Nws yog ib qho ib txwm muaj uas yuav ntshai thiab ntxhov siab me ntsis thaum koj tus menyuam me me raug tus kws kho mob hais tias lawv yuav tsum ua 'enema', thiab qhov ntawd kuj yog nrog X-ray. Peb txhua tus ntxub lo lus 'enema' me ntsis, puas yog? Tab sis qhov no puas yog ib yam dab tsi uas yuav tsum ntshai tiag tiag? Vim li cas cov kws kho mob thiaj hais kom cov menyuam yaus me me ua hom kev xeem no? Nws puas yuav ua rau tus menyuam mob? Hnub no, peb yuav teb tag nrho cov lus nug no hauv tsab xov xwm no. Cia peb piav qhia txhua yam yooj yim thiab meej.
Tshuaj Enema Uas Muaj Qhov Sib Txawv (Barium Enema) yog dab tsi?
Hais yooj yim xwb, qhov no yog kev kuaj X-ray tshwj xeeb los kuaj koj tus menyuam txoj hnyuv loj (tseem hu ua txoj hnyuv loj). Qhov no feem ntau yog ua los ntawm tus kws kho mob menyuam yaus uas tshwj xeeb hauv cov kab mob menyuam yaus.
Tam sim no tej zaum koj yuav xav tias, "Puas yog daim duab X-ray ib txwm tsis txaus? Vim li cas nws thiaj hu ua 'Contrast'?" Lo lus nug zoo! Peb cov hnyuv yog cov kabmob uas ua los ntawm cov nqaij mos. Yog li, nws nyuaj rau pom meej meej cov duab, qhov loj me, lossis teeb meem hauv cov hnyuv nrog daim duab X-ray ib txwm.
Qhov no yog thaum siv cov tshuaj '(Contrast)'. Qhov no yog cov kua tshwj xeeb. Cov tshuaj feem ntau siv rau qhov kev kuaj no yog cov kua dawb, chalky hu ua barium . Thaum cov kua no raug ntxig rau hauv tus menyuam lub qhov quav (sab nraub qaum), nws mus thiab ua rau cov phab ntsa sab hauv ntawm txoj hnyuv loj. Tom qab ntawd, thaum thaij duab X-ray, cov cheeb tsam uas barium tau ua rau pom tseeb heev hauv dawb ntawm X-ray. Nws zoo li kab chalk kos rau ntawm lub rooj tsavxwm dub. Qhov no tso cai rau tus kws kho mob pom yooj yim cov duab ntawm txoj hnyuv, seb puas muaj kev thaiv, seb nws dav tsis zoo, lossis seb puas muaj lwm yam teeb meem.
Qee zaum qhov kev kuaj no ua tiav los ntawm kev siv txoj kev hu ua "fluoroscopy." Qhov no txhais tau tias es tsis txhob thaij ib daim duab X-ray xwb, yuav muaj ntau daim duab X-ray txav mus los, zoo li video. Qhov no cia koj pom tias cov kua barium txav mus los ntawm cov hnyuv li cas thiab cov hnyuv ua haujlwm li cas.
Vim li cas kuv tus menyuam thiaj xav tau hom kev kuaj no?
Thaum tus kws kho mob kuaj xyuas ib tug me nyuam raws li txoj kev niaj hnub, nws yuav tsis pom txhua yam los ntawm kev kov lub plab. Cov teeb meem hauv cov hnyuv tsis pom los ntawm sab nraud. Yog li, yog tias tus me nyuam muaj cov tsos mob lossis cov mob hauv qab no, qhov kev kuaj no raug pom zoo kom nrhiav tau qhov ua rau tseeb.
| Cov tsos mob/mob | Ib qho lus piav qhia yooj yim |
|---|---|
| Kab mob cem quav | Yog tias koj tus menyuam muaj teeb meem mus rau chav dej, tsis mus ntau hnub, lossis mob plab heev, qhov kev kuaj no tuaj yeem pab txiav txim siab seb puas muaj qhov txhaws lossis lwm yam teeb meem hauv plab hnyuv. |
| raws plab ntev | Yog tias ib tug me nyuam tseem raws plab yam tsis muaj laj thawj pom tseeb, qhov no tuaj yeem pab txiav txim siab seb puas muaj mob xws li kev kis kab mob lossis o hauv txoj hnyuv. |
| Kab mob Hirschsprung | Qhov no yog ib qho mob uas nyuaj me ntsis, uas muaj txij thaum yug los. Qhov uas tshwm sim yog tias ib feem ntawm txoj hnyuv loj poob cov hlwb uas xav tau los thawb cov quav hla. Qhov no ua rau seem ntawm txoj hnyuv ntawd raug thaiv, thiab qhov saum toj ntawm nws loj zuj zus. Kev siv tshuaj contrast enema yog ib qho tseem ceeb heev rau kev kuaj mob no. |
| Kev Poob Phaus Tsis Paub Tseeb | Yog tias ib tug me nyuam noj mov zoo tab sis poob phaus yam tsis muaj laj thawj, tej zaum lub cev tsis nqus cov as-ham kom zoo vim muaj teeb meem nrog lub cev zom zaub mov. Qhov kev kuaj no kuj siv los nrhiav cov mob zoo li no. |
Peb puas yuav tsum npaj ua ntej qhov kev xeem?
