Koj puas tau muaj mob plab hnyav nrog rau qhov o thiab xeev siab? Yog tias koj kuj tsis xav noj mov lossis xav tias qaug zog thiab lub cev tsis muaj zog, cov no yuav yog cov cim qhia txog tus mob hnyav hu ua Kev Thaiv Txoj Hnyuv . Hauv cov xwm txheej zoo li no, lub sijhawm yog qhov tseem ceeb. Cia peb piav qhia txog tus mob no ua cov lus yooj yim thiab nkag siab.
Kev Txhaws Plab Hnyuv Yog Dab Tsi?
Hais yooj yim xwb, kev txhaws ntawm txoj hnyuv tshwm sim thaum koj txoj hnyuv me lossis txoj hnyuv loj raug thaiv ib feem lossis tag nrho. Feem ntau, tom qab cov khoom noj tawm hauv koj lub plab, nws mus ncig los ntawm koj txoj hnyuv qhov twg cov as-ham raug nqus, thiab thaum kawg cov khib nyiab raug tso tawm ntawm lub cev. Thaum txoj kev no raug thaiv, cov khoom noj, cov kua dej, thiab cov pa roj tsis tuaj yeem hla dhau, ua rau lawv sib sau ua ke.
Xav txog nws zoo li lub raj dej vaj uas raug txhaws; cov dej tsis tuaj yeem ntws los ntawm thiab pib sib sau ua ke tom qab qhov txhaws.
Qhov kev sib sau ua ke no tuaj yeem ua rau cov nqaij mos ntawm txoj hnyuv puas tsuaj thiab ua rau lub plab zom mov tsis ua haujlwm zoo, uas tuaj yeem ua rau muaj teeb meem loj rau lub neej. Yog vim li no, yog tias koj pom cov tsos mob no, koj yuav tsum nrhiav kev kho mob tam sim ntawd ntawm chav kho mob ceev.
Hom Kev Txhaws Plab
Cov kws kho mob faib cov teeb meem plab raws li qhov chaw uas cov teeb meem tshwm sim:
- Kev Thaiv Txoj Hnyuv Me: Kwv yees li 80% ntawm tag nrho cov kev thaiv tshwm sim ntawm no. Txoj hnyuv me txuas lub plab mus rau txoj hnyuv loj, ua lub luag haujlwm tseem ceeb hauv kev zom zaub mov thiab kev nqus cov as-ham.
- Kev Thaiv Kab Mob Loj: Qhov no suav nrog koj txoj hnyuv loj thiab lub qhov quav . Thaum thaj chaw no tseem nqus dej, nws txoj haujlwm tseem ceeb yog hloov cov khib nyiab mus ua quav. Kwv yees li 20% ntawm kev thaiv tshwm sim ntawm no.
Cov kev cuam tshuam kuj raug cais tawm los ntawm lawv qhov xwm txheej:
- Kev Thaiv Tag Nrho: Cov hnyuv raug thaiv tag nrho, tiv thaiv txhua yam kom tsis txhob hla dhau.
- Kev Thaiv Ib Nrab: Cov hnyuv tsuas yog nqaim lossis ib nrab raug thaiv, ua rau qee yam khoom hla tau.
- Kev thaiv tsis zoo: Qhov no yog ib qho teeb meem tshwj xeeb uas cov tsos mob zoo li muaj kev thaiv lub cev, tab sis tsis muaj dab tsi tshwm sim. Cov kws tshawb fawb ntseeg tias nws yuav yog los ntawm teeb meem ntawm lub paj hlwb , txawm hais tias kev tshawb fawb ntxiv tseem tab tom ua.
Kev Txhaws Plab Hnyuv Muaj Ntau Npaum Li Cas?
Kev txhaws ntawm txoj hnyuv me me yog ib qho laj thawj uas ua rau muaj kev mus ntsib chav kho mob ceev (ED).
