Koj txoj hnyuv puas ntshav tsawg zuj zus? Qhov no puas yog mob plab hnyuv tsis ua haujlwm?

Koj puas tau muaj mob plab sai sai, thiab muaj ntshav me ntsis hauv koj cov quav? Los yog koj lub plab puas puv thiab mob thaum kov? Yog tias koj muaj ib lossis ob qho ntawm cov tsos mob no, nws yuav yog vim muaj tus mob hu ua ischemic colitis, uas peb yuav tham txog hnub no. Tsis txhob ntshai, txawm tias lub npe suab nyuaj me ntsis los xij. Cia peb tham txog qhov no hauv txoj kev yooj yim uas txhua tus tuaj yeem nkag siab.

Mob plab hnyuv ischemic yog dab tsi? Hais yooj yim xwb...

Hais yooj yim xwb, ischemic colitis yog o ntawm koj txoj hnyuv loj, lossis qhov peb hu ua txoj hnyuv loj, vim yog cov ntshav ntws tsawg dua (qhov no hu ua ischemia). Koj paub, txhua lub cell thiab cov nqaij hauv peb lub cev xav tau oxygen kom nyob thiab ua haujlwm. Cov pa oxygen no raug nqa mus rau lawv los ntawm cov ntshav. Yog li, thaum cov ntshav ntws mus rau txoj hnyuv loj txo qis rau qee qhov laj thawj, nws tsis tau txais oxygen txaus. Thaum ntawd cov nqaij hauv txoj hnyuv ntawd puas tsuaj thiab o, txhais tau tias lawv o, liab, thiab mob. Nws zoo li tsob ntoo qhuav thaum nws tsis muaj dej txaus.

Qhov kev o no yog peb lub cev txoj kev sim kho qhov puas tsuaj. Yog vim li cas peb thiaj li tsis xis nyob, mob plab, o, thiab qee zaum los ntshav. Ischemic Colitis feem ntau cuam tshuam rau cov ntaub mos mos ntawm koj txoj hnyuv loj, hu ua mucosa . Ib yam li cov tawv nqaij mos mos hauv peb lub qhov ncauj, sab hauv ntawm txoj hnyuv kuj raug npog los ntawm cov ntaub mos mos. Txawm li cas los xij, yog tias qhov tsis muaj ntshav ntws (ischemia) no hnyav lossis kav ntev, nws kuj tuaj yeem ua rau cov qhov tob dua ntawm txoj hnyuv puas tsuaj.

Qhov txawv ntawm mob plab hnyuv loj ib txwm thiab mob plab hnyuv loj tsis muaj zog yog dab tsi?

Tej zaum koj twb tau hnov ​​lo lus "colitis." "Colitis" tsuas yog hais txog kev o ntawm txoj hnyuv loj. "Ischemic colitis" yog lwm hom kev o, tab sis nws tsis tshua muaj ntau. Thaum cov neeg feem coob hnov ​​​​"colitis," lawv xav txog cov kab mob inflammatory bowel (IBDs) ntev xws li "Ulcerative Colitis" lossis "Crohn's Disease." Cov mob no pib hauv daim ntaub ntawm txoj hnyuv loj.

Tiam sis, '(Ischemic Colitis)' yog ib yam dab tsi txawv. Qhov tseeb, nws pib ua teeb meem nrog koj lub cev ncig ntshav. Qhov ntawd yog, nws yuav yog vim muaj teeb meem nrog koj lub plawv thiab cov hlab ntsha. Nws yuav yog vim muaj ntshav qis, lossis nws yuav yog vim muaj qee yam kab mob ntawm cov hlab ntsha. Thaum cov ntshav ntws mus rau cov hlab ntsha uas muab ntshav rau cov hnyuv loj raug txo qis, qhov tshwm sim yog o ntawm cov nqaij hnyuv loj. Txwv tsis pub, nws tsis yog ib qho kab mob tshwj xeeb ntawm cov hnyuv loj.

Leej twg yuav muaj feem mob ischemic colitis (Ischemic Bowel Disease) ntau dua?

Tus mob no feem ntau tshwm sim rau cov neeg hnub nyoog tshaj 60 xyoo. Tsis tas li ntawd,Cov neeg uas muaj kab mob ntawm cov hlab ntsha kuj muaj feem yuav mob qhov no ntau dua.

