Pylorus yog ib qho tseem ceeb ntawm cov khoom noj, ua tsaug rau cov zaub mov luv luv rau kev zom zaub mov. Yog tias nws ua haujlwm txawv txav, ces teeb meem nrog plab hnyuv pib.
Qhov chaw thiab kev ua haujlwm ntawm cov sphincter nthuav tawm
Cov pylorus pab cais cov pyloric thiab duodenum. Tsis tas li ntawd, nws ua lub luag haujlwm tseem ceeb ntawm kev sib sau thiab tswj cov kua qaub rau hauv lub plab zom mov rau kev zom zaub mov. Lawm, yog tias cov kua txiv tau noj ntau lossis tsawg dhau, cov kab mob peptic tuaj yeem pib tsim.
Pylorus ua lub luag haujlwm tseem ceeb hauv kev tsim peristalsis. Qhov tseeb yog hais tias ua tsaug rau nws, los ntawm lub sij hawm mus rau lub sij hawm, lub mucous daim nyias nyias pib tsiv nyob rau hauv nthwv dej. Lub sphincter tseem txwv tsis pub cov zaub mov thiab cov kua tsib ntws rov qab rau hauv plab. Ua tsaug rau qhov no, ib tus neeg tuaj yeem tau txais qhov siab tshaj plaws ntawm cov as-ham thiab tiv thaiv nws tus kheej los ntawm cov kab mob hauv plab. Nws kuj txhawb cov txiav ua haujlwm. Ntawd yog, qhov sphincter no ua kom lub cev ua haujlwm ntawm tag nrho cov plab hnyuv siab raum.
Raws li qhov chaw, nws nyob hauv qab ntawmplab thiab qhia nws nrog duodenum.
YPyloric stenosis: Cov tsos mob thiab ua rau
Tus kab mob no tsis kaj siab, tab sis kho tau. Stenosis muaj nyob rau hauv qhov tseeb hais tias lub qhov hluav taws xob ntawm lub sphincter narrows pathologically thiab tsis dhau cov zaub mov ib txwm ntxiv. Lawm, cov zaub mov digested tsis tuaj yeem nkag mus rau hauv cov hnyuv, uas tuaj yeem ua rau muaj mob hnyav dua, thiab lub cev tsuas yog tsis tau txais cov khoom tsim nyog rau nws txoj haujlwm ib txwm muaj.
Pyloric stenosis muaj cov tsos mob hauv qab no:
- mob syndrome;
- xeev siab;
- nquag - ntuav.
Raws li qhov ua rau tus kab mob no, qhov tseem ceeb tshaj plaws ntawm lawv yog kab mob plab thiab duodenal rwj. Thiab nyob rau hauv lub plab zom mov tej zaum yuav muaj caws pliav uas tsis pub lub sphincter qhib dav txaus. Lawm, qhov ua rau ntawm cov kab mob pathology kuj yog kev noj zaub mov tsis txaus, kev yoo mov ntev, nrog rau cov qog nqaij hlav.
Kev kuaj mob stenosis
Hauv paus ntsiab lus, nws yog qhov yooj yim heev thiab tsis tas yuav muaj kev tswj hwm thiab khoom siv ntau heev. Koj yuav tsum tau kuaj xyuas ultrasound ntawm lub plab, uas yuav txiav txim siab txog qib ntawm kev loj hlob ntawm tus kab mob, thiab ua tib zoo tshuaj xyuas cov phab ntsa ntawm cov mucous rau qhov txhab mob. Txhawm rau ua qhov no, koj yuav tsum tau nqos qhov hu ua "lub plab". Yog tias qhov kev ntsuam xyuas tau teem rau thaum sawv ntxov, tom qab yav tsaus ntuj, sim tsis txhob noj lossis haus dab tsi li ntawddaim duab tau meej li sai tau.
Naturally, koj yuav noj cov kua txiv gastric los soj ntsuam cov qib ntawm nws cov acidity. Daim ntawv tshuaj ntawm cov tshuaj nyob ntawm qhov kev tshuaj ntsuam no. Tau kawg, koj tseem yuav tau mus kuaj xyuas sab nraud los ntawm tus kws kho mob gastroenterologist. Lwm yam kev kuaj (ntshav thiab zis) yuav qhia tias tus kab mob no ua mob rau lub cev ntau npaum li cas.
Kev kho mob stenosis
Pyloric stenosis yuav tsum tau kho kom tshem tawm lossis txo qis tag nrho cov teeb meem uas yuav tshwm sim. Ua ntej tshaj plaws, nco ntsoov tias koj tsis tuaj yeem kho tus kheej, vim qhov no tuaj yeem ua rau muaj qhov xwm txheej tsis zoo. Ua ntej koj yuav tsum hu rau tus kws kho mob gastroenterologist thiab kuaj xyuas kom meej. Yog tias qhov kev kuaj mob tau lees paub, tus kws kho mob tuaj yeem sau tshuaj rau koj kom txo qis cov kua dej hauv plab (Pirenzepin, Gastroceptin, Ranitidine, Famotodin). Yog hais tias qhov ua rau ntawm pathology yog ib qho mob ulcerative, ces koj yuav tau siv tej yam tshuaj rau nws zoo (Phosphalugel, Vikair, Altan tshuaj).
