Koj puas muaj mob ntshav qab zib? Yog tias muaj, tej zaum koj yuav paub txog qhov kev xav ntawm o, lossis raws plab, yam tsis muaj laj thawj pom tseeb. Txawm hais tias qhov no yuav txaj muag thiab tsis xis nyob rau qee tus neeg tham txog, nws yog ib qho mob uas tshwm sim nrog mob ntshav qab zib. Qhov tseeb, kwv yees li ib ntawm tsib tus neeg uas muaj mob ntshav qab zib yuav ntsib mob raws plab ntau zaus. Yog li cia peb tham txog qhov no qhib siab hnub no.
Kev sib raug zoo ntawm ntshav qab zib thiab raws plab yog dab tsi?
Hais yooj yim xwb, tus kab mob ntshav qab zib tuaj yeem cuam tshuam rau txoj kev uas peb lub cev zom zaub mov ua haujlwm. Qhov kev pheej hmoo no muaj ntau heev rau cov neeg uas tau muaj tus kab mob ntshav qab zib ntev lawm thiab cov neeg uas tsis tswj lawv cov ntshav qab zib kom zoo.
Qee zaum, nrog rau qhov raws plab no, tshwj xeeb tshaj yog thaum hmo ntuj, koj yuav muaj tus mob hu ua "Fecal Incontinence". Qhov no tshwm sim vim tias ntshav qab zib ua rau cov hlab ntsha puas tsuaj (neuropathy) thiab cov leeg nqaij ntawm lub qhov quav uas tswj kev txav mus los ntawm cov quav (anal sphincter) tsis tau txais cov cim qhia kom raug.
Nco ntsoov, qhov no tsis yog koj qhov txhaum. Nws tsuas yog ib qho teeb meem uas tshwm sim los ntawm tus kab mob hu ua ntshav qab zib xwb. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum tham nrog koj tus kws kho mob txog qhov no yam tsis txaj muag.
Cov ua rau raws plab yog vim muaj ntshav qab zib yog dab tsi?
Muaj ntau yam ua rau qhov no. Cia peb saib cov tseem ceeb. Kuv yuav qhia qhov no rau koj hauv lub rooj uas yooj yim to taub.
| Vim li cas | Piav qhia yooj yim |
|---|---|
| Kab mob Autonomic Neuropathy | Cov ntshav qab zib ntau dhau mus ntev tuaj yeem ua rau cov hlab ntsha uas tswj peb lub cev zom zaub mov puas tsuaj. Qhov no tuaj yeem hloov qhov ceev ntawm cov khoom noj txav mus los ntawm cov hnyuv, ua rau raws plab lossis cem quav. |
| Cov tshuaj kho mob ntshav qab zib | Tshwj xeeb, cov tshuaj metformin, uas feem ntau yog sau rau mob ntshav qab zib, tuaj yeem ua rau mob plab thiab raws plab rau qee tus neeg. |
| Cov Khoom Qab Zib Dag | Cov neeg uas muaj ntshav qab zib feem ntau siv cov no es tsis txhob siv qab zib. Kev noj cov khoom noj uas muaj 'cawv qab zib' xws li sorbitol thiab mannitol ntau dhau tuaj yeem ua rau raws plab. |
| Kab mob Celiac | Cov neeg uas muaj ntshav qab zib (tshwj xeeb tshaj yog hom 1) muaj feem yuav mob celiac (ua xua rau gluten). Cov neeg no tuaj yeem raws plab txawm tias tom qab noj me ntsis ntawm cov khoom uas muaj gluten, xws li hmoov nplej. |
| Kev loj hlob ntawm cov kab mob hauv cov hnyuv | Qee zaum, thaum lub sijhawm zom zaub mov nce ntxiv, uas txhais tau tias cov khoom noj nyob hauv txoj hnyuv ntev dhau, cov kab mob tsis xav tau tuaj yeem loj hlob thiab ua rau raws plab. |
| Kev Tsis Txaus ntawm Exocrine Pancreatic | Peb lub qog ua kua qaub tsim cov enzymes uas pab peb zom zaub mov. Kab mob ntshav qab zib tuaj yeem cuam tshuam rau cov txheej txheem no, ua rau raws plab thiab zom zaub mov tsis zoo. |
Qhov xwm txheej no cuam tshuam li cas rau kuv?
Qhov no tsis zoo ib yam rau txhua tus.
- Tej zaum yuav muaj ib txhia neeg mob raws plab ntxiv mus.
- Lwm tus yuav raws plab tau ob peb lub hlis thiab tom qab ntawd tsis muaj teeb meem dua ib ntus.
- Qhov uas ntau tus neeg ntsib yog kev raws plab thiab cem quav hloov pauv . Ib lub lim tiam koj yuav xav tias o, thiab lub lim tiam tom ntej koj yuav mus tsis tau chav dej kom zoo. Qhov no tuaj yeem ua rau muaj teeb meem tiag tiag.
Tus kws kho mob kho qhov no li cas?
