Mus rau chav dej tej zaum yuav yog ib qho nyuaj heev, puas yog? Nws yog ib qho ib txwm muaj uas yuav ntshai, tshwj xeeb tshaj yog tias koj pom me ntsis ntshav hauv koj cov quav, lossis yog tias koj yuav tsum siv zog kom quav tawm. Nws yuav ua rau txaj muag me ntsis thaum tham txog cov no nrog lwm tus. Tab sis cov no yog cov khoom tseem ceeb heev rau kev noj qab haus huv. Hnub no peb yuav tham txog ib qho mob tsis tshua muaj uas tuaj yeem ua rau muaj cov tsos mob no, tab sis tsis muaj coob tus neeg tau hnov txog nws. Ntawd yog Solitary Rectal Ulcer Syndrome (SRUS) .
Kab mob Solitary Rectal Ulcer Syndrome (SRUS) yog dab tsi?
Hais yooj yim xwb, SRUS yog ib qho mob uas ntev mus ntev los lawm, tsis yog mob qog noj ntshav uas ua rau muaj ib lossis ntau qhov mob hauv peb lub qhov quav. Tam sim no tej zaum koj yuav xav paub tias, "Qhov no yog dab tsi?" Lub qhov quav yog qhov kawg ntawm peb txoj hnyuv loj (colon), qhov chaw uas cov quav nyob ib ntus ua ntej nws tawm hauv peb lub cev.
Tiamsis lub npe no yuav ua rau neeg nkag siab yuam kev me ntsis. Txawm hais tias lo lus "ib leeg xwb," qee zaum yuav muaj ntau tshaj ib lub qhov txhab. Tsis tas li ntawd, cov no tsis yog ib txwm muaj cov qhov txhab. Qee zaum lawv tsuas yog o, liab xwb. Qee zaum qhov mob no tuaj yeem pom hauv ib feem ntawm txoj hnyuv loj saum lub qhov quav.
Cov kws kho mob thiab cov kws tshawb fawb tseem tab tom kawm ntau yam txog tus mob no. Tseem tab tom tshawb nrhiav txog nws cov ua rau thiab cov kev kho mob zoo tshaj plaws.
Tus mob no feem ntau tshwm sim li cas?
SRUS yog ib qho mob tsis tshua muaj. Nws cuam tshuam txog li ib ntawm 100,000 tus neeg. Nws feem ntau tshwm sim rau cov neeg hnub nyoog ntawm 30 thiab 40 xyoo. Txawm li cas los xij, nws kuj tuaj yeem tshwm sim rau cov menyuam yaus thiab cov neeg laus.
Qhov teeb meem no puas loj heev? Peb puas yuav tsum ntshai?
Qhov no tej zaum yuav yog thawj lo lus nug uas koj xav txog. Qhov xov xwm zoo yog tias cov qhov txhab no feem ntau tsis loj heev. Qhov ntawd txhais tau tias lawv tsis ua mob qog noj ntshav.
Txawm li cas los xij, qhov tseem ceeb ntawm no yog qhov teeb meem tseem ceeb uas ua rau muaj cov qhov txhab no tej zaum yuav yog ib yam dab tsi uas xav tau kev saib xyuas. Yog vim li ntawd nws thiaj li tseem ceeb heev uas yuav tsum mus ntsib kws kho mob kom paub tseeb tias koj muaj cov tsos mob no.
Koj yuav tsum tsis txhob tsis quav ntsej txog cov tsos mob zoo li no. Nws tsis yog lub tswv yim zoo los xav tias, "Nws yuav ploj mus li ob peb hnub." Vim tias kev los ntshav hauv qhov quav tuaj yeem tshwm sim los ntawm cov mob hnyav dua li SRUS.
Cov tsos mob ntawm SRUS yog dab tsi?
Cov tsos mob no feem ntau yuav maj mam tshwm sim. Lawv ua rau kev mus chav dej tsis xis nyob heev. Cia peb saib cov tsos mob tseem ceeb.
