العوامل المسببة لغازات البطن وعلاجها وطرق الوقاية منها

?? ?????? ??????? ??????? ?? ?????? ?????? ?? ?????? ??????. ?? ?? ??? ??? ???? ?????? ?????? ???? ??????? 17,7 ?????? ?? ?????? ??? ??????. ???? ??????? ???? ??? ?????? ????? 2,600 ?????? ?? ?????? ?? ?????.

????? ??????? ?? ?????? ?????? ????? ???? ????? ??????: ?????? (Diffusion) ????? ?? ???? ???? ??? ?????? ??????? ??????? ?????? ??????? ??????? ???????? ???????? ??? ??????????? (Bicarbonate - ???? ??????) ? ??? ?????? ???? ???? ?? ??????. ??? ????? ????? ?? ?????? ?????? ?????? ??????? ???? ?????? ?? ???? ?????? ???????? (????? ???? ?? ?????? ??? ??? ?????? - Adsorption) ?????? ??????? ??????? ????????? ????? ??? ???? ????.  

????? ???? ????? ?????? ?? ???????: ?????????? (Nitrogen)? ???????? (Oxygen)? ???? ????? ??????? (Carbon dioxide)? ??????????? (Hydrogen). ???? ???? 99% ?? ??????? ???????? ?? ?????? ??????. ?????? ??????? ?????? ???? ??????? ??? ?????? ?????? ??????. ?? ??????? ???? ???? ???? ?????? ??????? ?????? ?????? ???? ?? ???? ??????? ????? ????? ?? ?????????? ????? ????? ??????? ????? ????? ????? ?? ??????????.

???? ?????? ??????? ??? ??????? ??????? ????? ?? ????? ?????. ?? ????? ?????? (?????????) ?? ????? ??????? ????? ??? ????? ?????? ???????? ?? ?????? ????? ??? ?????? ??????? ???? ???? ???? ??????? ??? ?????? ???????? ??? ???? ??? ?????? ????? ?????? ?? ??????? ?? ?????? ??? ??????? ???????. ?????? ????? ???? ?????? ??? ?????? ???? ?? ????? ??? ????? ?????? ?????? ??????? ??? ????? ?????? ??????? (Gastroesophageal reflux).

???? ???? ?????? ?? ?????? ?????? ?????? ???? ???? "????? ??????" (Plethysmograph)? ??  ?????? ??????? (????? ?????? ???? ???? - Instillation) ?????? ???? ??????? - Argon (??? ??? ???? - Noble gas) ??? ?????? ??????? ?? ??? ?????? ?? ??????? ????????? ?? ??? ???????. ?????? ?????? ?????? ????? ??? ??? ?? 200 ?????? ?? ???????. ??? ???? ?? ?????? ??????? ??? ?????? 476 – 1,491 ?????? ?? ?????. ???? ????? ?? ???? ?????? ?????? ??? ????? ?????? ??? 5 - 10 ?????.

??????? ??????? ????? ?????? ??? ?????? ??????? ?????? ??????? ??? 10 ???? ?? ?????? ??????? (???? ?????? ????? ?????? ?? ????? ????? ????? 20 ??? ?? ?????). ???? ????? ????? ??? ????? ?? ???? ???? ????? ?????? ???????. ?? ??? ????? ??????? ???????? ?? ??? ??????? ???????? ????: ???????? (??? ??????) ??????????. ?????? ??????? ???? ???? ????????? ??????? ??? 50% ?? ??????? ??? ??? ?????? ???? ??????? ???????? ????? ?????? ??? ?????. ??? ??????? ????? ?????? ?? ??? ???? ??? ??????? ??? ?????? ???? ??????? ???????? ????? ?????? ??? ??????? 34 ????? ?? ???????? ?? ????? (????? ????? 480 ??????? ?? ??????? 240 ??????? ?? ???????? ?56 ????? ?? ?????? ??????).

???? ??? ??  ??????? ??????? ??? ????? ?????. ??????? ???? ?????? ?? ??????? ????? ???? ????? ??????? ???????? ????? ??????? (Indole) ????????? (Skatole)? ?? ??? ????? ?? ??????? ?????????. ??????? - ????? (Methanethiol) ?????? ??????? – ????? ??????? (Dimethyl disulfide) ??? ??????? ????????? ?? ??? ??????? ???? ???? ???????. ?????? ??? ?????? ?? ??? ??????? (Methan - ??? ??????????) ? ???? ??? ??????? ???? ????? ?????? ?????? ??????? ???????. ??? ????? ?? ?????? ???????? ?????? ??? ????? ?????? ?????.   

