Colitis yog ib qho mob uas tshwm sim hauv cov hnyuv loj tawm tsam keeb kwm ntawm kev kho mob, kis kab mob lossis ischemic puas rau txoj hnyuv. Nws tuaj yeem ua mob hnyav lossis mob ntev. Cov tsos mob nyob rau hauv cov ntaub ntawv no yog qhia nyob rau hauv daim ntawv ntawm dag ntxias kom defecate, mob plab, xeev siab, raws li zoo raws li lub xub ntiag ntawm hnoos qeev thiab ntshav nyob rau hauv cov quav.
Nws feem ntau yog ib hom mob ntev ntawm cov kab mob, txawm li cas los xij, cov kab mob uas tsis yog tshwj xeeb ntawm txoj hnyuv, lub hauv paus chiv keeb uas tseem tsis tau tsim muaj, kuj tuaj yeem pom. Nyob rau hauv tas li ntawd, lub plab hnyuv mucosa yuav ulceration.
Ua rau kab mob
Qhov ua rau mob plab muaj ntau yam, thiab qee hom kab mob lawv tseem tsis tau kawm tag nrho. Tias yog vim li cas nws yog tsis yooj yim sua kom ntseeg tau tias yog vim li cas ib tug ulcerative lesion tshwm sim. Nws yog ib qho tseem ceeb heev los tsim kom tau ib tug provoking yam, txij li thaum lub peculiarity ntawm kev kho mob feem ntau nyob ntawm qhov no. Ntawm cov laj thawj tseem ceeb vim li cas tus kab mob no tshwm sim, ib tus tuaj yeem paub qhov txawv xws li:
- mob plab hnyuv;
- muaj kab mob hauv lub cev;
- kev tsis haum zaub mov;
- tsis txaus ntshav txaus rau txoj hnyuv;
- tus neeg intolerance rau qee hom tshuaj tua kab mob;
- neuroses, kev ntxhov siab, kev ntxhov siab;
- anatomical nta ntawm cov qauv ntawm txoj hnyuv.
Tsis tas li ntawd, kev noj zaub mov tsis txaus yuav tsum tau hais txog ntawm qhov ua rau muaj kev cuam tshuam. Lub luag haujlwm tseem ceeb yog ua los ntawm caj ces predisposition, kev siv ntev ntawm qee yam tshuaj. Mob plab colitis tuaj yeem tshwm sim tom qab tshem tawm ntawm lub gallbladder, nrog rau muaj lwm yam kab mob ntawm lub plab thiab cov hnyuv uas cuam tshuam cov txheej txheem ntawm kev zom zaub mov.
Kev faib tawm
Kab mob colitis yog tus cwj pwm los ntawm kev mob ntawm cov kab mob ntawm txoj hnyuv loj. Ntawm cov tseem ceeb provoking yam yog mob plab hnyuv o, nrog rau cov kab mob kis tau, uas yog provoked los ntawm ntau yam kab mob thiab kab mob. Kev mob tshwm sim tuaj yeem mob hnyav lossis mob ntev.
Tus mob colitis feem ntau tshwm sim thaum muaj kab mob hauv plab, thiab kev ua xua thiab lom tuaj yeem ua rau nws. Cov hnyuv me thiab plab feem ntau koom nrog cov txheej txheem pathological. Raws li qhov tshwm sim ntawm qhov mob thiab kev hloov pauv, colitis tuaj yeem yog:
- catarrhal;
- mob plab;
- erosive;
- fibrinous.
Daim ntawv mob ntev ntawm qhov txhab yog tus cwj pwm los ntawm kev hloov pauv pathological hauv cov qauv ntawm cov mucosa, uas tau pom los ntawm kev mob ntev ntev thiab dystrophy ntawm cov ntaub so ntswg cuam tshuam. Hais txogmuaj kev ua txhaum ntawm secretory thiab lub cev muaj zog ua haujlwm ntawm txoj hnyuv. Feem ntau, daim ntawv mob tshwm sim thaum lub sij hawm cov kab mob ntawm lub plab zom mov.
Ischemic colitis yog ib ntu ntawm txoj hnyuv loj, tshwm sim los ntawm cov ntshav ncig tsis zoo hauv thaj chaw no. Allergic colitis feem ntau pom nyob rau hauv cov neeg uas muaj kev fab zaub mov thiab cov neeg uas intolerance rau tej yam tshuaj.
Y Ulcerative colitis - tsim cov kab mob ulcerative ntawm lub mucosa ntawm txoj hnyuv loj. Feem ntau tshwm sim nyob rau hauv daim ntawv ntev nrog lub sij hawm relapses.
