Peb paub tias qhov no yog ib qho nyuaj rau tham txog, tab sis muaj ntau tus neeg hauv peb lub zej zog uas raug kev txom nyem ntsiag to los ntawm qhov teeb meem no. Koj puas hnov mob ntse heev thaum mus rau chav dej, tshwj xeeb tshaj yog thaum tso quav, zoo li koj raug txiav los ntawm tus pos iav? Tib lub sijhawm, koj puas qee zaum pom ob peb tee dej ntshav liab tshiab? Tom qab ntawd muaj feem ntau uas koj kuj muaj qhov tawg ntawm qhov quav . Tsis txhob txhawj, qhov no yog ib qho mob uas tshwm sim ntau heev. Hnub no peb yuav tham txog qhov no hauv txoj kev yooj yim heev, hauv txoj kev uas koj tuaj yeem nkag siab.
Hais yooj yim xwb, qhov anal fissure yog dab tsi?
Qhov qhov quav tawg yog ib qho kua muag me me lossis tawg hauv daim nyias nyias uas nyob sab hauv ntawm koj lub qhov quav. Xav txog nws zoo li koj daim di ncauj tawg thaum koj mob khaub thuas. Daim tawv nqaij ntawm qhov kawg ntawm koj lub qhov quav yog nyias heev thiab rhiab heev. Qhov tawg tshwm sim thaum daim tawv nqaij nyias no raug puas tsuaj rau qee qhov laj thawj. Qhov no feem ntau yog qhov ua rau mob qhov quav thiab muaj ntshav me me hauv koj cov quav.
Tus mob no tuaj yeem cuam tshuam rau txhua tus neeg txawm tias muaj hnub nyoog li cas los xij. Nws yog ib qho tshwj xeeb tshaj yog rau cov menyuam yaus, cov poj niam cev xeeb tub, thiab cov tub ntxhais hluas. Rau qee tus neeg, nws tshwm sim sai sai thiab zoo dua nws tus kheej hauv ob peb hnub lossis ob peb lub lis piam. Rau lwm tus, nws tuaj yeem dhau los ua tus mob ntev uas kav ntev.
Cov tsos mob tseem ceeb ntawm tus mob no yog dab tsi?
Ib tug neeg uas muaj qhov quav tawg yuav muaj ntau yam tsos mob. Txawm li cas los xij, muaj ob peb yam tsos mob uas feem ntau cov neeg muaj. Kuv yuav sau lawv ua ke hauv daim ntawv no kom yooj yim to taub.
| Cov tsos mob | Kev piav qhia |
|---|---|
| Mob ntse | Mob tob tob, mob heev, thiab mob thaum koj mus chav dej, tshwj xeeb tshaj yog thaum koj tso quav. Qhov mob no yuav mob ntev li ob peb feeb mus txog ob peb teev tom qab koj tso quav tas. |
| Ntshav hauv cov quav | Tej zaum yuav pom me ntsis ntshav tshiab liab dawb hauv lub tais dej, ntawm lub rooj zaum, lossis ntawm daim ntawv so quav. Qhov no tsis yog ntshav ntau, feem ntau tsuas yog ob peb tee ntshav xwb. |
| O thiab khaus | Kub hnyiab los yog khaus hauv qhov quav tom qab tso quav. |
| Cov leeg nqaij ntawm lub qhov quav (spasms) | Qhov mob ua rau cov leeg nqaij zoo li lub nplhaib nyob ib puag ncig lub qhov quav (qhov quav sphincters) nruj lossis spasm yam tsis tau xav txog. |
| Ib lub pob ntawm daim tawv nqaij | Qee zaum yuav muaj ib lub pob me me lossis daim tawv nqaij tshwm sim rau ntawm daim tawv nqaij ze ntawm qhov phais. |
Qhov tseem ceeb yog qhov mob no ua rau ntau tus neeg ntshai mus rau chav dej. Tab sis kev tuav lub rooj zaum tsuas yog ua rau lub rooj zaum tawv dua thiab qhov txhab hnyav dua rau lub sijhawm tom ntej. Nws zoo li lub voj voog phem.
Kuv puas muaj mob hemorrhoids? Los yog muaj qhov tawg hauv kuv lub qhov quav?
