Tib neeg txoj hnyuv ua ib qho haujlwm tseem ceeb hauv lub cev. Los ntawm nws, cov as-ham thiab dej nkag mus rau hauv cov ntshav. Cov teeb meem cuam tshuam nrog kev ua txhaum ntawm nws cov dej num, nyob rau hauv thawj theem ntawm cov kab mob, raws li txoj cai, tsis nyiam peb mloog. Maj mam, tus kab mob dhau mus ntev thiab ua rau nws tus kheej hnov los ntawm kev tshwm sim uas nyuaj rau nco. Dab tsi tuaj yeem yog qhov ua rau ua rau muaj kev ua txhaum ntawm txoj hnyuv, thiab seb cov kab mob no raug kuaj thiab kho li cas, peb yuav xav txog ntxiv.
YPathology txhais li cas?
Kev mob plab hnyuv muaj ntau hom kab mob plab hnyuv. Tag nrho cov no koom ua ke los ntawm cov tsos mob tseem ceeb: kev ua haujlwm tsis zoo ntawm txoj hnyuv. Cov kab mob feem ntau tshwm sim hauv nruab nrab lossis qis dua ntawm cov plab hnyuv. Lawv tsis yog tshwm sim los ntawm neoplasms lossis biochemical teeb meem.
Cia peb teev dab tsi pathologies nyob ntawm no:
- Irritable Syndromeplab.
- tib yam pathology nrog cem quav.
- Irritable bowel syndrome nrog raws plab.
- mob ua haujlwm ntev.
- Fecal incontinence.
Cov chav kawm ntawm "cov kab mob ntawm lub plab zom mov" suav nrog kev ua haujlwm tsis zoo ntawm txoj hnyuv, hauv ICD-10 pathology code K59 tau muab. Xav txog hom kev ua haujlwm tsis zoo tshaj plaws.
Irritable bowel Syndrome
Tus kab mob no hais txog kev ua haujlwm tsis zoo ntawm txoj hnyuv (ICD-10 code K58). Nrog rau tus mob no, tsis muaj cov txheej txheem inflammatory thiab cov tsos mob hauv qab no tau pom:
- YColonic dysmotility.
- Bloating.
- Rumbling hauv plab hnyuv.
- Meteorism.
- Cov quav hloov - raws plab, cem quav.
- Mob hauv cheeb tsam ntawm caecum yog yam ntxwv ntawm kev kuaj.
- mob plab.
- Headache.
- High heart rate.
Yuav muaj ntau yam mob:
- Kev sib kis.
- nias.
- Stupid.
- ncig.
- plab hnyuv.
- kev mob kev tsiv teb tsaws chaw.
Nws tsim nyog sau cia tias qhov mob tuaj yeem ua rau hnyav zuj zus vim qhov kev xav zoo lossis tsis zoo, thaum muaj kev ntxhov siab, thiab thaum lub cev tawm dag zog. Qee zaum tom qab noj mov. Txhawm rau txo qhov mob mob tuaj yeem tso pa tawm, quav. Raws li txoj cai, nrog kev ua haujlwm tsis zoo, qhov mob plab ploj thaum hmo ntuj nrog kev tsaug zog, tab sis tuaj yeem rov pib dua thaum sawv ntxov.
Hauv qhov no, cov kab mob hauv qab no tau pom:
- Tom qab lub plab zom mov los pab.
- Gas tsim thiab xav tias tsam plab.
- Stool hloov nws qhov sib xws.
- Qhov zaus thiab txheej txheem ntawm kev tso quav tawm raug cuam tshuam.
- Muaj muv.
Yog tias ob peb cov tsos mob tshwm sim rau qee lub sijhawm, tus kws kho mob tau kuaj pom tus mob plab hnyuv siab raum. Kev ua haujlwm tsis zoo ntawm txoj hnyuv (ICD-10 txheeb xyuas cov kab mob no) kuj suav nrog cem quav. Xav paub ntxiv txog cov yam ntxwv ntawm qhov kev tsis sib haum no.
cem quav yog kab mob plab
Raws li kev faib tawm thoob ntiaj teb, xws li kev ua haujlwm tsis zoo ntawm txoj hnyuv raws li ICD-10 code yog nyob rau hauv tus lej K59.0. Nrog cem quav, kev thauj mus los qeeb thiab lub cev qhuav dej ntawm cov quav nce, coprostasis yog tsim. Kev cem quav muaj cov tsos mob hauv qab no:
- Txawm tsawg dua 3 zaug hauv ib lub lis piam.
