Koj puas mob plab heev tam sim ntawd? (Plab Loj)

Koj puas tau muaj mob plab tam sim ntawd thiab tsis tuaj yeem ua tau? Qee zaum, koj tuaj yeem mob plab tam sim ntawd. Cov kws kho mob hu qhov mob no ua "mob plab ceev." Qee zaum, nws tuaj yeem loj txaus kom yuav tsum tau phais mob ceev. Yog li nws tseem ceeb heev uas yuav tsum paub txog qhov no.

Mob Plab Hnyuv Yog Dab Tsi Tiag?

Hais yooj yim xwb, mob plab sai sai yog mob plab sai sai thiab hnyav heev. Qhov no qee zaum yuav yog xwm txheej ceev uas yuav ua rau tuag taus. Qhov no txhais tau tias koj yuav tsum tau phais tam sim ntawd. Txawm li cas los xij, tsis yog txhua qhov mob plab sai sai yuav tsum tau phais. Qee yam mob kuj tuaj yeem ua rau mob hom no.

Cov kws kho mob siv lo lus "mob plab sai sai" los piav txog hom mob plab no. Nws txhais tau tias koj yuav tsum nrhiav seb muaj dab tsi tshwm sim tam sim ntawd thiab pib kho yog tias tsim nyog.

Leej twg yuav raug cuam tshuam los ntawm qhov xwm txheej no tshaj?

Qhov tseeb, qhov mob plab tam sim no tuaj yeem tshwm sim rau txhua tus . Txawm li cas los xij, qhov ua rau muaj qhov no yuav txawv nyob ntawm koj lub hnub nyoog, txawm tias koj yog txiv neej lossis poj niam, thiab lwm yam mob uas koj muaj.

Xav txog nws li no:

• Kab mob Appendicitis yog ib yam mob uas feem ntau tshwm sim rau cov tub ntxhais hluas hnub nyoog 18 thiab 20 xyoo.
• Kab mob Diverticulitis feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 60 xyoo.
• Rau ib tug poj niam, qhov mob tam sim no qee zaum tuaj yeem tshwm sim vim yog qhov tawg ntawm kev xeeb tub ectopic.
• Ib tug txiv neej yuav muaj mob tam sim ntawd vim yog qhov kev sib zog ntawm testicular.

Tsis tas li ntawd xwb, yog tias koj muaj keeb kwm mob nkeeg, koj kuj yuav muaj teeb meem plab zoo li no.

Tus mob no feem ntau tshwm sim li cas?

Nws nyuaj rau hais tias muaj pes tsawg tus neeg mob plab tam sim ntawd. Txawm li cas los xij, kwv yees li ntawm 7 txog 10 ntawm 100 tus neeg uas tuaj rau chav kho mob ceev muaj mob plab . Yog li, qhov ntawd muab rau koj lub tswv yim ntawm qhov no tshwm sim ntau npaum li cas.

Cov tsos mob ntawm mob plab sai sai yog dab tsi?

Feem ntau cov tsos mob tseem ceeb yog mob plab tam sim ntawd, tsis tuaj yeem ua tau . Txawm li cas los xij, lwm cov tsos mob kuj tseem yuav muaj. Cov no suav nrog:

• Lub plab nthuav: Qhov no txhais tau tias lub plab o ntau dua li qub, zoo li lub npas.
• Cov tsos mob ntawm kev poob siab: Qhov no suav nrog lub plawv dhia ceev ceev, ntshav qis, tawm hws, thiab qee zaum tsis meej pem. Qhov no yog ib qho cim txaus ntshai heev.
• Cov tsos mob ntawm tus kab mob peritonitis:Thaum daim ntaub ntawm peb lub plab kis kab mob (peritonitis), tej zaum yuav muaj mob tas mus li. Los yog qhov mob yuav nce ntxiv thaum lub plab raug kov lossis ntaus qee qhov chaw.

Yog koj muaj ib lossis ntau yam ntawm cov tsos mob no, tsis txhob xav tias qhov no yog qhov teeb meem loj.

Ua cas ho mob plab tam sim ntawd (Acute Abdomen)?

Muaj ntau yam mob sib txawv uas ua rau mob plab tam sim ntawd. Qee qhov ua rau mob plab tam sim ntawd yog vim phais . Yog li ntawd, tej zaum yuav xav tau phais. Lwm yam uas tsis yog phais .

Cov laj thawj vim li cas thiaj yuav tsum tau phais mob

Qhov no feem ntau suav nrog kev los ntshav, kev kis kab mob, cov ntshav txhaws, kev thaiv txoj hnyuv, thiab kev tho qhov.

