Cov txheej txheem mob hauv cov hnyuv tau paub ntau. Cov tsos mob xws li raws plab, tsam plab thiab flatulence tshwm sim nyob rau hauv yuav luag txhua tus neeg. Txawm li cas los xij, muaj cov kab mob hauv plab uas ua rau mob ntev thiab nce ntxiv. Ib tug ntawm cov pathologies yog terminal ileitis. Cov tsos mob tseem ceeb ntawm tus kab mob no yog o ntawm qhov kawg ntawm cov hnyuv. Txawm hais tias qhov tseeb hais tias pathology tsis suav hais tias tsawg, cov laj thawj rau nws qhov tshwm sim tsis paub meej. Raws li qhov tshwm sim ntawm tus kab mob no, yuav tsum muaj kev saib xyuas tsis tu ncua.
Kev piav qhia ntawm lub davhlau ya nyob twg ileitis
Tus kab mob "terminal ileitis" yog tus cwj pwm los ntawm kev mob hauv cov hnyuv. Feem ntau, thaj av distal cuam tshuam. Lwm lub npe rau pathology yog Crohn tus kab mob. Ntxiv nrog rau lub davhlau ya nyob twg ileum, lwm qhov chaw ntawm lub plab zom mov tuaj yeem koom nrog. Feem ntau cov txheej txheem inflammatory tshwm sim fragmentarily. Ntawd yog, tsuas yog qee qhov ntawm lub plab zom mov raug cuam tshuam, uas hloov nrog cov ntaub so ntswg noj qab haus huv. Qhov no yog qhov txawv ntawm Crohn tus kab mob thiabLwm cov kab mob ntev ntawm txoj hnyuv - nonspecific ulcerative colitis. Terminal ileitis tseem hu ua uncharacteristic granuloma thiab lymphadenitis. Ntxiv nrog rau cov txheej txheem inflammatory, lub pathology yog tus yam ntxwv los ntawm kev tsim ntawm rwj thiab nti hauv plab hnyuv lumen.
Terminal ileitis: ua rau tus kab mob
Tus etiology ntawm tus kab mob no tsis paub meej. Muaj ntau ntau txoj kev xav rau txoj kev loj hlob ntawm no pathology. Txhua tus ntawm lawv muaj kev lees paub, tab sis, txawm li cas los xij, tsis muab cov lus teb ua tiav rau cov lus nug ntawm etiology. Nws paub tias Crohn tus kab mob (terminal ileitis) txhim kho nyob rau hauv kev cuam tshuam ntawm qhov tshwm sim. Ntawm lawv:
- Kev tiv thaiv kab mob aggression. tshwm sim thaum lub cev tiv thaiv mechanisms cuam tshuam.
- Cov txheej txheem mob ntev tshwm sim los ntawm cov kab mob lossis kab mob kis tawm tsam keeb kwm ntawm kev tiv thaiv tsis muaj zog.
- Tsis Taug Kev Bauginian damper. Qhov kev tsim no muaj cov leeg nqaij thiab ua lub valve ntawm cov hnyuv me thiab loj.
- Kev noj haus tsis raug. Feem ntau, tus kab mob no tshwm sim hauv cov neeg uas noj cov zaub mov qhuav, zom zaub mov tsis zoo.
- Genetic predisposition.
- Hmoob keebkwm keebkwm. Qhov kev pheej hmoo ntawm kev tsim ileitis nce nrog qhov tshwm sim ntawm cov txheeb ze.
- tus cwj pwm phem, tshwj xeeb yog haus luam yeeb.
Ileitis txhim kho li cas?
