Mob syndrome yog lub tswb ceeb toom uas peb lub cev xa tuaj rau peb thaum muaj ib yam dab tsi tsis ncaj ncees lawm. Tsis tas yuav sim kom poob nws tawm nrog tshuaj tua kab mob kom sai li sai tau. Nws yog ib qho tsim nyog los tawm tsam cov laj thawj, uas tuaj yeem nyuaj heev. Hauv cov hlab ntsha no, peb yuav txheeb xyuas qhov mob plab plab - lawv ua tau, txaus ntshai thiab kuaj mob.
Qhov tseem ceeb ntawm cov tsos mob
Cia peb pib nrog qhov tseem ceeb. Nws yog dab tsi - cramping mob hauv plab? Muaj zog contractions ntawm cov nqaij ntshiv ntawm ib tug xov tooj ntawm cov kab mob hollow, uas nyob rau hauv qis ib feem ntawm lub peritoneum, lub me me pelvis. Qhov no yog lub tsev menyuam (hauv cov poj niam), lub plab hnyuv, zais zis, ureters, thiab lwm yam. Lawv cov leeg du yog tas li cog lus, pab txav cov ntsiab lus. Txawm li cas los xij, hauv lub xeev ib txwm, cov txheej txheem no tsis mob. Peb tsis xav tias muaj plab hnyuv peristalsis, zais zis nqaij contraction, thiab lwm yam.
Los ntawm no, mob cramping yuav yog ib qho kev ceeb ntshai heev. Nws tuaj yeem tham txog ntau yam:
- Kev ua txhaum caicov ntsiab lus hauv ib lub cev hollow.
- Kev ua haujlwm tsis zoo hauv lub cev.
- Kab mob hnyav yuav tsum tau mus kho mob tam sim.
Nco ntsoov tias cov tsos mob no kuj yog qhov tseem ceeb heev. Qhov laj thawj yog vim li cas tib neeg yuav muaj lawv qhov kev nkag siab zoo.
Yuav ua li cas
Thaum twg tuaj yeem mob plab plab tshwm sim? Muaj ntau yam ua tau:
- Txoj kev rho menyuam tawm.
- Ectopic cev xeeb tub.
- Ib tug poj niam ua poj niam.
- Keeb kwm ntawm myomatous node.
- Mechanical obstruction ntawm txoj hnyuv.
- Volus of the sigmoid colon.
- Intussusception.
- Volus of the caecum.
- Obturation ntawm lub qhov quav, sigmoid nyuv.
- plab hnyuv tsis ua hauj lwm.
- Incarcerated hernia - inguinal lossis femoral.
- Dysentery.
Qhov feem ntau ua rau mob cramping hauv plab, peb yuav tshuaj xyuas kom meej ntxiv.
Nyob raum Nyob raum
Tus mob no tshwm sim vim yog nce peristalsis ntawm ureter, uas yog sim tshem tawm cov kev cuam tshuam uas cuam tshuam cov zis tawm. Feem ntau ua rau mob cramping nyob rau hauv lub plab mog ntawm no yog tsim urolithiasis. Tej zaum yuav muaj qee yam ntawm cov txheej txheem inflammatory nrog cov kua paug, kab mob oncological.
Muaj mob pob txha ntawm sab laug lossis sab xis, "muab" rau qhov chaw mos,Nyob rau sab hauv femoral nto, qhov mob hauv lub raum yog kuaj tus kheej.
Koj yuav tsum hu rau tus kws kho mob sai li sai tau - ncua sij hawm yog fraught nrog te ntawm lub raum, kev loj hlob ntawm tus kab mob thib ob, purulent pyelonephritis.
Mob yog txuam nrog spastic contractions ntawm qhov cuam tshuam ntawm txoj hnyuv - qhov quav, sigmoid nyuv.
Muaj kub taub hau, mob plab hauv plab (rub, feem ntau ntawm sab laug), mob plab zom mov, quav quav txog 20 zaug hauv ib hnub, tawm mucopurulent nrog cov ntshav tawm ntawm qhov quav.
Ib tug hernia yog ib qho txawv txav ntawm lub cev (feem ntau lub plab hnyuv loops) los ntawm lub plab phab ntsa hauv qab daim tawv nqaij. Lawv qhov kev ua txhaum cai qee zaum ua rau tuag taus - vim li ntawd, cov neeg kho tshuab mob hnyav strangulation cuam tshuam. Hauv lwm lo lus, kev ua txhaum ntawm cov ntshav ncig hauv ntu clamped ntawm txoj hnyuv.
Feem ntau yog inguinal thiab plab hernias. Yog tias koj tau kuaj pom tus kab mob no, ces tam sim ntawd nrhiav kev pab los ntawm cov kws kho mob tshwj xeeb yog tias mob cramping tshwm sim. Xav tau mus pw hauv tsev kho mob sai thiab kho phais tom ntej.
