mob plab hnyuv yog tshwm sim tsis yog los ntawm qee yam khoom noj, tab sis kuj los ntawm ntau yam exogenous thiab endogenous yam. Txhua tus neeg thib tsib ntawm lub ntiaj teb no raug kev txom nyem los ntawm kev ua haujlwm ntawm qhov qis ntawm lub plab zom mov. Cov kws kho mob txawm muab tus kab mob no ua lub npe hu ua: cov neeg mob uas muaj cov tsos mob tsis txaus siab raug kuaj pom tias mob plab hnyuv siab raum. Raws li kev txheeb cais, cov poj niam muaj tus kab mob no ob zaug ntau dua li cov txiv neej. Tsis tas li ntawd, ntau tshaj li ib nrab ntawm cov neeg uas raug kev txom nyem los ntawm qhov teeb meem no tsis nrhiav kev kho mob vim cov tsos mob me.
tus kab mob no yog dab tsi
Cov kab mob saum toj no yog kab mob pathological hauv lub plab zom mov, nrog rau cov hnyuv, plab hnyuv, raws plab lossis cem quav. Tsis muaj kev kho rau tus mob no, tab sis lub neej zoo tuaj yeem txhim kho los ntawm kev hloov pauv hauv kev ua neej, noj zaub mov, thiab kev txhawb nqa.
Irritable bowel syndrome tsis tuaj yeem hu ua kab mob ua rau lub neej, vim nws tsis ua rau muaj kev hloov pauv hauv lub cev. Tus kab mob no ua rau muaj kev tsis xis nyob rau tib neeg lub neej, tab sis tib lub sijhawm nws tsis muaj peev xwm ua rau mob qog noj ntshav lossis lwm yam mob hnyav.
plab hnyuv hauv lub cev
Seem no yog ib txoj hlab mos mos hauv tib neeg lub cev uas tawm hauv lub qhov ncauj, khiav los ntawm txoj hlab pas, plab, thiab xaus rau ntawm qhov quav. Txhua yam uas nkag mus rau hauv peb lub cev los ntawm qhov ncauj kab noj hniav muaj ntau yam txheej txheem ntawm kev ua, digestion, thiab nqus. Kev zom zaub mov yog lub luag haujlwm tseem ceeb ntawm txoj hnyuv, uas tuaj yeem ntev txog 10 meters.
Cov kab mob plab, nyob saum duodenum 12, hu ua sab sauv. Nws muaj xws li lub qhov ncauj, pharynx, esophagus thiab plab. Cov kab mob hauv qab no suav nrog cov hnyuv me thiab loj, qhov quav, thiab qhov quav. Cov seem hauv nruab nrog cev koom nrog hauv cov txheej txheem ntawm kev zom zaub mov yog ntxiv thiab tsis koom nrog hauv plab hnyuv.
Tam sim no rov qab mus rau lub ntsiab lus ntawm kab lus. Cov hnyuv, ua rau khaus ntawm qhov peb yuav tham txog, yog ib hom kev ua "kev lag luam" hauv lub cev ntawm peb txhua tus. Cov hnyuv me ncav cuag 5.5 - 6 meters ntev thiab muaj 12 duodenal, jejunum thiab ileum. Cov kab mob no pib ntawm qhov chaw ntawm docking nrog lub plab thiab xaus ntawm kev hloov mus rau txoj hnyuv loj. Kev ua haujlwm tseem ceeb ntawm cov zaub mov nkag mus rau hauv lub cev yog nqa tawm hauv duodenum vim tshwj xeeb tsim cov enzymes thiabkua tsib. Cov zaub mov ua tiav ces nkag mus rau hauv jejunum, qhov twg cov khoom muaj txiaj ntsig tau muab rho tawm thiab nqus ntawm qib cellular. Cov txheej txheem ntawm assimilation ntawm cov as-ham nyob rau hauv lub ileum yog tiav, tom qab uas cov ntsiab lus seem raug xa mus rau cov hnyuv loj. Kev ua xua tuaj yeem tshwm sim hauv ib lossis ob qho tib si hauv plab hnyuv tib lub sijhawm.
Lub luag haujlwm tseem ceeb ntawm txoj hnyuv loj yog tshem tawm cov kua dej los ntawm cov khoom nkag thiab nqus dej. Ntawm no, cov khoom seem ntawm cov khoom uas tsis tau noj yog tsim rau hauv cov quav, uas tau tawm ntawm lub cev los ntawm qhov quav thiab qhov quav.
