Cov kab mob uas tshwm sim feem ntau tshwm sim hauv pathology ntawm txoj hnyuv hu ua colitis. Cov tsos mob thiab kev kho mob ntawm cov neeg laus thiab cov me nyuam yuav luag tib yam. Cov neeg laus feem ntau tsis paub tias qhov mob no nyob hauv lawv lub cev, thiab pib kho thaum lig dhau lawm.
Cov tsos mob thiab kev kho mob plab hnyuv hauv cov neeg laus ncaj qha nyob ntawm hom kab mob.
colitis hauv cov neeg laus yog dab tsi?
Tshuaj plab plab yog ib yam kab mob uas tshwm sim los ntawm kev mob plab hnyuv.
Muaj ob hom kab mob tseem ceeb: mob thiab mob ntev.
Tus mob colitis yog cov kab mob feem ntau ntawm cov kab mob plab, uas tuaj yeem tshwm sim rau txhua lub hnub nyoog. Qhov txhab nyob rau hauv daim ntawv no yog ntiav, tab sis nws kim heev, vim hais tias tag nrho cov kab mob ntawm cov hnyuv raug kev txom nyem. Nws tshwm sim vim khaus ntawm daim nyias nyias, uas yog los ntawm kev poob ntawm electrolytes thiab kua. Cov tsos mob nyob rau hauv daim ntawv ntawm dysbacteriosis, lub cev qhuav dej thiab toxemia ua rau muaj zog heev puas ntawm cov mucous txheej.
Los ntawm keeb kwm, hom kab mob hauv qab no tuaj yeem paub qhov txawv:
- tshuaj colitis (tshwj xeeb los ntawm cawv, haus luam yeeb, pa taws, tshuaj lom thiab hnyav heevhlau);
- tsev neeg (noj zaub mov tsis zoo, khoom tsis zoo);
- siv tshuab (cem quav, plab hnyuv);
- ua los ntawm kev tsis haum tshuaj - hay fever, bronchial asthma (allergic colitis);
- ischemic xwm (thrombosis thiab mob plab);
- kab mob colitis.
Nyob rau hauv daim ntawv mob ntev, lub plab zom mov, kev thauj mus los, kev tiv thaiv kev ua haujlwm cuam tshuam nrog kev hloov pauv hauv plab hnyuv mucosa.
Daim ntawv mob (tsis muaj kab mob lossis kis kab mob colitis) yog qhov mob hnyav tshaj plaws. Tab sis nws tuaj yeem hloov mus ua mob plab ulcerative. Nyob rau hauv lem, nrog kev kho mob tsis raws sij hawm ntawm txoj hnyuv, nws hem nrog rau qhov tshwm sim loj heev, rwj ntawm lub mucous daim nyias nyias thiab incessant mob.
Yog tias koj tsis ua raws li kev kho mob ntawm cov kab mob ulcerative, nws yuav sai sai rau hauv necrotizing. Thiab qhov no yog fraught nrog sepsis.
hom kab mob colitis
Nws tsim nyog xav txog ntau yam ntawm cov kab mob colitis, uas muaj ntau yam:
- Spastic colitis. Irritable plob tsis so tswj syndrome (spasmodic colitis, IBS) yog qhia los ntawm tsam plab, spasms thiab pathology ntawm txoj hnyuv. Tus kab mob no tsis loj. Tus kab mob no suav hais tias yog kev ua haujlwm tsis zoo. IBS tshwm sim tawm tsam keeb kwm yav dhau ntawm kev ntxhov siab, qaug zog, kev ntxhov siab. Qhov ua rau ntawm tus kab mob colitis no tsis paub.
