Kev mob plab hnyuv yog qhov ua tiav lossis ib nrab tsis muaj peev xwm txav cov ntsiab lus los ntawm txoj hnyuv. Nws tshwm sim thaum muaj kev ua txhaum ntawm peristalsis ntawm lub plab hnyuv phab ntsa. Tus kab mob no feem ntau pom hauv cov menyuam yaus, ua rau mob plab hnyav, thiab feem ntau yuav tsum tau phais. Tsis muaj kev pab tam sim ntawd ua rau tuag. Vim li cas plab hnyuv muaj tshwm sim nyob rau hauv ib tug me nyuam thiab yuav ua li cas tsis nco nws? Cov lus nug no thiab lwm cov lus nug yuav raug tham hauv kab lus no.
Kev faib tawm txawv ntawm plab hnyuv txhaws
Txhua yam mob plab hnyuv loj tau muab faib ua ob pawg: cov khoom siv kho tshuab thiab tsis muaj zog. Thawj yog thaum muaj kev cuam tshuam ntawm cov khoom siv (torsion lossis compression los ntawm sab nraud ntawm cov hnyuv, neoplasm, thiab lwm yam) nyob rau theem ntawm txoj hnyuv loj lossis me. Nws yog subdivided rau hauv:
- Mixed - qhia ib lub plab rau lwm tus.
- Obstructive - ib qho kev cuam tshuam tsis zoo nyob rau hauv txoj hnyuv lumen. Ntau zaustag nrho vim li cas rau qhov tshwm sim no yog mob qog noj ntshav, lub cev txawv teb chaws, gallstones.
- Strangulation - yog tsim los ntawm kev sib tw lossis squeezing txoj hnyuv nrog rau mesentery. Qhov laj thawj yog volvulus, strangulation thiab nodulation ntawm hernia.
Thaum muaj kev cuam tshuam tsis zoo, lub cev muaj zog tsis ua haujlwm vim:
- mob plab hnyuv ntawm phab ntsa;
- txo qis hauv suab thiab tsis muaj peev xwm cog lus cov leeg nqaij ntawm cov phab ntsa hauv plab.
Los ntawm theem ntawm kev thaiv:
- plab hnyuv siab thiab qis;
- colonic.
Downstream:
- mob hnyav thiab mob ntev;
- ib nrab thiab tag nrho.
By origin:
- congenital:
- tau.
hom plab hnyuv hauv tus menyuam, uas yog txiav txim los ntawm tus kws kho mob los ntawm kev kuaj xyuas, nyob ntawm kev siv tshuaj kho mob.
Kev loj hlob ntawm plab hnyuv txhaws tau muab faib ua peb theem:
- Thawj - nws siv sijhawm ob peb teev, tus neeg mob muaj flatulence thiab mob plab.
- Thib ob - cov tsos mob tau txo qis, tab sis qhov no yog qhov tshwm sim ib ntus. Thaum lub sij hawm no, tus me nyuam lub cev raug rau ib tug haib intoxication nres. Nyob rau lub sijhawm, theem no kav ob peb hnub.
- Third - terminal.
Ua rau mob plab hnyuv
Qhov ua rau mob plab hnyuv hauv tus menyuam yog nyob ntawm hnub nyoog. Nyob rau hauv cov me nyuam mos, nws yog tshwm sim los ntawm ib tug tsis ua hauj lwm nyob rau hauv tsim ntawm ib co nyob rau hauv lub cev thaum lub sij hawm intrauterinekev loj hlob. Feem ntau qhov kev kuaj mob no yog tsim nyob rau thawj hnub tom qab tus menyuam yug los. Hauv cov menyuam yaus laus, cov txheej txheem txawv txav tshwm sim tawm tsam keeb kwm ntawm caj ces, kab mob, lossis qhov tshwm sim ntawm qhov tsis zoo ntawm lwm yam.
Yuav ua li cas yuam kev:
- prolapse ntawm ib feem ntawm txoj hnyuv hauv cov menyuam mos;
- teeb meem tom qab phais plab;
- tshuaj noj ntau dhau;
- kev puas tsuaj rau lub cev los ntawm cov kab mob, nrog rau cov cab;
- adhesions hauv plab hnyuv;
- congenital anomalies ntawm lub hauv nruab nrog cev;
- ua haujlwm tsis zoo ntawm cov kab mob biliary;
- kev nkag mus ntawm lub cev txawv teb chaws rau hauv txoj hlab pas;
- malnutrition;
- nce qib ntawm oncological pathologies thiab cov txheej txheem inflammatory;
- plab hnyuv volvulus.
