Non-ulcerative colitis yog ib qho mob ntev ntawm txoj hnyuv loj, uas yog nrog dystrophic, thiab nyob rau hauv cov xwm txheej hnyav heev, atrophic hloov hauv mucosa, uas nyob rau hauv lem ua rau tsis ua hauj lwm ntawm lub digestive system. Nrog rau tus kab mob no, tib neeg raug cuam tshuam los ntawm txoj hnyuv loj (tom qab ntawd lawv tham txog tag nrho cov kab mob plab) lossis cov ntu ntawm tus kheej (qhov no, sab laug sab laug thiab sab xis sab xis yog txhais tau tias nrog rau kev hloov pauv thiab proctosigmoiditis).
Cov kab mob uas tsis yog mob plab tuaj yeem txhim kho rau txhua qhov laj thawj zoo ib yam li lwm yam kab mob plab. Tom ntej no, peb yuav tham nyob rau hauv kom meej txog qhov no pathology ntawm txoj hnyuv, nrhiav seb yam dab tsi feem ntau provoke nws, thiab nrhiav seb nws manifests nws tus kheej. Ntxiv mus, peb yuav tau paub txog txoj kev kho mob thiab kev noj haus uas yuav tsum tau ua raws li tus kab mob no.
Codentawm no pathology raws li ICD-10
ICD 10 code yog dab tsi rau cov kab mob uas tsis yog-ulcerative? Cov kab mob no tau raug xa mus rau tus lej ntawm K50 txog K52. Cov kab mob hauv nqe lus nug yog hais txog cov kab mob uas tsis muaj kab mob enteritis thiab colitis.
Qhov laj thawj tseem ceeb ntawm kev txhim kho tus kab mob tsis zoo no
Qhov ua rau tsis yog mob plab ulcerative yog yav dhau los mob plab hnyuv kab mob nyob rau hauv daim ntawv ntawm dysentery, salmonellosis, zaub mov lom, typhoid fever, yersiniosis thiab lwm yam. Hauv particular, qhov tseem ceeb tshaj plaws yog txuas mus rau qhov hloov pauv dysentery thiab yersiniosis, uas tuaj yeem ua rau tus cwj pwm tsis zoo. Raws li cov kws tshawb fawb, kev kuaj mob ntawm cov kab mob uas tsis yog-ulcerative colitis yog provoked los ntawm mob dysentery. Tom qab ntawd, thaum tsis muaj cov kab mob bacteriocarrier, kev txhim kho ntawm cov kab mob no yog nyob ntawm ntau yam kab mob thiab etiological yam, tshwj xeeb tshaj yog dysbacteriosis, nrog rau kev nkag mus rau automicroflora, thiab lwm yam. Tom ntej no, nrhiav seb cov tsos mob twg nrog rau cov kab mob no.
Cov tsos mob ntawm tus kab mob no
Cov neeg mob uas tsis yog mob plab feem ntau yws yws ntawm qhov mob plab, uas feem ntau tshwm sim hauv plab plab, thiab qee zaum nyob rau sab lossis ib ncig ntawm lub plab. Qhov mob tuaj yeem ua mob, tawg, npub lossis paroxysmal. Ib qho tshwj xeeb ntawm qhov mob hauv pathology yog tias lawv kis tau sai tom qab siv cov cua sov hauv plab los yog siv qee yam tshuaj antispasmodics, nrog rau tom qab kis gases thiab defecation. Coarse zaub fiber nyob rau hauv daim ntawv ntawm txiv apples, cucumbers thiab cabbage nrog rau fatty, kib zaub mov, mis nyuj, cawv thiabcarbonated dej qab zib ua rau mob. Mob plab tej zaum yuav nrog rau plab hnyuv thiab rumbling, yaum kom defecate, thiab tsam plab.
Vim tag nrho cov neeg uas tsis yog mob plab ulcerative muaj cov tsos mob plab. Lub rooj zaum yog ua tau kua thiab unformed los yog mushy, nrog mucus impurities. Qee cov neeg mob feem ntau ua rau lub plab tsis muaj zog. Nyob rau tib lub sijhawm, ob peb zaug hauv ib hnub thaum lub sijhawm defecation, ib qho me me ntawm cov kua qaub thiab kua quav tuaj yeem tso tawm, feem ntau nrog cov khoom sib xyaw ntawm cov khoom tsim thiab cov hnoos qeev. Tom qab lub plab zom mov, cov neeg mob no tau hnov lub plab zom mov tsis tiav.
