Mob plab hauv plab tuaj yeem tshwm sim los ntawm ntau yam kab mob thiab kab mob hauv lub cev. Feem ntau lawv tsis tham txog qhov xwm txheej ntawm daim duab kho mob. Txhawm rau kuaj mob, nws yog ib qho tsim nyog los txiav txim siab cov yam ntxwv thiab cov yam ntxwv ntawm qhov mob, nrog rau suav nrog cov tsos mob tshwm sim.
Yog qhov mob hauv plab rov tshwm sim ntau zaus, koj yuav tsum mus ntsib kws kho mob kom kuaj xyuas thiab txiav txim siab txog txoj kev kho. Tsis txhob muab tshuaj rau tus kheej.
Tseem mob
Thaum qhov mob tshwm sim hauv lub plab, nws yog ib qho tsim nyog los txheeb xyuas qhov kev sib raug zoo ntawm kev tsis xis nyob nrog kev noj zaub mov. Tshwj xeeb, cov kws kho mob paub qhov txawv ntawm qhov mob xws li:
- early;
- late;
- tshaib plab.
mob thaum ntxov tshwm sim 1-2 teev tom qab noj mov. Lawv kav ntev txaus thiab zoo ib yam. Tsis xis nyob yuav ploj mus tsuas yog tom qab cov zaub mov tau dhau lub ntsiab theem ntawm kev zom. Cov mob no tuaj yeem ua rau mob plab, mob plab, polyposis.
Tom qabmob tshwm sim hauv 1, 5-3 teev tom qab noj mov. Lawv loj hlob maj mam, thiab ces tshwm heev sharply. Cramps yog ua tau, lub plab zoo li yuav compressed. Mob hauv plab tom qab noj mov feem ntau tshwm sim nrog cov qog nqaij hlav, duodenitis, gastritis nrog qib acidity, nce pancreatitis, cholelithiasis.
Mob tshaib plab, uas tuaj yeem tshwm sim thaum hmo ntuj, hnyav heev. Hauv cheeb tsam ntawm lub plab nws prickles, mob. Kev mob hauv plab thaum hmo ntuj tsis cuam tshuam rau tus neeg mob tom qab noj zaub mov me me. Qee zaum, tsuas yog haus tshuaj yej txaus. Cov tsos mob zoo li no yog cov yam ntxwv ntawm cov kab mob thiab cov kab mob ua ntej.
Nws yog ib qho tseem ceeb uas yuav tau xav txog hom zaub mov koj noj. Tshwj xeeb, yog tias qhov mob tshwm sim tom qab noj cov zaub mov muaj roj, ces qhov no yuav yog ib qho cim qhia tias muaj kab mob nrog rau lub gallbladder.
Tus yam ntxwv mob
Txhawm rau kuaj xyuas kom raug thaum mob tshwm sim hauv plab, nws yog ib qho tseem ceeb uas yuav tau xav txog qhov tsis xis nyob. Mob hnyav tshwm sim yog yam ntxwv ntawm:
- gastritis;
- Ypancreatitis;
- muag.
mob pob ntseg thiab mob feem ntau tshwm sim nrog cov kab mob hypertrophic, nrog rau cov mob hypoacid. Mob tshwm sim ntawm gastritis feem ntau nrog los ntawm ib qho kev xav ntawm hnyav nyob rau hauv lub plab mog. Kev mob plab yog ntxiv rau sab laug ntawm lub hauv siab thiab nraub qaum, yog li ntawd, ntau tus neeg tsis meej pem nrog mob plawv. Wavy colic yuav qhia tau tias muaj teeb meem hauv plab.
Nws tsim nyog sau cia tias qhov mob cuam tshuam nrog kev zom zaub mov. Yog ibYog tsis muaj laj thawj xav tias mob plab, gastritis lossis colitis, ces koj yuav tsum hu rau tsis yog tus kws kho mob gastroenterologist, tab sis tus kws kho mob. Qhov ua rau mob hnyav tuaj yeem yog kab mob ntawm lub gallbladder lossis daim siab. Nws kuj tseem muaj peev xwm hais tias qhov mob tuaj yeem tshwm sim nrog rau cov kab mob hauv lub raum, pathologies ntawm cov hlab plawv, lossis ua rau muaj kev poob siab.
Kev tshwm sim
Ua rau mob hauv plab cheeb tsam tuaj yeem sib txawv, thiab txhua yam nyob ntawm qhov chaw ntawm qhov mob tshwm sim, nrog rau lawv qhov xwm txheej. Cov laj thawj feem ntau suav hais tias yog:
- luag;
- gastritis;
- muaj polyps;
- malignant neoplasms;
- plab trauma raug mob;
- mucosal puas vim muaj zaub mov lom;
- kev nyuaj siab;
- tsis kam rau qee yam khoom noj;
- mob qog noj ntshav.