Tsis tas li ntawd xwb, tseem muaj ntau yam uas ua rau muaj kev pheej hmoo. Cia peb saib seb lawv yog dab tsi:

• Kab mob ntshav qab zib hom 2: Vim tias kab mob ntshav qab zib tuaj yeem ua rau cov hlab ntsha puas tsuaj.
• Kev ua tsis tau haujlwm ntawm lub raum thiab cov neeg uas tab tom kho mob dialysis: Kab mob raum kuj tseem cuam tshuam rau kev ncig ntshav.
• Ntshav siab qis: Thaum ntshav siab poob qis, cov ntshav ntws mus rau cov kabmob kuj txo qis.
• Hypoalbuminemia yog qhov txo qis ntawm cov protein albumin hauv cov ntshav.
• Kab mob ntawm cov hlab ntsha peripheral: Kev nqaim lossis thaiv cov hlab ntsha uas muab ntshav mus rau cov ceg.
• Ischemic cardiomyopathy: Cov kab mob uas tshwm sim los ntawm kev txo cov ntshav mus rau cov leeg nqaij plawv.
• Kev mob ntshav txhaws: Qhov kev pheej hmoo ntawm cov ntshav txhaws hauv cov hlab ntsha nce ntxiv.
• Mob cem quav ntev nrog rau kev cuam tshuam ntawm cov quav: Qhov no tuaj yeem ua rau muaj kev nyuaj rau cov hnyuv thiab thaiv cov ntshav ntws.
• Kev siv cov tshuaj yeeb xws li cocaine.
• Muaj ib qho aneurysm ntawm lub plab aorta.

Yog koj muaj cov yam txaus ntshai no, nws zoo dua kom ceev faj me ntsis ntxiv.

Kab mob ischemic colitis cuam tshuam li cas rau koj lub cev?

Rau cov neeg feem coob, qhov no tsuas yog ib qho teeb meem ib ntus xwb. Qhov ntawd yog, nws tsuas cuam tshuam rau ib feem me me ntawm txoj hnyuv loj thiab kho tau hauv ob peb hnub xwb. Txawm hais tias qhov o tuaj yeem ua rau tsis xis nyob thiab mob ib ntus, thaum kho qhov ua rau cov ntshav ntws tsawg dua, qhov mob no kuj yuav zoo dua.

Txawm li cas los xij, qee zaum qhov no tuaj yeem yog teeb meem loj dua.

• Muaj ib txhia neeg yuav tau txais cov kab mob "Ischemic Colitis" rov qab ntau zaus hauv tib thaj chaw. Thaum qhov no tshwm sim, cov caws pliav tuaj yeem tshwm sim hauv thaj chaw ntawd thiab cov hnyuv tuaj yeem nqaim (stricture). Qhov no ua rau nws nyuaj rau cov khoom noj thiab dej haus hla dhau yooj yim.
• Tsis tas li ntawd xwb, yog tias qhov 'ischemia', uas yog qhov txo qis ntawm cov ntshav ntws, hnyav txaus, cov nqaij ntawm txoj hnyuv tuaj yeem tuag (gangrene). Qhov no yog ib qho mob txaus ntshai heev. Yog tias qhov ntawd tshwm sim,
• Tej zaum yuav muaj qhov (perforation) hauv txoj hnyuv.
• Tej yam teeb meem uas yuav ua rau tuag taus xws li kev kis kab mob hnyav thiab sepsis (kev lom ntshav) yuav tshwm sim tau.
• Hauv qhov xwm txheej zoo li no, yuav tsum tau phais mob ceev .

Cov tsos mob ntawm ischemic colitis yog dab tsi?

Hauv qhov no, koj yuav muaj ib lossis ntau yam ntawm cov tsos mob hauv qab no:

• Mob plab thiab mob plab: Qhov no yog cov tsos mob tseem ceeb. Nws tuaj yeem pib sai sai.
• Mob plab thiab o: Tej zaum koj yuav mob thaum koj kov koj lub plab.
• Raws plab thiab maj nrawm kom quav: Yuav tsum mus rau chav dej ntau zaus.
• Cov quav ntshav: Ntshav hauv cov quav, qee zaum liab tsaus lossis dub.
• Kub taub hau me ntsis: Tej zaum koj yuav hnov ​​​​​​mob kub taub hau me ntsis.
• Xeev siab los yog tsis xav noj mov: Ib qho kev xav tias tsis xav noj mov los yog haus dej .

Xav txog seb, yog tias koj cia li pib mob plab heev thiab tawm ntshav, tsis txhob xav tias nws tsuas yog kab mob hauv plab xwb. Mus ntsib kws kho mob tam sim ntawd.

Dab tsi yog cov ua rau muaj mob qog nqaij hlav ischemic?