Qhov ntev ntawm txoj hnyuv loj mus txog qhov nruab nrab ntawm 1.5 m. Cov kab mob hauv plab muaj txog 500 hom kab mob uas muaj sia nyob koom nrog hauv txoj hnyuv. Txoj hnyuv loj replenishes lub cev nrog kua. Ntawm no, cov vitamins thiab cov ntsiab lus tseem ceeb tau tso tawm los ntawm cov khoom noj khoom haus, uas tom qab nkag mus rau hauv cov hlab ntsha. Kev ua haujlwm zoo ntawm txoj hnyuv loj pab tswj cov qib acidity hauv lub cev, tsim cov tshuaj tiv thaiv rau ntau yam kab mob thiab ntxiv dag zog rau lub cev.
yam ua rau muaj tus kabmob
Txawm hais tias muaj kev nce qib hauv cov tshuaj, me ntsis paub txog qhov tseeb ua rau mob plab hnyuv niaj hnub no. Txawm li cas los xij, cov kws tshawb fawb nrog kev ntseeg siab tuaj yeem sau npe cov xwm txheej uas cuam tshuam rau lub xeev ntawm lub plab zom mov thiab tsim kom muaj kev zoo siab rau kev loj hlob ntawm tus kab mob. Ntawm tag nrho cov muaj peev xwm ua rau tsim nyog sau cia:
- Kev ua txhaum ntawm kev sib kis ntawm paj hlwb impulses, vegetative ntshawv siab. Vim tias lub plab zom mov yog tswj hwm los ntawm lub hlwb, qhov tsis ua tiav hauv cov lus qhia tawm tswv yim tuaj yeem ua rau cov tsos mob ntawm plab hnyuv. Cov tshuaj yuav tsis txaus rau qhov no.
- Deterioration ntawm plab hnyuv peristalsis. Qhov no yog ib qho ntawm cov laj thawj uas ua rau IBS. Nrog ceev motility, raws plab tshwm sim, nrog qeeb motility, cem quav tshwm sim. Yog tias muaj kev sib kis sai sai ntawm cov leeg nqaij ntawm txoj hnyuv, tus neeg yuav muaj mob plab.
- Kev puas siab puas ntsws. Qhov teeb meem ntawm kev khaus ntawm txoj hnyuv loj yog ntsib los ntawm cov tib neeg uas tsis muaj kev sib haum xeeb uas muaj kev ntxhov siab los ntawm kev ntxhov siab, uas nyob tsis tswm, muaj kev nyuaj siab, nrog rau cov neeg uas muaj kev nyuaj siab tom qab kev nyuaj siab.
- Kab mob plab kab mob. Hauv qhov no, nws txhais tau hais tias khaus ntawm lub plab thiab cov hnyuv, tshwm sim los ntawm cov neeg sawv cev ntawm opportunistic microflora.
- plab hnyuv dysbacteriosis. Ib qho kev tsis sib haum xeeb ntawm cov kab mob uas nyob hauv lub plab zom mov ua rau muaj cov tsos mob atypical. Dysbacteriosis tuaj yeem ua rau muaj kev loj hlob ntawm flatulence, raws plab lossis poob phaus.
- Hormonal tsis ua haujlwm. Hauv cov neeg uas muaj kev ntxhov siab ntawm plab hnyuv siab raum, tus nqi ntawm cov neurotransmitters thiab cov tshuaj hormones hauv plab hnyuv feem ntau hloov. Yog li, piv txwv li, hauv chav kawm ntawm kev tshawb fawb, nws tuaj yeem pom tau tias hauv cov ntxhais hluas thaum cev xeeb tub, cov tsos mob ntawm kev khaus khaus dhau lawm.
- Hereditary predisposition rau tus mobchim siab plob hau.
Can zaub mov ua rau khaus
Ib tug neeg uas muaj tsos mob ntawm IBS yuav tsum ua tib zoo saib xyuas lawv cov zaub mov. Qhov zoo muaj pes tsawg leeg ntawm cov khoom noj plays lub luag haujlwm ua ntej hauv lub neej ntawm txoj hnyuv. Thiab ntawm no txhua yam yog tus kheej: nyob rau hauv cov neeg mob sib txawv, cov khoom sib txawv kiag li thiab lawv cov kev sib xyaw ua ke tuaj yeem ua rau muaj kev chim siab. Cov tsos mob tshwm sim feem ntau ntawm kev mob plab me me tshwm sim tom qab noj:
- whole milk;
- cawv;
- soda;
- sweets;
- dej qab zib (tshuaj yej, kas fes, cola, dej haus zog);
- chocolate;
- fatty mov.
