Atonic cem quav yog ib qho teeb meem tshwm sim los ntawm tib neeg tsis hais hnub nyoog thiab poj niam txiv neej. Tus kab mob no sib npaug feem ntau kuaj pom hauv cov menyuam mos thiab cov neeg laus. Yog lawm, kev ua txhaum ntawm cov txheej txheem defecation tsis zoo cuam tshuam rau lub neej zoo ntawm tus neeg mob. Tias yog vim li cas nws thiaj tsim nyog tau txais cov ntaub ntawv hais txog cov kab mob no, nrhiav seb cov tsos mob ntawm atonic cem quav thiab dab tsi yog kev kho mob ntawm tus kab mob no.
Cov ntaub ntawv dav dav txog tus kabmob. Classification scheme
Atonic cem quav yog ib qho teeb meem tshwm sim. Tus kab mob yog nrog los ntawm ib tug txo nyob rau hauv lub suab ntawm cov phab ntsa ntawm lub qhov quav (lawv atony). Qhov tsis muaj zog ntawm cov phab ntsa hauv plab hnyuv cuam tshuam rau peristalsis, vim tias cov quav tsis tuaj yeem txav mus rau qhov quav sphincter. Yog li, cov quav yuav nyuaj thiab nyuaj, uas ua rau cem quav.
Qhov ua rau cem quav atonic yuav tau tham ntxiv hauv qab no. Tab sis etiology tseem ceeb heev rau kev faib tawmmob. Cov ntawv hauv qab no yog qhov txawv:
- ua haujlwm cem quav yog ib hom mob uas feem ntau tshwm sim los ntawm kev puas siab puas ntsws;
- neurogenic - cuam tshuam nrog kev ua haujlwm tsis zoo ntawm phab ntsa plab zom mov;
- alimentary - tsim tawm tsam keeb kwm ntawm kev noj zaub mov tsis txaus;
- hypodynamic - txuam nrog kev ua neej nyob tsis tu ncua;
- endocrine - tsim tawm tsam keeb kwm ntawm kev cuam tshuam hormonal (piv txwv li, nrog kev ua haujlwm tsis zoo ntawm cov thyroid caj pas);
- proctogenic - cuam tshuam nrog cov kab mob ntawm lub qhov quav, tshwj xeeb hemorrhoids;
- drug - tsim tawm tsam keeb kwm ntawm kev noj qee yam tshuaj;
- spastic - txuam nrog spasms ntawm lub plab hnyuv phab ntsa (qee zaum psychosomatic);
- idiopathic - lawv tham txog hom kab mob no yog tias tsis pom qhov ua rau.
Qhov laj thawj tseem ceeb ntawm kev txhim kho tus kabmob
Qhov tseeb, atonic cem quav tuaj yeem txhim kho raws li kev cuam tshuam ntawm ntau yam:
- Raws li kev txheeb cais, feem ntau, teeb meem nrog kev tso quav tawm hauv cov neeg uas, rau ib qho laj thawj lossis lwm qhov, ua rau kev ua neej nyob tsis muaj zog. Tsis muaj kev ua si ntawm lub cev (pom, piv txwv li, tawm tsam keeb kwm ntawm kev ua haujlwm sedentary lossis thaum tus neeg raug yuam kom nyob hauv txaj ntev ntev) nrog rau qhov tsis muaj zog ntawm cov leeg hauv plab thiab txo qis ntawm lub suab nrov. cov nqaij mos ntawm txoj hnyuv.
- Lwm yam ua rau cem quav atonic yog qhov tsis ncaj ncees lawmkhoom noj khoom haus. Yog tias kev noj zaub mov muaj rog thiab nqaij cov tais diav, ces qhov tsos ntawm cov teeb meem ntawm plab hnyuv siab raum yog qhov ntuj tsim. Tsis txhob hnov qab tias zaub fiber ntau yog ib qho stimulator ntawm txoj hnyuv motility. Tias yog vim li cas nws tseem ceeb heev kom suav cov zaub tshiab, txiv hmab txiv ntoo thiab cereals hauv koj cov zaub mov txhua hnub.
