10 mapiritsi akanakisa ekuputika uye gasi
Chiitiko chakakosha chiri mberi, asi pane dutu rechokwadi mudumbu mako? Tichaona kuti ndeapi madhiragi anoshanda uye anokurumidza kuita ekuputira uye kugadzira gasi anogona kutengwa muchitoro chemishonga, uye chekutarisa kana uchiasarudza.

Bloating (flatulence) nderimwe rematambudziko anowanzosangana nekuvhiringidzwa kwekudya kwekudya. Munhu anonyunyuta pamusoro pekunzwa kwekuputika uye dumbu rakazara, pamwe chete nekunyanya kuumbwa kwegesi1. Uye kunyangwe flatulence pachayo isiri chirwere chine njodzi, dambudziko iri rinogona kukonzera kusagadzikana kukuru uye kunyadziswa.1.

Rondedzero yemapiritsi gumi epamusoro asingadhure uye anokurumidza kuita ekuzvimba uye gasi zvinoenderana neKP

ne General practitioner Oksana Khamitseva takanyora rondedzero yezvisingadhure, zvinokurumidza kuita bloating uye gasi mishonga uye takakurukura mashandisiro ezvo nemazvo. Cherechedza kuti kuzvirapa kunogona kutungamirira kumigumisiro isingatarisirwi, saka usati washandisa mishonga, unofanira kubvunza nyanzvi.

1. Espumizan

Mushonga unokurumidza kuita wekuti bloating uye kurira mudumbu. Espumizan haina simba pakugadzirisa kudya, haipindi muropa ("inoshanda" chete mumatumbo lumen), haina lactose uye shuga. Mushonga unoshanda wemushonga unonzi simethicone, inova mushonga wakachengeteka wekuputika. Nzira yekurapa ndeyemazuva gumi nemana.

Contraindications: hypersensitivity kune zvikamu zvemushonga, kuvhara kwematumbo, vana vari pasi pemakore matanhatu.

isina-kupindwa muropa, yakachengeteka kune vane chirwere cheshuga uye vanhu vane lactose kusashivirira.
kuumbwa kusiri kwechisikigo, kudhura kwakanyanya kwemushonga.
ratidza zvakawanda

2. Meteospasmil

Mushonga wacho une maitiro akaoma: anesthetizes zvakanaka uye anozorodza mhasuru dzemukati, inoderedza kuumbwa kwegasi. Meteospasmil inorayirwa kuti iite flatulence uye kuputika mudumbu, pamwe chete nekusvotwa, kuputika uye kuvimbiswa. Mushonga wacho unokodzerawo kune varwere vane intestinal hypertonicity, avo vanowanzotambura ne spastic constipation.

Contraindications: hypersensitivity kune zvikamu zvezvinodhaka, zvinorambidzwa kuvana vari pasi pemakore gumi nemana.

yakakodzera kugadzirira murwere kuongororwa kwakasiyana-siyana (ultrasound, endoscopy yemudumbu kana ura), anesthetize uye inozorodza mhasuru dzemudumbu.
mutengo wakakwira, usingakurudzirwe kune vakadzi vane pamuviri uye vanoyamwisa. 
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3. Simethicone ine fennel

Mushonga unorayirwa kuputika uye colic, sezvo inonyatsogadzirisa kuwedzera kwekugadzirwa kwegesi. Izvo zvinoshandiswa zvinoshandiswa zve capsules ndeye simethicone uye fennel yakakosha mafuta. Fennel inobvisa chido chekurutsa uye ndeyepanyama antispasmodic.

Simethicone ine fennel inovandudza kudya, haina "migumisiro" kunyange nekushandisa kwenguva refu.

Contraindications: hazvikurudzirwi kune vakadzi vane pamuviri uye vanoyamwisa, pamwe chete nevana vari pasi pemakore matanhatu. 

mutengo unokwanisika, yakanakira nzira yekuburitsa.
allergic reactions zvinogoneka nekusashivirira kwega.
ratidza zvakawanda

4. Pancreatin

Pancreatin ine chinhu chinoshanda chezita rimwechete - enzyme inofambisa kugaya kweprotein, mafuta uye makhahydrates uye inovandudza kugaya. Mushonga wacho unoshanda zvakanaka nezviratidzo zvekusvotwa, flatulence, kurira uye kuremerwa mudumbu.

