Nyob rau hauv tsab xov xwm peb yuav xav txog cov tsos mob thiab kev kho mob ntawm lub plab prolapse (gastroptosis). Thaum qee qhov tsis zoo tshwm sim, lub plab tuaj yeem hloov nws txoj haujlwm anatomical li qub. Nyob rau hauv cov ntaub ntawv no, nws tag nrho los yog ib feem ntawm downward displacement tshwm sim, uas nyob rau hauv kev kho mob xyaum yog hu ua prolapse ntawm lub plab.
Norma
Hauv lub xeev ib txwm muaj, tib neeg lub cev no nyob rau sab laug hypochondrium ntawm peritoneum, thiab ib feem ntawm nws yog nyob rau thaj tsam epigastric. Lub plab yog them rau tag nrho cov sab los ntawm lub peritoneum thiab yog tuav los ntawm ib tug tshwj xeeb system ntawm ligaments, uas muaj xws li mesentery ntawm txoj hnyuv loj transverse thiab peritoneal folds (ntau dua omentum). Nyob nruab nrab ntawm cov quav no muaj ib txheej ntawm cov nqaij rog, uas pab kho qhov chaw ntawm lub cev.
Dab tsi ua rau plab prolapse?
Qhov laj thawj tseem ceeb ntawm pathology
Gastroptosis lossis prolapse ntawm lub plab ntseeg tau tias yog qhov tshwm sim ntawm qhov tsis muaj zog ntawm cov leeg nqaij hauv plab, tshwj xeeb tshaj yog nws cov leeg, qhov tob tshaj plaws (transversus abdoninus). Tej zaumkuj yog qhov tshwm sim ntawm kev ncab ntau dhau ntawm ligaments uas txhawb nqa nws hauv nws txoj haujlwm ib txwm muaj. Qhov no yog vim ntau yam.
Prolapse ntawm lub plab, zoo li lwm yam kabmob hauv nruab nrog cev, qee zaum tuaj yeem yog congenital (tsim cai) lossis tau txais. Congenital anomaly ntawm hom no yog cov yam ntxwv ntawm asthenic somatic hom ntawm ib tug neeg, uas yog txawv los ntawm ntev ceg, leanness thiab lub cev tsis muaj zog. Nyob rau hauv cov ntaub ntawv no lub cev, ib tug muaj zog stretching ntawm cov tsis muaj zog gastrocolic ligaments tshwm sim, uas feem ntau ua rau prolapse ntawm lub cev thiab cuam tshuam nws functionality, nrog rau mob hnyav.
Qhov laj thawj tseem ceeb rau qhov kev tso tawm ntawm lub cev no tuaj yeem yog raws li hauv qab no:
- poob ceeb thawj.
- Kev mob plab tas mus li ntawm cov leeg nqaij (thaum lub sijhawm hnyav ntawm lub cev ua haujlwm lossis thaum ua qhov hnyav).
- Kev tshem tawm cov qog loj ntawm lub plab kab noj hniav, nrog rau ntau qhov kev yug me nyuam thiab cev xeeb tub, vim tias tus kab mob no feem ntau kuaj pom hauv cov poj niam dua li cov txiv neej.
Kev nyuaj siab
Raws li kws kho mob plab hnyuv siab raum, qhov teeb meem ntawm lub plab thiab cov hnyuv tuaj yeem tshwm sim nyob rau hauv ib feem ntawm kev ua txhaum ntawm lawv lub luag haujlwm tseem ceeb - tsis muaj zog ntawm lub cev muaj zog, nyuaj rau kev txav zaub mov los ntawm lub plab mus rau hauv cov hnyuv, uas feem ntau pom. thaum ib feem ntawm lub plab yog kinked.
Tsis tas li ntawd, tej zaum yuav muaj qhov kaw tsis tiav ntawm sphinctersplab, ua rau muaj huab cua ntau los ntawm txoj hlab pas mus rau hauv nws, uas ua rau nquag belching. Nyob rau hauv rooj plaub ntawm kev ua txhaum ntawm kev ua haujlwm ntawm pyloric sphincter, cov kua tsib tuaj yeem tawm mus rau hauv lub plab los ntawm duodenum, uas feem ntau ua rau kub siab thiab, yav tom ntej, mus rau kev loj hlob ntawm gastritis thiab peptic ulcer..