- Kev noj haus kuj tseem ceeb. Constipation tshwm sim yog tias ib tug neeg tas li noj khoom txom ncauj thaum khiav thiab tsis kam thawj cov kev kawm.
- Lub cev qhuav dej yog lwm qhov ua rau cem quav. Nws yuav tsum nco ntsoov tias ib tug neeg yuav tsum haus tsawg kawg 2 litres dej ib hnub twg.
- Los ntawm txoj kev, qhov zoo ntawm cov kua koj haus kuj tseem ceeb. Cov txiv qaub hauv dej ntau dhau tuaj yeem ua rau cem quav.
- Cov xwm txheej pheej hmoo suav nrog kev mob hauv qee qhov ntawm lub plab zom mov. Tej zaum txaus ntshai yog erosive thiab ulcerative lesions ntawm mucous daim nyias nyias.
- Kev tsim txom ntawm kev ntxuav cov enemas thiab cov tshuaj laxative tuaj yeem ua rau lub npe hu ua tub nkeeg plob hau. Yog tias lub plab zom mov tsis tu ncua los ntawm cov tshuaj, tom qab ntawd maj mam cov hnyuv poob peev xwm ua qhov no ntawm lawv tus kheej.
- Cov kab mob sib kis kuj muaj peev xwm txaus ntshai, vim kev qaug cawv nrog cov kua dej ntau ntau.
- Cov xwm txheej pheej hmoo suav nrog kev noj cov co toxins.
- Atonic cem quav tuaj yeem tshwm sim tawm tsam keeb kwm ntawm kev qaug zog ntawm lub cev.
- Cov poj niam yuav muaj teeb meem zoo sib xws thaum cev xeeb tub lossis tom qabkev yug me nyuam.
- Muaj peev xwm txaus ntshai yog kev xav thiab kev puas siab puas ntsws, kev ntxhov siab tas li.
- cem quav qee zaum tawm tsam keeb kwm ntawm cov kab mob endocrine. Los ntawm txoj kev, cov poj niam kuj ntsib teeb meem thaum lub sij hawm cev xeeb tub, raws li lub sij hawm no yog nrog los ntawm cov kev hloov loj nyob rau hauv hormonal theem.
- Risk yam muaj xws li rog dhau, rog.
- Qee zaus atonic cem quav tshwm sim tom qab phais plab lossis plab plab.
- Kev siv sijhawm ntev, kev tswj tsis tau ntawm qee cov tshuaj kuj tseem txaus ntshai (kev cem quav tshwm sim nrog kev siv cov tshuaj antispasmodics, antacids, beta-blockers, sedatives, calcium antagonists).
Tau kawg, nyob rau hauv tus txheej txheem ntawm kev kuaj mob nws yog ib qho tseem ceeb kom paub tias dab tsi tshwm sim ntawm cem quav. Kev tshem tawm qhov ua rau kev loj hlob ntawm tus kab mob yog ib feem ntawm nws txoj kev kho kom zoo.
Cov tsos mob ntawm cem quav atonic
Cov tsos mob ntawm tus kab mob tuaj yeem txawv. Hmoov tsis zoo, cov neeg mob feem ntau pom lawv lig dhau lawm:
- Ntau tus neeg mob yws ntawm qhov mob plab thiab tsis xis nyob. Qhov tseeb yog hais tias tawm tsam keeb kwm ntawm cem quav, ib tug loj npaum li cas ntawm cov quav accumulates nyob rau hauv cov hnyuv. Raws li qhov tshwm sim ntawm cov txheej txheem no, cov phab ntsa hauv plab hnyuv tau ncab, uas ua rau cov khoom nyob ze ntawm lub cev, cov hlab ntsha thiab cov hlab ntsha.
- Kev khiav tawm ntawm txoj hnyuv tshwm sim tsawg dua ib zaug txhua 2 hnub (tawm, tawm tsam keeb kwm yav dhau los, kev noj zaub mov txaus).
- Defecation nyuaj. Tus neeg mob yuav tsum tau siv zogstraining lub plab phab ntsa thiaj li ua rau lub plab zom mov. Cov txheej txheem feem ntau nrog rau qhov mob, uas cuam tshuam nrog kev ncab hnyav, thiab qee zaum ua rau lub qhov quav ntawm qhov quav thiab qhov quav sphincter.