Kev xav tias mob plab plob tsis so tswj, koj yuav tsum xub txheeb xyuas qhov ua rau muaj qhov tshwm sim. Rau kev loj hlob ntawm tus kab mob, muaj ib los yog ob yam khoom los ntawm cov npe uas tau nthuav tawm yog txaus.
Kab mob hauv me nyuam
Ntawm cov laj thawj uas ua rau muaj kev loj hlob ntawm lub plab hnyuv siab raum thaum yau, nws yog ib qho tsim nyog yuav tsum nco ntsoov cov caj ces predisposition, mob ntawm tus me nyuam lub hlwb-kev xav thiab kev noj haus tsis raug. Yuav luag ib nrab ntawm cov me nyuam uas chim siab plob tsis so tswj niam txiv raug kev txom nyem los ntawm tib yam pathology. Qhov zoo siab, tus kab mob no feem ntau tshwm sim hauv cov menyuam ntxaib, nrog cov menyuam ntxaib zoo ib yam muaj qhov teeb meem no ntau dua li cov kwv tij.
Cov kws kho mob tau xyaum ua pov thawj tias hauv ib feem peb ntawm qhov chaw kho mob ntawm IBS tshwm sim hauv cov menyuam yaus uas tau ntsib qee yam kev puas siab puas ntsws.xwm txheej. Hauv qhov no, tus kab mob yuav tsis tshwm sim tam sim ntawd. Feem ntau, cov kab mob pathology tshwm sim tom qab mob plab hnyuv. Qee lub sij hawm tus kab mob no tshwm sim los ntawm txoj hnyuv rigidity tawm tsam keeb kwm ntawm kev noj zaub mov tsis zoo. Vim tias qhov tsis txaus ntawm cov khoom uas muaj cov nroj tsuag fiber ntau nkag mus rau hauv lub cev, dysbacteriosis tsim, uas tsim cov kev mob zoo rau kev pib cov txheej txheem pathological.
Raws li cov menyuam mos, kuj muaj cov menyuam mos plab hnyuv. Tus me nyuam pub mis mis yog qhov tshwj xeeb tshaj plaws ntawm kev tsim tus kab mob. Txhawm rau tiv thaiv qhov tshwm sim ntawm IBS hauv cov menyuam yaus hnub nyoog qis dua 1 xyoos, nws tsis pom zoo kom qhia cov zaub mov ntxiv ua ntej hnub nyoog rau lub hlis.
Symptomatic of IBS
Cov tsos mob ntawm plab hnyuv plab tshwm sim tom qab noj mov. Cov tsos mob tshwm sim paroxysmal, feem ntau tshwm sim nyob rau hauv bursts ntawm manifestations rau ob peb hnub, tom qab uas cov irritation yuav tsawg pronounced los yog ploj tag nrho. Cov yam ntxwv tshaj plaws rau cov kab mob no yog cov tsos mob hauv qab no:
- mob plab thiab mob plab uas feem ntau ploj mus ntawm lawv tus kheej tom qab tso quav;
- nquag zawv plab thiab cem quav, feem ntau hloov ua ke;
- bloating thiab externally pom o ntawm lub duav;
- persistent flatulence;
- nrawm tsam plab plab;
- xav tias lub qhov quav puv tom qab tso quav;
- tso tawm cov kua nplaum los ntawm qhov quav.
Nyob rau hauv cov neeg mob uas muaj kev khaus khausplab hnyuv mucosa, kev noj qab nyob zoo tag nrho, tshwj xeeb tshaj yog, muaj mob thiab tsis xis nyob nyob rau hauv lub plab mog, vim hais tias ntawm cov neeg mob ua nervousness, insecure, apathetic. Raws li cov tsos mob ntawm IBS, muaj peb hom kev mob plab hnyuv:
- mob raws plab, thaum tus neeg mob plab zom mov ntau zaus thaum nruab hnub;
- hom cem quav (rau cem quav ntev);
- hom sib xyaw, thaum zawv plab thiab cem quav.
