Cov kab mob plab hnyuv, uas feem ntau mus koom tes nrog raws plab, cuam tshuam rau tib neeg txhua hnub. Cov teeb meem ntev nrog kev txav mus los, kev xav lossis kev nqus dej yog qhov txaus ntshai tshaj plaws. Cov kab mob raws plab no feem ntau tshwm sim rau cov neeg laus, uas tuaj yeem piav qhia los ntawm kev noj zaub mov tsis zoo thiab kev quav tshuaj. Nws yog ib qho tseem ceeb los txiav txim seb yuav kho mob raws plab hauv tus neeg laus li cas.
Ua rau mob plab
Yog tias muaj teeb meem ntawm plab hnyuv txuas ntxiv mus ntev tshaj li ob lub lis piam, lub cev qhuav dej tshwm sim hauv lub cev, thiab tus neeg mob tus mob tsuas yog zuj zus, ces nws yog ib qho tseem ceeb kom tsis txhob ncua mus ntsib kws kho mob.
Tus mob no hauv tus neeg laus qhia tias muaj tus kab mob ywj pheej lossis muaj kev puas tsuaj loj dua. Qhov ua rau mob raws plab hauv qhov no tuaj yeem muaj ntau.
kis kab mob
Kab mob ua rau mob raws plab tuaj yeem faib ua ntau hom. Cov no suav nrog:
- Mob plab, uas tshwm sim vim raug rau lub cev ntawm ntau yam kab mob: dysentery bacillus, Giardia,cyclospores thiab microsporidia.
- Zoo kab mob hauv ib tus neeg tuaj yeem ua rau muaj qee yam kab mob: salmonella, aeromonas, E. coli.
- Tus kab mob kis yog mob khaub thuas thiab ua pa ntawm plab hnyuv.
- Cov neeg laus tuaj yeem tsim tus kab mob ntev (Brinerd's raws plab).
Ntau yam raws plab
Kev mob raws plab hauv tus neeg laus yuav txawv ntawm nws txoj kev loj hlob thiab lub sijhawm pib:
- Secretory raws plab - qhov nce ntawm cov kua dej thiab cov hnoos qeev secreted los ntawm cov hnyuv. Tus mob no yog provoked los ntawm o nyob rau hauv cov hnyuv thiab ntau yam qog.
- Lub cev muaj zog lossis hyperkinetic - ua kom cov txheej txheem ntawm kev cog lus hauv cov hnyuv. Nws tuaj yeem tshwm sim nrog txhua qhov mob, tsis suav nrog kev qaug cawv ntawm lub cev.
- Osmotic - cov kua dej khaws cia hauv cov hnyuv thiab teeb meem nrog nws qhov nqus. Tsis muaj enzymes hauv tus neeg mob lub cev.
- Invasive - cov kab mob plab hnyuv tau raug puas tsuaj los ntawm cov kab mob pathogenic. Cov kab mob zoo li no tshwm sim nrog kev kis kab mob thiab kis kab mob, nrog rau dysbacteriosis los ntawm kev noj tshuaj tua kab mob.
Ntxhais kab mob tsis kis
Cov kws kho mob tshwj xeeb txheeb xyuas cov pab pawg uas tsis muaj kab mob ua rau mob raws plab hauv tus neeg laus. Cov no suav nrog:
- Kev noj tshuaj laxative, tshuaj thiab tshuaj tua kab mob.
- nce kev ua haujlwm ntawm cov thyroid caj pas, uas muaj kev cuam tshuam rau txoj hnyuv motility.
- kab mob Venereal lossis deficiencyimmunoglobulin hauv lub cev.
- Cov tsub zuj zuj ntawm cov carbohydrates ntau hauv cov hnyuv, uas dhau los ua cov txheej txheem fermentation, uas ua rau pom cov rog thiab lactic acids. Qhov laj thawj tseem ceeb ntawm kev mob raws plab yog noj ntau dhau ntawm cov khoom noj siv mis los yog kua txiv hmab txiv ntoo.
- Kab mob ntawm tus txiav, tsis muaj enzymes hauv lub cev (kev tsis haum xeeb - kab mob celiac) lossis mob pancreatitis.
- Lwm qhov ua rau raws plab yog ib qho txheej txheem inflammatory hauv plab hnyuv mucosa.
