Vim tias nws yog ib yam mob tsawg heev tsis txhais hais tias koj tsis tuaj yeem tau. Vim tias muaj ntau lub sijhawm provocative uas feem ntau tuaj yeem tsim teeb meem. Ntau tus xav paub yog tias lub plab zoo li lub pob zeb, yuav ua li cas. Dab tsi yog qhov ua rau ntawm qhov tshwm sim thiab nws cov tsos mob?
Yog vim li cas
Qhov tseem ceeb yog kev ua txhaum ntawm lub cev muaj zog uas yog lub luag haujlwm rau kev khiav tawm ntawm cov zaub mov ntawm lub plab mus rau hauv txoj hnyuv. Ib tus kab mob provocative ib txwm yog mob ntshav qab zib mellitus (diabetic gastroparesis, ib nrab tuag tes tuag taw ntawm lub plab). Muaj lwm yam tseem ceeb sib npaug ua rau pob zeb hauv plab:
- Tsis muaj kuab paug ntawm cov qog noj ntshav, qis acidity.
- Kev daws cov hnyuv thiab plab los ntawm cov kab mob uas cuam tshuam cov microflora (pob zoo li cov fungi).
- Nyob viscosity ntawm mucus.
Txhua tus neeg uas tsis zom zaub mov zoo, tsim txom cov khoom noj ntxhib thiab muaj roj, cov uas tau phais plab (ib feem ntawm qhov phais, vagotomy) thiab cov uas tsis tau txais kev tshuaj xyuas tom qab tuaj yeem kis tus kabmob no.
Lub pob zeb tuaj yeem nyob hauv lub cev tau ntev yam tsis ua rau muaj cov tsos mob tsis zoo. Yog li ntawd, ib tug neeg tau ntau xyoo tsis paub txogntawm nws mob. Thaum lub pob zeb ncav cuag qhov loj me, nws tuaj yeem ua rau muaj kev tawm tsam lossis ua rau tsis xis nyob. Raws li txoj cai, kev tsis xis nyob yog pom los ntawm lub pob zeb hauv plab tom qab noj mov. Cov neeg mob uas muaj tus kab mob no tau muab tshuaj noj tshwj xeeb.
Kev xav
Nrog pob zeb, tus neeg mob tas li tsis xis nyob hauv thaj tsam plab, nws tshwm sim nws tus kheej raws li hauv qab no:
- Nco ntsoov tias plab plab thiab ntuav tom qab noj mov.
- Xav tias hnyav hauv plab, kav ntev tshaj li ob teev tom qab noj mov.
- Kev pab ib ntus tuaj tom qab ntuav lossis raws plab, tab sis tom qab ntawd txhua yam rov ua dua nrog lub zog tshiab.
- Tus neeg mob pib qaug zog, qaug zog, tsis quav ntsej, tsis qab los.
- Ntau thiab ntau zaus kuv xav tias kuv tau nqos ib yam loj.
- Thaum lub pob zeb pib hla lub plab zom mov, mob plab zom mov ntxiv rau ntuav.
Symptoms
Cov tsos mob ntawm pob zeb hauv plab tsis tshwm sim tam sim ntawd. Tab sis raws li kev tsim ntau ntxiv, lawv pib ua kom puas lub plab hauv ob sab phlu nrog lawv cov npoo ntse. Thawj cov tsos mob ntawm tus kab mob muaj xws li:
- tsis yeem tawm ntawm cov pa tawm ntawm txoj hlab pas los ntawm lub qhov ncauj vim yog qhov ua rau diaphragmatic contraction - belching;
- emetic reflex thaum thiab tom qab noj mov;
- hnyav hauv plab uas tshwm sim thaum noj mov thiab nyob ntev tshaj li ob teev.
