Thaum mob plab tshwm sim, ntau tus neeg maj nrawm mus noj tshuaj No-shpy lossis Phthalazol, ntseeg tias lawv muaj teeb meem nrog lub plab zom mov. Txawm li cas los xij, lub plab tuaj yeem raug mob vim ntau lub laj thawj uas tsis muaj feem cuam tshuam rau lub plab lossis cov hnyuv. Qhov no tshwm sim txawm muaj ib lo lus kho mob - plab syndrome. Nws yog dab tsi? Lub npe los ntawm Latin "mob plab", uas txhais tau tias "plab". Ntawd yog, txhua yam uas txuas nrog thaj chaw no ntawm tib neeg lub cev yog lub plab. Piv txwv li, lub plab, plab hnyuv, zais zis, spleen, ob lub raum yog cov plab hnyuv siab raum, thiab gastritis, pancreatitis, cholecystitis, colitis thiab lwm yam kab mob plab yog kab mob plab. Los ntawm kev sib piv, mob plab plab yog tag nrho cov teeb meem hauv plab (mob hnyav, mob, tingling, spasms thiab lwm yam tsis zoo). Nrog xws li kev tsis txaus siab ntawm tus neeg mob, txoj haujlwm ntawm tus kws kho mob yog txhawm rau txheeb xyuas cov tsos mob kom raug,kom tsis txhob misdiagnosis. Cia peb saib seb qhov no ua tau li cas hauv kev xyaum thiab dab tsi yog qhov mob ntawm txhua tus kab mob.
Human Abdomen
Yuav ua kom yooj yim rau cov lus nug: "Lub plab plab - nws yog dab tsi?" thiab kom nkag siab tias nws tuaj qhov twg los, koj yuav tsum nkag siab meej tias peb lub plab yog li cas, nws muaj dab tsi, lawv cuam tshuam li cas rau ib leeg. Nyob rau hauv cov duab anatomical, koj tuaj yeem pom ib lub raj schematic ntawm txoj hlab pas, lub plab plab, txoj hnyuv wriggling zoo li nab, ntawm sab xis hauv qab tav ntawm daim siab, sab laug tus po, nyob rau hauv qab ntawm lub zais zis nrog ureters. stretching ntawm lub raum. Ntawm no, zoo li, yog tag nrho. Nyob rau hauv qhov tseeb, peb lub plab kab noj hniav muaj ib tug complex qauv. Conventionally, nws muab faib ua peb ntu. Lub ciam teb ntawm sab sauv yog - ntawm ib sab - ib tug dome-shaped leeg hu ua diaphragm. Saum toj no yog lub hauv siab kab noj hniav nrog lub ntsws. Ntawm qhov tod tes, ntu sab sauv yog cais los ntawm nruab nrab los ntawm qhov hu ua mesentery ntawm txoj hnyuv. Qhov no yog ob-txheej txheej, nrog kev pab los ntawm tag nrho cov kab mob ntawm lub plab hnyuv siab raum yog txuas rau lub posterior dav hlau ntawm lub plab mog. Nyob rau sab sauv muaj peb ntu - kab mob siab, pancreatic thiab omental. Qhov nruab nrab ntu txuas los ntawm mesentery mus rau qhov pib ntawm lub plab me me. Nws yog nyob rau hauv no ib feem ntawm lub plab mog uas cheeb tsam umbilical nyob. Thiab, thaum kawg, ntu qis yog thaj chaw pelvic, nyob rau hauv uas cov kab mob ntawm cov kab mob genitourinary thiab cov txheej txheem tsim tawm tau pom lawv qhov chaw.
Ib qho kev ua txhaum cai (mob, kab mob, kev cuam tshuam thiab tshuaj lom neeg, pathologies ntawm kev tsim thiabkev loj hlob) nyob rau hauv cov kev ua ntawm txhua lub cev nyob rau hauv lub saum toj no peb ntu ua rau mob plab. Tsis tas li ntawd, muaj cov ntshav thiab lymphatic hlab ntsha thiab cov hlab ntsha ntawm lub peritoneum. Ntawm lawv, cov nto moo tshaj plaws yog lub aorta thiab lub hnub ci plexus. Qhov teeb meem me me nrog lawv kuj ua rau mob plab.