Qhov kev faib tawm no tsis yog piv txwv. Nws yog ib qho tsim nyog sau cia tias tag nrho peb tus qauv ntawm kev chim siab plob tsis so tswj tuaj yeem pom nyob hauv tib tus neeg rau lub sijhawm ntev nrog kev cuam tshuam luv luv asymptomatic.
Lab kuaj mob
Thaum xa mus rau tus kws kho mob gastroenterologist nrog kev tsis txaus siab ntawm txoj hnyuv, mob plab thiab lwm yam tsos mob ntawm kev iab liam ntawm txoj hnyuv mucosa, koj yuav tsum tau npaj rau qhov tseeb tias tus kws kho mob yuav sau tag nrho cov txheej txheem.
Fecal masses yuav tsum kuaj xyuas, yog li kev soj ntsuam fecal yuav tsum tau ua ntej. Cov txiaj ntsig yuav pab txiav txim seb muaj ntshav lossis cov kab mob cab hauv cov quav uas tuaj yeem ua rau cov tsos mob zoo ib yam li lwm yam kab mob plab.
Ua tiav cov ntshav suav yog qhov yuav tsum tau kawm uas yuav pab txiav txim siab cov qe ntshav tsim (erythrocytes, leukocytes, platelets), thiab txiav txim siab ESR (erythrocyte sedimentation rate). Tus naj npawb ntawm txhua tusntawm lawv tso cai rau peb txiav txim siab tias muaj cov kab mob sib kis hauv lub cev, tsim kom muaj ntshav tsis txaus, qhia txog kev los ntshav sab hauv.
Koj tseem yuav tau kuaj ntshav rau tus kab mob celiac. Qhov no yog ib qho kev sim uas tso cai rau koj kom tshem tawm qhov muaj peev xwm ntawm kev tiv thaiv kab mob hauv lub cev rau gluten, cov protein uas muaj nyob hauv cov nplej.
Sigmoidoscopy thiab colonoscopy
Txawm hais tias qhov zoo sib xws ntawm ob txoj kev ntsuas no, lawv qhov sib txawv nyob hauv cov hauv qab no: colonoscopy tso cai rau koj los tshuaj xyuas txhua ntu ntawm txoj hnyuv loj, thaum sigmoidoscopy yog siv los kawm lub qhov quav thiab sigmoid. Kev tshawb fawb yog ua nyob rau hauv cov tsev kho mob tshwj xeeb. Yuav tsum ua tib zoo npaj rau cov txheej txheem zoo li no.
Tau teem sijhawm kawm rau ib hnub, tus kws kho mob yuav tsum qhia tus neeg mob txog cov cai npaj rau nws:
- Ob peb hnub ua ntej qhov txheej txheem kuaj mob, tus neeg mob yuav tsum ua raws li kev noj zaub mov tshwj xeeb. Raws li kev txwv tsis pub ntog zaub fiber ntau thiab cov khoom uas ua rau muaj roj ntau ntxiv hauv cov hnyuv. Khoom noj yuav tsum yog kua los yog puree.
- 1-2 hnub ua ntej kuaj cov hnyuv loj, tus neeg mob yuav tsum noj cov tshuaj laxative muaj zog ("Fortrans", "Duphalac", "Portalac", "Pikoprep", "Microlax"), thiab tam sim ntawd ua ntej lub colonoscopy - cleansing enema. Y
Ua ntej pib ib qho sigmoidoscopy lossis colonoscopy, lub ntsws tau uatshuaj loog. Tus neeg mob yuav tsum tau pw tsaug zog. Cov txheej txheem yog nqa tawm ntawm lub rooj tshwj xeeb. Tus kws kho mob endoscopic ntxig rau lub raj hloov pauv nrog lub koob yees duab thaum kawg rau hauv tus neeg mob lub qhov quav - nws yuav tso saib cov duab ntawm cov phab ntsa hauv plab ntawm lub vijtsam. Kev ua xua tuaj yeem pom tau los ntawm qhov chaw hyperemic ntawm cov mucous membrane.
Cov hom kev tshawb fawb no yog qhov tseem ceeb, vim tias lawv tuaj yeem muab txhua yam ntaub ntawv tsim nyog txog tus mob ntawm txoj hnyuv loj. Tsis tas li ntawd, thaum lub sijhawm kuaj mob, tus kws kho mob muaj lub sijhawm los tshem tawm cov qauv ntawm qhov kuaj pom neoplasm tam sim txhawm rau txhawm rau txhawm rau paub qhov xwm txheej ntawm nws keeb kwm ntawm kev kuaj mob histological.