Ntawm keeb kwm ntawm kev puas tsuaj rau cov hnyuv loj, tenesmus tshwm sim nrog kev yaum kom defecate, tab sis, raws li txoj cai, tsuas yog ib qho me me ntawm cov quav, me ntsis roj lossis hnoos qeev, raug tso tawm. Nyob rau hauv lub xub ntiag ntawm cov kab mob uas tsis yog-ulcerative colitis, profuse raws plab yuav luag tsis tshwm sim, lawv tshwm sim tsuas yog nrog cov kab mob parasitic.
Nyob rau hauv qee cov neeg mob, tus kab mob no tuaj yeem nrog cem quav luv luv. Nyob rau tib lub sij hawm, cem quav yog hloov los ntawm raws plab, tawm tsam cov quav ua frothy, kua thiab fetid. Tsis tas li ntawd, dyspeptic, thiab tib lub sijhawm, asthenoneurotic syndrome tuaj yeem tsim. Tawm tsam keeb kwm yav dhau los ntawm tus kab mob exacerbation, nrog rau kev sib ntxiv ntawm pericolitis nrog mesadenitis, qhov kub thiab txias yuav nce mus rau subfebrile qhov tseem ceeb.
Kev tshawb fawb ntawm cov neeg mob thiab kev tshwm sim ntawm pathology
Tus nplaig ntawm cov neeg mob thaum lub sijhawm kuaj yog ntub heev,nws yog feem ntau overlaid nrog ib tug grey los yog dawb txheej. Thaum lub sij hawm palpation, mob nrog compaction ntawm txoj hnyuv loj los yog qee qhov ntawm nws cov ntu tuaj yeem txiav txim siab. Cov cheeb tsam ntawm daim tawv nqaij hyperesthesia tuaj yeem pom hauv thaj tsam iliac thiab lumbar.
Nyob rau hauv cov xwm txheej uas ib daim ntawv tsis tshwj xeeb ntawm mesadenitis koom nrog, qhov mob nyob hauv cheeb tsam tsis yog nyob rau hauv cov hnyuv, tab sis kuj nyob ib ncig ntawm lub plab, hauv cheeb tsam ntawm mesenteric lymph nodes, thiab lwm yam. Tawm tsam keeb kwm yav dhau los ntawm kev koom tes hauv cov txheej txheem inflammatory ntawm lub hnub ci plexus thaum lub sij hawm soj ntsuam lub plab, ib tus tuaj yeem cuam tshuam rau qhov mob hnyav hauv cheeb tsam epigastric thiab raws kab dawb. Cov tsos mob thiab kev kho mob ntawm cov kab mob uas tsis yog-ulcerative colitis yog sib cuam tshuam.
Cov tsos mob ntxiv ntawm tus kab mob
Cov tsos mob tseem ceeb ntawm tus kab mob no yog cov tsos mob hauv qab no:
- Nyob rau sab xis ntawm lub plab, tshwj xeeb tshaj yog nyob rau hauv cheeb tsam iliac, muaj qhov mob uas tawm mus rau hauv pliaj, thiab rau sab ceg thiab sab nraub qaum.
- Tus yam ntxwv yog ua txhaum ntawm cov quav, tshwj xeeb tshaj yog raws plab.
- Thaum palpation ntawm caecum, nws qhov spasm nrog qhov mob tau txiav txim siab.
- Thaum qhov tshwm sim ntawm perityphlitis tshwm sim, qib ntawm kev txav mus los ntawm caecum raug txwv.
Thaum qhov mob ntawm txoj hnyuv loj, cov tsos mob hauv qab no ntawm cov kab mob uas tsis yog-ulcerative colitis raug pom:
- Qhov tshwm sim ntawm qhov mob, tsam plab thiab rumbling ntawm lub plab, uas yog nyob hauv thaj tsam hauv nruab nrab hauv plab. Tawm tsam keeb kwm yav dhau los no, qhov mob tshwm sim sai tom qab noj mov.
- Tom qab noj mov, tej zaum yuav muaj kev hais tawm kom tso quav.
- Muaj kev ua txhaum ntawm cov quav hauv daim ntawv ntawm cem quav thiabraws plab sib hloov.
- Lub sijhawm sib sib zog nqus palpation ntawm thaj chaw ntawm txoj hnyuv loj, kev sib tw yog txiav txim siab nrog rau kev nthuav dav ntawm txoj hnyuv loj.