??? ????? ????? ?? ???? ????? ?????? (??????) ???? ???????. ???????? ??? ??????? ???????? ??? ???? ??????? ????? ???????? ??????????? ????? ???? ????? ???? ?????? ?????.

?? ???? ???? ??????? ????? ?? ??? ???? ????? ??????? ????? ?? ????? ?? ????? ???????. ?? ???? ??? ??? ????? ??? ???? ??????? (??? ??? ???????? ????? ???? ??? ???????) ???? ??????. ??? ????? ????? ?????? ??? ??? ????? ??? ???? ?? ???? ????? ???????? ?? ????? ??????? ??? ??????? ????? ????? ?? ???? ????? ???? ????? ??? ??????? ????? ?? ????? ?? ???. ??? ???????? ???????? ??????? ??????? (Irritable bowel syndrome) ???? ????? ???? ?? ??????? ?? ????? ???????. ??? ???? ???? ????? ??? ?????? ?????? ?? ?????? ???? ?????? ?????????. ??? ?????? ???????? ???????? ??????? ??????? ????? ????? ?? ????? ??????? ?? ????? ??????? ??? ????? ???????. ??? ????? ????? ?? ???????? ???? ????????? ?????? ??? ????? ?????? ?? ????? ???????.

????? ?????? ???????:

??????? ??????? ????? ??????? ????:

?????? ??????: ????? ?? ??? ????? ?????? ???? ?? ??????? ??? ?????? ?????? ??????? ???? ??? ?? ???? ?????? ?????? ?????? ?? ???? ?????? ??? ??? ?????. ?????? ???? ????? ??? ?? ?????? ?? ???? ?????? (???????? - Hiccup).

?????? ???????: ???? ??????? ???? ?????? ??? ????? ?????? ??????? ????? ?? ??? ??? ???.

???????: ?? ???? ????????? ???? ?? ????? ????? ?? ???? ???????.

??????? ????????? ???????? (Food additives):  ??? ??????? ???? ?? ????? ??? ???? ???? ???? ??????? ???? ????? ??? ???? ????? ????? ??? ???????? ???????? - ?? ???? ????? ?????? ??? ???????? ????? ???????.

?????: ??? ???????? ??? ??? ?????? ??????? (???????? ?????? - Intestinal obstruction) ???? ???? (?????? ???? ?? ??????? - Crohn's disease).

???????? ?? ????? ?????????: ???????? ?? ????? ?????? ??? ?????? ?? ???? ?? ??? ?????? ??? ????? ???? ???????.

???? ???????:

?????? ????????? ????? ??????? ?? ????? ??????? ??????? ??????? ??? ????? ??????? ??????? ???????? ???? ?????? ???? ??????? ???? ???????. ?????? ???? ??? ??? ?????? ?? ??????? ???????? ????!

????? ?????? ??????? ???? ???? ??????? ?? ?????? ???? ???? ??? ?? ???? ???????? ???? ???? ??? ?????? ?? ??? ???????.  ????? ?? ??????? ???? ?????? ?????? (Lactase).

??????? ?????? ??????? ??????? (??????? ???? ?????? - Smooth muscle)? ????? ???? ????? ?? ????? ??????? ??????? ???? ???? ?????? ???????? ???? ?? ????? ?? ?????? ?????? ????? ?????? ???? ???????? ????? ???? ???????? ?? ?????? ?????????. ?????? ??????? ???????? ??? ?????????? (Cisapride)? ????????????? (Metoclopramide)? ??? ??????? ?????? ??? ??? ???. ???? ???? ???? ?? ??? ???????? ?? ??????????? (Tegaserod).

???????? ??? ???? ????? ????? ???? ??? ??????? ????? ???? ??? ????? ?? ??????? ??? ???? ????? ??????? ?????? (Activated charcoal) (????????? - Carbosylane? ???????? - Eucarbon? ????? - Norit? ????????? - NoviCarbon)? ?????? ????????????? (Bismuth subsalicylate) ????????? ??????? (?????????? - Encypalmed).

??????? ?? ???????:

??? ????? ???? ???? ??? ??????? ???????? ???? ???? ?????? ??????? ?? ????? ????? ????? ??????. ?? ????? ????? ???? ??????? ??? ??????? ???? ???? ??? ???? ??? ?????? ????????.

????? ??? ??????? ???? ???? ???? ????? ?????? ????:

????????? ??? ?????? ????? ????????? ?????????? ????? ?????????? ???????? ????????? ??????? ?????? ??????? ?????? ?????????? ?????? ??????? ??? ????????.

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