Bambanci ganewar asali na ciki zafi. Ciki ciwo - abin da yake da shi?

Idan ka fuskanci ciwon mara, da yawa kara dauki wani kwaya, "Amma-dima jiki" ko "ftalazol", imani da cewa suna da wani matsala da narkewa kamar tsarin. Duk da haka, da ciki na iya ciwo saboda dozin dalilai kaucewa alaqa ko dai da ciki ko da hanjinsu. Wannan sabon abu ne ko da wani likita lokaci - na ciki ciwo. Mene ne wannan? Sunan zo daga Latin "ciki", wanda fassara a matsayin "ciki." Wannan shi ne duk da ake dangantawa da wannan yanki na jikin mutum ne ciki. Alal misali, ciki, hanjinsu, mafitsara, saifa, kodan - shi ne na ciki gabobin, kuma gastritis, pancreatitis, cholecystitis, colitis da sauran gastrointestinal matsaloli - ciki cuta. By misalin, na ciki ciwo - shi wahala a ciki area (mai tsanani, zafi, tingling, cramping da kuma sauran miyagun ji). A lokacin da irin koke-koken da haƙuri aiki na likita ne a daidai bambantawa na cututtuka, ba su zama kuskure tare da ganewar asali. Bari mu ga yadda wannan ne yake aikata a yi da kuma abin da su ne siffofin da zafi hade da kowane cuta.

Human kogon ciki

Don yin shi sauki da za a magance wannan tambaya: "na ciki ciwo - abin da yake da shi?" da kuma fahimtar yadda aka dauka, kana bukatar ka fahimci abin da ke ciki mu ciki, wanda shi yana da gabobin kamar yadda suka yi mu'amala da juna. za ka iya ganin Schematic tube esophagus a kan ilimin Halittar Jiki hotuna, ƙaramar mota ciki, hanjinsu writhing maciji, dama karkashin karankarman ƙirji hanta, saifa, bar, a cikin kasa daga cikin mafitsara zuwa ureter, mikewa daga kodan. Wannan, kamar, shi ke nan. A gaskiya, mu kogon ciki yana da wani hadadden tsarin. Conventionally, shi ne zuwa kashi uku segments. babba iyaka ne - a daya hannun - domed tsoka kiran diaphragm. Sama da shi ne thoracic rami tare da huhu. A wani gefen daga cikin manya kashi ne rabu da talakawan da ake kira mesentery na ciwon. Wannan biyu-Layer Musulunci, ta hanyar da duk gabobin na narkewa kamar fili suna a haɗe zuwa baya daga cikin jirgin saman ciki. A saman kashi na uku rarrabuwa - hanta, pancreas da kuma gujiya. A tsakiyar kashi na mesentery kara daga kafin a fara da kafafuwa. Shi ne a cikin wannan ɓangare na ciki ne cibiyarki yankin. A karshe, cikin ƙananan kashi - wani yanki na karamin kwari, wadda ta gano wani wuri urogenital gabobin da kuma haihuwa tsarin.
Kowane munanan (kumburi, kamuwa da cuta, inji da kuma sinadaran effects, Pathology samuwar kuma ci gaba) a cikin jikin kowane daga sama shirya a uku segments sa na ciki ciwo. Bugu da ƙari kuma, a cikin peritoneum ne jini da kuma lymphatic tasoshin da kuma ganglia. Daga cikin su da ya fi shahara ne lakã da hasken rana plexus. 'Yar alamar matsala tare da su ma tsokane jin zafi a ciki.

Don takaita: na ciki ciwo za a iya lalacewa ta hanyar wani da aka sani zuwa ranar, gastrointestinal cuta da kuma urogenital tsarin, matsaloli da jini da jijiya plexus na peritoneum, da sinadaran daukan hotuna (guba, magani), inji matsawa (squeezing) na duk m raka'a cewa suna located a cikin peritoneum.

kaifi zafi

Bambanci ganewar asali na ciki zafi yakan fara da katin shaida na wurin da kuma yanayin da zafi. A mafi rai barazana da wuya ga mutum haƙuri, ba shakka, mai kaifi zafi. Yana auku ba zato ba tsammani, abruptly, sau da yawa ba tare da wani bayyane tsokane ta haddasawa, bayyana harin, zaunanniya daga 'yan mintoci zuwa awa daya.

M zafi na iya a tare da amai, zawo, zazzabi, jin sanyi, sanyi rika zufa, asarar sani. Mafi sau da yawa, suna da wata s wuri (dama, hagu, saukar, up), wanda taimaka wajen kafa wani na farko ganewar asali.

