Cov neeg mob uas muaj tus mob plab zais zis yog qhov tshwm sim thiab tib lub sijhawm nyuaj rau kev coj ua ntawm tus kws kho mob plab. Nws tsis yog ib txwm ua tau kom raug txiav txim siab qhov ua rau ntawm tus kab mob, raws li, raws sijhawm thiab muaj peev xwm xaiv txoj kev kho mob. Lo lus "mob plab" yog hais txog lub plab zom mov nquag nrog kev tso kua dej tawm. Secretory raws plab txawv los ntawm lwm hom nyob rau hauv uas muaj ntau ntau secretion ntawm dej thiab electrolytes nrog ib tug mob paug tawm ntawm cov hnyuv.
Symptomatics
Cov tsos mob tseem ceeb ntawm cov kab mob zais zis muaj xws li:
- nce hauv lub cev kub txog 37-37.8 degrees;
- muaj kev lom zem me ntsis ntawm lub cev;
- mob spastic tsawg tsawg;
- tsis muaj tseeb yuam kom tso quav; Electrolyte tsis sib npaug yog cuam tshuam (kuaj nyob rau hauv chav kuaj sim);
- muaj cov tshuaj ntsuab ntsuab hauv cov quav, cov quav dej tsis muajtsw.
Pathogenesis
Cov txheej txheem pathological accumulates hauv cov hnyuv. Vim yog kev ua kom cov enterocyte adenylate cyclase los ntawm enterotoxins, qhov nce hauv cov cell adenosine monophosphate tshwm sim. Raws li qhov tshwm sim ntawm cov txheej txheem no, kev thauj mus los ntawm sodium thiab calcium ions raug cuam tshuam, tom qab ntawd los ntawm lawv cov tsub zuj zuj hauv plab hnyuv lumen, tom qab uas cov dej accumulates, thiab, yog li, cov quav quav ntau dhau. Lub pathogenesis ntawm secretory zawv plab zoo ib yam li cov txheej txheem pathological ntawm salmonellosis thiab cholera.
Diagnosis
Thaum xub thawj, cov kws kho mob txiav txim siab seb hom mob raws plab los ntawm kev nug tus neeg mob txog kev tso quav thiab quav quav. Cov ntaub ntawv no tso cai rau koj los txiav txim siab qib thiab etiology ntawm qhov txhab. Cov kauj ruam thib ob hauv kev kuaj mob yog keeb kwm noj. Cov txiaj ntsig ntawm kev txheeb xyuas yuav tso cai rau txiav txim siab cov kab mob sib kis, tus neeg mob txoj kev noj zaub mov zoo, muaj kev tsis haum rau cov khoom noj siv mis, siv tshuaj, nrog rau kev ua haujlwm ntawm lub plab zom mov.
Kev tshawb fawb txog kev zais zais zais zais hauv cov menyuam yaus thiab cov neeg laus pib nrog kev txiav txim siab ntawm cov leukocytes thiab erythrocytes hauv cov quav. Kev tshawb fawb kab mob ntawm cov quav thiab sigmoidoscopy kuj tau ua, ua tsaug uas nws muaj peev xwm tsim kom muaj kev sib txuas ntawm tus kab mob thiab kab mob parasitic ntxeem tau, tsis yog tshwj xeeb o ntawm txoj hnyuv thiab ntau yam kab mob.
Txoj kev mob tshwm sim
Vim yog hom kab mob raws plab, lub cev qhuav dej tshwm sim vimua txhaum ntawm homeostatic kev cai ntawm cov dej ntim. Tsis tas li ntawd, cov metabolism hauv electrolyte tsis ua haujlwm, acidosis, hypokalemia thiab hyponatremia tsim (poob sai ntawm cov poov tshuaj thiab sodium los ntawm lub cev). Mob plab yog tus yam ntxwv los ntawm me me malabsorption (malabsorption nyob rau hauv cov hnyuv me) thiab dilution ntawm digestive enzymes.
Ua rau kab mob
Secretory raws plab tshwm sim vim qhov nce ntawm cov kab mob co toxins, bile acids, kab mob pathogenic, prostaglandins thiab lwm yam tshuaj lom neeg lom. Raws li qhov tshwm sim ntawm qhov tshwm sim, qhov tshwm sim ntawm tus kab mob tau muab faib ua ob hom:
Tsis muaj kab mob.
Tsis txhob kis kab mob hauv plab tuaj yeem tshwm sim los ntawm:
- Hereditary predisposition kom nce qib ntawm sodium secretion. Qhov tshwm sim no tshwm sim vim qhov tseeb tias kev hloov pauv noob tshwm sim, uas yog lub luag haujlwm ncaj qha rau kev tsim cov txhuam ciam teb ntawm enterocytes. Feem ntau, qhov no tuaj yeem pom hauv cov poj niam thaum cev xeeb tub.
- qog nqaij hlav uas ua rau tsim cov tshuaj hormones uas cuam tshuam qhov sib npaug ntawm kev zais cia.
- Nyob zoo laxatives.
- nce qib ntawm arsenic ntsev, co toxins thiab fungi hauv lub cev.
- Tus kab mob pancreatic, uas txhawb kev loj hlob ntawm cov qog nqaij hlav ntawm lub txiav thiab cov hnyuv mucosa ntawm hom malignant. Qhov no pathology ua rau siab hypochlorhydria, uas slows down zus tau tej cov hydrochloric acid nyob rau hauv lub plab hnyuv ib ntsuj av.plab hnyuv.
- Modular thyroid carcinoma, vim muaj kev ua txhaum ntawm kev tso dej thiab ntsev los ntawm enterocides.