Cov tsos mob tseem ceeb
Cov tsos mob ntawm plab hnyuv loj yog txawv heev, tshwj xeeb, xws li:
- pain;
- tawg quav;
- dag ntxias kom defecate;
- bloating.
Nyob rau hauv cov txheej txheem ntawm tus kab mob, qhov mob feem ntau dull, mob thiab nyob rau hauv lub plab mog. Qee zaum, nws tuaj yeem npog thaj tsam loj, tsis muaj qhov chaw pom tseeb. Kev mob ntau ntxiv hauv colitis tshwm sim tom qab taug kev nrawm, noj mov, nrog rau kev siv cov tshuaj ntxuav kom huv. Kev pab los tom qab ua pa los yog plab hnyuv.
Ib yam ntawm cov tsos mob ntawm tus mob plab yog qhov quav quav. Tej zaum yuav muaj hnoos qeev lossis ntshav hauv cov quav. Muaj cov lus dag ntxias kom defecate, uas feem ntau xaus rau hauv kev tso tawm cov hnoos qeev. Ntau tus neeg mob yws yws ntawm tsam plab, hnyav thiab flatulence.
Nws tsim nyog sau cia tias cov tsos mobcolitis tej zaum yuav txawv, nws tag nrho yog nyob ntawm qhov kev puas tsuaj ntawm plab hnyuv, lub hnub nyoog ntawm tus neeg thiab muaj cov kab mob concomitant. Qee cov neeg mob tsis muaj kev tsis xis nyob rau lub sijhawm ntev, thiab qhov tshwm sim ntawm tus kab mob tsuas yog pom thaum lub sijhawm exacerbation. Hauv lwm tus, cov tsos mob tau hais meej, thiab qhov mob yog qhov kaj thiab nyuaj.
Thaum mob plab ulcerative tshwm sim, cov tsos mob yuav mob me lossis hnyav. Muaj cov xwm txheej uas yuav tsum tau mus pw hauv tsev kho mob sai, yog vim li cas koj thiaj li yuav tsum tau hu rau lub tsheb thauj neeg mob yog tias muaj cov tsos mob xws li qaug zog heev, fecal incontinence, kub taub hau, tachycardia, ntshav raws plab.
Kub hauv colitis tsuas yog pom thaum lub sijhawm mob hnyav. Tsis tas li ntawd, tus neeg mob ntsib kev mob, nws nqhis dej, thiab nws qab los noj mov ploj. Cov tsos mob sib txawv nyob ntawm qhov chaw ntawm qhov tsom ntawm qhov mob. Qhov mob hnyav tshaj plaws hauv colitis tshwm sim thaum sab laug ntawm txoj hnyuv raug cuam tshuam. Yeej, lawv nce ua ntej cov txheej txheem defecation thiab muab rau perineum lossis sacrum.
Diagnostics
Yog tias pom muaj kab mob plab, yuav ua li cas, tus kws kho mob tuaj koom yuav tuaj yeem qhia tau tom qab kuaj pom tseeb. Yuav tsum tau:
- kuaj lub cev;
- laboratory research;
- colonoscopy;
- tomography;
- radiography.
Kev kuaj mob pib nrog kev ua tiav keeb kwm. Kev kuaj lub cev muaj xws li kev kuaj mob uas tsom rau lub plab mogtxiav txim siab qhov nce hauv lub cev. Yuav tsum tau kuaj qhov quav ntxiv, uas tus kws kho mob sim kuaj pom o lossis o.
Kev kuaj ntshav yuav pab ntsuas tus neeg mob qhov kev ruaj ntseg thiab kuaj pom cov teeb meem cuam tshuam nrog colitis. Kuj yuav tsum tau kuaj cov quav kev tso quav. Yog hais tias qhov ua rau ntawm tus kab mob tsis tau tsim kom tiav, ces yuav tsum tau ib tug colonoscopy. Nws yuav txaus los tshuaj xyuas qhov quav. Qee zaum, yuav tsum tau kuaj ntshav biopsy.
Computed tomography yuav tsum tau kom tau ib daim duab ntawm txoj hnyuv thiab lub plab mog, raws li nws kuj tso cai rau koj los txiav txim seb hom pathology, uas yog ib qho tseem ceeb heev rau kev kuaj mob. X-ray nrog barium enema yog siv los pom cov nyuv.
Txoj kev kho mob
Kev kho tus mob plab yog lub hom phiaj tseem ceeb ntawm kev tshem tawm qhov ua rau tus kab mob. Lub hauv paus ntawm kev kho mob yog kev noj haus, nrog rau kev noj cov kua dej ntau, uas tso cai rau cov hnyuv kom so thiab rov ua haujlwm zoo.