- diarrhoea tshwm sim thaum cov qog tsim, cystic fibrosis, thiab cov hlab ntsha tsis zoo tshwm sim hauv lub cev.
xov xwm ntxiv
Muaj ntau qhov ua rau mob raws plab uas cuam tshuam nrog kev puas tsuaj rau cov hnyuv loj thiab me. Ua rau thiab kho mob raws plab hauv cov neeg laus:
- colitis: ulcerative, ischemic thiab microscopic;
- protrusion ntawm lub plab hnyuv phab ntsa;
- hypersensitivity: kev tsis haum rau qee yam khoom noj, kab mob celiac, gastroenteritis.
Kev quav cawv yog lwm qhov ua rau mob raws plab rau cov neeg laus.
daim duab kho mob ntawm tus kab mob
Thawj qhov cim qhia tias muaj teeb meem quav hauv cov neeg laus yog raws plab, tab sis nyob rau hauv txhua rooj plaub nws tuaj yeem nrog cov tsos mob ntxiv:
- Daim duab kho mob dav dav ntawm tus kab mob yog raws plab tsis tu ncua, tsis tu ncua kom tso quav nrog flatulence, hnov mob saisatiety, bloating thiab mob.
- Exudative raws plab yog piav los ntawm muaj cov ntshav thiab cov kua paug hauv cov quav.
- Nrog osmotic raws plab, ib qho tseem ceeb ntawm cov zaub mov tsis zoo tuaj yeem pom hauv cov quav tso tawm.
- Tag nrho cov quav ntim hauv lwm qhov kis mus txog 500 ml ib hnub.
- Ntxiv rau cov tsos mob saum toj no, tus neeg mob feem ntau muaj ntuav, xeev siab, ua npaws, qaug zog, qaug zog, mob leeg thiab ua daus no.
- Ntau zaus nrog qhov txhab, muaj qhov hnyav hnyav hnyav, ua tiav lossis ib nrab tsis qab los noj mov, nqhis dej, uas tshwm sim vim lub cev qhuav dej.
Cov txheej txheem kuaj mob
Feem ntau, kev kuaj ntshav, kuaj ntshav, thiab quav quav yog txaus los sau ua tiav daim duab kho mob ntawm tus kab mob thiab txiav txim siab nws qhov ua rau.
Kev kuaj mob kom raug yuav raug txiav txim siab raws li cov kev sim hauv qab no:
- Stool test yuav tsum rov ua peb zaug. Qhov no yuav pab txheeb xyuas cov kab mob cab, kab mob, thiab cov qe ntshav dawb, uas yuav qhia tau tias muaj cov txheej txheem inflammatory.
- Ntshav tau coj mus kuaj kuaj los txiav txim siab cov ntsiab lus ntawm hlau, vitamin B12, cov tshuaj hormones, electrolytes, thiab qabzib hauv nws. Txhawm rau sau cov kev kho kom raug thiab ua tau zoo, tus kws kho mob tshwj xeeb yuav tsum txiav txim siab tus kab mob celiac thiab tus nqi ntawm albumin hauv daim siab.
- Nyob rau qee kis, tus kws kho mob tau sau cov tshuaj histological ntawm txoj hnyuv, uas yuav suav nrogsigmoidoscopy rau kev kuaj zonal thiab colonoscopy kom txiav txim siab tag nrho lub xeev ntawm lub cev.
- X-ray nyob rau hauv rooj plaub no yog ib qho tseem ceeb kom kuaj tau coprostasis lossis nthuav dav ntawm lub voj.
Kev kho mob
Yuav ua li cas nrog mob raws plab? Yuav kom tshem tau cov kab mob sai sai thiab tsis muaj teeb meem tshwm sim, nws yog ib qho tseem ceeb kom nkag siab tias mob raws plab yog ib qho tsos mob, tsis yog kab mob.
Nws yog vim li no nws txoj kev kho mob yuav raug tshuaj nyob ntawm daim duab tag nrho ntawm tus kab mob thiab nws cov hauv paus ntsiab lus. Qee qhov kev kho mob feem ntau tshwm sim rau txhua qhov mob, tab sis feem ntau lawv txawv ntawm ib leeg.
noj tshuaj tua kab mob
Kho mob raws plab nrog cov tshuaj tua kab mob kom rov ua haujlwm tseem ceeb ntawm cov plab hnyuv microflora.