Tom qab cov txheej txheem, qhov ua tau ntawm cov kev mob tshwm sim xws li tsam plab thiab mob plab hauv ob teev tsis suav nrog. Nyob rau hnub tom ntej, nws yog qhov zoo dua rau tus neeg mob kom tsis txhob tsav tsheb. Qhov no yog lub sijhawm txaus rau cov teebmeem ntawm cov tshuaj tua kab mob thiab cov tshuaj sedative kom nres kiag li.
Hauv qhov tsis tshua muaj neeg mob, cov neeg mob tau muab CT lossis MRI nrog gadolinium, tus neeg sawv cev sib txawv uas tuaj yeem kuaj pom cov qog nqaij hlav. Ntxiv nrog rau oncology, sigmoidoscopy los yog colonoscopy yog ua tau yog hais tias nephrolithiasis, appendicitis, fecal pob zeb raug xav tias.
Lub luag haujlwm ntawm fiber ntau hauv kev kho mob plab hnyuv siab raum
Cov tsos mob hauv cov neeg laus thiab cov menyuam yaus uas muaj teeb meem no txiav txim siab xaiv txoj kev kho mob rau tus mob IBS. Lub hauv paus ntsiab lus ntawm kev kho mob yog kho cov zaub mov thiab hloov txoj kev ua neej,Raws li qhov tshwm sim, nws muaj peev xwm ua tiav qhov txo qis hauv qhov hnyav thiab zaus ntawm cov tsos mob, thiab hauv cov xwm txheej tsis yooj yim - kom tshem tawm tag nrho lawv. Ntxiv nrog rau kev noj zaub mov, tus neeg mob yuav raug sau tshuaj kho mob thiab pab kev puas siab puas ntsws.
Nws yog ib qho tseem ceeb kom nkag siab tias tsis muaj ib qho loj- haum-tag nrho cov khoom noj. Yuav noj dab tsi, thiab qhov twg tus neeg mob yuav tsum tsis kam, tus kws kho mob yuav tsum txiav txim siab. Kwv yees cov ntawv qhia zaub mov tau muab tso ua ke ntawm kev txais tos ntawm tus kws tshaj lij. Kev noj zaub mov raug xaiv ib tus zuj zus nyob ntawm cov tshuaj tiv thaiv ntawm cov hnyuv rau ntau hom khoom. Niaj hnub no, gastroenterologists pom zoo kom khaws ib daim ntawv teev npe nyob rau hauv uas rau ib lub hlis nws yuav tsum tau nco ntsoov cov zaub mov twg tau noj thiab dab tsi tshwm sim lub cev ua raws li lawv. Khaws daim ntawv teev npe yuav pab txheeb xyuas cov khoom noj uas ua rau mob plab hnyuv.
Yuav kho tus kab mob li cas? Nws yog tsim nyog sau cia tias kev noj tshuaj yuav tsis coj cov txiaj ntsig yam tsis tau kho cov zaub mov. Ua ntej noj tshuaj, nws yog ib qho tseem ceeb uas yuav tau rov xav txog qhov ua tau ntawm kev noj zaub mov fiber ntau. Hauv cov neeg mob uas muaj teeb meem vim plab hnyuv, cov tsos mob thiab kev kho mob nyob ntawm seb hom fiber ntau noj. Muaj ob hom khoom noj fiber ntau:
- soluble fiber, uas suav nrog oatmeal, barley, rye khoom, txiv hmab txiv ntoo tshiab (txiv tsawb, txiv apples), berries thiab zaub, tshwj tsis yog zaub qhwv;
- tsis muaj fiber ntau pom muaj nyob rau hauv cov qhob cij, bran, txiv ntseej thiab noob, zaub qhwv thiab lwm yam khoom noj.