Txawm hais tias cov neeg feem coob feem ntau tsis tshua muaj mob plab hnyuv loj, tab sis feem ntau cov neeg uas muaj mob qog noj ntshav hauv plab hnyuv loj. Qhov tseeb, kwv yees li 40% ntawm cov neeg mob uas muaj mob qog noj ntshav hauv plab hnyuv loj raug kuaj pom thawj zaug thaum lawv tuaj txog ntawm chav kho mob ceev nrog cov tsos mob ntawm kev mob plab hnyuv loj uas tshwm sim los ntawm qog.
Cov tsos mob ntawm kev thaiv plab hnyuv me
Tej zaum koj yuav mob plab heev, zoo li nthwv dej uas mob thiab ploj mus, thiab thaum kawg yuav mob tas li. Tej zaum koj yuav pom ib lossis ntau yam hauv qab no:
- Mob plab , mob plab ntswj, los yog o .
- Xeev siab thiab ntuav .
- Tsis qab los noj mov .
- Lub cev tsis muaj zog ( Malaise ) - kev xav tias tsis zoo.
- Mob raws plab(feem ntau yog ib qho cim qhia tias muaj ib feem ntawm kev thaiv tsis pub nkag).
- Cov cim qhia tias lub cev qhuav dej, xws li lub plawv dhia ceev lossis zis tsaus.
- Mob raws plab hnyav heev (yog tias koj lub plab txhaws tag, koj yuav tsis tuaj yeem tso pa lossis quav tau).
Ua li cas rau hauv cov menyuam yaus?
Cov menyuam yaus muaj cov tsos mob zoo sib xws, tab sis lawv yuav tsis paub hais tias mob qhov twg. Cov menyuam mos yuav rub lawv ob txhais ceg mus rau lawv lub plab thaum quaj. Lwm cov cim qhia rau cov menyuam yaus suav nrog:
- Ua npaws.
- Kev los ntshav ntawm qhov quav .
- ntuav xim ntsuab los yog daj.
- Tsis muaj zog lossis txo qis kev ua ub no.
- Lub plab uas pom tseeb tias nthuav dav thiab khov kho.
Kev Txhaws Plab Zoo Li Cas?
Cov kev xav sib txawv nyob ntawm qhov chaw thiab qhov hnyav ntawm qhov kev thaiv. Feem ntau, kev txhaws ntawm txoj hnyuv zoo li mob plab heev. Hauv txoj hnyuv me, qhov mob feem ntau tuaj txog ua nthwv dej txhua ob peb feeb. Qhov mob txhaws ntawm txoj hnyuv loj yuav zoo li tsis tu ncua thiab kis mus thoob plaws hauv plab.
Txawm yog qhov chaw twg los xij, yog tias koj mob plab heev, o, lossis ntuav, thov nrhiav kev pab kho mob tam sim ntawd.
Kuv puas tseem tuaj yeem tso quav tau yog tias muaj teeb meem plab hnyuv?
Nws ua tau, nyob ntawm qhov chaw thiab qhov hnyav. Piv txwv li, thaum muaj ib feem ntawm txoj hnyuv, koj tseem yuav tso tau qee qhov quav txawm tias nyuaj los xij. Txawm li cas los xij, thaum muaj tag nrho txoj hnyuv, koj yuav tsis tuaj yeem tso tau quav lossis tso pa tawm.
Dab tsi ua rau muaj kev thaiv plab hnyuv?
Cov ua rau muaj xws li:
- Cov Nqaij Sib Txuas Hauv Plab (Cov Nqaij Qhwv): Yog tias koj tau phais plab lossis lub duav ua ntej lawm, cov nqaij qhwv uas mos mos yuav tsim tau. Cov no tuaj yeem ua zoo li cov hlua khi uas rub cov hnyuv ua ke, ua rau txhaws. Qhov no yog qhov ua rau cov hnyuv me me txhaws feem ntau.
- Kab mob Hernias: Ib feem ntawm koj txoj hnyuv tuaj yeem thawb dhau qhov chaw tsis muaj zog hauv phab ntsa plab. Yog tias cov nqaij no raug ntes lossis raug zawm, nws tuaj yeem ua rau muaj kev thaiv.
