Feem ntau, thaum noj mov, tus kab mob uas ua los ntawm lub siab lub hlwb nkag mus rau hauv duodenum los pab digestion. Tab sis qee zaus nws tshwm sim los ntawm cov kab mob ntawm cov hnyuv tau muab pov tseg rau hauv plab kab noj hniav, thiab xws li ib qho mob hauv cov tshuaj hu ua duodenogastric reflux.
Qee qhov xwm txheej no yuav yog vim cov kab mob digestive system (mob duodenitis, cholecystitis, qaug zog ntawm pyloric kaw haujlwm, diaphragmatic hernia, thiab lwm yam), nyob rau hauv lwm tus nws yog ib qho pathology txawv. Qee lub sijhawm no tshwm sim nyob rau hauv ntau cov neeg noj qab nyob zoo, tab sis yog tias nws tsis pom nws tus kheej, tus kab mob tsis suav thiab tsis xav tau kev kho mob. Peb yuav pom tias cov tsos mob li cas thiab kev kho mob ntawm txoj hlab ntsws los ntawm lub cev hauv plab.
Cov tsos mob ntawm ejection ntawm bile mus rau hauv plab
Cov duab tshwm sim ntawm no tshwm sim muaj xws li muaj xws li tshwm sim:
- kub siab tom qab noj mov (hlawv ntawm txoj hlab pas);
- kev ua pa nrog cua ntsev nrog kua qaub;
- zoo nkaus li kev chim siab hauv qhov ncauj;
- tsam plab, raspiranie plab tsis ntev tom qab noj mov;
- rezi los yog spasmodic mob hauv cheeb tsam epigastric;
- xeev siab, ntuav nrog ib tug admixture ntawm bile;
- muaj nyob rau hauv cov lus ntawm daj quav hniav.
Kev kho ntawm ejection ntawm bile nyob rau hauv lub plab
Nws yuav tsum to taub hais tias qhov no tshwm sim adversely cuam tshuam qhov mob ntawm gastric mucosa, uas yog, ua rau atrophic kev. Yog li, nrog rau cov kev mob tshwm sim, koj yuav tsum tau hu rau tus kws kho mob tshwj xeeb, tom qab ua tiav kev kuaj mob, yuav xaiv ib txoj kev kho mob. Lub tswv yim ntawm kev kho lub ejection ntawm bile nyob rau hauv lub plab yuav tsum yog raws li qhov ua rau rov qab reflux, i.e. Ua ntej, txhua yam yuav tsum tau muab tshem tawm (qhov kev phais thiab kev sib txeeb kom siv tau rau qhov no).
Nyob rau hauv tas li ntawd, nws yog ib qhov tsim nyog yuav tsum tau tshem tawm qhov tsis zoo ntawm bile nyob rau ntawm phab ntsa ntawm lub plab, uas feem ntau yog raug tshuaj kho tshuaj nrog cov nram qab no pawg ntawm cov yeeb tshuaj:
- Xaiv cov kev xaiv (Motilium, Cisapride, thiab lwm yam) yog cov tshuaj uas txhawb kev tshem tawm cov kab mob tawm ntxov ntawm lub plab thiab normalize lub suab ntawm cov sphincters.
- Proton twj siv tau cov tshuaj tiv thaiv (Esomeprazole, Rabeprazole, thiab lwm yam) lossis tshuaj antacids (Maalox, Almagel, etc.) yog cov neeg ua haujlwm uas txo cov kua qaub hauv plab.
- Ursodeoxycholic acid - ib yam khoom uas converts bile acids nyob rau hauv lub plab mus rau hauv dej-soluble daim ntawv, thiab lwm yam.
Nws yog ib qho tseem ceeb kom ua raws li kev noj haus thiab kev noj haus.
Kev kho ntawm ejection ntawm bile nyob rau hauv lub plab nrog pej xeem tshuaj
Cov txiaj ntsim tau zoo qhia tias hom kev qoob loo ntawm lub plab, uas siv kev siv qos yaj ywm noj tshiab 50 mg 3-4 zaug ib hnub twg rau 20 feeb ua ntej noj mov.