Thaum cov leeg nqaij sib cog lus, cim los ntawm kev ncua sij hawm nyob rau hauv lub sij hawm so, ib tug spasm pom nyob rau hauv cov hnyuv. Nws tuaj yeem tshwm sim los ntawm ntau yam kab mob, nrog rau thaum muaj tshuaj lom. Nyob rau tib lub sijhawm, cov quav tsis ruaj khov tau pom, thaum zawv plab hloov los ntawm cem quav, qhov tsos mob ntawm lub plab plab, uas tuaj yeem nrog flatulence.
Mechanism
Kev mob plab hnyuv tshwm sim los ntawm cov nthwv dej perist altic, nyob rau hauv uas cov leeg nqaij ntawm nws ntau lub tuam tsev ua haujlwm sib hloov, los ntawm duodenum mus rau cov nyuv sigmoid. Nyob rau hauv lub qhov quav, xws li txav tsis tau pom, vim tias cov zaub mov raug thawb ntawm nws nrog kev pab los ntawm cov nthwv dej saum toj no. Tsis tas li ntawd, pendulum contractions thiab segmentation rhythmic yog pom nyob rau hauv lub cev. Nrog kev pab los ntawm tom kawg, lub pob ntawm cov zaub mov yog tov. Pendulum contractions pab txhawb rau nws txoj kev txav mus rau ntau txoj kev, vim tias nws txav mus rau qhov quav.
Spasm yog ib qho mob uas yog ib qho tsos mob ntawm lwm yam kab mob ntawm txoj hnyuv. Nws ua taudhau ntawm lawv tus kheej, tom qab cov roj sib txuas tau tawm mus lossis tom qab ib zaug mus ntsib chav huv. Yog tias qhov no tsis tshwm sim, koj yuav tsum mus ntsib kws kho mob.
Av rau qhov tshwm sim
Ua rau mob plab hauv cov hnyuv tuaj yeem yog cov hauv qab no:
- decomposition cov khoom ntawm cov ntaub so ntswg ntawm cov phab ntsa ntawm lub cev los ntawm kev ua tsis zoo ntawm cov ntshav ncig;
- hnyav hlau ntsev;
- kab mob thiab microflora;
- ntau yam co toxins;
- plab hnyuv overdistension;
- kev ua txhaum ntawm nws tus kheej;
- obstacles muaj nyob rau hauv nws;
- kab mob parasitic.
Kuj spasm tuaj yeem tshwm sim los ntawm cov kab mob neuropsychiatric uas ua rau cov quav xoob.
Signs
Ntau tshaj ntawm lawv yog cov hauv qab no:
- pom qhov kev xav hnyav, uas yog nyob rau hauv lub plab hauv qab;
- xov xwm zoo ib yam nyob hauv lub dab.
Cov tsos mob ntawm plab hnyuv plab kuj yog cem quav thiab nws cov txheej txheem rov qab - raws plab, nrog rau xeev siab, belching thiab flatulence. ntuav, ua daus no, mob taub hau, thiab hws txias tuaj yeem tshwm sim.
Ntxiv mus, tej zaum yuav muaj thrombosis ntawm cov hlab ntsha me thiab plab hnyuv. Nyob rau hauv cov ntaub ntawv no, qhov mob puv tag nrho peritoneal cheeb tsam. Lub plab ua nyuaj, muaj kev xav tias plab hnyuv puv, uas tsis ploj txawm tias tom qab mus xyuas chav huv.
Cov tsos mob thiab kev kho mob spasmcov hnyuv yuav tsum muaj kev sib tshuam. Nws yog ib qho tsim nyog los txheeb xyuas qhov ua rau tus mob no, thiab tshem tawm qhov ua rau ua rau tus mob no. Ua li no, koj yuav tsum hu rau tus kws kho mob gastroenterologist.