Pelvic organ prolapse
Lwm qhov tshwm sim ntawm cov kab mob ntawm lub plab, uas tshwm sim vim nws lub siab, yog qhov prolapse ntawm lub plab hnyuv siab raum thiab txoj hnyuv loj. Nrog rau kev txhim kho ntawm cov teeb meem zoo li no, cov neeg mob muaj kev tsis txaus siab txog qhov tshwm sim ntawm cem quav, flatulence thiab mob hauv plab plab. Lub plab zom mov, uas nws txoj hauj lwm cuam tshuam, pib ua rau lub zais zis, hauv cov txiv neej - ntawm prostate, thiab cov poj niam - ntawm lub tsev menyuam thiab zes qe menyuam. Yog li, cov kab mob ntawm cov txheej txheem pathological uas tshwm sim los ntawm gastroptosis, qee zaum, ua rau muaj ntau yam kab mob sib npaug.
Xav txog cov tsos mob ntawm plab hnyuv prolapse.
Symptomatics
Raws li cov qib uas lub plab tau nqis los txheeb xyuas qhov tseeb anatomical txoj hauj lwm, nws yog kev cai hauv plab hnyuv kom faib cov kab mob no mus rau peb lub ntsiab lus.
Hauv thawj ob qib, tus kab mob no feem ntau kis tau yam tsis muaj cov tsos mob tshwm sim. Hauv qhov no, kev xav tsis thoob yuav tsum tshwm sim los ntawm qhov tshwm sim ntawm cov txheej txheem pathological raws li qhov tsis xis nyob, hnyav thiab "bursting" hauv plab, nrog rau mob lossis rub qhov mob hauv cheeb tsam plab (tshwj xeeb tshaj yog feem ntau qhov no tshwm sim tom qab.ntau yam kev tawm dag zog lub cev lossis kev txav tam sim ntawd). Mob mob ntawm qhov xwm txheej no thiab thaj chaw, raws li txoj cai, yog luv luv.
Third stage
Nyob rau hauv cov xwm txheej uas lub plab prolapse tau mus txog qhov thib peb, qhov nyuaj tshaj plaws, cov neeg mob, feem ntau tom qab noj mov, hnov qhov mob hauv cheeb tsam epigastric, uas feem ntau tawg mus rau thaj tsam ntawm lub plawv. Nyob rau hauv cov ntaub ntawv no, nyob rau hauv ib tug kab rov tav txoj hauj lwm ntawm lub cev, qhov mob, raws li txoj cai, sai sai sai. Tsis tas li ntawd, nrog rau daim ntawv pov thawj ntawm gastroptosis, muaj cov tsos mob ntawm plab hnyuv xws li tsis qab los noj mov, xeev siab, belching, ntuav, nrog rau qhov mob hauv lub lumbar rov qab thiab cem quav.
Txoj kev kuaj mob
Cov yam ntxwv kho mob daim duab nyob rau hauv cov xwm txheej ntawm gastroptosis zoo li, raws li txoj cai, cov tsos mob ntawm ntau yam pathologies ntawm lub plab zom mov. Yog li ntawd, kev kuaj mob rau prolapse ntawm lub plab implies ib tug tag nrho cov ntau yam ntawm instrumental thiab laboratory kev tshawb fawb uas pab ntsuam xyuas tsis tau tsuas yog lub xub ntiag ntawm ib qho teeb meem, tab sis kuj nws cov txim.
Tom qab khaws cov anamnesis, tus kws tshaj lij ua qhov kev kuaj xyuas lub cev polypositional ntawm lub plab, thaum thawj txoj haujlwm ntawm lub plab tau txiav txim siab hauv lub plab kab noj hniav thaum lub sijhawm palpation, thaum tus neeg mob nyob rau hauv txoj kab rov tav, thiab soj ntsuam hauv kev sawv ntsug. txoj hauj lwm tuaj yeem tso cai rau tus kws tshaj lij los txiav txim siab txog qib ntawm kev thim rov qab ntawm cov khoom nruab nrog cev hauv thaj av epigastric, nrog rau kev tawm tsam hauv thaj tsam suprapubic ntawm lub plab.
Txhim kho qhov tsim nyogCov hauv qab no kuj tseem siv los kuaj mob plab plab:
- Kev kuaj hluav taws xob ntawm lub plab thiab txoj hlab pas siv tus neeg sawv cev sib txawv.
- Kev tshawb fawb endoscopic ntawm kev ua haujlwm zoo ntawm lub plab zom mov, tshwj xeeb esophagogastroduodenoscopy (EGDS).
- Fibroesophagogastroduodenoscopy ntawm txoj hlab pas, duodenum thiab plab.
Yuav ua li cas tsa lub plab poob yog nthuav rau ntau.
Kev kho mob ntawm qhov tshwm sim pathological
Kev kho mob ntawm qhov teeb meem no feem ntau lees txais hauv kev kho mob yog kev saib xyuas, thiab qhov chaw tseem ceeb hauv kev kho mob plab plab yog muab rau cov kev kho mob tshwj xeeb thiab kev noj zaub mov kom raug.