Feem ntau, terminal ileitis tshwm sim sai sai. Feem ntau cov neeg kawm txoglub xub ntiag ntawm tus kab mob tsuas yog thaum cov tsos mob tshwm sim. Los ntawm lub sijhawm no, kev hloov pauv tuaj yeem tshwm sim nyob rau hauv txoj hnyuv lumen. Ua ntej ntawm tag nrho cov, lub mucous daim nyias nyias yog raug rau o. Qhov kev ncua deb ntawm 10 mus rau 20 cm. Nrog rau kev loj hlob ntawm ileitis, cov txheej txheej tob kuj tseem koom nrog hauv cov txheej txheem inflammatory, granulomas (tubercles) tshwm sim. Nyob rau hauv lub plab hnyuv phab ntsa, erosions tsim ua ntej, ces ulcers. Tsis tas li ntawd, qhov mob tuaj yeem kis mus rau lwm qhov chaw. Feem ntau nws yog cov hnyuv loj thiab duodenum. Cov cheeb tsam cuam tshuam tau meej meej demarcated los ntawm cov ntaub so ntswg noj qab haus huv. Lwm qhov txuas hauv pathogenesis yog o thiab loj ntawm cov qog nqaij hlav nyob rau hauv txoj hnyuv. Lub sijhawm ntev ntawm cov kab mob tuaj yeem ua rau tsim cov caws pliav thiab stenosis.
Crohn's disease: cov tsos mob thiab kev kho mob ntawm pathology
Nws yuav tsum nco ntsoov tias pathology hais txog cov txheej txheem rov ua haujlwm ntev ntawm qhov xwm txheej zuj zus. Qhov no yog ib qho ntawm cov yam ntxwv uas lwm cov kab mob colitis thiab Crohn tus kab mob txawv. Cov tsos mob thiab kev kho mob ntawm pathology kuj muaj cov yam ntxwv tshwj xeeb. Feem ntau tus kab mob ua ntej ua rau nws tus kheej hnov thaum muaj hnub nyoog 15-25. Nws muaj ntau dua nyob rau hauv cov txiv neej. Cov tsos mob tseem ceeb ntawm ileitis yog mob plab (nyob rau theem ntawm lub plab thiab hauv qab), ua npaws thiab quav quav. Qee cov neeg mob muaj dyspepsia. Cov no muaj xws li xeev siab thiab ntuav. Tsis tas li ntawd, flatulence, rumbling ntawm txoj hnyuv yog cov cim qhia ntawm tus kab mob.
Tom qab cov tsos mob muaj xws li ntshav liab, asthenia(yuag poob), kev qaug zog. Ntxiv nrog rau cov yam ntxwv ntawm daim duab kho mob, lwm yam kev tshwm sim kuj tshwm sim. Ntawm lawv: o ntawm mucous daim nyias nyias ntawm qhov ncauj los yog qhov ntswg kab noj hniav, dermatological mob, mob pob qij txha. Nws yuav tsum nco ntsoov tias tus kab mob tuaj yeem kis mus rau txhua qhov ntawm lub plab zom mov. Yog li ntawd, cov tsos mob tshiab tuaj yeem tshwm sim, nyob ntawm qhov chaw ntawm tus txheej txheem. Qhov no tej zaum yuav yog kev ua txhaum ntawm nqos, mob epigastric, kub siab, nyiam cem quav, lossis, hloov pauv, raws plab.
Kev kuaj mob ntawm lub davhlau ya nyob twg ileitis
Kev kuaj mob ntawm "terminal ileitis" yog qhov nyuaj heev. Qhov no yog vim muaj ntau yam pathologies zoo sib xws hauv daim duab kho mob. Yog li ntawd, nws yog ib qho tseem ceeb heev los txheeb xyuas tus kab mob nyob rau lub sijhawm thiab pib kho kom zoo. Kev kuaj mob yog nyob ntawm kev kho mob tshwm sim ntawm pathology, kuaj thiab ntsuas ntsuas. Crohn tus kab mob tuaj yeem raug xav tias yog raws li anamnesis (hnub nyoog ntawm tus neeg mob, muaj lub luag haujlwm ntawm lub luag haujlwm, cov xwm txheej tshwm sim tshwm sim).