Qhov tshwm sim ntawm plab hnyuv spasm hauv ntau yam pathologies
Nws tuaj yeem tshwm sim los ntawm cov kab mob hauv qab no:
- mob plab hnyuv, vim yog cov khoom noj tsis zoo nkag mus rau hauv cov hnyuv thiab ua rau nws mob plab;
- kab mob hauv plab xws li kab mob cholera, typhoid, salmonellosis, dysentery, thiab lwm yam.;
- helminthiases, vim yog cov kab mob roundworms ua rau cov hlab ntsha xaus ntawm txoj hnyuv, thaiv nws cov lumen thiab ua rau muaj kev cuam tshuam;
- SARS thiab mob khaub thuas, uas, nrog rau cov tsos mob ntawm tus kab mob ua rau muaj kab mob, tuaj yeem ua rau mob plab hnyuv;
- mob plab hnyuv loj vim yog kev cuam tshuam ntawm kev tso quav: cov kab worms, txawv teb chaws lub cev, pob ntawm cov nroj tsuag fibers lossis matted plaub hau, gall thiab plab hnyuv pob zeb, qog;
- adhesive plab hnyuv obstruction, uas yog tsim los ntawm gynecological kab mob thiab tom kawg nyob rau hauv relation mus rau lub plab kab noj hniav, chemotherapy rau malignant neoplasms, peritonitis, ua hauj lwm ua nyob rau hauv lub plab kab noj hniav.
Tsis tas li ntawd, spasms yog tsim los ntawm cov tshuaj tiv thaiv ntawm nyias, impressionable neeg mus rau poob siab. Lawv tuaj yeem tshwm sim vim muaj ntau yam tshuaj lom:
- rau cov neeg ua haujlwm hauv kev lag luam tshuaj lom neeg;
- tsiajtshuaj lom (thaum noj cov nqaij ntawm qee cov ntses, zib ntab sau los ntawm cov nroj tsuag lom, thiab lwm yam);
- cog co toxins (qos yaj ywm solanine, prussic acid los ntawm hnov cherry pits, thiab lwm yam);
- nceb;
- vim los ntawm ntau yam kab mob pathogenic nkag mus rau hauv lub cev: staphylococci, Escherichia coli, ua rau cov kab mob botulism.
Lawv ua rau muaj kev ua txhaum ntau yam hauv kev noj haus:
- noj ntsim, haus luam yeeb thiab kib;
- khoom noj qhuav;
- soaked thiab pickled zaub mov;
- cov khoom ua kua nplaum ua kua;
- khoom noj khoom haus thiab txias.
Hauv kev kho mob plab hnyuv, qhov ua rau thiab cov tsos mob yuav tsum raug coj mus rau hauv tus account rau nws qhov kev siv kom raug.
Kim npe thaum cev xeeb tub
Nyob rau theem pib ntawm cev xeeb tub, thaum lub qe txav mus rau hauv lub tsev menyuam, cov tsos mob me tshwm sim:
- ncig;
- paroxysmal mob.
Yuav kom tsis txhob muaj teeb meem, koj yuav tsum mus ntsib kws kho mob.
Ntau yam kab mob
Mob thiab spasms nyob rau hauv cov hnyuv tuaj yeem tshwm sim lawv tus kheej hauv nws ntau lub tuam tsev. Hauv qhov no, ntau yam hauv qab no yog qhov txawv:
- vascular colic - tshwm sim vim tsis txaus cov pa oxygen nrog nce ntshav siab, compression ntawm cov hlab ntsha los ntawm cov qog, nti, adhesions, aortic aneurysm, thrombosis, atherosclerosis;
- lead colic - yog tsim los ntawm kev lom nrog cov hlau hnyav ntawm tib lub npe nrog kev nce hauv lub cev kub txog 39 ° C, qhov tsos ntawm grey plaque ntawm cov hniav thiab cov pos hniav,los ntshav tom kawg, thaum muaj nro hauv plab plab, mob plab;
- rectal colic - tshwm sim nyob rau hauv lub qhov quav, tus cwj pwm los ntawm nquag yaum kom defecate;
- appendicular colic - vim muaj cov txheej txheem inflammatory nyob rau hauv daim ntawv ntxiv nrog localization ntawm qhov mob nyob rau hauv txoj cai iliac cheeb tsam nrog kev soj ntsuam ntawm daim duab kho mob ntawm tus mob appendicitis tom qab ob peb teev.