Thaum mob hnyav hauv cov kab mob no, ntau hom tshuaj tua kab mob tau muab tshuaj, uas pab kom sai sai txo qhov mob thiab spasms, thiab yog cem quav, tshuaj laxative.
kev kho mob phais
Raws li rau kev kho mob ntawm lub plab prolapse, cov kws kho mob tshwj xeeb rau nws tsis tshua muaj tshwm sim vim qhov muaj feem ntau ntawm cov kab mob no. Kev kho kev kho mob ntawm qhov tsis ua tiav ntawm qib thib ob thiab qib thib peb tuaj yeem ua nrog qee yam kab mob uas ua rau cov txheej txheem no nyuaj. Piv txwv li, nrog rau qhov rov qab txav ntawm cov ntsiab lus ntawm lub plab los ntawm qhov qis dua ntawm cov hlab pas rau hauv txoj hlab pas, nrog rau qhov hu ua gastroesophageal reflux.
Raws li qhov tshwm sim ntawm fundoplication - kev phais mob txhawm rau tshem tawm cov kab mob no - lub cev raug sutured raudiaphragm nyob ib ncig ntawm qhov qhib ntawm txoj hlab pas nrog nws fixation rau phab ntsa ntawm lub peritoneum, vim hais tias lub plab pib rub.
YGymnastics
Ua kom muaj zog rau lub plab prolapse. Muaj cov txheej txheem tshwj xeeb uas tsim los ntawm kev tawm dag zog uas yog txhawm rau ua kom lub suab nrov ntawm cov leeg ntawm phab ntsa plab. Nyob rau hauv ib qho kev tawm dag zog zoo li no, tsis muaj lub ntsej muag ntse rau pem hauv ntej khoov thiab dhia, uas yog, kev txav uas ua rau muaj kev hloov pauv ntawm cov kabmob sab hauv.
Cov kev tawm dag zog li no thaum lub plab plab yog tsim los ntawm txoj hauv kev uas cov loads tsim nyog rau txhua tus neeg mob, tsis hais txog qib ntawm pathology thiab hnub nyoog, thiab tag nrho cov kev tawm dag zog no hauv thawj lub sijhawm ntawm kev kho mob tsuas yog ua tiav. nyob rau hauv lub supine txoj hauj lwm.
Gymnastic cov tswv yim rau prolapse ntawm lub plab yog ua raws li hauv qab no. Qhov chaw pib ntawm tus neeg mob yog pw ntawm nws nraub qaum, ob txhais ceg ncaj, thiab caj npab txuas ntxiv:
- Ua pa tob tshaj plaws, uas koj yuav tsum tau "sab" huab cua los ntawm qhov nro ntawm lub plab nias (rov ua dua 10 zaug).
- Txoj kev ncaj ceg tsa (rov ua 10 zaug).
- Ua pa tob tob, thaum khoov ib ceg ntawm lub hauv caug thiab tuav nws ob txhais tes, nias rau hauv siab. Tom qab ntawd, tib yam yog ua tiav nrog ob txhais ceg (qhov kev tawm dag zog yuav tsum rov ua 5 zaug nrog txhua ceg).
- Ib yam ceg taw zoo ib yam li hauv kev tawm dag zog yav dhau los, tab sis lawv tau ua los ntawm ib txhij khoov ob txhais ceg.
- Ob txhais ceg yuav tsum tau khoov ntawm lub hauv caug,Nyob rau tib lub sijhawm, pelvis yuav tsum tau tsa nrog kev txhawb nqa ntawm lub cev ntawm ob txhais ceg, thaj tsam occipital ntawm lub taub hau thiab lub luj tshib (nws yuav tsum rov ua dua 5 zaug).
- Khoov koj lub hauv caug thiab tsa koj ob txhais ceg, tom qab ntawd cov kev taw qhia uas ua rau kev caij tsheb kauj vab (rov ua dua 10 zaug).
- Ncaj koj ob txhais ceg, ncab koj txhais tes raws lub cev, tom qab ntawd - tsa caj npab ncaj nraim thaum koj nqus tau, cog rau hauv qab koj lub taub hau, thiab thaum koj exhale - rov qab mus rau qhov chaw pib (rov ua 10 zaug).
