脹氣的防治

脹氣的防治

楊惟婷整理

 

脹氣、腹痛、頻繁的放屁、打嗝,總讓人坐臥難安,有時令人尷尬不已。

腹部脹氣最明顯的症狀就是:當扣診時,腹部呈現空心的聲音。(當然這部份就需要靠醫生來診斷了)

 

被稱為防癌之母的醫學博士莊淑旂更認為,「脹氣是萬病之因」,她認為,脹氣是最要不得的現象。她在《怎樣生活不生氣》書中解釋,氣滯留在體內,會阻礙各種津液的循環,使內臟活力受損,造成各部位的痠痛與疲勞,進而導致免疫力下降而衍發各種疾病。

 

一、造成脹氣的原因

 

肚子脹氣是一個病徵,背後有著各種可大可小的原因。

造成脹氣的原因有很多,主要來源有六:

 

  1. 飲食習慣不好:

◎我們在說話、吃、喝食物時,都會不自覺的吞入一些空氣,這些空氣大部份又會經由不自覺的吐氣中排出,只有少部份會進入腸道中。不過,有些情形會使吞入的空氣量增加,如講話太快(尤其是焦慮情況下),或吃東西時狼吞虎嚥、邊吃飯邊說話,不少空氣也隨之下肚。

◎而吃完東西又坐著不動,也易致使氣體悶在肚裡。

◎另外,有些情形會使唾液分泌增加,如:嚼口香糖、腸胃不適致噁心時、某些藥物的影響、假牙不合時….,這時,因口水量增加,使吞嚥動作較頻繁,也會因而吞入較多的空氣,然後自然會有較多的空氣被送入腸道,而引發肚子脹氣的情形。

 

  1. 有鼻炎、鼻子過敏的人:

有鼻炎、鼻子過敏的人,常不自覺用嘴巴呼吸,把空氣吸進消化道內,也容易產生脹氣,卻常常被人忽略。

 

  1. 在腸道中自己產生

體內產生的氣大多由大腸內細菌在分解食物過程中產生。

◎某些食物本身就易引起脹氣,如豆類、麥麩、蘋果、桃子、洋蔥、甘藍菜、穀類、以及地瓜、馬鈴薯等的薯類食物,這些都是屬於易產氣食物。
人體內若缺乏某些消化寡醣類及多醣類碳水化合物的酵素,當吃了如豆類製品、地瓜…等這類食物,因不易被小腸吸收利用,大多進到大腸再被分解,因此會產生更多氣體,包括氮氣、二氧化碳及甲烷等。

◎乳類食品也是一個很容易產生脹氣的食物,或是體內因無法吸收乳糖而造成脹氣。

◎還有乳糖不耐症的人,因為不易消化牛奶中的乳糖,常一喝牛奶就腹痛。吳明賢醫師建議,不妨改吃低脂優格或許就能改善。

◎某些腸胃方面的疾病,如腸燥症、膽囊疾病,可能是脂肪消化不良,而導致脹氣。

 

  1. 由血液中擴散入腸道。

 

  1. 腸胃道疾病:

如大腸激躁症、消化性潰瘍、膽結石、胃炎、腸阻塞、腸套疊、腸粘黏、腸胃道腫瘤等患者,也容易累積腸氣而導致脹氣。

 

  1. 壓力大:

當壓力過大,會使人緊張、心跳加快、血壓上升、肌肉緊繃,致使腸胃蠕動變慢,產生腹脹。

 

二、脹氣的預防法

 

胃脹氣與脹痛,是腸胃毛病中相當常見的,有時你只要做作運動、走走路即可,但有時卻痛得讓你在床上打滾,而且只要是腹部的疼痛,症狀上經常大同小異,常讓人摸不著頭緒,不知是潰瘍還是吃壞肚子。

 

從健康的飲食及生活習慣著手,就能幫助你預防惱人的脹氣。

 

1、早起散步、活動筋骨,能促進血液循環、活絡消化系統,喚醒腸胃道的功能。

 

2、長時間坐在辦公室的人,千萬別彎腰駝背、或癱坐在椅子上,讓小腹突出。健康的坐姿是縮小腹、拉直背脊,才能避免脹氣。

 

3、午餐前休息片刻,先消除疲勞再用餐。可利用飯前的15分鐘,洗把臉,順便輕輕按摩臉部與肩頸(由下而上),讓人慢慢覺得放鬆下來。

 

4、用餐時,避開會產氣的食物。培養心平氣和、愉悅的用餐氣氛,進食時最好細嚼慢嚥。

 

5、避免把壓力帶上餐桌,也儘量不要邊吃東西邊聊天,或嘻哈大笑,以免把空氣一起吃進肚。

 

6、餐後千萬不要立刻趴下來午睡,最好起身走動,以刺激腸胃蠕動,幫助消化,甚且趴姿也會壓迫胃部而產生脹氣。

 