Thaum koj qhia koj tus kws kho mob txog cov tsos mob no, nws yuav xub sim txiav txim seb qhov raws plab puas yog los ntawm ntshav qab zib lossis los ntawm lwm yam. Lawv yuav nug koj cov lus nug thiab tej zaum yuav xa koj mus rau kws kho mob plab hnyuv.
Kev kho mob tsom mus rau ntau yam tseem ceeb.
1. Qhov tseem ceeb tshaj plaws: Tswj cov ntshav qab zib
Qhov no yog thawj kauj ruam thiab tseem ceeb tshaj plaws.Yog koj tswj tau koj cov ntshav qab zib zoo, ces koj cov hlab ntsha yuav tsis puas tsuaj ntau npaum li ntawd. Qhov no yuav pab tswj tau ntau yam teeb meem ntawm tus kab mob ntshav qab zib, suav nrog raws plab.
2. Kev hloov pauv ntawm kev noj haus
Koj tus kws kho mob lossis tus kws noj haus yuav tsim ib daim phiaj xwm noj mov uas haum rau koj. Lawv yuav qhia koj kom tsom mus rau tej yam xws li:
- Noj cov khoom noj uas muaj fiber ntau ntxiv (piv txwv li, mov xim av, cov nplej tag nrho, oats, txiv hmab txiv ntoo, zaub). Tab sis koj kuj yuav tsum ceev faj txog cov carbohydrates.
- Haus dej ntau . Mob raws plab ua rau cov kua dej ntau dhau ntawm lub cev.
- Ceev faj nrog qee cov zaub (xws li zaub qhwv thiab paj noob hlis) vim tias lawv tuaj yeem ua rau o rau qee tus neeg.
3. Kev kho mob nrog tshuaj
Yog tias nws nyuaj rau tswj qhov no los ntawm kev noj zaub mov thiab kev tswj qab zib xwb, koj tus kws kho mob yuav sau tshuaj rau koj.
- Cov tshuaj rau kev raws plab: Cov tshuaj xws li loperamide (piv txwv li, Imodium®) tuaj yeem pab tiv thaiv kev raws plab ib ntus. Txawm li cas los xij, cov no yuav tsum tsis txhob siv tas li yam tsis tau kev qhia los ntawm kws kho mob .
- Cov tshuaj fiber: Cov khoom zoo li Metamucil® pab ua kom cov quav tuab.
- Cov tshuaj tshwj xeeb rau kev raws plab uas tshwm sim los ntawm ntshav qab zib: Koj tus kws kho mob yuav sau ntawv kom txhaj tshuaj xws li 'Octreotide acetate', uas yog muab rau kev raws plab uas tshwm sim los ntawm kev puas tsuaj rau cov hlab ntsha, lossis lwm yam tshuaj tshwj xeeb.
- Lwm yam kev kho mob: Cov tshuaj tua kab mob yuav raug muab yog tias qhov ua rau yog kab mob bacterial, thiab cov tshuaj yuav raug muab yog tias qhov ua rau yog qhov tsis txaus enzyme pancreatic.
Yuav ua li cas thiaj nyob tau zoo nrog qhov xwm txheej no?
Txawm hais tias cov teeb meem plab uas los nrog tus kab mob ntshav qab zib tuaj yeem ua rau koj ntxhov siab me ntsis los xij, koj tuaj yeem tswj hwm lawv thiab ua neej noj qab nyob zoo. Nws yog ib qho tseem ceeb heev uas yuav tsum ua raws li cov lus qhia no.
- Ua raws li koj txoj kev npaj kho mob ntshav qab zib kom raug. Noj cov tshuaj uas koj tus kws kho mob sau rau raws sijhawm, tswj koj cov zaub mov noj, thiab tawm dag zog.
- Ntxiv cov nplej tag nrho thiab cov khoom noj uas muaj fiber ntau rau hauv koj cov zaub mov noj.
- Haus tsawg kawg yog 8-10 khob dej ib hnub.
- Tsum los yog txwv kev haus luam yeeb thiab haus cawv . Cov no ua rau cov hlab ntsha puas tsuaj ntxiv.
- Yog koj raws plab ntau zaus , raws plab thiab cem quav hloov pauv , lossis lwm yam mob plab, tsis txhob tsis quav ntsej txog qhov no . Nco ntsoov nrog koj tus kws kho mob tham txog qhov no.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob raws plab yog ib yam uas feem ntau muaj nrog tus kab mob ntshav qab zib. Tsis txhob txaj muag lossis ntshai nws.
- Txoj kev kho mob zoo tshaj plaws thiab tseem ceeb tshaj plaws rau qhov no yog tswj koj cov ntshav qab zib kom zoo.
- Qee cov tshuaj uas koj noj, xws li Metformin, cov khoom qab zib dag, thiab qee yam khoom noj kuj tuaj yeem ua rau qhov no.
- Yog tias koj raws plab tseem muaj, hloov pauv nrog kev cem quav, lossis yog tias koj tso quav yam tsis paub txog, nco ntsoov nrog koj tus kws kho mob tham thiab tau txais cov lus qhia kom raug.
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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