Cututtuka lalacewa ta hanyar irin na ciki ciwo - shi ne:

1. kumburi tafiyar matakai a cikin peritoneum - m da relapsing appendicitis, diverticulitis Meckel, peritonitis, m pancreatitis ko cholecystitis.

2. toshewa ko strangulated hernia.

3. A perforation (perforation, rami) gabobin na peritoneum da ya auku a ciki da / ko duodenal ulcers da diverticulitis. Yana kuma iya hada discontinuities hanta, lakã, saifa, kwai siffofin maruran.

A lokuta da perforation, kazalika da appendicitis da peritonitis haƙuri ta rayuwa shi ne 100% dogara a kan daidai ganewar asali da kuma zuwa ga gudanar da gaggawa tiyata.

Ƙarin nazarin:

• jini gwajin (damar kimanta da ayyuka na kumburi tsari, domin sanin da jini kungiyar).
• X-haskoki (ya nuna gaban ko babu perforations, obstructions, hernia).
• duban dan tayi.
• idan akwai tuhuma da zub da jini a cikin narkewa kamar fili, yin esophagogastroduodenoscopy.

kullum zafi

Suna girma sannu a hankali da kuma na karshe na tsawon watanni. Feeling a lokaci guda kamar yadda idan m, ja, aching, sau da yawa "zub" bisa dukan periphery na peritoneum, ba tare da wani takamaiman sarrafawa. Kullum zafi iya kwanta da kuma dawo sake, misali bayan wani gari. A kusan dukkan lokuta, wannan ya nuna na ciki ciwo na kullum cututtuka na kogon ciki. Yana iya zama:

1) gastritis (zafi a cikin sama kashi, tashin zuciya, nauyi ciki, belching, ƙwannafi, tare da defecation matsaloli).

2) na ciki da kuma / ko duodenal ulcers a farkon matakai (na ciwo "a ciki," komai a ciki, a dare ko bayan wani gajeren lokaci bayan cin abinci, ƙwannafi, acid regurgitation, bloating, flatulence, tashin zuciya).

3) koda duwatsu (zafi a cikin gefe ko ciki, jini da kuma / ko yashi a cikin fitsari, mai raɗaɗi urination, tashin zuciya da amai).

4) na kullum cholecystitis (zafi a dama babba kashi, gajiya, m bakinka, low zazzabi, ba wucewa tashin zuciya da amai - wani lokacin tare da bile, belching).

5) cholangitis kullum (a cikin hanta zafi, gajiya, fata yellowness, low zazzabi, a m zafi iya ba da zuciya da kuma ga ruwa).

6) Oncology hanji a farko.

Dawowa zafi a yara

Kira maimaita zafi maimaita bayan wani lokaci. Su na iya faruwa a yara na kowane zamani da kuma cikin manya.

A jarirai, da kowa, na jin zafi a ciki zama hanji colic (za a iya ƙaddara da wani kaifi high-kafa sansani kuka, restlessness, ciki distention, gazawar ci, baya shin, m azumi ƙungiyoyi iyawa-kafafu, regurgitation). An muhimmanci alama na hanji colic ne cewa da su kawar baby zama a kwantar da hankula, murmushi, mai kyau ci. To jimre da cutar taimaka zafi, tausa da ciki, dill Vodicka. Tare da jariri girma, duk wadannan matsaloli suna da nasu bisa.

A yafi tsanani matsalar ne na ciki ciwo da somatic cututtuka a yara. "Soma" a Girkanci nufin "jiki". Wannan shi ne manufar "somatic cututtuka" na nufin wani cuta na jiki gabobin da wani nakasar ko samu lahani. Neonates sukan lura:

1) dauke da kwayar cutar gastrointestinal cututtuka (zazzabi up ga m matakan, sãma da abinci, lethargy, zawo, regurgitation da amai marmaro, tana kuka, a wasu lokuta, canja launi da fata).

2) narkewa kamar fili cututtuka (hernia, mafitsara, da dai sauransu).

Kafa da ganewar asali a cikin wannan harka da shi da wahala da cewa jaririn da ba iya nuna inda yana ciwo, da kuma bayyana su ji. Bambanci ganewar asali na ciki zafi a jarirai da aka yi ta hanyar gwaje-gwaje da ƙarin, kamar:

• coprogram.
• duban dan tayi.
• jini bincike.
• esophagogastroduodenoscopy.
• X-ray barium kogon ciki.
• Esophageal PH monitoring.

