An uong xoa diu o loet da day

Thứ sáu, 08 Tháng tư 2011, 11:36 GMT+7

Bi viem loet da day nen dung sua, trung vi day la nguon dam co kha nang trung hoa acid.

Trong mot doi nguoi, co den 10% kha nang xuat hien mot con dau do viem loet da day ta trang gay ra. Tai cac nuoc da phat trien, ty le benh viem loet da day ta trang (VLDDTT) duoc phat hien la 1 - 3%. Voi nhung nguoi da mac benh mot lan thi ty le tai phat trong 5 nam cao den 50%.

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Binh thuong, tai niem mac da day luon co su can bang giua yeu to bao ve (hang rao te bao bieu mo, lop mang nhay, luong mau luu thong den da day) va yeu to pha huy (acid do da day tiet ra). Chat acid tu te bao thanh da day duoc tiet ra chi de tieu hoa thuc an va niem mac da day phai duoc bao ve an toan nho lop mang nhay do cac te bao tiet nhay nam o niem mac da day tiet ra. Vi mot yeu to nao do lam tang tiet acid qua nhieu hoac do lop mang nhay duoc tiet ra khong du thi chat acid nay se tan cong chinh da day cua minh.

An uong khong dieu do, an tre bua, bi trao nguoc dich mat - dich tuy (do khoi u, soi, giun... gay tac nghen), uong ca phe, an nhieu gia vi, lo au, cang thang... lam da day tiet nhieu acid.

Viec su dung keo dai cac thuoc khang viem, giam dau (Aspirin, Ibuprofen, Ketoprofen...), hut thuoc la, uong ruou... lam ton thuong te bao niem mac va giam tiet nhay. Chi can mot yeu to lam tang “pha huy” hoac giam “bao ve” se dan den benh VLDDTT. Cac nghien cuu cung cho thay khi co su hien dien cua vi khuan Helicobacter pylori tai da day thi kha nang bi loet da day rat cao.

Trieu chung

Cac trieu chung cua benh VLDDTT xuat hien ro o 50% truong hop, 40 - 45% benh nhan co trieu chung mo ho va co den 5 - 10% benh nhan khong co trieu chung gi (goi la loet cam) chi duoc chan doan khi co bien chung.

Dau hieu dau cua VLDDTT co the goi y nhu dau vung thuong vi, dau rat, nong, nhu dao cat... Con dau thuong am y lien tuc, it khi quan tung con. Dau co chu ky lien quan den bua an (dau luc doi hoac dau luc no), dau theo mua trong nam... Dau xuat hien hoac tang len khi an cac thuc an chua, cay... hoac khi cang thang, lo nghi... Dau giam khi uong cac thuoc khang acid hoac thuoc bang niem mac da day. Cac dau hieu kem theo co the la o hoi, o chua, non, buon non, chuong bung, kho tieu, day hoi, nang ne sau an...

An uong \'xoa diu\' o loet da day, Suc khoe, An uong khi bi viem loet da day, viem loet da day ta trang, viem loet da day, da day, niem mac da day, tiet nhay, loet da day, o loet, cang thang, trung sua, lo au
An uong khong dieu do, an tre bua lam da day tiet nhieu acid (anh minh hoa)

Viec chan doan benh can kiem tra som mac du chi moi co cac dau hieu mo ho, vi cac bien chung cua benh kha nguy hiem. O loet o gan mon vi co the lam hep duong xuong cua thuc an gay non rat du doi. O loet an vao mang mach mau day dac o da day gay xuat huyet tieu hoa (non ra mau, di tieu phan den) rat thuong gap. O loet sau lam thung da day, dan den viem phuc mac phai phau thuat cap cuu.

Co 5% o loet da day co kha nang bi ung thu hoa, trong khi loet ta trang (thuong gap o nam gioi, bi lo au, stress) thi chua thay hoa ac bao gio. Cac con dau du doi cua VLDDTT co the lam nguoi benh so an uong hoac khong the an uong gi mot thoi gian dai, dan den thieu chat, sut can va suy dinh duong.\'

Chan doan & dieu tri

Dua vao con dau dien hinh, chup X quang da day ta trang co thuoc can quang, chinh xac nhat la noi soi da day ta trang va cac xet nghiem chan doan H. pylori. Viec dieu tri bang thuoc duoc xem la lua chon hang dau, che do an chi giu vai tro ho tro trong viec tang cuong bao ve cho da day va han che cac yeu to pha huy, cung voi viec thay doi mot so thoi quen xau co hai den benh.

