khaus khaus hauv qhov quav ntawm cov txiv neej yog ib qho teeb meem ntawm tus kheej uas tsis yog txhua tus neeg tuaj yeem tham txog. Tab sis nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tsos mob zoo li no tsis tuaj yeem tsis quav ntsej, vim nws tuaj yeem qhia tau tias muaj kab mob txaus ntshai hauv lub cev. Txog thaum tus txiv neej tshem tawm cov tsos mob tsis zoo li no, nws zoo li tsis tuaj yeem so thiab ua haujlwm li qub. Kev hnov qhov khaus thiab kub hnyiab tuaj yeem qhia qhov pib ntawm kev loj hlob ntawm cov kab mob thiab lwm yam kab mob loj. Yog tias qhov kev xav tsis xis nyob txuas ntxiv mus ntev dua ib hnub, nws yog ib qho tseem ceeb kom nrhiav kev pab tam sim ntawm tus kws kho mob. Qhov tseem ceeb ntawm qhov no yog tsis txhob ncua kev kho mob khaus ntawm qhov quav hauv tus txiv neej.
Lub ntsiab ua rau khaus
Yog qhov khaus khaus khaus heev hauv qhov quav hauv cov txiv neej tshwm sim yam tsis muaj laj thawj, ces nws raug cais raws li tus kab mob ywj pheej thiab hu ua thawj qhov quav khaus.
Yog tias tus tsos mob zoo li no tshwm sim los ntawm tus kab mob, ces nws raug cais raws li theem nrab. Yuav pib nrog, nws yog ib qho tseem ceeb los txiav txim seb cov kab mob twg yuav ua rau khaus. Lub ntsiab ua rau khaus ntawm qhov quav muaj xws li:
- Pathology ntawm lub qhov quav. Cov pawg no suav nrog polyps, ntau yam fissures, warts, genitals warts, hemorrhoids (ob leeg sab nraud thiab sab hauv), thiab anorectal fistulas. Tsis tas li ntawd, kub hnyiab thiab tsis xis nyob yuav qhia tau tias muaj cov kab mob oncological ntawm lub qhov quav, proctosigmoiditis.
- Cov kab mob ntawm daim tawv nqaij: pob qhov quav, psoriasis, pediculosis, lichen planus, eczema, kab mob fungal, kab mob. Tsis tas li ntawd, tsis ua raws li cov cai yooj yim ntawm kev nyiam huv, siv cov ntaub ntawv tawv tawv, hnav ris tsho hauv qab tuaj yeem ua rau kub hnyiab thiab khaus khaus hauv qhov quav. Tag nrho cov no tuaj yeem ua rau cov kab nrib pleb me me ntawm daim tawv nqaij ntawm qhov quav, ua rau qhov mob kis tau mus rau qhov tshwm sim.
- Kab mob kab mob (helminths). Qee cov kab mob tuaj yeem ua rau kub hnyiab hauv qhov quav. Feem ntau, Giardia, pinworms thiab roundworms ua rau tus mob no. Nyob rau tib lub sijhawm, qhov tsis xis nyob thiab kub hnyiab tshwm sim thaum lub sijhawm defecation thiab tsuas yog hnyav thaum hmo ntuj. Tsis tas li ntawd, kev poob phaus sai sai tuaj yeem qhia tau tias muaj kab mob parasite puas, nrog rau qhov muaj cov kab mob raws plab ntev, uas qhov kev xav kom defecate tshwm sim ntau zaus hauv ib hnub.
- Kab mob Venereal (STDs) thiab kab mob ntawm cov kab mob genitourinary. Cov kab mob hauv qab no tuaj yeem ua rau tus mob no: ulcers, pancreatitis, colitis thiab gastritis. Tsis tas li ntawd, qhov kub hnyiab tuaj yeem tshwm sim los ntawm cov kab mob endocrine: ntshav qab zib mellitus, teeb meem nrog kev ua haujlwm ntawm cov qog adrenal, qog pituitary, thyroid caj pas. Lwm qhov tseem ceebIb qho tseem ceeb uas ua rau khaus khaus hauv qhov quav hauv cov txiv neej thaum hmo ntuj thiab nruab hnub yog intoxication ntawm lub cev, nrog rau kev siv qee yam tshuaj: erythromycin, tshuaj tua kab mob - tetracyclines.
- hnyav dhau ntawm tus neeg. Feem ntau, nyob rau hauv cov txiv neej rog rog, hyperproduction ntawm hws tshwm sim, uas provokes cov tsos mob ntawm daim tawv nqaij ua pob liab vog ntawm daim tawv nqaij, nrog rau cov perineum. Raws li qhov tshwm sim ntawm tus txheej txheem no, tus txiv neej muaj qhov khaus tas li ntawm qhov quav.
