RESUMEN
The state of the digestive system was investigated in more than 300 women patients with obesity, aged 16-25 years. Significant shifts have been revealed in the biliferous system and in the gastrointestinal tract of 40% of the investigated patients. The shifts detected necessitate correction of the conventional reduced regimens of nutrition.
Asunto(s)
Enfermedades del Sistema Digestivo/dietoterapia , Obesidad/dietoterapia , Adolescente , Adulto , Terapia Combinada , Encuestas sobre Dietas , Dieta Reductora , Enfermedades del Sistema Digestivo/etiología , Femenino , Humanos , Estado Nutricional , Obesidad/complicaciones , Modalidades de FisioterapiaRESUMEN
In 76 patients suffering from the dumping syndrome following gastric resection in connection with peptic ulcer the motor function of the gallbladder and gastric stump was studied. Investigations ascertained the existence of a direct relationship between the type of the gallbladder dyskinesia and evacuation periods from the gastric stump. The authors consider the hypermotor dyskinesia of the gallbladder combined with an accelerated evacuation from the stump to be an optimal combination after excision of the stomach. On the other hand, the hypomotor dyskinesia of the gallbladder with an accelerated emptying of the gastric stump was regarded as am explicit pathology demanding persistent curative measures. Principles of pathogenetic dietotherapy have been evolved.
Asunto(s)
Síndrome de Vaciamiento Rápido/fisiopatología , Vesícula Biliar/fisiopatología , Síndrome de Vaciamiento Rápido/dietoterapia , Femenino , Gastrectomía , Vaciamiento Gástrico , Mucosa Gástrica/fisiopatología , Motilidad Gastrointestinal , Humanos , Masculino , Úlcera Péptica/cirugíaAsunto(s)
Colelitiasis/tratamiento farmacológico , Fosfatidilcolinas/uso terapéutico , Administración Oral , Adulto , Bilis/análisis , Bilis/efectos de los fármacos , Ácidos y Sales Biliares/análisis , Ácido Quenodesoxicólico/uso terapéutico , Colelitiasis/metabolismo , Colesterol/análisis , Colesterol/metabolismo , Evaluación de Medicamentos , Femenino , Humanos , Masculino , Fosfatidilcolinas/administración & dosificación , Fosfatidilcolinas/farmacología , Fosfolípidos/análisisRESUMEN
On the ground of clinical observations, studies on the motor-evacuatory functions of the gastro-intestinal tract and its regulation values in dynamics a differentiated dietotherapy and a special complex of exercise therapy have been devised for patients with chronic colites and enterites marked by predominance of constipation. Among basic principles of this dietotherapy were: the content of all nutrients corresponding to physiological standards with the amount of protein increased up to 135 g, creating conditions conducive to sparing of the stomach, pancreas, liver and biligenic organs through exclusion of strong stimulators of the digestive and bile secretion glands, of substrates irritating the liver, regulation of the motor-evacuatory function of the gastro-intestinal tract by a graded increase in the amount of cellular membranes, progressively rising parallel with weakening of the symptoms pointing to irritation of the gastro-intestinal tract organs. The complex set of physical exercises included: those of general tonic and improving the prelum abdominale muscles tonicity, mechanically stimulating the motor function of the stomach and the intestines, periodically changing the intra-abdominal pressure, both upwards and downward.