Nyob rau hauv lub xub ntiag ntawm kab mob, tshuaj tua kab mob thiab tshuaj tua kab mob yog siv, uas muab cov kev phiv tsis zoo:
- txhais tau tias "Entoban" pab txo qis kev ua ntawm cov kab mob hauv plab hnyuv thiab fungi. Xws li tiliquinol thiab dodecyl sulfate. Thaum kho tus kab mob cab, tus kws kho mob muab 4 mus rau 6 ntsiav tshuaj ib hnub rau 10 hnub.
- Cov tshuaj sib xyaw yog muab rau cov neeg mob ib ntsiav tshuaj peb zaug hauv ib hnub, lub sijhawm kho yog xya hnub.
- Kev ncua "Dependal-M" suav nrog furazolidone thiab metronidazole. Koj yuav tsum noj cov tshuaj hauv ib chav kawm (5 hnub) ntawm ib rab diav tom qab noj mov.
Kev noj cov kab mob
Hauv kev kho mob raws plab hauv cov neeg laus, cov txiaj ntsig zoo tuaj yeem ua tiav los ntawm kev noj cov tshuaj kab mob:
- Cov tshuaj "Baktisubtil" suav nrog calcium carbonate. Kev noj tshuaj txuas ntxiv rau 10 hnub, koj yuav tsum haus ib ntsiav tshuaj ob zaug ib hnub
- Tom qab ua tiav chav kawm ntawm kev noj cov tshuaj tua kab mob, cov kws kho mob tau sau tshuaj Linex, Bifekol, Enterol rau cov neeg mob kom normalize plab hnyuv microflora. Txoj kev kho no yuav tsum txuas ntxiv mus rau lub hli.
- Cov tshuaj "Hilak-Forte", uas yog ib qho kev sib xyaw ua ke nrog cov khoom lag luam metabolic, ua rau cov txheej txheem ntawm kev puas tsuaj.
Adsorbents rau kev txhim kho
Hauv kev kho mob raws plab, cov neeg mob feem ntau tau muab tshuaj astringent thiab enveloping adsorbents:
- "Smekta". Cov khoom xyaw nquag hauv cov tshuaj muaj pes tsawg leeg pab tswj thiab normalize lub xeev ntawm plab hnyuv microflora. Cov tshuaj pab tiv thaiv cov hnyuv los ntawm cov kab mob thiab muaj cov nyhuv ntawm lub hnab.
- "Kaopektat" - ib qho tshuaj uas tuaj yeem khi cov co toxins, txo qhov kev ua ntawm cov kab mob thiab ntxuav lub cev ntawm lawv. Pom zoo rau kev nkag mus rau hauv lub xub ntiag ntawm mob raws plab ntawm ntau yam keeb kwm. Qhov tsuas yog contraindications thaum noj cov tshuaj yog ua ke nrog tshuaj tua kab mob, nws yog ib qho tseem ceeb kom tos ob peb teev ua ntej siv.
- "Tannacomp" txawvastringent thiab anti-inflammatory nyhuv. Cov cuab yeej zoo kawg nkaus tiv thaiv kev tiv thaiv thiab kho cov kab mob.
Compiling a dietary ration
Nyob rau hauv qhov mob raws plab, kev noj zaub mov yog qhov yuav tsum tau ua ua ntej rau kev kho mob zoo. Tus neeg mob yuav tsum ua raws li cov cai ntawm kev noj zaub mov nruj. Cov zaub mov noj yuav tsum txwv cov txheej txheem ntawm defecation, txo cov kua dej thiab electrolytes. Cov zaub mov yuav tsum sib haum mus rau cov txheej txheem pathological hauv cov hnyuv, vim li no, cov kws tshaj lij pom zoo kom noj zaub mov nkaus xwb thaum lub sijhawm kho. Tag nrho cov tais diav yuav tsum tau steamed, thiab cov khoom xyaw hauv lawv yuav tsum tau zoo pureed. Daim ntawv teev cov zaub mov txwv:
- khoom qab zib, khoom qab zib;
- txiv maj phaub thiab qee cov txiv hmab txiv ntoo;
- fatty, ntsim, qab ntsev, dej cawv thiab ntau yam khoom noj kaus poom.