pob zeb me me tuaj yeem tawm thaumntuav thiab raws plab. Qhov no coj kev pab ib ntus. Tab sis yog tias tus neeg mob tseem coj tib txoj kev ua neej, siv cov khoom qub, tsis tiv thaiv nws tus kheej los ntawm cov teeb meem tsis zoo ntawm kev ua haujlwm, ces cov tsos mob tshiab tshwm sim. Qhov loj ntawm lub plab yuav txo qis, zaub mov nyuaj dua rau zom. Cov cim tshiab ntawm tus kab mob tshwm sim, uas suav nrog kev poob phaus, indifference thiab qaug zog, txo qis hauv hemoglobin hauv cov ntshav, thiab tsis muaj peev xwm ua haujlwm. Thaum lub pob zeb pom nws txoj kev tawm ntawm lub plab, nws tuaj yeem thaiv kev nkag mus rau cov hnyuv. Qhov no ua rau mob plab thiab ntuav.
Tus cwj pwm ntawm lub pob zeb nyob ntawm nws qhov loj thiab qauv. Ib qho me me, txawm tias pob zeb tuaj yeem tawm ntawm lub plab zom mov ntawm nws tus kheej. Loj thiab ntxhib, nws muaj peev xwm ua kom tag nrho cov hnyuv me, uas feem ntau yuav tsum tau muaj kev phais.
Tim pob zeb
Muaj ntau hom pob zeb hauv tib neeg lub cev:
- Phytobezoar yog hom pob zeb tseem ceeb. Lub ntsiab yog vim li cas rau lawv cov tsos yog tsub zuj zuj ntawm cov nroj tsuag fiber ntau vim noj cov zaub mov uas nplua nuj nyob rau hauv nws (fig, persimmons, grapes, thiab lwm yam). Nws tshwm sim los ntawm kev zom zaub mov tsis zoo (gastritis, cuam tshuam ntawm lub plab zom mov).
- Trichobezoar - tsim los ntawm kev sib sau ntawm cov plaub hau, raws li txoj cai, nyob rau hauv cov neeg uas muaj ib tug cwj pwm ntawm nqus lawv cov plaub hau thiab cov uas nws ua hauj lwm yog ncaj qha cuam tshuam rau hairstyles.
- Lactobesoar yog tus yam ntxwv ntawm cov menyuam mos ntxov ntxov ntawm kev noj zaub mov zoo thiab muaj calorie ntau ntau hauv lactose thiabcasein.
- Sebobezoar - tshwm sim vim tsim cov pob ntawm cov roj nplaum ua ke nrog cov hnoos qeev.
- Hemobezoar - tshwm sim hauv cov neeg mob uas muaj kab mob lupus erythematosus lossis portal hypertension thaum nqos ntshav.
- Pixobezoar - tsim vim siv cov resin.
- Shellacobezoar - tshwm sim vim kev noj cov nitrolac, kua roj vanish, cawv kua roj vanish thiab lwm yam khoom ua phem.
Cov neeg mob tom qab kev phais ntawm lub plab feem ntau ua rau cov pob zeb zoo li. Cov neeg mob ntshav qab zib kuj muaj kev pheej hmoo mob, vim lawv twb muaj teeb meem kev noj qab haus huv hnyav.
Diagnosis
Yog xav tias pob zeb hauv plab, yuav tsum kuaj tag nrho. Ntawm cov kev uas yuav tso cai rau koj los txiav txim seb lub pob zeb nyob qhov twg yog endoscopy, ultrasound kev tshawb fawb, x-ray diagnostics, MRI, xam tomography thiab ultrasound. Lub plab kuj mob pob zeb, yog li cov kws tshaj lij qhia kom kuaj xyuas txhua yam kabmob.
Kev kho mob
Tsuas yog tom qab mloog tus neeg mob cov lus tsis txaus siab, tau ua tib zoo kawm cov tsos mob thiab cov txiaj ntsig kev tshawb fawb, tus kws kho mob tuaj yeem txhim kho kev kho tus kheej. Tom qab qhov kev kuaj mob tau qhia meej, cov neeg mob feem ntau muaj cov lus nug. Yuav ua li cas tshem tawm pob zeb ntawm lub plab? Puas yuav tsum tau muab tshem tawm nrog kev phais, lossis tsuas yog kev kho mob xwb?
