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比赛时会“拉肚子”怎么办?

有些运动爱好者,会在运动的时候会出现腹泻的情况。最不能忍受的是出现在比赛中,认真准备几个月的比赛却被拉肚子毁了,究竟该怎么办?平时生活中完全没有任何肠道疾病的问题,也不会出现腹泻的情况,去医院似乎也查不出什么。这种情况怎么办?

p100248563-1

还有很多人像笔者一样,运动后会出现腹部冰冷,特别是女性。一直以为可能由于自己体内过寒,但是作为西医,如果不能用西医的理论去解释它,总觉得还是没有解开谜底一样?;蛐碚夂驮硕备剐嚎赡苡械愎亓?。

作为一名医学工作者者,想搞清楚这是什么状况。接下去就是上网,查文献,各种“百度”,不要惊讶,医生可能在自己的专业领域非常的专业,对于其他的领域总也有一知半解的,更何况世界上奇奇怪怪的病状层出不穷,要做到问不倒,倒也是个圣人了。

首先这些情况是和运动有关,同时又和消化系统有关,于是我锁定两个关键词语“运动”和“胃肠道”,很快就有了线索。

有些人在吃了不干净的食物后,会“拉肚子”,有些人在运动后也会“拉肚子”。国外的一项调查发现,在跑步运动中,30%的运动员发生过这种“拉肚子”,而在这些人当中,多数还曾伴有腹部绞痛,甚至有些人运动后出现血性腹泻。这种现象在运动员这一群体中发病范围广、频率高,严重地影响着运动员的正常训练和比赛。

它有一个挺长的名字“运动性胃肠道综合征”。也许是随着近些年来马拉松、超马拉松、铁人三项等长距离项目越来越火,特别是女性参加上述运动的人数增加,这个疾病才渐渐浮出水面。

那“运动性胃肠道综合征”除了腹泻外,还有哪些表现呢?多以消化道的症状为主,有腹痛、腹泻、呕吐、恶心等,因为这个原因去医院就诊,到了医院后症状完全消失,完全查不出什么结果的人,应该大有人在吧。它和消化道疾病的确在症状上完全一致。

和许多急慢性疾病一样,运动性胃肠道综合征发生的确切原因至今还未完全清楚,可能的原因是运动时,我们人体的血流会再分布,自然流向那些最需要供血的地方,比如说我们的四肢,因此内脏的血流就相应减少了,因此在跑步的时候大多数时间是不会进食啊、排泄的。大强度的运动是一种强烈的应激源,使胃肠道的血流急剧减少,胃排空受阻,胃肠机械性震动较大,胃肠菌群系统的破坏,最终会引起胃黏膜?;ぷ饔煤退鹕俗饔檬テ胶?,最终就引起了胃肠道综合征。

当然并不是每个人都会有这种情况出现,比如可能就跑个2-3公里,仅仅出现腹部冰冷,这个和运动时候血流重分布有关,但是大强度的运动,加重了胃肠道的血流减少,就出现了上述的一些胃肠道症状。

在一些调查中,可以发现,运动性胃肠道综合征运动员中,女性占有较大比例(70%),且训练年限越短越容易发生运动性胃肠道综合征,同时年龄小得运动员较年龄大的运动员更容易在运动中发生胃肠道综合征。分析性别差异可能由于男女之间不同的生理特点,如激素分泌、月经周期等因素引起;而年龄差异可能与训练年限、训练经验等因素有关。这就给出了一个重要的提示,长期运动训练可能会使运动员内脏器官对运动过程逐渐产生适应性变化。

因此,我在另一篇文献中找到了这样一个试验,将有胃肠道综合征的运动员分为两组,一组运动员出现症状后立即停止运动,另一组运动员则是减少运动量,继续训练,结果显示,减少运动量的那组运动员胃肠道综合征的发作人数明显下降,也就证实了这并不是阻碍运动的杀手。
那么,对于会在剧烈运动中出现腹泻的运动爱好者们应遵循以下建议:

1、请不要立刻停止运动,而减少你的运动量,然后再循序渐进的增强运动强度。

2、运动前切勿进食过多,饭后1-2小时再运动,因为运动开始后我们的血液需要供应给我们的肌肉,他没有那么多的能量来供应消化食物。

3、即使你是经验老道的运动员,也请你避免一开始就进行高强度耐力运动,请给你的机体一个热身的时间。

4、最后,非常重要的一点,请你先确定你没有患有任何消化系统疾病,再排除了疾病后,我们才能认定运动性胃肠道综合征这个诊断。

希望这篇文章能给大家带来帮助,也希望有相关经验的人士给予我指正,谢谢!

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