Kev cuam tshuam ntawm txoj hlab pas: ua rau, tsos mob, kuaj mob thiab kho

2024 Tus sau: Curtis Blomfield | [email protected]. Kawg hloov kho: 2023-12-16 21:10

Kev cuam tshuam ntawm txoj hlab pas yog ib qho mob hnyav txaus uas tuaj yeem suav tias ua rau muaj kev phom sij rau lub neej. Qhov tshwm sim loj tuaj yeem zam tau yog tias koj mus ntsib kws kho mob raws sijhawm. Nyob ntawm qhov mob hnyav, txoj kev kho mob tau txiav txim siab. Tom ntej no, peb yuav xav txog yuav ua li cas kev cuam tshuam ntawm txoj hlab pas tshwm sim nws tus kheej, dab tsi ua rau kev loj hlob ntawm pathology thiab seb nws puas tuaj yeem tshem tawm.

Tus kab mob mus li cas

Ua ntej txiav txim siab txog cov tsos mob thiab kev kho mob, nws yuav tsum nkag siab tias qhov kev cuam tshuam ntawm txoj hlab pas yog dab tsi. Nrog rau txoj kev loj hlob ntawm xws li ib tug pathological mob, patency ntawm cov zaub mov bolus los ntawm txoj hlab pas yog impaired. Kev cuam tshuam tuaj yeem tsim los ua tus kab mob ywj pheej lossis ua rau muaj kev cuam tshuam ntawm lwm yam pathologies.

Yog tias muaj kev raug mob rau ntawm phab ntsa ntawm txoj hlab pas, tom qab ntawd thaum kho, cov ntaub so ntswg raug tsim, uas tuaj yeem ua rau muaj kev cuam tshuam. Tom ntej no, xav txog qhov ua rau ntawm txoj kev loj hlob ntawm pathology nyob rau hauv kom meej ntxiv.

theem ntawm kev txhim kho kab mob

Cov kab mob no dhau los ntawm ntau theem hauv nws txoj kev loj hlob:

1. Tus neeg mob pib hnov qhov tsis xis nyob thaum nqos,muaj kev tsis xis nyob tom qab lub sternum.
2. Tom ntej no, cov zaub mov loj dhau los nrog kev nyuaj, nws yooj yim dua yog tias koj haus cov kua dej tib lub sijhawm thaum noj.
3. Nws nyuaj rau noj txawm tias cov zaub mov ntshiab.
4. Mob hauv txoj hlab pas tshwm sim txawm tias siv cov kua.
5. Kev cuam tshuam ntawm txoj hlab pas rau theem tom ntej yog ib theem tseem ceeb thaum txoj hlab pas txhaws tag. Txawm dej los nqos tsis tau.

Nws yuav tsum tau nco ntsoov tias qhov kuaj pom sai sai, qhov kev kho yuav zoo dua.

Daim ntawv thiab qib kab mob

Ob hom kab mob tuaj yeem paub qhov txawv:

1. Kev faib ntawm txoj hlab pas tuaj yeem nqaim vim qhov tshwm sim ntawm qhov tsis zoo, piv txwv li, tshuaj lom neeg kub hnyiab, siv ntau yam kua dej ua kua, muaj cov kab mob hauv cov txheej sib sib zog nqus.
2. Kev cuam tshuam ntawm malignant keeb kwm tsim tawm tsam keeb kwm ntawm mob qog noj ntshav ntawm txoj hlab pas.

Tus kab mob kuj muaj qib:

1. thawj degree yog nqaim ntawm 9-11 mm.
2. 2nd - constriction txoj kab uas hla 6-8 mm.
3. Tom ntej degree 3-5mm.
4. 4th degree 1-2 mm.

Ua rau kev loj hlob ntawm pathology

Muaj ntau yam thiab cov kab mob uas tuaj yeem ua rau muaj kev cuam tshuam ntawm txoj hlab pas. Feem ntau sau tseg yog:

• Stenosis tuaj yeem tshwm sim los ntawm kev noj cov tshuaj kua los yog haus dej kub heev, vim li no koj yuav tsum tsis txhob haus dej kub heev.haus.



