Enteritis yog ib yam kab mob inflammatory ntawm tib neeg txoj hnyuv, nyob rau hauv uas cov kev hloov dystrophic tshwm sim nyob rau hauv lub mucous daim nyias nyias thiab cov txheej txheem ntawm nqus thiab zom cov zaub mov yog cuam tshuam.
Enteritis - yog dab tsi? Hom kab mob enteritis
Tus kab mob enteritis yog cais raws li etiology, morphology, kev kho mob thiab cov tsos mob ua haujlwm.
Raws li etiology, kab mob cab, noj zaub mov, kis kab mob, tshuaj lom, hluav taws xob, postoperative thiab tshuaj enteritis yog qhov txawv. Tsis tas li ntawd, tus kab mob manifests nws tus kheej nyob rau hauv congenital anomalies ntawm cov hnyuv me, insufficiency ntawm lub valve ntawm cov hnyuv loj thiab me, enzymopathy, thib ob enteritis.
Raws li kev hloov pauv ntawm anatomical thiab morphological, enteritis yog cais tsis muaj mob loj heev, nrog rau qhov nruab nrab lossis tag nrho ntawm atrophy ntawm epithelial hlwb thiab plab hnyuv villi.
Kho mob, tus kab mob tshwm sim nws tus kheej hauv ib qho mob me, nruab nrab lossis hnyav. Hauv cov kab mob enteritis ntev, kev tso tawm thiab exacerbation theem yuav tshwm sim. Txij li enteritis yog ib qho kab mob inflammatory, nws yog ib qho tsim nyog yuav tau pib kho ntawm thawj cov cim qhia.pathologies los tswj txoj hnyuv plab.
Cov kev ua haujlwm tsis zoo yog cov tsos mob tshwj xeeb - malabsorption ntawm cov as-ham hauv txoj hnyuv, kev hloov hauv cov zaub mov hydrolysis, enteral insufficiency thiab exudative enteropathy.
Kev txhim kho kab mob
Tej zaum yuav muaj ntau qhov laj thawj rau qhov tshwm sim ntawm cov kab mob hauv cov hnyuv:
- kab mob sib kis, kab mob plab hnyuv uas nce thiab nce hauv cov hnyuv;
- tshuaj lom (arsenic, lead thiab lwm yam);
- tshuaj noj tus kheej, siv tshuaj tua kab mob mus ntev thiab lwm yam tshuaj;
- undertreated mob enteritis;
- zom zaub mov tsis txaus, tsis muaj zaub mov noj (noj zaub mov ntsim thiab rog, zaub mov ceev, noj ntau dhau, noj zaub mov tsis haum);
- tsis txaus ntawm plab hnyuv enzymes;
- muaj cov kab mob sib kis (pancreatitis, tuberculosis, siab cirrhosis, kab mob lupus erythematosus, kab mob siab).
Kev tsis muaj kev kho mob kom zoo rau cov kab mob enteritis ntev yuav ua rau muaj kev hloov pauv dystrophic thiab o ntawm lwm qhov ntawm lub plab zom mov (pancreas, gallbladder, plab).
daim duab kho mob ntawm enteritis
Qhov tshwm sim sab nraud ntawm tus kab mob suav nrog kev cuam tshuam hauv kev nqus thiab assimilation ntawm zaub mov. Cov no suav nrog:
- ntse thiab poob ceeb thawj (ib tug neeg poob txog 20 kg);
- zoo li insomnia, ntxhov siab heev;
- txo qiskev ua haujlwm;
- teeb meem ntawm daim tawv nqaij (thinning, dryness, tev), plaub hau poob, thickening ntawm tus ntsia thawv phaj thiab brittleness;
- tachycardia;
- mob leeg, tsis muaj zog, paresis thiab convulsions.
Vim yog malabsorption ntawm cov vitamins, kev loj hlob ntawm cov kab mob sib kis tau - hemeralopia, neuropathy, myopathy, cheilitis, glossitis, subcutaneous hemorrhages.
Cov tsos mob ntawm plab hnyuv enteritis
Enteritis hauv tib neeg yog tus cwj pwm los ntawm qhov tshwm sim ntawm qhov mob plab hauv plab, palpation ua rau mob hnyav. Cov tsos mob tshwm sim 2-3 teev tom qab noj mov. Qhov mob tuaj yeem muaj tus cwj pwm txawv (dub, arching, cramping).
Qhov no yog vim malabsorption ntawm bile acids nyob rau hauv cov hnyuv distal. Yog li ntawd, cov kua qaub nkag mus rau hauv cov hnyuv loj thiab ua rau muaj kev ua txhaum ntawm kev nqus thiab kev zom zaub mov (zaub mov, plab, flatulence, rumbling hauv plab). Nws yog cov cim qhia tias enteritis manifests nws tus kheej.