To summarize: plab syndrome tuaj yeem tshwm sim los ntawm cov kab mob uas tam sim no paub txog ntawm lub plab hnyuv thiab cov kab mob genitourinary, teeb meem nrog cov hlab ntsha thiab cov hlab ntsha plexuses ntawm peritoneum, tshuaj lom neeg (tshuaj lom, tshuaj), mechanical compression (squeezing) los ntawm cov neeg nyob sib ze ntawm txhua yam uas nyob hauv lub peritoneum.
mob siab
Kev kuaj mob sib txawv ntawm qhov mob plab, raws li txoj cai, pib nrog kev txiav txim siab qhov chaw thiab qhov mob. Qhov teeb meem loj tshaj plaws thiab nyuaj rau lub neej los ntawm ib tug neeg yog, ntawm chav kawm, mob hnyav. Nws tshwm sim tam sim ntawd, sai sai, feem ntau tsis muaj qhov tshwm sim uas ua rau nws tshwm sim, tshwm sim los ntawm kev tawm tsam ntev li ob peb feeb mus rau ib teev.
Mob hnyav tuaj yeem nrog ntuav, raws plab, ua npaws, ua daus no, hws txias, tsis nco qab. Feem ntau lawv muaj qhov tseeb hauv cheeb tsam (txoj cai, sab laug, hauv qab, sab saum toj), uas pab tsim kom muaj kev kuaj mob ua ntej.
Kab mob uas ua rau lub plab mob no yog:
1. Cov txheej txheem ua mob hauv lub peritoneum - mob thiab rov ua mob ntxiv, Meckel's diverticulitis, peritonitis, mob cholecystitis lossis pancreatitis.
2. plab hnyuv los yog strangulated hernia.
3. Perforation (perforation, qhov) ntawm cov kab mob peritoneal, uas tshwm sim nrog lub plab thiab / los yog duodenal rwj thiab diverticulum. Qhov no kuj suav nrog ruptures ntawm daim siab, aorta, spleen, zes qe menyuam, qog.
Nyob rau hauv cov mob perforation, nrog rau mob plab hnyuv thiab peritonitis, lub neej ntawm tus neeg mob yog 100% nyob ntawm seb qhov kev kuaj mob thiab kev phais ceev.
Kev Tshawb Fawb Ntxiv:
- kuaj ntshav (ua rau nws tuaj yeem ntsuas qhov kev ua ntawm cov txheej txheem inflammatory, txiav txim siab pawg ntshav);
- x-ray (qhia qhov muaj lossis tsis muaj qhov perforation, thaiv, hernia);
- ultrasound;
- yog tias muaj kev xav tias los ntshav hauv plab hnyuv, ua esophagogastroduodenoscopy.
mob ntev
Lawv txhim tsa maj mam thiab kav ntev ntau lub hlis. Nyob rau tib lub sijhawm, cov kev xav yog, raws li nws, blunted, rub, mob, feem ntau "spilled" raws tag nrho peritoneum ntawm lub peritoneum, tsis muaj ib qho chaw tshwj xeeb. Kev mob ntev tuaj yeem txo qis thiab rov qab los dua, piv txwv li, tom qab noj mov. Nyob rau hauv yuav luag txhua tus neeg mob, xws li ib tug plab syndrome qhia txog cov kab mob ntawm lub plab mog. Cov no tuaj yeem yog:
1) gastritis (mob nyob rau sab sauv, xeev siab, hnyav hauv plab, belching, heartburn, teeb meem nrog defecation);
2) plab hnyuv thiab / lossis duodenal rwj thaum ntxov (mob hauv lub plab ntawm lub plab ntawm lub plab khoob, hmo ntuj lossis tsis ntev tom qab noj mov, kub siab, qaub belching, tsam plab, flatulence,xeev siab);
3) urolithiasis (mob ntawm sab lossis sab hauv plab, ntshav thiab / lossis xuab zeb hauv cov zis, mob tso zis, xeev siab, ntuav);
4) mob cholecystitis (mob nyob rau sab sauv ntawm sab xis, tsis muaj zog, iab hauv qhov ncauj, tsis kub, tsis tu ncua xeev siab, ntuav - qee zaum nrog kua tsib, belching);
5) mob cholangitis (mob nyob rau hauv daim siab, qaug zog, daj ntawm daim tawv nqaij, tsis kub, nyob rau hauv daim ntawv mob, mob yuav tawg mus rau lub plawv thiab nyob rau hauv lub xub pwg hniav);
6) oncology ntawm plab hnyuv hauv thawj theem.