Yog li, nrog rau kev mob plab hnyuv hauv plab, qhov ua rau muaj tus kab mob cuam tshuam nrog kev tsis sib xws hauv kev loj hlob ntawm plab hnyuv. Qee tus menyuam yaus tsim nws ua ntej yug. Raws li qhov tshwm sim, tus menyuam yug los twb muaj tus kab mob no.
Thaum kis tau lub plab hnyuv yog feem ntau cov khoom siv kho tshuab. Tsawg zaus - vim muaj cov adhesions. Ntau cov kab mob plab hnyuv hauv cov menyuam yaus yog qhov zoo rau cov menyuam mos thaum yug txog rau ib xyoos. Hom kev thaiv no yog nrog ntuav, mob hnyav. Lub xeev no tshwm sim sai sai.
Txawm li cas los xij, feem ntau, qhov ua rau mob plab hnyuv tsis paub. Feem ntau nyob rau hauv cov me nyuam, nws manifests nws tus kheej nyob rau hauv lub caij nplooj zeeg-lub caij ntuj no lub sij hawm nrogCov kab mob SARS. Hauv qhov no, muaj kev xav tias nws qhov tshwm sim yog cuam tshuam nrog cov kab mob uas ua rau mob khaub thuas.
Risk yam rau plab hnyuv obstruction
Cov yam pheej hmoo rau plab hnyuv muaj xws li:
- Poj niam los txiv neej - feem ntau nws raug kuaj pom hauv cov tub.
- Hnub nyoog - me nyuam yau yog cov kab mob no ntau dua. Feem ntau, cov tsos mob ntawm plab hnyuv tau kuaj pom hauv cov menyuam yaus hnub nyoog ib txog peb xyoos.
- Hloov - yog muaj tus kab mob no hauv tsev neeg, ces tus menyuam muaj kev pheej hmoo loj.
- Keeb kwm ntawm plab hnyuv ob leeg - yog tias tus menyuam twb tau raug kev txom nyem no, ces nws yuav rov pheej hmoo ntawm nws txoj kev loj hlob.
- Kev tsim tawm ntawm lub plab zom mov - txoj hnyuv tsis txhim kho lossis tsis qhwv zoo.
daim duab kho mob hauv cov menyuam yaus hnub nyoog sib txawv
Yuav ua li cas nkag siab tias tus menyuam muaj plab hnyuv? Thawj cov tsos mob yog tam sim ntawd thiab nrov nrov, uas yog tshwm sim los ntawm qhov mob hnyav hauv plab. Cov menyuam mos txog ib xyoos rub lawv ob txhais ceg rau hauv siab thaum quaj. Qhov mob yog ib ntus, uas yog, qhov kev tawm tsam rov qab txhua nees nkaum feeb. Nyob rau hauv lub neej yav tom ntej, lub sij hawm ntawm qhov mob syndrome nce, thiab lub caij nyoog ntawm nws txo. Tsis tas li ntawd, qhov tshwm sim no ib txwm ua los ntawm cov tsos mob:
- quav quav;
- bloating;
- mob hnyav los ntawm spasms.
Yog tus me nyuam muaj cov tsos mob saum toj no, nws yog qhov ceev mus nrhiav kev pab kho mob. Tsis raws sijhawmkev saib xyuas ua rau muaj kev pheej hmoo ntawm kev tuag.
Cov tsos mob ntawm plab hnyuv loj tuaj, raws li tau hais, maj mam. Feem ntau, daim duab kho mob yog raws li nram no:
- ntua;
- cim ntawm lub cev qhuav dej;
- mob plab plab;
- colic;
- flatulence;
- cem quav;
- ntuav nrog quav;
- nce salivation;
- kub nce;
- tsis qab los;
- ntshav me me hauv cov quav quav;
- txo qis tso zis txhua hnub;
- ua pa nrawm thiab lub plawv dhia;
- bloating;
- foob hauv cheeb tsam plab;
- tsis quav ntsej rau lub sijhawm ntev.
