Thaum qhov mob tshwm sim hauv qhov quav, nws yog ib qho tsim nyog yuav tsum nkag siab tias yuav ua li cas thiaj paub txog qhov spasm ntawm sphincter. Qhov no pathology yog tus yam ntxwv los ntawm involuntary contractions ntawm cov leeg du nyob rau hauv lub qhov quav. Hnub no peb yuav tham txog cov tsos mob thiab kev kho tus kab mob no.
Kev piav qhia kab mob
Koj tuaj yeem soj ntsuam spasms nrog kev raug mob ntawm lub qhov quav, muaj cov kab mob ntawm qhov quav, cov kab mob vegetative. Kev ua txhaum ntawm txoj hnyuv thiab colic kuj tuaj yeem ua rau kev txhim kho ntawm pathology. Cov kab mob no tseem hu ua rectal sphincteritis, vim nws cov tsos mob zoo ib yam li hemorrhoids, tab sis sphincter insufficiency tseem tuaj yeem pom. Thaum muaj mob, ib tug neeg yuav hnov mob hauv qhov quav, uas tuaj yeem kis mus rau perineum, coccyx lossis plab. Pathology tuaj yeem raug cais raws sijhawm thiab ua rau.
Kev faib tawm raws sijhawm
Tus kab mob no tuaj yeem muaj sijhawm sib txawv. Pathology yog qhov txawv ntawm lub sij hawm ntev thiab sai dhau. Yog tus kab mobnrawm nrawm, koj tuaj yeem pom qhov mob hnyav ntawm qhov stabbing lossis mob qhov mob hauv qhov quav. Feem ntau, qhov mob yog muab rau lub coccyx los yog lub duav. Tus neeg mob tuaj yeem yws txog qhov mob hauv perineum. Cov neeg mob feem ntau cuam tshuam cov tsos mob xws li raum, prostate lossis kab mob genitourinary.
Yog tias qhov spasm ntawm lub qhov quav sphincter tsis ploj mus ntev, qhov mob hnyav ua rau koj nyuaj siab, thiab qee zaum txawm tias cov tshuaj tua kab mob tsis pab, ces koj yuav tsum mus rau tsev kho mob sai. Tom qab qee lub sijhawm, qhov mob yuav ploj mus ntawm nws tus kheej, tab sis tom qab ntawd rov qab nrog lub zog ntau dua. Tej yam uas ua rau xws li ib tug pathology yog feem ntau muab zais nyob rau hauv lub hlwb thiab lub siab lub ntsws ntawm ib tug neeg (kev puas siab puas ntsws mob, nquag kev nyuaj siab, thiab lwm yam). Nws yuav tsum tau muab sau tseg tias nws yog ib qho nyuaj kawg li los tiv thaiv tus kab mob no ntawm koj tus kheej, thiab koj yuav tsum tau mus nrhiav cov lus qhia ntawm ib tug proctologist los sau cov kev kho mob kom raug.
Kev faib tawm los ntawm qhov tshwm sim
Nyob ntawm qhov ua rau ntawm tus kab mob, cov kws tshaj lij paub qhov txawv ntawm theem nrab thiab thawj proctalgia. Lub hauv paus tseem ceeb yog qhov tsawg heev thiab tsim los ntawm neurotic spasms ntawm cov leeg coccygeal thiab qhov quav. Secondary proctalgia tsim nrog concomitant pathologies ntawm lub qhov quav: qog, fissures thiab hemorrhoids uas tshwm sim nyob rau hauv lub qhov quav kwj dej. Koj yuav tsum tsis txhob ncua sijhawm hu rau tus kws kho mob thiab ua qhov kev kuaj mob kom tshem tawm cov tsos mob ntawm tus kab mob xws li spasm.qhov quav sphincter.
Kev tshwm sim
txhawm rau txheeb xyuas qhov ua rau spasms, koj thawj zaug yuav tsum nkag siab txog cov haujlwm thiab cov qauv ntawm lub qhov quav. Lub sphincter yog sab hauv thiab sab nraud, nws sab nraud yog tsim los ntawm ntau lub hlwb receptor uas cuam tshuam thiab tswj kev ua ntawm defecation. Sab hauv yog fibrous. Cov leeg no yog cov leeg nqaij du, muaj cov duab puab, thiab nws tsis tuaj yeem tswj tau los ntawm tus neeg. Sab hauv pab kom tsis txhob muaj roj thiab quav. Yog tias cov leeg nqaij thiab tag nrho cov leeg sab hauv raug puas, sphincter insufficiency thiab spasm yuav tshwm sim.
Kev txiav txim siab qhov chaw ntawm tus kab mob thiab paub yuav ua li cas thiaj li so lub qhov quav sphincter yog qhov tseem ceeb heev. Feem ntau, tus kab mob no cuam tshuam rau cov neeg laus vim cov leeg tsis muaj zog. Lub siab tsis ruaj tsis khov ua rau muaj qhov tshwm sim ntawm spasm, thiab yog li ntawd qhov mob no feem ntau dhau los ua ib tus khub ntawm cov poj niam uas muaj kev qaug dab peg. Tsis tas li, sphincteritis tshwm sim thaum muaj kev raug mob ntawm lub qhov quav, piv txwv li, ua rau mob pancreatitis, duodenal ulcers, fissures, gallstones, qog, hemorrhoids thiab hemorrhoids.