Mapiritsi anofanira kutorwa nemuromo, pasina kutsenga uye nemvura isiri-alkaline (mvura, jisi yemichero).

Contraindications: yakaoma uye isingaperi (muchikamu chechirwere) pancreatitis uye lactose kusashivirira, vana vari pasi pemakore matanhatu.

mutengo unokwanisika, yakanakira nzira yekuburitsa.
shandisa nekuchenjerera panguva yekuzvitakura nekuyamwisa.
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5. Antareit 

Chewable mapiritsi Antareyt anokurumidza kubatsira nekuputika, flatulence uye chirungurira. Chiito chemushonga chinotanga mukati memaminitsi mashoma mushure mekushandisa uye chine mhedzisiro inogara. Antarite inodzivirira zvakanaka gastric mucosa, ichigadzira "firimu" inodzivirira pamusoro payo. Uyewo, mushonga wacho unoderedza acidity yegastric juice.

Contraindications: hypersensitivity kune zvikamu zvemushonga, kukanganisa kwakanyanya kwerenal, fructose kusagadzikana (nekuda kwekuvapo kwe sorbitol mukugadzirira).

inowedzera mabasa ekudzivirira egastric mucosa. Mahwendefa acho ari nyore kutsenga uye haadi mvura yekunwa.
hazvikurudzirwe kuvakadzi vane pamuviri uye vanoyamwisa, pamwe chete nevana vari pasi pemakore gumi nemaviri.
ratidza zvakawanda

6. Smecta

Smecta ndeimwe yeanonyanya kufarirwa uye anobudirira sorbent gadziriro. Inobata zvakanaka nehupfu, zvinogumbura, pamwe chete nemabhakitiriya nemavhairasi ari mudumbu rekudya. Iyo sorbent inoshandiswa pakuputika, kuwedzera kuumbwa kwegasi, kuputika kwematumbo uye kuora mwoyo.2. Smecta ine zviratidzo zvakafanana zvevana nevakuru.

Contraindications: hypersensitivity kune zvikamu, kusagadzikana kusingaperi, kuvhara kwematumbo, fructose kusashivirira kune varwere.

inobvumirwa kushandiswa nevakadzi vane pamuviri uye vanoyamwisa, pamwe chete nevana kubva pamwedzi mumwe.
haikodzeri vanhu vanotambura nekusingaperi kuvimbiswa.
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7. Trimedat

Trimedat inoshanda antispasmodic inobata zvakanaka nekusagadzikana mudumbu. Chinhu chikuru chinoshandiswa mukugadzirisa ndeye trimebutine, iyo inokurumidza uye inobudirira inobvisa kusagadzikana uye kurwadziwa mudumbu, inobvisa kuputika uye kuora mwoyo.3.

Contraindications: hypersensitivity kune zvikamu zvemushonga, kuvharwa kwematumbo, kusawirirana kwelactose muvarwere, pamuviri.

ine yakanaka analgesic effect.
haifanirwe kushandiswa nevana vari pasi pemakore matatu, mutengo wakanyanya muchikamu.
ratidza zvakawanda

8. Duspatalin

Mushonga wacho une mevebrine, iyo yakanaka antispasmodic, saka inowanzonyorerwa marwadzo uye kuputika mudumbu, kusagadzikana uye kuputika. Duspatalin haina chete analgesic, asiwo mushonga wekurapa, kurarama nezviratidzo zve "kugumbuka ura"4. Mahwendefa anofanira kutorwa maminitsi makumi maviri vasati vadya nemvura yakawanda.