Mob tshwm sim tuaj yeem yog vim muaj ntau yam laj thawj. Cov no muaj xws li cholecystitis, colitis. Feem ntau mob tshwm sim vim gastritis. Tus kab mob no yog tus cwj pwm los ntawm o ntawm lub plab mucosa tiv thaiv keeb kwm yav dhau los ntawm kev cuam tshuam rau qee yam ua rau khaus. Feem ntau nws muaj qhov kis kab mob. Nyob rau hauv lub sij hawm ntev ntawm tus kab mob, tej zaum yuav muaj atrophy ntawm mucosa. Ntawm cov provoking yam, nws tsim nyog highlight xws li:
- kev quav cawv, haus luam yeeb;
- noj ntsim thiab rog;
- kis kab mob Helicobacter;
- kev siv tshuaj tsis raug cai.
Cov tsos mob ntawm tus kab mob tuaj yeem sib txawv, txawm li cas los xij, qhov tseem ceeb yog qhov tsis xis nyob hauv plab. Qhov mob mob tuaj yeem ua tsis tu ncua lossis paroxysmal.
mob hnyav cuam tshuam nrog kev noj mov tuaj yeem cuam tshuam nrog lub plab. Nws feem ntau tshwm sim hauv daim ntawv ntev. Mob tshwm sim feem ntau hais thaum lub sij hawm exacerbation. Cov kab mob tuaj yeem tshwm sim vim muaj cov kab mob endocrine, gastritis, vim kev ntxhov siab, nrog rau kev noj qee yam tshuaj. Cov tsos mob yuav luag zoo ib yam li gastritis. Nrog rau qhov txhab, mob hauv plab, contractions tshwm sim tam sim tom qab noj mov. Muaj kev kub ntxhov raws caij nyoog.
Yog tias muaj mob hauv plab, qhov laj thawj ntawm qhov no yuav raug muab zais rau hauv qhov muaj cov qog nqaij hlav malignant. Qhov txaus ntshai ntawm qhov no yog nyob rau hauv lub fact tias nyob rau hauv lub sij hawm ntev lub pathology yuav tsis manifest nws tus kheej kiag li. Hauv cov theem tom qab, cov qog tuaj yeem metastasize, uas ua rau tus neeg mob tuag.
mob plab plab tuaj yeem yog qhov cim qhia ntawm kev noj zaub mov lom. Nws yog tus cwj pwm los ntawm qhov tseeb tias nws txhim kho thaum noj zaub mov tsis zoo uas muaj cov kab mob, lawv cov khoom lwj, nrog rau ntau hom tshuaj lom.
Mob hauv thaj tsam epigastric tej zaum yuav yog ib qho cim ntawm duodenitis. Qhov no yog qhov feem ntau pathology ntawm duodenum. Feem ntau, tus kab mob no ua ke nrog gastritis thiab enteritis.
Yog tias muaj mob hauv plab ntawm sab laug, qhov no yuav yog ib qho cim ntawm tus mob pancreatitis. Vim tsis muaj enzymes hauv tib neeg, muajxeev siab, mob dyspeptic, tsam plab. Mob tej zaum yuav tshwm sim los ntawm spasm ntawm lub diaphragm, uas tshwm sim thaum tsis muaj oxygen los yog tsis zoo ncig. Hauv qhov no, tej zaum yuav muaj qhov mob hnyav.
Nyob rau hauv cov ntaub ntawv ntawm o ntawm lub gallbladder, mob ib ntus tshwm sim nyob rau hauv lub plab ntawm sab xis. Feem ntau qhov tsis xis nyob yog pom tom qab noj mov. Raws li qhov tshwm sim, lub plab tag nrho nias ntawm lub gallbladder, ua rau mob.
mob plab
Yog tias muaj mob hauv plab thaum cev xeeb tub, qhov laj thawj ntawm qhov no feem ntau nyob ntawm lub sijhawm xeeb tub. Hauv thawj peb lub hlis twg, tus poj niam yuav muaj toxicosis, uas provokes qhov tshwm sim ntawm qhov mob tshwm sim. Lub hli dhau los, kuj tseem muaj qhov mob hauv plab. Qhov no yog vim txoj kev loj hlob ntawm lub tsev menyuam, uas tso siab rau hauv lub cev, tshwj xeeb tshaj yog lub plab.
