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5 Cov Lus Qhia Gastroenterologist los tiv thaiv GI Tract los ntawm COVID-19
5 Cov Lus Qhia Gastroenterologist los tiv thaiv GI Tract los ntawm COVID-19

Video: 5 Cov Lus Qhia Gastroenterologist los tiv thaiv GI Tract los ntawm COVID-19

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Hom kab mob coronavirus tshiab tsis yog siv lub tshuab ua pa nkaus xwb, tab sis tseem ua rau lub plab zom mov ua lub qhov rooj nkag mus rau lub cev. Txhua tus kws kho mob plab zom mov hauv ntiaj teb tau hnov ​​txog qhov no rau lub hli dhau los. Kev tshawb fawb qhia pom tias COVID-19 ua rau puas tsuaj ntawm txoj hlab pas. Qee zaum qhov kev puas tsuaj no dhau los ua tsis tau. Peb nug tus kws kho mob plab zom mov, kws kho mob ntawm Kev Tshawb Fawb Kev Tshawb Fawb, Xibfwb Yevgeny Sas, rau tsib lub tswv yim yuav ua li cas tiv thaiv koj lub plab zom mov los ntawm tus kab mob.

Evgeniy Sas, kws kho mob plab hnyuv, kws kho kab mob siab, kws kho mob ntawm kev tshawb fawb kho mob

Coronavirus siv lub plab zom mov

Tam sim no txawm tias menyuam yaus paub tias COVID-19 xav tau ACE2 receptors nkag mus rau tib neeg lub cev. Lawv pom nyob hauv cov pa ua pa, nrog rau hauv plab thiab hnyuv. Qhov tseeb, qhov no yog vim li cas koj thiaj tuaj yeem kis tus kab mob tsis yog tsuas yog sawv ntawm ib tus neeg hnoos. Koj tuaj yeem tuav tes nrog tus neeg mob, thiab tom qab ntawd kov lub qhov ncauj nrog tib txhais tes.

Yog li, tus kab mob yuav nkag mus rau hauv txoj hnyuv, thiab tom qab ntawd txhua yam yuav nyob ntawm koj qhov kev tiv thaiv kab mob. Tom qab tag nrho, tsis yog txhua tus neeg uas tau ntsib nrog tus neeg muaj mob tau mob nws tus kheej. Tab sis tam sim no nws zoo dua, tau kawg, tsis txhob sim lub cev tiv thaiv kab mob kom muaj zog. Nws yog ib qho tseem ceeb kom ua raws cov qauv kev nyiam huv: ntxuav koj txhais tes ntev thiab ntxuav nrog xab npum kom huv, siv tshuaj tua kab mob thiab kov qhov hnoos qeev kom tsawg li tsawg tau - cov no yog lub qhov ntswg, qhov muag, thiab qhov ncauj.

Cov neeg mob uas muaj kab mob plab zom mov muaj feem yuav tuag ntau dua

Cov kws tshawb fawb tau pom tias hauv qee tus neeg mob, tus mob coronavirus tsis yog tsuas yog ua rau cov tsos mob plab zom mov, tab sis kuj ua rau lub plab zom mov puas tsuaj. Hauv qee kis, cov kev hloov pauv no hloov tsis tau. Cov kev soj ntsuam tseem qhia tias hauv cov neeg mob zoo li txheej txheem rov zoo yog ncua thiab txoj kev pheej hmoo tuag yog ntau dua li cov tib neeg uas ua rau pom kev ua pa.

Yog vim li cas rau qhov no? Kev sib xyaw ua ke ntawm cov xwm txheej yog ua haujlwm. Ua ntej, kev kis tus kab mob sib kis ntawm ob sab ib zaug: lub cev yuav tsum tau tawg sib nrug - lub zog rau kev tawm tsam xav tau ob qho tib si hauv kev ua pa thiab lub plab zom mov.

Qhov thib ob, raws li kev tshawb fawb tsis ntev los no tau qhia, COVID-19 ua rau lub plab zom mov ntxiv. Tej zaum koj tau hnov ​​txog qhov tshwm sim xws li "lub plab xau". Qhov no yog qhov nce permeability ntawm txoj hnyuv mucosa. Vim tias nws, ntau tus kab mob thiab cov co toxins pib nkag mus rau hauv cov ntshav los ntawm txoj hnyuv, uas, tsis ntseeg, ua rau lub cev tsis muaj zog.

Qhov thib peb, cia kuv ceeb toom koj txog li 90% ntawm lub cev tiv thaiv kab mob tau mob siab rau hauv txoj hnyuv. Muaj lawv qhia - lawv kawm tiv thaiv lub cev los ntawm cov kab mob phem uas tuaj nrog zaub mov. Los ntawm kev tawm tsam cov hnyuv, COVID-19 cuam tshuam loj rau tib neeg lub cev tiv thaiv kab mob.

Nws tsis yog qhov nyuaj los xaus tias cov neeg uas muaj kab mob kev noj qab haus huv ntawm lub plab zom mov yuav tsum tau ceev faj tshwj xeeb thiab saib xyuas lawv cov zom zaub mov niaj hnub no zoo li kua txiv ntawm lawv lub qhov muag.

Yuav tiv thaiv koj lub plab zom mov li cas los ntawm COVID-19

Ua kom muaj kab mob plab zom mov raug tswj

Yog tias koj muaj kab mob plab zom mov ntev, sim nyob twj ywm kom zam rau txhua qhov kev sib kis. Nrog koj tus kws kho mob plab zom mov tham txog kev kho kom rov zoo.

