Puas muaj tej lub sij hawm koj xav tias koj lub plab qis me ntsis xeev siab lossis mob, tshwj xeeb tshaj yog sab laug? Rau ib txhia neeg, qhov no los nrog kev cem quav, thaum rau lwm tus, nws zoo li raws plab. Txawm hais tias ntau tus neeg xav tias qhov no tsuas yog mob plab ib txwm muaj, nws yuav yog ib yam dab tsi uas yuav tsum txhawj xeeb ntxiv me ntsis. Niaj hnub no peb tab tom tham txog ib qho mob hu ua 'Diverticular Disease', uas yog ib qho uas ntau tus neeg hauv peb lub teb chaws, tshwj xeeb tshaj yog thaum lawv laus zuj zus.
Hais yooj yim xwb, kab mob diverticular yog dab tsi?
Xav txog tias txoj hnyuv loj (colon) hauv peb lub plab zoo li lub raj xa dej tsheb kauj vab. Thaum phab ntsa ntawm lub raj no qaug zog me ntsis hauv qee qhov chaw, qhov kev nyem los ntawm sab hauv ua rau cov npuas me me tawm ntawm cov chaw tsis muaj zog ntawd. Yog li ntawd peb hu qhov mob no ua cov hnab me me uas tawm ntawm cov chaw tsis muaj zog hauv phab ntsa ntawm peb txoj hnyuv loj. Cov hnab me me no hu ua 'diverticula' hauv kev kho mob.
Qhov xwm txheej no muaj peb ntu tseem ceeb:
1. Kab mob Diverticulosis: Qhov no tsuas yog kev tsim cov hnab me me hauv cov hnyuv loj. Muaj ntau tus neeg tsis muaj tsos mob. Yog li ntawd, lawv yuav tsis paub tias lawv muaj tus mob no. Kwv yees li 10% ntawm cov neeg hnub nyoog tshaj 40 xyoo thiab 50% ntawm cov neeg hnub nyoog tshaj 60 xyoo muaj tus mob no.
2. Kab mob Diverticulitis: Qhov no yog ib qho teeb meem me ntsis. Nws hu ua qhov no thaum cov khib nyiab raug ntes hauv cov hnab me me ntawd, kis kab mob, thiab o. Qhov no yog thaum cov tsos mob xws li mob thiab kub taub hau tshwm sim.
3. Kev Los Ntshav Hauv Qhov Ncauj: Cov hlab ntsha me me uas khiav ze ntawm cov hnab me me ntawd yuav raug puas tsuaj thiab pib los ntshav.
Cov tsos mob yog dab tsi? Peb yuav ua li cas thiaj paub qhov txawv thiab paub txog cov mob no?
Cov tsos mob ntawm peb yam mob no txawv ntawm ib leeg. Yog li ntawd, nws yog ib qho tseem ceeb heev uas yuav tsum nkag siab lawv kom meej. Koj tuaj yeem nkag siab yooj yim los ntawm cov lus hauv qab no.
| Mob nkeeg | Cov tsos mob uas tau hnov |
|---|---|
| Kab mob diverticulosis | Feem ntau tsis muaj tsos mob.Tej zaum yuav muaj qhov tsis xis nyob me ntsis, xws li o, tab sis feem ntau cov neeg tsis muaj teeb meem. Nws raug pom los ntawm kev kuaj mob lwm yam. |
| Kab mob diverticulitis | Lub sijhawm no yog lub sijhawm uas mob heev thiab yuav tsum tau kho. Cov tsos mob tuaj yeem pib sai sai. - Mob hnyav heev rau hauv plab qis, tshwj xeeb tshaj yog rau sab laug. Kub taub hau thiab mob khaub thuas. Xeev siab thiab ntuav. - Mob raws plab los yog cem quav. |
| Kev Los Ntshav Hauv Diverticular | Los ntshav sai sai, tsis mob los ntawm lub qhov quav. Qee zaum yuav muaj ntshav ntau heev. Qhov no yog xwm txheej ceev hauv kev kho mob. |
Tus kws kho mob nrhiav tau qhov no li cas?
Yog tias koj muaj cov tsos mob ntawm diverticulitis, nws yog ib qho tseem ceeb heev uas yuav tsum mus ntsib kws kho mob sai li sai tau.
- Kev kuaj mob: Tus kws kho mob yuav nug koj txog koj cov tsos mob, kev noj zaub mov, kev tso quav, thiab cov tshuaj uas koj noj. Tom qab ntawd nws yuav kov koj lub plab thiab xyuas seb puas muaj qhov mob.
- Kev Ntsuas:
- Kev kuaj ntshav: Yuav kuaj ntshav seb puas muaj kab mob hauv lub cev.
- Kev Thaij Duab CT: Qhov no tseem ceeb heev kom pom tseeb tias muaj dab tsi tshwm sim hauv plab. Nws tuaj yeem qhia meej tias cov hnab me me ntawd o lossis puas muaj lwm yam teeb meem.