• Malignant thiab benign neoplasms hauv txoj hlab pas.
• Mechanical raug mob ntawm txoj hlab pas, uas yog ua tau los ntawm cov khoom txawv teb chaws, qhov txhab.
• Irritation ntawm mucous daim nyias nyias ntawm txoj hlab pas los ntawm cov ntsiab lus ntawm lub plab thiab gallbladder.
• Kev cuam tshuam tuaj yeem tshwm sim los ntawm kev kis kab mob, inflammatory kab mob.
• Pathology ntawm cov ntaub so ntswg sib txuas.
• Kev faib ntawm cov hlab pas tuaj yeem raug puas tsuaj vim yog cov kab mob ntawm cov thyroid caj pas, piv txwv li, nodular goiter tsim.
• Tseem muaj kev cuam tshuam hauv lub cev uas tshwm sim hauv tus menyuam thaum lub caij cev xeeb tub.

Yuav ua li cas thiaj paub txog kev cuam tshuam

Lub cev nqaij daim tawv ntawm txoj hlab pas yog qhov uas pathology tuaj yeem txhim kho sai heev, yog li nws yog ib qho tseem ceeb kom kuaj xyuas nws sai li sai tau. Cov tsos mob yuav muaj xws li:

• Cov tsos mob tseem ceeb ntawm pathology yog dysphagia, thaum nqos yog mob thiab nyuaj. Cov degree tuaj yeem txawv ntawm qhov tsis xis nyob mus rau qhov nyuaj nqos dej.



• Muaj mob thaum nqos qab lub sternum. Koj tuaj yeem cuam tshuam cov tsos mob no nrog mob plawv.
• Npaj ntawm cov zaub mov uas muaj ntshav impurities tshwm.
• Ntshai belching nrog ib tug tsw ntawm cov qe lwj.
• Vim stenosis, cov zaub mov noj txo qis, yog li tus neeg mob poob phaus.

Tsis txhob las mees txawm tias me ntsis kev cuam tshuam ntawm txoj hlab pas rau cov neeg laus thiab menyuam yaus. Qhov sai duaKev kho yog pib, qhov zoo dua.

Kev kuaj kab mob

Kev kuaj mob kom raug yog thawj kauj ruam los kho kom zoo. Lub cev nqaij daim tawv ntawm txoj hlab pas yog qhov uas nws yuav luag tsis tuaj yeem pom qhov pom ntawm pathology, yog li ntawd, cov hauv qab no yog siv los kuaj mob:

• Eophagogastroduodenoscopy yog ib qho txheej txheem uas tso cai rau koj los ntsuas qhov mob ntawm txoj hlab pas, cov qauv ntawm nws cov epithelium. Yog tias tsim nyog, kuaj biopsy thaum kawm.
• Ultrasound tuaj yeem kuaj pom txhua yam kab mob ntawm lub cev.
• X-ray kev kuaj.



• Computer thiab magnetic tomography pab kom sib txawv ntawm tus kab mob, paub meej qhov kev kuaj mob thiab kuaj pom muaj teeb meem.

Vim tias kev cuam tshuam ua rau muaj kev hloov pauv ntawm qhov chaw kho mob, tus neeg mob raug xa mus rau cov kev sim hauv qab no:

• Kev txiav txim siab ntawm hemoglobin thiab cov ntsiab lus protein hauv cov ntshav.
• Stool exam for occult blood.
• Kev kuaj ntshav thiab zis.

Tom qab tau txais tag nrho cov txiaj ntsig ntawm kev tshawb fawb thiab tshawb pom qhov ua rau, kev kho mob ntawm txoj hlab pas tau raug sau tseg.