Kev mob tshwm sim hauv menyuam yaus
mob rov tshwm sim yog hu ua mob uas rov tshwm sim tom qab lub sijhawm. Lawv tuaj yeem tshwm sim hauv cov menyuam yaus ntawm txhua lub hnub nyoog thiab hauv cov neeg laus.
Nyob rau hauv cov menyuam yug tshiab, plab hnyuv colic dhau los ua ib qho ua rau mob hauv plab (tuaj yeem txheeb xyuas tau los ntawm kev tho lub suab quaj, tus cwj pwm tsis zoo, tsam plab, tsis kam noj zaub mov, arching ntawm nraub qaum, chaotic ceev txav ntawm caj npab thiab txhais ceg., regurgitation). Ib qho cim tseem ceeb ntawm txoj hnyuv plab yog tias thaum lawv raug tshem tawm, tus menyuam yuav nyob twj ywm, luag ntxhi, thiab noj zoo. Thaum tshav kub kub, lub plab massage, dill dej pab tiv nrog tus kab mob. Nrog tus menyuam loj hlob tuaj, txhua yam teeb meem no ploj mus ntawm lawv tus kheej.
Ib qho teeb meem loj dua yog mob plab plab hauv cov kab mob somatic hauv cov menyuam yaus. "Soma" hauv Greek txhais tau tias "lub cev". Ntawd yog, lub tswv yim ntawm "somatic pathology" txhais tau tias txhua yam kab mob ntawm lub cev ntawm lub cev thiab ib qho ntawm lawv qhov chaw yug lossistau qhov tsis xws luag. Hauv cov menyuam yug tshiab, feem ntau yog:
1) kis kab mob ntawm lub plab zom mov (kub mus txog qhov tseem ceeb, tsis kam noj, lethargy, raws plab, regurgitation, ntuav nrog tus ciav dej, quaj, qee zaum ntawm daim tawv nqaij tsis zoo);
2) pathology ntawm lub plab zom mov (hernia, cyst thiab lwm yam).
Tsim kom muaj kev kuaj mob hauv qhov xwm txheej no nyuaj vim tias tus menyuam mos tsis tuaj yeem qhia qhov nws mob thiab piav qhia nws txoj kev xav. Kev kuaj mob sib txawv ntawm qhov mob plab hauv cov menyuam mos yog ua los ntawm kev kuaj ntxiv, xws li:
- coprogram;
- ultrasound;
- kuaj ntshav;
- esophagogastroduodenoscopy;
- abdominal barium x-ray;
- pH-metry txhua hnub.
Mob rov tshwm sim hauv cov neeg laus
Nyob rau cov menyuam yaus (feem ntau hnub nyoog kawm ntawv) thiab cov neeg laus, qhov ua rau mob plab rov qab muaj ntau heev uas lawv muab faib ua tsib pawg:
- kis;
- inflammatory (tsis muaj kab mob);
- functional;
- anatomical (koom nrog ib lub cev tshwj xeeb);
- microbiological (ua rau ntau yam kab mob uas nyob hauv lub plab zom mov).
