Thaum cov hnyuv tig los yog ib nrab twists ua ke nrog mesentery nyob ib ncig ntawm lub axis, uas yog nrog los ntawm kev ua txhaum ntawm cov ntshav khiav, muaj ib tug mob plab hnyuv ob leeg, txwv tsis pub - volvulus. Cov tsos mob ntawm tus mob no, yog tias lub plab zom mov tig 180 degrees lossis ntau dua, tuaj yeem ua rau muaj kev phom sij rau lub neej. Lub plab hnyuv volvulus tuaj yeem tshwm sim rau txhua tus, suav nrog cov menyuam yaus vim yog qhov tsis zoo peristalsis. Tus mob tuaj yeem ua rau cov nqaij mos necrosis, peritonitis, thiab txawm tuag.
Tig txoj hnyuv: cov tsos mob
thawj thiab tseem ceeb tshaj plaws cov tsos mob yog cramping mob nyob rau hauv lub plab mog. Tsis ntev, qhov kub thiab txias nce siab, xeev siab thiab ntuav (qee zaum nrog ntshav) tshwm sim. Qhov thib ob kos npe yog gas thiab quav tuav. Cov no yog cov tsos mob dav dav, tab sis feem ntau lawv nyob ntawm qhov twg plab hnyuv twist.
Tig txoj hnyuv: ua rau
Kev hloov pauv ntawm lub cev tam sim ntawd, kev hloov pauv ntawm lub cev muaj zog, cem quav hnyav, kev puas tsuaj rau lub peritoneum, ntau dhau ntawm cov hnyuv nrog zaub mov tuaj yeem ua rau tus mob no. Feem ntau volvulustshwm sim nyob rau hauv cov txiv neej tshaj li plaub caug xyoo, nws cov zaub mov yog dominated los ntawm cov khoom roughage. Feem ntau, plab hnyuv torsion tshwm sim thaum hmo ntuj. Nws nyob ntawm qhov loj ntawm lub xeev ntawm lub mesentery - nws txoj kab ncaj nraim los yog nqaim txuas, kev loj hlob ntawm nti, wrinkling ua rau volvulus, vim tias nyob rau hauv cov ntaub ntawv no cov loops tuaj ua ke thiab lengthen ib feem ntawm lub mesentery thiab txoj hnyuv. Tsis tas li ntawd, kev nce hauv lub plab hauv plab vim yog kev ua si ntawm lub cev, piv txwv li, thaum nqa qhov hnyav, nrog rau kev nce hauv peristalsis vim plab hnyuv dhau nrog cov zaub mov tsis txaus, tuaj yeem ua rau muaj kev cuam tshuam ntawm cov hnyuv.
plab hnyuv volvulus
Ntau tshaj, nrog cov tsos mob hnyav tshaj plaws. Mam li nco dheev, muaj mob hnyav nyob rau hauv lub dab teg. Muaj kev qeeb hauv plab hnyuv, gases, tsam plab, ntuav. Lub plab hnyuv volvulus, cov tsos mob uas muaj xws li ntshav siab, blanching ntawm daim tawv nqaij, nce lub plawv dhia, tuaj yeem tshwm sim txawm tias tsuas yog ib lub voj ntawm cov hnyuv twisted.
Volus of the sigmoid colon
Nyob rau hauv rooj plaub no, tus mob pathological feem ntau ua ntej los ntawm cem quav. Cov tsos mob tshwm sim hnyav: muaj qhov mob hnyav thiab nruj hauv plab, kev tso pa tawm tag nrho, tsis muaj quav, tsam plab nce, ua pa nyuaj. Tom qab volvulus tau tshwm sim, cov tsos mob dav dav yuav mob me me rau qee lub sijhawm, lawvqhov kev siv zog nyob ntawm qib ntawm plab hnyuv torsion.
Kev kho mob
Tus mob yuav tsum tau muaj kev cuam tshuam sai sai. Nyob rau hauv cov ntaub ntawv ntawm volvulus ntawm cov hnyuv sigmoid, koj tuaj yeem sim tshem tawm nws los ntawm kev siv siphon enemas. Yog tias tsis pom qhov tshwm sim, laparoscopic (los ntawm kev sib tsoo ntawm phab ntsa plab) lossis phais (los ntawm kev phais ntawm phab ntsa plab) kev ua haujlwm yog qhia.