1. Los ntshav (Los ntshav)

Kev los ntshav yog thaum cov ntshav ntws tawm ntawm cov hlab ntsha vim yog kev puas tsuaj. Qhov no tuaj yeem tshwm sim los ntawm:

• Kev tsim kua muag ntawm txoj hlab pas (Mallory-Weiss tear)
• Kev xeeb tub ectopic tawg
• Qee yam kev raug mob (Trauma)
• Lub qhov ntswg tawg
• Kev tawg ntawm lub plab aortic aneurysm

2. Kev kis kab mob

Mob plab tam sim ntawd tuaj yeem yog los ntawm ntau yam kab mob sib txawv:

• Kab mob appendicitis - kab mob appendicitis uas peb txhua tus paub
• Mob cholecystitis
• Kab mob peptic ulcer (mob plab los yog mob hnyuv me)
• Kab mob pancreatitis mob hnyav
• Kev kis kab mob ntawm qee qhov ntawm txoj hnyuv loj (Diverticulitis)

3. Kev thaiv cov ntshav ntws (Ischemia)

Ischemia tshwm sim thaum cov ntshav ntws mus rau ib feem ntawm lub cev raug txo qis lossis nres.

• Kab mob Buerger
• Kev o ntawm txoj hnyuv loj (Colitis)
• Kev thaiv cov hlab ntsha uas muab cov hnyuv (mesenteric ischemia)
• Mob hernia uas raug zawm
• Kev sib zog ntawm lub noob qes

4. Kev cuam tshuam

Kev thaiv yog thaum muaj ib yam dab tsi daig hauv txoj hnyuv zom zaub mov, ua rau cov khoom noj thiab cov kua dej uas peb noj tsis hla dhau mus zoo.

• Kab mob plab hnyuv (IBD)
• Intussusception (kev nkag mus rau hauv txoj hnyuv)
• Kev thaiv txoj hnyuv me me
• Kev thaiv plab loj

5. Kev tho qhov

Qhov no yog qhov tshwm sim thaum cov qhov tsim nyob rau hauv phab ntsa ntawm peb lub cev cov kabmob.

• Esophageal rupture (Boerhaave's syndrome)
• Kev tawg ntawm txoj hnyuv plab
• Mob plab tawg
• Kev hloov pauv ntawm txoj hnyuv

Vim li cas feem ntau tsis tas yuav phais

Cov ua rau mob plab feem ntau tsis tas yuav phais. Lawv tuaj yeem tshwm sim los ntawm cov kab mob endocrine thiab metabolic, cov kab mob ntshav, thiab cov tshuaj lom lossis tshuaj.

1. Kev mob endocrine thiab metabolic

Cov no yog cov teeb meem ntsig txog cov tshuaj hormones, cov tshuaj lom neeg, thiab cov qog (Endocrine system) hauv peb lub cev.

• Cov urea ntau ntxiv hauv cov ntshav (Uremia)
• Kab mob ketoacidosis uas cuam tshuam nrog ntshav qab zib (DKA)
• Kab mob Addison
• Mob porphyria sib txuas lus

2. Cov kab mob ntshav

Cov no yog cov kab mob uas cuam tshuam nrog peb cov ntshav, cov qe ntshav hauv peb cov ntshav, cov qog ntshav hauv lub cev, cov pob txha, thiab cov ntshav platelets.

• Kab mob ntshav liab
• Kab mob ntshav dawb loj heev
• Qee yam kab mob caj ces
• Kab mob ntshav tsis txaus

3. Cov tshuaj lom

Qee cov tshuaj, tshuaj lom neeg, thiab tshuaj lom los ntawm kev tom ntawm tsiaj kuj tuaj yeem ua rau mob plab tam sim ntawd.

• Kev lom los ntawm cov hlau lead
• Lwm yam kev qaug tshuaj hnyav
• Kev rho tawm Nicotine
• Kab laug sab dub tom
• Qee cov kab laug sab tom

Yuav kuaj mob plab tam sim ntawd li cas (Acute Abdomen)?

