Muaj ntau cov kab mob ntawm lub plab zom mov. Ib tug ntawm lawv yog colitis. Cov kab mob no tuaj yeem tshwm sim los ntawm cov txheej txheem inflammatory los yog nyob rau hauv tus ntawm cov kab mob. Colitis muaj kev faib tawm dav dav, nyob ntawm qhov ua rau ntawm qhov pib ntawm cov kab mob pathological thiab cov tsos mob tshwm sim. Hauv kab lus no, peb yuav txiav txim siab txog qhov tshwm sim thiab kev kho mob rau hemorrhagic colitis.
Definition
Hemorrhagic colitis yog ib yam kab mob sib kis uas tshwm sim los ntawm o ntawm cov kab mob ntawm txoj hnyuv. Qhov no tshwm sim nyob rau hauv kev cuam tshuam ntawm cov haujlwm tseem ceeb ntawm Escherichia coli, uas tso tawm cov co toxins txaus ntshai uas tuaj yeem cuam tshuam rau cov mucous membrane thiab cov hlab ntsha ntawm txoj hnyuv loj, tsim cov kab mob. Tus kab mob tuaj yeem tshwm sim rau txhua lub hnub nyoog, tab sis feem ntau kuaj pom hauv cov neeg laus thiab cov menyuam yaus hnub nyoog qis dua tsib xyoos. Txij li thaum cov tsos mob ntawm hemorrhagic colitis tuaj yeem tsis meej pem nrog lwm tusCov kab mob, yuav tsum tau kuaj xyuas kom zoo.
Yog vim li cas
Kab mob tuaj yeem nkag mus rau tib neeg lub cev ntau txoj hauv kev. Tab sis feem ntau hemorrhagic colitis provokes E. coli, nyob rau hauv cov hnyuv ntawm nyuj. Nyob rau hauv cov xwm txheej zoo, cov kab mob pib ntau zuj zus, ua rau muaj tshuaj lom hauv lub cev nrog cov tshuaj lom uas nws tsim. Lawv tuaj yeem cuam tshuam kev ncaj ncees ntawm cov hlab ntsha, ua rau mob. E. coli tuaj yeem nkag mus rau tib neeg lub cev nrog rau cov mis tsis muaj kua mis lossis los ntawm kev noj nqaij yam tsis muaj kev kho cua sov txaus.
Muaj lwm yam ua rau hemorrhagic colitis. Cov no suav nrog:
- fecal-oral kis;
- kev tsis zoo tes;
- noj zaub mov tsis huv;
- kev tsis haum zaub mov;
- kab mob ntawm plab hnyuv thiab txoj hnyuv;
- malnutrition;
- kab mob;
- siv sijhawm ntev ntawm qee yam tshuaj.
Symptomatics
Tus kab mob no sai heev. Cov tsos mob ntawm hemorrhagic colitis yog qhov tshwm sim heev, tshwj xeeb tshaj yog nyob rau thawj lub lim tiam tom qab kis kab mob. Feem ntau cov cim qhia yog:
- mob hnyav hauv plab ntawm qhov xwm txheej cramping (tsis tshua muaj rub qhov mob hauv plab);
- lub cev kub tuaj yeem nce siab;
- zoontshav, dej quav;
- kev tsis txaus siab;
- tsis muaj zog;
- kiv taub hau;
- txhim kho cov kab mob pathological ntawm lub raum;
- hloov cov ntshav muaj pes tsawg leeg;
- ntshav qab zib;
- qab los noj mov thiab poob phaus;
- xeev siab thiab ntuav;
- o thiab liab ntawm lub qhov quav;
- mob hnyav, qaug dab peg.
Feem ntau cov tsos mob ntawm tus kab mob ploj tom qab 8-10 hnub, tab sis hauv cov menyuam yaus thiab cov neeg uas muaj kev tiv thaiv qis thiab yog tias tsis kho, cov tsos mob tshwm sim txog li ob lub lis piam. Tus mob no yog fraught nrog kev loj hlob ntawm cov teeb meem loj.
Diagnosis
Txawm tias qhov tseeb tias pathology muaj cov cim qhia tau zoo, nws yuav tsum tau ua ntau yam kev kuaj mob kom paub meej tias qhov kev kuaj mob, nrog rau kev qhia meej txog qib ntawm kev loj hlob ntawm tus kab mob thiab muaj cov teeb meem tshwm sim. Rau qhov no, kev kuaj mob nyuaj yog siv, suav nrog kev sim thiab ntsuas ntsuas.
Lab suav nrog:
- kev tshuaj xyuas dav dav ntawm cov zis thiab ntshav kom paub meej tias kev txhim kho ntawm cov txheej txheem inflammatory;
- tshuaj ntsuam microscopic ntawm quav;
- kab lis kev quav quav los txiav txim siab tus neeg sawv cev ntawm tus kab mob.
Instrumental method include:
- colonoscopy, uas tshuaj xyuas qhov mob ntawm lub qhov quav;
- sigmoidoscopy: lub mucosa ntawm txoj hnyuv loj yog kuaj xyuas hemorrhages thiab o.
Ib qho kev ntsuas tseem ceeb sib npaug yog qhov kev ntsuam xyuastus kws kho mob uas tau sau cov anamnesis ntawm tus kab mob, kwv yees lub sij hawm ntawm qhov pib ntawm thawj cov tsos mob thiab cov lus qhia txog kev kis kab mob. Lub plab kuj palpated.