Yog tias koj yuav tsum tswj hwm kev kho mob, tsis muaj teeb meem dab tsi tsis txhob tso tseg yam tsis muaj kev pom zoo ntawm koj tus kws kho mob. Koj tseem yuav xav tau tshuaj raws li cov tshuaj muaj nyob hauv rebamipide. Nws nce kev tsim khoom thiab ua kom zoo ntawm cov hnoos qeev thiab rov ua kom muaj kev ncaj ncees ntawm txoj hnyuv plab. Qhov tseeb, nws tiv thaiv thiab tshem tawm qhov nce permeability ntau los ntawm COVID-19.

Ib qho ntxiv, cov hnoos qeev yog ib qho kev tiv thaiv kab mob uas tiv thaiv kab mob los ntawm kev nkag mus thiab nkag mus rau cov qog ua kua hauv lub cev. Cov kev tshawb fawb tsis ntev los no tau qhia tias cov tshuaj no rov kho qhov thaiv kab mob ntawm cov hnoos qeev tsis tsuas yog hauv txoj hnyuv, tab sis tseem ua pa ntawm txoj hnyuv.

Pom zoo tias thaum lub sijhawm Covid-19 muaj kev sib kis, nws yog qhov tshwj xeeb tshaj yog txhawm rau rov ua kom muaj nuj nqis thiab tsim nyog ntawm cov hnoos qeev los tiv thaiv kev nkag mus ntawm cov kab mob nkag rau hauv lub cev.

Kev noj zaub mov zoo

Kev tsis txaus ntawm cov zaub mov muaj fiber ntau, ntau dhau ntawm cov carbohydrates thiab cov rog hauv kev noj zaub mov tsis zoo cuam tshuam rau kev sib xyaw ntawm cov hnyuv microflora. Thiab cov kab mob saprophytic (zoo), uas yog ib feem ntawm microbiota, tsim ntau yam tshuaj muaj txiaj ntsig thiab pab tiv thaiv kab mob. Ib qho ntxiv, lawv muaj nyob hauv cov hnoos qeev thiab yog li tiv thaiv kab mob thiab kab mob nkag los rau hauv lub cev.

Txhawm rau kom tsis txhob cuam tshuam qhov sib xyaw ua ke ntawm microflora, noj kom raug thaum lub sijhawm muaj kev sib kis. Suav nrog cov zaub mov muaj fiber ntau, cov zaub tsis tau hloov pauv (txiv ntseej, camelina, flaxseed, thiab lwm yam), txo cov tsiaj rog thiab carbohydrates (tshwj xeeb yog ua kom qab zib).

Txhawb nqa microflora nrog pro- thiab prebiotics

Prebiotics yog khoom noj rau peb cov kab mob zoo. Lawv txhawb kev loj hlob ntawm saprophytic flora. Muaj dej-soluble thiab dej-insoluble prebiotics. Cov qub tuaj yeem siv tau zoo rau feem ntau kab mob (piv txwv li, mukofalk, nutrifiber) - lawv yuav ua zaub mov zoo rau cov kab mob hauv plab.

Qhov thib ob - cov dej tsis haum - xav tau los ua quav thiab txhim kho peristalsis (mob plab hnyuv). Tab sis, ceev faj, lawv tuaj yeem ua rau tsam plab thiab ua rau qee qhov kab mob ntawm lub plab zom mov - mob plab, mob plab hnyuv. Muaj kev sib txuas ua ke ntawm prebiotics (eubicor).

Probiotics yog cov kab mob zoo rau lawv tus kheej. Lawv kuj tseem tuaj yeem siv tau, tsuas yog nco ntsoov: lawv tsis cog hauv tib neeg, tab sis tsuas yog tsim cov xwm txheej rau kev loj hlob ntawm cov paj zoo. Chav kawm yuav tsum ntev: tsuas yog ob lub lis piam tom qab, kev hloov pauv zoo pib tshwm sim hauv tib neeg txoj hnyuv.

Tsis txhob noj tshuaj yam tsis tsim nyog

Rau qee qhov laj thawj, tib neeg thoob plaws ntiaj teb, tsis yog nyob hauv Russia, muaj tus cwj pwm tsis zoo rau kev siv tshuaj tua kab mob, tshuaj tua kab mob thiab tshuaj tua kab mob. Lawv tau siv zoo li nws yog qhov teeb meem - yuav tsum txhuam koj cov hniav li cas.

Lub caij no, tag nrho cov tshuaj no pab txhawb rau kev txhim kho ntawm plab hnyuv dysbiosis thiab nce qhov nkag mus ntawm cov mucous membrane. Yog li ntawd, lawv txoj kev siv xav tau kev saib xyuas los ntawm kws kho mob. Thaum lub sijhawm muaj tus kabmob sib kis, nws zoo dua yog tsis ua raws li cov tshuaj no.

Kev tawm dag zog lub cev

Hauv cov xwm txheej ntawm kev cais tus kheej, tau kawg, nws tsis yooj yim los tswj lub cev qoj ib ce. Tab sis ib tus neeg, raws li koj paub, tuaj yeem ua dab tsi yog tias nws xav tau tiag tiag. Kev tshawb fawb pom tias cov leeg pob txha muaj peev xwm ua cov tshuaj hormones uas muaj txiaj ntsig zoo rau lub cev tiv thaiv kab mob thiab cov metabolism. Qhov no muab cov khoom noj ib txwm muaj rau cov hnoos qeev hauv peb lub cev, thiab yog li kev tiv thaiv ntxiv.

Nrov los ntawm cov ncauj lus