Tag nrho cov laj thawj no tau muab cais ua qhov thib ob proctalgia. Lawv ua rau muaj kev cuam tshuam hauv thaj tsam ntawm qhov quav thiab kev hloov pauv hauv lub xeev cov organic. Cov laj thawj zoo li no suav nrog kev raug mob rau lub qhov quav thaum ua haujlwm hauv qhov quav lossis kev yug menyuam nyuaj. Nws tshwm sim tias qhov nce hauv cheeb tsam ntawm cov hlab ntsha xaus hauv thaj tsam ntawm lub qhov quav zais qhov ua kom pom tseeb ntawm spasms.
Sphincter spasm: cov tsos mob tseem ceeb
Zoo nyob ntawm hom kab mob, qhov mob tuaj yeem yog qhov sib txawv thiab siv. Qee zaum kev hnov mob cuam tshuam tsis tsuas yog lub qhov quav, tab sis kuj txuas mus rau perineum, thaj chaw coccygeal thiab pob qij txha. Feem ntau, qhov mob tshwm sim thaum lub plab zom mov, tab sis muaj qee zaus thaum nws thab li ntawd. Tom qab da dej sov lossis tso quav tso, qhov mob yuav ploj mus.
Spasm ntawm lub qhov quav sphincter kuj tshwm sim nrog kev ntxhov siab ntev. Ua rau muaj teeb meem nyuaj rau tus neeg mob tom qab qhov pib tshwm sim ntawm sphincteritis. Yog tias ib tus neeg tsis tuaj yeem tso nws tus kheej ib txwm, nws tuaj yeem tsim kev puas siab puas ntsws, vim tias tus neeg mob yuav muaj kev xav tsis ruaj khov. Feem ntau koj tuaj yeem hnov los ntawm tus neeg mob cov lus tsis txaus siab ntawm qhov mob hnyav rub lossis colic. Txij li thaum qhov kev hnov mob muaj zog txaus, ib tus neeg poob rau hauv kev txiav txim siab lawv qhov chaw nyob thiab yuav pom tau tias lawv yog ib tus kab mob ntawm cov kab mob genitourinary thiab pib kho cov kab mob sib txawv. Nrog rau kev kho raws sijhawm, cov tsos mob ntawm qhov mob tuaj yeem raug tshem tawm sai heev.
Dab tsi lwm cov tsos mob ntawm sphincter spasm muaj? Yog hais tias spasms tshwm sim los ntawm hemorrhoids, muaj ib tug fissure los yog lwm yam kab mob, raws li zoo raws li kev raug mob rau lub qhov quav, qhov mob yog txuam nrog rau cov defecation. Nws tshwm sim los ntawm lub sijhawm muaj siab xav mus rau hauv chav dej tshwm thiab tuaj yeem kav ntev li ib hnub. Tus neeg mob pib ntshai ntawm cov txheej txheem ntawm kev tshem tawm thiab sim ua siab ntev, ncua nws, yog li ua rau cem quav. Qhov tseem ceeb tshaj plawsntawm no - tam sim no mus ntsib kws kho mob ntawm thawj cov tsos mob thiab pib kho nyob rau hauv lub sij hawm kom lub insufficiency ntawm lub sphincter ua rau spasms yog tshem tawm.
Diagnosis
Ua ntej, tus kws kho mob yuav tsum nug seb tus neeg mob yws txog dab tsi txhawm rau txhawm rau paub seb nws txoj kev ua neej zoo li cas thiab qhov ua rau tus kab mob yog dab tsi. Tej zaum ib tug neeg muaj kab mob hauv plab, los yog nws raug tsim txom los ntawm kev mob plab tas li, uas yuav ua rau kev teem caij kho mob nyuaj. Feem ntau, kev raug mob uas tau txais ua ntej tuaj yeem ua lub hauv paus ua rau spasms. Tus kws kho mob yuav tsum paub seb tus neeg mob puas muaj kab mob ntawm lub paj hlwb, kev puas siab puas ntsws, pathologies ntawm lub genitourinary system los yog qhov quav.
Thaum lub hom phiaj ntawm tus kab mob yog thawj proctalgia cuam tshuam nrog spasm ntawm cov nqaij ntshiv ntawm lub cev, tus neeg mob yuav tsis paub txog tig mus rau tus kws kho mob tsis raug thiab tau txais kev kho mob tsis raug. Ua ntej ntawm tag nrho cov, nrog mob nyob rau hauv lub sphincter los yog colic nyob rau hauv lub qhov quav, nws yog tsim nyog mus cuag ib tug proctologist. Tus kws kho mob tshwj xeeb yuav tshuaj xyuas lub qhov quav thiab qhov tob tob ntawm cov phab ntsa ntawm lub qhov quav los ntawm rectoscopy. Yog tias tsim nyog, yuav tau teem caij kuaj xyuas qhov colonoscopy. Tus neeg mob yuav raug xa mus rau tus kws kho mob hlwb lossis tus kws kho puas siab puas ntsws yog tus kws kho mob pom tias muaj kev puas siab puas ntsws.