- YPseudomembranous colitis. Mob hnyav, mob hnyav uas tshwm sim los ntawm kev ua kom cov kab mob tua kab mob. Cov neeg mob (10-20%) pom Clostridium difficile. Tus kab mob no yog tsim los ntawm kev tiv thaiv ntawm Clostridiumtsis yooj yim rau cov tshuaj uas inhibit kev ua haujlwm ntawm plab hnyuv microflora. Nws yog ib qho tsim nyog yuav tsum paub txog tus kab mob raws sijhawm, tshem tawm cov tshuaj tua kab mob uas ua rau mob raws plab, thiab kho cov hnyuv nrog lwm yam tshuaj.
- Erosive colitis. Cov kab mob ntawm lub plab thiab duodenum nrog ulcers nyob rau saum npoo ntawm duodenum ze rau lub plab. Daim ntawv erosive yuav ua rau tsis zoo nyob rau hauv cov kab mob colitis superficial, ua rau ulcers.
- Ischemic colitis. Suppuration nyob rau hauv lub plab zom mov, provoked los ntawm kev puas tsuaj rau cov hlab ntsha, uas tsis ua rau cov ntaub so ntswg necrosis. Ntau yam kab mob thiab cov txheej txheem pathological ua rau txo qis hauv cov ntshav ntws hauv mucosa thiab mob ischemia ntawm txoj hnyuv. Muaj cov pawg tseem ceeb: kev puas tsuaj ntawm cov hlab ntsha, kev koom tes ntawm cov hlab ntsha me, cov yam tsis muaj kev cuam tshuam, occlusion ntawm cov hlab ntsha loj. Lub plab hnyuv tsis ua haujlwm cuam tshuam rau txoj hnyuv ua haujlwm tsis zoo.
- Ray. Radiation kab mob ntawm txoj hnyuv yog tshwm sim los ntawm ionizing hluav taws xob ntawm lub cev. Hauv cov neeg mob qog noj ntshav tau txais kev kho mob radial rau cov qog ntawm cov qog nqaij hlav lossis lub plab me me, radial kev puas tsuaj ntawm cov hnyuv tshwm sim ntau zaus. Kev kho mob tej yam tshwm sim yuav tsis tas yuav nrog ib tug mob mucosal defect.
- Alcoholic colitis. Muaj tshwm sim hauv cov neeg uas feem ntau haus cawv ntau. Hauv qhov no, tus mob pancreatitis mus tas li nrog cov kab mob ntawm cov rog metabolism yog tsim. Thaum raug rau cov nroj tsuag zoo tib yam ntawm cov hnyuv loj ntawm cawv, nws yog hloov los ntawm ib tug kab mob, uas ua rau o. Cawv colitis yuav ploj yog tias tus neeg mob nrespiv. Nws yuav tsis yog superfluous los kho cov hnyuv nrog tshuaj.
- Collagenic colitis. Ib daim ntawv ntawm cov kab mob mus tas li inflammatory ntawm txoj hnyuv. Histologically, lymphocytic o yog tus cwj pwm los ntawm kev nthuav dav ntawm cov lymphocytes interepithelial. Qee zaum, dhau sijhawm, kev hloov pauv ntawm lymphocytic colitis rau hauv collagen tshwm sim. Cov tom kawg yog tus cwj pwm los ntawm histological subepithelial deposition ntawm collagen fibers nrog ib tug tuab ntawm ib mus rau kaum centimeters. Cov keeb kwm yav dhau tseem tsis meej.
Yog vim li cas
Vim cov qauv ntawm tus kab mob muaj qhov sib txawv kiag li, qhov ua rau tus kab mob yuav tsum tau muab faib. Daim ntawv mob tshwm sim sai heev thiab muaj kev kub ntxhov.
Qhov laj thawj tseem ceeb uas cuam tshuam rau cov tsos mob ntawm tus mob plab hauv cov neeg laus yog:
- Tus kab mob Enterovirus (ua rau kis kab mob colitis).
- Kev siv cov tshuaj uas muaj txiaj ntsig zoo rau lub plab zom mov.
- Kev noj ntau yam nroj tsuag thiab cov fungi uas muaj tshuaj lom hauv lawv cov qauv.
