Nausea nthawi zambiri ndi chizindikiro cha vuto lina
Anthu ambiri amadziwa zomwe zimapweteketsa mtima chifukwa amatha kukhala ndi kachilombo ka HIV kapena ngakhale kuthamanga kwa ndege kapena kukwera ndege, ndipo amayi oyembekezera nthawi zambiri amadziwa bwino. Nausea ndikumverera kosasokonezeka mmimba ndipo ikhoza kukhala limodzi ndi kumverera komwe munthu angasanza. Zitha kukhala zolimba, pomwe kusanza kumawoneka ngati kungathe kuchitika nthawi iliyonse, kumakhala kochepa kwambiri.
Nsea sichimaganiziridwa kuti ndiyomweyi, koma ndi chizindikiro cha chinthu china chomwe chikuchitika mkati mwa thupi. Nthawi zina kusungunuka kumaphatikizidwanso ndi kusowa kwa kudya, kubwezeretsa, kusanza, ndi kupweteka m'mimba kapena kuvulaza.
Nthenda Yosatha Kapena Yopweteka
Kuchenjeza kwakukulu kungayambitsidwe ndi vuto lomwe limabwera mwadzidzidzi, lomwe limatchedwa kuti labwino. Kuwopsya koopsa kungayambitsidwe ndi kachilombo kamene kamayambitsa mimba ndipo imayambitsa kusambidwa ndi kusanza (ichi ndi gastroenteritis , yomwe nthawi zambiri imatchedwa "chifuwa cha mimba," ngakhale kuti si yogwirizana ndi chifuwa ). Chifuwa cha zakudya ndi chifukwa china chowopsyezera (nthawi zina chimaphatikizanso ndi kusanza ndi kutsekula m'mimba) komwe kudzachitika mwadzidzidzi ndipo nthawi zambiri amadzipangira yekha pamene mabakiteriya amachotsa thupi.
Zina zomwe zimayambitsa zowopsya kwambiri zomwe nthawi zambiri zimathetsa ndekha ndizo:
- Matenda a galimoto (matenda oyenda)
- Kupweteka kwambiri
- Hangover
- Zotsatira za mankhwala
- Migraine
- Kudya mopitirira
- Kusokonezeka maganizo
- Chibwibwi (monga mpikisano)
Nthawi yayitali nthawi yowopsya ikhoza kukhalapo nthawi zonse kapena ikhoza kubwera. Nthawi zina nthendayi ikhoza kubwera pambuyo pa chinthu choyambitsa, monga kudya, kokha kukonzanso ndikubwera kachiwiri pambuyo pa chakudya chotsatira. Pamene nthendayi ndi yachilendo, ndipo palibe chifukwa chodziwikiratu monga kutenga mimba, ndi nthawi yolankhulana ndi dokotala chifukwa chake zikhoza kuchitika.
Sipadzakhalanso mayesero amodzi omwe angathandize kudziwa chomwe chimayambitsa chisokonezo kotero kuti kuyesa kudzadalira zomwe mwina akuganiza kuti zinayambitsa.
Zotsatira Zogwirizana
Nausea ndi chizindikiro cha chikhalidwe, ndipo zina mwazifukwa zomwe zimagwirizananso zingaphatikizepo:
Mimba. Kusokonezeka kwachilendo kwachilendo kumafala kwa amayi apakati, makamaka m'zaka zitatu zoyambirira, ndipo amatchedwa "matenda a m'mawa" ngakhale kuti amatha tsiku lonse. Kwa amayi ambiri, kunyozetsa kumafika pakati pa trimester yoyamba ndipo kumapita kachiwiri, koma amayi ena amanyengerera mimba yawo yonse kapena amabwerera kumapeto. Pamene kunyowa ndi koopsa ndipo kumaphatikizapo kusanza mpaka pamene kusunga chakudya kapena madzi pansi kuli kovuta, izi zingakhale chikhalidwe chotchedwa hyperemesis gravidarum.
Miyala. Miyala imakhala yowonekera, makamaka kwa amai, omwe ali ndi mwayi wokhala ndi miyala ngatiwiri. Mwala wamtunduwu ukhoza kuwonetsa zizindikiro koma ungapangitse ululu kumbuyo, paphewa, kapena m'mimba, ndi mseru ndi kusanza. Zizindikiro zingakhale zoipitsitsa mukatha kudya, makamaka pamene mukudya chakudya chokhala ndi mafuta ambiri. Magalasi angapangidwe ndi chimodzi mwa mayesero osiyanasiyana ojambula ndipo nthawi zambiri amachizidwa ndi ndulu.
