Atonic colitis yog ib yam kab mob ntev ntawm txoj hnyuv loj. Nws tshwm sim ntawm cov neeg laus. Pathology yog nrog los ntawm o ntawm lub plab hnyuv mucosa thiab nyuaj defecation. Kev cem quav tsis tu ncua tuaj yeem ua rau mob hnyav ntawm lub cev. Yog li ntawd, nws yog ib qho tseem ceeb rau txhua tus neeg kom paub txog cov tsos mob thiab kev kho mob ntawm atonic colitis kom tsis txhob muaj teeb meem loj hauv lub sijhawm. Tom ntej no, peb yuav txiav txim siab nthuav dav txog qhov ua rau thiab txoj hauv kev kho tus kab mob no.
Forms of colitis
Colitis yog ib qho mob ntawm cov kab mob ntawm txoj hnyuv loj. Muaj ntau hom kab mob no:
- atonic;
- pastic;
- hemorrhagic;
- mob plab.
Feem ntau yog spastic thiab atonic colitis. Qhov txawv ntawm ob hom kab mob no yog dab tsi?
Ob hom kab mob no nrog rau cem quav hnyav. Lawv cov tsos mob zoo sib xws. Txawm li cas los xij, thaumNyob rau hauv atonic colitis ntawm txoj hnyuv, ncua kev tso quav tshwm sim vim tsis muaj zog peristalsis. Cov leeg ntawm lub plab zom mov yog nyob rau hauv lub xeev so. Vim li no, cov quav maj mam txav mus rau hauv txoj hnyuv.
Nyob rau hauv daim ntawv spastic ntawm colitis, lub plab hnyuv musculature yog nruj heev, uas ua rau spasms. Vim li no, quav yuav khaws cia thiab tsis tawm hauv lub cev. Qhov no tuaj yeem ua rau tsim cov pob zeb tawv tawv.
Yog vim li cas
Vim li cas atonic colitis tshwm sim? Tus kab mob no ib txwm pib nrog cov txheej txheem inflammatory, uas tuaj yeem tshwm sim los ntawm cov hauv qab no:
- hnub nyoog hloov pauv;
- kev hloov pauv;
- yav dhau los dysentery lossis salmonellosis;
- kev tsis haum zaub mov;
- tsim txom cov zaub mov ntsim thiab hmoov txhuv nplej siab, nrog rau cawv;
- kab mob zaub mov;
- kev ua neej nyob;
- noj tshuaj (tshuaj tua kab mob, tshuaj tua kab mob, tshuaj kub hnyiab).
Thaum me nyuam yaus, qhov ua rau ntawm atony feem ntau yog qhov tsis muaj zog ntawm lub cev. Raws li qhov tshwm sim ntawm hypodynamia, cov ntshav xa mus rau txoj hnyuv loj zuj zus, thiab tom qab mob tshwm sim.
Nyob rau hauv cov neeg laus, cov txheej txheem inflammatory nyob rau hauv txoj hnyuv ua rau tuag ntawm mucosal hlwb. Vim yog ua txhaum ntawm cov ntaub so ntswg innervation, plab hnyuv motility zuj zus thiab cem quav tshwm sim.
Symptomatics
Cov tsos mob tseem ceeb ntawm atonic colitis yog teeb meem plab hnyuv. Cov neeg mob raug kev txom nyem los ntawm cem quav tas li. Qhov no yog nrog los ntawm kev hnov mob hnyav hauv plab kab noj hniav, flatulence, mob syndrome.
Cov neeg mob yuav tsis muaj quav rau 3 hnub lossis ntau dua. Hauv qhov no, cov neeg mob tsis hnov qhov xav kom defecate. Nyob rau hauv cov xwm txheej hnyav, pob zeb fecal tsim, uas yuav tsum tau muab tshem tawm mechanically.
Kev nyuaj siab
Cov plab hnyuv atony tuaj yeem cuam tshuam los ntawm kev qaug rau lub cev. Kev ncua sij hawm ntev hauv kev tso quav ua rau muaj tshuaj lom ntawm lub cev nrog cov quav. Qhov no yog nrog los ntawm kev deterioration ntawm daim tawv nqaij xim, xeev siab, thiab ntuav. Cov neeg mob pib poob ceeb thawj heev.
Clogging ntawm cov hnyuv nrog quav tuaj yeem ua rau muaj kev cuam tshuam ntev ntawm txoj hnyuv. Qhov no ua rau mob hnyav thiab yuav tsum tau kho phais tam sim.
Tsis tas li, nrog cem quav ntev, hemorrhoids tuaj yeem tshwm sim. Vim muaj zog straining, prolapse ntawm hemorrhoid feem ntau tshwm sim.
Diagnosis
Thaum kuaj thawj zaug, tus kws kho mob tshuaj xyuas keeb kwm thiab palpates tus neeg mob lub plab. Hauv cheeb tsam plab, tib lub sijhawm, ib lub foob raug txiav txim siab vim muaj ntau dhau ntawm txoj hnyuv. Yog tias tus neeg mob tau kuaj pom tias muaj mob plab hnyuv loj, ces nws raug xa mus rau chav kho mob kom kho nrog dej enemas.
Kev xeem ntxiv kuj raug txiav txim:
- Colonoscopy. Cov hnyuv loj yog kuaj endoscopically. Nyob rau tib lub sijhawm, ib daim ntaub me me raug coj mus kuaj kab mob.