- Txoj kev siv tshuaj tua kab.
- Food poisoning.
- YSalmonellosis.
- Dysentery.
- Cov nyhuv ntawm ethyl cawv rau ntawm plab hnyuv ntawm tus neeg laus.
- Kev ua pa phem nrog cawv hloov pauv.
Daim ntawv mob ntev ntau dua li yav dhau los. Feem ntau cov neeg mob colitis tsis paub txog qhov muaj tus kab mob no hauv lub cev. Daim foos no tshwm sim vim muaj kev tsis saib xyuas mob hnyav. Feem ntau ua rau mob plab yog:
- muaj kab mob hauv lub cev, uas yog opisthorchiasis, ascariasis;
- Yprotozooses (trichomoniasis, amoebiasis);
- haus cawv ntau dhau, tsis hais nws lub zog;
- cem quav;
- pathology ntawm txoj hnyuv;
- irritable plahaum syndrome;
- autoimmune tsis ua haujlwm;
- mob plab thiab mob plab.
Ntau tus kab mob tshwm sim thaum yau. Yog vim li cas rau qhov no yog kev noj zaub mov tsis txaus, tsis ua raws li kev noj haus, kev noj ntau dhau ntawm ntsim, ntsev, rog thiab kib. Qee qhov kev puas tsuaj yog tshwm sim los ntawm cov dej qab zib carbonated thiab zaub mov qhuav. Cov menyuam yaus raug kis kab mob kis ntau dua li cov laus.
Cov kab mob colitis, uas yog tshwm sim los ntawm cov kab mob cab, tshwm sim vim kev kho cua sov tsis txaus ntawm cov khoom noj. Cov ntses thiab nqaij tsis zoo yuav ua rau opisthorchiasis, qias neeg thiab dej - amoebiasis. Colitis yuav luag tsis tshwm sim los ntawm kev yug me nyuam.
Cov tsos mob ntawm tus mob plab
Cov tsos mob tseem ceeb ntawm colitis muaj xws li:
- quav quav hloov nrog cem quav;
- mob plab (feem ntau nws mob zuj zus ua ntej tso quav);
- qee zaus xeev siab;
- bloating;
- kev zom zaub mov;
- boob.
Tus kab mob no tseem yuav cuam tshuam rau qhov pom thiab davtus neeg mob txoj kev noj qab haus huv. Cov tsos mob ntawm tus kab mob colitis qhia tias muaj tus kab mob muaj raws li hauv qab no:
- tawv nqaij;
- grey complexion;
- dub brittle plaub hau;
- nrawm nrawm;
- poor concentration;
- kev ua txhaum cai;
- npau suav phem.
Kev cuam tshuam ntawm kev ua haujlwm ntawm plab hnyuv ua rau txo qis hauv kev tiv thaiv kab mob, uas feem ntau ua rau muaj mob khaub thuas thiab kis kab mob.
Diagnosis
Kev kuaj mob colitis yog qhov yooj yim heev thiab tsis cuam tshuam nrog cov txheej txheem nyuaj:
- Daim ntawv mob hnyav tuaj yeem kuaj tau nrog kev pab los ntawm cov tsos mob qhia meej meej uas yog tus yam ntxwv ntawm tus kabmob no thiab muaj qee qhov tsos mob sab nraud, keeb kwm kev kis kabmob.
- Nws yog qhov yuav tsum tau kawm tus neeg mob cov quav los ntawm kev tshawb fawb bacteriological.
- Yuav ua kom qhov tseeb thiab qhov tseeb tshaj plaws, tus kws kho mob tuaj yeem siv coprogram, raws li qhov kev kuaj mob tom ntej tuaj yeem ua tau.
- Yog xav tau kev tshawb fawb ntxiv kom paub tseeb qhov kev kuaj mob thiab tsim kom muaj qhov tseeb ntawm tus neeg mob lub plab zom mov, tuaj yeem kho rectoscopy.