| Cov tsos mob | Hais yooj yim xwb... |
|---|---|
| Kev Ntshav Hauv Qhov Quav | Ntshav liab ci ntsa iab, tshiab tawm los nrog cov quav lossis tom qab mus chav dej. Qee zaum daim ntawv so tes yuav muaj ntshav nyob hauv. |
| Cov zis zoo li mucus nrog cov quav | Ib qho kev xav zoo li cov kua dej tawm, txawm tias muaj lossis tsis muaj quav. |
| Siv zog kom quav tawm (Straining) | Nws siv sijhawm ntev, siv zog ntau, thiab siv zog ntau los tso quav. |
| Kev tso zis tsis tiav | Zoo li tseem muaj quav tom qab mus chav dej, zoo li "Kuv tseem tsis tau ua tiav." |
| Mob qhov quav los yog tsis xis nyob | Hnov mob lossis tsis xis nyob hauv qhov quav thiab thaj chaw ib puag ncig, tshwj xeeb tshaj yog thaum mus rau chav dej. |
| Pelvic puv nkaus | Xav tias qhov hnyav thiab puv nkaus hauv qab plab. |
Qhov xav tsis thoob yog, kwv yees li ib ntawm plaub tus neeg (25%) uas muaj SRUS tsis muaj tsos mob dab tsi. Nws raug pom tsis tau thaum lub sijhawm kuaj mob rau lwm qhov laj thawj.
Vim li cas qhov xwm txheej no thiaj tshwm sim?
Tseem tsis tau paub meej tias yog vim li cas thiaj ua rau muaj tus mob no. Txawm li cas los xij, cov kws kho mob ntseeg tias nws muaj feem cuam tshuam nrog ntau yam mob uas tuaj yeem ua rau lub phab ntsa sab hauv ntawm lub qhov quav puas tsuaj. Qhov no txhais tau tias cov qhov txhab no tej zaum yuav yog los ntawm lwm yam mob uas twb muaj lawm.
Muaj ntau yam mob uas feem ntau pom nrog SRUS:
- Qhov Ncauj Qhov Ncauj Tawm: Qhov no yog thaum lub qhov ncauj tawm los ntawm lub qhov quav. Xav txog nws zoo li tig ib lub thom khwm sab hauv tawm. Kev sib txhuam thiab kev nyem uas tshwm sim thaum cov nqaij tawm tuaj yeem ua rau mob.
- Kev Txhaws Qhov Ncauj: Qhov no yog thaum ib feem ntawm lub qhov quav thawb mus rau lwm qhov ntawm lub qhov quav, zoo li lub tsom iav. Qhov no kuj tuaj yeem ua rau cov nqaij puas tsuaj.
- Kab mob cem quav ntev: Thaum peb muaj teeb meem tso quav, peb yuav siv zog ntev heev. Qhov kev nyem ntau dhau no tuaj yeem ua rau cov nqaij mos ntawm lub qhov quav puas tsuaj. Ib txhia neeg sim siv lawv cov ntiv tes los tshem cov quav thaum nws daig. Qhov no kuj yog ib qho ua rau raug mob ntawm lub qhov quav.
- Kev tswj tsis tau quav: Teeb meem nrog lub qhov quav kuj tuaj yeem tshwm sim hauv cov xwm txheej uas koj tswj tsis tau koj cov quav.
Ib qho ntawm cov kev xav tseem ceeb yog thaum peb cov leeg nqaij hauv pem teb, uas pab peb tso quav, tsis ua haujlwm zoo, cov txheej txheem ntawm kev tso quav yuav tsis xwm yeem thiab raug mob zoo li no tshwm sim.
Koj nrhiav tau qhov no li cas, Kws Kho Mob?
Thaum koj mus ntsib kws kho mob uas muaj cov tsos mob uas koj tau hais los saum toj no, nws yuav xub nug koj txog koj cov tsos mob thiab koj tus cwj pwm mus tso quav (piv txwv li, koj puas siv sijhawm ntev los tso quav?). Tom qab ntawd, lawv yuav ua qee qhov kev kuaj mob kom paub tseeb tias koj puas muaj cov qhov txhab no.
Cov kev ntsuam xyuas tseem ceeb
- Kev siv lub koob yees duab los saib hauv lub qhov quav: Qhov no yog qhov kev kuaj mob uas siv ntau tshaj plaws. Hauv qhov kev kuaj mob no, ib lub raj nyias nyias uas muaj lub koob yees duab txuas nrog raug ntxig rau hauv lub qhov quav kom pom cov qhov txhab lossis lwm yam kev hloov pauv sab hauv ntawm lub vijtsam. Muaj ntau hom kev kuaj mob no:
- Anoscopy: Tshuaj xyuas lub qhov quav thiab qhov kawg ntawm lub qhov quav.
- Kev Siv Lub Qhov Ncauj Sigmoidoscopy Uas Yooj Yim: Tshuaj xyuas lub qhov quav thiab sab qis ntawm txoj hnyuv loj.
- Kev kuaj mob plab hnyuv loj: Tshuaj xyuas tag nrho cov hnyuv loj.