Ib ntus, cov kws kho mob nqus cov ntsiab lus ntawm lub plab. Yog li ntawd, koj yuav tau txais kev kho mob hauv tsev kho mob. Tom qab cov txheej txheem saum toj no, cov kws kho mob saib xyuas lub xeev ntawm sphincter. Yog tias nws tau nthuav dav txaus, ces tus neeg tuaj yeem maj mam noj zaub mov. Txawm li cas los xij, koj yuav tsum tsis txhob nqa lub plab ntau dhau, vim qhov xwm txheej yuav rov ua dua nws tus kheej.
Nws yuav tsum raug sau tseg tias tus kab mob no tuaj yeem kho tau ntawm txhua theem ntawm kev loj hlob. Thiab nws raug tshem tawm tag nrho. Lawm, rau qhov no nws yog ib qho tsim nyog yuav tsum ua raws li tus kws kho mob cov tshuaj.
Thaum twg yuav tsum tau phais?
Yog tias cov pylorus tsis tuaj yeem kho los ntawm cov txheej txheem ib txwm muaj, nws tuaj yeem siv txoj hauv kev radical. Tsis tas li ntawd, kev ua haujlwm yog ua tiav txawm tias nyob rau hauv cov menyuam mos, yog tias tus mob stenosis yog congenital. Lawm, ua ntej qhov kev cuam tshuam, tus neeg mob yuav tsum tau npaj kom zoo. Ntawd yog, koj yuav tsum ua txhua hnub ua pa hauv plab, nrog rau siv cov khoom noj khoom haus parenteral.
Tseem muaj ntau txoj hauv kev ua haujlwm, kev siv uas nyob ntawm hom stenosis: resection, vagotomy, lossis ob qho tib si.
"pyloric spasm" yog dab tsi thiab yuav ua li cas tshem nws?
Muaj kab mob sib txawv ntawm pylorus, uas yuav tsum tau kho. Ib tug ntawm cov pathologies yog spasm. Nws qhov peculiarity yog tias nws tsis sawv cev rau ib yam kab mob loj, tab sis nws tuaj yeem cuam tshuam rau lub plab zom mov thiab ua rau mob hnyav.
Pathology yog tus cwj pwm los ntawm qhov tseeb tias sphincter nyob rau hauv qhov kev ua ntawm spasm tuaj yeem nqaim heev thiab rau qee lub sijhawm tsis txhob cia zaub mov dhau mus ntxiv. Txawm li cas los xij, qhov tshwm sim no tsis kav ntev thiab tsis xav tau kev phais. Qhov ua rau ntawm tus mob no tuaj yeem cuam tshuam rau kev ua haujlwm ntawm lub paj hlwb thiab cov txheej txheem metabolic.
Spasm ntawm pylorus ntawm lub plab tuaj yeem tshwm sim thaum muaj tshuaj lom, raws li kev tiv thaiv ntawm lub cev. RauTxhawm rau tshem tawm qhov teeb meem no, nws yog qhov yuav tsum tau tshem tawm qhov ua rau nws tshwm sim. Piv txwv li, sim noj kom raug, thiab tsis txhob muaj kev ntxhov siab lossis kev txhawj xeeb. Nws yog qhov tsis xav kom tso lub plab khoob, vim qhov no zaus ntawm kev tawm tsam tuaj yeem nce ntxiv.
Yog tias koj muaj kev tawm tsam, sim ua txoj haujlwm kab rov tav, rub koj ob txhais ceg mus rau hauv plab. Ib qho cua sov yuav pab txo qhov mob. Lub sijhawm no koj yuav noj tsis tau. Yog tias qhov kev tawm tsam tshwm sim ntau dhau thiab nrog ntuav, koj yuav sai sai ua rau lub cev depleted, thiab cov as-ham tsuas tsis nqus. Txawm hais tias spasm tsis tshua muaj, sim mus ntsib kws kho mob plab.
Tus neeg saib xyuas qhov tsis txaus yog dab tsi, thiab kuv tuaj yeem kho nws li cas?
Qhov teeb meem no yog qhov sphincter tsis cog lus zoo txaus thiab ua nws txoj haujlwm obturator. Hauv qhov no, lub plab yuav nqus sai heev. Lawm, zaub mov tsis muaj sij hawm los ua kom zoo los ntawm cov kua qaub thiab ua tiav tsis tiav nkag rau hauv cov hnyuv. Hauv qhov no, koj tsis tau txais cov as-ham uas koj yuav tsum tau.
Ib txwm, qhov xwm txheej no yuav tsum tau kho. Koj tus kws kho mob tuaj yeem sau tshuaj rau koj uas yuav txhawb nqa lub sphincter. Pyloric insufficiency yog kho tau, tau kawg, yog tias tus neeg mob ua raws tag nrho cov lus qhia ntawm tus kws kho mob.
Kev tiv thaiv kab mob sphincter
Kev kho mobpylorus ntawm lub plab yuav tsis xav tau yog tias muaj kev tiv thaiv kab mob raws sijhawm. Sim ua raws li kev noj haus thiab ua kom tiav. Muab tus cwj pwm phem uas yuav ua rau mob plab. Sim tsis txhob siv tshuaj yam tsis tsim nyog thiab tsis txhob pub ntau tshaj lawv cov tshuaj.
Yog tias koj muaj mob plab hnyuv, ces koj yuav tsum tsis txhob noj zaub mov lossis tshaib plab. Tsuas yog txiav txim siab txog cov khoom noj muaj txiaj ntsig zoo uas yuav muab lub cev muaj txiaj ntsig zoo thiab yuav tsis ua rau muaj kev hloov pauv hauv daim duab.