- Tsis xav tias lub plab zom mov tag.
- Kev ua kom defecation nyuaj.
- quav tawv, qhuav, tawg.
- plab hnyuv.
cem quav nrog spasms, raws li txoj cai, tsis muaj kev hloov pauv hauv cov hnyuv.
cem quav tuaj yeem raug cais los ntawm qhov hnyav:
- Easy. quav 1 txhua 7 hnub.
- Average. quav 1 txhua 10 hnub.
- Hav. quav tsawg dua 1 zaug hauv 10 hnub.
Cov lus qhia hauv qab no yog siv los kho cem quav:
- Kev Kho Mob Ib Leeg.
- ntsuas kev kho kom rov zoo.
- ntsuas kev tiv thaiv.
Kab mobtshwm sim los ntawm kev txav tsis txaus thaum nruab hnub, kev noj zaub mov tsis txaus, kev tsis sib haum xeeb hauv lub paj hlwb.
Zoo plab
Tus kab mob no yog qhov ua haujlwm tsis zoo ntawm txoj hnyuv loj ICD-10 faib los ntawm lub sijhawm thiab qib kev puas tsuaj rau cov hnyuv mucosa. Tus kab mob ntawm qhov kis kab mob yog hais txog A00-A09, tsis muaj kab mob - rau K52.9.
Qhov kev ua haujlwm tsis zoo no yog tus cwj pwm los ntawm cov quav dej, xoob, xoob. Defecation tshwm sim ntau tshaj 3 zaug ib hnub twg. Tsis muaj kev xav hauv plab. Tus kab mob no tseem cuam tshuam nrog kev ua haujlwm tsis zoo ntawm txoj hnyuv. Nws tuaj yeem muab faib los ntawm qhov hnyav:
- Easy. quav 5-6 zaug ib hnub.
- Average. quav 6-8 zaug ib hnub.
- Hav. quav ntau tshaj 8 zaug hauv ib hnub.
Tej zaum yuav mob ntev tab sis tsis tuaj thaum hmo ntuj. Nws kav rau 2-4 lub lis piam. Tus kab mob yuav rov zoo dua. Feem ntau raws plab yog txuam nrog psycho-kev xav ntawm tus neeg mob. Hauv qhov xwm txheej hnyav, lub cev poob dej ntau, electrolytes, protein, thiab cov khoom muaj txiaj ntsig. Qhov no tuaj yeem ua rau tuag taus. Nws kuj yuav tsum tau muab sau tseg tias raws plab tuaj yeem yog cov tsos mob ntawm tus kab mob uas tsis cuam tshuam nrog rau txoj hnyuv.
Qhov ua rau muaj kev ua haujlwm tsis zoo
Qhov laj thawj tseem ceeb tuaj yeem muab faib ua:
- External. Psycho-emotional problems.
- Nyob hauv. Cov teeb meem cuam tshuam nrog lub plab zom mov tsis zoo.
Muaj ntau ntau yam laj thawjKev ua haujlwm tsis zoo ntawm txoj hnyuv hauv cov neeg laus:
- Kev noj haus tsis zoo.
- siv tshuaj tua kab mob ntev.
- YDysbacteriosis.
- Nyob ntev.
- Kev nyuaj siab.
- Txoj kev phem.
- kab mob sib kis.
- Teeb meem ntawm qhov tso zis hauv cov poj niam.
- Hormonal tsis ua haujlwm.
- Muaj, cev xeeb tub.
- tsis haus dej txaus.
Cov laj thawj no yog qhov zoo rau cov neeg laus. Tom ntej no, ob peb lo lus hais txog kev ua txhaum cai rau menyuam yaus.