Kev kuaj mob ntawm tus mob colitis yog qhov txawv me ntsis ntawm kev kuaj mob ntawm nws daim ntawv mob. Ua ntej tshaj plaws, tus kws kho mob uas yuav kho tus neeg mob ua raws li hauv qab no:
- ua keeb kwm ntawm tus neeg mob raws li nws cov ntaub ntawv kho mob;
- cov lus nugncaj qha rau tus neeg mob nws tus kheej, pom qhov muaj kev tsis txaus siab;
- kev tshuaj xyuas sab nraud ntawm qhov mob tshwm sim los ntawm palpation;
- kuaj cov quav thiab cov zis;
- siv instrumental diagnostics.
Ua tib zoo mloog! Txawm hais tias cov tsos mob tau tshaj tawm, tus kws kho mob yuav tsum kuaj xyuas thiab sau tshuaj kho mob plab hnyuv (khaus khaus).
Tshuaj npaj
Ntau cov neeg yws yws rau cov kws kho mob txog ntuav thiab xeev siab, nquag flatulence thiab mob plab. Cov tsos mob no yuav qhia tau tias kev loj hlob ntawm cov kab mob colitis ntawm txoj hnyuv, uas muaj tus kab mob ntev lossis mob hnyav.
Tshuaj kho mob plab hnyuv siab raum rau cov neeg laus nyob ntawm seb hom plab hnyuv puas muaj nyob. Yog li, rau qhov mob plab plob tsis so tswj, nws yog ib qho tseem ceeb kom txo qis peristalsis.
Yog tias tus kab mob hnyav zuj zus tuaj, nws tuaj yeem siv tshuaj tua kab mob hauv plab. Tab sis lawv yuav tsum tsis txhob raug tsim txom: lub sijhawm nkag mus yuav tsum tsis pub ntau tshaj 14 hnub, vim tias cov tshuaj cuam tshuam tsis yog cov kab mob pathogenic nkaus xwb, tab sis kuj tseem muaj microflora ib txwm muaj.
Drug List
Yuav kho lub plab zom mov, cov kws kho mob pom zoo cov tshuaj hauv qab no:
- Tshuaj tua kab mob uas yuav muaj cov tshuaj tua kab mob thiab tshuaj tua kab mob: Ecofuril thiab Furazolin.
- Cov tshuaj tua kab mob hauv plab rau exacerbation ntawm colitis: "Ftalazol",Sulfasalazine, Salazopyridazine.
- YEnzymes txhawm rau txhim kho kev zom zaub mov: Creon thiab Creazim.
- Tshuaj txhawm rau txo cov hnyuv spasms thiab ua kom tsis muaj zog peristalsis: No-shpa, Odeston, Iberogast.
- Prebiotics thiab probiotics rau normalization ntawm plab hnyuv microflora: "Linex", "Bifiform".
- Tshuaj txhawm rau txhim kho peristalsis: Loperamide, Imodium.
- Adrenoblockers los thaiv cov hlab ntsha uas teb rau adrenaline thiab norepinephrine: Doxazosin, Yohimbine, Nicergoline. Tseem ceeb! Cov tshuaj no yuav tsum tau siv raws li kev saib xyuas nruj ntawm tus kws kho mob!
- Astringent thiab enveloping agents yuav tiv thaiv cov hnyuv los ntawm khaus thiab txo cov hnoos qeev: potassium carbonate, "Acidin-pepsin", hydrochloric acid, "Panzinorm-forte".
Kev kho mob plab nrog tshuaj kho pej xeem
Rau kev kho cov hnyuv nrog cov tshuaj pej xeem, tus neeg laus yuav tsum siv cov khoom hauv qab no:
- nqi kho mob.
- Alder buckthorn.
- Juices.
- Parsnips thiab qej.