Nrog cov kab mob hauv plab hnyuv txhaws hauv cov menyuam mos, cov tsos mob tshwm sim ntxov li peb hnub tom qab yug me nyuam. Nov yog:
- tsis quav ntsej thiab tawm ntawm cov quav qub lossis lwm yam lus meconium, thaum nruab hnub tom qab tus menyuam yug los;
- ntuav tom qab pub mis;
Nrog rau plab hnyuv nrog kev quaj thiab mob hnyav. Qhov no yog vim malformations ntawm lub cev nyob rau hauv lub plab kab noj hniav:
- compression ntawm txoj hnyuv kab noj hniav los yog ua txhaum cai hauv qhov qhib ntawm phab ntsa plab hnyuv;
- spasm lossis impotence (tsis muaj zog) ntawm txoj hnyuv.
Yog tias qhov ua tsis tiav yog ntom los ntawm tuab thiab tuab thawj zaug meconium, tom qab ntawd cov ntsiab lus ntawm cov hnyuv tsis muaj peev xwm txav raws cov zaj. Yog liYog li, tus me nyuam mos tsis muaj meconium tawm. Qhov xwm txheej no ua rau kev tuag ntawm txoj hnyuv, perforation ntawm txoj hnyuv, thiab tom qab ntawd mus rau ntshav lom thiab tuag. Feem ntau ntawm cov hnyuv malformations yog nteg nyob rau hauv thawj peb lub hlis twg ntawm cev xeeb tub.
Cov tsos mob ntawm plab hnyuv txhaws hauv cov menyuam yaus hnub nyoog qis dua ib xyoos:
- ntua;
- flatulence;
- hnoos qeev nrog cov ntshav tawm los ntawm qhov quav, tsis muaj quav;
- plab zawm;
- kev mob paroxysmal xwm.
Thaum cov plab hnyuv txhaws, lub plab yog o thiab mob heev, ntuav nrog ntxhiab tsw.
Ib nrab plab hnyuv obstruction yog tsim thaum lub plab hnyuv lumen tsis tag tag. Hauv qhov xwm txheej zoo li no, ib feem ntawm cov quav tuaj yeem txav mus rau qhov tawm. Tus kab mob tshwm sim nws tus kheej nrog cov tsos mob hauv qab no:
- xeev siab, ntuav;
- mob syndrome yog qhov hais tsawg dua nrog kev cuam tshuam tag;
- bloating.
Cov tsos mob ntawm plab hnyuv hauv tus menyuam hnub nyoog 5 xyoos yog tshwm sim los ntawm qhov mob hnyav thiab ntuav. Lub rooj zaum tsis tuaj, lub plab yog o. Cov menyuam yaus coj tus cwj pwm tsis zoo, sim ua kom xis nyob los daws qhov mob. Muaj cov ntshav nyob hauv cov quav. Thaum palpation, lub plab yog ruaj khov. Cov cim zoo sib xws yog ib txwm muaj rau cov menyuam yaus hnub nyoog ib xyoos.
Txoj kev kho mob. Thaum twg thiaj siv tau?
Txoj kev kho mob ntawm cov tsos mob ntawm plab hnyuv txhaws hauv tus menyuam hnub nyoog 6 xyoo lossis hauv cov menyuam yaus hauv pawg hnub nyoog sib txawv yog ua tau nrogib nrab plab hnyuv obstruction, thaum lub plab hnyuv lumen tsis tag nrho thaiv thiab ib feem ntawm cov quav tuaj yeem tawm.
Cov kws kho mob hu rau thawj rau lub sijhawm ntawm kev txhim kho cov kab mob no "golden", uas yog, qhov no yog lub sijhawm uas nws tuaj yeem kho tau yam tsis muaj kev phais. Cov dej num ua los ntawm cov kws kho mob nrog ib feem ntawm txoj hnyuv:
- kev sojntsuam ntxig;
- ganglionic blockade;
- washing;
- tso ntshav tawm nrog cov kev daws tshwj xeeb;
- siphon enema, uas yog muab tso rau plaub caug feeb tom qab cov saum toj no manipulations.