Kom txo qis qhov tsis xis nyob, koj yuav tsum ua raws li cov khoom noj muaj feem, nrog rau tsis suav cov zaub mov tsis zoo. Tom qab noj mov, nws raug nquahu kom taug kev luv luv hauv huab cua ntshiab. Yog tias qhov mob rov tshwm sim ntau zaus, koj yuav tsum sab laj nrog kws kho mob txog qhov tshwj xeeb ntawm kev kho mob.
Cov tsos mob tseem ceeb
Ntau zaus, mob tshwm sim yog spastic nyob rau hauv cov xwm. Tsis tas li ntawd, thaum lub sijhawm muaj qee yam kab mob uas ua rau muaj qhov mob tshwm sim, cov cim qhia ntxiv tuaj yeem pom, tshwj xeeb, xws li:
- nausea;
- mob plab;
- ntua;
- ncekub;
- fever.
Ntau zaus, thaum koj nias rau ntawm lub plab thiab thaum txav mus, qhov mob hnyav me ntsis. Qee zaum, tej zaum yuav muaj cov cim qhia ntxiv ntawm kev qaug cawv. Thaum thawj cov tsos mob tshwm sim, koj yuav tsum mus ntsib kws kho mob.
Diagnostics
Kev mob plab yuav txawv heev. Txawm li cas los xij, yog tias tus neeg tsis txhawj xeeb txog dab tsi ntxiv lawm, nws txhais tau tias nws lub cev ua haujlwm zoo li qub. Yog tias muaj cov cim qhia ntxiv, ces nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas kom meej. Tshwj xeeb, txoj hauv kev xws li:
- suab;
- kuaj mob ultrasound;
- x-ray.
Ntxiv rau, nws yuav tsim nyog los tshuaj xyuas cov kua txiv hmab txiv ntoo rau qib hydrochloric acid. Txhawm rau txiav txim siab qhov ua rau mob, tus kws kho mob nug cov lus nug txog lub sijhawm pib ntawm qhov mob, qhov zaus ntawm kev siv tshuaj. Nws tseem ceeb heev kom txiav txim siab lub sij hawm tsis xis nyob.
Yog xav tias mob plab, yuav tau kuaj xyuas qhov colonoscopy. Yuav tsum muaj biopsy los txiav txim qhov muaj peev xwm ntawm qog.
Thaum hu rau lub tsheb thauj neeg mob
Qee zaum, yuav tsum muaj tsheb thauj neeg mob. Tshwj xeeb, koj yuav tsum hu rau lub tsheb thauj neeg mob thaum, ntxiv rau qhov mob thiab hnyav hauv lub plab kab noj hniav, spasms tshwm sim ib ntus, uas ua rau nws nyuaj. Nws tseem yog ib qho tseem ceeb kom ceev nrooj nrog tus kws kho mob thaum muaj zaub mov lom, thiab yog tias mob tshwm simCov cim qhia ntawm kev qaug cawv ntxiv ntxiv.
Yog tias muaj plab tom qab noj mov, qhov no yuav yog qhov tsis txaus noj. Nws yog txwv tsis pub haus cov zaub mov noj nrog dej txias lossis dej qab zib carbonated. Tsis tas li ntawd, cov zaub mov yuav tsum tau chew kom huv si.
Txoj kev kho mob
Yog ib tug neeg mob plab, nws yog txwv tsis pub noj tshuaj rau lawv tus kheej. Txawm tias tus kws kho mob paub txog tsis tuaj yeem sau tshuaj kho tam sim ntawd, txij li kev kuaj mob yuav tsum ua ntej. Thaum muaj kev mob hnyav, koj yuav tsum hu rau lub tsheb thauj neeg mob sai. Ua ntej tuaj txog ntawm cov kws kho mob, nws yog nruj me ntsis txwv tsis pub noj tshuaj tua kab mob thiab antispasmodics. Txawm li cas los xij, txhawm rau txo qhov tsis xis nyob, tus neeg mob yuav tsum tau pw ntawm lawv sab thiab khoov lawv lub hauv caug. Koj tuaj yeem siv qhov txias txias rau hauv plab.
Antacids tuaj yeem noj rau qhov kub hnyiab. Lawv cov nyhuv yog tsom rau txo qis acidity. Cov tshuaj xws li Almagel, Omeprazole, Maalox yuav pab tau. Thaum siv lawv, nws yog ib qho tseem ceeb kom ua raws li cov lus qhia thiab ntau npaum li cas. Txawm li cas los xij, qhov teeb meem tsis yog ib txwm muab zais rau hauv kev nce acidity, yog li ntawd, qee zaum, cov tshuaj no yuav tsis muaj zog.
Hauv kev kho mob plab nrog acidity siab, nws raug nquahu kom siv tshuaj xws li:
- "Almagel";
- Mezim;
- Omez.