Kuj lub ntsiab tseem ceeb yog qhov kev vam meej thiab rov tshwm sim ntawm pathology. Cov kev hloov pauv hauv chav kuaj ntsuas tau pom thaum kuaj coprological thiab hauv KLA. Kev kuaj ntshav qhia tias muaj ntshav qab zib, nce ntawm cov leukocytes thiab kev nrawm ntawm ESR kuj tau pom. Kev kawm txog cov quav kuj tseem ceeb heev. Hauv coprogram, koj tuaj yeem kuaj pom cov tsos mob ntawm cov kab mob, leukocytes, thiab ntshav. Txoj kev tseem ceeb ntawm kev kuaj mob yog kev kuaj x-ray nrog kev qhia txog qhov sib txawv. Nyob ntawmcov duab qhia loj granulomatous formations nyob rau hauv txoj hnyuv lumen. Cov kev hloov no hu ua "cobblestone pavement". Kev kuaj mob endoscopic kuj tseem ua tau - kev kuaj ntshav colonoscopy. Nws muab ib lub tswv yim ntawm qhov loj ntawm cov txheej txheem inflammatory, muaj ulceration, cicatricial hloov.
Kev kho mob nrog pej xeem tshuaj
Kev kho tus kab mob Crohn feem ntau yog ntev thiab nyuaj. Ua ntej ntawm tag nrho cov, nws yog ib qho tseem ceeb rau normalize qhov xwm ntawm kev noj haus thiab kev ua neej. Kev noj zaub mov rau terminal ileitis yuav tsum suav nrog kev qhia txog cov khoom noj muaj fiber ntau rau hauv kev noj haus. Cov zaub mov yuav tsum yog feem ntau. Nws yog ib qho tsim nyog yuav tsum tau txo qis kev noj cov zaub mov muaj roj, nrog rau tsis suav nrog cov tshuaj tua kab mob uas ua rau khaus khaus (qab zib, iab thiab qaub). Yog tias tus neeg mob muaj ntshav qab zib, nws yog ib qho tseem ceeb kom paub cov zaub mov uas muaj cov vitamins B thiab hlau rau hauv kev noj haus. Kev kho mob ntawm terminal ileitis nrog cov tshuaj pej xeem feem ntau siv tau. Nws raug nquahu kom siv lub decoction ntawm tshuaj ntsuab (peppermint, sage, chamomile thiab valerian) 3-4 zaug ib hnub twg, ntxiv boiled dos tev rau zaub mov. Koj tuaj yeem npaj ib qho infusion ntawm yarrow, uas muaj cov nyhuv anti-inflammatory. Yuav kom tshem tau ntawm plab hnyuv colic, siv infusions ntawm mint thiab sage. Lily ntawm hav dej cawv tincture kuj siv tau.
Tshuaj kho mob rau lub davhlau ya nyob twg ileitis
Kev kho tshuaj suav nrog kev noj tshuaj tiv thaiv kab mob (tshuaj "Sulfasalazine", "Prednisolone"), tshuaj tua kab mob. Tsis tas li ntawd,Nws yog ib qho tseem ceeb kom ua raws li kev kho mob. Rau qhov mob hauv cov hnyuv, xav tau tshuaj antispasmodic (No-shpa ntsiav tshuaj). Thaum lub sij hawm exacerbation, cov tshuaj antipyretics, anticholinergics, cov tshuaj enveloping yog siv. Yog tias tus kab mob tau mus txog theem hnyav, kev kho phais yuav tsim nyog.
Cov Teeb Meem ntawm Crohn's disease
Nws yuav tsum nco ntsoov tias Crohn tus kab mob yog ib qho mob hnyav, kev kho mob tuaj yeem kav ntev xyoo. Nrog rau kev txhim kho ntawm cov txheej txheem kev puas tsuaj thiab tsis muaj kev kho kom zoo, cov teeb meem feem ntau tshwm sim. Cov no muaj xws li: los ntshav, plab hnyuv obstruction, cicatricial strictures thiab peritonitis. Tag nrho cov txheej txheem no yuav tsum tau muaj kev phais sai sai (resection ntawm thaj chaw cuam tshuam).
