Ib txoj hauv kev los kawm txog lub xeev ntawm cov kabmob hauv nruab nrog cev yog copogram. Nrog kev pab los ntawm kev ntsuam xyuas no, nws muaj peev xwm txheeb xyuas qhov ua txhaum ntawm cov txheej txheem metabolic, kev ua haujlwm ntawm cov hnyuv thiab lub plab, thiab tom qab ntawd sau cov kev kho mob uas tsim nyog. Lub copogram muab lub sijhawm los kuaj cov ntsev ntsev, tshwj xeeb tshaj yog oxalates. Crystals yog ib feem ntawm cellular formations uas tau raug puas tsuaj nyob rau hauv cov txheej txheem ntawm digestive kev ua si. Hauv cov quav, nws tuaj yeem kho cov pob zeb tshwj xeeb, uas feem ntau pom muaj nyob hauv cov hnoos qeev hauv bronchial hawb pob. Hauv tshuaj, lawv hu ua Charcot-Leiden crystals.
Dab tsi yog Charcot-Leiden crystals
Charcot-Leiden crystals yog du, xim tsis muaj xim nyob rau hauv daim ntawv ntawm rhombuses, pom thaum lub sij hawm kuaj microscopic ntawm hnoos qeev nyob rau hauv cov neeg mob uas muaj mob hawb pob los yog mob ntsws asthmatic. Tsis tas li ntawd cov yam ntxwv ntawm kev tsis haum tshuaj, eosinophilic infiltrates hauv lub ntsws, pulmonary fluke. Cov formations no tau sau tseg nyob rau hauv cov ntaub ntawv uas muaj ntau eosinophils nyob rau hauv cov quav, uascuam tshuam nrog qhov muaj cov kab mob amoebic dysentery, qee qhov helminthias, lossis cov kab mob plab hnyuv ntawm Loeffler's syndrome. Cov crystals no tau pom thawj zaug hauv cov neeg mob leukemia.
Nyob ntawm crystals
Feces yog tsim nyob rau hauv thaj tsam ntawm txoj hnyuv loj thiab feem ntau muaj cov seem ntawm cov zaub mov noj, kab mob, dej thiab lwm yam impurities. Txhawm rau kawm txog cov khoom siv roj ntsha no, kev tshuaj xyuas yog nqa tawm - coprogram. Kev txhais cov ntaub ntawv tau txais los ntawm kev ntsuam xyuas ua rau nws muaj peev xwm txheeb xyuas qhov muaj ntau pawg ntawm kev tsim, uas yog cov khoom ntawm cov hlwb puas thaum lub sij hawm digestive.
Muaj ntau hom crystals:
- Epithelial. Hom crystals no yog cov seem ntawm cov hlwb epithelial uas tau tawg nyob rau hauv kev cuam tshuam ntawm digestive ib ntsuj av enzymes. Ib qho me me ntawm cov tsim no tsis ua rau muaj kev txhawj xeeb, qib nce ntxiv qhia tias mob ntawm cov kab mob hauv plab.
- Charcot-Leiden crystals hauv quav. Hom crystals no yog tsim los ntawm cov hlwb koom nrog kev ua xua thiab qhia tias muaj kev cuam tshuam helminthic. Kab mob plab hnyuv tau txais los ntawm lub cev raws li cov khoom txawv teb chaws, yog li lub cev tiv thaiv kab mob tswj hwm nws cov rog kom tshem tawm qhov txawv txav nrog kev pab ntawm eosinophil hlwb.
- Triple phosphates. Cov kab mob no tshwm sim los ntawm kev ua kom nrawm ntawm cov tshuaj tua kab mob hauv cov hnyuv, feem ntau pom thaum lub sij hawm los ntshav loj ntawm lub plab zom mov, thaum bilirubin poob nws lub peev xwm tig mus rau hauv lub plab zom mov.stercobilin vim kev khiav tawm ntawm cov hnyuv sai sai.
- Hematoidin crystals. Hom no yog ib feem ntawm erythrocytes phua nyob rau hauv tus ntawm hydrochloric acid ntawm lub plab. Lawv tshwm sim nrog los ntshav loj ntawm txoj hnyuv, thiab, raws li txoj cai, tshwm sim nrog tarry, cov quav dub, hu ua melena.
- Oxalates. Crystals nyob rau hauv cov quav ntawm lub hauv paus chiv keeb no tsis muaj tus nqi kuaj mob thiab pom tawm tsam keeb kwm yav dhau los ntawm cov kua qaub qis ntawm lub plab, nrog rau vim kev siv cov zaub mov tsis tu ncua ntev.
Thaum tsis muaj cov tshuaj dawb hydrochloric acid, calcium oxalate hloov mus rau hauv calcium chloride thiab kuaj pom los ntawm kev tsim cov crystals uas precipitate hauv quav.