Kev siv cov khoom seem yuav raug txiav txim siab nyob ntawm tus yam ntxwv ntawm tus kab mob thiab nws cov laj thawj tseem ceeb. Qhov tseem ceeb tshaj plaws nyob rau hauv lub xeev no yog los kho cov dej sib npaug hauv lub cev thiab saturate nws nrog microelements, yog li cov protein, pectin thiab potassium yuav tsum suav nrog hauv kev noj haus. Cov zaub mov nram qab no yuav tsum muaj nyob rau hauv cov zaub mov noj txhua hnub: qe boiled, boiled nqaij, crushed bananas thiab txiv apples, boiled qos yaj ywm nrog tev.
Yog tus neeg mob raws plab ntev mus ntsib kws kho mob, tus kws kho mob thaum pib ntawm kev kho mob ua kom tus neeg mob paub meej tias qhov ua raukab mob. Ntau yam kab mob yog qhov txawv los ntawm kev kuaj mob tshwj xeeb, lub hom phiaj ntawm kev txiav txim siab zais etiology. Kev kho mob ntxiv ntawm tus neeg mob yuav ncaj qha nyob ntawm seb cov tsos mob ntawm qhov txhab. Feem ntau, kev kho mob raws plab yuav siv sij hawm, vim qhov kev puas tsuaj no suav tias yog qhov hnyav thiab txaus ntshai.
Zoo thiab mob pancreatitis
Ntau qhov mob ntawm plab hnyuv muaj cov tsos mob zoo ib yam, qee zaum lawv tuaj yeem ua rau mob hnyav lossis ruaj khov thoob plaws hauv chav kawm.
gastritis, rwj, cholecystitis, cholelithiasis ua rau muaj teeb meem nrog lub plab zom mov. Kev mob raws plab hauv tus mob pancreatitis yog suav tias yog qhov tshwj xeeb ntawm tus kabmob no, nws qhia txog kev hloov pauv tshwm sim hauv tus txiav:
- faeces hloov lawv cov xim mus rau ib qho xim sib zog, tau ib tug greasy texture nrog ib tug tsis kaj siab tsw;
- feces tuaj yeem tig daj lossis ntsuab;
- cov quav tso tawm ib hnub dhau los;
- fecal pawg muaj ntau cov khoom noj uas tsis tau zom;
- zawv plab pib yuav luag tam sim tom qab noj mov, nws tshwm sim tawm tsam keeb kwm ntawm xeev siab, plawv dhia, thiab ua daus no hauv nqua.
Yog tias koj tsis pib kho raws sijhawm thiab kev kho mob zoo, ces cov tsos mob tseem ceeb tsuas yog hnyav zuj zus, uas yuav ua rau cov tsos mob thib ob cuam tshuam nrog kev tsis muaj cov as-ham hauv lub cev:
- lub cev raug kev txom nyemlub cev qhuav dej;
- mob thiab hnyav hauv plab;
- tus neeg mob qhov hnyav poob sai;
- ua tiav lossis ib nrab poob qab los;
- daim tawv nqaij, hloov nws lub suab;
- fragility ntawm cov plaub hau thiab rau tes tshwm;
- insomnia;
- tus neeg mob tsis tu ncua nkees thiab tsis xis nyob.
YKev tshem tawm ntawm pancreatitis
Kev mob raws plab nrog qhov pib ntawm tus mob pancreatitis yog qhov nyuaj heev rau kev tso tseg, vim tias kev kho mob ntawm pathology yuav tsum muaj kev ntsuas dav uas yuav pab kho tus mob thiab txo cov tsos mob. Tus neeg mob yuav tsum ua raws li tag nrho cov lus qhia ntawm tus kws kho mob tshwj xeeb, ua raws li cov cai ntawm kev noj zaub mov zoo thiab noj cov tshuaj kom raug.
Kev kho mob raws plab nyob rau hauv tus mob pancreatitis, ob leeg rau cov neeg laus thiab cov menyuam yaus, yuav tsum tau ua nyob rau hauv ib lub tsev kho mob, qhov chaw uas tus neeg mob yuav tsum tau muab cov tshuaj intravenously, cov nyhuv uas yuav restore cov dej- ntsev tshuav nyob rau hauv lub lub cev thiab saturate nws nrog cov khoom tseem ceeb.