Qhov tseeb, muaj ntau yam ua rau cov ntshav ntws mus rau txoj hnyuv loj tsawg dua. Feem ntau, qhov no tsuas yog ib ntus xwb. Qee zaum, qhov ua rau mob yuav ploj mus thaum kuaj pom tias muaj tus kab mob no. Yog tias koj tsuas muaj "ischemic colitis" ib zaug xwb thiab rov zoo lawm, koj tus kws kho mob yuav tsis qhia tau qhov ua rau mob rau koj. Txawm li cas los xij, lawv tuaj yeem kwv yees raws li koj keeb kwm kho mob thiab lwm yam mob.

Feem ntau, cov kab mob uas cuam tshuam rau koj lub cev ncig ntshav, xws li kab mob plawv thiab kab mob hlab ntsha, tuaj yeem txo cov ntshav ntws mus rau cov hlab ntsha uas muab ntshav rau cov hnyuv. Qee zaum cov ntshav txhaws tuaj yeem thaiv cov hlab ntsha, lossis cov hlab ntsha tuaj yeem raug nias los ntawm ib yam dab tsi sab nraud.

Muaj ob txoj hlab ntsha tseem ceeb uas muab ntshav rau peb txoj hnyuv - cov hlab ntsha sab saud thiab sab qis mesenteric . Cov hlab ntsha no rhiab heev rau txhua yam uas ua rau cov hlab ntsha nqaim (vasoconstriction). Piv txwv li, txias heev, cov kab mob uas ua rau ntshav qis, thiab qee yam tshuaj (vasoconstrictors) tuaj yeem cuam tshuam qhov no. Cov hlab ntsha no teb rau cov ntshav qis los ntawm kev nqaim sai. Cov kws tshawb fawb xav tias qhov no yog lub tshuab tiv thaiv ntawm peb lub cev. Ntawd yog, thaum lub cev poob ntshav, nws txo cov ntshav mus rau qhov chaw xws li txoj hnyuv kom xa cov ntshav mus rau cov kab mob tseem ceeb xws li lub hlwb thiab lub plawv. Thaum qhov "kev teb ceev" no raug ua, cov hnyuv tuaj yeem poob ntshav.

Cov kws kho mob qee zaum faib qhov no ua ob pawg ntawm cov laj thawj:

1. Cov ua rau txhaws: Qhov no txhais tau tias txhaws los ntawm sab hauv cov hlab ntsha (piv txwv li, cov ntshav txhaws).

2. Cov ua rau tsis txhaws: Qhov no txhais tau tias cov ntshav ntws tsawg dua vim muaj lwm yam ua rau (piv txwv li, ntshav siab qis, cov hlab ntsha nqaim) es tsis yog cov hlab ntsha raug txhaws.

Qhov laj thawj thib peb yog raug mob thaum lub sijhawm phais.Txawm hais tias qhov no yog qhov tshwm sim tsawg heev, muaj kev pheej hmoo ntawm kev kho AAA thaum lub sijhawm phais mob los kho qhov tawg ntawm lub plab aortic aneurysm (AAA). Yog tias qhov no tshwm sim, nws tuaj yeem loj dua li lwm yam ua rau ib ntus thiab tuaj yeem ua rau tuag taus. Qhov mob no tshwm sim hauv kwv yees li 2% txog 3% ntawm cov kev phais mob AAA, thiab kwv yees li 50% ntawm cov neeg mob ntawd tuag.

Yuav kuaj mob li cas rau tus kab mob ischemic colitis?

Cov tsos mob ntawm tus kab mob no (xws li mob plab thiab raws plab) yog ib qho uas pom ntau heev, uas txhais tau tias cov tsos mob no kuj tuaj yeem tshwm sim los ntawm lwm yam kab mob hauv plab. Yog li ntawd, cov kws kho mob yuav tsum xyuas kom meej tias tsis muaj lwm yam mob ua ntej lawv thiaj li hais tau tias qhov no yog "Ischemic Colitis".

• Tej zaum koj yuav muaj kev kuaj duab (piv txwv li, CT scan) ntawm koj txoj hnyuv loj.
• Kev kuaj ntshav ua tau los xyuas seb puas muaj kab mob thiab lwm yam. Feem ntau, mob plab hnyuv ua rau cov qe ntshav dawb ntau ntxiv.