Sphincter spasm kho
Kev kho mob yog muab raws li cov tsos mob tam sim no thiab lub sijhawm ntawm tus kab mob. Tsis muaj qhov xwm txheej twg yog tias koj koom nrog kev kho tus kheej, kev kho thiab kev kuaj mob yuav tsum tau muab los ntawm cov neeg paub txogtus kws tshaj lij. Yog tias tus mob sphincteritis tau dhau los lossis ntev txaus, koj yuav tsum tau mus rau kev phais. Nyob rau theem pib, kev kho tshuaj lossis kev kho mob nrog pej xeem cov kev kho mob kom txo tau qhov mob yuav tsim nyog.
Kev Tiv Thaiv Kev Tiv Thaiv
Kev kho mob zoo li no yog txhawm rau tshem tawm cov tsos mob thiab qhov tseem ceeb ntawm tus kab mob. Cov tshuaj yuav pab kom tsis txhob muaj qhov tsis xws luag hauv mucosal thiab o, thiab thiaj li yuav txo tau spasms, tshuaj tua kab mob thiab tshuaj antispasmodics. Thaum muaj teeb meem, tus kws kho mob tuaj yeem sau cov tshuaj nrog cov tshuaj tua kab mob sib xyaw ua ke. Txhawm rau tshem tawm cem quav, koj yuav tsum noj cov tshuaj laxative, tab sis koj yuav tsum tsis txhob tsim txom lawv.
Thaum lub sij hawm kho, cov tshuaj pleev qhov quav los yog suppositories yog siv ("Ultraproject", "Proctoglivenol", "Relief Advance" thiab lwm yam). Tsis tas li ntawd, muaj suppositories nrog cov khoom xyaw ntuj - hiav txwv buckthorn, belladonna. Kev da dej sov tuaj yeem pab txo qhov mob thiab pab koj so. Tsis tas li ntawd, tus kws kho mob tuaj yeem sau tshuaj microclysters nrog cov tshuaj tiv thaiv kab mob thiab electrosleep. Kev cem quav tuaj yeem tshwm sim nrog rau plab hnyuv dysbacteriosis lossis colic, thiab yog li ntawd lawv yuav tsum tau kho. Spasm ntawm sphincter ntawm lub zais zis kuj ua tau. Qhov no kuj yog ib qho nyuaj heev. Yog li ntawd, cov zis tau muab pov rau hauv cov ureters, uas ua rau mob.
Tsis txhob hnov qab txog kev nyiam huv ntawm tus kheej: ntxuav lub qhov quav thaum sawv ntxov thiab yav tsaus ntuj thiab tom qab txhua qhov khoob, kom cov ntaub so ntswg tsis khaus lossis raug mobmucous. Kev noj zaub mov yog qhov tseem ceeb. Nws yog ib qho tsim nyog yuav tsum txo qis kev noj zaub mov tsis haum, cov nqaij haus luam yeeb, qab ntsev, ntsim, qe, tsev cheese, nqaij thiab ntses kom tsawg kawg nkaus kom tsis txhob ua rau lub qhov txhab ntawm lub plab zom mov. Nws tseem tsim nyog muab cov zaub mov kib thiab rog, txiv hmab txiv ntoo thiab zaub nyoos (carrots, apples, cabbage, qos yaj ywm, strawberries thiab plums). Yuav tsum paub yuav ua li cas thiaj txo tau sphincter spasm.
Thaum tsis muaj qhov tshwm sim ntawm kev siv cov kev kho kom zoo thiab txuas ntxiv ntawm spasms thiab insufficiency ntawm sphincter, koj yuav tsum tau mus rau kev phais. Cov txheej txheem no hu ua sphincterotomy. Nws yog nqa tawm nrog kev pab los ntawm ib feem ntawm cov nqaij ntshiv ntawm sab nraud sphincter, uas ua rau kom cov leeg du. Rau ntau dua, cov txheej txheem no tau muab tshuaj los txo qhov mob.
Kev ua haujlwm zoo li no tau ua thaum muaj qhov spasm ntawm lub sphincter ntawm Oddi - cov leeg pob txha nyob hauv duodenum. Nws kuj tseem hu ua postcholecystectomy syndrome, vim qhov tshwm sim ntawm cov kua tsib li qub tau cuam tshuam.
Txoj kev ua neeg
Tsev tshuaj siv da dej kub thiab tshuaj ntsuab enemas. Ib qho enema yog qhov zoo tshaj plaws npaj siv chamomile. Kev da dej sov nrog qhov sib ntxiv ntawm ib qho nyiaj ntawm poov tshuaj permanganate muaj txiaj ntsig zoo. Txawm li cas los xij, tsis txhob hnov qab tias nws yog qhov zoo dua los siv cov tshuaj pej xeem tom qab kev tso cai los ntawm tus kws kho mob kom tsis txhob ua rau muaj kev phom sij ntau dua rau kev noj qab haus huv.