- Cov Qog Mob Cancer: Cov qog mob tuaj yeem pib hauv plab hnyuv lossis kis mus rau thaj chaw ntawd ua qog mob metastatic . Cov qog no tuaj yeem thaiv ib feem lossis tag nrho txoj kev. Mob cancer ntawm txoj hnyuv loj yog ib qho ua rau muaj kev thaiv plab hnyuv loj.
Kuj muaj lwm yam ua rau.
- Kab Mob Plab Hnyuv (IBD): Cov mob zoo li Kab Mob Crohn tuaj yeem ua rau cov nqaij caws pliav tsim rau ntawm phab ntsa ntawm koj cov hnyuv. Raws sijhawm, cov caws pliav no sib sau ua ke, ua rau cov hnyuv nqaim, hu ua strictures .
- Kab mob Diverticulitis: Qhov no tshwm sim thaum cov hnab me me hauv koj txoj hnyuv loj (diverticula) o lossis kis kab mob. Qhov o no, lossis cov nqaij caws pliav uas tshwm sim, tuaj yeem ua rau txoj hnyuv nqaim heev.
- Kab mob Intussusception: Qhov no yog ib qho ua rau cov menyuam yaus hnub nyoog qis dua 3 xyoos tsis muaj txoj hnyuv. Nws tshwm sim thaum ib feem ntawm txoj hnyuv swb mus rau ib feem uas nyob ib sab—zoo li lub tsom iav tawg—uas thaiv ob qho tib si kev hla ntawm cov khoom hauv txoj hnyuv thiab cov ntshav ntws.
- Volvulus: Ib txhia neeg yug los muaj mob uas cov hnyuv tsis txuas zoo (malrotation) , uas ua rau lawv ntswj (volvulus) thiab ua rau txhaws. Txawm hais tias tsis tshua muaj, qhov no kuj tuaj yeem tshwm sim rau cov neeg laus.
- Kev Kho Mob Hluav Taws Xob: Yog tias koj tau txais kev kho mob hluav taws xob rau mob qog nqaij hlav hauv plab, lub duav, lossis lub qhov quav, tej zaum yuav muaj kev phiv hu ua Radiation Enteritis . Kev kho mob hluav taws xob tuaj yeem ua rau cov nqaij noj qab haus huv muaj qhov txhab, ua rau nqaim thiab txhaws.
- Kev noj ib yam khoom txawv teb chaws:Yog koj tsis txhob txwm nqos ib yam khoom uas lub cev tsis tuaj yeem zom lossis hla dhau, nws tuaj yeem nkag mus rau hauv txoj hnyuv, ua rau txhaws.
Cov teeb meem ntawm kev txhaws plab yog dab tsi?
Yog tias tsis kho, qhov mob plab hnyuv tuaj yeem ua rau muaj xwm txheej ceev uas txaus ntshai rau lub neej .
- Kev Txhaws thiab Kev Kab Mob: Kev sib sau ua ke ntawm cov pa roj, kua dej, thiab cov kua qaub hauv plab tuaj yeem ua rau muaj kev nyuaj siab kom txog thaum phab ntsa plab tawg lossis tho. Qhov no tuaj yeem xau cov khoom hauv plab mus rau hauv koj lub plab, ua rau mob peritonitis (kev kis kab mob hauv plab hnyav) thiab sepsis , uas yog kev kis kab mob thoob plaws lub cev uas hem txoj sia.
- Kev Txhaws (Kev Tuag Ntawm Cov Nqaij): Yog tias qhov kev txhaws txiav cov ntshav mus rau ib feem ntawm cov hnyuv, cov nqaij ntawd tuaj yeem tuag (gangrene) . Qhov no ua rau muaj kev kis kab mob hnyav thiab tuaj yeem ua rau tuag taus yog tias tsis kho tam sim ntawd.
Yuav kuaj mob plab hnyuv li cas?