Kev kuaj mob zoo yog qhov tseem ceeb heev, vim nws tso cai rau kuaj pom muaj cov kab mob erosive-hemorrhagic colitis, uas yog tus yam ntxwv ntawm tus kab mob mus ntev. Tso tseg tsis kho, nws tuaj yeem ua rau muaj kev phom sij rau lub neej thiab kev noj qab haus huv.
Kev kho mob
Tau teev cov tsos mob nrog, kev kho mob hemorrhagic colitis yog muab los ntawm tus kws kho mob kis kab mob lossis tus kws kho mob tus kheej hauv txhua kis. Nrog rau tus kab mob no, tsuas yog siv tshuaj kho mob xwb. Kev kho phais hauv qhov no tsis muaj.
Kev kho mob suav nrog cov tshuaj hauv qab no.
- Tshuaj tua kab mob. Cov tshuaj no yuav tsum tau siv nruj me ntsis raws li kev tshuaj xyuas ntawm tus kws kho mob tuaj koom, vim tias lawv siv tsis raug tuaj yeem ua rau cov kab mob hnyav dua, ua rau muaj teeb meem loj. Qhov no yog vim qhov tseeb tias cov kab mob tuag tso tawm ntau ntxiv ntawm cov tshuaj lom neeg, uas ua rau muaj kev lom zem hauv lub cev.
- Antipyretics los txo cov tsos mob tshwm sim. Cov menyuam yaus raug qhia kom siv Ibuprofen lossis Paracetamol.
- Tshuaj zawv plab.
Thaum mob hnyav, hemodialysis (xws li ntshav pom) thiab plasmapheresis (kev ntxuav lub cev los ntawm kev lim cov ntshav nrog cov cuab yeej tshwj xeeb) yuav raug qhia.
Kev kho mobhemorrhagic colitis yuav tsum tau cais tus neeg mob thiab so hauv txaj.
Kev Noj Qab Haus Huv
Qhov tseem ceeb ntawm kev kho tus kab mob yog kev ua raws li kev noj zaub mov tshwj xeeb kom txog rau thaum lub sijhawm rov ua tiav. Cov khoom noj hauv qab no yuav tsum raug cais tawm ntawm kev noj haus:
- fatty mov;
- ntsim;
- smoked nqaij;
- sweets;
- dej qab zib;
- cawv;
- zaub nyoos thiab legumes yuav tsum tsis suav nrog ib ntus.
Cov khoom hauv qab no tau tso cai:
- qib noj nqaij thiab ntses;
- khoom noj protein;
- khoom fermented mis nyuj.
Kev noj zaub mov tshwj xeeb yog:
- cov zaub mov feem me me;
- zaub mov yuav tsum sov: zaub mov kub lossis txias tsis pom zoo;
- khoom noj yuav tsum tau zom kom huv;
- xav tau cov zaub mov boiled lossis steamed.
kev kho neeg zoo
Nyob rau hauv kev kho mob hemorrhagic colitis, pej xeem tshuaj tau ua pov thawj lawv tus kheej zoo, uas yog siv nyob rau hauv daim ntawv ntawm decoctions, infusions thiab enemas. Nws yog ib qho tseem ceeb kom nco ntsoov tias kev siv cov nroj tsuag tshuaj yuav tsum pib tom qab kev sab laj nrog koj tus kws kho mob. Xav txog qhov feem ntau ntawm lawv:
- yarrow;
- qhiav;
- tsob ntoo;
- pab yaj lub hnab.
Feem ntau lawv yog siv rau hauv daim ntawv ntawm decoctions thiab tinctures.
Rau enemas, koj tuaj yeem siv cov roj rosehip dilutedlos yog hiav txwv buckthorn, nrog rau decoctions ntawm St. John's wort los yog chamomile.
Kev nyuaj siab
Feem ntau, tus kab mob kis mus yam tsis muaj teeb meem loj. Tab sis thaum tsis muaj kev kho mob thiab muaj qhov ua rau muaj qhov tshwm sim, hemorrhagic ulcerative colitis tuaj yeem txhim kho, uas tuaj yeem ua rau muaj kev phom sij hauv qab no:
- ntshav qab zib;
- txhawj xeeb;
- kev puas tsuaj rau lub cev nyob sib ze;
- thrombocytopenia;
- hemorrhagic nephritis;
- mob raum tsis ua haujlwm;
- stroke.
Kev Tiv Thaiv
Ua raws li cov lus pom zoo tiv thaiv tuaj yeem tiv thaiv kev txhim kho hemorrhagic colitis. Qee cov cai yuav tsum ua raws li:
- ua zoo ntxuav tes tom qab mus rau chav dej thiab sab nraud;
- siv pasteurized lossis boiled mis;
- ua kom sov kho cov nqaij;
- tsis txhob mus cuag cov neeg muaj tus kabmob no.
Huab cua thiab xaus
Nrog hemorrhagic colitis, feem ntau, qhov kev cia siab yog qhov zoo. Kev kuaj mob ntawm cov teeb meem tsis tshua muaj thiab cuam tshuam nrog kev kho tsis tau. Kev siv cov kev tiv thaiv theem pib yuav txo qis kev pheej hmoo ntawm tus kab mob.
Koj yuav tsum mloog koj lub cev, thiab yog tias muaj cov tsos mob tsis txaus ntseeg tshwm sim, nws raug nquahu kom mus ntsib kws kho mob sai li sai tau thiab dhau qhov kev sim tsim nyog.