- Kev kuaj mob plab hnyuv loj: Yog tias koj muaj ntshav hauv qhov quav, kev kuaj mob uas yuav tsum muab ib lub raj nyias nyias nrog lub koob yees duab tso rau hauv koj txoj hnyuv loj kom paub tseeb tias cov ntshav los qhov twg. Txawm li cas los xij, qhov no feem ntau tsis ua thaum mob diverticulitis tseem ua haujlwm.
Feem ntau pom muaj kab mob diverticulosis thaum lub sijhawm kuaj mob colonoscopy vim lwm yam laj thawj.
Puas muaj teeb meem txaus ntshai tshwm sim tau?
Yog, mob diverticulitis tuaj yeem ua rau muaj teeb meem loj yog tias tsis kho kom zoo. Feem ntau ntawm cov no yog tshwm sim los ntawm kev tawg (perforation) ntawm lub hnab mob, uas ua rau cov khoom pov tseg los ntawm cov hnyuv nkag mus rau hauv lub plab.
Cov teeb meem no feem ntau tsis tshua muaj, tab sis kev paub txog lawv yuav txhawb kom koj mus nrhiav kev pab kho mob sai li sai tau thaum cov tsos mob tshwm sim.
- Mob Peritonitis:Tus kab mob no kis mus thoob plaws hauv plab. Qhov no yog ib qho mob heev thiab ua rau tuag taus. Qhov no yuav tsum tau phais mob ceev.
- Kab mob abscess: Ib qho kua qaub ncaug sib sau ua ke hauv ib cheeb tsam uas yuav xav tau kev tso dej tawm lossis phais.
- Kev thaiv txoj hnyuv: Cov nqaij caws pliav uas tshwm sim los ntawm kev kis kab mob tuaj yeem ua rau txoj hnyuv nqaim thiab ua rau ib feem lossis tag nrho thaiv.
- Qhov txhaws: Ib qho kev sib txuas tsis zoo ntawm txoj hnyuv thiab lwm yam kabmob (xws li lub zais zis). Qhov no kuj tuaj yeem kho tau los ntawm kev phais.
Yuav ua li cas thiaj tiv thaiv thiab tswj tau qhov mob no?
Qhov no yog qhov tseem ceeb tshaj plaws. Muaj ntau yam uas peb ua tau los tiv thaiv qhov mob no thiab kom txo tau cov teeb meem yog tias nws tshwm sim.
Qhov zoo tshaj plaws yog kev noj zaub mov uas muaj fiber ntau.
Qhov ua rau muaj tus mob no yog cem quav thiab ua kom koj lub plab nruj thaum koj tso zis. Txoj kev zoo tshaj plaws los tiv thaiv qhov no yog noj zaub mov uas muaj fiber ntau. Sim noj li ntawm 20-35 grams ntawm fiber rau hauv koj cov zaub mov txhua hnub.
- Cov khoom noj uas muaj fiber ntau: Mov xim av, buckwheat, oats, txiv hmab txiv ntoo (txiv tsawb, txiv nkhaus taw, txiv papaya), zaub (taum, zaub qhwv, spinach, carrots), zaub ntsuab, chickpeas, taum pauv, taum pauv ntsuab, thiab lwm yam.
- Haus dej ntau: Kev noj cov fiber ib leeg tsis txaus, koj yuav tsum haus dej ntau. Haus tsawg kawg 2-3 liv dej ib hnub.
- Kev Ua Si: Txawm tias yog ib yam yooj yim xws li kev taug kev li 30 feeb hauv ib hnub tuaj yeem pab tau ntau yam nrog kev ua haujlwm ntawm txoj hnyuv.
- Tsis txhob siv zog: Tsis txhob siv zog thaum koj mus rau chav dej. Yog tias koj cem quav, nrog kws kho mob tham thiab nrhiav cov lus qhia tsim nyog.
Tseem Ceeb: Yog tias koj tus kws kho mob qhia rau koj tias koj muaj mob diverticulosis, tsis txhob siv cov tshuaj laxatives rau kev cem quav. Nug koj tus kws kho mob kom tau lus qhia.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Diverticulosis yog qhov ua rau muaj cov hnab me me hauv cov hnyuv. Qhov no yog ib qho mob uas feem ntau cuam tshuam rau ntau tus neeg thiab feem ntau tsis ua teeb meem dab tsi.
- Txoj kev zoo tshaj plaws los tiv thaiv qhov no yog noj zaub mov muaj fiber ntau, haus dej ntau, thiab tawm dag zog txhua hnub.
- Yog tias koj cia li mob hnyav heev rau hauv plab qis (tshwj xeeb tshaj yog sab laug), kub taub hau, thiab hloov pauv koj txoj kev quav, tej zaum nws yog mob diverticulitis. Yog li ntawd , koj yuav tsum mus ntsib kws kho mob.
- Yog koj muaj ntshav hauv qhov quav, tsis txhob tsis quav ntsej. Mus ntsib kws kho mob kom paub seb yog vim li cas.
- Koj tuaj yeem tiv thaiv koj tus kheej ntawm ntau yam teeb meem ntawm tus mob no los ntawm kev hloov koj cov zaub mov noj thiab kev ua neej.
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