Dinh duong khi bi viem loet da day ta trang

Che do an uong phu hop co the giup han che tang tiet dich da day va trung hoa bot acid cua da day, giam tac dong co hai den niem mac da day:

An uong \'xoa diu\' o loet da day, Suc khoe, An uong khi bi viem loet da day, viem loet da day ta trang, viem loet da day, da day, niem mac da day, tiet nhay, loet da day, o loet, cang thang, trung sua, lo au
Can uu tien cac thuc an tinh bot co tac dung boc, hut, tham de bao ve niem mac da day (nguon anh: internet)

- Nen chia nho bua an (4 - 6 bua an nho trong ngay) vi an so luong it se lam giam su cang da day nen giam tiet acid da day.

- Nen an thuong xuyen, deu dan, khong an qua no va khong de bung qua doi. Khoang cach giua cac bua an ngan giup trong da day luon co thuc an de trung hoa acid va giam dau.

- Can uu tien cac thuc an tinh bot co tac dung boc, hut, tham de bao ve niem mac da day, giup giam kich thich tiet dich vi, trung hoa acid nhu sua, gao nep, banh nep, banh mi, banh bot nang, com, banh quy...

- Nen dung sua, trung vi day la nguon dam co kha nang trung hoa acid; chat beo trong sua, trung co tac dung uc che tiet dich da day dong thoi lam tang thoi gian luu thuc an trong da day.

- Thuc an nen nau mem, ham nhu hoac neu can thi cat nho, nghien nhuyen, can an cham nhai ky de giam bot ganh nang cho da day, thuc an cung voi acid se nhanh chong duoc dua xuong ruot non.

- Chat beo tu ca (mo ca, ca mo) duoc khuyen su dung vi cung cap nhieu acid beo thiet yeu va nang luong cho co the, thuc an giau kem (hau, so, thit, ca...) se giup mau lanh vet thuong, vitamin A giup sinh truong lop te bao bieu mo cua niem mac da day.

- Tranh dung thuc an song, tho, cung, nhieu chat xo nhu gao lut, dau do, mot so rau trai... trong thoi gian dau cap tinh. Rau la nen chon an la non, mem nhu rau day, rau mong toi, den...

- Tranh dung cac loai kich thich da day tiet nhieu dich vi nhu: ot, tieu, giam, ca ri, mu tac, trai cay chua, sua chua, dua hanh, dua ca muoi chua, nuoc dung thit, thuc an len men nhu mam, tuong, chao; thit nguoi che bien san...

- Tranh dung thuc an qua nong hoac qua lanh.

- Khong an qua nhieu canh cung bua com vi lam cang da day gay tiet acid.

- An xong khong nen lao dong nang, chay nhay ngay de tang luong mau den da day va de khong lam nang hon ton thuong viem loet da co.

An uong \'xoa diu\' o loet da day, Suc khoe, An uong khi bi viem loet da day, viem loet da day ta trang, viem loet da day, da day, niem mac da day, tiet nhay, loet da day, o loet, cang thang, trung sua, lo au
Tao niem vui trong cuoc song, tranh stress (anh minh hoa)

- Mot so thuc an chien co the lam kich thich niem mac da day.

- Han che cac loai rau sinh hoi nhu sup lo xanh, bap cai, cu hanh, cai hoa, dua leo, tieu xanh, bap, cu cai, dua cai...

- Han che va bo dan tra, ca phe dam, ruou, bia, thuoc la, nuoc ngot co gas...

Ngoai ra, can tranh lo au, cang thang tam ly. Nen an uong trong khong khi thu gian, dam bao cung cap du nhu cau dinh duong cho nguoi benh.

Tuy nhien, tuy vao co dia moi nguoi co the chap nhan hoac khong chap nhan cac loai thuc pham khac nhau, do do hay “lang nghe da day cua minh”, rut ra nhung kinh nghiem thuc te de co the chon lua thuc pham phu hop nhat voi chinh minh.

Phong ngua tai phat

Khi vet loet da lanh van nen duy tri 2 - 3 bua an phu giua cac bua an chinh, khong an qua no hoac de qua doi, chon thuc an mem, tranh nhung thuc an kich thich niem mac da day va gay tang tiet dich da day ke tren. An uong dieu do, dung bua, khong nhin doi, bo bua.

 Kiem soat cac lo au cang thang la van de can uu tien hang dau khi da co VLDDTT. Ve sinh ca nhan (rua tay truoc khi an va sau khi di ve sinh), ve sinh an uong tranh nhiem H. pylori. Khi su dung thuoc, luu y voi bac si ve tien can benh VLDDTT cua minh de duoc dung thuoc phu hop, uong thuoc khi bung no.

BS.CK1. Dao Thi Yen Thuy

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