Ua rau thiab cov tsos mob ntawm kev ua haujlwm tsis zoo hauv cov menyuam yaus
Vim qhov kev txhim kho ntawm txoj hnyuv tsis zoo, kev ua haujlwm ntawm cov hnyuv hauv cov menyuam yaus tsis yog qhov tsis tshua muaj. Cov laj thawj yuav muaj raws li hauv qab no:
- Kev tsis muaj peev xwm ntawm txoj hnyuv rau sab nraud.
- kab mob sib kis.
- Kab mob hauv lub cev nrog ntau yam kab mob.
- Kev ua txhaum ntawm lub siab lub ntsws.
- khoom noj hnyav.
- kev tsis haum tshuaj.
- Cov ntshav tsis txaus rau qee qhov ntawm txoj hnyuv.
- plab hnyuv.
Nws yog ib qho tsim nyog sau cia tias hauv cov menyuam yaus, qhov ua rau tshwm sim ntawm kev ua haujlwm tsis zoo zoo ib yam li cov neeg laus. Cov me nyuam me thiab cov me nyuam mos yog qhov nyuaj dua rau cov kab mob hauv plab. Hauv qhov no, koj tuaj yeem ua tsis tau tsuas yog noj zaub mov xwb, nws yog ib qho tsim nyog yuav tau noj tshuaj thiab sab laj nrog kws kho mob. Mob plab heev tuaj yeem tua tus menyuam.
Cov tsos mob hauv qab no yuav raug sau tseg:
- Me nyuam ua tsis taus pa.
- Qhia mob plab.
- Irritability tshwm.
- Kev mloog qis.
- Meteorism.
- nce quav lossis tsis quav ntsej.
- Muaj cov paum lossis ntshav hauv cov quav.
- Me nyuam yws qhov mob thaum lub plab zom mov.
- Qhov kub tuaj yeem nce ntxiv.
Hauv cov menyuam yaus, kev ua haujlwm ntawm plab hnyuv tuaj yeem kis tau lossis tsis kis. Tsuas yog ib tus kws kho mob tuaj yeem txiav txim siab. Yog tias koj pom cov tsos mob saum toj no, koj yuav tsum coj koj tus menyuam mus rau kws kho mob sai li sai tau.
Raws li ICD-10, kev ua haujlwm tsis zoo ntawm txoj hnyuv loj hauv cov tub ntxhais hluas feem ntau cuam tshuam nrog kev ua txhaum ntawm kev noj zaub mov, kev ntxhov siab, tshuaj, kev tsis haum rau ntau yam khoom. Cov kab mob no tshwm sim ntau dua li cov kab mob hauv plab hnyuv.
Cov tsos mob dav dav
Yog tias ib tus neeg muaj lub plab zom mov ua haujlwm, cov tsos mob yuav ua raws li hauv qab no. Lawv yog cov yam ntxwv ntawm ntau yam kab mob saum toj no:
- mob plab.
- Nyob siab. Involuntary passage ntawm flatus.
- Tsis quav ntsej ntau hnub.
- Zoo.
- Ntshai burping.
- Yam yuam kev kom defecate.
- Qhov sib xws ntawm cov quav yog kua lossis cov khoom thiab muaj cov hnoos qeev lossis ntshav.
Cov tsos mob hauv qab no kuj tseem tuaj yeem ua tau, uas paub meej tias kev qaug rau lub cev:
- Headache.
- Tsis muaj zog.
- mob plab.
- Nausea.
- Nyobtawm hws.
Kuv yuav ua li cas thiab kuv yuav tsum hu rau tus kws kho mob twg?
Yuav kuaj mob dab tsi?
Ua ntej tshaj, koj yuav tsum mus kuaj rau tus kws kho mob uas yuav txiav txim siab seb tus kws kho mob twg koj yuav tsum hu rau. Cov no tuaj yeem yog:
- kws tshuaj mob plab.
- Dietitian.
- Proctologist.
- Tus kws kho mob.
- Neurologist.
Txhawm rau kuaj mob, cov kev sim hauv qab no yuav raug sau:
- Kev tshuaj ntsuam ntshav, zis, quav.
- kuaj ntshav biochemical.
- Stool exam for occult blood.
- Coprogram.
- Sigmoidoscopy.
- Colonofibroscopy.
- Irrigoscopy.
- X-ray kev kuaj.
- Biopsy ntawm cov ntaub so ntswg hauv plab.