Tshuaj tua kab mob feem ntau raug sau rau colitis los pab tshem tawm cov kab mob uas ua rau raws plab thiab mob. Cov kab mob ulcerative yuav tsum tau ua ke nrog kev kho mob nrog tshuaj. Thaum pib, cov tshuaj tiv thaiv kab mob tau sau tseg, nrog rau cov tshuaj tiv thaiv kab mob. Hauv qhov xwm txheej hnyav, kev phais yuav raug qhia.
Thaum ischemic colitis tshwm sim, kev kho mob pib nrog kev txhaj tshuajinfusions los pab ua kom lub plab zom mov me ntsis thiab tiv thaiv lub cev qhuav dej, tshwj xeeb tshaj yog tias tus neeg mob tsis tuaj yeem haus dej txaus ntawm lawv tus kheej. Yog tias cov ntshav ib txwm muab rau cov hnyuv tsis rov qab los nrog kev kho kom zoo, nws yuav tsim nyog tshem tawm ib feem ntawm cov hnyuv ntawm qhov chaw los ntshav.
kev kho mob
Kev kho mob colitis nrog cov tshuaj feem ntau nyob ntawm seb hom ua rau nws ua rau nws. Nyob rau hauv txhua rooj plaub, tus neeg mob tau muab tshuaj rau normalize lub plab zom mov, thiab nyob rau hauv lub xub ntiag ntawm mob - antispasmodics. Kev siv tshuaj tua kab mob tsuas yog qhia tau yog tias qhov ua rau muaj tus kab mob yog mob plab hnyuv. Yeej, dav-spectrum tshuaj tua kab mob tau sau tseg uas tuaj yeem tiv thaiv kev tsim cov kab mob.
Ntxiv rau cov tshuaj tua kab mob, cov tshuaj tua kab mob tau muab tshuaj, tshwj xeeb, xws li Nifuroxazide lossis Metronidazole, uas pab tshem tawm cov kab mob. Tsuas yog tus kws kho mob yuav tsum tau sau cov tshuaj, txij li kev siv tshuaj tua kab mob tsis tswj tau ua rau cov kab mob ua rau lawv tiv taus.
Vim tias cov tshuaj tua kab mob tuaj yeem cuam tshuam cov plab hnyuv microflora, lawv yuav tsum tau ua ke nrog cov tshuaj bifido. Thaum muaj qhov mob hnyav, kev siv tshuaj antispasmodics tau qhia, tshwj xeeb, xws li "Papaverine" lossis "No-shpa", thiab yog tias cov spasms muaj zog heev, ces tus kws kho mob tuaj yeem ua tau.tshuaj anticholinergics.
Yog tias muaj kab mob muaj nyob hauv tus neeg mob lub cev, ces cov tshuaj anthelmintic ntxiv rau kev kho mob. Astringents yuav tsum tau noj kom txhob raws plab.
Tom qab cov txheej txheem tseem ceeb ntawm kev kho tiav, koj yuav tsum tau noj cov tshuaj enterosorbents, tshwj xeeb, xws li Polysorb, Polyphepan, Enterosgel, nrog rau cov tshuaj probiotics los kho cov hnyuv microflora. Cov tshuaj enzyme tsuas yog siv thaum muaj enzyme deficiency.
Tshaj Tawm Tswv Yim
Ntxiv nrog rau kev kho tshuaj, colitis tau kho nrog cov tshuaj pej xeem, txawm li cas los xij, ua ntej no, yuav tsum tau sab laj nrog kws kho mob plab, vim qee qhov ntawm lawv tuaj yeem ua rau muaj kev noj qab haus huv tsis zoo. Aspen tshauv yuav pab txo qhov mob. Ua li no, nws yuav tsum tau nchuav nrog dej kub, thiab tawm hauv qhov chaw tsaus rau 10 hnub. Koj yuav tsum tau siv 3 zaug hauv ib hnub rau 5 tsp. Tib lub sijhawm, koj yuav tsum tsis suav nrog ntsim thiab ntsev ntawm koj cov zaub mov.
Kev kho mob colitis nrog cov tshuaj pej xeem suav nrog kev siv cov roj ntses, nrog rau qee yam tshuaj ntsuab, tshwj xeeb, xws li chamomile, St. John's wort, plantain. Ib tug zoo prophylactic yog ib qho infusion npaj rau lub hauv paus ntawm strawberry nplooj. Nws kuj pab kom tshem tau ntau yam teeb meem ntawm lub plab zom mov.