Qhov no yog ib qho teeb meem uas ntau tus neeg muaj, vim tias cov tsos mob ntawm ob qho tib si hemorrhoids thiab qhov quav fissures zoo sib xws heev. Ob qho tib si tuaj yeem tshwm sim los ntawm kev cem quav, ob qho tib si tuaj yeem los ntshav, thiab ob qho tib si tuaj yeem khaus.
Tiam sis muaj qhov sib txawv loj heev.
- Mob: Cuaj ntawm kaum tus neeg uas muaj qhov quav tawg yuav mob heev. Tab sis cov mob hemorrhoids tsis yog ib txwm mob. Qhov mob ntawm cov mob hemorrhoids feem ntau yog qhov mob tsis mob thiab txuas ntxiv mus. Tab sis qhov mob ntawm qhov quav tawg feem ntau yog qhov mob ntse, mob dua uas tshwm sim thaum lub sijhawm tso quav .
- Xwm Txheej: Kab mob hemorrhoids yog cov hlab ntsha o nyob ib puag ncig lub qhov quav. Lawv zoo li cov leeg ntshav varicose hauv ob txhais ceg. Tab sis qhov tawg yog qhov kua muag hauv daim tawv nqaij.
Txawm li cas los xij, yog tias koj muaj cov tsos mob no, nws yog qhov zoo tshaj plaws mus ntsib kws kho mob kom kuaj mob kom zoo dua li sim txiav txim siab rau koj tus kheej seb nws puas yog hemorrhoids lossis qhov tawg.
Vim li cas ho muaj qhov kev sib cais no? Cov laj thawj tseem ceeb yog dab tsi?
Qhov no feem ntau yog los ntawm kev raug mob rau daim tawv nqaij ntawm lub qhov quav. Tsis tas li ntawd, qee yam mob nkeeg tuaj yeem ua rau muaj kev pheej hmoo ntxiv.
Cov ua rau tseem ceeb:
- Kab mob cem quav:Qhov no yog qhov ua rau mob hnyav tshaj plaws. Thaum cov quav tawv, qhuav, thiab loj, koj yuav tsum siv zog heev kom tso tau. Qhov no tuaj yeem ncab thiab rhuav cov tawv nqaij ntawm lub qhov quav.
- Mob raws plab ntev: Kev tso quav ntau zaus kuj tuaj yeem ua rau daim tawv nqaij ntawm lub qhov quav puas tsuaj.
- Kev yug menyuam: Hom kev tsim kua muag no tuaj yeem tshwm sim vim muaj kev nyuaj siab thaum lub sijhawm yug menyuam ntuj.
- Muab ib yam dab tsi ntxig rau hauv lub qhov quav: rau qee qhov kev kuaj mob lossis lwm yam laj thawj.
- Menyuam Mos Dyschezia: Tus mob no tuaj yeem tshwm sim txawm tias thaum cov menyuam mos sim tso quav.
Lwm yam mob uas yuav ua rau muaj:
- Cov kev phais mob yav dhau los uas cuam tshuam nrog lub qhov quav.
- Kab mob plab hnyuv (IBD), xws li kab mob Crohn .
- Cov kab mob sib kis los ntawm kev sib deev (STIs).
- Cov mob tsis tshua muaj xws li mob ntsws (Tuberculosis (TB) thiab mob qog nqaij hlav ntawm qhov quav .
- Mob pob khaus ntawm daim ntaub qhwv plab zuj zus tuaj.
Yog tias tsis kho tus mob no, yuav muaj teeb meem dab tsi tshwm sim?
Feem ntau, cov kab nrib pleb no yuav kho tau hauv ob peb lub lis piam yog tias koj saib xyuas zoo. Tab sis qee zaum lawv tsis kho thiab tseem mob mus ntxiv. Peb hu qhov no ua Chronic Anal Fissure . Qhov laj thawj rau qhov no yog lub voj voog phem uas kuv tau hais ua ntej.
Qhov mob ua rau cov leeg nqaij hauv lub qhov quav nruj (spasm) -> Cov leeg nqaij nruj, ua rau qhov tawg ncab ntxiv, thiab txo cov ntshav ntws mus rau thaj chaw -> Qhov txhab kho qeeb dua vim cov ntshav ntws tsawg -> Qhov txhab tsis kho, yog li qhov mob tseem nyob.