Yog koj mus rau chav kho mob ceev (ETU) nrog mob plab hnyav, cov kws kho mob thiab cov neeg tu mob nyob ntawd yuav sim nrhiav seb yog dab tsi ua rau mob plab. Tus kws kho mob yuav nug koj ob peb lo lus nug:

• Koj keeb kwm kho mob: Cov teeb meem GI yav dhau los thiab lwm yam kab mob.
• Qhov mob nyob qhov twg: Nws mob qhov twg hauv plab.
• Lub sijhawm pib mob thiab piav qhia txog qhov mob: Nws pib thaum twg thiab nws mob hom twg (mob, txiav, nias).
• Yuav ua li cas kom txo qhov mob, thiab yuav ua li cas kom nws mob ntxiv.
• Koj puas tau muaj cov tsos mob zoo li no ua ntej?
• Puas muaj tej yam tshiab?
• Koj noj cov tshuaj twg (cov tshuaj uas kws kho mob sau thiab cov tshuaj uas tsis yog kws kho mob sau)?
• Koj puas tau muaj kev phais mob plab ua ntej?
• Koj puas tau muaj kev hloov pauv tsis ntev los no hauv kev quav lossis kev tso zis?

Tsis tas li ntawd xwb, lawv yuav nug seb koj puas cev xeeb tub lossis puas muaj peev xwm cev xeeb tub.

Tus kws kho mob mam li kuaj koj lub cev, tshwj xeeb yog koj lub plab. Nws yuav saib daim tawv nqaij ntawm koj lub plab seb puas muaj qhov txawv txav uas pom tau. Nws yuav siv lub stethoscope los mloog koj cov hnyuv. Tom qab ntawd nws yuav kov koj lub plab seb puas muaj qhov mob lossis pob.

Qhov chaw uas koj mob yuav pab tau koj tus kws kho mob txiav txim seb ua rau koj mob li cas. Piv txwv li, mob diverticulitis feem ntau yuav hnov ​​​​​​nyob rau sab laug qis ntawm koj lub plab, thaum mob cholecystitis feem ntau yuav hnov ​​​​​​nyob rau sab xis saum toj ntawm koj lub plab.

Yog tias muaj teeb meem txog kev zom zaub mov lossis prostate, yuav tsum kuaj lub qhov quav los ntawm digital. Yog tias muaj teeb meem txog poj niam txiv neej, yuav tsum kuaj lub plab mog. Yog tias muaj teeb meem txog noob qes, yuav tsum kuaj lub noob qes.

Raws li koj cov lus teb rau cov lus nug no thiab cov ntaub ntawv los ntawm kev kuaj lub cev, tus kws kho mob tuaj yeem tau txais lub tswv yim ntawm tus kab mob yuav yog dab tsi. Raws li qhov ntawd, nws yuav txiav txim siab seb yuav ua qhov kev kuaj mob twg.

Yuav ua li cas thiaj kuaj tau qhov no?

Qee zaum, yog tias koj tus kws kho mob tuaj yeem txheeb xyuas qhov ua rau koj cov tsos mob, nws yuav xa koj mus rau kev phais mob ncaj qha yam tsis tas kuaj ntxiv lawm. Txawm li cas los xij, yog tias koj tsis paub meej txog qhov ua rau, koj yuav tsum tau kuaj ntau zaus kom paub meej tias kuaj tau. Cov kev kuaj uas koj yuav tsum tau ua yuav nyob ntawm seb koj pom dab tsi thaum koj kuaj lub cev thiab qhov mob uas koj xav tias muaj.

Kev kuaj ntshav thiab zis (Kev kuaj hauv chaw kuaj mob) yuav suav nrog:

• Kev suav cov ntshav tag nrho (CBC)
• Kev tshuaj xyuas lub cev metabolic kom meej (CMP)
• Kev kuaj roj ntshav hauv cov hlab ntsha (ABG)
• Kev kuaj Amylase
• Kev ntsuam xyuas kev ua haujlwm ntawm daim siab
• Kev ntsuam xyuas kev ua haujlwm ntawm lub raum
• Kev kuaj zis

Kev kuaj duab yuav muaj xws li:

• Kev kuaj mob ultrasound ntawm lub plab
• Kev thaij duab hauv plab (CT scan)
• Kev kuaj mob ultrasound hauv endoscopic

Koj yuav kho qhov mob plab tam sim ntawd (Acute Abdomen) no li cas?

Kev kho mob sib txawv nyob ntawm seb ua rau mob li cas . Txawm yog vim li cas los xij, nws yog ib qho tseem ceeb uas yuav tsum kuaj mob thiab pib kho sai li sai tau. Yog tias xav tau kev phais mob ceev, tus kws kho mob yuav xa koj mus rau tus kws phais kom tau lus qhia sai sai thiab tej zaum yuav coj koj mus rau chav phais.

Yog tias qhov ua rau mob plab tam sim ntawd tsis yog phais, cov kev kho mob hauv qab no yuav raug pom zoo:

• Kev ruaj khov thiab saib xyuas koj cov cim tseem ceeb.
• Muab cov kua dej thiab electrolytes uas lub cev xav tau.
• Muab cov tshuaj tua kab mob dav dav.
• Muab cov tshuaj loog mob.
• Muab tshuaj tiv thaiv kev ntuav kom txo tau kev ntuav thiab xeev siab.