- CT.
- YUltrasound.
Tsuas yog tom qab kuaj tag nrho, tus kws kho mob sau tshuaj kho.
Muaj kev kuaj mob
Kuv xav kom nco ntsoov tias nrog kev ua haujlwm tsis zoo ntawm lub plab zom mov, tsis paub meej, kev kuaj mob yog raws li qhov tseeb tias tus neeg mob muaj cov tsos mob hauv qab no tau 3 lub hlis:
- mob plab lossis tsis xis nyob.
- Kev tshem tawm ntau zaus lossis nyuaj.
- quav quav yog dej los yog tawv.
- txheej txheem defecation cuam tshuam.
- Tsis xav tias zoo li lub plab zom mov.
- Muaj hnoos qeev lossis ntshav hauv cov quav.
- Meteorism.
Qhov tseem ceeb palpation thaum kuaj, yuav tsum yogsuperficial thiab tob zawv zawg. Koj yuav tsum tau them sai sai rau qhov mob ntawm daim tawv nqaij, kom nce rhiab heev ntawm tus kheej qhov chaw. Yog tias peb xav txog kev kuaj ntshav, raws li txoj cai, nws tsis muaj qhov txawv txav pathological. Kev kuaj X-ray yuav pom cov tsos mob ntawm txoj hnyuv dyskinesia thiab tuaj yeem hloov pauv hauv cov hnyuv. Barium enema yuav qhia qhov mob thiab tsis sib npaug ntawm cov hnyuv loj. Kev kuaj mob endoscopic yuav paub meej tias qhov o ntawm cov mucous daim nyias nyias, nce kev ua haujlwm secretory ntawm cov qog. Nws tseem yog ib qho tsim nyog kom tsis suav nrog peptic rwj ntawm lub plab thiab 12 duodenal rwj. Lub coprogram yuav qhia tias muaj cov hnoos qeev thiab ntau dhau ntawm cov quav. Ultrasound qhia txog pathology ntawm lub gallbladder, pancreas, pelvic kabmob, osteochondrosis ntawm lub lumbar qaum thiab atherosclerotic lesions ntawm lub plab aorta. Tom qab kuaj xyuas cov quav, kev tshuaj xyuas kab mob bacteriological tsis suav nrog tus kab mob sib kis.
Yog tias muaj cov sutures tom qab phais, cov kab mob nplaum thiab kev ua haujlwm ntawm plab hnyuv yuav tsum raug txiav txim siab.
Yuav kho li cas?
Yuav kom kev kho mob kom zoo li qhov ua tau, yog tias kuaj pom qhov ua haujlwm ntawm lub plab zom mov, cov txheej txheem yuav tsum tau ua:
- Tsim kom muaj kev ua haujlwm thiab so.
- Siv txoj kev kho mob hlwb.
- Ua raws li tus kws qhia noj zaub mov.
- noj tshuaj.
- Thov kho kho lub cev.
Tam sim no me ntsis txog lawv txhua tus.
Ib ob peb txoj cai rau kev kho mob plab hnyuv:
- Nyob sab nraum tsis tu ncua.
- Kev tawm dag zog. Tshwj xeeb tshaj yog tias kev ua haujlwm yog sedentary.
- Txhob tus cwj pwm phem.
- Tsis txhob muaj kev ntxhov siab.
- Yuav tau so, xav txog.
- Da dej sov tsis tu ncua.
- Tsis txhob noj khoom txom ncauj.
- noj zaub mov uas yog probiotics thiab muaj cov kab mob lactic acid.
- txwv tsis pub cov txiv hmab txiv ntoo thiab zaub tshiab rau raws plab.
- massage plab.
Txoj kev ntawm kev puas siab puas ntsws pab kho kev ua haujlwm tsis zoo ntawm txoj hnyuv, uas cuam tshuam nrog kev ntxhov siab. Yog li, nws tuaj yeem siv hom kev kho mob hlwb hauv qab no hauv kev kho mob:
- Hypnosis.
- Txoj kev coj tus cwj pwm kev puas siab puas ntsws.
- Kev cob qhia Abdominal autogenic.
