TRNG I HC QUC T HNG BNG

Khoa iu Dng a Khoa

Lp DD10DH-DK

V Kim Phng
MSSV:101162513

KIN THC V CH N CHO NGI

BNH LOT D DY T TRNG
CA SINH VIN IU DNG

(Thng 12/2015)

Chng I: Gii Thiu

Ch n cho bnh nhn lot d dyt trng nhm mc ch lm gim tit

acid, gim tc dng ca acid d dy tit
ra ln nim mc d dy, hn ch hoc
loi b nhng kch thch c hi d dy
ngh ngi v cc tn thng mau lnh

Chng I: Gii Thiu

S hiu bit ca sinh vin iu dng
v ch n cho bnh nhn lot d
dy t trng, nhm kho st, pht hin
nhng kin thc sai lc ca sinh vin.
t c th a ra nhng hng
dn c th gip sinh vin nhn ra vai
tr quan trng ca mnh trong vic
phi hp vi bnh nhn v nhn mnh
vai tr ca dinh dng trong vic iu
tr lot d dy t trng

Chng I: Gii Thiu

II Mc Tiu Nghin Cu
II.1 :Mc tiu chung
Kho st kin thc ng v ch n cho
bnh nhn lot d dy t trng
II.2: Mc tiu ring
Xc nh t l phn trm sinh vin c kin
thc ng v dinh dng lot d dy-t
trng
Xc nh t l phn trm sinh c kin thc
ng v nguyn tc v cch n cho bnh
nhn lot d dy t trng.

Chng II Tng quan ti liu

1.nh ngha:
Lot l s ph hoi ti ch nim mc
d dy hoc t trng, xut hin cc
lp nim mc d dy b tn thng do
hiu ng n da ca cc acid v pepsin
bn trong lng d dy.
Bnh vim lot d dy, t trng thng
do vi khun Helicobacter pylori gy ra.

2. Nguyn nhn

Di truyn
Yu t tm l
Ri lon vn ng
Yu t mi trng
Thuc

Bng so snh triu chng lm sng

Loi

Lot t trng

Lot d dy

Tnh cht au

-au lc i v ban m
-au mun sau khi n
(4-5 gi)
-n vo au

-au sm khi n 1h
-n vo khng au
c khi cn au tng ln

Xt nghim dch v

- acid tng

acid gim hoc bnh

thng

Chy mu tiu ha

Tiu phn en thng

gp hn nn ra mu

Tiu phn en thng

gp hn nn ra mu

Ung th ha

Khng xy ra

C nguy c xy ra

Tin trin

Khi xong d ti pht

Nu sau 2-3 t iu tr
ni khoa tch cc ,ng
phng php m lot
khng lnh nn m ct

Bin chng

Chy mu tiu ha
Thng lot
Hp mn v
Ung th ha

Chng III
I TNG V PHNG PHP NGHIN CU

1 I TNG NGHIN CU
-Chn 10 sinh vin ngu nhin ang theo hc ti
khoa iu dng trng i Hc Quc T HNG BNG
2 Thi gian nghin cu
-Trong thng 12
3 Phng php nghin cu
- M t ct ngang

Chng IV
Kt Qu-Bn Lun

Biu th hin trnh hc vn

Chng IV
Kt Qu-Bn Lun

Biu th hin trnh hc vn

Ngun thng tin

Chng V
Kt lun v kin ngh
Kt lun
Thuc c xem l chn la hng u trong iu
tr lot d dy t trng, ch n gi vai tr h
tr nhng khng km phn quan trng v th iu
tr lot d dy t trng cn phi tun th mt s
nguyn tc v ch n, Trong khng nn
d dy qu i s lm tng tit acid
Trong iu tra t l ny kh cao chim 80% ngoi
ra n mm, n lng , hay nhai k , n tng t mt
cng l s chn la ca nhiu ngi. Nhai k hay
n tng mt s gim bt s lm vic ca d dy,
gip cho d dy c thi gian ngh ngi v nn n
chn ung si,thc n cn c thi nh v mn

Chng V
Kt lun v kin ngh
Kt lun
Thc n c tnh bc nim mc d dy, thm dch
v nh go np, bt sn, bnh m, bnh quy, cc loi
khoai ninh nh. Nhng thc n ny mm, d tiu
ha, li c cht kim, c tc dng lm bo ha axt
trong d dy v cn c trng ,sa,sn phm t sa
tt cho vic trung ha acid dch v.Ngoi ra co cc
loi rau,c c nhiu cht x, ngi ta nhn thy nu
ch n t cht x s lm cho cc vt lot lu
lnh.trong iu tra ny c t l cao sinh vin khng
chn ny(30%)

Chng V
Kt lun v kin ngh
Kt lun
pH ca thc phm cng c xem l
mt yu t quan trng. Thc phm c
khuyn ngh khng s dng bnh nhn
lot d dy khi c pH t 1 n 3 (c pH thp
hn pH ca dch d dy). i vi sinh vin
ca ti, h cng bit thc n chua gy kch
ng nim mc d dy v th h khng chn
cc thc n chua chim t l 90% ngay c
da c mui, hnh mui l 90%

Chng V
Kt lun v kin ngh
Kt lun
Nc ung c cha trn 40% cn c th
gy tn thng lp t bo bo v mt trong
ca d dy .S c la nng, tr, c ph, l
nhng thc ung kch thch nim mc tit
acid. Trn c s hiu bit ca cc sinh vin
chng ti, th t l sinh vin chn khng ung
ru bia ,caf la 80%
S cc sinh vin hc qua bnh chim
80% v ngoi sch th t l cc truyn thng
khc cha c tip cn nhiu.

