Nyob rau hauv tsab xov xwm no peb yuav txheeb xyuas seb yuav kho mob cem quav. Kev ua haujlwm ntawm lub plab zom mov tuaj yeem cuam tshuam rau ntau yam laj thawj. Qhov no feem ntau yog txuam nrog xws li pathological mob, uas yog cem quav los yog atony.
YPreconditions rau pathology
Spastic cem quav, uas yog provoked los ntawm plab hnyuv spasm, tshwm sim vim qhov nce hauv cov hnyuv. Lub mechanism ntawm qhov tshwm sim yog raws li nram no:
- Ib txhia txoj hnyuv ua rau cov nqaij ntshiv, vim tias cov quav tso rau hauv txoj hnyuv, lub peev xwm txav mus ntxiv tau ploj mus.
- Cov spasms no feem ntau yog nrog los ntawm flatulence, spastic xav tias hnyav thiab overcrowding nyob rau hauv lub plab mog, spastic mob, uas yog txuam nrog nce gas tsim nyob rau hauv cov hnyuv.
- Spasm tuaj yeem tshwm sim los ntawm qee yam kab mob endocrine, lossis nyob rau hauv kev cuam tshuam ntawm kev xav thiab kev puas siab puas ntsws.
Kev kho mob cem quav rau cov neeg laus yuav tsum ua kom tiav thiab raws sijhawm.
Yog vim li cas
Rau qhov laj thawj ntawm qhov noNtau hom kab mob hauv plab tuaj yeem raug ntaus nqi rau cov kab mob hauv qab no:
- Hypothyroidism.
- Ovarian dysfunction (piv txwv li, thaum cev xeeb tub).
- Kab mob ntawm lub qog pituitary.
- Irritable bowel syndrome.
- Neurogenic colitis.
- Txoj kev phem.
Qhov tseem ceeb tshaj plaws hauv kev txhim kho cov kab mob pathological no yog kev tswj hwm kev cuam tshuam hauv kev ua haujlwm ntawm lub paj hlwb autonomic. Cov cem quav ua rau pom nws tus kheej li cas hauv cov neeg laus?
Symptoms of disease
plab hnyuv spasms yog yam ntxwv los ntawm qhov tseeb tias qhov kev ncua sij hawm ntawm kev tso quav tshwm sim ib ntus, thiab tsis tas li. Nyob nruab nrab ntawm cem quav, cov quav yuav zoo li qub lossis xoob. Feem ntau muaj cov xwm txheej zoo li no thaum cov kab mob pathology tshwm sim los ntawm cov kab mob me me ntawm cov mob raws plab, uas, raws li txoj cai, yog qhov tshwm sim ntawm lub cev cov lus teb rau lub sijhawm ntev stagnation ntawm cov quav thiab spasms ntawm cov hnyuv. Yeej, qhov no tshwm sim thaum xws li spasms cuam tshuam nrog ntau yam kev puas siab puas ntsws thiab kev puas siab puas ntsws.
Cov tsos mob ntawm cem quav yog dab tsi?
Daim duab kho mob ntawm cov leeg nqaij hauv plab yog tshwm sim los ntawm kev chim siab plob tsis so tswj, uas tau qhia hauv cov yam ntxwv tseem ceeb hauv qab no:
- mob lub plab, feem ntau nyob rau hauv daim ntawv ntawm cramping mob.
- Nyob rau lub sijhawm qeeb hauv qhov quav.
- Kev tshem tawm cov hnoos qeev ua ke nrog cov quav.
- Ntxhais kev chim siab thiab kev xav.
- Nyob tas li.
Qee zaum, quav quav tuaj yeem me ntsis, txawm li cas los xij, cov quav tso quav tsis tiav, thiab cov quav tawm tuaj rau hauv cov khoom me me. Tom qab lub plab zom mov zoo li no, muaj kev xav tsis tiav ntawm cov hnyuv, nrog rau hnyav hauv plab thiab tsis tsim nyog satiety.
Thaum cev xeeb tub
Kwv yees li 80% ntawm cov poj niam yws txog qhov teeb meem ntawm cem quav thaum cev xeeb tub, thiab txog 20% tom qab yug menyuam. Lub sijhawm no, cov poj niam yuav muaj kev cuam tshuam ntau dua los ntawm qhov hu ua "atonic" cem quav, uas cuam tshuam nrog kev tsis tuaj lossis txo qis hauv plab hnyuv. Txawm li cas los xij, mob plab hnyuv thaum cev xeeb tub tsis yog qhov txawv.