- Feces muaj ib qho nyuaj, qhuav zoo nkauj.
- Ntau tus neeg yws yws ntawm lub plab plab.
- Nqaij thiab cov ntshav tuaj yeem tshwm sim hauv cov quav, uas cuam tshuam nrog kev puas tsuaj rau cov hnyuv mucosa los ntawm cov quav tawv.
- Teeb meem nrog kev zom zaub mov tseem cuam tshuam rau lub cev. Cov neeg mob feem ntau yws yws ntawm kev qaug zog, tsis qab los noj mov. Qee lub sij hawm, muaj qhov nce hauv lub cev kub, ua daus no, xeev siab.
Thaum cov tsos mob tshwm sim, tsis txhob ua siab deb - nrog kws kho mob.
Muaj Teeb Meem
Raws li kev txheeb cais, atonic cem quav hauv cov neeg laus (nrog rau cov menyuam yaus) feem ntau teb tau zoo rau kev kho mob. Yog tias txoj kev kho tau pib lig dhau lawm, lossis tus neeg tsis tau mus ntsib kws kho mob txhua, ces muaj qhov ua rau muaj teeb meem. Lawv cov npe, hmoov zoo, yog me me:
- Cov teeb meem tsis tu ncua ntawm plab hnyuv qee zaum ua rau kev loj hlob ntawm hemorrhoids (los yog nws txoj kev loj hlob yog tias tus kab mob twb tshwm sim lawm).
- Tsis tshua muaj, atonic cem quav ua rau mob qhov quav fissures.
- Tus kab mob qee zaum hloov mus ua ib qho mob ntev, uas nyuaj rau kho.
- Muaj ib txwm muaj peev xwm tsim cov txheej txheem inflammatory hauv cov hnyuv, nrog rau cov kab mob thib obcov ntaub so ntswg ntawm qhov quav sphincter thiab mucous ntawm qhov quav.
Yog vim li cas koj tsis txhob txaj muag ntawm qhov teeb meem no - nws yog qhov zoo dua yog hu rau tus kws kho mob tshwj xeeb hauv lub sijhawm thiab tau txais kev kho mob.
ntsuas ntsuas
Kev vam meej ntawm kev kho mob ntawm atonic cem quav feem ntau nyob ntawm qhov kev kuaj mob kom raug. Tom qab tag nrho, tus kws kho mob yuav tsum tau tsis tsuas yog yuav tsum tau kuaj mob, tab sis kuj txiav txim seb dab tsi ua rau lub atony ntawm lub plab hnyuv phab ntsa thiab seb puas muaj cov teeb meem cuam tshuam. Yog li ntawd, tom qab tshuaj xyuas cov kev tsis txaus siab thiab sau cov anamnesis, tus neeg mob raug xa mus rau kev kuaj ntxiv.
- Ua ntej tshaj plaws, kev tshuaj xyuas cov quav yog ua tiav. Nyob rau hauv cov ntaub ntawv no, tus neeg pab kuaj mob tsis tsuas yog rau cov tshuaj muaj pes tsawg leeg ntawm cov quav, tab sis kuj rau lawv lub cev yam ntxwv (cov qauv, sib xws, muaj cov khoom noj uas tsis muaj digested, thiab lwm yam).
- Kev suav ntshav ua tiav.
- Yog tias muaj laj thawj ntseeg tias cem quav yog tshwm sim los ntawm cov tshuaj hormonal, ces tus neeg mob muab cov ntshav kuaj los txiav txim seb qib ntawm cov tshuaj hormones. Yog hais tias thaum lub sij hawm soj ntsuam nws tau txiav txim siab tias tus kab mob yog txuam nrog, piv txwv li, nrog thyroid kab mob, ces ib tug ultrasound ntawm lub cev yog ua.
- Sigmoidoscopy thiab irrigoscopy yog qhov yuav tsum tau ua - cov kev ntsuam xyuas no pab kawm txog cov qauv ntawm txoj hnyuv.
- Yog xav tias mob qog noj ntshav, kuaj qog nqaij hlav tiav.