Dawowa zafi a manya

A mazan yara (kagaggun makaranta shekaru) kuma manya sa na maimaita ciki zafi sosai cewa su suka rabu biyar Categories:

• dauke da kwayar cutar.
• kumburi (babu kamuwa da cuta).
• aiki.
• ilimin Halittar Jiki (hade da wani musamman iko).
• microbiological (sa daban-daban parasites, ya magance a cikin narkewa kamar fili).

Mene ne dauke da kwayar cutar da kumburi zafi, fiye ko žasa bayyananne. Kuma wannan yake nufi da ayyuka? Idan an bã su da ganewar asali, da yadda za a fahimci lokacin da Kalmar "na ciki ciwo a yara"? Mene ne wannan? Bayyana manufar aikin zafi na iya zama haka: marasa lafiya damu game ciki da rashin jin daɗi wani kwakkwaran dalili ba da cututtuka na peritoneum. Wasu manya ko yi imani da cewa yaro yana kwance game da zafi, idan dai bai same wani take hakki. Duk da haka, irin wannan sabon abu a cikin magani a can, da kuma a can shi ne, kamar yadda mai mulkin, a cikin yara girmi shekaru 8. Sa aikin zafi na iya sun hada da:

1) na ciki migraine (ciki zafi zama ciwon kai, ya bi ta hanyar amai, tashin zuciya, cin gazawar).

2) aikin dyspepsia (daga gaba daya lafiya yaro, zafi a cikin sama ciki kashi da kuma bace bayan wani hanji motsi).

3) hanji hangula.

Wani rigima ganewar asali shi ne "m na numfashi kwayar cutar da ciki ciwo" a yara. Jiyya a wannan yanayin yana da wani bayani dalla-dalla, tun jariran suna da cututtuka da kuma colds da hanji cututtuka. Sau da yawa, likitoci gane asali yara, wanda ya yi wata 'yar alamar ãyõyin m na numfashi kwayar cututtuka (misali, kowa sanyi), da kuma tabbatar da cututtuka na narkewa kamar fili ba a gano. A mita na irin haka, kazalika da wadan cututtuka cancanci kara ta ɗaukar hoto.

M numfashi ciwo da ciki

Wannan Pathology ne mafi kowa a makarantan nasare da firamare. A manya, shi ne musamman rare. A magani, m na numfashi cututtuka da kuma m na numfashi kwayar cututtuka da lãbãri a guda da irin ailments, kamar yadda RE (numfashi cutar) aka fi sa da ƙwayoyin cuta, kuma suna ta atomatik canjawa wuri zuwa category na RVI. Su fi sauƙi "kama" a cikin yara kungiyoyin - makarantu, kindergartens, Nurseries. Bugu da duk aka sani mura numfashi, mafi hadari shi ne abin da ake kira "ciki mura" ko rotavirus. Ya kuma kamu kamar SARS da na ciki ciwo. A yara, da bayyanar cututtuka da cutar bayyana 1-5 kwanaki bayan kamuwa da cuta. The asibiti hoto ne kamar haka:

• gunaguni na jin zafi a ciki.
• amai.
• tashin zuciya.
• da yawan zafin jiki.
• zawo.
• runny hanci.
• tari.
• ja makogwaro.
• m hadiya.
• lethargy, wani rauni.

Kamar yadda za a iya gani daga jerin, da kuma a bayyane yake bayyanar cututtuka na colds da hanji cututtuka. A rare lokuta, yaro ba zai iya gaske gabatar da kowa sanyi da gastrointestinal cuta da cewa likitoci ya kamata a fili rarrabe tsakanin. Ganewar asali rotavirus kamuwa da cuta ne musamman hadaddun. Yana hada immunosorbent kima, electron bincike da madubin likita, yaxuwa hazo, dauke da wani jam'i na halayen. Sau da yawa pediatricians kamu ba tare da irin wannan hadadden ƙididdiga, kawai na asibiti buɗi na cuta, kuma a kan tushen da anamnesis. Rotavirus, ko akwai cututtuka da wani sanyi, kada zama kamuwa da babba na numfashi gabobin da gastrointestinal fili, kullum da ciwon. A tushen kamuwa da cuta - mai rashin lafiya mutum. Rotavirus shiga cikin jikin sabon mai da abinci, datti hannuwa, yau da kullum abubuwa (eg toys), amfani da mãsu haƙuri.

Jiyya na SARS da na ciki ciwo ya kamata a gudanar kan cutar. Saboda haka, idan ciwon mara a wani yaro lalacewa ta hanyar pathological kayayyakin da m aiki na numfashi da ƙwayoyin cuta, da far da tamkar cuta, da rehydration ta hanyar karbar sorbents. Idan aka tabbatar da kamuwa da cuta rotavirus bai sa hankali wajen nada yaro maganin rigakafi, tun suna da wani sakamako a kan pathogen. A lura kunshi a cikin liyafar na kunna carbon sorbents, rage cin abinci, shan m. Idan yaro ne ba zawo, probiotics aka nada. Rigakafin cutar alurar riga kafi.