Dab tsi yog kis mob thiab mob, ntau dua lossis tsawg dua. Functional txhais li cas? Yog hais tias lawv tau qhia nyob rau hauv kev kuaj mob, yuav ua li cas to taub lub sij hawm "abdominal syndrome nyob rau hauv cov me nyuam"? Nws yog dab tsi? Lub tswv yim ntawm kev ua haujlwm ntawm qhov mob tuaj yeem piav qhia raws li hauv qab no: cov neeg mob txhawj xeeb txog qhov tsis xis nyob hauv plab vim tsis muaj laj thawj thiab tsis muaj kab mob hauv lub cev.peritoneum. Qee tus neeg laus txawm ntseeg tias tus menyuam dag txog nws qhov mob, tsuav nws tsis pom qhov ua txhaum cai. Txawm li cas los xij, qhov tshwm sim no tshwm sim hauv cov tshuaj, thiab nws tau pom, raws li txoj cai, hauv cov menyuam yaus hnub nyoog qis dua 8 xyoo. Qhov mob ua haujlwm tuaj yeem tshwm sim los ntawm:
1) plab migraine (mob plab hloov mus ua mob taub hau, nrog ntuav, xeev siab, tsis kam noj);
2) kev ua haujlwm dyspepsia (tus menyuam noj qab haus huv tag nrho muaj mob hauv plab plab thiab ploj tom qab tso quav);
3) mob plab hnyuv.
Lwm qhov kev kuaj mob tsis sib haum xeeb yog "SARS nrog mob plab" hauv cov menyuam yaus. Kev kho mob hauv qhov no muaj qee qhov tshwj xeeb, vim cov menyuam mos muaj cov tsos mob ntawm ob qho tib si mob khaub thuas thiab mob plab hnyuv. Feem ntau cov kws kho mob ua qhov kev kuaj mob zoo li no rau cov menyuam yaus uas muaj cov tsos mob me me ntawm SARS (piv txwv li, qhov ntswg los ntswg), thiab tsis pom cov kab mob ntawm lub plab zom mov. Qhov zaus ntawm cov xwm txheej zoo li no, nrog rau qhov xwm txheej ntawm tus kab mob sib kis, tsim nyog tau txais kev qhia ntxaws ntxiv.
ARI nrog plab syndrome
Cov kab mob no feem ntau pom hauv cov menyuam kawm ntawv preschool thiab cov menyuam yaus me. Nws yog qhov tsawg kawg nkaus hauv cov neeg laus. Hauv cov tshuaj, cov kab mob ua pa hnyav thiab cov kab mob ua pa hnyav tau raug faib ua ib hom kab mob, txij li RH (cov kab mob ua pa) feem ntau tshwm sim los ntawm cov kab mob, thiab lawv cia li nkag mus rau hauv qeb ntawm RVI. Txoj kev yooj yim tshaj plaws los "ntes" lawv hauv cov menyuam yaus - tsev kawm ntawv, kindergarten, chaw zov me nyuam. Ntxiv nrog rau cov kab mob ua pa uas paub zoo, muaj kev phom sij loj heevqhov hu ua "mob plab", lossis rotavirus. Nws kuj tau kuaj pom tias yog SARS nrog mob plab. Hauv cov menyuam yaus, cov tsos mob ntawm tus kab mob no tshwm sim 1-5 hnub tom qab kis kab mob. Daim duab kho mob yog raws li nram no:
- yws txog mob plab;
- ntua;
- nausea;
- temperature;
- mob plab;
- hnoos;
- caj pas liab;
- mob nqos;
- lethargy, qaug zog.
