Xav txog tias koj tau mus rau chav dej thiab tawm los khoob kiag li. Tab sis tsis pub dhau ob peb feeb, koj rov qab hnov qhov hnyav dua, zoo li koj yuav tsum tau tso quav dua. Txawm koj sim ua li cas los xij, tsis muaj dab tsi tawm los. Koj puas kuj raug kev txom nyem los ntawm qhov mob tsis xis nyob no? Qhov no yog qhov peb hu ua Tenesmus hauv kev kho mob. Qhov no tsis yog tsuas yog tsis xis nyob xwb, tab sis yog lub cim qhia tias muaj qee yam tsis raug hauv koj lub cev.
Tenesmus yog dab tsi tiag?
Hais yooj yim xwb, tenesmus yog qhov uas koj xav tso quav tas li, txawm tias koj tso koj cov quav lossis zais zis lawm los xij. Tej zaum koj yuav mob plab, mob plab, hnyav, lossis txawm tias xav tso quav tam sim ntawd.
Qhov xwm txheej no tuaj yeem tshwm sim hauv ob txoj hauv kev tseem ceeb:
1. Qhov quav ncab: Qhov no yog hais txog kev tso quav. Nws txhais tau tias txawm tias tom qab koj tso quav tas lawm los, koj tseem muaj qhov xav tias yuav tsum tso quav.
2. Vesical Tenesmus: Qhov no yog hais txog kev tso zis. Nws txhais tau tias txawm tias tom qab tso zis tas lawm, lub zais zis tseem xav tias puv thiab xav tias yuav tsum tso zis dua.
Qhov tseem ceeb yog tias qhov mob tenesmus tsis yog ib qho mob ib txwm muaj. Nws yog ib qho tsos mob ntawm lwm yam mob uas muaj keeb kwm mob. Yog li ntawd, nws tsis yog ib qho zoo uas yuav tsum tsis quav ntsej txog nws.
Dab tsi yog cov ua rau muaj kev tawm tsam ntawm lub qhov quav?
Muaj ob pawg tseem ceeb uas ua rau mob plab vim yog quav. Cov no yog o thiab cem quav. Cia peb saib cov no ua ke.
| Pawg laj thawj | Kev piav qhia thiab piv txwv |
|---|---|
| Kev o | Qhov mob no tuaj yeem tshwm sim thaum qhov qis ntawm koj txoj hnyuv loj (lub qhov quav thiab lub qhov quav) o thiab rhiab heev. Qhov no tuaj yeem ua rau koj xav tias puv thaum koj tso quav, thiab nws kuj tseem tuaj yeem ua rau cov hlab ntsha uas xa cov cim mus rau koj lub hlwb qhia koj kom txuas ntxiv tso quav. Cov laj thawj tseem ceeb:
|
| Kab mob cem quav | Thaum cov quav tawv raug daig hauv cov hnyuv vim yog cem quav, lawv pheej ua rau cov phab ntsa plab hnyuv ua haujlwm tas li. Qhov no ua rau koj xav tias yuav tsum tau muab cov quav tso rau hauv tas li, txawm tias cov hnyuv tseem tsis tau khoob. Ua rau cem quav:
|
Dab tsi yog cov ua rau muaj qhov tso zis tenesmus (vesical tenesmus)?
Tib qho laj thawj uas ua rau koj xav tias yuav tsum tau tso zis dua tom qab koj tso zis tas los kuj muaj tseeb. Qhov mob no tuaj yeem tshwm sim los ntawm cov zis tseem nyob hauv lub zais zis lossis los ntawm kev o lossis kev kis kab mob hauv txoj hlab zis.
| Pawg laj thawj | Kev piav qhia thiab piv txwv |
|---|---|
| Cov zis seem hauv lub zais zis | Thaum lub zais zis tsis tuaj yeem tso zis tag vim qee yam, cov zis seem yuav ua rau cov leeg ntawm lub zais zis ua haujlwm thiab ua rau muaj kev xav tias yuav tsum tau tso zis ntxiv. Vim li cas:
|
| Kev mob o ntawm txoj hlab zis / kev kis kab mob | Thaum lub qhov zis o thiab rhiab heev, cov hlab ntsha tuaj yeem raug txhawb nqa, ua rau muaj qhov kev xav no. Vim li cas:
|
Puas muaj kev sib txuas ntawm kev ntxhov siab thiab qhov mob no?
