8 ngo nhan dung sai ve benh tieu hoa

Thứ sáu, 27 Tháng một 2012, 10:04 GMT+7

Benh duong tieu hoa la can benh phuc tap, chua dung nhieu bi an ma den nay khoa hoc van chua hieu het, tham chi co ca nhung loi don, cach chua khong co co so dan den lam tang benh, tham chi con gay nguy hiem cho con nguoi.

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Duoi day la mot so van de co lien quan den can benh nay duoc khoa hoc giai thich dua tren nhung nghien cuu khoa hoc moi nhat.

1. Benh u xo da day la do an thuc pham cay nong va stress?

Theo nhieu nghien cuu khoa hoc cho thay mot so dang u xo (dau da day) la do 2 nguyen nhan, mot la viem nhiem khuan Helicobacter pylory (H.pylori) hoac do dung mot so loai thuoc giam dau nhu aspirin, ibuprophen hoac naproxen, nguoi ta goi chung la nhom thuoc NSAID (thuoc chong viem phi khang nguyen) chu khong phai do an thuc pham cay nong va stress.

Hau het cac dang u xo lien quan den thuoc NSAID co the chua duoc bang thuoc khang sinh hoac thuoc bao ve da day, thuoc lam giam tinh axit trong da day va tranh dung nhom thuoc thuoc NSAID ke tren. Boi vay biet duoc dieu nay nguoi ta co the tranh duoc benh ngoai ra ung thu cung la can benh lam tang benh uxo da day.

2. Hut thuoc la lam giam chung o chua?

Thuc ra hut thuoc la khong lam giam chung o chua (Heart burn) ma con lam tang nguy co mac benh. Heartburn xay ra khi co thuc quan va da day bi noi long lam cho axit trong da day day len thuc quan. Nhung nguoi hut thuoc la nhieu se lam viem thuc quan va lam cho co cua bo phan nay yeu di giong nhu chiec van mot chieu khong dong mo duoc nen axit tu no se trao nguoc len mieng. Vi vay de giam benh cach tot nhat la bo thuoc va di kiem tra dieu tri nhung can benh co lien quan.

3. Tre nho it khi mac benh ve duong tieu hoa?

Theo so lieu thong ke thi tai My can benh nay xuat hien o ca tre nho lan nguoi lon, trung binh cu 200 nguoi thi co 1 mac benh di truyen lien quan den duong ruot. Doi khi co ca can benh tung mac tu khi con nho nay tai phat trien tro lai, o tre nho thuong gap la benh tieu chay, cham lon con o nguoi lon thuong thay nhu day hoi, chuong bung, tao bon, tieu chay, dau bung, phat ban, thieu mau, loang xuong do he thong tieu hoa hap thu duong chat kem.

Benh ve duong ruot thuong gay ra nhung su chuan doan nham va phai mat thoi gian dai moi biet nguyen nhan chinh xac.

Nhung nguoi mac benh ve duong ruot khong nen an thuc pham co chua gluten. Day la loai protein co trong ngu coc, mach, mi.., la thu pham lam tang chung viem nhiem va gay pha huy lop lot cua ruot non, giam kha nang hap thu duong chat cua ruot non cung nhu he thong tieu hoa trong co the.

4. Thut thao chua tao bon la vo hai?

Thut thao (enema) la cach lam duoc nguoi ta dung de thut sach phan truoc khi giai phau. Co qua it nghien cuu ve van de nay nen nguoi ta chua khang dinh duoc chac chan la vo hai hay khong. Co nghien cuu cho rang thu thuat nay co the gay anh huong den ruot ket, co ruot.., tuy nhien cung co nguoi cho rang day la phuong phap tu nhien giong nhu mot qua trinh binh thuong cua ruot, boi vay truoc khi ap dung thu thuat nay nen tu van bac si.

5. Viem tui thua la can benh nguy hiem?

Theo so lieu thong ke nhung nguoi tren 60 thuong mac phai can benh nay nhung trieu chung va nhung bien chung it khi xuat hien. Benh viem tui thua la do tui (sacs) hay con goi la tui thua trong thanh cua ruot ket phat trien tang ve so luong khi nguoi ta tuoi cao. Phan lon la khong co dau hieu tru khi chup X quang hoac kham ruot bang ky thuat soi ruot ket. Co khoang 10% nguoi mac benh nay khong phat trien bien chung viem nhiem, chay mau hoac thung ruot ket.

6. Viem ruot man tinh la can benh do yeu to tam than gay ra?

Viem ruot man tinh (IBD) co hai dang, mot la viem loet dai trang va benh Crohn, ca hai chung benh nay deu dan den viem ruot. Nguyen nhan gay benh den nay nguoi ta van chua tuong het, co the do virus hoac vi khuan tuong tac, phan ung voi he thong mien dich cua co the va khong he co gia thuyet nao cho rang benh IBD la do cang thang, lo lang hoac yeu to tam than gay ra.

7. Benh gan man tinh la do nghien ruou?

Theo nghien cuu thi nghien ruou chi la mot trong so rat nhieu nguyen nhan gay benh gan man tinh, day la can benh lam suy giam cac chuc nang cua gan. Tai My nguyen nhan do ruou chi chiem mot nua so ca mac benh, so con lai la do cac nguyen nhan khac. Vi du o tre nho la do chung xo hoa, do thieu hut alpha-1 anti Trypsin, hep tui mat, benh luu giu glycogen va nhieu can benh la khac. O nguoi lon con do benh viem gan B hoac C, benh viem gan tui mat so cap, benh luu giu kim loai bat thuong (nhu sat, dong) trong co the, cac phan ung nghich cua thuoc chua benh, do beo phi va mac benh tieu duong.

8. Phau thuat tao hau mon nhan tao lam dan ong bat luc va phu nu vo sinh?

Noi chung thu thuat nay hoan toan khong gay anh huong den cuoc song tinh duc va kha nang sinh san cua con nguoi, no chi cat di mot phan nho doan ruot troi ra ngoai. Bang ky thuat hien dai, phuong phap phau thuat tren vua an toan dam bao ve sinh, mau lanh benh va khong gay anh huong chuc nang sinh ly cua con nguoi. Tru truong hop dan ong da mo tao hau nhan tao do benh ung thu hoac phu nu da cat bo da con.

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