncho m'mimba mokwanira.

Maantacids amatha kuchepetsa kudzimbidwa.

Mankhwala omwe mungagule popanda mankhwala, monga ranitidine (Zantac) ndi omeprazole (Prilosec OTC) amatha kuthana ndi matenda. Wothandizira zaumoyo wanu amathanso kukupatsirani mankhwalawa mopitilira muyeso kapena kwakanthawi.

Pezani chithandizo chamankhwala nthawi yomweyo ngati matenda anu akuphatikizapo nsagwada, kupweteka pachifuwa, kupweteka msana, thukuta lolemera, nkhawa, kapena kumva kuti kuli chiwonongeko. Izi ndizotheka kukhala ndi zisonyezo zamatenda amtima.

Itanani omwe akukuthandizani ngati:

• Zizindikiro zanu zoperewera zimasintha kwambiri.
• Zizindikiro zanu zimatenga nthawi yayitali kuposa masiku ochepa.
• Muli ndi kutaya thupi kosaneneka.
• Mukumva kuwawa mwadzidzidzi, m'mimba.
• Mumavutika kumeza.
• Mumakhala ndi khungu lachikaso ndi maso (jaundice).
• Mumasanza magazi kapena mumadutsa magazi pansi.

Wothandizira anu amayesa m'mimba ndi m'mimba. Mudzafunsidwa mafunso okhudzana ndi zizindikilo zanu.

Mutha kukhala ndi mayeso ena, kuphatikiza:

• Kuyesa magazi
• Esophagogastroduodenoscopy (kumtunda kwa endoscopy)
• Kuyesa kwa ultrasound pamimba

Matenda; Kukhuta kosakwanira mukatha kudya

• Kutenga ma antiacids

• Dongosolo m'mimba

Mtsogoleri EA. Ntchito zovuta zam'mimba: matumbo opweteka, dyspepsia, kupweteka pachifuwa komwe kumaganiziridwa kuti ndi kwam'mero, komanso kutentha pa chifuwa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. Wolemba 25. Philadelphia, PA: Elsevier Saunders; 2016: chap 137.

Pezani J. Dyspepsia. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chap 14.