Mezim pab txhim kho kev zom zaub mov. Cov tshuaj no pab tshem tawm cov tsos mob xws li mob thiabhnyav hauv plab. Thaum muaj mob, nws raug nquahu kom noj 1-2 ntsiav tshuaj. Cov tshuaj "Almagel" muaj enveloping zoo, thiab kuj neutralizes cov nyhuv ntawm hydrochloric acid. Txoj kev kho no raug pom zoo rau qhov mob paroxysmal hnyav. Yog tias tau kuaj pom tus kab mob Helicobacter pylori, cov tshuaj tua kab mob yuav tsum tau siv ntxiv, tshwj xeeb, xws li Metronidazole.
Nrog rau tus mob pancreatitis, kev kho mob ntawm lub plab yog ua nrog kev pab ntawm antispasmodics, diuretics. Koj kuj yuav tsum tau siv tshuaj txias rau ntawm lub plab, kev yoo mov ib ntus thiab kev kho mob infusion yog qhia.
Thaum muaj tus mob pancreatitis purulent, kev kho mob suav nrog kev noj tshuaj tua kab mob. Yog tias ntuav tau pom, ces cov tshuaj "Metoclopramide" yog siv. Nrog kev txhim kho ntawm necrosis thiab peritonitis, kev ua haujlwm tau qhia.
Daim ntawv mob ntev ntawm tus mob pancreatitis hais txog kev noj zaub mov, nrog rau kev npaj cov enzyme, piv txwv li, Pancreatin, Panzinorm, Mezim. Nyob rau hauv cov ntaub ntawv ntawm ib tug malignant qog ntawm lub plab, ib tug kev ua hauj lwm yog qhia, namely, resection ntawm lub cev los yog nws tshem tawm. Nws yog ib nqi sau cia hais tias nyob rau hauv lub xub ntiag ntawm mob nyob rau hauv lub plab cheeb tsam, cov tshuaj thiab lawv npaum li cas yuav tsum tau muab los ntawm tus kws kho mob nkaus xwb. Kev noj tshuaj rau tus kheej tuaj yeem ua rau muaj kev phom sij heev thiab muaj kev pheej hmoo ntawm cov teeb meem.
kev kho neeg zoo
Yog koj plab mob, yuav ua li cas tom tsev? Cov lus nug no yog qhov txaus siab rau ntau tus neeg mob, vim muaj ntau ntau cov zaub mov txawv uas tuaj yeem txo qhov mob tshwm sim. Ib qho zoo, tab sis yooj yim kev kho mob rau kev kho mob ntawm gastritis thiabtshem tawm ntawm hyperacidity yog qos yaj ywm kua txiv. Ua li no, tev lub qos yaj ywm, ces grate, nyem lub kua txiv. Ua kom sov me ntsis kom sov thiab muab nws txhua tag kis sawv ntxov tom qab sawv ntxov.
txhawm rau txhawm rau ua kom cov txheej txheem rov ua dua tshiab hauv cov ntaub so ntswg puas thiab ua kom lub cev tsis muaj zog, koj yuav tsum noj cov kua txiv aloe sib xyaw nrog zib ntab. Ib decoction ntawm dandelion yuav pab tshem tawm qhov mob tshwm sim thiab soothe mucous daim nyias nyias. Ua li no, ncuav qhuav nplooj ntawm cov nroj tsuag nrog boiling dej, insist thiab lim. Noj cov tshuaj no ib teev ua ntej noj.
Thaum muaj qhov mob hnyav heev, mint tshuaj yej yuav pab tau. Txhawm rau npaj nws, koj yuav xav tau pre-brewed ntsuab tshuaj yej. Tom qab ntawd brew mint nyob rau hauv lwm lub thawv. Thaum lub broth yog infused, nws yuav tsum tau tov nrog tshuaj yej. Cov kua txiv qaub thiab zib ntab tuaj yeem ntxiv rau saj. Cov dej haus no pab normalize digestion thiab tshem tawm xeev siab. Yog tias mob plab, yuav ua li cas hauv tsev tsuas yog pom zoo los ntawm tus kws kho mob uas tuaj koom, vim qee qhov kev kho yuav muaj contraindications.
prophylaxis
Raws li kev tiv thaiv rau qhov tshwm sim ntawm qhov mob hauv plab, thaum muaj kab mob ntev, nws yog ib qho tsim nyog yuav tsum ua raws li tus kws kho mob cov lus pom zoo. Tsis tas li ntawd, nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li kev noj haus, ua lub neej nquag.
Yog tias koj muaj mob, nco ntsoov mus ntsib kws kho mob tam sim ntawd txhawm rau kuaj thiab kho.