Kev kho mob

Kev kho mob tactics yuav ua tiav nyob ntawm qhov hnyav ntawm pathology thiab qhov ua rau nws tshwm sim. Piv txwv li, yog hais tias lub cev txawv teb chaws tau nkag mus rau hauv txoj hlab pas, ces nws raug tshem tawm siv lub esophagoscope nrog ib tug expansion ntawm lub lumen. Yog hais tias muaj oncology, ces ib txoj kev kho yog indispensable.

Yog tias peb xav txog txoj kev kho mob ntawm pathology, ces kev kho ntawm txoj hlab pas suav nrog:

• Drug therapy.
• kev kho mob phais.
• Siv pej xeem kev kho mob.
• Kev noj haus.

Qhov txiaj ntsig zoo tshaj tsuas yog tau nrog kev kho mob nyuaj.

Peb kho ob leeg nrog tshuaj thiab phais

Tom qab qhov ua rau ntawm tus kab mob tau tsim thiab pom tus kab mob hnyav, cov kev kho mob raug xaiv. Nws pib nrog kev teem caij tshuaj los ntawm pab pawg hauv qab no:

• Antacids.
• YProkinetics.
• Npaj nrog cov khoom astringent.
• Prescribe stimulants restore and accelerate regeneration.
• YProton inhibitors.

Yog tias kev kho tshuaj tsis pab thiab kev cuam tshuam ntawm txoj hlab pas tsis txo nws cov tsos mob, ces kev kho phais raug qhia. Feem ntau txoj kev no yog xav tau rau kev mob qog noj ntshav ntawm txoj hlab pas. Tam sim no, ntau txoj kev siv tau zoo:

1. Kev cuam tshuam kev phais nrog kev tshem tawm tag nrho ntawm txoj hlab pas thiab nws hloov nrog lwm cov ntaub so ntswg.
2. Kev tswj tshuaj khomob nrog tshuaj tiv thaiv kabmob.
3. Kev kho hluav taws xob ua ke nrog cov tshuaj khomob pab txo cov qog kom nws tshem tau.

Yog tias kuaj pom cov qog nqaij hlav zoo li qhov tshwm sim ntawm kev kawm, ces nws raug tshem tawm los ntawm kev nthuav cov hlab pas nrog cov cuab yeej tshwj xeeb.

Obstruction ntawm txoj hlab pas: kho nrog pej xeem cov tshuaj

Cov zaub mov txawv tuaj yeem tuaj yeem pab kho tshuaj. infusions thiabdecoctions ntawm cov nroj tsuag tshuaj yuav pab alleviate tus neeg mob tus mob thiab txo cov tsos mob ntawm pathology.

Ua ntej siv cov zaub mov txawv, koj yuav tsum sab laj nrog koj tus kws kho mob, vim tias koj tuaj yeem ua rau tus mob hnyav dua. Txhawm rau tshem tawm cov kev cuam tshuam, cov zaub mov hauv qab no yog siv:

1. Decoction of oak bark. Koj tuaj yeem npaj cov tshuaj kho mob zoo li no: noj 30 grams ntawm ntoo qhib tawv thiab cinquefoil, 40 grams ntawm walnut nplooj thiab St. John's wort thiab 20 grams ntawm oregano nplooj. Sib tov txhua yam, grind qhov sib tov thiab noj 30 grams, ncuav 700 ml dej ntawm chav tsev kub. Infuse rau 3 teev, thiab tom qab ntawd boil rau 5 feeb. Tom qab straining cov tshuaj sib tov, noj 100 ml ib nrab ib teev ua ntej noj mov.
2. Kev sau raws li cov wormwood. Nws yog tsim nyog los npaj 50 grams ntawm wormwood, 75 arnica thiab 100 grams femur paus. Muab 45 grams ntawm cov sib tov rau hauv ib lub thermos thiab ncuav 400 ml ntawm boiling dej. Infuse rau 10 teev, thiab tom qab ntawd noj 100 ml 4 zaug hauv ib hnub 30 feeb ua ntej noj mov.
3. Sib tov raisins, zib ntab, txiv roj roj thiab quav nyab thiab noj 1 tablespoon ua ntej pw nrog dej.
4. Npaj ib lub tincture ntawm cov tub ntxhais hluas walnuts hauv cawv thiab noj ib teaspoon tom qab noj mov.
5. Alder bark pab tiv thaiv txoj hlab pas. Cov khoom nyoos crushed yuav tsum tau nchuav nrog dej npau npau thiab insisted rau 3 teev, thiab ces noj 4 zaug ib hnub twg tom qab noj mov.