Raws li koj tuaj yeem pom los ntawm daim ntawv teev npe, muaj cov tsos mob ntawm tus mob khaub thuas thiab mob plab hnyuv. Muaj tsawg zaus, tus menyuam yuav muaj mob khaub thuas ntxiv rau cov kab mob plab, uas cov kws kho mob yuav tsum paub meej qhov txawv. Kev kuaj mob ntawm tus kab mob rotavirus yog qhov nyuaj heev. Nws suav nrog enzyme immunoassay, electron microscopy, diffuse nag lossis daus, thiab ntau yam kev cuam tshuam. Feem ntau, cov kws kho mob ua qhov kev kuaj mob yam tsis muaj kev sim nyuaj, tsuas yog nyob rau hauv lub hauv paus ntawm kev kho mob tshwm sim ntawm tus kab mob thiab nyob rau hauv lub hauv paus ntawm anamnesis. Nrog rau tus kab mob rotavirus, txawm tias muaj cov tsos mob ntawm tus mob khaub thuas, nws tsis yog cov kab mob ENT uas kis tus kab mob, tab sis kab mob plab, feem ntau yog cov hnyuv loj. Lub hauv paus ntawm tus kab mob yog tus neeg mob. Rotaviruses nkag mus rau hauv lub cev ntawm tus tswv tsev tshiab nrog zaub mov, dhau ntawm tes qias neeg, khoom siv hauv tsev (piv txwv li, cov khoom ua si) uas tus neeg mob siv.
Kev kho mob ntawm tus kab mob ua pa nyuaj nrog mob plab yuav tsum yog raws li kev kuaj mob. Yog li, yog tias mob plab hauv tus menyuam yog tshwm sim los ntawm cov khoom pov tseg pathological ntawm cov kab mob ua pa, cov kab mob hauv qab tau kho, ntxiv rau kev rov ua dej ntawm lub cev los ntawm kev noj.sorbents. Yog tias tus kab mob rotavirus raug lees paub, nws tsis muaj txiaj ntsig los sau tshuaj tua kab mob rau tus menyuam, vim lawv tsis muaj kev cuam tshuam rau cov kab mob. Kev kho mob muaj xws li noj activated charcoal, sorbents, noj zaub mov, haus dej kom ntau. Yog hais tias tus me nyuam muaj raws plab, probiotics raug sau tseg. Kev tiv thaiv tus kab mob no yog txhaj tshuaj tiv thaiv.
Paroxysmal mob tsis muaj kab mob hauv plab
Yuav kom yooj yim los txiav txim seb qhov twg ua rau mob plab, qhov mob tau muab faib ua pawg raws li qhov chaw hauv plab uas lawv hnov zoo tshaj plaws.
mob Paroxysmal yam tsis muaj tsos mob ntawm dyspepsia tshwm sim hauv nruab nrab ntu (mesogastric) thiab qis dua (hypogastric). Yog vim li cas:
- kab mob cab;
- payr syndrome;
- Ypyelonephritis;
- Yhydronephrosis;
- teeb meem ntawm qhov chaw mos;
- plab hnyuv (tsis tiav);
- stenosis (compression) ntawm lub cev celiac;
- IBS.
Yog tias tus neeg mob tsuas muaj qhov mob plab xwb, kev kho mob raug muab tshuaj raws li kev tshuaj xyuas ntxiv:
- kuaj ntshav siab;
- kab lis kev cai quav rau cov qe cab thiab kab mob hauv plab;
- urinalysis;
- Ultrasound ntawm lub plab zom mov;
- irrigography (barium beam irrigoscopy);
- dopplerography ntawm cov hlab ntsha hauv plab.
mob plab nrog mob plab
Tag nrho tsib pawg ntawm qhov mob rov tshwm sim tuaj yeem pom nyob rau hauv qis thiab nruab nrab ntu ntawm peritoneum nrogteeb meem plab. Muaj ntau ntau yam vim li cas thiaj li muaj mob plab tshwm sim. Nov yog ob peb yam:
- helminthiasis;
- ua xua rau tej zaub mov;
- ulcerative colitis nonspecific (zaum raws plab kuj pom, thiab cov quav tuaj yeem nrog cov kua qaub lossis cov ntshav, flatulence, tsis qab los noj mov, tsis muaj zog, kiv taub hau, poob phaus);
- kab mob celiac (ntau dua hauv cov menyuam yaus thaum lawv pib pub mis rau lawv cov khoom noj khoom haus);
- kab mob sib kis (salmonellosis, campylobacteriosis);
- pathologies nyob rau hauv txoj hnyuv loj, piv txwv li, dolichosigma (elongated sigmoid nyuv), thaum lub sij hawm ntev cem quav ntxiv rau qhov mob;
- Ydisaccharidase deficiency;
- hemorrhagic vasculitis.