Matenda a reflux a Gastroesophageal (GERD). GERD ndi chizoloŵezi chofala chomwe chimapezeka pamene mimba zili mkati mwake. Izi zikhoza kuwonetsa zizindikiro za kupweteka kwa mtima, kubwezeretsedwa, ndi kusungunuka. Zizindikiro zikhoza kukhala zoipitsitsa mukatha kudya kapena usiku mukatha kugona, ndipo nthendayi imatha nthawi yambiri, makamaka ngati mimba ya mimba imafika pammero. Nthawi zambiri GERD imatha kuchiritsidwa ndi mankhwala owonjezera kapena mankhwala omwe amamwa mankhwala (antacids, antamids , histamine-2 receptor antagonists, H2RAs , ndi proton pump inhibitors, PPIs ). Moyo umasintha monga kutaya thupi ndi kugona ndi mutu wokwera, komanso kupeŵa zomwe zingayambitse zizindikiro (monga kusuta, zakumwa zoledzeretsa, khofi, chokoleti, zakudya zamtengo wapatali, ndi zakudya zokazinga) zingathandizenso.
Migraine. Mutu wa mutu wa migraine ukhoza kuyambitsa chisokonezo musanamve mutu kapena pamutu. Kusanthula mutu kumakhala kovuta chifukwa pali mitundu yosiyanasiyana ya migraines yomwe ili ndi zizindikiro zosiyana. Kuchiza kungaphatikizepo kusintha kosintha moyo ndi mankhwala.
Peptic chilonda. Chilonda cha zilonda ndi pamene pali zilonda m'mimba, m'mimba, kapena m'mimba. Nthaŵi zambiri, zilonda zam'mimba zimayambitsidwa ndi mabakiteriya otchedwa Helicobacter pylori ( H pylori ). Chinthu chinanso cha zilonda zam'madzi ndizo mankhwala osagwiritsidwa ntchito ndi anti-inflammatory (NSAIDs) monga ibuprofen, koma izi sizili wamba. Zilonda zam'mimba zimapangitsa ululu kapena kupweteka, koma zimayambitsanso kunyoza, kusanza, kusowa kwa kudya, kulemera, komanso kukhuta kumadya pang'ono. Kwa zilonda zopangidwa ndi H pylori , antibiotics adzalamulidwa, pamodzi ndi mankhwala ena othandizira kuchepetsa zizindikiro.
Matenda a m'mitsempha ya pakatikati. Zinthu zomwe zimakhudza dongosolo la mitsempha monga matenda osakanikirana ndi matenda kapena matenda angagwirizane ndi mseru. Izi ndizoopsa ndipo nthawi zambiri zimakhala ndi zizindikiro za chisokonezo, chizungulire, kapena kusintha kwa kukumbukira. Ngati zizindikirozi zikuchitika komanso kutaya magazi kapena matenda monga meningitis, akuganiza kuti ndi chifukwa chofuna kuchipatala nthawi yomweyo.
Chiwindi cha chiwindi. Chiwindi cha chiwindi ndi kutukusira kwa chiwindi ndipo chikhoza kuchitika chifukwa cha matenda omwe ali ndi kachilombo kapena matenda a chiwindi kapena chiwindi cha chiwindi chakumwa. Chiwindi cha matenda a shuga chikhoza kukhala choopsa kapena chosachiritsika ndipo chingayambitse chifuwa chachikulu ndi jaundice , malungo, mutu, ndi ululu. Chithandizo chidzadalira chifukwa cha chiwindi cha matenda a shuga koma chidzasintha kuchokera ku zamoyo zomwe zasintha ku mankhwala osokoneza bongo.
Chilakolako cha hiatal. Nthenda ndi pamene pali phokoso lofooka m'mimba mwa m'mimba ndipo mimba imayenderera mpaka mu chifuwa. Hernias ikhoza kuyambitsa zizindikiro za reflux komanso ululu kapena kusokonezeka ndipo nthawi zina, pangakhalenso nseru. Zitsamba zazing'ono zingakhale zosaoneka, zimayambitsa zizindikiro, kapena zimafuna chithandizo, koma zikuluzikulu zingafunike opaleshoni.
Matenda opweteka a m'magazi (IBD). IBD imaphatikizapo Crohn's disease, ulcerative colitis, ndi matenda otsekula m'mimba, omwe ali ndi matenda a m'mimba. Matendawa amachititsa kutupa m'magawo osiyanasiyana a m'mimba ndipo amatha kukhala ndi chifuwa chachikulu. Nthaŵi zina, kunyozetsa kukhoza kukhala vuto lalikulu la mankhwala kapena kukhala chifukwa cha vutoli (monga kutchinga pamimba). Chithandizo chidzadalira chifukwa cha mseru ndipo zingaphatikizepo mankhwala othandiza kutupa chifukwa cha IBD.
Kutsekera m'mimba. Kutsekeka ndi pamene matumbo aang'ono kapena aakulu amatsekedwa. Kuzimitsa kungayambitse chifukwa chimodzi mwa zifukwa zingapo, kuphatikizapo minofu kapena kink kapena kupotoka m'matumbo. Kawirikawiri, chizindikiro chodziwika kwambiri cha kutsekula kwa m'mimba ndi kupweteka, koma kunyozetsa ndi kusanza kungathenso kuchitika nthawi zina. Zoletsedwa ndizofala kwambiri kwa anthu omwe ali ndi matenda a IBD (makamaka Crohn's) koma akhoza kuchitika kwa wina aliyense. Zoletsedwa zingakhale zosayembekezereka zachipatala, choncho nkofunika kusamalira mwamsanga pamene munthu akukuyikira. Kawirikawiri, zoletsedwa zingachiritsidwe kuchipatala popanda opaleshoni.