Mob plab hnyuv plab
Kev siv zog, kev loj hlob ntawm qhov mob ntawm qhov mob yuav nyob ntawm daim ntawv ntawm plab hnyuv, qhov cuam tshuam ntawm txoj hnyuv.
Yuav ua li cas thiaj paub nws? Txog kev txhim kho plab hnyuv, mob hnyavcramping mob plab, qee zaus cem quav. Qee tus neeg mob nco txog qhov tshwm sim / qhov mob hnyav thaum txuas lub cev, thaum daim tawv nqaij hloov chaw.
Obturation ntawm lub qhov quav, sigmoid nyuv
Nov yog lub npe ntawm qhov tob tob ntawm txoj hnyuv lumen. Cov tom kawg reacts rau qhov no nrog nce peristalsis, uas yog hnov los ntawm tus neeg mob raws li cramping mob. Cov tsos mob hnyav dua los ntawm palpation ntawm thaj chaw cuam tshuam.
Ua ntej ntawm tag nrho cov, obstructive plab hnyuv obstructive yog tshwm sim los ntawm cov qog nqaij hlav ntawm lub qhov quav los yog sigmoid nyuv. Ua ntej, ribbon-zoo li quav, cem quav, rub mob hauv plab tau sau tseg. Qhov thib ob theem yog khaws cia cov quav, gases. Nrog rau kev sib tw ntawm kev sib ntaus sib tua. Cov theem kawg yog ntuav, qhov mob tsis txaus ntseeg, khaws cia cov quav, ua kom tsis zoo rau kev noj qab haus huv. Tsuas muaj ib txoj hauv kev kho mob - phais tshem tawm ntawm thaj chaw cuam tshuam.
Obturation tuaj yeem tshwm sim los ntawm coprolites - pob zeb fecal. Cov tsos mob ntawm no zoo ib yam li cov uas pom muaj qog nqaij hlav cancer. Kev kho mob hauv qhov no yog kev saib xyuas.
Intussusception
Nov yog lub npe ntawm kev taw qhia ntawm cov plab hnyuv loj dhau mus rau hauv lub lumen ntawm lub hauv paus. Feem ntau, pathology yog pom nyob rau hauv cov me nyuam, txiv neej. Cramping mob nyob rau hauv cov ntaub ntawv no yuav tshwm sim thaum kawg ntawm txoj hnyuv me yog nkag mus rau hauv txoj hnyuv loj.
Cov laj thawj sib txawv - helminthic ntxeem tau, noj cov zaub mov ntxhib, tso tawm cov pob zeb, qhov nkag ntawm lub cev txawv teb chaws. Qhov hnyav ntawm qhov mob yuav nyob ntawm qhov kev ua txhaum ntawm mesentery. Yog tias nws muaj zog, ces tus neeg mob sai saiperitonitis tshwm sim, thaum ntxov necrosis ntawm invaginate. Ib tug neeg tuaj yeem tuag yam tsis muaj kev pab kho mob hauv ib hnub.
Nyob rau hauv contractions, qhov mob yog unbearable, tab sis enlightenments muaj peev xwm ntawm lawv. Tom qab 6-12 teev los ntawm qhov tshwm sim ntawm tus mob no, cov ntshav tawm ntawm qhov quav yog ua tau.
Kev rho menyuam tawm sai sai
mob cramping hauv cov poj niam tuaj yeem yog qhov ceeb toom ntawm kev rho menyuam tus kheej, nchuav menyuam. Lawv yuav ua ntej los ntawm qhov mob rub tawm uas tawm mus rau sab nraub qaum lossis sacrum.
Kev mob hnyav zuj zus ntxiv, kev cog lus, cov ntshav tawm ntawm qhov chaw mos qhia qhov pib ntawm detachment ntawm fetal qe. Thiab qhov no yog vim li cas rau lub tsev kho mob xwm txheej ceev ntawm ib tug poj niam! Nws yuav tsum raug sau tseg tias cov cuab yeej siv kho mob niaj hnub thiab khoom siv, txawm tias nyob rau theem no, tuaj yeem cawm tus menyuam txoj sia.
Rau ib tug poj niam, tus mob no txaus ntshai los ntawm kev loj hlob ntawm cov ntshav poob loj heev. Cov kab mob ntawm lub fetus qe tseem nyob hauv lub tsev menyuam tuaj yeem ua rau ntshav lom, peritonitis, endometritis.