Ua rau oscalates
Qhov ua rau pom oxalates hauv cov quav tuaj yeem yog:
- siv sijhawm ntev ntawm cov zaub mov cog;
- cuam tshuam hauv kev ua haujlwm ntawm lub plab zom mov;
- txo cov kua qaub ntawm lub plab.
Cov tsos mob thiab tshwm sim
Daim duab kho mob nyob rau hauv lub xub ntiag ntawm Charcot-Leiden crystals nyob rau hauv cov quav ntawm tus me nyuam thiab ib tug neeg laus yog tsis heev pronounced thiab yeej zoo li cov kab mob ntawm lub plab hnyuv kab mob tiv thaiv keeb kwm ntawm acidity tsawg.
Tus neeg mob yuav yws yws tias tsis qab los noj mov thiab nquag belching, ntxhiab tsw thiab saj hauv qhov ncauj, qee zaum cem quav. Cov tsos mob ntawm cov kab mob pathological suav nrog kev mob plab hnyuv (qhov sib xws yuav yog tuab), xeev siab, ntuavtom qab noj mov. Tej zaum yuav cuam tshuam los ntawm nce flatulence thiab teeb meem ntawm lub plab zom mov. Hauv cov quav, pom cov khoom noj uas tsis tau noj.
Yuav muaj teeb meem yog tias tsis kho
Qhov muaj oxalates thiab Charcot-Leiden crystals hauv cov quav qhia txog cov kab mob loj uas yuav tsum tau kho. Qhov tsim ntawm crystalline fractions qhia txog cov txheej txheem txuas ntxiv ntawm kev puas tsuaj ntawm tes, uas qhia tias tsis muaj cov vitamins thiab minerals hauv lub cev. Kev tsis saib xyuas ntawm tus mob tuaj yeem ua rau muaj kev loj hlob ntawm cov kab mob thiab cov kab mob fungal. Pathology tsub kom qhov yuav kis tau tus kab mob, txij li thaum lub cev slows down tus txheej txheem ntawm splitting, raws li zoo raws li assimilation ntawm noj cov zaub mov. Cov kab mob digestibility ua rau muaj kev tsis haum tshuaj, txo kev tiv thaiv.
Diagnosis
Thaum Charcot-Leiden crystals pom nyob rau hauv cov quav, tus kws kho mob yuav tsum txiav txim siab txog kev kho mob thiab kev kho mob ntxiv raws li kev soj ntsuam thiab ntsuas ntsuas. Kev noj tshuaj rau tus kheej, ntau txoj hauv kev thiab kev noj haus tuaj yeem ua rau tus mob hnyav dua thiab ua rau muaj qhov tshwm sim loj.
Kev tshuaj xyuas cov quav yog ib txoj hauv kev los txheeb xyuas ntau yam kab mob, cov tsos mob ntawm tus kws kho mob pom hauv tus neeg mob tom qab kuaj tus kheej thiab kev sab laj. Copogram lossis tshuaj xyuas cov quav tso cai rau koj txheeb xyuas cov kab mob ntawm lub plab zom mov, ob lub raum, ureter, siab, txhawm rau kuaj pom muaj cov kab mob oncological.
Kev tshawb fawb ua kom paub tseeb:
- tsis ua tiav ntawm acid-forming thiabKev ua haujlwm enzymatic ntawm lub plab, pancreas thiab hnyuv;
- kev ua txhaum cai ntawm kev khiav tawm ntawm cov kua txiv hmab txiv ntoo ntawm lub plab thiab cov hnyuv;
- hloov pauv pathological hauv plab hnyuv thiab plab microflora;
- cov txheej txheem mob ntawm lub cev thiab lub cev.
Nrog kev pab ntawm qhov kev tshuaj ntsuam no, nws muaj peev xwm qhia meej seb puas muaj Charcot crystals hauv cov quav, yam lawv yog, dab tsi yog vim li cas rau lawv qhov tsos. Kev kho mob yog ua raws li qhov ntsuas cov quav.
Yuav ua li cas ntxuav cov quav?
Yog tias muaj qhov xav tias muaj cov muaju hauv cov quav ntawm tus neeg laus, yog li txhawm rau txiav txim siab kom raug, tus neeg mob yuav tsum ua raws li qee txoj cai.
Tus neeg mob yuav tsum ua raws li kev noj haus rau ob peb hnub ua ntej tso quav. Nqaij, ntses tais diav, zaub mov muaj roj thiab ntsim, cov khoom noj uas hloov cov xim ntawm cov quav (beets, carrots, paprika), nrog rau cov khoom noj uas muaj hlau, cov dej qab zib carbonated yuav tsum tsis suav nrog cov khoom noj txhua hnub. Koj yuav tsum paub seb tus neeg mob puas tau noj tshuaj tiv thaiv kab mob xws li Carbarson, Tetracycline, Paromomycin, Metronidazole, thiab Diiodohydroxyquine (iodoquinol) hauv 15 hnub dhau los.