Nws yuav tsum nco ntsoov tias nrog cem quav, ua ntej ntawm tag nrho, nws yog ib qho tsim nyog yuav tsum tau so lub siab, tsis yog txoj hnyuv.
Tus neeg noj zaub mov pom zoo:
- Khoom noj yuav tsum muaj ntau yam.
- Haus dej yuav tsum muaj ntau, tsawg kawg yog 1.5-2 litres ib hnub.
- Tsis txhob noj zaub mov tsis zoo.
- Tsis txhob noj zaub mov txias lossis kub heev.
- Tsis txhob noj txiv hmab txiv ntoo thiab zaub nyoos thiab ntau.
- Tsis txhob tsim txom cov khoom uas muaj cov roj yam tseem ceeb, cov khoom noj mis nyuj thiab cov roj refractory.
Kev kho mob plab hnyuv muaj xws li cov tshuaj hauv qab no:
- Anspasmodics: Buscopan, Spazmomen, Dicetep, No-shpa.
- Serotonergic tshuaj: Ondansetron, Buspirone.
- YCarminatives: Simethicone, Espumizan.
- Sorbents: "Mukofalk", "Activated carbon".
- tshuaj tiv thaiv kab mob: Linex, Smecta, Loperamide.
- Prebiotics: Lactobacterin, Bifidumbacterin.
- Tshuaj tiv thaiv kev nyuaj siab: Tazepam, Relanium, Phenazepam.
- Neuroleptics: Eglonil.
- Tshuaj tua kab mob: Cefix, Rifaximin.
- Cov tshuaj rau cem quav: Bisacodyl, Senalex, Lactulose.
Tus kws kho mob yuav tsum tau sau tshuaj, suav nrog tus yam ntxwv ntawm lub cev thiab lub sijhawm ntawm tus kabmob.
Kev kho lub cev
Txhua tus neeg mob tau muab tshuaj kho lub cev rau tus kheej, nyob ntawm qhov ua haujlwm tsis zoo ntawm txoj hnyuv. Tej zaum lawv yuav muaj xws li:
- Bishofite carbon dioxide da dej.
- Kev kho nrog cuam tshuam tam sim no.
- Siv cov diadynamic tam sim no.
- Reflexology thiab acupuncture.
- Kev kho mob thiab lub cev kab lis kev cai complex.
- YElectrophoresis nrog magnesium sulfate.
- plab hnyuv massage.
- Cryomassage.
- Ozone therapy.
- Swimming.
- YYoga.
- Laser kho.
- Autogenic exercises.
- Sov compresses.
Cov txiaj ntsig zoo tau raug sau tseg nrog kev siv cov dej ntxhia hauv kev kho mob plab hnyuv. Nws yuav tsum tau muab sau tseg tias tom qabCov txheej txheem physiotherapy qee zaum tsis xav tau tshuaj. Kev ua haujlwm ntawm cov hnyuv tau zoo dua. Tab sis tag nrho cov txheej txheem ua tau tsuas yog tom qab kuaj tag nrho thiab nyob rau hauv kev saib xyuas ntawm kws kho mob.
Tiv thaiv kev ua haujlwm tsis zoo ntawm lub plab
Txhua yam kab mob yooj yim tiv thaiv dua li kho. Muaj cov cai rau kev tiv thaiv kab mob plab hnyuv uas txhua tus yuav tsum paub. Cia peb sau lawv:
- Khoom noj yuav tsum muaj ntau yam.
- Nws yog qhov zoo dua los noj feem ntau, hauv me me 5-6 zaug hauv ib hnub.
- Cov ntawv qhia zaub mov yuav tsum muaj cov qhob cij tag nrho, cereals, bananas, dos, siab fiber ntau bran.
- Tsis suav cov zaub mov uas tsim cov roj los ntawm koj cov zaub mov yog tias koj nyiam ua rau flatulence.
- Siv cov khoom laxative ntuj: plums, khoom noj siv mis, bran.
- Be active.
- Control koj qhov hnyav. Kev rog dhau ua rau cov kab mob ntawm lub plab zom mov.
- Txhob tus cwj pwm phem.
Ua raws li cov cai yooj yim no, koj tuaj yeem zam tau cov kab mob xws li kev ua haujlwm tsis zoo ntawm lub plab.