Vim tias qhov mob plab hnyuv yog ib qho xwm txheej ceev, kev kuaj mob yuav tsum tau ua ntej thiab ua sai sai, feem ntau tshwm sim tib lub sijhawm nrog kev kho mob thawj zaug. Koj pab neeg saib xyuas yuav ua cov hauv qab no:
- Keeb Kwm Kev Kho Mob: Koj tus kws kho mob yuav nug cov lus nug ntxaws txog koj txoj kev noj qab haus huv, suav nrog txhua qhov kev phais plab yav dhau los.
- Kev Kuaj Lub Cev: Koj tus kws kho mob yuav kuaj seb puas o lossis mob plab. Lawv yuav siv lub tshuab mloog suab los mloog cov suab txawv txawv uas qhia tias muaj kev thaiv plab.
- Kev Kuaj Ntshav: Cov no pab soj ntsuam koj txoj kev noj qab haus huv. Kev suav ntshav tag nrho (CBC) tuaj yeem ntes tau cov cim ntawm kev kis kab mob, thaum Electrolyte Analysis txiav txim siab seb koj puas qhuav dej heev, uas xav tau cov kua dej IV tam sim ntawd.
Cov txheej txheem thaij duab tso cai rau koj tus kws kho mob pom qhov txhaws thiab kuaj xyuas seb puas muaj teeb meem:
- Cov Duab X-ray Hauv Plab: Cov no tuaj yeem txheeb xyuas qhov chaw uas qhov txhaws nyob thiab qhia seb puas muaj cua nyob hauv plab lossis diaphragm - ib qho cim ntawm kev tuag ntawm txoj hnyuv lossis kev tawg.
- Kev Siv Computer Tomography (CT scan): Kev siv CT scan muab cov duab ntxaws ntxaws heev, uas feem ntau tsim nyog los xyuas kom meej qhov kev kuaj mob, qhia qhov chaw tseeb, thiab txiav txim siab qhov ua rau muaj kev thaiv.
- Kev Siv Tshuaj X-ray Barium Enema: Ib lub cuab yeej kuaj mob rau txoj hnyuv loj uas tus kws kho mob muab ib lub catheter nyias nyias rau hauv koj lub qhov quav kom puv nrog cov kua sib piv rau txoj hnyuv. Qhov no ua rau txoj hnyuv loj pom tseeb ntawm cov duab X-ray thaum cov kua dej hla nws.
Vim tias cov txheej txheem no muaj kev siv hluav taws xob, koj tus kws kho mob yuav muab kev nyab xeeb tso ua ntej. Rau cov poj niam cev xeeb tub lossis cov menyuam yaus, lwm txoj hauv kev uas tsis muaj hluav taws xob xws li Ultrasound lossis MRI yuav siv tau.
Cov kev kho mob rau kev txhaws plab yog dab tsi?
Feem ntau cov neeg mob uas muaj teeb meem plab hnyuv yuav tsum tau mus kho mob hauv tsev kho mob tam sim ntawd. Feem ntau cov teeb meem plab hnyuv yuav tsum tau phais sai sai. Yog tias muaj teeb meem plab hnyuv ib nrab, koj pab neeg yuav ua haujlwm kom koj tus mob ruaj khov nrog kev kho mob uas tsis yog phais, xws li so plab hnyuv. Txoj kev kho mob nyob ntawm seb koj qhov teeb meem hnyav npaum li cas.
Cov kev kho mob yuav muaj xws li:
- Cov kua dej hauv cov hlab ntsha (IV): Txhawm rau kho qhov qhuav dej thiab rov qab kho koj cov electrolyte kom sib npaug.
- Lub Raj Nasogastric: Ib lub raj nyias nyias, yoog tau hla koj lub qhov ntswg mus rau hauv koj lub plab lossis txoj hnyuv kom tshem tawm cov kua dej thiab roj uas raug ntes, txo qhov siab.
- Cov Tshuaj: Koj yuav tau muab cov tshuaj tiv thaiv kev ntuav kom tswj tau qhov xeev siab thiab ntuav, nrog rau kev tswj qhov mob.