Yog tias koj tus kws kho mob xav tias koj muaj Ischemic Colitis, txoj hauv kev zoo tshaj plaws los paub meej tias koj tau kuaj mob yog siv lub tshuab colonoscopy. Qhov no suav nrog kev ntxig ib lub raj me me, ci ntsa iab los ntawm koj lub qhov quav kom saib sab hauv koj lub plab hnyuv. Yog tias koj muaj Ischemic Colitis, qhov kev kuaj mob tuaj yeem nrhiav cov cim ntawm tus mob. Yog tias tsim nyog, ib daim nqaij me me (biopsy) tuaj yeem raug coj los ntawm koj lub plab hnyuv tib lub sijhawm thiab xa mus rau chav kuaj mob kom kuaj ntxiv.

Yuav kho tus mob ischemic colitis li cas?

Kev kho mob nyob ntawm seb tus kab mob hnyav npaum li cas thiab seb koj puas muaj lwm yam teeb meem (piv txwv li, muaj kev kis kab mob hauv plab).

• Hauv cov mob hnyav lossis mob hnyav, tej zaum yuav xav tau kev phais mob ceev .
• Txawm li cas los xij, ntau rooj plaub tuaj yeem tswj tau los ntawm kev kho mob.
• Koj yuav tau txais cov kua dej IV (xws li saline) los ntawm txoj hlab ntsha .
• Yuav muab cov tshuaj tua kab mob dav dav los tiv thaiv lossis kho cov kab mob.
• Kev kho mob nrog oxygen kuj tseem yuav muab rau kom lub plawv ua haujlwm tau zoo thiab cov ntshav ntws tau zoo dua.
• Tus kws kho mob yuav tsum tsis txhob noj tshuaj twg uas lawv xav tias ua rau muaj tus mob no (Ischemic Colitis).
• Qhov tseem ceeb tshaj plaws yog "so koj lub plab kom txaus." Qhov no txhais tau tias tsis txhob siv koj lub cev zom zaub mov kom txog thaum koj lub plab zoo. Koj yuav tau noj cov kua zaub mov lossis cov khoom noj khoom haus IV .

Lwm yam kev kho mob uas yuav xav tau:

• Kev txo qhov nias ntawm lub plab los ntawm kev siv lub raj mis nasogastric: Txoj kev no yog siv los tshem tawm cua, kua dej, lossis zaub mov ntawm lub plab yog tias ib feem ntawm txoj hnyuv raug thaiv vim yog ischemic colitis.
• Kev kho mob ntawm cov hlab ntsha:Yog tias muaj kev txhaws hauv cov hlab ntsha, tus kws kho mob yuav tsum tau phais tshem tawm, yaj cov ntshav txhaws, lossis muab stent tso rau hauv cov hlab ntsha nqaim.
• Kev phais plab hnyuv (Colectomy): Yog tias cov nqaij ntawm txoj hnyuv loj tuag lawm (gangrene) lossis phab ntsa ntawm txoj hnyuv loj tawg lawm (ruptured), qhov uas puas lawm yuav tsum tau txiav tawm. Kev phais no kuj tseem yuav muaj kev muab lub hnab colostomy tso rau ib ntus lossis mus tas li (qhov qhib sib cais hauv daim tawv nqaij ntawm lub plab rau kev tso quav).

Ib tug neeg uas muaj mob ischemic colitis yuav tsum ceev faj txog kev noj dab tsi?

Yog tias koj tab tom rov zoo los ntawm Ischemic Colitis, koj tus kws kho mob yuav qhia koj kom yoo mov ua ntej. Tom qab ntawd, koj tuaj yeem maj mam hloov mus rau kev noj zaub mov ua kua , thiab tom qab ntawd noj zaub mov mos .

Tsis txhob noj cov khoom noj uas muaj fiber ntau thaum lub sijhawm no. Nws tsis yog lub tswv yim zoo kom ua haujlwm ntau dhau rau koj cov hnyuv kom txog thaum lawv zoo. Thaj chaw ntawd xav tau ntau cov ntshav ntws thiab oxygen los zom cov zaub mov. Kev so koj cov hnyuv muab sijhawm rau koj lub cev rov qab tau cov ntshav ntawd.

Yog tias koj muaj mob ntev ntev hu ua "mob ntev ntev" "Ischemic Colitis", lossis yog tias koj muaj lwm yam mob ntev uas ua rau koj muaj mob ntawd, koj tus kws kho mob yuav muab cov lus qhia tshwj xeeb rau koj txog kev noj zaub mov kom ua raws li lub sijhawm ntev.

Puas tiv thaiv tau tus kab mob ischemic colitis?