7、晚餐吃八分飽,就不會造成腸胃的負擔。

 

8、喝一點薄荷茶、柑橘茶,也可用來緩和腸胃的脹氣。

 

9、晚上睡前3小時,或每晚8點以後,應儘量不進食,因為就寢時腸胃蠕動變慢,此時食物若還沒消化完,容易腹脹。

 

10、睡前可以做簡單的伸展操,以排除一天累積下來的脹氣:

可以身體平躺,手腳自然伸直。吸氣時右腳屈膝,感覺右腿擠壓到腹部。吐氣時右腳放下來。換左腳重複動作。這個動作可以有效的幫助排氣,防止胃中的氣體堆積,平時每晚睡前都可以做一次可以保護腸胃。

 

11、若是腹脹難消時,可以使用薄荷油塗抹肚臍周圍的部位,來消除腹部的脹氣。

 

三、如何改善脹氣?

 

(一)改變飲食習慣
脹氣大部分都是飲食所引起的,首先必須改變飲食習慣:

◎進食時切記要細嚼慢嚥,勿狼吞虎嚥,不要邊吃東西邊說話;以減少攝入過多的空氣 。

◎平時避免喝碳酸飲料,口香糖,並且最好不要用吸管喝飲料,因為這些都會無形中增加氣體的攝入。

◎少吃含有果糖或是山梨醇(糖)的食物或甜點,因為這也是產氣的元兇。

◎還有些人喝了牛奶也容易肚子發脹,因為大部分中國人缺乏乳糖,無法完全吸收牛奶中的乳糖,乳糖便成了大腸產生氣體的原料。

◎還有包心菜、花椰菜、高麗菜、芹菜、地瓜、馬鈴薯、糯米類、玉米、蘿蔔、洋蔥、韭菜、青椒、胡瓜、小黃瓜、柑橘類水果、蘋果、哈密瓜及西瓜等;這些食物,或許對一般人都是具有防癌作用或是營養價值很高的食物,但都是容易在大腸內產生氣體的蔬菜,腸造病人不適合。

◎豆類食品一定要煮到熟爛了再吃,因為太硬的豆子,不但不好消化還容易造成脹氣。許多人吃了花生或其他豆類後容易放屁,就是因為豆類含有小腸不能消化的特異碳水化合物。這些碳水化合物被大腸裏的細菌作用後,便產生二氧化碳、氫、甲烷等,造成放屁的氣體。

◎有些人對某種食物特別容易產氣或是脹氣,就必須根據以往的經驗避開某些特定的食物。

◎飯後不要一直悶坐在沙發上,可以起身走一走,洗個碗,或是散個步,溫和輕緩的運動都有助於幫助消化。

◎如果是服用了特殊的藥物而造成胃腸的脹氣、不適,如某些瀉藥或是減肥藥,你可能就需要跟你的當科醫生溝通,請求更換藥物或是停藥。易產氣食物

 

(二)少食用易產氣食物
包括﹕包心菜、芹菜、洋蔥、綠花椰菜、球芽甘藍、青椒、茄子、馬鈴薯、地瓜、糯米類、芋頭、玉米、香蕉、柑橘類水果、柚子、豆類製品、麵包、汽水、可樂等碳酸類飲料和甜點等。

 

(三)多食用易消氣食物

包括﹕白蘿蔔、紅蘿蔔、牛蒡、白芝麻、黑芝麻、海蜇、橘皮。

尤其,橘皮洗淨切絲,再用烤箱烤乾,拿少許加水煮沸或泡茶,可立即消除一肚子脹氣。

 

(四)物理治療

此外,另有4個秘訣提供給你參考,可減緩脹氣之苦﹕

1、按穴道。

按內關穴可協助調氣。內關穴在手腕橫格紋以上距三指處,以大拇指用力按壓20~30次,不適感會逐漸消失。

2、肚臍邊塗上薄荷油,以順時針方向輕輕按摩,促進腸胃蠕動。

3、起身運動一下,姿勢的改變或許能減緩脹氣。

4、身體蜷曲有助排氣。

若附近剛好有床,就可以先平躺,雙手環抱屈膝的雙腳,感覺壓迫到腹部。

 

四、哪些脹氣情況必須立即就醫?

 

1.莫名其妙的脹氣持續三天以上,都無法緩解。

2.如果您長期感到肚子脹氣或打嗝、放屁不止。

3.排氣或排便後下腹部比較不痛者,有可能是腸躁症。

4.經常放屁、體重減輕、或是排出淺色、惡臭的糞便,可能表示你可能無法消化脂肪。

5.如果腹痛難忍,或是以前不曾有脹氣困擾者,最近突然覺得不舒服且超過一星期,最好趕緊就醫檢查,以釐清原因。因為大腸激躁症、胃潰瘍、腸炎等患者,也皆有脹氣症狀。

 

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