- So Plab: Yuav kom qhov kev thaiv no ploj mus lossis kom plab rov qab me dua li qub, tej zaum koj yuav raug txwv tsis pub noj mov lossis haus dej, lossis muab cov kua tshwj xeeb rau koj noj.
- Kev phais:Yog tias txoj hnyuv raug thaiv tag, feem ntau yuav tsum tau phais. Tus kws phais yuav tshem tawm cov nqaij caws pliav lossis cov pob uas ua rau muaj kev thaiv. Hauv qee kis tsis tshua muaj, cov nqaij puas tsuaj yuav tsum tau tshem tawm. Qee zaum, lub stent (lub raj mesh) tuaj yeem muab tso rau los tuav txoj hnyuv qhib, ua ib qho kev kho kom ruaj khov lossis ua ib ntus choj kom ruaj khov rau kev phais tom qab, muaj kev nyab xeeb dua.
Yuav ua li cas rau tus neeg mob uas muaj teeb meem plab hnyuv?
Muaj ntau tus neeg mob uas mob zoo rov qab los zoo yog tias lawv kho mob raws sijhawm. Cov cim qhia tias lawv zoo dua suav nrog kev tso pa tawm, kev o tsawg zuj zus, thiab lawv muaj peev xwm tso quav tau.
Ntawm qhov tod tes, yog tias muaj kev tawg ntawm txoj hnyuv, qhov xwm txheej tuaj yeem ua rau tuag taus sai heev. Nrhiav kev kho mob thaum pom thawj cov tsos mob yog qhov tseem ceeb heev rau kev tiv thaiv cov teeb meem loj.
Thaum twg kuv yuav tsum nrhiav kev kho mob thaum muaj xwm txheej ceev?
Thov nrhiav kev pab thaum muaj xwm txheej ceev tam sim ntawd (hu rau 911 lossis mus rau koj lub tsev kho mob ze tshaj plaws) yog tias koj muaj cov tsos mob no:
- Ua npaws.
- ntuav tas li lossis tsis tuaj yeem tswj tau.
- Mob plab hnyav, mob ntswj uas tuaj thiab ploj mus.
- Cov cim qhia tias lub cev qhuav dej.
Kuv yuav tsum nug kuv tus kws kho mob li cas?
Xav nug koj tus kws kho mob Nirogi Lanka cov hauv qab no:
- Ua cas kuv txoj hnyuv thiaj li txhaws?
- Koj pom zoo kom muaj kev kho mob tshwj xeeb twg?
- Kuv puas muaj kev pheej hmoo rau kev cuam tshuam yav tom ntej?
- Cov kev pheej hmoo lossis teeb meem cuam tshuam nrog kuv txoj kev kho mob yog dab tsi?
- Kuv yuav tsum hloov kuv cov zaub mov noj thiab kev ua ub ua no li cas thaum kuv rov zoo?
Thaum kawg, nco ntsoov qhov tseem ceeb tshaj plaws
Yog tias koj muaj cov tsos mob ntawm kev txhaws plab, ua sai sai thiab nrhiav kev pab tswv yim los ntawm kws kho mob. Muaj ntau tus neeg feem ntau mob plab, xav tias nws tsis loj txaus kom yuav tsum tau mus ntsib kws kho mob. Txawm li cas los xij, thaum nws los txog rau kev txhaws plab, "tos nws tawm" yeej tsis yog qhov kev xaiv zoo. Tsis txhob tsis quav ntsej txog kev mob plab, tshwj xeeb tshaj yog tias koj tau phais plab yav dhau los lossis muaj cov mob hauv qab xws li IBD uas ua rau koj muaj kev pheej hmoo ntau ntxiv. Kev txhaws plab yog ib qho mob uas tuaj yeem kho tau zoo nrog kev kho mob sai. Tsis txhob ncua sijhawm.
Cov Lus Tseem Ceeb: Kev thaiv txoj hnyuv, mob plab, cem quav, ntuav, kab mob plab, phais mob
