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相关概念视频

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation01:30

Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation

189
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
189
Irritable Bowel Syndrome I: Introduction01:17

Irritable Bowel Syndrome I: Introduction

313
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
313
Chronic Bowel Disorders: Introduction01:17

Chronic Bowel Disorders: Introduction

485
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
485
Appendicitis-I: Introduction01:22

Appendicitis-I: Introduction

242
The appendix, a small, narrow, blind tube extending from the inferior part of the cecum, is widely regarded as a vestigial organ, having lost much of its original function through evolution. Despite its diminished role, the appendix can become inflamed, a condition known as appendicitis.
Etiology: Appendicitis can arise from various causes, primarily rooted in the obstruction of the appendix lumen. Factors contributing to this obstruction include fecal accumulation, lymphoid hyperplasia and, in...
242
Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies01:28

Peptic Ulcer Disease III: Clinical Manifestations and Diagnostic Studies

157
Peptic ulcer disease (PUD) presents with diverse symptoms depending on the location and severity of the ulcer. Clinical manifestations of peptic ulcer include dull pain and a burning sensation in the mid-epigastric region.
Few clinical manifestations differentiate gastric ulcers from duodenal ulcers. Distinctions in the location, timing, and pain relief are crucial for healthcare providers in differentiating between gastric and duodenal ulcers during clinical assessments.
157
Chronic Pancreatitis I: Introduction01:24

Chronic Pancreatitis I: Introduction

112
The pancreas, an elongated and flat gland situated behind the stomach, serves a vital function in digesting food and managing blood sugar levels.
Pancreatitis is the inflammation of the pancreas, which occurs when the immune system becomes active and causes swelling, pain, and disruptions in organ function. Pancreatitis can manifest as either an acute or chronic condition.
Acute pancreatitis arises suddenly and lasts for a brief duration, while chronic pancreatitis is a long-term affliction...
112

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压力和反复出现的腹痛.

Gösta Alfvén1, Eva Andersson2,3,4

  • 1Clintec, Karolinska Institute, Stockholm, Sweden.

Acta paediatrica (Oslo, Norway : 1992)
|August 11, 2023
PubMed
概括

反复出现的腹痛可能源于心理因素,压力会激活大脑-肠轴. 惊反射在压力期间经历的广泛疼痛中起着关键作用.

科学领域:

  • 胃肠病学 胃肠病学
  • 心理学 心理学 心理学
  • 神经科学是一个神经科学.

背景情况:

  • 功能性胃肠道疾病 (FGIDs) 是常见的.
  • 非有机来源的反复出现的腹痛是一种显著的FGID.
  • 在FGID中,越来越多地认识到心理因素.

研究的目的:

  • 探索非有机性复发性腹痛的病因学.
  • 检查心理原生假设和罗马标准的作用.
  • 为了研究压力和惊反射对疼痛的影响.

主要方法:

  • 关于功能性胃肠道疾病的文献综述.
  • 应用罗马标准进行诊断.
  • 对将压力与疼痛联系起来的精神性假设的分析.

主要成果:

  • 压力激活大脑-肠轴,导致局部肠道症状,如腹痛.
  • 压力引起的疼痛不仅仅局限于腹部,而且可以表现在身体的其他部位.
  • 惊反射似乎是这种普遍的压力引起的疼痛模式的主导因素.

结论:

关键词:
腹部疼痛 腹部疼痛慢性压力是一种慢性压力.功能性疼痛是一种功能性疼痛.心理和体力问题惊的反射反应开始.

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  • 非有机性复发性腹痛可以在心理框架内理解.
  • 大脑-肠轴和惊反射对于调解与压力相关的疼痛至关重要.
  • 腹痛可能是引起多焦点疼痛的更广泛应激反应的一个组成部分.