- noj cov zaub mov qab ntsev dhau los yog rog, noj tsis raug. Kev khaus thiab kub hnyiab hauv qhov quav tuaj yeem tshwm sim los ntawm kev siv ntau dhau ntawm cov dej cawv, tshuaj tsw qab, dej qab zib carbonated, citrus txiv hmab txiv ntoo, kas fes thiab lwm yam khoom. Tag nrho cov kev kho mob tau piav qhia muaj qhov tsis zoo rau lub qhov quav mucosa thiab, vim li ntawd, ua rau muaj cov tsos mob tsis zoo.
Kev haus cawv thiab kev tu cev ntau dhau
Kev haus cawv ntau dhau, kab mob hauv lub paj hlwb thiab noj opiates. Thaum noj tshuaj thiab haus cawv ntau, cov receptors ntawm cov mucous daim nyias nyias thiab daim tawv nqaij ua rhiab heev, uas provokes khaus thiab kub hnyiab. Qee qhov teeb meem ntawm kev puas siab puas ntsws kuj ua rau muaj qhov tshwm sim: kev nyuaj siab, kev puas siab puas ntsws overstrain, neurosis, psychosis.
Qee zaum, nrog kev huv huv, ib tug txiv neej tau ntxuav nws lub qhov quav nrog xab npum ntau tshaj 3 zaug hauv ib hnub, uas ua rau degreasing thiab overdrying ntawm daim tawv nqaij hauv qhov no.qhov chaw thiab, yog li ntawd, qhov tsos ntawm khaus thiab kub hnyiab.
Ib yam tsos mob
Thaum daws qhov kev swb, nws yog ib qho tseem ceeb uas yuav tau xav txog nws cov tsos mob tseem ceeb. Kev khaus tuaj yeem tshwm sim tsis yog hauv qhov quav, tab sis kuj nyob ib sab ntawm nws, ntxiv rau qhov no, tag nrho perineum tuaj yeem khaus. Cov kev xav zoo li no tuaj yeem ua tau ntev thiab ib ntus. Feem ntau, tawm tsam keeb kwm ntawm qhov khaus, tus neeg muaj cov tsos mob hauv qab no:
- pom pob ntxau, hlwv nrog dej thiab lwm yam pob khaus;
- pib los ntshav;
- -noo noo hauv Crotch;
- o thiab hyperemia (redness) ntawm cov ntaub so ntswg hauv qhov quav;
- tawv tawv los yog detachment;
- tso zis tawm ntawm cov zis.
Thaum cov lus piav qhia ntawm kev puas tsuaj tshwm sim thiab thaum sib xyaw ua ke, nws yog ib qho tseem ceeb kom mus ntsib kws kho mob tam sim ntawd.
ntsuas ntsuas
Yog tsis muaj kev kuaj mob dav dav, tus kws kho mob yuav tsis tuaj yeem kuaj xyuas qhov tseeb thiab sau ntawv kho kom zoo thiab muaj txiaj ntsig zoo rau khaus qhov quav hauv tus txiv neej. Raws li txoj cai, tsis muaj teeb meem hauv kev kuaj mob nrog khaus hauv qhov quav, tab sis tsuas yog tus kws tshaj lij tuaj yeem txheeb xyuas qhov xwm txheej thiab hom kab mob.
Nws yog vim li no tias thaum thawj cov tsos mob ntawm khaus khaus, nws yog ib qho tseem ceeb kom nrhiav kev pab tam sim ntawm tus kws kho mob. Thaum ua qhov kev kuaj mob sib txawv, qee zaum, tus neeg xav tau kev kuaj mob los ntawm kws kho mob dermatologist, kws kho mob plab, kws kho mob venereologist thiab lwm tus kws tshaj lij tshwj xeeb.
Txhawm rau kuaj xyuas kom raug thiab txiav txim siab qhov mob, koj xav tausiv:
- ua tiav ntshav thiab quav quav;
- colonoscopy;
- tshuaj xyuas cov quav rau cov qe ntawm cov cab, nrog rau dysbacteriosis;
- blood glucose test.
cov lus nug tseem ceeb
Ntxiv rau, nws yog ib qho tseem ceeb uas yuav tsum tau ua kom muaj anamnesis thiab ua tib zoo saib xyuas tag nrho cov tsos mob thiab kev tsis txaus siab ntawm tus neeg mob. Txhawm rau ua qhov no, tus neeg mob yuav tsum teb cov lus nug hauv qab no:
- Puas yog khaus tshwm sim los ntawm kev mob plab? Tus mob no tuaj yeem tshwm sim thaum lub qhov quav sphincter tsis muaj zog, uas yog tshwm sim nrog hemorrhoids, qhov quav deev, plob tsis so tswj, thiab qee yam kev phais.