Kev kho mob yog sau rau tus kheej nkaus xwb. Nws tuaj yeem yog qhov nyuaj thiab suav nrog kev phais thiab kev kho tshuaj. Kev ua haujlwm tuaj yeem ua tau los ntawm laparotomy lossis pancreatectomy. Cov txheej txheem muaj feem cuam tshuam thaum muaj kev tawm tsam, nrog rau kev qaug zog ntawm lub cev; mob tshwm sim; lub cev yog depleted; muaj cov tsos mob tshwm sim.
Kev ua haujlwm
Kev cuam tshuam kev phais yog qhov cuam tshuam rau cov xwm txheej uas muaj teeb meem lossis cov pob zeb tsim loj. Kev ua haujlwm yog ua raws li kev siv tshuaj loog, tom qab ntawd qhov tsim tau raug tshem tawm los ntawm kev txiav me me hauv lub plab kab noj hniav.
Tsis tas li ntawd, cov pob zeb me me raug tshem tawm laparoscopically. Lub bezoar raug tshem tawm los ntawm kev qhia ib qho tshwj xeeb apparatus rau hauv lub plab kab noj hniav los ntawm me me incisions. Kev cuam tshuam yog ua raws li kev tshuaj loog. Qhov zoo ntawm kev phais laparoscopic rau lub plab pob zeb yog raws li hauv qab no:
- Lub sijhawm rov qab los sai.
- Tag nrho tshem tawm ntawm bezoars.
- Kev tiv thaiv kev phom sij txaus ntshai.
- Tom qab kev phais, tsis muaj caws pliav.
- Cov kabmob hauv nruab nrog cev tsis raug puas tsuaj thaum lub sijhawm ua haujlwm.
Nws tseem tsim nyog sau cia tias, ua tsaug rau kev txhim kho niaj hnub ntawm cov tshuaj, kev ua haujlwm tau ua nrog cov lasers tshiab, vim tias tsis muaj qhov caws pliav nyob hauv tus neeg mob daim tawv nqaij tom qab kev tswj hwm. Contraindications rau kev siv ntawm no txoj kev ntawm tshem tawm bezoars nyob rau hauv lub plab:
- kab mob ua rau lub gallbladder.
- Hemophilus infection.
- Atrophy.
- Kev tshwm sim ntawm oncological formations.
- Tuberculosis hauv nws lub sijhawm ua haujlwm.
- Cirrhosis ntawm daim siab.
Nyob zooFeem ntau nrog pob zeb hauv lub plab, cov neeg mob mus rau lwm yam tshuaj. Tsis muaj leej twg tawm tsam pej xeem txoj hauv kev, txawm li cas los xij, koj yuav tsum tau ua raws li kev kho mob zoo li no thiab nco ntsoov sab laj nrog tus kws tshaj lij ua ntej, kuaj thiab kuaj xyuas.
Rosehip los ntawm pob zeb hauv plab hnyuv
Koj yuav tsum tau finely chop ob tablespoons qhuav sawv hips, ncuav ib nrab ib liter ntawm boiling dej rau hauv ib lub thermos thiab tawm ib hmos. Thaum sawv ntxov, sib tov ib tablespoon ntawm decoction nrog ob tablespoons sorbitol thiab haus ntawm lub plab khoob. Haus cov tshuaj ntxiv tom qab plaub caug feeb, tsis txhob hnov qab ntxiv ib teaspoon ntawm zib mu rau nws.
Potentilla
tshuaj ntsuab no zoo rau mob plab, plab lossis mob siab. Ob tablespoons qhuav crushed nplooj ncuav 0.5 liv ntawm boiled dej. Haus ib puas milliliters peb zaug ib hnub twg. Thiab nyob rau hauv thiaj li yuav sai sai tshem ntawm pob zeb nyob rau hauv lub cev, koj yuav tsum sib tov nyob rau hauv ib tug tsib caug-tsib caug feem ntawm ib tug infusion ntawm nyom nrog kua txiv ntawm ib tug ntsuab tua ntawm rye. Koj tuaj yeem haus ntau npaum li cas.
noob txiv kab ntxwv thaum muaj kab mob gallstone
Muab cov noob txiv tsawb tso rau hauv ib lub mortar thiab ncuav dej txias hauv qhov piv ntawm din mus rau kaum. Insist rau rau mus rau yim teev, tsis txhob hnov qab co qee zaus. Los yog zom cov noob los ntawm kev ntxiv dej maj mam (rau ib feem ntawm cov noob ntawm tsib mus rau kaum feem ntawm dej). Tom qab nees nkaum feeb, lim cov tshuaj.