Vim muaj ntau yam ua rau muaj tus mob no, tej zaum yuav tsis zam tau tag nrho cov no. Txawm li cas los xij, nws yog ib qho tseem ceeb heev uas yuav tsum tswj hwm txhua yam mob uas koj twb muaj lawm (tshwj xeeb tshaj yog kab mob plawv, hlab ntsha, thiab raum) .

• Tsis txhob haus luam yeeb thiab siv yeeb tshuaj.
• Kev noj zaub mov zoo rau lub plawv tuaj yeem tiv thaiv cov mob no kom tsis txhob hnyav zuj zus lossis muaj teeb meem ntxiv.
• Kab mob plab hnyuv (tseem hu ua "mob plab hnyuv ntawm tus neeg khiav") tej zaum yuav tshwm sim los ntawm kev tawm dag zog hnyav . Qhov no yog vim tias lub plawv tsis tuaj yeem tso ntshav txaus. Yog tias koj yog tus neeg ncaws pob uas ua siab ntev, kev haus dej kom txaus tuaj yeem pab tiv thaiv qhov no.

Yuav ua li cas thiaj nrhiav tau tus kab mob ischemic colitis? (Outlook)

Qhov xov xwm zoo yog tias feem ntau cov neeg (kwv yees li 75%) uas muaj tus mob acute ischemic colitis muaj tus mob me me xwb, ib ntus xwb. Nws tsuas cuam tshuam rau ib feem ntawm txoj hnyuv thiab yuav ploj mus tag nrog kev kho mob ib txwm muaj.

Tsuas yog muaj ib feem pua ​​me me ntawm cov neeg uas muaj teeb meem uas yuav tsum tau phais. Cov teeb meem no feem ntau tshwm sim rau cov neeg uas twb muaj lwm yam mob, xws li kab mob plawv lossis kab mob raum. Rau cov neeg no, kev phais muaj kev pheej hmoo thiab kev rov zoo yog qhov nyuaj. Raws li cov ntaub ntawv txheeb cais, pawg no muaj kev pheej hmoo siab dua ntawm cov txiaj ntsig tsis zoo thiab kev tuag (kwv yees li 40%). Tab sis qhov kev pheej hmoo ntawd tsis yog vim tus mob '(Ischemic Colitis)' xwb.

Kab mob no hu ua '(Ischemic Colitis)' tej zaum yuav siv sijhawm ntev rau cov kws kho mob kom paub, nrog rau cov neeg uas muaj nws. Vim tias, thaum koj hais tias mob plab, tsis muaj leej twg xav tias qhov no yog teeb meem ntawm lub plawv thiab cov hlab ntsha. Txawm li cas los xij, thaum kuaj pom tau zoo lawm, koj tuaj yeem cia siab tias yuav rov zoo sai thiab sai, txawm tias koj yuav tsum nyob hauv tsev kho mob ib ntus. Txawm li cas los xij, '(Ischemic Colitis)' tej zaum yuav hnyav heev, yog li tsis txhob tsis quav ntsej koj cov tsos mob. Yog tias lawv tsis zoo dua, qhia rau koj tus kws kho mob tam sim ntawd.

Yog li ntawd, tej yam tseem ceeb tshaj plaws uas peb yuav tsum nco ntsoov los ntawm zaj dab neeg no yog dab tsi?

Zoo, ntawm no yog ob peb yam uas peb tau tham txog kom koj nkag siab:

• Tsis txhob tsis quav ntsej qhov mob plab sai sai thiab hnyav heev, tshwj xeeb yog tias nws nrog cov quav ntshav. Qhov no yuav yog ib qho cim qhia txog tus mob hu ua "Ischemic Colitis".
• Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kev pab kho mob thaum ntxov. Yog tias kuaj pom tus kab mob sai npaum li cas, ces yuav yooj yim dua rau kev kho thiab tiv thaiv cov teeb meem.
• Yog koj muaj tej yam uas ua rau koj muaj feem yuav kis tau kab mob xws li ntshav qab zib, kab mob plawv, lossis ntshav siab, ces tswj koj tus kheej kom zoo.
• Ua neej noj qab nyob zoo. Tsis txhob haus luam yeeb thiab siv yeeb tshuaj tsis tsim nyog. Noj zaub mov zoo.
• Tsis txhob ntshai, tab sis ceev faj. Ischemic Colitis yog ib yam mob uas feem ntau kho tau. Txawm li cas los xij, nws yuav tsum tau muab kev saib xyuas tsim nyog.

Yog koj muaj lus nug ntxiv txog qhov no, nco ntsoov nrog koj tus kws kho mob hauv tsev neeg tham. Nws tuaj yeem muab cov lus qhia zoo tshaj plaws rau koj.

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