Nyuaj nrog lub plab zom mov yog, hmoov tsis, qhov teeb meem feem ntau ntawm peb lub sijhawm. Ntxiv mus, cem quav tshwm sim nyob rau hauv cov me nyuam mos thiab cov laus. Feem ntau, kev ua haujlwm cem quav yog kuaj pom, uas tsis tsim vim pathologies thiab txawv txav ntawm txoj hnyuv. Cov tsos mob thiab ua rau tus kab mob no yog dab tsi? Nws kuaj tau li cas? Yuav tiv thaiv kev loj hlob ntawm cem quav, yuav kho li cas? Tag nrho cov no thiab ntau ntxiv yuav tau tham hauv kab lus.
Cov ntsiab lus dav dav ntawm tus kab mob
Kev cem quav yog ib qho mob plab hnyuv, nrog rau kev nro thiab qhov hnyav ntawm lub plab, qhov kev xav ntawm kev ua tsis tiav. Feem ntau, cem quav tshwm sim vim mob plab hnyuv.
Raws li kev faib tawm thoob ntiaj teb ntawm cov kab mob, cov kab mob hauv plab hnyuv, uas suav nrog kev ua haujlwm cem quav, raws li ICD-10 muaj tus lej K59. Tab sis nyob rau hauv cov kev faib no muaj kev faib. Yog li ntawd, yog peb tham txogKev kuaj pom meej meej, tom qab ntawd ua haujlwm cem quav raws li ICD-10 mus rau hauv tus lej lej K59.0.
Kev cem quav yog cais raws li kev ua haujlwm yog tias muaj kev nruj nruj, cov quav tawv thiab nws qhov hnyav qis, nrog rau cov lus tsis tseeb.
Views
Kev cem quav yog muab faib ua ob hom.
- Spastic - tshwm sim tawm tsam qhov cuam tshuam ntawm kev puas siab puas ntsws lossis kev ntxhov siab. Cov nqaij ntshiv ntawm lub digestive system yog intensively txo, uas ua rau ib tug ua txhaum ntawm txoj hnyuv motility. Tsis tas li ntawd, qhov ua rau ntawm qhov cem quav no tuaj yeem ua rau lub qhov quav lossis cov kab mob ntawm endocrine system.
- Atonic cem quav - tshwm sim thaum noj zaub mov thiab cov cai ntawm kev noj zaub mov kom raug tsis ua raws, kev ua neej nyob tsis muaj zog. Cov leeg ntawm cov hnyuv tsis muaj zog thiab tsis tuaj yeem tiv nrog lawv txoj haujlwm ua haujlwm.
Tus nqi tso quav (los ntawm hnub nyoog)
Tus nqi tso quav tawm txawv raws hnub nyoog.
Cov menyuam yaus hnub nyoog qis dua ib xyoos yuav tsum muaj cov quav mos thiab cov quav. Yog hais tias tus me nyuam tau pub niam mis, ces yuav luag ua ntej kev qhia txog cov khoom noj ntxiv, lub plab zom mov tshwm sim tom qab txhua qhov pub mis.
Cov menyuam mos tuaj yeem kuaj pom tias cem quav, qhov tsis muaj quav vim yog leej niam tsis muaj mis nyuj txaus, lossis yog tus menyuam hnoos ntau heev. Thaum kub kub, cov menyuam mos kuj tuaj yeem ua rau cem quav, vim nws ua rau lub cev qhuav dej ntawm cov quav. Tej zaum yuav muaj teeb meem ib ntus ntawm lub plab zom mov vim tsis muaj vitamin D hauv lub cev lossis nws cov khoom noj ntau dhau.
Yog hais tias tus me nyuam nyob rau ntawm ib qho khoom siv los yog sib xyaw ntawm kev pub mis, ces lub rooj zaum raug soj ntsuam txog li 2 zaug hauv ib hnub. Tom qab kev qhia txog cov khoom noj ntxiv rau txhua tus menyuam yaus, tus naj npawb ntawm cov plab hnyuv siab raum yog kwv yees li 2 zaug hauv ib hnub.
Cov menyuam yaus hnub nyoog qis dua 3 xyoos yuav tsum muaj tsawg kawg 6 mus rau 7 lub plab zom mov hauv ib lub lis piam, cov menyuam loj yuav tsum tso zis tsawg kawg peb zaug hauv ib lub lis piam, thiab cov neeg laus tsawg kawg ob zaug hauv ib lub lis piam rau 7 hnub.