Tom qab txhua qhov kev tawm dag zog saum toj no, nres rau so. Thiab thaum kawg ntawm tag nrho cov nqi, koj yuav tsum tau pw me ntsis, tso lub hauv ncoo lossis cov menyuam hauv qab koj txhais taw.
massages
Cov kws tshaj lij kuj pom zoo kom zaws tshwj xeeb rau lub plab prolapse. Ua li no, xibtes muab tso rau hauv thaj av epigastric, thiab lub teeb stroking ntawm lub plab yog ua nyob rau hauv ib lub voj voog - 10 lub sij hawm clockwise, tom qab ntawd - nyob rau hauv lub opposite direction. Cov kev txav no thaum stroking, zoo li yog nyob rau hauv ib lub kauv, yuav tsum tau coj los ze rau ntawm lub plab, thiab tom qab ntawd nthuav dav dua.
Nrog cov mob plab hnyuv loj, cov kws kho mob kuj pom zoo kom hnav cov ntaub qhwv tshwj xeeb uas yuav tsum tau hnav pw (thaum sawv ntxov, ntawm plab khoob) thiab tshem tawm ua ntej pw.
Thaum cov tsos mob ntawm plab hnyuv tshwm sim, kev kho mob yog txheej txheem ntev.
Kev noj haus
Cov lus pom zoo los ntawm kws kho mob plab yog raws li hauv qab no:
- Nyob nruab hnub, koj yuav tsum noj mov me me txog rau lub sijhawm. Qhov no yog tsim nyog nyob rau hauv thiaj li yuav tswj lub cev loj ntawm lub plab, thiab txij li thaum ib tug lojtus nqi ntawm cov khoom noj stretches nws, nws yuav tsum tau coj nws nyob rau hauv me me feem kom nws tsis nyob rau hauv lub plab mus ntev. Nws tseem pom zoo kom noj tib lub sijhawm, txhawm rau ua kom lub plab ua haujlwm kom raug. Cov zaub mov yuav tsum yog lub teeb, tab sis tib lub sijhawm muaj calorie ntau ntau thiab nplua nuj nyob hauv cov khoom tseem ceeb.
- Txhua yam noj ntawm ib pluas mov yuav tsum pab txhawb kev ua haujlwm ntawm plab hnyuv tag nrho, yog li ntawd, kev noj zaub mov rau lub plab prolapse yuav tsum suav nrog cereals (xws li mov thiab semolina), zaub (stewed thiab raw), lean meats (veal, beef), nqaij qaib thiab hiav txwv ntses, txiv hmab txiv ntoo thiab khoom noj siv mis.
- Txhawm rau tiv thaiv cem quav, koj yuav tsum sau cov zaub nyoos nrog cov roj zaub, tsis suav nrog mayonnaise los ntawm koj cov zaub mov, haus kefir, noj ob peb daim ntawm prunes qhuav txhua hnub. Nws tseem yog ib qho tsim nyog yuav tsum tso tseg cov qhob cij dawb thiab cov ncuav qab zib nplua nuj, hloov lawv nrog cov qhob cij ua los ntawm cov hmoov nplej tag nrho, nrog rau ntau yam khoom noj khoom haus thiab khoom noj khoom haus.
Nyob rau hauv cov ntaub ntawv hnyav ntawm gastroptosis, cov kws tshaj lij kuj qhia txog kev noj qab haus huv ntawm lub cev tom qab txhua pluas noj - tsawg kawg ib teev. Qhov no ua rau muaj qhov tseeb tias cov zaub mov tsis tso siab rau hauv qis qis ntawm lub plab, vim qhov tshwm sim ntawm qhov prolapse tsis ua tiav, thiab cov khoom siv ligamentous hauv lub plab kab noj hniav tau maj mam ntxiv dag zog los ntawm kev ua gymnastic ce.
Kev kho mob ntawm pathology hauv pej xeem txoj kev
Nyob rau hauv qhov tsis muaj qab los noj mov, uas feem ntau nrog plab prolapse, nws raug nquahu kom npaj ib qho infusion los ntawm cov tshuaj.nroj tsuag: calamus, wormwood, yarrow, centaury, chicory paus los yog dandelion.
Rau qhov no, ib tablespoon ntawm cov sau yog coj, ncuav nrog boiling dej, brewed rau peb caug feeb thiab lim. Noj cov tshuaj no ib diav ua ntej noj mov.
Txhawm rau tsim cov kua txiv qaub txaus, siv cov decoctions ntawm nplooj nplooj, rhizomes ntawm Potentilla (galangal) yog siv.
Kev kho mob ntawm cov kab mob los ntawm pej xeem txoj kev kuj suav nrog kev siv av nplaum. Rau qhov no, siv cov av nplaum thiab dej, los ntawm lub ncuav mog qab zib thiab siv rau thaj tsam plab rau ob peb teev.
Tam sim no peb paub yuav ua li cas kho gastric prolapse.