Qhov tseem ceeb tshaj plaws hauv kev kho mob yog tsis txhob tso tseg tus kws kho mob cov lus pom zoo, tsis yog tshuaj rau tus kheej.

Hloov kev noj haus

Khoom noj khoom haus rau kev cuam tshuam esophageal nyob ntawmQhov hnyav ntawm stenosis thiab ua rau pathology. Nutritionists pom zoo ob peb lub rooj noj mov:

1. 1. Kev noj zaub mov kom tiav, tab sis tag nrho cov tais diav yuav tsum yog pureed thiab steamed los yog boiled. Nws tsis pom zoo kom noj cov tais diav txias lossis kub. Txhua hnub, koj yuav tsum noj ntau zaus, tab sis me me.



2. Table tooj 2 txhais tau hais tias tsuas yog siv cov kua thiab cov kua dej ib nrab xwb. Nyob nruab nrab ntawm cov pluas noj, lub sijhawm ncua tsis pub dhau 2.5 teev. Kev siv ntsev yuav tsum raug txwv, tsis suav cov qhob cij, hnyuv ntxwm thiab cov nqaij haus luam yeeb, buns thiab pies, txiv hmab txiv ntoo qaub. Es tsis txhob muaj zog tshuaj yej thiab kas fes, nws yog qhov zoo dua los haus dej haus txiv hmab txiv ntoo, compotes los yog decoctions ntawm cov tshuaj ntsuab.
3. Table naj npawb 3 tso cai rau cov khoom noj uas tsis muaj calorie tsawg nrog kev cais tawm ntawm txhua yam khoom uas ua rau lub qhov txhab mucous. Tag nrho cov tais diav yuav tsum tau grated thiab nyob rau hauv ib tug semi-kua xeev.

Nws yuav tsum nco ntsoov tias kev kho zaub mov yuav tsum ua kom tiav cov ntsiab lus tseem ceeb ntawm kev kho.

Tiv thaiv kab mob

Yuav kom tiv thaiv tus kab mob, koj xav tau:

• Ua ntsuas los tiv thaiv kev loj hlob ntawm cov qog nqaij hlav hauv txoj hlab pas.
• Khaws tag nrho cov kua tshuaj lom neeg thiab cov khoom siv hauv cov thawv uas muaj npe kos npe nkaus xwb, thiaj li tsis txhob yuam kev yuam kev thiab nyob rau hauv qhov chaw uas tus menyuam ncav tsis tau.
• Yog tias koj muaj gastroesophageal reflux, koj yuav tsum ua raws li kev noj zaub mov nruj: tsis txhob noj ntau dhau, tsis txhob noj cov zaub mov uas khaus.
• Tsis txhob noj ua ntej pw: noj mov kawg tsis pub dhau 3 teev ua ntej yuav mus pw.
• Tom qab noj tsis tautam sim ntawd coj txoj hauj lwm ntsug.
• Saib koj qhov hnyav.
• Tsis txhob hnav khaub ncaws nruj heev, siv tawv nruj.
• Tsis txhob lub cev ntau dhau.

Nws yooj yim dua los tiv thaiv kev txhim kho ntawm tus kab mob dua li kev koom nrog kev kho mob mus ntev tom qab. Thaum thawj cov tsos mob tshwm sim, nws yog qhov zoo dua mus ntsib tus kws kho mob tam sim ntawd, thiab tsis yog tshuaj kho tus kheej.