Insoluble fibers tsis zom, tab sis raug tshem tawm ntawm lub cev yuav luag tsis hloov. Cov neeg mob uas mob raws plab hom IBS yuav tsum tsis txhob noj cov zaub mov uas muaj fiber ntau insoluble. Nws kuj tseem pom zoo kom txo qis kev noj zaub nrog cov tawv nqaij tawv, thiab cov txiv hmab txiv ntoo tsis yog tshiab, tab sis ci los yog stewed. Rau cov cem quav ntev, nws yog qhov zoo dua los tsom rau cov khoom noj uas muaj cov khoom noj muaj fiber ntau. Tsis tas li ntawd, cov neeg mob yuav tsum nce lawv cov kua dej txhua hnub.
Lub hauv paus ntsiab lus ntawm kev noj haus rau kev kho mob thiab kev tiv thaiv
Daim duab kho mob ntawm tus kab mob tuaj yeem ua rau mob zuj zus tuaj, nyob ntawm tus neeg mob noj zaub mov. Txhawm rau txhim kho tus mob thiab kev noj qab haus huv ntawm lub plab zom mov, nws yog ib qho tseem ceeb uas yuav tsum ua raws li cov cai hauv qab no:
- Noj tsis tu ncua, sim noj tib lub sijhawm, zam ntau teev ntawm pluas noj.
- Nws raug nquahu kom haus tsawg kawg 6 khob dej ib hnub, tsis suav cov kua txiv hmab txiv ntoo, kua txiv hmab txiv ntoo, compotes. Tshuaj yej thiab kas fes yuav tsum zam lossis txwv tsawg kawg peb khob ib hnub.
- Thaum ua rau mob plab hnyuv loj raws li kev txwv nruj ntawm cov dej haus carbonated thiab cawv, yuav tsum tau ceev faj siv cov txiv hmab txiv ntoo citrus.
- Nrog raws plab, cov khoom qab zib yog contraindicated, nrog rau sorbitol thiab nws cov derivatives. Hom tshuaj ntau tshaj plaws uas pom hauv cov khoom rau cov neeg mob ntshav qab zib yog cov pos hniav uas sau tias "tsis muaj piam thaj."
- Siv tau rau flatulence thiab tsam plabyuav ua oatmeal.
Raws li cov hauv paus ntsiab lus ntawm kev noj zaub mov tau piav qhia saum toj no, tus kws kho mob gastroenterologist pab tus neeg mob tsim cov khoom noj kom noj qab haus huv thiab tsis ua mob rau cov hnyuv, uas yuav tsum tau ua raws tsis yog hauv kev kho mob plab hnyuv xwb. Kev noj zaub mov yog qhov tseem ceeb thiab zoo tshaj plaws rau kev tiv thaiv kab mob.
YProbiotics thiab prebiotics
Probiotics tsis yog ib pawg tshuaj, lawv yog cov khoom noj uas muaj cov kab mob muaj sia - cov kab mob lactic acid tsim nyog rau kev nqus tag nrho ntawm cov zaub mov thiab kev ua haujlwm ntawm lub plab zom mov ("Bifiform", "Linex", " Acilact, "Bifiliz" thiab lwm yam). Prebiotics tuaj yeem raug hu ua zaub mov rau cov kab mob zoo. Cov tshuaj no pab txhawb kev sib npaug ntawm microflora, txhawb kev loj hlob ntawm tus lej ntawm lacto- thiab bifidobacteria, inhibit kev ua haujlwm ntawm cov kab mob hauv cov hnyuv (Lactulose, Hilak Forte, Lysozyme, Pantothenic acid, inulin npaj).
Kev siv cov probiotics thiab prebiotics tau raug pov thawj hauv kev kho mob los txo lossis daws cov tsos mob ntawm plab hnyuv. Txawm hais tias cov tshuaj no tsis yog tshuaj, lawv yuav tsum tau noj tom qab sab laj nrog kws kho mob, ua raws li cov chaw tsim khoom pom zoo.
Tshuaj rau plab hnyuv ntxwm
Ntxiv rau cov probiotics thiab prebiotics, lwm pab pawg tshuaj tau siv los kho IBS.
Ua ntej ntawm tag nrho, cov tshuaj antispasmodics tau muab tshuaj los pab tshem tawm qhov mob thiab spasms ntawm cov leeg nqaij.plab hnyuv ("Duspatalin", "Sparex", "Trimedat", "Niaspam", "Papaverin", "Mebeverin"). Noj cov tshuaj no pab kom tshem tau cov tsos mob ntawm tus kab mob. Feem ntau cov tshuaj antispasmodics muaj cov roj peppermint, uas tuaj yeem ua rau kub hnyiab, khaus luv luv thiab kub hnyiab hauv qhov quav. Ua ntej siv cov nyiaj, nco ntsoov paub koj tus kheej nrog cov contraindications. Ntau cov tshuaj antispasmodics yuav tsum tsis txhob siv los ntawm cov menyuam yaus thiab cov poj niam cev xeeb tub.