Kev noj haus
Yog tias koj xav tias hnyav hauv plab, nyiamzoo li nqos pob zeb, cov lus pom zoo hauv qab no yuav tsum tau ua nruj me ntsis:
- suav calories, xyuam xim rau lub zog tus nqi ntawm cov zaub mov koj noj. Tus nqi ntawm calories yog xam tus kheej nkaus xwb, tab sis qhov nruab nrab daim duab no yog hais txog 2000-2500. Nws tseem yog ib qho tseem ceeb kom tswj tau qhov sib npaug ntawm cov protein, carbohydrates thiab cov rog.
- Nco ntsoov tias yog muaj pob zeb hauv plab los yog gallstones, cov khoom noj rog los yog kib tuaj yeem ua rau muaj kev phom sij tshaj plaws.
- Tsis txhob overeat.
- Khoom noj yuav tsum tsis txhob kub lossis txias, noj txhua yam sov.
- noj me me rau ib hnub.
- Nws yog qhov tsim nyog los tshem tawm cov rog ntawm cov zaub mov, nrog rau ntau yam stimulants. Cov no suav nrog: txuj lom, tshuaj ntxiv, khoom noj uas muaj roj cholesterol thiab cov roj yam tseem ceeb.
- Qhov tseem ceeb hauv kev noj zaub mov yog txiv hmab txiv ntoo thiab zaub.
- Tsis muaj zaub mov kib.
- Khoom noj yuav tsum tau steamed, boiled thiab tsis tshua ci.
Koj yuav tsum noj cov zaub mov hauv qab no:
- mis nyuj (yogurt, kefir, fermented ci mis nyuj, tsev cheese, thiab lwm yam), uas muaj calcium thiab protein, txhim kho plab hnyuv microflora.
- Nws tseem yuav tsum tau qhia cov ntses thiab nqaij ntshiv, qe (cov protein), zaub roj, xws li roj txiv roj rau hauv kev noj haus.
- YVitamin A, B thiab C xav tau.
Kev Tiv Thaiv
khoom noj kom raug yog qhov kev tiv thaiv tseem ceeb uas tiv thaiv kev tsim cov pob zeb hauv plab. Ntxiv rau, cov kws kho mob pom zoo cov hauv qab no:
- kev ua neej nyob nrog lub cev txausloads;
- ua tib zoo zom thiab maj mam zom zaub mov;
- Txhob muab tus cwj pwm phem tom rau tes, nqus cov plaub hau;
- Tshuaj xyuas cov khoom noj, txwv cov txiv hmab txiv ntoo tawv thiab zaub, txiv hmab txiv ntoo, roughage, thiab pastries, qhob cij dawb, uas yog qhov zoo tshaj plaws hloov nrog bran;
- kuaj mob los ntawm tus kws kho mob plab.
Koj tsis tas yuav cais cov khoom noj nqaij ntawm koj cov zaub mov, tab sis koj tsis tas yuav nqa nrog lawv thiab. Koj yuav tsum haus tsawg kawg ob litres kua txhua hnub (dej huv si, tshuaj yej, rosehip decoction, thiab lwm yam), yog li koj tiv thaiv lub cev qhuav dej.
Nws yog ib qho tseem ceeb uas yuav tsum muab lub plab zom mov kom raws sij hawm kom tsis txhob muaj quav. Nws yog ib qho tseem ceeb rau massage lub plab thaum sawv ntxov thiab haus dej sov boiled. Koj tuaj yeem zaum ob peb zaug. Lawv ua txhua yam no kom tsim tau tus cwj pwm mus rau chav dej txhua lub sijhawm tib lub sijhawm.