Raws li qhov sib txawv ntawm cem quav thiab cem quav atonic, qhov no, cov xwm txheej hauv qab no tshwm sim:
- Cov plab hnyuv atony yog qhov tsis muaj tag nrho ntawm peristalsis, uas feem ntau cuam tshuam nrog kev so ntawm cov leeg nqaij ntawm txoj hnyuv, nrog rau qhov tsis muaj qhov xav tau ntawm fiber ntau hauv kev noj haus thiab qee qhov laj thawj. Nrog rau txoj kev loj hlob ntawm cov kab mob no, tsis muaj qhov xav kom defecate hauv txoj hnyuv.
- Lub xeev spastic ntawm lub cev no feem ntau yog nrog los ntawm qhov mob zuj zus thiab luv luv tsis muaj zog, tsim cov pa roj ntau ntxiv, rumbling hauv plab thiab cov quav tsis xwm yeem (cem quav yuav hloov los ntawm raws plab).
Qhov tseem ceeb ua rau cem quav hauv cov poj niam cev xeeb tub
Lawv yog:
- Nias ntawm txoj hnyuv, uas ncaj qha nyob ntawm lub sijhawmcev xeeb tub - qhov loj dua, lub siab ntau dua los ntawm lub tsev menyuam loj hlob ntawm cov hnyuv thiab lwm yam kabmob. Yog li ntawd, cov ntshav ncig hauv lub plab pelvic vascular qeeb thiab cuam tshuam, uas tuaj yeem cuam tshuam txoj hnyuv motility thiab ua rau spasms.
- Hormonal hloov. Ib tug ntau ntawm progesterone nyob rau hauv lub cev ntawm tus poj niam cev xeeb tub relaxes tsis tau tsuas yog cov nqaij ntshiv ntawm lub tsev menyuam, tab sis kuj cov hnyuv. Nyob rau tib lub sijhawm, spasms tuaj yeem tshwm sim hauv qee qhov ntawm cov hnyuv, ua rau cem quav ntawm qhov xwm txheej zoo sib xws.
- Thaum cev xeeb tub, cov poj niam feem ntau muaj kev nyuaj siab ntxhov plawv. Lawv yooj yim khaus, lawv muaj kev ntshai tsis tsim nyog, ntau yam kev paub. Cov xwm txheej zoo li no cuam tshuam nrog kev hloov pauv hormonal hauv lub cev, thiab lawv cov kev mob tshwm sim tuaj yeem yog cem quav neurogenic, uas ploj mus ntawm lawv tus kheej tom qab normalization ntawm lub hlwb
- Ib yam tsis tshua muaj tshwm sim ntawm cov spasms yog kev tsis haum tshuaj los yog zaub mov lom.
Nws yog qhov tsis tsim nyog siv cov tshuaj laxative thaum cev xeeb tub yam tsis muaj tshuaj los ntawm tus kws kho mob tshwj xeeb.
cem quav hauv me nyuam
plab hnyuv hauv cov menyuam yaus tuaj yeem tshwm sim los ntawm kev cuam tshuam lossis kev hloov pauv hauv kev noj zaub mov zoo, piv txwv li, thaum hloov mus rau mis nyuj pub mis, lossis thaum qhia zaub mov ntxiv. Qhov laj thawj tseem ceeb tseem tsis tau tsim lub paj hlwb hauv tus menyuam, uas ua rau tib neeg cem quav.
Thaum muaj hnub nyoog laus zuj zus, cem quav yuav tshwm sim vim kev siv ntau ntxivtus naj npawb ntawm cov khoom noj qab zib, nrog rau cov kua dej tsis txaus, kev noj zaub mov tsis zoo. Qee zaum, spasm yog qhov tshwm sim ntawm kev ntxhov siab hnyav hauv tus menyuam, piv txwv li, tom qab hloov chaw nyob, hloov pauv huab cua, tom qab hloov mus rau lwm lub tsev kawm ntawv, tsev neeg tsis zoo, thiab lwm yam.
Spastic cem quav hauv menyuam yaus tshwm sim hauv yuav luag txhua tus neeg mob me thib peb. Kev kho mob rau cov mob no yog muab los ntawm ib tus kws kho mob tshwj xeeb uas coj mus rau hauv tus account qhov ua rau tus kab mob. Txawm li cas los xij, cov tshuaj antispasmodic yuav tsum zam rau cov menyuam yaus. Feem ntau, kev kho mob luv luv nrog laxative thiab so kom txaus nyob rau hauv daim ntawv ntawm qhov quav suppositories yog txaus.