Tsis tas li ntawd, tus neeg mob tau muab tshuaj ntxuav kom tshem tawm cov kab mob putrefactive los ntawm txoj hnyuv. Rau qhov no, tus neeg mob tau muab ib qho enema ntim nrog dej dawb thiab ci dej qab zib thiab nrog qhov kub ntawm tsawg kawg 37 degrees. Lub enema tau muab ntau zaus hauv ib hnub rau plaub hnub tom ntej.
Yog tias tus neeg mob raws plab muaj cov tsos mob ntawm tus txiav, ces tus kws kho mob tshwj xeeb yuav muab ntau yam tshuaj:
- kho cov tshuaj muaj txiaj ntsig;
- tshuaj rauKev kho kom rov qab ua haujlwm secretory ntawm cov qog nqaij hlav;
- xaiv prebiotics thiab probiotics;
- complexes ntawm cov vitamins thiab cov khoom tseem ceeb rau lub cev.
Nws yog ib qho tseem ceeb kom paub tias kev sim tshem tawm cov kab mob raws plab nrog cov tshuaj tua kab mob tsis tsim nyog, vim tias cov tshuaj no tsuas tuaj yeem ua rau tag nrho cov xwm txheej, ua kom puas tsuaj, ua ke nrog cov kab mob tsis zoo, tag nrho cov kab mob muaj txiaj ntsig hauv cov hnyuv uas ua si. Lub luag haujlwm tseem ceeb hauv kev zom zaub mov.
kho mob gastritis
Yog tias koj tsis sim tshem tawm cov kab mob gastritis nrog mob raws plab, tus neeg mob ua rau muaj kev pheej hmoo ntawm kev mob hnyav thiab exacerbation. Kev kho mob raws sij hawm ntawm gastritis yuav pab txo qis cov txheej txheem tsis zoo uas tshwm sim hauv tus neeg mob plab zom mov.
Txhawm rau zam qhov mob raws plab, nws yog ib qho tseem ceeb uas yuav tsum tau saib xyuas cov tshuaj tiv thaiv ntawm lub plab zom mov rau qee yam khoom noj. Cov khoom noj uas provoke digestive ntshawv siab thiab ntau yam kab mob, nws yog ib qho tseem ceeb kom tshem tawm tag nrho ntawm cov khoom noj. Tsis tas li ntawd, yog tias kuaj pom gastritis nrog txo acidity, nws yog ib qho tseem ceeb kom tshem tawm cov zaub mov hauv qab no los ntawm kev noj haus:
- qee txiv hmab txiv ntoo;
- khoom noj;
- niam;
- rye bread;
- taum.
Qee zaum, cov neeg uas muaj acidity tsawg tau raws plab los ntawm kev noj zaub mov npaj. Koj tuaj yeem tshem tawm raws plab sai yog tias koj noj cov tshuaj uas koj tus kws kho mob tau sau tseg thiab noj tsuas yog cov khoom noj uas tsis ua rau lub plab zom mov.
Yuav ua li cas kho tus menyuam
mob raws plab hauv menyuam yausTej zaum yuav yog cov tsos mob ntawm cov kab mob hauv qab no:
- lactose lossis gluten intolerance;
- metabolic ntshawv siab;
- react to laxatives;
- txheej txheem mob hauv plab (Crohn's disease thiab ulcerative colitis nrog mob raws plab);
- mob plab hnyuv ntawm qhov mob ntev thiab mob hnyav.
Tus me nyuam mob raws plab tau kuaj pom thaum muaj plab hnyuv loj zuj zus mus ib hnub. Feem ntau, cov mob raws plab yuav daws tau sai lossis hloov mus rau ib daim ntawv ntev. Raws li txoj cai, mob raws plab qhia tau hais tias muaj cov kab mob microflora, uas provokes cov tsos mob ntawm xws li mob. Nyob rau hauv rooj plaub no, tus kws kho mob tau sau ntawv rau tus menyuam kom noj tshuaj tua kab mob.
Cov tsos mob txaus ntshai:
- muaj ntshav hauv quav;
- muaj cov kua paug (cov mucus daj);
- menyuam yaus lub cev tsis tuaj yeem haus cov dej uas xav tau hauv ib hnub; vim ntuav ntuav.