Qhov no yog dab tsi? Nyob rau hauv cov ntaub ntawv ntawm malfunction ntawm ileocecal valve (sib cais cov hnyuv me thiab loj), hummus yuav nkag mus rau hauv cov hnyuv me, vim hais tias nws yog noob nrog cov kab mob phem.
Kev kuaj kab mob
Qhov kev kuaj mob thawj zaug yog ua los ntawm kev tshawb fawb thiab kev soj ntsuam dav dav ntawm tus neeg mob, uas suav nrog palpation thiab percussion (percussion ntawm phab ntsa plab). Cov kauj ruam tom ntej yog ua ib coprogram. Hauv kev kawm macroscopic, qhov tsw, kev ntxhib los mos thiab xim raug txiav txim, thiab hauvmicroscopic - muaj cov rog, nqaij fibers lossis hmoov txhuv nplej siab hauv kev tsom xam.
txhawm rau txheeb xyuas cov kab mob sib kis thiab dysbacteriosis hauv txoj hnyuv, nws yog ib qho tsim nyog yuav tsum tau ua kev tshawb fawb bacteriological ntawm quav rau enteritis. Nws yog dab tsi? Hauv cov kab mob enteritis ntev, kev kuaj ntshav biochemical yuav qhia tau tias kev nqus tsis txaus ntawm cov as-ham hauv cov hnyuv (malabsorption syndrome).
Kev kuaj mob ntawm cov hnyuv me ua rau muaj ntau yam teeb meem, vim tias tsuas yog ib feem me ntawm nws tuaj yeem kuaj tau. Thaum lub sij hawm endoscopy, ib tug biopsy ntawm lub mucous daim nyias nyias, uas yog tsim nyog rau kev soj ntsuam histological. Nyob rau hauv nws, atrophy thiab dystrophy ntawm epithelial hlwb thiab plab hnyuv villi feem ntau sau tseg.
X-ray kuaj pom cov qog, rwj, hloov hauv cov qauv ntawm cov quav ntawm cov hnyuv. Ua ntej txoj kev tshawb fawb, tus neeg sawv cev sib txawv tau nkag mus rau hauv lub cev, uas ua rau nws muaj peev xwm txheeb xyuas cov kab mob enteritis. Nws yog dab tsi, tus kws kho mob yuav qhia rau koj. Yuav kom paub qhov txawv ntawm tus kab mob, yuav tsum muaj kev ntsuam xyuas dav siv cov kev kuaj mob niaj hnub no.
Cov tsos mob ntawm tus kab mob muaj ntau yam sib xws nrog cov kev kho mob tshwm sim ntawm lwm cov kab mob plab hnyuv. Yog li, kev kuaj mob sib txawv ntawm enteritis nrog gastritis, pancreatic teeb meem thiab qog yog tsim nyog.
Txhua yam kab mob ntawm txoj hnyuv me yuav tsum tau kuaj xyuas kom meej, vim tias muaj ntau cov tsos mob zoo sib xws ua rau muaj kev kuaj mob tsis raug thiab kev teem caij tsis zoo, qee zaum txawm tiasKev kho mob txaus ntshai uas tuaj yeem ua rau mob plab hnyuv loj dua.
Kev kho mob mob enteritis
Tus mob enteritis xav tau kev kho mob hauv tsev kho mob. Cov neeg mob tau txais kev noj zaub mov, pw tsaug zog, thiab haus dej ntau. Tej zaum qhov teem caij ntawm hydration therapy. Kev kho mob yog tsom rau kev ntxiv dag zog rau lub cev thiab txo qhov tshwm sim ntawm cov tsos mob tsis zoo ntawm tus kab mob.
Yog tias enteritis nrog rau daim ntawv hnyav ntawm dysbacteriosis, nws yuav tsum tau noj cov tshuaj, qhov kev txiav txim ntawm lub hom phiaj yog los kho cov hnyuv microflora. Kev tshem tawm raws plab yog ua los ntawm kev noj cov tshuaj astringent. Yog tias muaj kev ua txhaum ntawm cov metabolism hauv cov protein, nws yog ib qho tsim nyog los qhia cov tshuaj polypeptide rau hauv lub cev.
Lub sijhawm nruab nrab ntawm kev kho mob yog 7-10 hnub. Lub sijhawm no, cov tsos mob ntawm tus kab mob no nres, thiab kev noj qab haus huv zoo dua. Enteritis, kev kho mob uas kav ntev dua, tsis kho tag nrho thiab ua rau rov tshwm sim ntawm cov tsos mob tsis zoo thiab mob.
Yog tus kab mob muaj tshuaj lom lossis kis tau, tus neeg mob yuav tsum tau mus pw hauv tsev kho mob.