Feem ntau, qhov kev kuaj no tsis tas yuav muaj kev npaj tshwj xeeb rau cov menyuam yaus. Feem ntau tus menyuam tuaj yeem noj thiab haus dej li qub.
Tiam sis qhov no tseem ceeb heev: Yog tias koj tus kws kho mob muab cov lus qhia tshwj xeeb rau koj (piv txwv li, kom tsis txhob noj thiab haus dej ob peb teev ua ntej qhov kev kuaj), koj yuav tsum ua raws li cov lus qhia ntawd.
Tsis tas li ntawd xwb, muaj ob peb yam uas peb ua tau ua niam txiv:
- Tham nrog koj tus menyuam: Yog tias koj tus menyuam loj txaus los nkag siab, piav qhia qhov no rau lawv yooj yim. Hais nws ua cov lus yooj yim xws li, "Tus kws kho mob tab tom thaij duab koj lub plab, muab ib lub raj me me rau hauv thiab muab qee yam tshuaj rau hauv. Nws yuav tsis mob." Qhov no yuav pab txo qhov kev ntshai ntawm tus menyuam.
- Cov khoom ua si nyiam tshaj plaws:Nqa ib yam khoom ua si uas koj nyiam, ib tug dais teddy, los yog ib daim pam me me nrog koj. Tuav nws thaum lub sijhawm xeem yuav pab koj tus menyuam xav tias muaj kev nyab xeeb thiab xis nyob dua.
Muaj dab tsi tshwm sim thaum lub sijhawm xeem?
Feem ntau qhov kev xeem no siv sijhawm li ntawm 30 txog 45 feeb. Qhov zoo tshaj plaws yog koj tuaj yeem nrog koj tus menyuam nyob thoob plaws qhov kev xeem. Nws yog qhov kev nplij siab zoo rau tus menyuam thiab koj.
Nov yog qhov tshwm sim ib kauj ruam zuj zus:
1. Mus rau chav X-ray: Ua ntej, koj thiab koj tus menyuam yuav raug coj mus rau chav X-ray. Koj yuav raug hais kom hnav ib lub tsho tshwj xeeb uas tsev kho mob muab.
2. Saum txaj thaij duab X-ray: Tom qab ntawd, tus menyuam yuav tsum pw saum txaj hauv lub tshuab thaij duab X-ray.
3. Rau kev nyab xeeb: Vim tias koj yuav nrog koj tus menyuam, koj yuav raug hais kom hnav lub tsho tiv thaiv kom tiv thaiv koj tus kheej ntawm cov duab X-ray. Yog tias koj cev xeeb tub, nws yog qhov zoo tshaj plaws los coj ib tug tswv cuab uas koj ntseeg siab (xws li koj tus txiv lossis niam) nrog koj mus nrog koj tus menyuam, vim tias nws tsis zoo rau raug cov duab X-ray.
4. X-ray Thawj Zaug: Ua ntej muab barium nqos, yuav thaij duab X-ray ntawm lub plab tas li.
5. Tso tus me nyuam: Tom qab ntawd hais kom tus me nyuam tig mus rau ib sab thiab tsa lawv lub hauv caug rau ntawm lawv lub hauv siab. Yog tias nws yog ib tug me nyuam me, cov neeg ua haujlwm yuav pab nrog qhov no.
6. Muab lub raj ntsaws rau hauv: Tus kws kho mob hluav taws xob lossis tus kws kho tshuab yuav ua tib zoo muab ib lub raj me me, uas yoog tau, uas tau muab roj nplua nyeem rau hauv lub qhov quav ntawm tus menyuam. Qhov kawg ntawm lub raj no txuas nrog lub hnab uas muaj cov kua barium.
7. Kev siv tshuaj barium enema: Tam sim no cov kua barium maj mam nkag mus rau hauv tus menyuam txoj hnyuv loj.
- Tseem Ceeb: Nws yog ib qho ib txwm muaj rau koj tus menyuam kom xav tias puv, mob plab me ntsis, thiab xav mus rau chav dej thaum lub sijhawm no. Qhov no yog vim tias cov hnyuv puv nrog kua dej. Tsis txhob txhawj txog qhov no. Ua kom koj tus menyuam nyob twj ywm thiab tuav nws txhais tes.
8. Thaij duab X-ray: Thaum cov barium kis mus rau hauv cov hnyuv, tus kws kho mob thaij duab yuav thaij ob peb daim duab X-ray los ntawm ntau lub kaum sib txawv. Tus menyuam kuj tseem yuav raug hais kom dov me ntsis mus rau sab xis thiab sab laug.