Laxatives yog pab pawg thib ob ntawm cov tshuaj uas pab txo cov plab hnyuv. Raws li txoj cai, cov neeg mob uas nquag cem quav yog muab tshuaj Metamucil, Citrucel, Equalactin. Qhov kev txiav txim ntawm cov tshuaj no yog tsom rau kev nce cov quav thiab cov ntsiab lus ntawm cov kua hauv lawv, uas ua rau cov quav softer, tso cai rau cov excrement txav mus rau qhov quav.
Thaum noj cov tshuaj laxative, nws yog ib qho tseem ceeb tsis txhob txwv qhov haus. Dej yog qhov tsim nyog kom cov khoom noj muaj fiber ntau, uas yog lub hauv paus ntawm cov kev npaj, nkag mus rau hauv cov hnyuv, tuaj yeem o thiab ua kom cov khoom loj tuaj. Thaum kho nrog laxatives, nws yog ib qho tseem ceeb kom ua raws li cov neeg tsim khoom cov lus qhia. Nws raug nquahu kom pib kho cov tshuaj nrog cov koob tshuaj tsawg kawg nkaus, nce lawv yog tias tsim nyog kom txog thaum cov quav hloov pauv lawv qhov sib xws thiab kev tso quav tsis tu ncua. Tsis txhob noj tshuaj laxative ua ntej pw. Yuav luag txhua yam tshuaj nyob rau hauv pab pawg no provoke tsam plab thiab flatulence.
Kev kho mob plab hnyuv ntawm cov kab mob raws plab yuav tsum noj cov tshuaj tiv thaiv kab mob (Smecta, Loperamide, Imodium). Lub hom phiaj tseem ceeb ntawm cov tshuaj no yog ua kom lub plab zom mov qeeb: vim qhov inhibition ntawm txoj hnyuv motility, lub sij hawm nws yuav siv sij hawm rau zaub mov kom dhau los ntawm txoj hnyuv loj. Vim li no, cov quav muaj sij hawm kom tuab thiab ncav cuag qhov xav tau ntim, uas ua rau nws yooj yim rau defecate.
Ntxiv rau cov txiaj ntsig zoo ntawm lub cev, cov tshuaj tiv thaiv kab mob ntshav qab zib muaj ntau yam kev phiv, tshwj xeeb, lawv ua rau tsam plab, tsaug zog, xeev siab, thiab kiv taub hau. Cov poj niam cev xeeb tub yuav tsum tsis txhob siv cov nyiaj no.
Yog tias tus neeg mob lub siab lub ntsws xav tau raug txwv tsis pub tawm tsam keeb kwm ntawm plab hnyuv, nws tau muab tshuaj tua kab mob. Ntawm cov tshuaj nrov thiab pheej yig, nws tsim nyog sau cia Citalopram, Fluoxetine, Imipramine, Amitriptyline. Los ntawm txoj kev, ob cov tshuaj kawg yog nyob rau hauv pab pawg neeg ntawm tricyclic antidepressants, uas tsuas yog sau tseg yog hais tias tus neeg mob yws yws ntawm qhov mob raws plab thiab mob plab, tab sis nws tsis muaj kev nyuaj siab. Cov kev mob tshwm sim feem ntau yog qhov ncauj qhuav, cem quav, thiab tsaug zog.
"Fluoxetine" thiab "Citalopram" - cov neeg sawv cev ntawm pab pawg neeg xaiv serotonin reuptake inhibitors, uas tau muab tshuaj rau mob plab, kev nyuaj siab thiab cem quav. Yog tias koj noj cov tshuaj no rau kev zawv plab, qhov kev mob tshwm sim tuaj yeem loj tuaj. Ob qho tshuaj tuaj yeem ua rau muaj kev phiv zoo sib xws, suav nroglub sij hawm luv luv tsis pom kev acuity, kiv taub hau. Tias yog vim li cas cov tshuaj tiv thaiv kab mob rau cov hnyuv yuav tsum tau noj raws li kev saib xyuas nruj ntawm tus kws kho mob.