Drug therapy
Yuav ua li cas kho atonic cem quav? Txoj kev kho mob feem ntau nyob ntawm qhov ua rau ntawm qhov teeb meem. Qee zaum tus neeg mobNws yog txaus los kho cov zaub mov thiab ua kev kho mob nyob rau hauv thiaj li yuav normalize cov quav. Yog tias cov xwm txheej zoo li no tsis txaus, ces siv tshuaj:
- Qee zaum tus kws kho mob tau sau cov tshuaj uas ua rau lub plab zom mov. Cov tshuaj Anticholinesterase suav tias yog siv tau, tshwj xeeb, Ganaton, Coordinax, Peristil, Prozerin. Tau kawg, nws tsis tuaj yeem noj cov tshuaj yam tsis tau tso cai. Nyob rau hauv cov ntaub ntawv no, nws yog ib qho tseem ceeb kom raug txiav txim siab npaum li cas. Kev kho mob ntev heev tuaj yeem ua rau cov phab ntsa hauv plab tsis muaj zog ntxiv.
- Yog tias tus kab mob no nrog rau qhov mob hnyav, ces tus neeg mob tau muab tshuaj antispasmodics. Cov tshuaj xws li No-Shpa, Spazmalin, Spazmalgon, Drotaverine, Papaverine, Maxigan raug suav hais tias yog siv tau.
- Laxative tsuas yog siv los ua qhov kawg nkaus xwb. Cov roj castor yog suav tias yog siv tau, nrog rau cov tshuaj xws li Regulax, Bisadil, Lizalak.
Puas enemas puas siv tau?
Qee zaum qee cov txheej txheem suav nrog hauv cov txheej txheem kho mob. Hauv particular, ib qho enema yog suav hais tias zoo. Nrog atonic cem quav, xws li manipulations pab ntxuav cov hnyuv.
- Hypertonic (saline daws) qee zaum txhaj rau hauv cov hnyuv. Cov khoom zoo li no ua rau cov quav tawv thiab ua rau lub plab zom mov, ua kom peristalsis thiab ua kom yooj yim rau cov txheej txheem defecation.
- Tshuaj enema rau atonic cem quav kuj tseem siv tau. Rau cov txheej txheem, cov dej zoo tib yam, purified yog siv. Raws li txoj cai, 1-2 yog txhaj rau hauv txoj hnyuvl ntawm cov kua, uas ua rau cov txheej txheem ntawm kev tshem tawm cov hnyuv. Qee zaum koj tuaj yeem ntxiv cov decoction ntawm ntoo qhib tawv ntoo, paj calendula thiab chamomile rau hauv dej.
- Roj enemas tau qhia yog tias cov quav tawv dhau thiab muaj kev pheej hmoo ntawm kev puas tsuaj rau cov hnyuv mucosa thaum lub plab zom mov. Rau cem quav, castor, txiv ntseej, vaseline, linseed, taub dag roj yog siv. Tsis pub ntau tshaj 150 ml ntawm cov kua tuaj yeem txhaj rau hauv txoj hnyuv ib zaug. Nws yog qhov zoo dua kom sov cov roj hauv dej da dej rau 38-39 degrees. Cov txheej txheem yog ua tau zoo tshaj plaws ua ntej yuav mus pw. Cov nyhuv tshwm sim tom qab 8-9 teev.
Tam sim ntawd nws yuav tsum tau hais tias cov txheej txheem no tsuas yog ua tiav nrog kev tso cai thiab nyob rau hauv kev saib xyuas ntawm kws kho mob. Kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj kev phom sij.
Kev noj haus rau atonic cem quav thiab tsam plab
Muaj tseeb tiag, kev kho tshuaj siv tau zoo. Tab sis ib feem tseem ceeb ntawm txoj kev kho yog kev noj haus. Nrog atonic cem quav, nws yog ib qho tseem ceeb kom muaj xws li zaub thiab txiv hmab txiv ntoo nyob rau hauv kev noj haus (apricots, plums, carrots thiab beets yog xam tau tias yog tshwj xeeb tshaj yog pab tau). Cov ntawv qhia zaub mov muaj xws li nqaij qaib nqaij, ntses tsis muaj rog, durum pasta, fermented mis nyuj cov khoom, zaub kua zaub, kua txiv hmab txiv ntoo unsweetened, rye qhob cij, berries, buckwheat.