Rau kev tshuaj xyuas, cov quav tau coj tom qab ua qhov tshwm sim ntawm qhov khoob rau hauv lub nkoj pob tshab thiab huv. Tus nqi xav tau rau txoj kev tshawb fawb yog kwv yees li 5 g. Kev tshuaj xyuas yuav tsum tau ua tsis pub dhau 8-9 teev tom qab defecation.
Nws tsis raug tso cai kuaj tom qab siv cov tshuaj suppositories, siv cov roj castor,qee yam tshuaj thiab enemas. Cov quav uas muaj kev coj khaub ncaws thiab tso zis tsis tsim nyog rau kev kawm. Ua ntej kev soj ntsuam, nws yog ib qho tsim nyog yuav tsum ua raws li cov txheej txheem tu cev ntawm perineum.
Txhawm rau txiav txim siab kom raug cov muaju hauv cov quav ntawm cov menyuam mos, nws tsis raug tso cai coj cov khoom siv los tshawb fawb los ntawm cov ntaub so ntswg lossis daim tawv nqaij.
Ua ntej ntawm tag nrho, ua ntej kuaj kab mob rau cov muaju, kev tsom xam cov quav pib nrog kev ntsuam xyuas pom. Txhais:
- Quantity. Qhov ntsuas yog nyob ntawm qhov muaj pes tsawg leeg ntawm cov zaub mov noj, ntawm qhov contractions ntawm cov phab ntsa hauv plab. Nrog enteritis, thaum ib qho ntawm cov hnyuv me yog mob, qhov nce ntawm cov quav tso zis tau sau tseg.
- Kev sib haum xeeb. Qhov ceev nyob ntawm seb muaj cov rog thiab zaub fiber ntau. Cov quav tuaj yeem tsim lossis tsis tsim. Ib qho tuab tuab tshwm sim nrog cem quav, kab mob oncological ntawm txoj hnyuv loj, cov quav xoob - nrog tus kab mob cholera.
- xim quav. Cov quav yuav muaj qhov ntxoov ntxoo ntawm xim av. Qhov taw qhia yog cuam tshuam los ntawm cov xim zaub mov, tshuaj. Nrog rau kev siv cov tshuaj hlau ntev ntev, cov quav yuav dub.
- Swb. Yuav tsum tsis txhob hnyav.
- Shape. Qhov tseeb, cov quav muaj cov duab zoo ib yam li lub tog raj kheej.
- Slime. Qhov muaj cov hnoos qeev hauv me me yog suav tias yog qhov qub.
- ntshav impurity. Qhov taw qhia feem ntau qhia tias mob qog noj ntshav.
Tom qab kev tshuaj xyuas microscopic nrogsiv fecal emulsion. Cov quav yog tov nrog physiological saline kom txog thaum ib homogeneous loj tau txais. Tom qab ntawd tus kws pab kuaj mob npaj 4 qhov kev npaj.
Thawj ntawm lawv yog tsim los kuaj cov kab mob thiab cov qe helminth, qhov thib ob - txhawm rau kuaj cov hmoov txhuv nplej siab, qhov thib peb - nrog sudan, txhawm rau txiav txim siab muaj cov rog nruab nrab, thiab qhov kawg, plaub - kom sib txawv cov rog. Cov ntsiab lus raug soj ntsuam los ntawm kev siv lub tshuab microscope. Crystal formations muaj nyob rau hauv helminthic invasions.
Kev kho mob ntawm pathology
Thaum muaj cov muaju pom hauv cov quav ntawm tus menyuam, kev kho mob yog muab los ntawm tus kws kho mob raws li tus kheej tom qab pom qhov ua rau ntawm cov formations.
Kev kho mob yog siv. Cov tshuaj tau sau tseg raws li qhov ua rau ntawm tus mob pathological. Cov tshuaj ntsuab siv tau zoo thiab kev noj zaub mov zoo, uas yuav tsum tau siv nrog kev tso cai ntawm tus kws kho mob nkaus xwb.
Nco ntsoov, kev tshawb pom ntawm Charcot-Leiden crystals hauv cov quav qhia tias muaj cov txheej txheem pathological hauv lub cev. Nws yog ib qho tsim nyog yuav tsum tau ua cov txheej txheem kuaj mob thiab txheeb xyuas qhov ua rau ntawm tus mob. Qhov no yuav tso cai rau koj los npaj cov kev kho mob kom zoo, tsis txhob muaj teeb meem ntxiv. Noj qab nyob zoo!