Yog, muaj kev sib txuas. Tenesmus tsis yog los ntawm kev ntxhov siab lossis kev ntxhov siab. Txawm li cas los xij, yog tias koj twb muaj tus mob uas ua rau nws, kev ntxhov siab tuaj yeem ua rau nws hnyav dua. Nco ntsoov, thaum peb ntxhov siab, qhov sib npaug ntawm peb lub paj hlwb hloov pauv, ua rau nws nyuaj rau tswj peb cov leeg. Qhov no tuaj yeem ua rau cov leeg nqaij tsis kam uas tshwm sim hauv Tenesmus. Tsis tas li ntawd, kev muaj tus mob no tseem tuaj yeem ua rau ntxhov siab heev.
Yuav kho tus mob tenesmus li cas?
Yog koj muaj cov tsos mob no, thawj qhov koj yuav tsum ua yog mus ntsib kws kho mob . Tus kws kho mob yuav kuaj koj thiab sim nrhiav seb yog dab tsi ua rau koj cov tsos mob. Lawv yuav ua cov kev kuaj mob hauv qab no:
- Kev Kuaj Qhov Ncauj Digital: Kev kuaj qhov ncauj ntawm tes.
- Anoscopy/Flexible Sigmoidoscopy: Kev kuaj xyuas lub qhov quav thiab txoj hnyuv qis siv ib lub raj uas muaj lub koob yees duab.
- Kev kuaj mob plab hnyuv loj: Kev kuaj mob tag nrho plab hnyuv loj.
Thaum nrhiav tau qhov ua rau muaj qhov teeb meem no lawm, ces mam li txiav txim siab kho raws li qhov ua rau ntawd.
- Kev kho mob uas yog qhov tseem ceeb: Tej zaum yuav muab tshuaj tua kab mob rau kev kis kab mob, thiab tej zaum yuav muab tshuaj rau kev cem quav hnyav. Qee yam mob yuav xav tau kev phais.
- Kev Kho Mob o: Cov tshuaj xws li corticosteroids yuav raug muab rau kom txo qhov o.
- Kev Kho Mob Rau Cov tsos mob ntawm lub qhov quav: Cov tshuaj uas txo qhov mob thiab o tuaj yeem muab ua cov tshuaj ntsaws rau hauv lub qhov quav.
- Kev kho mob uas tsom rau cov leeg nqaij: Cov tshuaj uas tswj cov leeg nqaij uas tsis kam ua haujlwm (anticholinergics) lossis (antispasmodics) yuav muab tau.
- Kev tswj cov tsos mob ntawm mob qog noj ntshav: Kev kho mob tenesmus uas tshwm sim los ntawm mob qog noj ntshav yog qhov nyuaj heev. Qee zaum yuav tsum tau siv tshuaj tua kab mob lossis phais.
Thaum twg koj yuav tsum mus ntsib kws kho mob tam sim ntawd?
Nco ntsoov nrog koj tus kws kho mob tham txog qhov mob no. Txawm li cas los xij, yog tias koj muaj ib qho ntawm cov tsos mob hnyav hauv qab no, tsis txhob hnov qab nrhiav kev pab kho mob tam sim ntawd .
Yog tias koj muaj ib qho ntawm cov tsos mob no: kub taub hau , xeev siab thiab ntuav , mob hnyav , lossis ntshav hauv koj cov quav / zis , nrhiav kev pab kho mob tam sim ntawd. Yog tias tsim nyog, mus rau Chav Kho Mob Thaum Muaj Xwm Ceev (ETU) ntawm lub tsev kho mob ze tshaj plaws.