Pancreatitis. Nkhumba ndi chiwalo chimene chimatulutsa michere kuti imire m'mimba ndi mahomoni m'magazi. Pancreatitis ndi pamene ziphuphu zimatuluka, zomwe zingayambitse zizindikiro za ululu zomwe zimawonjezereka atatha kudya, malungo, kunyoza, ndi kusanza. Pancreatitis ndi kawirikawiri ndipo anthu omwe ali ndi vutoli nthawi zambiri amadwala chifukwa ndi vuto lalikulu. Chithandizo chidzadalira chomwe chimachititsa kupatsirana.
Matenda Ovuta a Idiopathic Nausea
Idiopathic amatanthauza kuti palibe chifukwa chenicheni chomwe chingapezeke chifukwa cha mseru. Izi sizikutanthawuza kuti palibe chifukwa, komabe, kapena kuti sichidzawonekeratu m'tsogolomu. Nthawi zina, izi zingathenso kutchedwa kusokoneza ntchito. Chifukwa chakuti palibe chifukwa chomwe chimayambitsa kunyoza, nthawi zambiri chithandizochi chimachepetsa kuchepa kwa khunyu, kuchiza zinthu zina zomwe zingakhale zikuchitika nthawi imodzimodzi monga migraines, mavuto olemera, kapena matenda opatsirana, ndikupewa kusanza.
Chithandizo
Kuchiza matenda osokoneza bongo kumadalira makamaka chifukwa chomwe chimayambitsa matendawa, choncho kupeza chidziwitso choyenera ndikofunikira. Komabe, pokhapokha chifukwa chake chikudziwika, pali zinthu zingapo zomwe zingatheke kuthandizira kuti ziwombankhanga zisamakhale zovuta. Kuchiza khunyu kunyumba kungakhalepo:
- Antihistamines kapena anti-emetics (pa malangizo a dokotala)
- Kuika pansi pamtima, ngakhale kupuma
- Kudya zakudya zomwe sizingayambitse nkhono (crackers, mkate, mpunga)
- Zakudya zomwe zili ndi ginger kapena kuyamwa pa maswiti a ginger
- Mankhwala opatsirana opatsirana (monga Dramamine) pa malangizo a dokotala
- Kusamukira ku chipinda chozizira
- Kutulutsa madzi ozizira, ginger ale, kapena tiyi
- Kutenga zakudya zing'onozing'ono, nthawi zambiri
Nthawi Yomwe Muwone Dokotala
Nausea siwowopsa mwadzidzidzi koma imani dokotala mwamsanga pa nkhani ya:
- Mdima wakuda kapena wamala
- Magazi muchitetezo kapena masanzi
- Kusokonezeka
- Chizungulire
- Kutentha kwakukulu
- Ululu waukulu wamimba
- Zizindikiro za kuchepa kwa madzi
- Kuwombera kumene sikudzatha
Mawu Ochokera
Nausea ndi chizindikiro chosasamala. Zingakhale zovuta kufotokoza ndendende zomwe zikuyambitsa izo. Nthawi zambiri, zizindikiro zokhudzana ndi matenda (monga kupweteka, malungo, kapena kusanza) zingapereke dokotala kuzindikira zambiri zomwe zingayambitse chiwembu chanu. Kukhala ndi chizolowezi chomwe chimabwera kapena kupita kapena chosachiritsika ndi chifukwa chokonzera mwambo ndi dokotala kuti mukafike pansi pake.
Zomwe zimagwirizanitsa ndi khunyu zingaperekedwe m'njira zosiyanasiyana koma mankhwala am'deralo angathandizenso nthawi yaying'ono kuti athe kuthana ndi mseru. Pamene kunyozetsa kumaphatikizidwa ndi zizindikiro zofiira monga ntchentche kapena kusanza kapena magazi mu masanzi kapena chotupa, ndi chifukwa chothandizira dokotala nthawi yomweyo.
> Zotsatira:
> Feuerstein JD, Cheifetz AS. "Matenda a Crohn: Epidemiology, Kuzindikira, ndi Utsogoleri." Mayo Clin Proc . 2017; 92: 1088-1103.
> Kovacic K, Chelimsky G. "Kuchepetsa matenda opatsirana pogonana ." Mwana wamwamuna Ann, 2014; 43 (4): e89-94.
> Chipatala cha Mayo Clinic. "Thanzi la hiatal." Chipatala cha Mayo. 21 Dec 2017.
> Chithandizo cha National Complianceary and Integrative Health (NCCIH). "Ginger." NCCIH Chotsegula nyumba. Sept 2016.