Contraindications: hazvikurudzirwi kune vakadzi vane pamuviri uye vanoyamwisa, pamwe chete nevana vari pasi pemakore matanhatu. 

yakanakira nzira yekusunungurwa, inokurumidza kubvisa marwadzo uye kuwedzera gasi kuumbwa.
haifaniri kutorwa nevanhu vari pasi pemakore gumi nemasere, pamwe chete nevakadzi vane pamuviri uye vanoyamwisa.
ratidza zvakawanda

9. Metenorm

Metenorm haisi mushonga, asi chikafu chekuwedzera, imwe sosi ye inulin. Mushonga unovandudza matumbo, unobatsira nekuputika uye kuwedzera kwekugadzirwa kwegesi. Metenorm ine yakaoma mhedzisiro nekuda kwekuumbwa:

  • inulin inovandudza yakasikwa intestinal microflora;
  • fennel inobvisa inodzivirira gasi kuunganidza;
  • dandelion extract ine anti-inflammatory effect;
  • mint extract inobatsira pakuputika.

Contraindications: kusashivirira kwega kune zvikamu zvemushonga, zvisingakurudzirwi kune vakadzi vane pamuviri uye vanoyamwisa, pamwe chete nevana vari pasi pemakore gumi nemasere. 

yakanakira nzira yekuburitsa, kuumbwa kwechisikigo, inovandudza bowel basa.
allergic reactions zvinogoneka.
ratidza zvakawanda

10. Plantex

Mushonga wakanakisa wekuputika uye kuumbwa kwegasi kune avo vanokoshesa kuumbwa kwechisikigo. Plantex inonyorerwawo intestinal colic uye kudzivirira kwavo muvana vachangozvarwa.

Chinhu chikuru chinoshanda chePlantex ndeye fennel michero inobvisa. Fennel inobatsira kune gastrointestinal turakiti nokuti ine mafuta anokosha, organic acids uye mavitamini. Chishandiso chinobvisa marwadzo ne flatulence uye kufambisa mafambiro emagasi. Zvinhu zvinoshanda zvemushonga zvakanyura zvachose uye nokukurumidza kubvisa kuzvimba.

Contraindications: hypersensitivity kune zvikamu zvemushonga, galactose / glucose malabsorption syndrome, kushomeka kwelactase, galactosemia.

mutengo unodhura, kuumbwa kwechisikigo, kubvumirwa kune vacheche.
ine shuga, ine kunhuhwirira kwakasimba.

Nzira yekusarudza mapiritsi ekuputira uye kugadzira gasi

Paunosarudza mishonga yekuputika uye kuwedzera kwekugadzirwa kwegesi, zvakakosha kuomerera kune imwe nzira yakabatanidzwa. Pane zvinotevera zvakakosha misimboti yekurapa flatulence:

  • kubviswa kwechikonzero (kururamiswa kwekudya, normalization ye intestinal microflora, kurapwa kwezvirwere zvinoputika uye zvinotapukira zvegastrointestinal turakiti, nezvimwewo);
  • kubvisa gasi mumatumbo5.

Mushure mekuongororwa, chiremba achakwanisa kuziva chikonzero che flatulence uye kusabvisa zvirwere zvakakomba (somuenzaniso, chirwere chenduru) kubva pane zvinyorwa zvinogona kuongororwa.

Murwere anorayirwa kurapwa kwakakwana maererano nechikonzero chakakonzera kuputika. Dzimwe nguva chiremba anogona kunyora laxatives uye mishonga inovandudza intestinal motility.6.

Mishonga yose yekuputika inogona kugoverwa mumapoka akawanda: enterosorbents, defoamers, enzyme kugadzirira, probiotics, herbal carminatives.6. Kunyatsosarudzwa nachiremba kurapwa kunobvumira murwere kubvisa kushungurudza chiratidzo chisingafadzi.

Ongororo yevanachiremba nezve mapiritsi ekuputika uye gasi kugadzira

Kuputika uye gasi idambudziko rinowanzotarisana nevakuru vazhinji nevana. Iyi inzira ye pathological inokura nekuda kwekusadya uye inoperekedzwa nekuunganidza magasi mumatumbo.

Vanachiremba vazhinji vanotenda kuti zvinodhaka zvinokurumidza kuita uye zvisingadhuri zvinobatsira kugadzirisa kugaya, kubvisa kuunganidzwa kwemagasi uye kugadzirisa hutano hwemurwere. Iyo inonyanya kufarirwa ndeye gadziriro dzine simethicone mukuumbwa (Espumizan) kana fennel extract (Plantex, Metenorm).