Cov tsos mob ntawm cov kab mob uas tsis yog-ulcerative colitis nrog cov kab mob sib cais ntawm txoj hnyuv loj muaj xws li:
- mob hnyav nyob rau sab laug hypochondrium, uas tawm mus rau sab nraub qaum thiab sab laug ntawm lub hauv siab.
- Qee zaum muaj qhov mob tshwm sim hauv cheeb tsam ntawm lub siab.
- Zoo plab tuaj yeem hloov nrog cem quav.
- Mob plab tuaj yeem ua rau hnyav dua los ntawm kev tawm dag zog lub cev, taug kev ntev. Mob yuav kis mus rau perineum los yog puab tais.
- Qhov muaj kev xav puv thiab siab tuaj yeem tshwm sim hauv thaj av iliac.
- Thaum palpation, spastic contraction yog txiav txim siab nrog rau qhov mob ntawm lub plab sigmoid.
Cov tsos mob ntawm qhov mob ntawm cov hnyuv sigmoid hauv cov kab mob uas tsis yog mob plab muaj xws li cov tsos mob hauv qab no:
- Mob hauv qhov quav yuav tshwm sim thaum lub plab zom mov.
- Tenesmus yog ib txwm nrog roj, hnoos qeev thiab ntshav.
- Tom qab plab hnyuv, tej zaum yuav muaj kev xav tias plab zom mov tsis tiav.
- Qhov quav feem ntau khaus thiab ntub.
- Ntau zaus muaj yaj-hom quav nrog impurities ntawm hnoos qeev lossis ntshav.
- Thaum kuaj digital ntawm lub qhov quav, qhov ua rau lub sphincter tau txiav txim siab.
Kev kho mob ntawm cov kab mob uas tsis yog mob plab yuav tsum ua kom tiav thiab raws sijhawm.
Pathogenesis ntawm hom kab mob colitis
Cov kab mob tseem ceeb ntawm cov kab mob colitis yog cov laj thawj hauv qab no:
- Kev puas tsuaj rau cov mucous daim nyias nyias ntawm txoj hnyuv loj nyob rau hauv kev cuam tshuam ntawm etiological yam. Qhov no feem ntau cuam tshuam nrog kev cuam tshuam ntawm kev kis kab mob, tshuaj tiv thaiv, tshuaj lom thiab tsis haum tshuaj.
- Lwm yam yog qhov tsis ua haujlwm ntawm lub cev tiv thaiv kab mob, tshwj xeeb tshaj yog txo qis hauv kev tiv thaiv kab mob hauv plab. Cov ntaub so ntswg lymphoid ntawm lub plab zom mov ua haujlwm ntawm kev tiv thaiv tshwj xeeb tiv thaiv ntau yam kab mob pathogenic.
- Ntawm lwm yam, nrog rau mob enteritis thiab colitis, kev tsim cov immunoglobulins thiab lysozyme los ntawm cov hnyuv phab ntsa txo qis, uas ua rau kev loj hlob ntawm cov kab mob colitis.
Yuav muaj teeb meem ntawm pathology
Kev tsis quav ntsej qhov xav tau kev kho mob rau cov kab mob uas tsis yog mob plab tuaj yeem ua rau muaj qhov tshwm sim hauv qab no rau tus neeg:
- Qhov tshwm sim ntawm kev mob plab hnyuv loj.
- Kev txhim kho stenosis thiab nqaim ntawm lub qhov quav lossis txoj hnyuv loj.
- tshwm sim ntawm fistulas, fissures thiab lwm yam teeb meem perianal.
- Tshuaj los ntshav sab hauv.
- Kev txhim kho mob toxic dilatation ntawm txoj hnyuv.
- Cov qog nqaij hlav cancer.
Cov cuab yeej kuaj mob yooj yim rau tus kab mob
Kev loj hlob ntawm tus kab mob hauv nqe lus nug tau kuaj pom raws li cov txiaj ntsig ntawm cov kev tshawb fawb hauv qab no:
- Kev xeem kuaj.
- Kev kuaj kab mob microbiological.
- Digital exam of the rectum.
- Ua plab plab ultrasound.
- Kev siv cov kev kuaj mob endoscopic hauv daim ntawv ntawm sigmoidoscopy, fibrocolonoscopy, colonoscopy thiab lwm yam.
- Kev kuaj X-ray.
- Kev kuaj mob keeb kwm.
