Bolesti kolem pupku

19.8.2012 , Kateřina Januzsová

bolesti-kolem-pupku.jpg - kopie
bolesti-kolem-pupku.jpg - kopie
Bolesti kolem pupku jsou časté obtíže, způsobené celou řadou nemocí. Bolesti kolem pupku mohou být způsobeny žaludečním vředem či zánětem žaludku, problémy se slinivkou břišní či se žlučníkem. Častou příčinou bolestí kolem pupku je také pupeční kýla...

Bolesti kolem pupku

Do oblasti kolem pupku – mezogastria, střední části břicha - se mohou promítat různá onemocnění počínaje banálním nadýmáním a větry až po onemocnění vážnější. V tomto článku se zmíníme o těch nejčastějších z nich.

 

Bolesti v oblasti kolem pupku mohou být způsobeny onemocněním různých orgánů břišní dutiny, především pak žaludku, slinivky břišní a střeva. Můžeme si tedy dané příčiny bolesti podle těchto orgánů dále přiblížit:

Bolesti kolem pupku a nemoci žaludku

Příčiny bolesti vycházející z onemocnění žaludku – zde bychom mohli zmínit gastritidu – zánět žaludeční sliznice, který může být vyvolaný viry i bakteriemi, ale také alkoholem, zbytky spolknutého cigaretového kouře, kořeněnými jídly apod. Další příčinou bývají žaludeční vředy - poškození žaludeční stěny vlivem kyselého prostředí v žaludku po tom, co vlivem stresu, alkoholu, cigaret atd. byly narušeny ochranné mechanizmy v žaludku. Bolesti jsou také navázány na jídlo – objevují se těsně po něm, obzvlášť pokud jde o kyselé, kořeněné či tučné jídlo.

Bolesti kolem pupku a slinivka břišní

Příčiny vycházející ze slinivky břišní – zde se projevují především záněty (pankreatitidy) a nádory slinivky. Projevují se velkou bolestí v oblasti horní nebo střední části břicha, která může vystřelovat do zad. Úlevovou polohou je poloha „na všech čtyřech". Akutní zánět slinivky může být velmi závažný a skončit až smrtí nemocného.

Bolesti kolem pupku a střeva

Příčiny vycházející se střev – pokud bychom se zaměřili na střevo tenké, můžeme se zmínit o Crohnově chorobě. Crohnova choroba je chronický (dlouhotrvající) zánět nejčastěji tenkého střeva (může se však objevit v kterékoliv části zažívacího traktu). Příčina onemocnění není příliš známá, považuje se však za chorobu autoimunitní, tedy chorobu vzniklou na základě poškození tkání vlastními imunitními buňkami. Projevuje se bolestmi břicha, únavou, hubnutím, průjmy. Další příčinou z oblasti střeva mohou být různé potravinové alergie, typicky celiakie. Celiakie je alergie na lepek – bílkovinnou látku obsaženou v obilí. Projevuje se také neprospíváním, hubnutím, průjmy a bolestmi břicha. Kromě těchto příčin může být střevo postiženo infekčními záněty, kterých je velké množství a jsou různého původu (virové, parazitární, bakteriální i houbové). Projevují se především průjmy, často krvavými. Střevo tlusté je nejčastěji postiženo zácpou, která vyvolává bolesti břicha hromaděním obsahu a plynů ve střevě, anebo může jít o tzv. ulcerózní kolitidu, což je, podobně jako Crohnova choroba, zřejmě autoimunitní zánět, který však nacházíme jen v tlustém střevě. Projevuje se podobně jako Crohnova choroba.

Bolesti kolem pupku a pupeční kýla

Poslední vcelku častou příčinou jsou pupeční kýly. Oblast pupku z vnitřní strany, tedy ze strany břišní dutiny, je díky průchodu pupečníku, který nás spojoval s matkou během vývoje v děloze, přirozeně oslabeným místem. Proto pokud dochází k dlouhodobému přetěžování břišní stěny například zvedáním těžkých břemen, může zde dojít ke vzniku kýly. Kýla je vakovité vychlípení pobřišnice - dvojité membrány, která vystýlá dutinu břišní a rovněž pokrývá orgány v dutině břišní uložené. Zároveň s pobřišnicí se v kýlním vaku mohou nacházet i orgány, které mohou být uskřinuté, a tím může dojít k jejich odumření.

Bolesti kolem pupku a poučení na závěr

Rizikové faktory jsou velmi různé, může jít o nesprávnou životosprávu a díky tomu vznik žaludečních vředů či zánětů, nedodržování diety při alergii, strava chudá na vlákninu při zácpě apod. Následky také závisí na daném onemocnění.

 

Trpíte-li Vy či někdo ve Vašem okolí déletrvajícími či opakovanými bolestmi břicha kolem pupku, neváhejte a obraťte se na svého lékaře, který určí příčinu a navrhne řešení.

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Julia: I watend to spend a minute to thank you for this.

18. února 2016 16:18

: Lenko, popisujes bolesti, ktere jsem mela ( a obcas jeste mivam). Kdyz uz bolest byla takove miry, ze jsem nemohla spat a jen jsem brecela bolesti, vydala jsem se k doktorce, po negativnich testech na zanet, a veskerym prohmatani bricha, prisla na to, ze to je od patere. Byla prostydla a zablokovana. Byla jsem na nekolika kvalitnich masazich a preslo to. Ted to obcas poboliva kdyz si lehnu na pravy bok...tak se otocim na bricho a spim :-) ....ale co to opravdu je, Ti musi potvrdit doktorka.

12. července 2014 22:01

Lenka: Mám bolesti kolem pravé strany pupku.Jak ležím na pravé straně tak to trochu víc bolí a při pohybu a když sedím tak méně.Děkuji

26. června 2014 14:30

Lenka: Mám bolesti kolem pravé strany pupku.Jak ležím na pravé straně tak to trochu víc bolí a při pohybu a když sedím tak méně.Děkuji

26. června 2014 14:30

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