Lwm cov kev ntsuam xyuas tseem ceeb
Koj tus kws kho mob yuav pom zoo kom kuaj ntau yam ntxiv kom paub tseeb tias koj tsis muaj lwm yam mob hnyav (piv txwv li, Kab mob plab hnyuv (IBD) lossis mob qog nqaij hlav hauv plab ) uas ua rau muaj cov tsos mob zoo ib yam li SRUS.
- Transrectal Ultrasound: Ib qho me me probe raug ntxig rau hauv lub qhov quav thiab cov suab nthwv dej raug siv los tsim cov duab meej ntawm sab hauv phab ntsa ntawm lub qhov quav.
- Kev kuaj mob plab: Qhov no yog ib qho kev kuaj tshwj xeeb. Cov txheej txheem ntawm kev tso quav raug kaw cia siv lub tshuab X-ray lossis MRI. Qhov no pab txiav txim siab kom raug seb puas muaj mob xws li qhov quav poob qis.
- Kev Ntsuas Qhov Ncauj Qhov Quav: Kev ntsuas uas ntsuas qhov ua haujlwm thiab qhov siab ntawm cov leeg nqaij hauv thiab ib puag ncig lub qhov quav. Qhov no tuaj yeem pab txiav txim siab seb cov leeg nqaij uas koom nrog kev tso quav puas ua haujlwm zoo.
- Kev kuaj nqaij: Thaum lub sijhawm endoscopy, ib daim nqaij me me ntawm qhov mob raug coj los ntawm qhov mob thiab xa mus rau chav kuaj mob kom kuaj hauv qab lub tshuab microscope. Qhov kev kuaj no yog qhov tseem ceeb kom paub tseeb 100% tias qhov no tsis yog mob qog noj ntshav.
Cov kev kho mob rau qhov no yog dab tsi?
Kev kho mob nyob ntawm seb koj cov tsos mob hnyav npaum li cas thiab qhov ua rau muaj mob. Feem ntau, kev hloov pauv yooj yim rau koj txoj kev ua neej thiab kev siv chav dej tuaj yeem pab tau.
| Txoj kev kho mob | Kev piav qhia |
|---|---|
| Kev hloov pauv ntawm kev noj haus thiab kev ua neej |
|
| Cov tshuaj kho mob |
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| Kev Kho Mob Biofeedback | Qhov no yog ib txoj kev kho mob tus cwj pwm. Nws suav nrog kev paub txog cov leeg nqaij hauv plab uas nruj thaum lub sijhawm tso zis thiab xyaum ua kom lawv so es tsis txhob nruj. Qhov no pab tau zoo heev rau kev rhuav tshem tus cwj pwm ntawm kev siv zog. |
| Kev phais mob | Yog tias cov kev raug mob no yog tshwm sim los ntawm ib qho mob xws li qhov quav prolapse, kev phais mob hu ua rectopexy yuav tsum tau kho qhov mob. |
Lub sijhawm twg zoo tshaj plaws mus ntsib kws kho mob?
Qhov no tseem ceeb heev. Muaj qee cov tsos mob uas peb yuav tsum tsis txhob tsis quav ntsej.
Yog tias koj los ntshav ntawm koj lub qhov quav, tso ntshav los yog hnoos qeev rau hauv koj cov quav, lossis mob tas li thaum mus chav dej, thov tsis txhob tsis quav ntsej nws, xav tias "nws yuav ploj mus hauv ib hnub." Nco ntsoov mus ntsib koj tus kws kho mob kom paub tseeb tias yog dab tsi ua rau nws.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Kab mob Solitary Rectal Ulcer Syndrome (SRUS) yog ib yam mob tsis tshua muaj, tsis yog mob qog noj ntshav, tab sis qhov tsis xis nyob uas nws ua rau tuaj yeem ua rau tuag taus.
- Los ntshav ntawm lub qhov quav yeej tsis yog ib txwm muaj. Yog tias koj pom nws, nco ntsoov mus ntsib kws kho mob.
- Feem ntau, nws yog ib qho tseem ceeb dua los kho qhov ua rau muaj cov qhov txhab no (piv txwv li, cem quav, qhov quav poob qis) dua li kho cov qhov txhab tiag tiag lawv tus kheej.
- Tej yam yooj yim xws li haus dej ntau, noj zaub mov uas muaj fiber ntau, thiab tsis txhob siv zog ntau dhau hauv chav dej yuav pab tau koj tswj tau qhov teeb meem no.
- Ua raws li koj tus kws kho mob cov lus qhia kom meej. Mus kuaj mob thiab kho kom zoo. Yog koj ua siab ntev kho, koj yuav tswj tau qhov mob no tau zoo.
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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