Tseem muaj cov khoom txaus ntshai uas yuav tsum tau tso tseg tsawg kawg ib ntus. Lawv cov npe suav nrog chocolate, nqaij nyug, nqaij rog thiab ntses, qe (hauv daim ntawv ntshiab), kas fes, mustard, nceb, qhob cij dawb, semolina, qej, cawv, zaub mov kaus poom, ntsim seasonings, radishes, dos, radishes, dawb mov. Cov tais diav yog qhov zoo tshaj plaws ci, boiled los yog steamed.
kev kho neeg zoo
Kev kho mob cem quav tuaj yeem ntxiv nrog qee qhov kev txhais tau los ntawm arsenal ntawm cov tshuaj ib txwm siv. Lawm, lawv tsuas yog siv tau nrog kev tso cai los ntawm tus kws kho mob tshwj xeeb.
- Qee cov neeg kho mob pom zoo kom haus sauerkraut brine, ib nrab khob ib hnub (nyiam dua sov me ntsis ua ntej noj).
- Zoo rau cem quav yog ib qho compote ntawm qhuav txiv apples thiab cherries.
- Siv tau yuav yog ib lub decoction ntawm oats, uas softens quav thiab muaj astringent zog.
- Raws li kev tiv thaiv, kws kho mob pom zoo kom haus kefir thiab / lossis yogurt txhua hnub.
- Muaj zog laxative zog muaj cov zaub ntsuab tshiab los yog kua txiv beetroot. Koj tuaj yeem siv cov nyiaj no tsuas yog qee lub sijhawm.
- Dill noob decoction (tsis yog concentrated) yuav pab nrog plab tsis xis nyob.
- zib ntab (yias ib tablespoon ntawm zib mu nyob rau hauv ib khob dej sov) pab pib plab.
- Ua ntej yuav mus pw, koj tuaj yeem haus ib lub decoction ntawm cov noob flax, uas pab ua kom cov quav mos.
- Natural laxative is a decoction of the herb senna.
Cov nyiaj no yeej tiv nrog cem quav. Txawm li cas los xij, lawv tsis tuaj yeem siv txhua lub sijhawm. Nws yog ib qho tseem ceeb los txheeb xyuas qhov ua rau muaj teeb meem thiab tshem tawm lawv. Tsuas yog tom qab ntawd ib tus tuaj yeem hais txog kev rov zoo tag nrho.
ntsuas kev tiv thaiv
Koj twb paub txog cov tsos mob tseem ceeb thiab kev kho mob ntawm atonic cem quav. Tab sis qee zaum nws yooj yim dua los tiv thaiv kev txhim kho ntawm tus kab mob. Tsis muaj kev tiv thaiv tshwj xeeb. Cov kws kho mob tsuas pom zoo ua raws li qee txoj cai:
- noj kom raug, zam cov khoom noj ceev, cov khoom noj rog dhau thiab kib, tshuaj tua kab mob thiab lwm yam khoom noj tsis zoo;
- lo rau kev haus dej haus cawv (nws pom zoo kom haus tsawg kawg 2 litres dej huv, tsis muaj carbonated ib hnub);
- ua kom haum, taug kev tsis tu ncua hauv huab cua ntshiab;
- tsis txhob tsim txom cov enemas lossis siv cov tshuaj laxative yam tsis muaj kws kho mob sau;
- zaws plab yuav pab tau, tshwj xeeb tshaj yog thaum cem quav thiab me nyuam me;
- cov kws kho mob pom zoo kom tsis txhob muaj kev ntxhov siab thiab ua haujlwm dhau, vim tias txhua yam no cuam tshuam rau feem ntau ntawm cov tshuaj hormonal thiab, raws li, kev ua haujlwm ntawm tag nrho lub cev.
Atonic cem quav yog ib qho teeb meem nyuaj heev. Yog tias koj pom cov tsos mob saum toj no hauv koj tus kheej, ces koj yuav tsum qhia koj tus kws kho mob txog nws - kev kho sai sai yog pib, muaj feem ntau rau lub cev rov qab sai thiab ua tiav.