- Tus txiv neej puas muaj lwm yam tsos mob (piv txwv li, tso tawm) thaum khaus thiab kub hauv qhov quav?
- Cov neeg txheeb ze puas muaj cov kab mob sib kis (mob ntshav qab zib mellitus, kab mob ntawm endocrine system)?
- Puas muaj tsiaj nyob hauv tsev (lawv tuaj yeem dhau los ua qhov chaw helminthic ntxeem tau)?
- Tus neeg mob puas haus cawv ntau dhau, nws puas noj puas yog?
- Tus neeg mob ua haujlwm li cas? Puas muaj hluav taws xob, tshuaj lom nws lub cev?
- Tus neeg puas noj tshuaj (xws li tshuaj tua kab mob)?
Feem ntau, khaus khaus hauv qhov quav ntawm tus txiv neej feem ntau tshwm sim hauv cov neeg ua haujlwm ntawm cov chaw lag luam uas muaj kev phom sij.
Kev kho mob
Yog tias qhov kuaj pom tseeb ntawm qhov mob tseem tsis tau txheeb xyuas, ces tus neeg mob yuav tsum ua raws li cov cai hauv qab no:
- muab cov ris tsho hauv qab hluavtaws, nrujtawv nqaij nruj thiab khaus khaus;
- Ua tib zoo saib xyuas kev tu cev: tom qab mus rau chav dej, koj yuav tsum tsis tu ncua ntxuav lub perineum los yog siv cov tshuaj tua kab mob tshwj xeeb: nws yog qhov zoo tshaj plaws los siv xab npum yam tsis muaj tshuaj lom neeg hauv cov khoom xyaw;
- ntxuav lub qhov quav yog qhov zoo tshaj plaws nrog dej txias;
- tsis txhob da dej kub.
Txoj kev kho khaus khaus hauv qhov quav hauv tus txiv neej yuav ncaj qha nyob ntawm seb vim li cas nws tshwm sim. Yog tias khaus thiab kub hnyiab tshwm sim los ntawm cov kab mob ntawm cov kab mob hauv nruab nrog cev, ces kev kho mob ntawm qhov txhab yuav tsum yog txhawm rau tshem tawm cov kab mob.
Rau cov teeb meem dermatological, tus kws kho mob tau sau cov tshuaj hauv zos (cov tshuaj pleev thiab cov tshuaj pleev) uas yuav pab muab tshuaj loog, ziab thiab soothing nyhuv: zinc, salicylic thiab hydrocortisone ointments. Kuj tseem siv cov tshuaj novocaine, menthol, uas pab tshem tawm qhov mob thiab txo qhov kub hnyiab.
tswm ciab thiab tshuaj pleev
Qhov kev ceev faj tshaj plaws los kho yog khaus los ntawm hemorrhoids. Hauv qhov no, cov tshuaj suppositories thiab tshuaj pleev yog siv hauv kev kho mob:
- Y "Proctosan". Nws yog qhov zoo tshaj plaws los siv cov tshuaj pleev nrog rau daim ntawv siab ntawm hemorrhoids. Nws pab txo qhov mob, txo qhov kub hnyiab thiab khaus.
- "Tshuaj" (cov tshuaj pleev thiab tshuaj suppositories). Cov khoom muaj xws li shark siab roj. Nws muaj cov nyhuv zoo thiab rov tsim dua tshiab.
- "Aurobin". Tshuaj pleev nrog lidocaine nyob rau hauv muaj pes tsawg leeg, uas pab tshem tawm khaus,tsis xis nyob thiab tsis xis nyob tom qab daim ntawv thov thib ob.
- "Gepatrombin-G" (qhov quav tshuaj thiab tshuaj pleev). Cov tshuaj pab kho cov kab nrib pleb hauv qhov quav, muaj cov tshuaj tua kab mob thiab tiv thaiv kab mob.
- Cov tshuaj hauv qab no pab daws qhov tsis xis nyob zoo tshaj plaws: Detralex, Bezornil thiab lwm yam tshuaj pleev.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias cov tshuaj tau piav qhia saum toj no tsuas yog yuav tsum tau muab los ntawm kws kho mob. Ntxiv nrog rau cov tshuaj pleev thiab tshuaj suppositories, tshuaj kho pej xeem thiab kev kho lub cev feem ntau tau sau tseg. Tab sis yog tias ib tug txiv neej tsis muaj txiaj ntsig los ntawm kev kho mob ntawm pob khaus hauv qhov quav, ces tus kws kho mob sau ntawv ua haujlwm.