Los ntawm cov tshuaj, rau kev kho mob ntawm cov tsos mob ntawm plab hnyuv ob leeg nyob rau hauv cov me nyuam, cov tshuaj tau tso cai rau normalize tus mob thiab txhim kho lub zog ntawm cov quav. Ntawm lawv:
- YProzerin.
- Y"Drotaverine", "Papaverine".
- Fitomucil.
- Metoclopramide, Domperidone.
- Suppositories nrog glycerin.
Qhia txog cov tshuaj ntsev hauv cov hlab ntsha kom tswj tau cov dej-ntsev sib npaug. Lub hom phiaj ntawm kev kho tshuaj yog tshem tawm stagnation hauv cov hnyuv thiab tsis suav nrog kev lom ntawm tus menyuam lub cev.
Kev cuam tshuam phais yog ib hom kev kho mob
Feem ntau, tib txoj hauv kev los cawm tus neeg mob yog kev ua haujlwm, yam uas nyob ntawm qhov ua rau ua rau tus kab mob. Kev kho mob ntawm cov tsos mob ntawm plab hnyuv ob leeg nyob rau hauv cov me nyuam yog qhia yog tias ntau tshaj kaum ob teev tau dhau los txij thaum pib ntawm cov tsos mob, muaj pov thawj ntawm congenital anomaly, muaj kev pheej hmoo ntawm rov tshwm sim, los yogkuaj pom lub cev txawv teb chaws lossis mechanical barrier. Ua raws li nram no manipulations:
- Tshem tawm ib feem ntawm lub plab tuag thiab sew tus so ua ke.
- Nrog hernia - nws yog sutured thiab txoj hnyuv yog teem. Yog tias cov ntaub so ntswg tseem ciaj sia, ces tshem tawm tsis tau.
- Nrhiav lub noose thaum lub sij hawm volvulus.
- Lub cev txawv teb chaws raug tshem tawm.
Tom qab kev phais, tus neeg mob me tau muab tshuaj tua kab mob lossis tshuaj tiv thaiv kab mob, nrog rau cov tshuaj ntsev kom ruaj khov.
Kev kho mob nrog lwm yam tshuaj
txhawm rau txo cov tsos mob ntawm plab hnyuv hauv tus menyuam thaum pib ntawm tus kab mob, nws raug tso cai siv cov tshuaj ib txwm siv, tab sis nruj me ntsis raws li kev pom zoo nrog tus kws kho mob uas tuaj koom. Nws raug nquahu kom siv lawv tsuas yog nrog kev cuam tshuam ib nrab. Kev kho tus kheej, uas yog, yam tsis tau sab laj nrog tus kws kho mob tshwj xeeb, yog fraught nrog kev hem thawj rau kev noj qab haus huv ntawm tus menyuam. Cov kev xaiv nrov tshaj plaws yog:
- tshiab cucumbers, melon, pineapple, txiv lws suav, txiv duaj, prunes - muaj cov nyhuv laxative.
- Cov kua txiv hmab txiv ntoo hauv qhov sib piv 1: 1 yog diluted nrog dej. Noj ob diav ua ntej noj mov.
- taub dag porridge thiab puree.
- Hiav txwv buckthorn roj yog ntxiv rau compote los yog tshuaj yej, peb zaug ib hnub twg, ib nrab ib teaspoon yog muab rau tus me nyuam.
- Sib tov nyob rau hauv sib npaug zos qhov chaw, pre-txiav figs, qhuav apricots, prunes thiab raisins, ntxiv ib me ntsis ntawm zib mu. Muab tus me nyuam ob peb zaug ib hnub rau ib teaspoon.
khoom noj khoom haus. Vim li cas thiaj tseem ceeb rau kev saib xyuas?
Tom qab ua haujlwm rau plab hnyuv hauv tus menyuam hnub nyoog 5 xyoos lossis lwm lub hnub nyoog, cov menyuam yaus tau pom cov khoom noj khoom haus rau lub sijhawm ntev. Qhov kev ntsuas yuam kev no pab txhawb rau normalization ntawm digestion thiab restores plab hnyuv ua haujlwm. Nws tau raug pov thawj tias ib ntawm plaub tus kabmob no yog tshwm sim los ntawm kev noj zaub mov tsis txaus.