Diagnosis
Kev kuaj mob yog ua los ntawm tus kws kho mob plab, uas, yog tias muaj kev xav tias tus kws phais mob xav tau kev cuam tshuam, tuaj yeem xa tus neeg mob mus rau tus kws kho mob no. Ua ntej, kev kuaj mob spasms hauv cov hnyuv yog ua los ntawm kev tshuaj xyuas tus neeg mob thiab txiav txim siab txog keeb kwm ntawm tus kab mob.
Txawm li cas los xij, nyob ntawm seb tus kws kho mob xav tias muaj mob dab tsi, nws tau sau cov kev xeem uas tsim nyog:
- kuaj ntshav dav dav - txhawm rau txiav txim siab cov txheej txheem inflammatory thiab paub txog ntshav qab zib;
- xws li biochemical, uas tso cai rau txhawm rau txhawm rau ua txhaum ntawm electrolytes, raum, txiav, txiav, siab ua haujlwm, o;
- kev tso zis dav dav - txhawm rau txiav txim siab ua txhaum cai hauv kev ua haujlwm ntawm pancreas, ob lub raum, siab;
- coprogram - txhawm rau kawm cov txheej txheem pathological hauv tib lub cev, tshwj tsis yog rau lub raum, suav nrog lub plab thiab cov hnyuv;
- Gregersen qhov kev sim - txhawm rau txiav txim siab cov ntshav uas tsis pom nyob hauv lub tshuab ntsuas;
- Ultrasound ntawm lub plab kab noj hniav;
- FGDS;
- colonoscopy ntawm txoj hnyuv loj, uastsim kom muaj ntau yam neoplasms, diverticula, stenosis, fecal pob zeb thiab ulcers;
- sigmoidoscopy - nrog rau nws cov kev pab nyob rau hauv lub qhov quav thiab sigmoid nyuv nrog kev pab los ntawm ib tug endoscope, o ntawm lub mucosa, los ntshav, benign thiab malignant qog yog txiav txim siab;
- kev tshawb fawb xov tooj cua - siv los txheeb xyuas cov hernias sab hauv, diverticula, fecal pob zeb, stenosis, rwj, ntau yam neoplasms;
- CT - siv thaum nws tsis tuaj yeem ua qhov kev kuaj mob kom raug siv lwm txoj hauv kev.
kev kho mob
Yuav ua li cas nrog plab hnyuv spasm? Ua ntej tshaj plaws, koj yuav tsum mus ntsib kws kho mob. Nws yuav muab tshuaj kho kom haum.
Yuav kho tus mob los ntawm tus kab mob bactericidal, tus kws kho mob tau sau tshuaj tua kab mob.
Yog hais tias spasms yog vim cov ntshav tsis txaus rau hauv nruab nrog cev, ces cov tshuaj antispasmodics thiab cov tshuaj tiv thaiv kab mob siab.
Txhawm rau txo qhov mob mob hauv kev kho mob plab hnyuv, cov tshuaj kho mob tau sau tseg: Baralgin, No-shpa.
Physiotherapy
Yuav ua li cas thiaj txo tau spasm yam tsis siv tshuaj? Ua li no, koj tuaj yeem siv dousing nrog dej txias. Nws yog ib qho tsim nyog yuav tau ua cov kev tawm dag zog tshwj xeeb los ntawm cov kev ua haujlwm ntawm lub cev physiotherapy. Koj tuaj yeem mus ua luam dej. Massages pom zoo.
