相信大多數人都經歷(li)過(guo)胃(wei)痛(tong)癥狀,一(yi)日(ri)三餐不(bu)規(gui)律、暴飲暴食(shi)(shi)、吃(chi)太(tai)多生冷寒涼和辛辣(la)食(shi)(shi)物、飲食(shi)(shi)不(bu)干凈等都會(hui)造成胃(wei)痛(tong)。偶(ou)爾出現一(yi)兩次胃(wei)痛(tong)不(bu)用擔心,但反(fan)復(fu)胃(wei)痛(tong)要引(yin)起(qi)高度重(zhong)視,極(ji)有可(ke)能是(shi)重(zhong)大疾病來臨(lin)。
導致胃痛的原因有哪些?
1、胃部疾病
大(da)多數(shu)胃(wei)(wei)(wei)(wei)痛(tong)(tong)是(shi)(shi)胃(wei)(wei)(wei)(wei)部疾病引起的,常見(jian)于胃(wei)(wei)(wei)(wei)炎,胃(wei)(wei)(wei)(wei)炎分為急性(xing)(xing)的和(he)慢性(xing)(xing)的,前者起病急,一般(ban)跟受(shou)到(dao)細菌感染(ran)、濫用藥物(wu)、食物(wu)中(zhong)毒以及大(da)量喝酒有(you)關,其(qi)主要癥狀(zhuang)(zhuang)是(shi)(shi)胃(wei)(wei)(wei)(wei)痛(tong)(tong)胃(wei)(wei)(wei)(wei)脹、惡心(xin)、嘔(ou)吐和(he)噯(ai)氣;后(hou)者是(shi)(shi)急性(xing)(xing)胃(wei)(wei)(wei)(wei)炎發展而來的,其(qi)主要癥狀(zhuang)(zhuang)是(shi)(shi)上腹部隱(yin)痛(tong)(tong)、飯后(hou)有(you)飽脹感和(he)反酸。另外(wai),胃(wei)(wei)(wei)(wei)痛(tong)(tong)也(ye)是(shi)(shi)胃(wei)(wei)(wei)(wei)潰瘍(yang)的常見(jian)表(biao)現(xian)(xian)(xian),受(shou)到(dao)幽門螺旋桿菌感染(ran)、高鹽飲食以及藥物(wu)等可破壞胃(wei)(wei)(wei)(wei)黏(nian)膜(mo),使得(de)消(xiao)化液直接(jie)(jie)接(jie)(jie)觸胃(wei)(wei)(wei)(wei)黏(nian)膜(mo),久而久之形成胃(wei)(wei)(wei)(wei)潰瘍(yang)。胃(wei)(wei)(wei)(wei)潰瘍(yang)患者除(chu)了胃(wei)(wei)(wei)(wei)部疼痛(tong)(tong)外(wai),也(ye)伴有(you)胸(xiong)骨后(hou)疼痛(tong)(tong)或脹痛(tong)(tong),尤其(qi)是(shi)(shi)飯后(hou)一小時內最為劇烈。此外(wai),胃(wei)(wei)(wei)(wei)痛(tong)(tong)也(ye)有(you)可能(neng)是(shi)(shi)胃(wei)(wei)(wei)(wei)癌,患者可出現(xian)(xian)(xian)持續性(xing)(xing)胃(wei)(wei)(wei)(wei)部疼痛(tong)(tong)且難(nan)以忍(ren)受(shou),同時伴有(you)消(xiao)化不良(liang)、貧(pin)血和(he)進行性(xing)(xing)消(xiao)瘦以及食欲不振;當胃(wei)(wei)(wei)(wei)癌發展到(dao)一定程度時可出現(xian)(xian)(xian)黑便和(he)嘔(ou)血。
2、膽囊疾病
膽囊(nang)分布在上腹部(bu)(bu)(bu),因此(ci)膽囊(nang)病變后可(ke)導致上腹部(bu)(bu)(bu)疼痛(tong),特別是(shi)(shi)膽結石(shi)誘發炎癥時,常常被誤(wu)認為是(shi)(shi)胃痛(tong)。膽結石(shi)會阻塞膽囊(nang)管,造成急(ji)性膽囊(nang)炎,使得(de)(de)上腹部(bu)(bu)(bu)劇烈(lie)疼痛(tong),尤其是(shi)(shi)吃高油(you)膩食物和(he)暴飲暴食后,有時疼痛(tong)會放射(she)到右肩膀(bang)和(he)背(bei)部(bu)(bu)(bu);較小的結石(shi)可(ke)跟隨著膽汁進入膽總管,使得(de)(de)膽管梗阻,造成右上腹部(bu)(bu)(bu)劇烈(lie)疼痛(tong)。
3、胰腺疾病
由于胰(yi)(yi)(yi)腺分布在胃部(bu)后面,胰(yi)(yi)(yi)腺發(fa)生病變后常誤認為胃病。胰(yi)(yi)(yi)腺能(neng)分泌胰(yi)(yi)(yi)液,胰(yi)(yi)(yi)液的(de)作用是消(xiao)化食(shi)物,總是暴飲暴食(shi)和酗酒(jiu)以及高脂肪飲食(shi)等會使得(de)胰(yi)(yi)(yi)液反流,胰(yi)(yi)(yi)液自我消(xiao)化胰(yi)(yi)(yi)腺組織,從而導致急性胰(yi)(yi)(yi)腺炎(yan),其主(zhu)要癥狀是飯后突然出現上腹部(bu)鈍(dun)痛(tong)或刀割樣疼痛(tong),常常伴有惡心(xin)嘔(ou)吐(tu)、突然發(fa)熱(re)和腹脹等。
溫馨提示
胰腺(xian)炎(yan)、胰腺(xian)癌、膽(dan)囊炎(yan)和膽(dan)管(guan)炎(yan)等所(suo)引起(qi)的疼(teng)痛,常(chang)常(chang)被誤認(ren)為是胃痛,因此出現持續胃痛時還需及(ji)早(zao)去(qu)(qu)醫院做(zuo)(zuo)全面檢查,排除以上疾病。值得提醒(xing)的是,有(you)的胃痛也有(you)可能是心絞痛或心肌(ji)梗死的癥狀,特別是三高、中老(lao)年人(ren)、經常(chang)吸煙酗酒和肥胖(pang)者、有(you)心臟病家族史的人(ren),若出現不明原因胃痛,應及(ji)時去(qu)(qu)醫院做(zuo)(zuo)心電圖檢查。
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