Nws yog ib qho tseem ceeb uas yuav tsum nco ntsoov tias thaum txoj hnyuv raug thaiv (nyob rau theem mob), txhua pluas noj yog contraindicated rau tus menyuam. Thawj hnub tom qab kev ua haujlwm, lawv kuj tsis pub noj, nyob rau hnub ob lawv tau muab cov zaub mov ua kua. Rau qhov mob plab hnyuv, cov kws kho mob pom zoo:
- noj me me yim zaug ib hnub.
- Txhua yam zaub mov yog hauv av mus rau lub xeev siab thiab noj sov.
- Calories thawj hnub - 600, mus txog 1000 kcal - xya hnub tom qab ua haujlwm.
Cov khoom hauv qab no tau tso cai:
- jelly;
- jelly;
- porridge;
- mucus decoctions;
- kua mis;
- fruit jelly;
- nqaij qaib qis;
- zaub mashed;
- omelette;
- steam meatballs.
Cov zaub mov uas ua rau fermentation yog txwv tsis pub thoob plaws hauv lub xyoo. Tsis tas li ntawd, kev noj ntsev tsawg tsawg. Kev tsis ua raws li kev noj haus yuav ua rau muaj kev pheej hmoo rov qab los ntawm tus kab mob.
ntsuas kev tiv thaiv
Muaj cov xwm txheej uas tsis tuaj yeem tiv thaiv plab hnyuv. Piv txwv li, yog cov me nyuam muaj congenitalplab hnyuv obstruction los yog kev loj hlob ntawm lwm yam kab mob uas ua rau lub blocking ntawm txoj hnyuv lumen. Txawm li cas los xij, txawm tias muaj xwm txheej zoo li no, cov kws kho mob pom zoo kom ua raws li cov lus pom zoo hauv qab no:
- tswj kev noj zaub mov;
- ncua sij hawm tshem tawm ntawm polyps, adhesions hauv txoj hnyuv;
- yog tus me nyuam yws qhov mob hauv plab thiab xeev siab lossis ntuav, ces koj yuav tsum mus ntsib kws kho mob;
- yog tias qhov tso zis ntau zaus hauv tus menyuam txo qis, ces qhov no kuj yog vim li cas mus ntsib kws kho mob;
- tshuaj tiv thaiv tsis tu ncua, suav nrog los ntawm cov kws tshaj lij.
Qhov tshwm sim thiab teeb meem ntawm tus kab mob
Qhov teeb meem txaus ntshai tshaj plaws ntawm plab hnyuv txhaws hauv tus menyuam yog kev tuag. Nrog rau kev loj hlob ntawm qhov tsis xws luag, lub cev raug mob. Cov ntshav muab rau cov plab hnyuv siab raum yog qhov cuam tshuam loj heev, vim li ntawd, cov ntaub so ntswg ntawm lub plab hnyuv raug rhuav tshem thiab tuag. Ob leeg co toxins thiab dej thiab cov as-ham tsis nkag mus rau hauv cov hlab ntsha. Xws li tshwm sim, ua ke nrog ntuav, ua rau lub cev qhuav dej, qee zaum txawm tias phais tsis muaj zog. Kev tuag tshwm sim nyob rau hauv ib hnub tom qab thawj cov tsos mob ntawm blockage tshwm sim, i.e. xeev siab thiab tsis xis nyob.
Ntxiv rau, muaj lwm yam, tsis tshua muaj kev phom sij, tab sis qhov teeb meem loj heev: raum tsis ua haujlwm, lub cev qhuav dej hnyav, tsis ua haujlwm ntawm lub cev tseem ceeb.
Siv qhov xaus
plab hnyuv hauv tus menyuam hnub nyoog 6 xyoo lossis lwm hnub raug txiav txim siabtxaus ntshai pathology. Kev ua tiav ntawm kev kho mob yog nyob ntawm qhov ceev ntawm kev xa tus neeg mob me mus rau tus kws kho mob. Raws li kev txheeb cais, kev ua haujlwm nyob rau hauv thawj rau rau teev tom qab qhov thaiv tau xaus nrog kev rov ua tiav, thiab tom qab ib hnub nws muaj txog nees nkaum tsib feem pua ntawm cov neeg tuag. Yog li, yog tias kuaj pom muaj kab mob, lossis txawm tias tsuas yog xav tias muaj kev cuam tshuam, yuav tsum muaj kev pab tshwj xeeb ceev ceev.