Symptoms
Lub cim tseem ceeb ntawm cem quav yog qhov tsis tuaj lossis qeeb ntawm kev tso quav, tab sis ntxiv rau, cov cim hauv qab no yuav raug pom:
- Nrog atonic cem quav, muaj ntau cov quav, lawv yog cov hnyuv ntxwm zoo li. Thawj qhov yog compacted, nws txoj kab uas hla yog ntau dua li cov qauv, qhov kawg yog ib nrab tsim. Feem ntau, qhov nyuaj ua rau mob plab hnyuv mucosa, vim tias cov ntshav tuaj yeem tshwm sim hauv cov quav.
- Thaum cem cem cem quav zoo li yaj. Cov menyuam mos tuaj yeem muaj colic. Tom qab nchuav tag, muaj qhov xav tias cov hnyuv tseem puv.
- Feem ntau nrog cem quav, muaj roj tsim, mob plab, uas ua rau muaj kev ntxhov siab thiab ploj tom qab tso quav.
- Nrog rau lub sijhawm tsis quav ntsej, qaug zog, qaug zog, qaug zog, khaus khaus, tawv nqaij daj, nyiam ua pob liab liab, thiab ua haujlwm tsis zoo tuaj yeem raug sau tseg.
- Thaum qhov kev xav rov qab mus rau qhov khoob khoob, cov tsos mob hauv qab no tau pom: quav quav tuaj yeem ua tau 5-6 hnub, qhov kev xav ntawm lub plab hnyav, qhov mob uas ploj tom qab tso tawm.
- Yog cem quav yog txuam nrog kev chim siab plob tsis so tswj, ces nws cov tsos mob yog: alternatingCov quav tawv thiab ua kua, kev ntxhov siab ua rau muaj teeb meem nrog kev tso tawm, cov kab ntshav tau pom hauv cov quav, tus menyuam raug kuaj pom tias muaj ntshav liab, nws poob phaus.
Kev cem quav ntev tuaj yeem ua rau muaj teeb meem hauv qab no:
- proctosigmoiditis;
- hemorrhoids;
- secondary colitis;
- qhov quav.
Signs of disease
Cov cim tseem ceeb ntawm cem quav:
- tsis txhob tso zis rau 3 hnub lossis ntau dua;
- tsis xis nyob thiab nyuaj hauv qhov quav;
- mob plab;
- hnyav;
- dawb txheej ntawm tus nplaig;
- qaug zog, qaug zog;
- ib nrab lossis ua tiav tsis qab los;
- nausea;
- gas tsim;
- colic;
- yaj zoo li quav (spastic cem quav);
- txog ntshav hauv quav.
Ua rau cem quav hauv me nyuam
Kev cem quav hauv menyuam yaus tuaj yeem tshwm sim los ntawm ntau yam ua rau.
Ua rau cem quav hauv menyuam mos:
- pab plab hnyuv motility;
- prematurity, vim muaj qhov qeeb hauv kev tsim cov plab hnyuv enzymes;
- fetal hypoxia;
- CNS lesion;
- rickets;
- kev qhia ntxov ntxov ntawm cov khoom noj ntxiv;
- noj tsis txaus niam mis;
- hloov tus me nyuam los ntawm kev pub niam mis rau khoom;
- hloov ib qho qauv nrog lwm tus;
- hlau deficiency.
Kev cem quav hauv cov menyuam yaus, cov menyuam yaus hauv tsev kawm ntawv thiab cov menyuam kawm preschool tuaj yeem tshwm sim los ntawm:
- kev tawm tsam ntawm qhov defecation reflex;
- neuroses cuam tshuam nrog kev sib cais ntawm niam txiv;
- qhov quav fissures thiab ntshai tsam mob uas tuaj yeem ua rau lub plab zom mov.
Nws yuav tsum tau coj mus rau hauv tus account tias cov quav quav yuav yog vim qhov ua haujlwm ntawm cov thyroid caj pas.
Kev cem quav hauv menyuam yaus tuaj yeem tshwm sim los ntawm kev noj tshuaj ntev. Qee tus ntawm lawv inhibit qhov haujlwm ntawm lub hlwb uas ua rau lub plab zom mov, ua rau kom tshem tawm cov poov tshuaj los ntawm lub cev, uas ua rau lub zog txav ntawm cov quav los ntawm txoj hnyuv.