Kev kho kab mob
Yog khaus hauv qhov quav vim yog helminthic ntxeem tau, ces txoj kev kho yuav tsum yog txhawm rau tshem tawm cov kab mob. Rau qhov no, Vormil, Albendazole, Pirantel, Metronidazole thiab Vermox yog siv. Cov tshuaj no pab tshem tawm ob tus neeg laus cov kab mob thiab lawv cov qe los ntawm tib neeg lub cev. Tab sis nws yog ib qho tseem ceeb uas yuav tsum tau ua tib zoo siv thiab ua ntej noj, yam tsis poob, nyeem cov lus qhia lossis nrog kws kho mob. Ntxiv nrog rau cov kev npaj tau piav qhia, nws tseem ceeb heev uas yuav tsum pib ua tib zoo ua raws li cov cai ntawm kev nyiam huv, siv xab npum ntxhua khaub ncaws thiab glycerin thaum ntxuav.
Nyob hauv lub cev
Dhau li ntawm qhov no, nws tseem ceeb heev uas yuav tsum tau ua cov kev kho mob hauv qab no:
- rau kev rog - poob phaus, hloov khoom noj;
- Rau STDs, tshem tawm tus kab mob;
- rau cov teeb meem nrog lub paj hlwb -mus ntsib kws kho mob hlwb;
- txhim kho khoom noj khoom haus, tshem tawm cov khoom noj uas ua rau mob plab hnyuv mucosa los ntawm kev noj haus.
ntsuas kev tiv thaiv
Thaum khaus thiab kub hnyiab hauv qhov quav, yuav tsum tau ua raws li kev tiv thaiv hauv qab no:
- coj txoj hauv kev zoo;
- kev tu cev;
- tsum txhob haus cawv, khoom qab zib, khoom qab zib thiab ntsim;
- kho tau kab mob ntev;
- ntxuav tes tom qab tsiaj;
- tsis txhob yuam kev.
Feem ntau tus mob no muaj qhov pom zoo. Qhov tsis txaus siab kub hnyiab dhau mus sai, yog tias koj mus ntsib kws kho mob raws sijhawm thiab ua raws li nws cov lus qhia.
Tab sis tsis txhob kwv yees qhov mob hnyav, vim tias nyob rau theem siab ib tus neeg tuaj yeem ntsib teeb meem txaus ntshai: qhov pib los ntshav, txheej txheem sib kis, qhov pom ntawm qhov txhab, eczema. Txhawm rau tiv thaiv tus mob no, nws yog ib qho tseem ceeb uas yuav tau mus ntsib tus kws kho mob thiab txheeb xyuas qhov ua rau ua rau khaus.
Giardiasis thiab khaus
Nws yog ib qho tseem ceeb uas yuav tau xav txog cov tsos mob thiab kev kho mob ntawm giardiasis hauv cov neeg laus. Cov tsos mob tseem ceeb ntawm qhov txhab:
- teeb meem nrog kev ua haujlwm ntawm plab hnyuv, qhov tsos mob plab, tsis qab los noj mov, raws plab, ntuav;
- mob hauv kev ua haujlwm ntawm daim siab thiab kab mob biliary. Mob hauv plab plab, iab hauv qhov ncauj, hnyav tom qab noj mov;
- teeb meem nrog lub paj hlwb: mob taub hau, mob plab,chim siab, qaug zog heev;
- tshuaj lom nrog cov tshuaj lom, txhim kho kev ua xua, tawv nqaij ua pob, tawg ntawm lub qhov ncauj.
Kev kho mob giardiasis
Thaum kho cov kab mob cab, nws yog ib qho tseem ceeb kom ntxuav lub cev ntawm lawv cov derivatives. Yog tias koj kho lub cev nrog cov tshuaj, qhov no tuaj yeem ua rau qaug zog ntawm lub cev vim kev tuag ntawm cov kab mob loj.
Rau giardiasis hauv cov neeg laus, cov tsos mob thiab kev kho mob yuav yog:
- Ua raws li kev noj haus.
- YTshem tawm toxins los ntawm lub cev.
- Txo cov tsos mob ua xua.
- Nyob rau hauv cov kua tsib kom txhim kho kev nqus ntawm cov vitamins thiab rog.
- Sib ntaus Giardia.
Rectal fissure
Yuav ua li cas kho qhov fissure hauv qhov quav? Nyob rau hauv kev kho mob ntawm tus mob, excision ntawm lub fissure thiab sphincterotomy yog siv, nyob rau hauv uas ib feem ntawm lub qhov quav sphincter cheeb tsam yog dissected. Xws li kev cuam tshuam yuav pab kom so lub sphincter, txo qhov mob thiab tsim txhua yam kev mob uas yuav pab kho qhov tawg hauv lub sijhawm luv luv thiab kho tib neeg tus mob. Thaum hla cov leeg yuav tsis muaj teeb meem tuav cov quav, thiab tus neeg nyob hauv tsev kho mob ib ntus thiab sai sai mus tsev.