Diagnosis
Kev siv tshuaj ntsuam xyuas thiab kev kho mob cem quav yog ua los ntawm tus kws kho mob tshwj xeeb coloproctologist, nrog rau tus kws kho mob lossis tus kws kho mob gastroenterologist. Kev kuaj mob yog ua raws li kev sim thiab ntsuas cov txheej txheem, cov uas yog:
- Sigmoidoscopy, uas yog tus txheej txheem rau kev kuaj lub qhov quav thiab qis sigmoid nyuv siv lub cuab yeej tshwj xeeb - sigmoidoscope.
- Fibrocolonoscopy yog ib txoj kev kuaj mob, uas yog kev kuaj mob ntawm txoj hnyuv.
- Irrigoscopy, uas yog cov txheej txheem X-ray cuam tshuam nrog kev qhia txog tus neeg sawv cev tshwj xeeb sib txawv rau hauv txoj hnyuv.tshuaj.
Cov kev tshawb fawb soj ntsuam saum toj no yog qhov tseem ceeb heev txhawm rau txhawm rau txheeb xyuas qhov mob ntawm cov hnyuv mucosa, cov yam ntxwv ntawm cov kab mob thiab kev puas tsuaj, qib peristalsis, plab hnyuv ua haujlwm thiab plab hnyuv elasticity.
Qee zaum, nws yuav tsim nyog los soj ntsuam cov quav hauv plab los kawm txog microflora, vim tias vim tsis muaj qee yam kab mob lactic acid, putrefactive fermentation hauv cov hnyuv tuaj yeem tshwm sim, uas cuam tshuam ncaj qha rau qhov tshwm sim ntawm cov kab mob hauv plab. tshem tawm haujlwm. Qhov kev tshwm sim no tau ua tiav txhawm rau txhawm rau txhawm rau txhawm rau cem quav nrog plab hnyuv dysbacteriosis, uas yog qhov tshwm sim los ntawm qhov tshwm sim ntawm cov tsos mob ntawm flatulence, mob, cem quav.
Objectively, thaum palpation, tus kws tshaj lij tuaj yeem txiav txim siab qhov chaw ntawm qhov mob hauv ntau qhov chaw ntawm txoj hnyuv. Tsis tas li ntawd, lub compressed sigmoid flagellum tau zoo palpated, thiab, piv txwv li, caecum tuaj yeem raug ntsuas raws li so.
Tshuaj mob cem quav
Kom normalize plab hnyuv peristalsis, ib qho ntawm cov kabmob tseem ceeb ntawm lub plab zom mov, yog lub luag haujlwm tseem ceeb hauv kev kho mob ntawm nws cov mob spastic. Hauv qhov no, txoj kev kho yuav tsum ua kom tiav thiab suav nrog ntau yam kev kho mob tseem ceeb:
- Cov zaub mov noj suav nrog kev noj fiber ntau ntxiv.
- Tshuaj.
- Kev siv tshuaj homeopathic thiab pej xeem tshuaj.
Thaum muaj teeb meem xws liqeeb defecation, nws yog ib qho tsim nyog yuav tau tshem ntawm nws, zoo li lwm yam pathologies, pib nrog kev sab laj nrog kws kho mob. Kev kuaj mob ntxov yuav pab ua kom txoj kev kho mob cem quav zoo tshaj plaws thiab siv sijhawm luv.
Yog tias, vim qee yam, kev thov rov hais dua rau tus kws kho mob tshwj xeeb tsis tuaj yeem ua, tom qab ntawd thaum pib ntawm kev txhim kho kab mob, koj tuaj yeem sim kov yeej koj tus kheej.
Yuav ua li cas thiaj tshem tau cem quav tom tsev?
Nyob
Kev ntxuav cov enemas feem ntau yog siv rau kev zom plab zom mov. Txawm li cas los xij, nws yuav tsum paub tias nyob rau hauv cem quav, kev qhia txog cov tshuaj txias rau hauv cov hnyuv yuav tsum tsis txhob siv, vim qhov no tuaj yeem ua rau cov leeg nqaij thiab nce spasms. Cov dej kub thaum lub sij hawm ntxuav lub enema yuav tsum yog nruab nrab: cov kua yog rhuab mus rau hauv chav tsev kub thiab txhaj rau hauv cov hnyuv nyob rau hauv qis siab.
Cov txiaj ntsig zoo tshaj plaws yog cov roj enemas, uas siv cov roj rhuab mus rau 32 ° C, hauv ntim ntawm 150 ml, lossis roj-dej sib tov nrog ntim txog 500 ml. Cov roj uas siv ntau tshaj plaws yog cov roj castor txiv roj thiab roj sunflower.