Mibvunzo nemhinduro dzakakurumbira

Murapi Oksana Khamitseva anopindura mibvunzo yakakurumbira pamusoro pekurapa kwekuputika.

Sei kugadzirwa kwegasi kuchiitika?

- Zvinokonzera kuputika uye kuumbwa kwegasi kazhinji:

• kunyanya kushandiswa kwezvokudya zvinokonzera gasi panguva yekudya mumatumbo;

• intestinal dysbacteriosis, kukura zvakanyanya kwemaruva;

• kupindira kweparasitic;

• zvirwere zvisingaperi zvepamuviri;

• kushungurudza kunokonzera dysbacteriosis uye inogumbura bowel syndrome.

Neparutivi, ini ndinoda kuratidza rondedzero yezvigadzirwa zvinogona kukonzera bloating uye gasi kugadzira:

• michero: maapuro, cherries, pears, peaches, apricots, plums;

• miriwo: kabichi, beet, anyanisi, garlic, legumes, howa, asparagus;

• zviyo: gorosi, rye, bhari;

• mukaka uye zvigadzirwa zvemukaka: yogurt, ice cream, soft cheeses;

• hupfu: zvingwa, chingwa chakagadzirwa kubva muupfu hwe rye.

Unogona here kunwa mvura ine kuzvimba?

– Chokwadi, unogona kunwa mvura, kunyanya sezvo chiri zhizha uye kupisa muchivanze. Asi kuchena chete, kusefa kana bhodhoro. Nekuputika, zvinorambidzwa zvachose kunwa zvinwiwa zvakadai sekoumiss, kvass, doro uye mvura inopenya.

Ndezvipi zviitwa zvinobatsira kubvisa magasi?

- Kazhinji, mamiriro maviri anogoneka nekuwedzera gasi kuumbwa: kubuda kwakanyanya kwemagasi uye kuputika. Uye kana kubuda kwemagasi kunoratidza zvakajairika intestinal motility, ipapo kuputika kunoratidza kukanganisa kwebasa iri. Matumbu "anomira", spasms. Izvi zvinokonzera kurwadziwa mudumbu.

Kuvandudza intestinal motility, basa remuviri rinobatsira zvikuru. Kufamba, kumhanya, kushambira kwakanakira basa iri. Asi maekisesaizi ekudhinda haafanire kuitwa, sezvo vachiwedzera kumanikidza mudumbu remukati, izvo zvinogona kuwedzera mamiriro acho ezvinhu.

Ndeipi nzira yakanaka yekurara uine dumbu rakaputika?

- Mamiriro akakwana panguva yekurara aine bloating akarara padumbu rako. Izvi zvinoderedza kukakavara mumadziro emimba uye kunoderedza marwadzo. Muchiitiko ichi, musoro wemubhedha unofanirwa kusimudzwa ne 15-20 cm.

Kune chero zviratidzo zvekuonekwa kwe flatulence, zvinodikanwa kutsvaga kuraira kune general practitioner kana gastroenterologist.

  1. Flatulence: denderedzwa reruzivo kana denderedzwa rekusaziva? Shulpekova Yu.O. Medical Council, 2013. https://cyberleninka.ru/article/n/meteorizm-krug-znaniya-ili-krug-neznaniya
  2. Flatulence. Zvinokonzera uye kurapwa. Nogaller A. Magazine "Chiremba", 2016. https://cyberleninka.ru/article/n/meteorizm-prichiny-i-lechenie
  3. Reference bhuku remishonga Vidal: Trimedat. https://www.vidal.ru/drugs/trimedat 17684
  4. Reference bhuku remishonga Vidal: Duspatalin. https://www.vidal.ru/drugs/duspatalin__33504
  5. Ivashkin VT, Maev IV, Okhlobystin AV et al. Zvinokurudzira zveRussia Gastroenterological Association yekuongororwa uye kurapwa kweEPI. REGGC, 2018. https://www.gastroscan.ru/literature/authors/10334
  6. Gastroenterology. Hutungamiri hwenyika. Short edition: maoko. / Ed. VT Ivashkina, TL Lapina. M., 2012. https://booksee.org/book/1348790

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