Ua rau cem quav rau cov neeg laus
Ua rau cem quav hauv cov neeg laus tuaj yeem yog:
- mob ntshav qab zib mellitus;
- kev ua haujlwm tsis zoo ntawm cov thyroid caj pas;
- overweight;
- hypodynamia;
- ischemic colitis;
- noj qee yam tshuaj;
- kab mob neurological;
- kev nyuaj siab;
- Khsaws ntawm kev yaum kom tsis muaj dab tsi rau kev tsis lees paub;
- qaug rau lub cev nrog ntsev ntawm cov hlau hnyav;
- kev tshaib kev nqhis;
- predominance of sweet and fatty foods;
- haus dej tsis txaus;
- kev ua neej nyob;
- siv tshuaj laxatives, ua rau "tub nkeegplab";
- siv tshuaj tua kab mob, tshuaj tiv thaiv kab mob, tshuaj tiv thaiv kev nyuaj siab.
Kev kuaj kab mob
Yog cem quav, ces qhov ua rau lawv tshwm sim yuav tsum raug tsim. Txhawm rau ua qhov no, xaiv:
- plab hnyuv x-ray, uas koj tuaj yeem ntsuas qhov mob ntawm txoj hnyuv, tsis suav nrog pathologies, neoplasms, anomalies;
- colonoscopy (kev tshuaj xyuas ntawm sab hauv ntawm txoj hnyuv loj siv qhov endoscope);
- kev kuaj mob;
- rov noob.
Ntxiv rau, yam uas tuaj yeem ua rau cem quav yuav tsum raug cais tawm: kev noj zaub mov noj, tshuaj noj, concomitant anomalies thiab pathologies.
Thaum lub sijhawm ntev thiab nquag cem quav, koj yuav tsum hu rau tus kws kho mob gastroenterologist kom sai li sai tau. Nyob ntawm qhov ua rau thiab qhov hnyav ntawm tus kab mob, tus kws kho mob xaiv txoj kev kho kom zoo.
kev xaiv kev kho mob rau cov neeg laus
Hauv kev kho mob cem quav, kev noj haus yog qhov tseem ceeb heev. Kev noj zaub mov ntawm tus neeg mob yuav tsum tau tswj hwm los ntawm cov khoom lag luam uas nce qhov ntim ntawm cov quav, nrog rau nce tus nqi ntawm nws txoj kev khiav tawm. Cov khoom no suav nrog:
- txiv hmab txiv ntoo thiab txiv ntoo (cherries, raspberries, txiv apples, plums, sawv hips);
- bran;
- algae;
- prune;
- nceb;
- legumes;
- taub dag, dib, zucchini, turnip, radish.
Tsis txhob noj: qhob cij dawb, semolina, mov,muffins, nrog rau haus luam yeeb, rog, qab ntsev.
Rau cem quav, haus yam tsawg 1.5 litres dej hauv ib hnub.
Tus kws kho mob, yog tias tsim nyog, tuaj yeem xaiv cov tshuaj laxatives, uas tau muab faib ua 4 pawg, nyob ntawm seb lub tshuab ua haujlwm:
- Tshuaj uas tsis zom, lawv o hauv cov hnyuv thiab txhawb kev khiav tawm ntawm cov quav: flax noob, tshuaj psyllium-based.
- txhais tau tias khaws cov dej hauv cov hnyuv, vim tias qhov ntim ntawm cov quav nce, cov no suav nrog Forlax, Fortrans.
- Tshuaj raws li lactulose - "Duphalac", "Normaze". Hauv cov hnyuv, cov tshuaj tau dhau los ua qhov chaw yug me nyuam rau cov kab mob uas ua rau lactulose, ua kom muaj zog, ua kom cov quav thiab ua kom nws tawm ntawm lub cev.
- Tshuaj uas txhim kho txoj hnyuv, lawv suav nrog senna ("Senadexen", "Senade", "Bisacodyl"). Cov nyhuv tshwm sim 7-8 teev tom qab noj.
Yog tias cem quav ntev ntev, thiab cov tshuaj laxatives tsis ua haujlwm, qhov no yuav qhia tau tias muaj kab mob hnyav ntawm lub plab zom mov. Kev noj tshuaj rau tus kheej hauv qhov xwm txheej no yog qhov txaus ntshai. Kev kho mob yuav tsum muaj nyob hauv tsev kho mob raws li kev saib xyuas ntawm cov kws kho mob tshwj xeeb.