Yuav kom kuaj xyuas qhov tseeb tshaj plaws thiab kos cov kev kho mob kom raug, kev sab laj ntxiv ntawm cov kws kho mob tshwj xeeb xws li endocrinologist, gynecologist, dermatologist, rheumatologist thiab psychologist yuav tsum tau. Xav txog kev kho cov kab mob uas tsis yog-ulcerative hauv qab no.
tshuaj ntsuam Fecal
Raws li ib feem ntawm kev kuaj mob ntawm tus kab mob no, tus neeg mob cov quav yuav raug kuaj ua ntej. Cov kws kho mob tshwj xeeb kuaj cov kab mob scatological hauv qab no raws li kev soj ntsuam fecal:
- Nrog cov plab hnyuv motility, raws li txoj cai, tag nrho cov quav ntxiv. Defecation yog kua, lub teeb xim av. Muaj ntau cov digested fiber ntau hauv cov quav nrog rau cov hmoov txhuv nplej siab intracellular thiab iodophilic flora.
- Tawm tsam keeb kwm yav dhau los ntawm kev qeeb qeeb ntawm txoj hnyuv loj, cov quav tso zis tsawg zuj zus. Yaj quav yog tsim uas muaj ntxhiab tsw.
- Nrog cov hnyuv loj zuj zus tuaj, cov quav yuav nce ntxiv. Defecation yog pom cov kua thiab ntsuab xim, thaum cov quav muaj ntaufiber ntau, hmoov txhuv nplej siab thiab fiber ntau.
- Tej zaum yuav muaj cov tsos mob ntawm fermentative dyspepsia, uas tag nrho cov quav ntxiv, nws ua frothy thiab daj. Ntawm lwm yam, cov ntsiab lus ntawm starch thiab organic acids nce.
- Nyob rau hauv cov kab mob putrefactive dyspepsia, cov plab hnyuv siab raum feem ntau yog kua, tsaus lossis xim av xim nrog cov ntxhiab tsw thiab cov protein ntau thiab ammonia.
- Thaum colitis flares, ib qho kev ntsuam xyuas cov protein soluble yuav zoo. Tsis tas li ntawd, thaum kuaj pom, ntau cov leukocytes thiab cov hlwb epithelial hauv cov quav yuav raug sau tseg.
- Tawm tsam keeb kwm yav dhau los ntawm ileocecal syndrome, cov quav feem ntau tsis tsim, daj daj nrog cov ntxhiab tsw qab thiab qaub. Cov quav zoo li no yuav muaj ntau cov fiber ntau uas tsis tau zom.
- Tawm tsam keeb kwm ntawm colidistal syndrome, tus neeg mob cov quav tsis tsim, thiab muaj cov hnoos qeev ntau ntawm nws qhov chaw, ntxiv rau, leukocytes nrog cov hlwb epithelial tuaj yeem kuaj pom ntau heev.
Thaum lub sij hawm kawm kab mob ntawm cov quav, cov cim qhia ntawm dysbacteriosis raug txiav txim siab nrog rau kev txo qis ntawm cov kab mob bifidobacteria thiab nce tag nrho cov hemolytic thiab lactose-negative Escherichia, ntxiv rau, Proteus tuaj yeem pom nrog rau. Cov kab mob staphylococcus thiab hemolytic streptococcus. Thaum lub sij hawm kuaj endoscopic ntawm txoj hnyuv, inflammatory kev hloov nyob rau hauv lub mucous daim nyias nyias yog pom, ua ke nrog erosion thiab atrophy.
Kev kho mob rau cov kab mob tsis zoomob colitis
Ua ntej tshaj plaws, yuav tsum tshem tawm cov laj thawj uas ua rau muaj tus kab mob no. Ua ntej tshaj plaws, nws yog ib qho tsim nyog, yog tias ua tau, txhawm rau kho cov kab mob ua ke ntawm cov plab hnyuv siab raum, ua raws li kev noj zaub mov zoo.
Yuav kom rov ua kom lub plab hnyuv noj qab haus huv, cov tshuaj tua kab mob tau muab tshuaj rau thaum pib ntawm kev kho mob ntawm cov kab mob uas tsis yog-ulcerative colitis, coj mus rau hauv tus account qhov rhiab heev ntawm cov kab mob sib kis, thiab tsuas yog tom qab ntawd cov kab mob hauv plab tau rov ua dua..
Phytotherapy yog dav siv. Thaum kho cov tsos mob ntawm cov kab mob uas tsis yog-ulcerative colitis, cov neeg laus tau sau cov tshuaj berries thiab tshuaj ntsuab uas muaj paj ntawm St. John's wort, shepherd's purse, yarrow, black currant berries, chamomile.