Laxatives
Laxatives rau spasms nyob rau hauv txoj hnyuv yuav tsum tau xaiv kom zoo zoo, txwv tsis pub tsuas yog ntawm cov khoom xyaw tshuaj ntsuab, thiab nws yog qhov zoo dua los ua tsis muaj laxatives txhua. Qhov tseeb yog tias feem ntau ntawm cov tshuaj no ua rau lub plab zom mov, uas ua rau muaj qhov hnyav zuj zus thiab ua rau tus neeg mob hnyav dua.
Yog txais toslaxative yog inevitable, nws yog pom zoo kom mus rau ib tug complex noj tshuaj. Piv txwv li, cov tshuaj "Duphalac" rau spastic cem quav yog muab nyob rau hauv parallel nrog antispasmodic tshuaj. Hauv qhov no, koj tuaj yeem txo qhov mob thiab daws qhov teeb meem no.
Anspasmodics
Anspasmodic tshuaj rau cov hnyuv tau muab faib ua ob peb pawg thiab muaj kev txwv rau lawv siv. Papaverine yog suav hais tias yog lub ntsiab thiab feem ntau antispasmodic rau txoj hnyuv, thiab thaum tsis muaj cov tshuaj no, koj tuaj yeem siv cov cuab yeej xws li No-shpa lossis Dibazol.
Kev noj zaub mov kom cem quav
Cov lus qhia tseem ceeb rau kev noj zaub mov kom zoo yuav yog:
- txo qis kev noj cov rog, ntsev, kib, cov khoom noj starchy;
- nce kev noj zaub, txiv hmab txiv ntoo tshiab, yav dhau los dhau los ntawm lub tshuab ntxhua khaub ncaws lossis sieve;
- noj zaub ntau dua li nqaij kua zaub;
- tsis suav nrog txhua yam khoom noj uas tsis zoo: chocolate, mov, nqaij liab, tshuaj yej muaj zog, pomegranates;
- hloov khob cij dawb nrog dub lossis tag nrho cov nplej;
- rau pluas tshais koj yuav tsum noj oatmeal hauv dej nrog prunes lossis txiv apples qhuav - cov no yog cov khoom noj uas muaj cov nyhuv laxative;
- ntxiv cov mis nyuj muaj roj tsawg rau cov zaub mov: whey, kefir, bio-yogurt, thiab lwm yam.;
- suav nrog cov fiber ntau hauv kev noj haus.
Yuav tsum tsis lees txais cawv thiab lub zogdej qab zib thiab dej qab zib. Hloov chaw, siv ntau cov ntxhia thiab dej zoo tib yam tsis muaj roj (tsawg kawg 2 litres ib hnub), tshuaj yej ntsuab, kua txiv hmab txiv ntoo tshiab, tshuaj ntsuab decoctions, uas muaj cov nyhuv laxative. Cov zaub mov yuav tsum tau noj tsis tu ncua, nyob rau hauv me me, zom kom huv si thiaj li tsis txhob khaus ntawm cov phab ntsa ntawm cov hnyuv. Ib qho tshuaj zoo heev rau normalization ntawm plab hnyuv ua haujlwm yog bran. Lawv muaj peev xwm o, vim li ntawd, qhov ntim ntawm cov quav quav yuav nce thiab tiv thaiv kev tsim roj.
Reviews
Xav tshuaj xyuas ntawm cem quav.
Cov neeg feem coob uas tau raug kev txom nyem los ntawm cov kab mob xws li cem quav rau qee lub sijhawm tau ntsib kws kho mob rau kev kho mob ntawm cov xwm txheej no. Lawv nco ntsoov tias cov kws kho mob tshwj xeeb hauv kev txhim kho tus kab mob no tau sau tseg, raws li txoj cai, ib qho kev kho mob nyuaj thiab kev noj haus. Kev noj haus yuav tsum muaj xws li noj zaub mov uas muaj fiber ntau thiab complex carbohydrates. Cov tshuaj no cuam tshuam rau cov txheej txheem digestive thiab pab kom defecation.
Raws li cov tshuaj, cov kws tshaj lij feem ntau tau sau cov tshuaj uas pab txo qis cov leeg nqaij ntawm txoj hnyuv, uas yog, tshuaj antispasmodic. Hom kev kho no txo qhov mob thaum lub sij hawm kev loj hlob ntawm spastic constipation, thiab lub zog ntawm cov quav los ntawm txoj hnyuv yog stimulated los ntawm tej yam tshuaj rau cem quav, los yog, nyob rau hauv mob me me ntawm cov kab mob, los ntawm qhov quav suppositories, uas muaj xws li. Cov tshuaj uas ua rau cov phab ntsa ntawm lub qhov quav thiab ua rau lub plab zom mov.
Peb tau saib cov tsos mob thiab kho mob cem quav.