- Chloride raws plab ntawm caj ces yam.
- Carcinoid syndrome uas cuam tshuam rau cov ntaub so ntswg ntawm lub bronchi thiab cov hnyuv. Cov kab mob no tshwm sim vim kev tso tawm ntau ntawm serotonin thiab bradykinin.
Kev kis kab mob raws plab tshwm sim raws li qhov tshwm sim ntawm tus kab mob cholera. Nyob rau hauv cov ntaub ntawv no, ib hnub ntim ntawm cov quav nce mus rau 10 litres thaum lub sij hawm defecation. Qhov no ua rau cov kua-electrolyte imbalance.
Kev kho mob plab zais zis
Txhawm rau txo tus neeg mob tus mob, kws kho mob siv:
- kev kho enzyme, uas yog, poly- thiab monoenzymes raug sau rau hauv cov tsos mob ntawm theem nrab fermentopathy;
- phage therapy - kev siv cov kab mob bacteriophages nrog kev tso tawm tas li ntawm UPM los ntawm cov quav;
- kev kho mob probiotic - kev siv cov tshuaj probiotic npaj rau kev ua txhaum ntawm microbiocenosis;
- phytotherapy ua ib qho kev pab kho mob (xws li decoctions ntawm St.
- vitamin kho - noj cov vitamin-mineral complex.
Kev kho mob plab zais zis tom qab kev phais mob suav nrog kev pw tsaug zog rau tag nrho lub sijhawm ntawm kev kho mob, ua raws li kev hloov mus rau ib nrab txaj. Txhawm rau rov qab cov dej thiab electrolyte sib npaug, kev rov ua dej yog nqa tawm siv cov tshuaj ntsev rau kev tswj qhov ncauj. Nyob rau hauv mob raws plab nrog rau ntuav ntuav, parenter altshuaj noj.
Kev noj haus
Ntxiv rau kev kho mob ntawm cov kab mob zais zis, koj yuav tsum ua raws li cov cai yooj yim noj zaub mov kom ceev cov txheej txheem kho:
- txwv tsis pub noj ntsim thiab ntsim tais diav, nqaij haus luam yeeb, nrog rau cov zaub mov los ntawm cov zaub fiber ntau.
- Mis qab zib - lactose - tsis suav nrog tag nrho cov khoom noj txhua hnub. Hauv qhov no, cov neeg mob tuaj yeem siv cov mis tsis muaj lactose.
- Cov neeg mob yuav tsum noj cov zaub mov uas muaj zaub ua kua zaub, nrog rau cov zaub mov ntxiv, xws li qos yaj ywm, zaub qhwv lossis zucchini.
- Yog tias tsim nyog, thiab tsuas yog tom qab sab laj nrog kws kho mob, cov tshuaj lom neeg lom neeg (lysozyme, bifidumbacterin) tau nkag rau hauv kev noj haus.
- Cov zaub mov hauv qab no yuav tsum raug cais tawm ntawm cov khoom noj: qej, dos, plums, melons, spinach, sorrel, turnips, radishes, nplej thiab barley porridge, dawb cabbage, beets, nceb, apricots.
Cov menyuam yaus cov kws kho mob pom zoo kom siv cov fermented mis nyuj sib tov, piv txwv li, acidophilic thiab propionic acidophilic mis, kefir, thiab lwm yam. Nrog secretory raws plab nyob rau hauv cov me nyuam, nws yog tsim nyog txwv tsis pub noj ntsim, haus luam yeeb thiab kib zaub mov, thiab. Raws li los ntawm obligate allergens. Nyob ntawm daim ntawv ntawm cov kab mob, qhov zaus ntawm kev pub mis tuaj yeem nce mus txog 6-10 zaug hauv ib hnub, nyob ntawm hnub nyoog.
Secretory raws plab hauv me nyuam
Mob plab yog suav tias yog ib qho mob meib tus kab mob uas tua tau txog 1.5 lab tus tib neeg txhua xyoo. Nrog raws plab hauv cov menyuam yaus, cov quav ua kua thiab dej tau pom. Indigestion yog nrog los ntawm anorexia, poob ceeb thawj sai, ntuav, mob plab, los ntshav, thiab kub taub hau vim kub taub hau. Tus kab mob no tshwm sim nws tus kheej hnyav dua li cov neeg laus.
Cov tsos mob ntxhov siab hauv cov menyuam yaus tuaj yeem txiav txim siab:
- ntshav quav;
- ntuav kua tsib;
- pallor;
- tachycardia;
- hypodynamia;
- bloating.
Kev kho mob raws plab hauv cov menyuam yaus yog txhawm rau tshem tawm cov cim tshwj xeeb ntawm tus kabmob. Qhov ncauj rehydration yog yuav tsum tau nrog ib tug tov uas muaj complex carbohydrates los yog qabzib. Cov kev daws teeb meem zoo li no tsis suav nrog cov kua txiv hmab txiv ntoo, cov roj carbonated thiab cov dej haus ua si. Koj tuaj yeem yuav cov kev daws teeb meem tshwj xeeb ntawm lub tsev muag tshuaj yam tsis muaj kws kho mob sau ntawv. Cov tshuaj yog siv los ntawm cov menyuam yaus me me txog li 5 zaug hauv ib hnub. Maj mam, qhov ntim ntawm cov dej haus nce ntxiv nyob ntawm qhov ua siab ntev.
Ua ntej pib kho cov txheej txheem pathological, koj yuav tsum sab laj nrog koj tus kws kho mob. Kev xaiv tus kheej ntawm kev kho tshuaj tsis zoo tuaj yeem ua rau lub xeev muaj kev noj qab haus huv ntau zuj zus.