Kev kho tus mob enteritis
Hauv kev mob enteritis, kev kho mob zoo ib yam. Koj xav tau kev noj zaub mov qub thiab so pw. Nyob rau hauv cov ntaub ntawv ntawm kev ua txhaum ntawm lub zus tau tej cov enzymes digestive ib ntsuj av tau muab tshuaj nyob rau hauv daim ntawv ntawm enzyme npaj ("Festal", "Pancreatin"). Nws tseem yog ib qho tsim nyog yuav tau noj cov tshuaj uas ua kom qhov nqus tau thiab rov ua kom cov cell membranes ntawm txoj hnyuv epithelial hlwb.
Enteritis, kev kho mob uas tau ua raws li tus kws kho mob cov tshuaj, sai sai tsis thab. Txawm li cas los xij, daim ntawv mob ntev yog tus cwj pwm los ntawm ntu ntu ntawm exacerbations thiab remissions.
Koom nrog dysbacteriosis yuav tsum tau kho nrog eubiotics thiab probiotics uas kho cov plab hnyuv microflora. Yog tias cov tsos mob ntawm enteritis tshwm sim tawm tsam keeb kwm yav dhau los ntawm cov tsos mob ntawm neoplasms nyob rau hauv cov hnyuv me (diverticula, polyps), ces ua ntej ntawm tag nrho cov, lawv cov kev phais yog tsim nyog, thiab tsuas yog tom qab ntawd nws yog tsim nyog los nres qhov tshwm sim ntawm tus kab mob.
Kev noj zaub mov rau enteritis
Rau enteritis, noj zaub mov No 4 yog sau. Nws suav nrog cov nqaij ntshiv los yog ntses uas tuaj yeem boiled, ci los yog kib. Nco ntsoov ua noj cov kua zaub ntawm nqaij, ntses, zaub los yog nceb broths. Cov zaub tau pom zoo kom chop finely, qee zaum txawm tias cereals yuav tsum tau rubbed los ntawm lub sieve.
Los ntawm cov khoom noj siv mis, nyiam yog muab rau kefir thiab yogurt. Cov dej qab zib zoo li no tso cai rau koj los kho cov hnyuv sai sai, txhim kho nws txoj haujlwm thiab nyob hauv cov kab mob uas muaj txiaj ntsig.
Cov khoom cog tau zoo tshaj plaws tom qab kev kho cua sov. Zaub yuav tsum tau boiled, ci los yog kib, thiab txiv hmab txiv ntoo yuav boiled compote, jelly los yog rubbed nrog qab zib. Tshuaj yej nrog txiv qaub, decoctions ntawm rosehips, berries thiab bran yuav pab tau heev.
Kev tiv thaiv kab mob enteritis
Txhua yam kab mob yooj yim tiv thaiv dua li kho. Kev ntsuas los tiv thaiv plab hnyuv enteritis suav nrog:
- khoom noj muaj txiaj ntsig;
- noj tsuas zoo thiab cov khoom tshiab;
- tsis muaj cov tshuaj lom hauv cov zaub mov (koj tsis tuaj yeem noj cov txiv hmab txiv ntoo thiab cov nceb tsis paub keeb kwm);
- ua raws li cov cai ntawm kev tu tus kheej;
- kev tuav zaub mov zoo;
- noj tshuaj raws li kws kho mob sau;
- mus ntsib cov chaw kho mob txhua lub sijhawm txhawm rau kuaj cov kab mob hauv plab, nrog rau cov kab mob endocrine thiab metabolic hauv lub cev.
Yog tias txhua yam kev tiv thaiv tau ua raws, kev txhim kho ntawm plab hnyuv thiab kab mob tuaj yeem tiv thaiv, thiab kev noj qab haus huv yuav ua rau koj tswj hwm koj txoj kev noj qab haus huv siab tshaj.
Pupppy enteritis
Hauv dev, tus kab mob tshwm sim nws tus kheej tsis ntev los no, tab sis nws txoj kev loj hlob ua rau muaj kev tuag siab ntawm cov menyuam dev. Kev kis kab mob uas cuam tshuam rau cov hnyuv ntawm cov tsiaj tsis muaj kev phom sij rau tib neeg, tab sis sai sai hauv lub cev ntawm cov dev me thiab ua rau muaj teeb meem loj thiab ua haujlwm tsis zoo.
Kev mob plab hauv tus menyuam dev yog tshwm sim los ntawm kev qaug zog, ua npaws, thiab thaum stroking ob sab lossis nias ntawm lub plab, tus dev yuav koov nws nraub qaum thiab zawm nws tus Tsov tus tw, uas qhia tau hais tias mob plab. Nrog cov tsos mob zoo li no, koj yuav tsum hu rau koj tus kws kho tsiaj kom kuaj xyuas thiab kho kom raug.