Ectopic cev xeeb tub
Cramping mob kuj qhia qhov pib ntawm kev rho menyuam hauv plab hauv plab ectopic. Qhov no yog qhov tshwm sim yog qhov kev txiav txim siab ua ntej - nws xaus nrog kev tshem tawm ntawm lub qe fetal, los yog qhov tawg ntawm lub raj mis. Cov xwm txheej kawg yog kev puas tsuaj ib zaug. Kev rho menyuam ntawm tubal nws tus kheej tuaj yeem kav ntev li ib teev lossis ib hnub.
Mob cramping syndrome yog nrog los ntawm kev pom. Qhov no yog qhov nyuaj - ib tug poj niam coj lawv mus rau qhov pib ntawm kev coj khaub ncaws tom ntej. Qhov txaus ntshai ntawm qhov xwm txheej yog tias kev sib cog lus ntawm cov leeg nqaij ntawm lub cev txhua lub sijhawm tuaj yeem ua tauua rau rupture ntawm cov hlab ntsha fallopian. Thiab qhov no yog qhov loj heev hauv lub neej-kev hem thawj los ntshav.
mob plab hauv plab nrog kev saib xyuas tshwj xeeb yuav tsum tau coj los ntawm cov poj niam uas twb tau muaj cev xeeb tub ectopic, nrog rau kev kuaj mob tubal infertility, nrog keeb kwm ntawm cov kab mob ntev lossis mob hnyav ntawm lub tsev menyuam, noj cov tshuaj tiv thaiv progestin.
Thaum ua poj niam cev xeeb tub
Cov quav quav, mob cramping feem ntau qhia tias muaj teeb meem nrog cov hnyuv. Tab sis feem ntau cov poj niam muaj cov tsos mob thaum cev xeeb tub. Nws tham tau dab tsi? Cramping mob nyob rau hauv cov ntaub ntawv no yog hu ua algomenorrhea. Nws muab faib ua ob hom:
- Pib, ua haujlwm. Kuj ceeb tias, nws qhov xwm txheej tseem tsis tau nthuav tawm los ntawm cov kws tshawb fawb. Raws li ib tug tshwm sim, hereditary metabolic dysfunctions distinguished, uas ua rau ib tug muaj zog synthesis ntawm cov tshuaj uas ua rau kom cov leeg nqaij uterine excitability, rhiab heev ntawm paj hlwb receptors rau qhov mob. Raws li txoj cai, cov tsos mob yog qhov zoo rau cov ntxhais hluas hauv thawj 1-2 xyoos ntawm kev coj khaub ncaws, cov poj niam asthenic. Cramping mob tuaj yeem hnyav heev uas tus neeg mob tsis nco qab. Txawm li cas los xij, lawv tsis muaj pathology. Tab sis thawj algomenorrhea yuav tsum tsis txhob noj kom pom zoo - qhov mob tuaj yeem zais cov teeb meem tsis cuam tshuam txog kev ua me nyuam.
- Secondary. Yog vim li cas yog cov organic pathologies ntawm qhov chaw mos. Ib qho kev mob tshwm sim yog kev coj khaub ncaws tsis zoo lossis txawm tias nws tsis tuaj. Muaj mob crampingtuaj yeem ua rau adhesions hauv uterine kab noj hniav, cuam tshuam ntawm qhov chaw ib txwm muaj ntawm poj niam qhov chaw mos hauv nruab nrog cev, congenital malformations ntawm lub cev.
Tsis tas li ntawd, qhov mob no qee zaum qhia txog kev txhim kho ntawm myomatous node. Ua los ntawm kev sib zog ntawm cov leeg nqaij daim nyias nyias, uas yog li sim tshem tawm cov qog.
Kuv yuav hu rau tus kws kho mob twg?
Vim tias muaj ntau yam ua rau mob plab plab, nws tsis tuaj yeem muab cov lus qhia tseeb ntawm tus kws kho mob mus sab laj. Txawm li cas los xij, peb yuav nthuav qhia ntau cov lus qhia rau kev taw qhia:
- Ambulance hu. Kev mob hnyav heev nrog rau kev puas tsuaj, kub taub hau, ntuav, los ntshav los ntawm qhov chaw mos, mob taub hau, qaug zog, hloov pauv ntawm lub peritoneum, ntshav siab poob qis.
- Thov rau tus poj niam gynecologist. Nrog poj niam cev xeeb tub, migrating mob, lawv tshwm sim tom qab kev ntxhov siab, hypothermia, kev ua si lub cev. Kev mob hnyav heev yog ua ke nrog kev qaug zog ntxiv, mob thaum tso zis, lub voj voog tsis xwm yeem txhua hli, lub cev kub, qhov chaw mos - ntshav, hnoos qeev, kua paug, thiab lwm yam. Mob yog provoked los ntawm kev sib deev kev sib deev, aggravated thaum lub sij hawm cev xeeb tub, "muab" rau lub puab tais, sacrum, tailbone.