Kev kho mob rau menyuam yaus
Rau kev kho mob cem quav hauv cov menyuam yaus, nws raug nquahu kom siv cov tshuaj thiab cov tshuaj hauv qab no:
- Laxatives "Duphalac" thiab "Senade", uas tau muab rau cov menyuam yaus hauv koob me me dua li cov neeg laus. khawskoob tshuaj yuav tsum yog kws kho mob xwb.
- Microclyster "Microlax" yog ib qho yooj yim heev ua kom sai laxative, nws yog tsim los txhaj rau hauv lub qhov quav. Cov tshuaj muaj kev nyab xeeb rau menyuam mos thiab tsis muaj kev phiv tshuaj.
- Lub teeb zaws ntawm lub plab yuav tsum tau ua nyob rau hauv ib lub voj voog nyob rau hauv ib lub clockwise kev taw qhia.
- khoom noj kom raug (zaub, txiv hmab txiv ntoo, kua zaub, khoom noj siv mis, ib nrab ua kua cereals, txiv roj roj).
Txoj kev kho cov me nyuam mos
Yog tus me nyuam muaj cem quav, koj yuav tsum sab laj nrog kws kho mob kom paub tseeb tias tus kab mob no tshwm sim.
Cov lus qhia hauv qab no rau kev ua haujlwm cem quav hauv menyuam yaus (me nyuam mos) yuav tsum ua raws li:
- yog tus me nyuam pub niam mis, niam yuav tsum ua raws li kev noj haus nruj;
- Ntxiv rau cov mis nyuj, koj yuav tsum muab cov kua dej rau tus menyuam thaum nruab hnub txhawm rau tiv thaiv cov quav tawv;
- xav kom muab cov khoom sib xyaw uas muaj cov kab mob muaj sia thiab lactulose;
- tom qab 6 lub hlis, cov menyuam tuaj yeem muab cov decoction ntawm prunes;
- ntawm cereals, buckwheat thiab oatmeal yog qhov zoo tshaj plaws, lawv txhawb lub plab thiab cov hnyuv zoo;
- koj tuaj yeem tso lub raj roj lossis lub tswm ciab glycerin, cov nyhuv tuaj nyob hauv ob peb feeb.
- yog tias koj lub plab tsis mob, koj tuaj yeem ua massage thiab gymnastics.
Kev Tiv Thaiv
Txhawm rau tiv thaiv cem quav, koj yuav tsum ua raws li cov cai hauv qab no:
- noj ntaukua;
- tsis txhob noj zaub mov tsis zoo (khoom noj ceev, chips, dej qab zib, khoom qab zib, ncuav qab zib, nqaij rog, tshuaj yej dub, khoom noj haus, zaub mov ntsim);
- txiv hmab txiv ntoo, zaub, buckwheat los yog oatmeal, bran qhob cij, prunes, berries, ntsuab tshuaj yej yuav tsum muaj nyob rau hauv cov khoom noj txhua hnub.
- ua lub neej nquag, koj tuaj yeem ua kis las, gymnastics, hiking;
- noj cov vitamin complexes;
- zam kev ntxhov siab.
Kev cem quav yog ib qho laj thawj loj rau mus ntsib kws kho mob, vim tias ncua sij hawm tshem tawm tuaj yeem qhia txog cov kab mob hauv nruab nrog cev (xws li plab hnyuv, qog, kab mob endocrine). Laxatives pab, tab sis tsis tshem tawm qhov tseeb. Tsis tas li ntawd, tsis txhob overdo nws vim nws tsuas ua rau tej yam phem.
Zoo kawg
Kev cem quav tsis yog kab lus, tab sis yog kev ntxhov siab ib ntus. Txhawm rau tshem tawm nws, koj yuav tsum noj kom raug, ua lub neej noj qab haus huv thiab ua haujlwm zoo. Noj cov zaub mov muaj fiber ntau, sim ua kom koj lub plab zom mov tib lub sijhawm. Tsis txhob noj cov tshuaj laxative ntau zaus, vim lawv ua rau cov hnyuv, ua rau cov hnyuv plam lawv lub peev xwm los nplawm ib txwm.