Yog tias kuv mob plab tam sim ntawd (Acute Abdomen) yuav ua li cas?

Koj qhov kev kwv yees mob nyob ntawm seb ua rau muaj tus kab mob li cas. Yog koj kho sai npaum li cas, koj yuav muaj feem rov zoo sai npaum li ntawd.

Yog tias mob plab tam sim ntawd tsis kho, ces yuav muaj teeb meem txaus ntshai tshwm sim. Cov no suav nrog:

• Kev sib txuas tsis zoo ntawm cov qhov ntawm lub cev uas yuav tsum tsis txhob sib txuas ua ke (Fistula).
• Necrosis ntawm koj txoj hnyuv.
• Kev lom ntshav (Sepsis).
• Txawm tias kev tuag kuj tuaj yeem tshwm sim.

Yog li ntawd, yog tias koj mob plab tam sim ntawd, tsis txhob tsis quav ntsej nws. Qhov zoo tshaj plaws ua yog nrhiav kev pab kho mob tam sim ntawd.

Kuv puas tiv thaiv tau qhov mob plab tam sim ntawd (Acute Abdomen) no?

Vim muaj ntau yam ua rau mob plab tam sim ntawd, nws nyuaj rau tiv thaiv txhua yam. Txawm li cas los xij, koj tuaj yeem txo qhov kev pheej hmoo no los ntawm kev ua raws li kev noj qab haus huv . Qhov ntawd txhais tau tias:

• Noj zaub mov kom sib npaug.
• Ua si nawv tsis tu ncua.
• Mus kuaj mob tsis tu ncua.
• Tso kev haus luam yeeb.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Yog koj mob plab ntev ntev, uas txhais tau tias mob tau ntev lub lis piam lawm thiab zoo li tsis zoo dua, koj yuav tsum mus ntsib kws kho mob. Muaj ntau yam ua rau mob plab. Kws kho mob tuaj yeem kuaj koj tus mob thiab pom zoo kom kho koj tus mob.

Kuv yuav tsum mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) thaum twg?

Yog tias koj mob plab sai sai, hu rau 911 (1990 hauv Sri Lanka) tam sim ntawd, lossis mus rau chav kho mob ceev ze tshaj plaws. Qhov no tuaj yeem ua rau tuag taus, yog li kev kho mob sai yog qhov tseem ceeb.

Kuv yuav tsum nug kuv tus kws kho mob li cas?

Yog tias koj mob plab tam sim ntawd, koj tuaj yeem nug koj tus kws kho mob cov lus nug no:

• Ua cas kuv thiaj mob plab tam sim ntawd?
• Kuv puas yuav tsum tau kev kho mob ntxiv?
• Kuv ua tau dab tsi los tiv thaiv kom tsis txhob muaj tej yam zoo li no dua?
• Qhov txawv ntawm mob plab tam sim ntawd thiab mob plab mus ntev yog dab tsi?

Yuav luag txhua tus neeg muaj mob plab qee lub sijhawm hauv lawv lub neej. Feem ntau, nws tsis yog mob hnyav thiab yuav ploj mus nws tus kheej. Txawm li cas los xij, mob plab sai sai tuaj yeem yog ib qho cim qhia txog kev mob ceev. Yog tias koj mob plab sai sai, nws yog ib qho tseem ceeb uas yuav tsum mus rau chav kho mob ceev tam sim ntawd. Ua li no, cov kws kho mob tuaj yeem nrhiav tau qhov ua rau koj mob thiab pib kho tam sim ntawd. Yog tias tsis kho, mob plab sai sai tuaj yeem ua rau muaj teeb meem loj.

Nco ntsoov qhov tseem ceeb tshaj plaws (Cov Lus Coj Mus Tsev)

Mob plab sai sai thiab hnyav heev yeej tsis yog ib yam uas yuav tsum tsis quav ntsej . Tej zaum yuav muaj ib qho ua rau mob hnyav heev. Yog li ntawd, yog tias koj lossis ib tus neeg koj paub mob plab sai sai, nrhiav kev kho mob tam sim ntawd . Kev kho mob sai sai tuaj yeem cawm tau ib tus neeg txoj sia. Kev ua neej noj qab haus huv kuj tseem tuaj yeem pab tiv thaiv koj ntawm cov mob no rau qee qhov. Qhov tseem ceeb tshaj plaws, saib xyuas koj lub cev thiab ua tib zoo saib xyuas txhua yam txawv txawv.

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