Kab mob kawg tshwm sim thaum cov hlab ntsha hauv cov hnyuv ua rau mob thiab, vim li ntawd, o, thrombosis tshwm sim. Cov laj thawj yog kev ua txhaum ntawm cov txheej txheem ntawm cov ntshav ncig thiab kev hloov pauv hauv hemostasis. Cov mob no tseem hu ua hemorrhagic abdominal syndrome. Nws txawv nyob rau hauv peb theem ntawm kev ua:
Kuv (mob) - cov tsos mob me me, txiav txim siab los ntawm cov ntshav ESR.
II (nruab nrab) - muaj mob me me hauv peritoneum, kub nce, tsis muaj zog thiab mob taub hau.
III (mob hnyav) - kub siab, mob taub hau thiab mob plab, tsis muaj zog, xeev siab, ntuav nrog ntshav, tso zis thiab quav nrog cov ntshav impurities, los ntshav hauv plab thiab txoj hnyuv, perforation.
Thaum qhov mob tshwm sim hauv nruab nrab thiab qis ntawm lub peritoneum nrog kev xav tias muaj teeb meem nrog txoj hnyuv, qhov kev kuaj mob suav nrog:
- kuaj ntshav siab (biochemical thiab dav);
- coprogram;
- fibrocolonoscopy;
- irrigography;
- stool culture;
- kuaj ntshav rau cov tshuaj tiv thaiv;
- hydrogen test;
- EGD thiab biopsy ntawm cov hnyuv me;
- immunological xeem;
- qab zib nkhaus.
mob hauv ntu ntu ntawm lub peritoneum (epigastrium)
Feem ntau, mob plab plab nyob rau sab qaum ntawm lub peritoneum yog qhov tshwm sim ntawm kev noj mov thiab tuaj yeem pom nws tus kheej hauv ob hom:
- dyspepsia, uas yog, nrog kev cuam tshuam ntawm lub plab ("mob tshaib plab" dhau tom qab noj mov);
- dyskinetic (bursting mob, xav tias overeating, tsis hais tus nqi ntawm cov khoom noj, belching, ntuav, xeev siab).
Qhov ua rau cov mob no tuaj yeem yog gastroduodenitis, hypersecretion ntawm hydrochloric acid nyob rau hauv lub plab, kab mob, kab mob, kab mob ntawm lub txiav thiab / los yog biliary ib ntsuj av, impaired gastroduodenal motility. Tsis tas li ntawd, qhov mob hauv lub epigastrium tuaj yeem ua rau Dunbar's syndrome (pathology ntawm celiac pob tw ntawm lub aorta thaum nws yog nyem los ntawm diaphragm). Cov kab mob no tuaj yeem yog qhov tshwm sim, muaj keeb kwm yav dhau los (feem ntau) lossis kis tau thaum tus neeg muaj cov ntaub so ntswg neurofibrous.
Lub cev celiac (ib ceg luv luv ntawm peritoneal aorta) thaum compressed yog nias tawm tsam lub aorta, nruj nreem rau hauvnws lub qhov ncauj. Qhov no ua rau mob plab ischemic syndrome, kev kuaj mob uas tau ua tiav siv qhov sib txawv x-ray (angiography). Lub cev celiac, ua ke nrog rau lwm cov hlab ntsha ntawm lub plab kab noj hniav, muab cov ntshav rau tag nrho cov kab mob ntawm lub plab zom mov. Thaum nyem, xa ntshav, thiab yog li cov khoom nruab nrog cev nrog cov khoom tsim nyog, tsis tshwm sim tag nrho, uas ua rau lawv cov pa oxygen tshaib plab (hypoxia) thiab ischemia. Cov tsos mob ntawm tus kab mob no zoo ib yam li cov tsos mob ntawm gastritis, duodenitis, plab ulcers.