Surgery
Colitis feem ntau yog kho nrog cov txheej txheem kev saib xyuas, txawm li cas los xij, muaj qee zaum yuav tsum tau phais. Tshwj xeeb, rauCov lus qhia tseem ceeb tuaj yeem raug ntaus nqi xws li:
- hnyav los ntshav;
- peritonitis;
- mob plab hnyuv;
- pinching lossis o ntawm phab ntsa plab hnyuv;
- abscess formation;
- mob plab hnyuv ischemia.
Kev ua haujlwm kuj tseem tuaj yeem ua nrog cov kab mob ulcerative ntawm txoj hnyuv, vim nws txoj kev kawm ntev tuaj yeem ua rau mob neoplasms. Hauv qhov no, ib ntu ntawm txoj hnyuv raug tshem tawm.
Dieting
Kev noj haus tseem ceeb thaum kho. Txoj cai tseem ceeb ntawm kev noj zaub mov kom raug yog kev cais tawm ntawm cov khoom uas tuaj yeem muaj kev cuam tshuam rau lub plab hnyuv mucosa. Tias yog vim li cas ntxhib fiber ntau yuav tsum raug cais tawm ntawm koj cov zaub mov ib txwm, nws yog txwv tsis pub noj zaub nyoos, legumes, txiv ntseej, bran, noob. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom tshem tawm cov tshuaj irritants, xws li ntsim, qaub, ntsev, haus luam yeeb.
noj mov yuav tsum faib 4-5 zaug ib hnub twg. Tag nrho cov khoom yog steamed thiab hauv av. Nws tsis pom zoo kom haus mis nyuj thiab zaub qhwv, tsis hais nws hom thiab hom kev npaj. Nws yog ib qho tseem ceeb kom ua raws li kev noj haus kom raug. Thaum lub sijhawm mob hnyav, nws raug nquahu kom tsis kam noj zaub mov thiab haus dej ib leeg xwb. Noj mov kawg yuav tsum tsis pub dhau 7 teev tsaus ntuj.
Colitis hauv cev xeeb tub
Colitis hauv cov poj niam thaum cev xeeb tub tuaj yeem ua rau muaj kev mob hnyav lossis tshwm simua ntej. Qhov laj thawj tseem ceeb ntawm qhov no yog qhov txo qis hauv kev tiv thaiv kab mob, thiab qee zaum yuav tsum tau noj qee yam tshuaj uas muaj kev cuam tshuam tsis zoo rau lub plab thiab cov hnyuv. Cov neeg mob tib lub sijhawm pib yws ntawm qhov mob, tsam plab, quav quav.
Kev kho mob plab thaum cev xeeb tub tsuas yog ua nrog cov tshuaj uas yuav tsis ua mob rau tus poj niam thiab tus menyuam hauv plab. Yeej, cov nyiaj tau sau tseg uas ntim cov mucous daim nyias nyias thiab tshem tawm cov khoom tsis zoo, tshwj xeeb, xws li Smekta, activated charcoal, Pepidol. Txhawm rau normalize plab hnyuv microflora, kev siv cov tshuaj bifid npaj tau qhia, piv txwv li, "Bifiform", "Linex".
Yog tias pom qhov mob hnyav, ces kev tso cai siv cov tshuaj antispasmodics, thiab thaum tus kab mob tau coj mus rau qhov tsim ntawm qhov quav, cov tshuaj raws li sodium alginate pab tau zoo.
Nws yog ib qho tseem ceeb uas lub cev tau txais tag nrho cov vitamins uas yuav tsum tau muaj rau colitis, yog li cov vitamin complexes tshwj xeeb tuaj yeem raug sau, thiab yuav tsum tau noj zaub mov tshwj xeeb.
Colitis hauv cov neeg laus
Nyob rau hauv cov neeg laus, ib qho mob ntawm plab hnyuv colitis yog heev. Qhov no yog vim lub sijhawm dhau los, ib tus neeg tuaj yeem tsim cov kab mob atherosclerotic ntawm cov hlab ntsha uas pub cov hnyuv. Yog tias lawv txhaws tag, cov ntshav tsis ntws mus rau txoj hnyuv loj, ua rau cov ntaub so ntswg tuag.
Tus mob no ua rau mob plab hnyav, thiab tom qab ntawd txoj hnyuv loj tuaj thiab tseem tuaj yeem tshwm simqhov quav los ntshav. Tus kab mob tuaj yeem cuam tshuam los ntawm peritonitis. Yog tias qhov txhaws ntawm cov hlab ntsha tsis ua tiav, ces colitis feem ntau tshwm sim nyob rau hauv daim ntawv ntawm plab hnyuv thiab mob hauv plab, nrog rau mob thaum soj ntsuam cov hnyuv. Tej zaum kuj yuav muaj protrusions ntawm txoj hnyuv.