Nyob nrog hom kev tsis xis nyob no tuaj yeem nyuaj heev. Tsis txhob txaj muag tham nrog kws kho mob txog nws. Tsis txhob raug kev txom nyem ntsiag to. Tenesmus yog ib qho tsos mob ntawm tus mob uas yuav tsum tau kho. Txawm tias tus mob hauv qab no yog mob ntev thiab tsis kho tau (xws li IBD), nrog kev kho mob kom zoo, koj tuaj yeem tswj cov tsos mob tsis xis nyob no thiab ua neej nyob li qub.
Cov Lus Qhia Txog Kev Coj Mus Tsev
- Tenesmus tsis yog ib yam kab mob, tab sis yog ib qho tsos mob ntawm lwm yam mob.
- Qhov tsis xis nyob no tuaj yeem tshwm sim thaum tso quav (rectal) lossis tso zis (vesical).
- Nws yog ib qho tseem ceeb heev uas yuav tsum nrhiav kom paub qhov ua rau muaj qhov teeb meem no thiab kho nws. Yog li ntawd, tsis txhob tsis quav ntsej cov tsos mob no.
- Yog koj muaj cov tsos mob xws li kub taub hau, mob heev, lossis muaj ntshav hauv koj cov quav/zaub mov, mus ntsib koj tus kws kho mob tam sim ntawd.
👩🏽⚕️ Cov Lus Nug Ntxiv (FAQs)
💬 Cov tshuaj Disopyramide / Norpace puas yog tshuaj muaj zog heev rau ib yam kab mob?
Qhov no tsis yog tshuaj ib txwm muaj! Qhov no yog tshuaj muaj zog (Chav Kawm 1A Antiarrhythmic) tshwj xeeb uas siv los tswj cov kab mob Ventricular Arrhythmias / V-Tach / PVCs uas ua rau tuag taus, uas yog cov kab mob plawv dhia ceev ceev hauv cov chav qis ntawm lub plawv (Ventricles), ua rau tus neeg mob poob rau hauv lub xeev tsis nco qab thiab tuag, thiab kho lub plawv kom rov qab zoo li qub!
💬 Thaum koj lub plawv dhia ceev heev, cov tshuaj no (Disopyramide) pab ua kom koj lub plawv so li cas?
Yuav kom lub plawv tau txais hluav taws xob thiab dhia ceev dua, cov khoom me me 'Sodium' yuav tsum nkag mus rau hauv lub hlwb! Thaum cov tshuaj no nkag mus rau hauv lub plawv, nws thaiv tag nrho cov sodium channel (Moderate Sodium channel blocker). Tsis tas li ntawd, nws yuam kom ntev thiab ncua lub sijhawm uas nws siv rau lub plawv cov hluav taws xob cell kom them thiab rov pib dua (Repolarization / Potassium blockade)! Nrog ob qho kev ua no, tag nrho cov teeb liab hluav taws xob vwm raug txiav tawm thiab lub plawv qeeb qeeb.
💬 Cov lus ceeb toom anticholinergic thiab 'black box warnings' uas cov neeg noj cov tshuaj no (Norpace) yuav tsum paub txog yog dab tsi?
Qhov teeb meem loj tshaj plaws nrog qhov no yog tias nws ua rau cov kua qaub ntawm lub cev qhuav (Cov nyhuv Anticholinergic hnyav)! Yog li ntawd, tus nplaig / qhov ncauj qhuav thiab nyuaj rau tuav, cov zis daig hauv lub zais zis (Urinary retention), qhov muag ua rau tsis meej pem thiab cem quav hnyav. Lwm qhov txaus ntshai yog tias nws ua rau lub plawv 'Negative inotropic effect' tsis muaj zog! Yog li ntawd, yog tias ib tus neeg uas muaj lub plawv tsis ua haujlwm haus qhov no, nws lub plawv tuaj yeem nres thiab tuag (Proarrhythmic effect).
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