Yog tias lub voj voog no txuas ntxiv mus, lwm yam teeb meem yuav tshwm sim.
- Kev Cuam Tshuam ntawm Cov Quav: Thaum koj tsis mus chav dej vim ntshai mob, cov quav tuaj yeem daig hauv lub qhov quav.
- Qhov Ncauj Qog: Qhov caws pliav los ntawm kev raug mob ntev tuaj yeem ua rau qhov ncauj qog, ua rau nws nyuaj rau tso quav.
- Qhov quav qhov quav: Ib lub raj tsis zoo tuaj yeem tsim ntawm qhov quav thiab daim tawv nqaij thaum qhov quav tob thiab kis kab mob. Qhov no yog ib qho mob nyuaj dua.
Tus kws kho mob kuaj mob li cas?
Thaum koj mus ntsib kws kho mob, nws yuav xub nug koj txog koj cov tsos mob. Tom qab ntawd, nws yuav sim kuaj koj lub qhov quav. Qhov no ua tiav los ntawm kev tig koj mus rau ib sab ntawm lub txaj thiab maj mam txav koj lub pob tw mus rau sab, sim kov qhov qhib.
Muaj coob tus neeg ntshai thiab txaj muag txog qhov kev kuaj no. Tiam sis nco ntsoov, qhov no yog ib qho uas cov kws kho mob feem ntau ua. Yog tias koj tsis tuaj yeem ris qhov mob, tus kws kho mob yuav tsis yuam koj ua qhov kev kuaj no. Feem ntau tus kab mob no tuaj yeem kuaj tau los ntawm cov tsos mob xwb.
Yog tias koj tsis mob heev, koj tus kws kho mob yuav maj mam muab tus ntiv tes uas muaj roj nplua nyeem thiab hnab looj tes ntxig rau hauv koj lub qhov quav (kev kuaj mob qhov quav los ntawm digital) los xyuas seb cov leeg nqaij puas nruj thiab lwm yam teeb meem. Qhov no tuaj yeem pab tshem tawm lwm yam mob.
Koj ua tau dab tsi hauv tsev kom kho thiab txo qhov mob?
Qhov xov xwm zoo yog tias feem ntau cov qhov quav tawg, tshwj xeeb tshaj yog cov tshiab (cov qhov tawg loj), tuaj yeem kho tau nrog cov tshuaj yooj yim hauv tsev.
| Kev kho mob | Yuav ua li cas thiab nws qhov tseem ceeb |
|---|---|
| Sitz bath (da dej kub) | Qhov no yog qhov kev kho mob zoo tshaj plaws thiab yooj yim tshaj plaws. Muab dej sov so rau hauv ib lub tais loj thiab zaum rau hauv nws li 10-15 feeb, ob lossis peb zaug hauv ib hnub. Qhov no yuav txo qhov mob thiab khaus. Nws tseem yuav ua rau cov leeg nqaij hauv lub qhov quav so, ua rau cov ntshav ntws ntau dua, thiab pab kom qhov txhab kho sai dua. |
| Kev hloov kev noj haus | Nws yog ib qho tseem ceeb heev uas yuav tsum tiv thaiv kom tsis txhob raws plab. Noj cov khoom noj uas muaj fiber ntau (taum, taum pauv, txiv tsawb, zaub paj ntsuab, oats, txiv hmab txiv ntoo, zaub). Haus tsawg kawg 8-10 khob dej ib hnub. Qhov no yuav ua rau cov quav mos thiab ua rau nws yooj yim dua rau kev tso zis. |
| Kev coj ua hauv chav dej | Thaum koj xav mus rau chav dej, tsis txhob ncua sijhawm. Tsis txhob siv zog ntau dhau. Thaum zaum saum chav dej, muab ib lub rooj zaum me me (lub rooj zaum me me) tso rau hauv qab koj ob txhais ceg. Qhov no yuav pab koj lub cev kom xis nyob rau hauv qhov chaw tso quav. |
| Kev Huv Si | Tom qab siv chav dej tas, maj mam ntxuav nrog cov ntaub so ntub uas tsis muaj ntxhiab lossis tsis muaj cawv lossis daim ntawv so quav mos. Yog tias ua tau, yaug nrog dej (bidet) zoo tshaj plaws. |
| Hom kev txheej | Siv cov tshuaj petroleum jelly yuav pab kom daim tawv nqaij noo thiab kho tau. Cov tshuaj pleev uas txo qhov mob (piv txwv li Lidocaine) siv tau raws li kws kho mob qhia. |
Yog tias kev kho mob hauv tsev tsis kho tau, cov kev kho mob twg yog cov uas yuav kho tau?