Kab mob hauv me nyuam
Colitis hauv menyuam yaus yog qhov tshwm sim ntawm qhov tshwm sim ntawm qhov mob, qhov quav tsis zoo, xeev siab, tsam plab, rumbling, thiab ua rau muaj kev noj qab nyob zoo. Nws tuaj yeem tshwm sim hauv daim ntawv mob hnyav thiab mob ntev. Kev mob tshwm sim tshwm sim los ntawm kev muaj kab mob hauv plab hnyuv thiab cuam tshuam tsis tau tsuas yog cov hnyuv loj, tab sis kuj lub plab. Mob ntev yog qhov tshwm sim ntawm qhov mob hnyav.
Feem ntau provoke colitis nyob rau hauv tus me nyuam nrog worms, ua txhaum ntawm kev noj haus thiab kev noj haus, tsis muaj enzymes yuav tsum tau rau cov txheej txheem ntawm digestion. Qhov ua rau ntawm daim ntawv spastic ntawm tus kab mob feem ntau yog vegetative-vascular dystonia thiab neurosis. Koj tuaj yeem kuaj pom muaj kev ua txhaum cai siv:
- laboratory research;
- xov thiab palpation;
- x-ray kuaj;
- kev kuaj mob endoscopic;
- biopsy.
Kev kho mob feem ntau nyob ntawm qhov ua rau tus kab mob. Lub hom phiaj tseem ceeb ntawm kev kho yog kev kho kom rov qab ua haujlwm ntawm lub plab zom mov, nrog rau kev siv cov kev ntsuas uas yuav tsum tau ua los tiv thaiv qhov tshwm sim ntawm kev rov ua dua. Cov tshuaj tua kab mob tsuas yog muab rau thaum muaj kab mob ntawm txoj hnyuv. Qee lub sij hawm cov me nyuam raug muab tshuaj plab plab, enzymes, electrophoresis, compresses. Nws yog ib qho tseem ceeb kom tshem tawmCov zaub mov tsis zoo hauv koj cov zaub mov.
Muaj Teeb Meem
Ntawm cov teeb meem tseem ceeb ntawm colitis yog cov hauv qab no:
- peritonitis;
- plab hnyuv;
- plab hnyuv.
Colitis tuaj yeem yog tus kab mob txaus ntshai heev, vim nws ua rau muaj ntau yam teeb meem loj, ntawm cov kab mob peritonitis yuav tsum paub qhov txawv. Qhov no yog ib qho mob ntawm lub plab kab noj hniav, raws li qhov tshwm sim ntawm nws cov ntsiab lus tawm mus rau hauv lub qhov hauv txoj hnyuv. Qhov kev kwv yees tsis zoo, vim tias yog tias tsis muaj kev pabcuam raws sijhawm, tus neeg yuav tuag.
Ib qho teeb meem tsis tu ncua yog plab hnyuv. Nws tshwm sim thaum muaj kev puas tsuaj loj rau qhov chaw ntawm txoj hnyuv. Kev kwv yees rau tus neeg mob nyob ntawm seb cov ntshav poob thiab thaj chaw puas. Kev kho mob yog kev saib xyuas lossis phais.
Thaum tsis muaj kev kho mob uas yuav tsum tau ua, colitis tuaj yeem cuam tshuam los ntawm txoj hnyuv, thaum nws cov ntsiab lus txhaws lub lumen. Tus neeg mob yws ntawm xeev siab, mob, cem quav, tsam plab. Nws yog ib qho tseem ceeb uas yuav tsum tau ua raws li kev kho mob raws sij hawm txhawm rau tiv thaiv kev tsis zoo ntawm kev noj qab haus huv.
prophylaxis
Kab mob plab hnyuv mob hnyav heev tiv thaiv. Cov laj thawj tshwm sim rau qhov no yog kev hloov pauv, ib puag ncig ib puag ncig, nrog rau cov tshuaj tiv thaiv autoimmune. Rau kev tiv thaiv, nws yog ib qho tseem ceeb heev uas yuav tsum tau npaj cov khoom noj kom zoo thiab muaj txiaj ntsig zoo, tiv thaiv kev noj tshuaj tsis zoo, ua rau lub neej noj qab haus huv, thiab zam kev ntxhov siab. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom muabtxaus siab rau kev ua kis las thiab so zoo.
Vim tias colitis yog ib yam kab mob txaus ntshai, koj yuav tsum tau mus kuaj xyuas los ntawm tus kws kho mob gastroenterologist.