Paroxysmal zafi ba tare da hanji cuta

Don yin shi sauki domin sanin abin da ya sa aka ciwo na ciki zafi ya kasu kashi Categories bisa ga wuri a ciki, inda suke ji mafi karfi.

Paroxysmal zafi ba tare da wani bayyanar cututtuka na dyspepsia faruwa a tsakiyar kashi (mesogaster) da kuma ƙananan (hypogastrium). Yiwu haddasawa:

• infestation tare da tsutsotsi.
• Payra ciwo.
• pyelonephritis.
• hydronephrosis.
• tare da jima'i gabobin da matsalar.
• hanji toshewa (bai cika);
• stenosis (squeezing) da celiac akwati.
• IBS.

Idan da mãsu haƙuri ne kawai irin na ciki ciwo, magani an wajabta, a kan tushen ƙarin gwaje-gwaje:

• m jini gwajin.
• seeding tumbi a kan qwai da tsutsotsi da kuma hanji cututtuka.
• urinalysis.
• Duban na narkewa kamar fili.
• ergography (irrigoscopy barium katako Hanyar).
• Doppler duban dan tayi na ciki tasoshin.

Ciki zafi da hanji cuta

All biyar Categories maimaita zafi na iya faruwa a cikin ƙananan kuma tsakiyar segments na peritoneum a matsaloli tare da hanjinsu. Dalilan da ya sa akwai irin wannan na ciki ciwo, sosai. Ga wasu daga cikinsu:

• helminthiasis.
• ne rashin lafiyan da wani kayayyakin.
• nonspecific ulcerative colitis (zawo kara lura, da stool iya zama tare da ruɓaɓɓen jini ko jini, flatulence, asarar ci, wani rauni, juwa ko jiri, nauyi asara).
• celiac cuta (more kowa a cikin matasa da yara a lokacin farkon su ciyar da jariri dabara to hatsi);
• cututtuka (salmonellosis, campylobacteriosis).
• pathologies a ciwon, misali, dolichosigma (sigmoid ciwon ne dogon), da zafi da aka kara tsawo maƙarƙashiya.
• disaccharidase rashi.
• hemorrhagic vasculitis.

A karshen yanayin faruwa a lokacin da inflamed da kuma, a sakamakon, sun kumbura jini a cikin hanji, su clotting auku. A dalilai - tashin hankali a wurare dabam dabam jini da kuma wani motsi a hemostasis. Wannan yanayin da aka sanshi a matsayin hemorrhagic na ciki ciwo. Ya aka bambanta a uku digiri na aiki:

I (m) - bayyanar cututtuka su ne m, m da wasan kwaikwayon na ESR a cikin jini.

II (tsakiyar nauyi) - akwai suma zafi a cikin peritoneum, da yawan zafin jiki ta fito, akwai wani rauni, kuma ciwon kai.

III (tsanani) - high zazzabi, ciwon kai mai tsanani da kuma ciwon mara, wani rauni, tashin zuciya da amai na jini, fitsari da kuma tumbi, gauraye da jini, zai iya sa zub da jini a ciki da kuma hanji, perforation.

Idan ka fuskanci zafi a tsakiyar da kuma ƙananan sassa na peritoneum da tuhuma a kan wani hanji matsaloli, bincikowa da ya hada da:

• Fadada jini analysis (biochemical da Shared).
• coprogram.
• fibrocolonoscopy.
• ergography.
• stool al'adu;
• wani jini gwajin for antibodies.
• hydrogen gwajin.
• Endoscopy da biopsy na kananan hanji nama.
• immunological gwaje-gwaje;
• sugar kwana.

Pain a cikin sama kashi na ciki (epigastric)

A mafi yawan lokuta, ciki ciwo a cikin sama kashi na peritoneum ne saboda abin da abincin ci, kuma zai iya bayyana kanta a biyu siffofin:

• dispepsionnom, cewa shi ne, a take hakkin da ciki ( "yunwa sha raɗaɗin" faruwa bayan wani abinci).
• dyskinetic (yadda nake alfaharin fa zafi, a ji na overeating, ko da kuwa adadin ingested abinci, belching, amai, tashin zuciya).