Cov tsos mob tseem ceeb ntawm lub cev qhuav dej yog:
- tso zis tsaus;
- nkees thiab tsis tu ncua kev ntxhov siab;
- qhuav mucous daim nyias nyias thiab muaj siab xav haus;
- mob plab.
Kev nqhis dej los ntawm qhov mob raws plab yog qhov txaus ntshai rau cov menyuam yaus thiab cov neeg laus.
Kev kho mob hauv tsev
Lub ntsiab ua rau mob raws plab nyob rau hauv cov menyuam yaus yog: zaub mov lom, teeb meem nrog plab hnyuv microflora, noj movcov zaub mov tsis zoo. Nws kuj tuaj yeem tshwm sim los ntawm kev kis kab mob los yog kab mob thiab qee yam kab mob nkag mus rau hauv lub cev.
Yog tias tus menyuam muaj mob raws plab, nws raug nquahu kom muab cov kua ntau li ntau tau hauv ib hnub (los ntawm 3 mus rau 4 litres) nrog rau qhov sib ntxiv ntawm cov suab thaj thiab ntsev me me. Npaj ua kua rau haus tsis tu ncua tuaj yeem yuav ntawm lub tsev muag tshuaj yam tsis muaj tshuaj thiab ntxiv rau cov dej dawb. Txhawm rau kho kom raug thiab ua tau zoo ntawm tus menyuam hauv tsev, nws yog qhov tseem ceeb ua ntej mus sab laj nrog tus kws kho mob.
Ntau npaum li cas ntawm cov kua haus ib hnub twg yuav qhia los ntawm lightening xim ntawm cov zis mus rau lub teeb daj tint. Tsis tas li, cov kws tshaj lij pom zoo rau qhov mob no kom noj zaub mov muaj ntsev thiab ua tib zoo saib xyuas kev nyiam huv.
Koj yuav tsum rov qab noj zaub mov kom zoo tam sim tom qab tus menyuam pib muaj kev qab los. Tab sis yog tias muaj mob raws plab tshwm sim, nws yog ib qho tseem ceeb tsis txhob noj cov khoom noj siv mis rau ob peb hnub.
yuav tsum tau kho mob tam sim yog tias:
- yog tus menyuam muaj mob raws plab thiab lwm yam cim ntawm tus kabmob;
- yog tias mob plab pib tam sim tom qab tuaj txog hauv lwm lub tebchaws lossis tom qab ncua kev mus ncig;
- yog tias mob raws plab txuas ntxiv rau ob peb lub lis piam.
Feem ntau, raws plab hauv tus menyuam tuaj yeem kho tau zoo hauv tsev. Nws tuaj yeem dhau ntawm nws tus kheej tom qab xya hnub. Tshuaj kho mobfeem ntau tsis tas yuav tsum tau siv thiab siv tsawg zaus, vim nws tuaj yeem ua rau muaj kev cuam tshuam tsis zoo thiab ua rau mob raws plab. Nws yog ib qho tsim nyog yuav tsum tau tshem tawm raws plab tam sim ntawd tom qab tshem tawm qhov tshwm sim tseem ceeb.
Cov tshuaj uas paub ntau tshaj plaws rau kev mob raws plab yog loperamide lossis immodium, tab sis lawv raug tso cai noj tsawg kawg nkaus, tshwj tsis yog thaum muaj ntshav, kua tsib thiab purulent tawm hauv cov quav.
Thaum mus ncig, txhawm rau kom tsis txhob muaj teeb meem nrog lub plab zom mov thiab quav, nws yog ib qho tseem ceeb uas yuav tsum tau haus dej haus ib txwm haus lossis siv cov dej tshwj xeeb hauv lub raj mis yas kaw. Tsis tas li ntawd, nws yog ib qho tseem ceeb kom tsis txhob noj zaub nyoos thiab ice cream thaum mus ncig. Txij li cov zaub tuaj yeem ntxuav hauv dej tsis zoo, lawv yuav tsum tau boiled los yog tev. Nws tseem ceeb heev uas yuav tsum nco ntsoov tias qhov ua tau zoo ntawm cov kab mob lactic acid khov khov hauv kev tiv thaiv kab mob raws plab hauv cov neeg taug kev tsis zoo tsim.