Kho cov tsos mob ntawm plab hnyuv colitis, uas yog kom txo tau lub plab mob, dill roj yog tov nrog ib tug kua (qhov ratio ntawm ib mus rau kaum). Nws yuav tsum tau noj tsawg kawg peb zaug ib hnub twg. Cov tshuaj hauv mint txo qhov xeev siab, tiv thaiv qhov tshwm sim ntawm ntuav. Ib diav ntawm kab lis kev cai no yog brewed thiab noj mus txog peb zaug ib hnub.
tus nqi mob plab
Muaj ntau hom nqi uas tuaj yeem siv los kho mob plab hnyuv:
- Tshuaj yej uas muaj cov nyhuv laxative yog npaj los ntawm 15 g ntawm cilantro noob, 15 g ntawm licorice cag, 80 g ntawm buckthorn keeb kwm. Ncuav thiab boil (ib tablespoon ib khob), noj thaum sawv ntxov.
- Nrog colic, ib qho kev sib xyaw ntawm tib tus nqi ntawm anise, fennel thiab mint, 10 g txhua, yuav pab tau ntxiv me ntsis ntxiv chamomile. Ncuav lub resulting sib tov nrog boiling dej (800 ml) rau kaum teev. Haus peb mus rau plaub zaug ib hnub.
- Chamomile, calamus, fennel thiab valerian yuav tsum tau muab sib xyaw ua ke sib npaug (zoo tshaj - ntawm ib rab diav). Steam ib diav ntawm cov sib tov rau ib nrab ib liter dej, cia nws brew thiab haus 50 grams txhua peb teev.
- Boiled buckthorn bark pab nrog cov quav xoob. Kev siv nyob ntawm qhov tshwm sim tau, yog tias tsis muaj zog ntawm cov nyhuv, nws yog ib qho tsim nyog yuav tsum tau nce tus nqi.
- Ntau yam kua txiv hmab txiv ntoo tiv taus cov kab mob zoo li no.
- Carrot nyem yog siv rau cov quav xoob. Nco ntsoov noj lub plab khoob.
- Ib khob qej yuav rov ua kom lub plab zom mov kom zoo, ua kom qab los noj mov, tom qab noj mis nyuj haus.
Colitis tiv thaiv
Vim colitis yog ib yam kab mob uas tshwm sim ntau tshaj plaws ntawm lub plab zom mov, uas yog tshwm sim los ntawm ib txhij o ntawm cov hnyuv me thiab loj thiab kis tau los yog tsis muaj kab mob, txhawm rau kom tsis txhob muaj tus kab mob no, nws yog qhov tsim nyog.ua raws li cov cai yooj yim:
- Thaum thawj cov tsos mob ntawm tus kab mob colitis tshwm nyob rau hauv lub plab zom mov, yuav tsum tau kho kom raws sijhawm.
- Yog tias muaj helminthic ntxeem tau tshwm sim, thiab pom muaj cov kab mob cab, ces nws yog ib qho tsim nyog yuav tsum siv txoj hauv kev kom ceev lawv tshem tawm ntawm lub cev.
- Ua raws li cov cai ntawm kev noj qab haus huv thiab tsim nyog, noj me me, zam "khoom noj txom ncauj qhuav" thiab tsis txhob noj thaum mus.
- Yog tias tsim nyog los ua cov tshuaj tua kab mob, yuav tsum tau siv cov tshuaj prebiotics, uas yuav pab kho cov hnyuv microflora.
- Tsis txhob noj tshuaj rau tus kheej, tsis txhob noj tshuaj yam tsis tau ntsib kws kho mob ua ntej.
- Nws yog ib qho tsim nyog yuav tsum tsis txhob haus luam yeeb, haus cawv thiab lwm yam cwj pwm phem, vim lawv ua rau muaj tshuaj lom neeg thiab tsis haum tshuaj.
Nws yog ib qho tseem ceeb heev uas daim ntawv mob tsis ua mob ntev. Thiab rau qhov no koj yuav tsum tau txiav txim siab raws sijhawm cov tsos mob thiab kev kho mob ntawm plab hnyuv colitis.