kev kho neeg zoo
Muaj ntau yam tshuaj rau kev kho mob plab hnyuv nrog cov tshuaj tsis yog tshuaj. Ib txhia ntawm lawv tau nthuav tawmhauv qab no:
- tws nettle (1 tablespoon), walnut partitions, St. John's wort, meadowsweet yog npaum li cas nyob rau hauv sib npaug proportions, coj mus rau ib tug boil thiab sab laug rau simmer kom txog thaum lub kub ntawm cov tshuaj mus txog rau chav tsev kub - siv 0.5 khob ib teev;
- 70 g ntawm wormwood yog nchuav nrog lim los yog lub caij nplooj ntoos hlav dej, tom qab ntawd nws tawm rau ib hnub kom daws, tom qab ntawd nws yog boiled, lim, ncuav 350 g ntawm granulated qab zib los yog zib mu thiab boiled - noj 1 tsp. 4 zaug ib hnub;
- txhua ob teev noj 1 tbsp. l. zaub roj, tom qab ntawd - ob peb lub khob ntawm chamomile los yog mint decoction;
- birch fungus soaked rau 4 teev, ces crushed, ncuav nrog dej sov thiab khaws cia rau ob hnub, ces lim thiab noj 6 zaug ib hnub twg ua ntej noj mov;
- Y koj tuaj yeem noj decoction ntawm berries noj nyob rau hauv sib npaug proportions: plums, gooseberries, blueberries, thiab blackcurrant nplooj.
Kev noj haus
Kev kho kom raug yuav tsum nrog kev noj zaub mov kom zoo. Nws yuav tsum tau muab nkag rau hauv me me rau lub cev 5-6 zaug hauv ib hnub. Hauv qhov no, koj yuav tsum tau siv cov khoom noj uas cuam tshuam rau txoj hnyuv, uas suav nrog:
- fermented mis nyuj khoom;
- porridge;
- spinach-carrot kua txiv;
- lean ntses;
- tshuaj yej haus dej haus;
- grated carrots thiab txiv apples;
- khoom noj txiv hmab txiv ntoo thiab zaub.
Koj tuaj yeem sivCov zaub mov tsis muaj rog thiab me me.
Tib lub sijhawm, cov hauv qab no yuav tsum raug cais tawm ntawm kev noj haus:
- Y khoom nrog coarse fiber - zaub qhwv, radish, radish, pob kws, turnip;
- legumes;
- nqaij rog;
- khoom noj khoom haus;
- buffet;
- sweets;
- seasonings;
- khoom noj kaus poom;
- dej qab zib;
- smoked nqaij;
- marinades;
- pickles;
Lwm yam kev kho mob
Yuav ua li cas thiaj txo tau txoj hnyuv plab? Kev siv cov txheej txheem kev puas siab puas ntsws los ntawm kev sib tham ntawm tus kws kho mob thiab tus neeg mob lossis thaum lub sij hawm hypnotic.
Qhov kev xaiv kawg yog kev phais. Nws yog siv thaum cov txheej txheem kev saib xyuas ib txwm ua tsis tiav.
kab mob prognosis
Feem ntau nws yog qhov zoo. Hauv qhov no, tus neeg mob yuav tsum ua raws li kev noj zaub mov kom zoo thiab ua lub neej noj qab haus huv. Mus ntsib kws kho mob gastroenterologist ib ntus kom kuaj xyuas koj cov hnyuv. Ua raws li tag nrho cov lus pom zoo no yuav zam qhov teeb meem.
Nyob hauv kaw
plab hnyuv spasm tshwm nyob rau hauv tib neeg vim muaj ntau yam ua rau. Nws yog ib qho tsim nyog yuav tsum tau saib xyuas kev nyiam huv txhawm rau tiv thaiv kev txhim kho ntawm helminthiasis, noj cov zaub mov zoo uas tau npaj ua ib txwm ua, thiab tsuas yog cov uas tsis ua rau cov zaub mov tsis haum. Nws tseem yog ib qho tsim nyog kom npau taws thiab tawm dag zog lub cev. Ib yam li lwm yam kab mob, kev kho mob yuav tsum tau muab los ntawm kws kho mob. Thaum muaj qhov mob zoo li no tshwm sim, nws yog qhov zoo dua tsis pib noj tshuaj rau tus kheej. Nws zoo dua yog hu lub tsheb thauj neeg mob thauj tus neeg mob mus rau tsev kho mob.