- Ultrasound ntawm lub plab plab. Qhov kev tshawb fawb no tso caitxheeb xyuas cov qauv kev hloov pauv thiab o ntawm cov ntaub so ntswg ntawm txoj hnyuv.
- kuaj ntshav. Kev nce hauv ESR thiab cov qe ntshav dawb qhia tau tias muaj cov txheej txheem inflammatory.
- Fecal tsom xam. Pab txheeb xyuas tus kab mob ua rau mob (nrog rau cov kab mob sib kis ntawm colitis).
txoj kev kho
Kev kho mob ntawm atonic colitis pib nrog kev ntxuav cov plab hnyuv. Nws yog ib qho tsim nyog kom tso cov hnyuv tawm ntawm cov quav thiab ntxuav lub cev. Rau lub hom phiaj no, kev kho nrog dej enemas thiab tshuaj "Microlax" (microclysters) raug sau tseg.
Tom ntej no, koj yuav tsum ua kom cov quav mos thiab pab kom lawv tawm. Txawm li cas los xij, cov tshuaj no yuav tsum tsis txhob raug tsim txom. Kev siv cov tshuaj laxative mus ntev ua rau qhov tseeb tias txoj hnyuv nws thiaj li tsis ua haujlwm. Tsis tas li ntawd, kev ua siab ntev yog tsim los rau cov tshuaj, thiab cov koob tshuaj yav dhau los tsis ntev yuav tsum tau ua haujlwm.
Yog li ntawd, cov tshuaj laxatives tuaj yeem siv qee zaus, thaum nws ceev kom ntxuav lub cev. Cov roj me me thiab tshuaj ntsuab npaj tau raug sau tseg:
- "Senade";
- "Kafiol";
- "Mukofalk";
- "Castor oil";
- tswm ciab nrog roj av jelly, glycerin lossis fennel roj.
Prokinetics raug sau los txhawb kev txawj tsav tsheb. Cov tshuaj no cuam tshuam nrog choline receptors thiab nce peristalsis. Cov tshuaj no suav nrog:
- "Neostigmine".
- Y"Prozerin".
- "Loperamide".
- "Cisapride".
- "Metoclopramide".
- "Bethanechol".
Ntxiv cov txheej txheem kho lub cev:
- plab massage;
- ua kom lub plab zom mov;
- gymnastics rau cov leeg plab.
Cov dej num no pab ntxuav cov hnyuv. Rau qhov mob hnyav heev, cov quav pob zeb raug tshem tawm phais.
Kev noj haus
Atonic colitis cov neeg mob tau muab tshuaj noj tshwj xeeb. Cov lus qhia txog kev noj zaub mov hauv qab no raug pom zoo:
- Cov khoom noj ntsim, nqaij haus luam yeeb thiab cov khoom noj yuav tsum raug cais tawm ntawm kev noj haus.
- Zaub mov yuav tsum tau boiled los yog steamed. Cov zaub mov kib yuav tsum zam.
- Koj yuav tsum sim noj cov khoom noj siv mis kom ntau li ntau tau. Lawv ua rau lub plab zom mov thiab ua rau muaj txiaj ntsig zoo rau microflora.
- Nws yog qhov tsim nyog los txwv kev noj cov khoom bakery. Cov khoom noj uas starchy tuaj yeem ua rau cem quav.
- Cov tshuaj yej dub, kas fes thiab cov dej qab zib carbonated tsis suav nrog kev noj haus. Cov dej haus no tuaj yeem ua rau cem quav.
- Gastroenterologists pom zoo kom noj txiv hmab txiv ntoo qhuav. Cov zaub mov zoo li no tuaj yeem o hauv plab hnyuv lumen thiab ua rau kom muaj qhov contractions ntawm nws cov phab ntsa.
- suav nrog zaub muaj fiber ntau hauv koj cov zaub mov noj txhua hnub. Cov no suav nrog zucchini, zaub qhwv, carrots, beets.
Koj yuav tsum noj tsawg kawg 5 - 6 zaug hauv ib hnub. kuv musyuav tsum tau noj me me. Tsis muaj qhov xwm txheej yuav tsum koj overeat. Noj ntau dhau tuaj yeem ua rau cem quav tsis tu ncua.
Nws yog ib qho tseem ceeb heev kom ua raws li kev haus dej kom raug. Haus yam tsawg 2 - 2.5 litres dej ib hnub.
Nws yog ib qho tseem ceeb kom siv sij hawm siv cov hom qoob mog. Koj yuav tsum noj 2 tablespoons ntawm cov khoom thiab muab tso rau hauv ib khob ntawm mis nyuj sov. Cov muaj pes tsawg leeg yog insisted rau ib nrab ib teev. Qhov sib tov no yuav tsum tau noj txhua hnub ua ntej noj tshais. Cov cuab yeej no pab txhim kho txoj hnyuv motility.
Kev Tiv Thaiv
Yuav ua li cas tiv thaiv atonic colitis? Txhawm rau kom tsis txhob muaj teeb meem nrog plab hnyuv, koj yuav tsum ua raws li cov lus pom zoo hauv qab no:
- Ua haujlwm. Kev txav qis qis ua rau muaj kev puas tsuaj loj hauv plab hnyuv.
- Nyob ua gymnastics kom ntxiv dag zog rau cov leeg plab.
- Tsis txhob ua phem rau cov khoom noj uas muaj hmoov txhuv nplej siab. ntsim thiab kib.
- Tshaj 55 xyoos mus ntsib kws kho mob plab tsis tu ncua.
Ua raws li cov kauj ruam no yuav pab kom tsis txhob muaj teeb meem hauv plab.