- Thov rau tus kws kho mob gastroenterologist. Mob hauv plab plab thiab hauv plab, ua ke nrog tsam plab, raws plab, cem quav, plab zom mov, flatulence.
- Thov rau tus kws phais, tus kws kho mob. Cramping mob plab, raws plab, nquag nquag mus defecate, mob nyob rau hauvthaj chaw ntawm qhov quav thiab qhov quav uas nce thaum lub plab zom mov.
- Thov rau tus kws kho mob urologist. Mob "Radiate" rau sab nraub qaum thiab puab tais, nquag, mob tso zis, ntshav tso zis.
- Thov rau tus kws kho mob tshwj xeeb. Cramping mob hauv plab, ntuav, xeev siab, ua ke nrog cov kua lossis cov quav quav, nws muaj cov dej tsis huv ntawm cov ntshav lossis cov hnoos qeev, qhov mob ua rau lub plab zom mov, kub taub hau.
Yog tias koj tsis paub meej txog qhov tshwj xeeb ntawm koj cov tsos mob, koj yuav tsum teem caij nrog tus kws kho mob sai li sai tau.
Diagnosis
Txoj kev kuaj kab mob, pathologies uas tshwm sim los ntawm kev mob cramping hauv plab plab yog nyob ntawm qhov tshwj xeeb ntawm tus kab mob, kev ua haujlwm tsis zoo. Txhua tus kws tshaj lij yuav siv lawv txoj hauv kev.
Thaum yws tias mob hnyav thaum cev xeeb tub, nws raug sau tseg:
- bimanual exam;
- Ultrasound ntawm qhov chaw mos;
- smear rau qhov chaw mos microflora;
- kev tshuaj ntsuam cov zis thiab ntshav;
- kev tshawb fawb biochemical ntawm cov ntshav kuaj;
- coagulogram (cov ntshav coagulogram);
- kuaj ntshav rau qee yam tshuaj hormones.
Yog hais tias ib tug poj niam tig mus rau gynecologist nrog kev tsis txaus siab tsis cuam tshuam nrog kev coj khaub ncaws, ces cov txheej txheem kev ntsuam xyuas yog raws li hauv qab no:
- bimanual exam;
- smear rau cov kab mob hauv qhov chaw mos;
- cov zis thiab ntshav kuaj ntshav;
- tshuaj ntsuam ntawm khawb, ntshav rau qhov chaw mos;
- tshuaj ntsuam rau cov kab mob uassib deev;
- kab lis kev cai kab mob ntawm qhov chaw mos;
- syphilis test;
- hysterosalpingography;
- pelvic ultrasound.
Kev kuaj mob uas tus kws kho mob tshwj xeeb yuav tsum kuaj tus neeg mob, sau ntawv kho mob:
- kab lis kev cai ntawm ntuav, quav;
- kuaj ntshav rau cov tshuaj tiv thaiv kab mob rau cov tshuaj tiv thaiv kab mob hauv plab hnyuv;
- tshuaj xyuas kom pom DNA ntawm cov kab mob ntawm cov kab mob hauv plab;
- irrigoscopy;
- colonoscopy;
- sigmoidoscopy.
Kev kuaj xyuas los ntawm tus kws kho mob urologist:
- kev tshuaj ntsuam cov zis thiab ntshav;
- Ultrasound ntawm lub cev - zais zis thiab raum;
- xam tomography;
- cystoscopy;
- scintigraphy;
- urography.
Thov rau tus kws kho mob gastroenterologist, tus kws kho mob:
- tsom xam cov quav piv rau cov qe helminth;
- suav ntshav tag;
- tshuaj ntsuam xyuas cov quav;
- tshuaj ntsuam fecal rau dysbacteriosis;
- YUltrasound ntawm lub peritoneum;
- kuaj ntshav, kab lis kev cai quav rau cov kab mob clostridial;
- irrigoscopy;
- colonoscopy;
- magnetic resonance, xam tomography;
- tsom xam rau calprotectin.
Raws li kev kho mob, nws nyob ntawm qhov kev kuaj mob los ntawm tus kws kho mob tshwj xeeb raws li cov txiaj ntsig ntawm kev kuaj mob. Txij li qhov ua rau mob cramping nyob rau hauv txhua rooj plaub sib txawv,Nws tsis tuaj yeem kwv yees ua ntej seb qhov kev kho yuav zoo li cas. Peb tsis qhia koj kom koom nrog kev kuaj tus kheej, kho tus kheej - hu rau tus kws tshaj lij, hu rau lub tsheb thauj neeg mob! Mob hauv plab yog qhov ceeb toom ntawm cov txheej txheem pathological uas tuaj yeem ua rau muaj kev puas tsuaj loj rau koj txoj kev noj qab haus huv, thiab tseem ua rau tuag taus.