Chng V
Kt lun v kin ngh
Kin ngh
Bnh lot d dy l mt vn sc khe hin
nay. V th ngoi iu tr v thuc ng phc
cn c mt ch n ng n trong vic gim
nhng yu t nguy c mc bnh cng nh gp
phn vo vic iu tr. Tuy nhin khng phi mi
ngi dn hiu ng v iu ny do ti c kin
ngh
- Nn truyn thng- gio dc cho mi ngi dn
v cch phng bnh, cng nh pht hin bnh sm
- iu dng nn truyn thng v gio dc dinh
dng cho ngi bnh v ch dinh dng khi
mc bnh

Bng mu thc n cho bnh nhn lot d dy

Gi n

Th 2 +5

Th 3+6+Cn

Th 4+7

7h

Cho tht bm 300ml

Go 30g
Tht bm 20g
Sa ti c ng
200ml

Ph tht bm
Bnh ph 150g
Tht nc bm 20g

Bnh m 1 ci
Sa ti c ng
100ml
Cm nt (go 150g)

11h

Cm nt (gao 150g)
Tht bm st c chua
40g
Trng trng 40g
Du n 10g
B xanh luc 200g
Nc luc b

Cm nt (go 150g)
C qu hp gng
hnh 70g
u ph om c chua
(u ph 50g, c chua
50g)
Su su luc 200g

Tht nc vai 40g

Trng g 40g kho vi
tht
Rau ci trng thi nh
xo 200g

Thanh long 200g

Da hu 200g

Hng xim 200g

Cm nt (go 150g)
Tht nt vai bm vin
hp 40g
C tri kho nh 50g
Rau ci xo thi nh
200g
Canh rau

Cm nt (go 150g)
Tht g rang bm nh
100g
B xo 200g
Du n 10g
Bnh ph 150g

Cm nt (go 150g)
Tht b thi nh kho
nh 40g
Tm bin 40g rang
bc v
Canh khoai ty c rt
hm nh (khoai ty
180g, c rt 50g)

14h
18h

Du n 10g

Bng mu thc n cho bnh nhn lot d dy

Tng hp thc
phm

Go 330g
Tht nt 100g
C tri 50g
Trng 1 qu nh 30g
B xanh 200g
Ci xanh 200g

Sa ti 100ml

Go 300g
Tht nt 20g
u ph 50g
C chua 50g
Su su 200g
B 200g
G ta 100g
C qu 70g
Da hu 200g

Bnh m 1 ci 70g
Sa ti 100ml
Go 300g
Tht nc vai 40g
Trng g 1 qu nh
30g
Tht b 40g
Tm 40g
Ci trng 200g

Du n 10g

Du n 10g

Khoai ty 180g

Thanh long 200g

C rt 50g
Du n 10g

Ph Lc
Ting Vit
V Th M Dung. Dch t hc nhim trng
Helicobacter pylori bnh vin Ch Ry. Y
Hc TP H Ch Minh 2009.
PHM TH HNH, V TH TRN BU HNH NGUYN
TUN KHIM, L VN IM. Kho st dch t hc
,lm sng t l nhim helicobacter pylori v hnh
nh ni soi bnh vim lot d dy t trng ti bnh
vin a Khoa Ha Thnh .Ty Ninh 2011 .
Phan Tn Ti ,Hunh Ch Cng T l nhim
helicobacter pylori trn bnh nhn ni soi d dy t
trng ti bv a Khoa Ph Tn 2010

Ph Lc
1 Gyawali CP, Manasra A (2010). Gastrointestinal
Diseases. In: Foster C, Mistry FN, Peddi FP, Sharma S.
The Washington Manual of Medical Therapeutics, 33
red., 596-599. Wolters Kluwer Lippincott Williams &
Wilkins, United States.
2 Gyawali CP (2012). Upper Gastrointestinal Bleeding. In:
Kollef M, Isakow W. The Washington Mannual of Critical
Care. Nd 397-407. Wolters Kluwer Lippincott Williams &
Wilkins, USA.
3 Malfertheiner P, Chan LKF, McColl LEK (2009). Peptic
ulcer disease. Lancet, 374: 1449-1461.
4 Valle DJ (2010). Peptic Ulcer Diseases and Related
Disorders. In: Longo LD,Fauci SA. Harrisons Gastroent
erology and Hepatology, 125-144. The McGraw-Hill
Companies, China

Thank you