Yog tias qhov tawg tsis zoo ntev tshaj 6-8 lub lis piam (Chronic Anal Fissure), nws yog ib qho tseem ceeb uas yuav tsum mus ntsib kws kho mob. Lub hom phiaj tseem ceeb ntawm kev kho mob ntawm no yog kom cov leeg ntawm lub qhov quav so thiab muab sijhawm rau qhov tawg kom zoo.
Hom tshuaj
- Tshuaj pleev Nitroglycerin: Cov tshuaj pleev no ua haujlwm los ntawm kev nthuav cov hlab ntsha ncig lub qhov quav, ua rau cov leeg so, thiab ua rau cov ntshav ntws mus rau qhov txhab ntau ntxiv. Qhov no pab kom qhov txhab kho sai dua. Txawm li cas los xij, qee tus neeg yuav mob taub hau thaum siv qhov no.
- Cov tshuaj calcium channel blockers: Cov tshuaj pleev uas muaj cov tshuaj xws li nifedipine lossis diltiazem kuj tseem siv los so cov leeg.
- Kev txhaj tshuaj Botox®: Yog tias lwm yam kev kho mob tsis ua haujlwm, kev txhaj tshuaj Botox® tuaj yeem siv ua qhov kev xaiv kawg los kho cov leeg nqaij ntawm qhov quav. Qhov no ua rau cov leeg nqaij tsis ua haujlwm ib ntus thiab so (kwv yees li 3 lub hlis), cia qhov tawg kho tau.
- Cov Tshuaj Laxatives Ntau: Yog tias cem quav hnyav heev, koj tus kws kho mob yuav pom zoo kom noj cov tshuaj xws li cov tshuaj fiber (piv txwv li, psyllium husk).
Kev phais mob
Yog tias tshuaj tsis pab lossis qhov tawg rov qab los, tej zaum yuav xav tau phais me me. Qhov no hu ua Lateral Internal Sphincterotomy .
Qhov no suav nrog kev txiav me me rau hauv cov leeg nqaij sphincter sab hauv ntawm lub qhov quav nrog tshuaj loog, tshem tawm qhov nruj mus tas li. Qhov no yog kev kho mob zoo heev (ntau dua 90% ua tiav), thiab qhov mob ploj mus sai tom qab phais. Koj tuaj yeem mus tsev los ntawm tsev kho mob tib hnub ntawd.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Qhov quav tawg yog ib qho mob uas tshwm sim ntau heev thiab mob heev. Tsis txhob txaj muag lossis ntshai nws.
- Qhov mob no feem ntau yog los ntawm kev cem quav, thiab tuaj yeem kho tau hauv ob peb lub lis piam nrog kev kho mob yooj yim hauv tsev (siv dej sov los kub, noj zaub mov muaj fiber ntau, thiab haus dej ntau).
- Yog koj muaj ntshav liab tshiab hauv koj cov quav, mob heev uas tsis tuaj yeem ua tau, lossis yog tias koj tsis xis nyob tom qab ob peb lub lis piam, tsis txhob nkim sijhawm thiab mus ntsib kws kho mob uas tsim nyog.
- Tsis txhob ncua sij hawm mus chav dej vim ntshai mob. Qhov no yuav ua rau qhov teeb meem hnyav zuj zus.
- Tus mob no kho tau tag nrho los ntawm kev ua raws li kev kho mob uas tus kws kho mob tau sau tseg thiab ua ob peb yam kev hloov pauv yooj yim hauv lub neej.
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Tsis muaj lus teb tau muab tso tawm. Ntxiv koj cov lus tawm ntawm no thawj zaug.
Ntxiv koj cov lus