Mumigwagwa munguva yechando, ndechipi chinonaka chinonyanya kuyedza? Ndizvozvo, ndiyo tanghulu tsvuku uye inopenya! Nekurumwa kwega kwega, kutapira uye kuvava kunodzosa imwe yedzakanakisa ndangariro dzehudiki.
Nekudaro, matsutso ese uye chando, kune kuwedzera kunoonekwa kwevarwere vane gastric bezoars mune gastroenterology outpatient makiriniki. Endoscopically, marudzi akasiyana-siyana egastric bezoars anogona kuoneka kwese kwese, mamwe acho akakura uye anoda lithotripsy zvishandiso kuti zviparadze kuita zvidimbu zvidiki, nepo mamwe akaomarara zvakanyanya uye haagone kupwanywa nechero endoscopic "zvombo".
Aya matombo "akasindimara" ari mudumbu ane hukama sei netanghulu? Tinogona here kunakidzwa nekudya kunonaka uku? Usanetseka, nhasi, gastroenterologist kubva kuPeking Union Medical College Hospital ichakupa ruzivo rwakadzama.
Kudya hawthorn yakawandisa hazvirevi hazvo kubatsira kugaya
Sei kudya tanghulu zvisina hanya kuchitungamira kune gastric bezoars? Hawthorn pachayo yakapfuma mu tannic acid, uye kuidya yakawandisa kunogona nyore "kubatana" negastric acid uye mapuroteni mudumbu kuita dombo guru.
Iwe unofunga kuti gastric acid ine simba here? Icha "kurova" kana yasangana nematombo aya. Nekuda kweizvozvo, dombo rinonamira mudumbu, richikonzera kurwadziwa kwakanyanya uye kusava nechokwadi muhupenyu, uye rinogona kutungamirira kune peptic ulcer, perforation, uye kuvharika, izvo zvinogona kutyisa hupenyu mumatambudziko akaoma.
Kunze kwehawthorn, chikafu chakapfuma mutannic acid, senge persimmons (kunyanya isina kuibva) nejujubes, zvinonaka zvakajairika mumatsutso nemuchando asi zvinogonawo kubatsira mukuumbwa kwegastric bezoar. Iyo tannic acid iri mumichero iyi, kana yaitwa negastric acid, inosanganiswa nemapuroteni kuita tannic acid protein, isinganyungudika mumvura. Iyo inounganidza zvishoma nezvishoma uye inobatana nezvinhu zvakaita se pectin uye cellulose, pakupedzisira inogadzira gastric bezoars, iyo inowanzova yemuriwo.
Nokudaro, kudavira kuti kudya hawthorn kunokurudzira kugaya hakuna kururama zvachose. Kushandisa hawthorn yakawanda pamudumbu usina chinhu kana mushure mekunwa doro, kana gastric acid yakanyanyisa, inogona kukurudzira kuumbwa kwegastric bezoars, pamwe chete nezviratidzo zvakakomba zvakadai sedyspepsia, kuputika, uye maronda akaoma emudumbu.
Kunakidzwa ne tanghulu neka cola
Zvinonzwika zvinotyisa. Tichiri kunakidzwa neaizi-shuga gourufaro here? Chokwadi, unogona. Ingochinja madyiro aunoita. Unogona kuidya zvine mwero kana "kushandisa mashiripiti kukunda mashiripiti" nekushandisa cola kurwisa njodzi yebezoars.
Kune varwere vane nyoro kusvika pakati nepakati bezoars yemiriwo, kunwa cola kurapwa kwakachengeteka uye kunoshanda kwemishonga.
Cola inoratidzwa neiyo yakaderera pH level, ine sodium bicarbonate inonyungudutsa mucus, uye yakawanda CO2 bubbles inosimudzira kuparara kwebezoar. Cola inogona kukanganisa chimiro chakaunganidzwa chemuriwo bezoars, zvichiita kuti zvipfave kana kutozvipwanya kuita zvidimbu zvidiki zvinogona kuburitswa kuburikidza nemudumbu.
Ongororo yakarongeka yakawana kuti muhafu yemakesi, cola chete yaive inoshanda mukunyungudutsa bezoars, uye kana yasanganiswa ne endoscopic kurapwa, pamusoro pe90% yebezoar kesi dzinogona kurapwa zvinobudirira.
Mukuita kwekiriniki, varwere vazhinji vane zviratidzo zvakapfava vakadya zvinopfuura 200ml yecola nemuromo kaviri kana katatu pazuva kwevhiki imwe kusvika maviri zvinobudirira kunyungudutsa bezoars yavo, kuderedza kudiwa kwe endoscopic lithotripsy, nekudaro vachideredza zvakanyanya marwadzo uye kudzikisa mutengo wekurapa.
"Cola therapy" haisi mushonga
Kunwa cola zvakakwana here? "Cola therapy" haishandi kune marudzi ose egastric bezoars. Kune bezoar yakaoma mukugadzirwa kana yakakura muhukuru, endoscopic kana kuvhiya kupindira kunogona kudikanwa.
Kunyangwe cola therapy inogona kuputsa mabezoar makuru kuita zvidimbu zvidiki, zvidimbu izvi zvinogona kupinda mudumbu diki uye kukonzera kuvharika, zvichiwedzera mamiriro acho. Kushandiswa kwenguva refu kwecola kunewo mhedzisiro, senge metabolic syndrome, mazino caries, osteoporosis, uye kusagadzikana kwe electrolyte. Kunyanya kunwa zvinwiwa zvecarbonated zvakare kunoisa njodzi yeacute gastric dilation.
Uyezve, varwere vakwegura, vasina simba, kana vane mamiriro ezvinhu akadai semaronda emudumbu kana chikamu chegastrectomy havafaniri kuedza nzira iyi pachavo, sezvo inogona kuwedzera mamiriro avo. Nokudaro, kudzivirira ndiyo nzira yakanakisisa.
Muchidimbu, kiyi yekudzivirira gastric bezoars iri mukuchengetedza chikafu chine musoro:
Chenjera nezvokudya zvine tannic acid yakawanda, zvakadai sehawthorn, persimmons, uye jujubes. Hazvikurudzirwi kuvarwere vakura, vasina simba, kana vane zvirwere zvekugaya zvakadai semaronda emudumbu, reflux esophagitis, achalasia, nhoroondo yekuvhiyiwa kwegumbo, kana hypomotility.
Tevedzera nheyo yemwero. Kana uchishuvira chaizvo zvekudya izvi, rega kudya zvakawandisa panguva imwe chete uye shandisa zvinwiwa zvine kabhoni, zvakaita secola, zvine mwero usati wadya uye wapedza.
Enda kurapwa nokukurumidza. Kana iwe ukaona zviratidzo zvine hukama, tsvaga kurapwa nekukurumidza uye sarudza nzira yakakodzera yekurapa pasi pekutungamirwa nachiremba ane hunyanzvi.
Nguva yekutumira: Jan-09-2025