Yog tias txoj hnyuv muaj kev tsis txaus ntshav, ischemic colitis, enteritis tshwm sim. Yog tias cov ntshav tsis txaus rau lub siab, kab mob siab ua rau mob, thiab txiav txiav ua rau muaj kev cuam tshuam hauv cov ntshav nrog pancreatitis.
Yuav kom tsis txhob ua yuam kev nrog kev kuaj mob, kev kuaj ntxiv ntawm cov neeg mob uas xav tias mob plab ischemic syndrome yuav tsum tau ua. Kev kuaj mob endovascular yog ib txoj hauv kev zoo tshaj plaws uas cov hlab ntsha raug kuaj xyuas los ntawm kev tso lub catheter nrog x-ray cov khoom rau hauv lawv. Ntawd yog, txoj kev yuav tso cai rau koj pom cov teeb meem hauv cov hlab ntsha yam tsis muaj kev phais. Endovascular diagnostics yog siv rau txhua yam kab mob ntawm cov hlab ntsha ntawm lub plab kab noj hniav. Yog tias muaj cov cim qhia, kev ua haujlwm endovascular kuj tau ua. Abdominal ischemic syndrome tuaj yeem xav tias muaj kev tsis txaus siab ntawm tus neeg mob:
- mob plab tas li, tshwj xeeb tshaj yog tom qab noj mov, thaum ua haujlwm lub cev lossis kev ntxhov siab;
- Kev xav puv thiab hnyav hauv ntu ntuperitoneum;
- burp;
- siab kub;
- kev xav iab hauv qhov ncauj;
- mob plab lossis, conversely, cem quav;
- mob taub hau;
- ua tsis taus pa;
- plab plab;
- poob phaus;
- kev qaug zog thiab qaug zog.
Tsuas yog kev kuaj xyuas sab nraud ntawm tus neeg mob, nrog rau cov qauv kev kuaj mob (ntshav, zis, ultrasound) tsis txiav txim siab kuaj tus kab mob no.
Spinal abdominal Syndrome
Hom kab mob no yog ib qho nyuaj tshaj plaws los kuaj xyuas. Nws nyob hauv qhov tseeb tias cov neeg mob muaj cov cim qhia tseeb ntawm cov teeb meem nrog rau txoj hnyuv (mob plab, ntuav, belching, heartburn, raws plab lossis cem quav), tab sis lawv tshwm sim los ntawm cov kab mob ntawm tus txha nraub qaum lossis lwm qhov chaw ntawm lub cev musculoskeletal. Feem ntau, cov kws kho mob tsis tuaj yeem txiav txim siab qhov ua tau zoo tam sim ntawd, yog li lawv ua tiav kev kho mob uas tsis tuaj yeem tshwm sim. Yog li, raws li kev txheeb cais, kwv yees li 40% ntawm cov neeg mob osteochondrosis ntawm thaj chaw thoracic raug kho rau cov kab mob ntawm cov hnyuv thiab plab uas tsis muaj nyob hauv lawv. Txawm tias sadder duab nrog cov kab mob ntawm tus txha nraub qaum. Mob nyob rau hauv xws li mob feem ntau yog mob, npub, kiag li tsis txuam nrog kev noj mov, thiab yog hais tias cov neeg mob muaj cem quav los yog raws plab, lawv tsis kho los ntawm classical txoj kev. Cov kab mob hauv qab no tuaj yeem ua rau vertebral plab syndrome:
- spondylosis;
- scoliosis;
- tuberculosis ntawm qaum;
- syndromes cuam tshuam nrog cov qog hloov pauv hauv kab qaum;
- visceral syndromes (Gutzeit).
Qhov tu siab tshaj plaws yog cov neeg mob yws ntawm qhov mob plab thiab tsis muaj kab mob plab feem ntau pom tias yog cov neeg mob malingerers. Txhawm rau kom paub qhov ua rau mob plab uas tsis tau piav qhia, nws yuav tsum siv cov kev kuaj mob ntxiv, xws li spondylography, X-ray, MRI, X-ray tomography, echospondylography thiab lwm yam.