Kev noj haus rau qhov pathology
Khoom noj khoom haus rau tus kab mob plab no feem ntau suav nrog kev noj zaub mov uas txhawb nqa kev kho mob hauv qab no:
- Txo cov load ntawm cov hnyuv mucosa nrog rau kev ua kom cov txheej txheem rov qab. Nyob rau tib lub sijhawm, cov khoom noj hnyav uas tsis zoo digested raug cais tawm ntawm cov neeg mob noj txhua hnub. Cov khoom uas provoke txoj kev loj hlob ntawm fermentation thiab lwj kuj raug cais tawm. Qhov no ua rau txo qis hauv kev ntxhov siab, cov mucosa maj mam pib rov qab los ntawm cov teebmeem ntawm cov txheej txheem inflammatory.
- Txo cov tsos mob ntxhov siab thiab mob. Cov zaub mov tau nkag mus rau hauv cov zaub mov uas muab cov tshuaj tua kab mob, cov kab mob bactericidal thiab soothing nyhuv.
Nrog kev noj zaub mov nruj, tus neeg mobmuab tag nrho nrog cov khoom noj khoom haus zoo nyob rau hauv cov ntaub ntawv ntawm indigestion. Raws li ib feem ntawm kev noj zaub mov tsawg, kev noj zaub mov txhua hnub yog nplua nuj nrog cov vitamins, kab kawm thiab tag nrho cov as-ham koom nrog hauv cov txheej txheem metabolic thiab pab ua kom rov qab kho cov hnyuv.
Ntau npaum li cas pub zaub mov rau hauv cov kab mob no? Khoom noj khoom haus rau cov neeg mob uas tsis yog-ulcerative colitis yuav tsum tau fractional. Nws raug nquahu kom noj ntau zaus, txog rau 6 zaug hauv ib hnub, noj cov zaub mov me me. Cov pluas noj yuav tsum tau muab faib sib npaug txhua hnub. Noj mov kawg tsis pub dhau ob peb teev ua ntej yuav mus pw.
Kev saib xyuas tshwj xeeb yuav tsum tau them rau qhov ntsuas kub. Piv txwv li, cov zaub mov yuav tsum tsis txhob txias heev (uas yog, cov zaub mov yuav tsum tsis txhob tsawg tshaj li kaum rau degrees) los yog kub heev (thaum kub siab tshaj rau caum-ob degrees).
Yam tsawg kawg ib thiab ib nrab litres dej huv ib hnub twg, nco ntsoov haus roj. Nws tsis pom zoo kom noj cov zaub mov tuab thiab khoom. Pom zoo rau cov zaub mov boiled los yog steamed. Ntawm lwm yam, nws yog ib qho tsim nyog yuav tsum txo qis cov ntsiab lus txhua hnub ntawm cov rog, nrog rau cov carbohydrates. Raws li txoj cai, nyob rau hauv lub xub ntiag ntawm non-ulcerative colitis, cov neeg mob raug sau npe noj 4. Muaj qee yam zaub mov noj nrog cov zaub mov no:
- Txiv ncuav qab zib nrog rau cov crackers, qhob cij thiab buns ua los ntawm cov hmoov nplej zoo.
- ntses muaj roj tsawg, nqaij qaib thiab nqaij.
- Nco ntsoov kissels thiab jelly, uas yog siav los ntawm cov txiv hmab txiv ntoo qab zib, tab sis nws raug pom zoo kom txwv tsis pub noj qab zib txhua hnub kom ntau li ntau tau.
- Blueberries nrog sawv hips (cov berries no zoo meej rau kev ua ntau yam decoctions). Tsis tas li ntawd, koj tuaj yeem haus cov tshuaj yej tsis muaj zog thiab cocoa ntawm cov dej.
- Steam omelet lossis qe mos-boiled kuj tseem nyiam (tsis pub ntau tshaj ob lub qe ib hnub tso cai).
Kev noj zaub mov ua ib lub luag haujlwm tseem ceeb tshaj plaws hauv kev kho cov tsos mob ntawm cov kab mob uas tsis yog-ulcerative colitis. Tsis tas li ntawd, cov neeg mob raug tso cai siv calcined tshiab tsis muaj rog tsev cheese. Tsis tas li ntawd, mov, semolina, buckwheat, oatmeal, vermicelli, soups nrog meatballs yuav pab tau.
Peb tau saib cov tsos mob thiab kev kho mob ntawm cov kab mob uas tsis yog-ulcerative. Noj qab nyob zoo!