9. Tshem tawm lub raj: Tom qab tag nrho cov duab tsim nyog tau raug thaij, lub raj raug tshem tawm kom zoo.
10. Mus rau chav dej: Tam sim no tus me nyuam raug tso cai mus rau chav dej thiab tso cov kua barium thiab quav.
11. X-ray Zaum Kawg: Tom qab tus me nyuam mus rau chav dej tas, yuav muab daim duab X-ray ntxiv los saib seb cov quav zoo li cas tom qab nws tso quav tawm lawm.
Yog li ntawd xwb! Qhov kev xeem tas lawm.
Kuv yuav tsum txhawj txog dab tsi tom qab qhov kev xeem?
Thaum qhov kev xeem tiav lawm, koj tus menyuam tuaj yeem noj thiab haus tau li qub thiab ua lawv tej haujlwm niaj hnub. Tiam sis nco ntsoov cov no:
- Muab dej ntau rau koj tus menyuam haus: Nws yog ib qho tseem ceeb uas yuav tsum muab dej ntau rau koj tus menyuam, xws li dej thiab kua txiv hmab txiv ntoo, tom qab kuaj. Qhov no yuav pab kom cov barium uas tseem tshuav nyob hauv lub cev tawm tau yooj yim hauv cov quav.
- Cov quav dawb: Nws yog ib qho ib txwm muaj rau koj tus menyuam cov quav dawb, zoo li chalk, rau ib lossis ob hnub tom qab kev kuaj. Qhov no yog vim tias barium raug xa tawm. Tsis txhob txhawj txog nws.
- Mus rau chav dej ntau zaus dua: Ob peb hnub, tus menyuam yuav tsum mus rau chav dej ntau zaus dua li niaj zaus.
Puas muaj tej yam txaus ntshai hauv qhov no?
Feem ntau, kev siv tshuaj pleev xim rau hauv qhov quav yog ib qho kev kho mob uas muaj kev nyab xeeb heev. Kev raug tshuaj X-ray tsuas yog tsawg heev xwb. Txawm li cas los xij, ib yam li lwm yam kev kho mob, muaj qee qhov kev pheej hmoo me me.
| Tej zaum yuav muaj tej yam tshwm sim tsis zoo | Kawm txog qhov no |
|---|---|
| Mob plab, raws plab, mob plab, xeev siab, mob taub hau | Feem ntau cov no yog cov mob me me uas yuav tshwm sim tau. Cov no yuav ploj mus yog tias koj haus dej ntau. |
| Kev Ua Xua Rau Barium | Qhov no yog ib qho tshwm sim tsawg heev . Yog tias koj tus menyuam ua pa nyuaj lossis muaj mob tawv nqaij, qhia rau cov neeg ua haujlwm kho mob tam sim ntawd. |
| Kev Txhaws Plab Hnyuv | Qhov no yog ib qho mob uas tsis tshua muaj thiab mob hnyav heev . Tej zaum yuav muaj kev xav tias qhov no yog tias tus menyuam mob plab hnyav thaum lub sijhawm lossis tom qab kuaj mob. |
Thaum twg koj yuav tsum tau nrog kws kho mob tham?
Tom qab kuaj tas, koj tus menyuam yuav tsum zoo thiab yuav tsum zoo. Txawm li cas los xij, yog tias koj tus menyuam muaj cov tsos mob hauv qab no, hu rau koj tus kws kho mob tam sim ntawd yam tsis muaj kev ncua:Los yog coj tus me nyuam mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) uas nyob ze tshaj plaws hauv tsev kho mob.
| Thaum twg yuav tsum nrhiav kev pab kho mob tam sim ntawd | |
|---|---|
| - Tus menyuam lub plab o | - Ua npaws |
| - Kev Ntshav Los Ntawm Qhov Quav | - Mob plab hnyav heev, tsis muaj zog |
| - Kiv taub hau los yog tsaus muag | - Tsis muaj kev tawm quav ntau tshaj ob hnub tom qab kuaj mob |
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kev siv tshuaj enema uas muaj qhov sib txawv feem ntau yog kev kuaj X-ray uas muaj kev nyab xeeb heev uas siv los nrhiav teeb meem hauv txoj hnyuv loj ntawm tus menyuam.
- Tus me nyuam tsis tas yuav tsum tau muab tshuaj loog (ua rau nws tsis nco qab) hauv txoj kev kho mob no. Tag nrho cov txheej txheem siv sijhawm tsawg dua ib teev.
- Koj tuaj yeem nrog koj tus menyuam nyob thoob plaws lub sijhawm xeem. Nws yuav yog ib qho kev nplij siab zoo rau koj tus menyuam kom nqa ib qho khoom ua si uas koj nyiam nrog.
- Nws yog ib qho ib txwm rau koj tus menyuam cov quav dawb thiab rau lawv mus rau chav dej ntxiv me ntsis rau ob peb hnub tom qab kuaj. Tsis txhob txhawj txog qhov ntawd.
- Yog koj pom ib yam dab tsi zoo li mob plab heev, kub taub hau, lossis muaj ntshav hauv koj cov quav, hu rau koj tus kws kho mob tam sim ntawd yam tsis muaj kev ncua .
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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