A Sanadin irin wannan yanayi na iya zama gastroduodenitis, ciki hypersecretion na hydrochloric acid, kamuwa da cuta, hanji tsutsotsi, pancreatic cututtuka da kuma / ko biliary fili, illa gastroduodenal motility. Bugu da ƙari kuma, epigastric zafi zai iya tsokana Dunbar ciwo (Pathology celiac aortic akwati a lokacin da ya matse diaphragm). Wannan cuta ne nakasar, hereditary (sau da yawa) ko samu a lokacin da wani mutum ya zo neyrofibroznoy girma da nama.

Celiac akwati (manyan short reshe na ciki lakã) a lokacin da matsawa an samu pinned zuwa lakã, ƙwarai quntata a bakinsa. Wannan sa na ciki ischemic ciwo, ganewar asali aka yi amfani da bambanci X-ray (angiography). Celiac akwati tare da sauran jini jirgin ruwa SUPPLiES jini zuwa kogon ciki kowane gastrointestinal gabobin. Duk da yake squeezing da jini bayarwa, ya kuma inganta samar da gabobin dole abubuwa faruwa a ba da cikakken, wadda take kaiwa zuwa oxygen rashi (hypoxia) da kuma ischemia. Alamun cutar sun yi kama da wadanda ya lura da gastritis, duodenitis, ciki miki.

Idan jinin samar karancin samu hanji tasowa ischemic colitis, enteritis. Idan jini ne a takaice wadata da hanta, hepatitis tasowa da kuma pancreas amsa ga kasawa a cikin jini wadata na pancreatitis.

Ba za a kuskure tare da ganewar asali, ya kamata a za'ayi cigaba da bincike da marasa lafiya da ake zargin na ciki angina. Endovascular bincikowa - wannan shi ne mafi kyau Hanyar kunshi a gaskiya cewa jini da aka bincika da inputting cikinta catheter ciwon X-ray Properties. Wannan ne, da hanyar zai ba da damar ganin matsaloli a cikin jini ba tare da tiyata. Endovascular ganewar asali da ake amfani a dukkan cututtuka na ciki tasoshin. Idan akwai alamomi, wayoyi da kuma endovascular tiyata. zai yiwu mayar da martani ga koken da haƙuri da ake zargi na ciki angina:

• m zafi a ciki, musamman ma bayan cin abinci, a lokacin da yin wani jiki aiki ko wani tunanin danniya.
• ji na cikar kuma mai tsanani a cikin sama kashi na peritoneum.
• belching.
• ƙwannafi.
• haushi a cikin baka rami.
• zawo ko, conversely, maƙarƙashiya.
• m ciwon kai.
• shortness na numfashi;
• pulsation a ciki.
• nauyi asara.
• general gajiya da wani rauni.

Kawai waje jarrabawa na haƙuri, kazalika da misali bincike hanyoyin (jini, fitsari, duban dan tayi) ba da muhimmanci ga ganewa na cuta.

Vertebral na ciki ciwo

Wannan irin Pathology ne daya daga cikin mafi wuya a gane. Shi ya ta'allaka ne da cewa marasa lafiya ne hujjõji bayyanannu daga matsaloli tare da gastrointestinal fili (ciki zafi, amai, belching, ƙwannafi, zawo ko maƙarƙashiya), amma su suna lalacewa ta hanyar cututtuka na kashin baya ko wasu sassa na musculoskeletal tsarin. Doctors sau da yawa ba daidai gano hanyar nan da nan, don haka da magani ne da za'ayi, ba nuna sakamakon. Saboda haka, bisa ga statistics, game da 40% na marasa lafiya da osteochondrosis na thoracic, bi da ga su wadanda ba babu hanji cuta, da kuma ciki. Ko sadder hoto tare da kashin baya cuta. Pain a irin haka sau da yawa aching, maras ban sha'awa, na sosai ba a hade da abinci ci kuma idan marasa lafiya da maƙarƙashiya ko zawo, su ba su bi da ta al'ada hanyoyin. Sa da wadannan cututtuka zai iya vertebral na ciki ciwo:

• spondylosis.
• scoliosis.
• Da tarin fuka da kashin baya.
• syndromes dangantawa da ƙari canje-canje a cikin kashin baya shafi.
• visceral syndromes (Guttseyta).

Abin bakin ciki shi ne cewa marasa lafiya gunaguni da ciwon mara, da ba narkewa kamar fili pathologies, sau da yawa riskarsa kamar malingerers. Don gano dalilin unexplained ciki zafi, shi wajibi ne don amfani da ƙarin hanyoyi na ganewar asali, kamar spondylography, X-ray, MRI, rentgenotomografiya, ehospondilografiya da sauransu.