Koj tus me nyuam puas quaj thiab tuav nws lub plab tam sim ntawd? Cia peb kawm txog intussusception

Koj tus me nyuam puas cia li pib quaj nrov nrov thaum nws ua si? Nws puas rub nws lub hauv caug rau ntawm nws lub hauv siab, tuav nws lub plab, thiab quaj tsis tu ncua? Puas yog nws quaj tsis tu ncua tom qab ib pliag, tab sis tom qab li 15-20 feeb, nws pib quaj zoo li tus txiv neej laus? Nws yog qhov tsim nyog rau leej niam lossis leej txiv ntshai thaum nws pom ib yam dab tsi zoo li no. Cov tsos mob zoo li no qee zaum tuaj yeem yog ib qho cim ntawm tus mob uas peb tsis tau hnov ​​​​​​dua, tab sis uas xav tau kev kho mob tam sim ntawd. Ntawd yog qhov Intussusception yog. Cia peb tham txog qhov no kom meej hnub no.

Hais yooj yim xwb, Intussusception yog dab tsi?

Kab mob Intussusception yog ib qho mob hnyav thiab mob heev uas tshwm sim hauv cov hnyuv . Tshwj xeeb, nws tshwm sim thaum ib feem ntawm cov hnyuv poob rau hauv lwm qhov ntawm nws pem hauv ntej.

Xav txog ib lub tsom iav qub. Thaum peb qhib nws, ib feem tawm los ntawm lwm qhov. Thaum peb kaw nws dua, cov khoom rov qab mus rau hauv, puas yog? Qhov ntawd yog qhov tshwm sim rau peb txoj hnyuv hauv qhov xwm txheej no. Tab sis tsis zoo li lub tsom iav, peb txoj hnyuv yeej ib txwm qhib.

Cov ua rau thiab cov yam ua rau muaj tus mob no yog dab tsi?

Kab mob Intussusception yog qhov xwm txheej ceev tshaj plaws rau cov menyuam yaus hnub nyoog qis dua 2 xyoos. Txawm li cas los xij, nws kuj tuaj yeem tshwm sim rau cov menyuam yaus loj dua thiab cov hluas. Nws tsis tshua muaj rau cov neeg laus. Thaum nws tshwm sim, nws feem ntau yog los ntawm lwm yam mob, xws li qog hauv plab hnyuv.

Muaj ntau yam ua rau muaj feem mob no ntawm cov menyuam yaus.

Ua rau cov neeg laus

Yog tias ib tug neeg laus muaj tus mob no, qhov ua rau muaj feem ntau yog ib qho ntawm cov hauv qab no:

• Ib qho polyp lossis qog hauv txoj hnyuv.
• Cov nqaij nplaum lossis cov nqaij caws pliav hauv txoj hnyuv los ntawm kev phais mob yav dhau los.
• Cov mob uas ua rau mob plab hnyuv, xws li Crohn's disease .
• Kev phais kom poob phaus xws li kev phais plab.

Cov tsos mob ntawm qhov no yog dab tsi tiag?

Yog qhov no tshwm sim rau ib tug me nyuam yaus uas tseem tsis tau pib hais lus, nws yuav qhia nws qhov mob los ntawm kev qw thiab quaj nrov nrov. Tib lub sijhawm, nws yuav rub nws lub hauv caug mus rau nws lub hauv siab.

Qhov mob no tsuas yog mob ib ntus xwb thaum xub thawj. Nws mob thiab ploj mus txhua 15-20 feeb. Tab sis dhau sij hawm, qhov mob yuav mob zuj zus thiab ntev zuj zus.

Tiamsis tsis yog txhua tus menyuam zoo ib yam. Tej zaum qee tus menyuam yuav tsis mob li. Yog li ntawd, ceev faj txog cov tsos mob hauv qab no.

Rau cov neeg laus, qhov mob no thaum xub thawj yuav pib ua mob plab yooj yim. Yog tias qhov mob plab , nrog rau xeev siab thiab ntuav , tuaj thiab ploj mus, thiab qhov mob hnyav zuj zus txhua zaus uas muaj mob, koj yuav tsum txhawj xeeb.

Kuv yuav tsum mus ntsib kws kho mob thaum twg?

Thaum cov ntshav ntws mus rau ib feem ntawm txoj hnyuv raug txiav tawm, cov nqaij ntawm qhov ntawd pib tuag. Yog tias qhov no tshwm sim, kev kis kab mob tuaj yeem kis mus rau hauv daim ntaub ntawm lub plab. Qhov no yog ib qho mob txaus ntshai heev, uas tuaj yeem ua rau tuag taus hu ua Peritonitis .

Yog tsis kho, tus me nyuam yuav poob siab. Cov tsos mob muaj xws li:

• Tus me nyuam qhia txog tus cwj pwm tsis nyob twj ywm.
• Lub plawv dhia tsis zoo li qub (qeeb heev los yog ceev heev).
• Ua pa tsis zoo li qub (ua pa tsis tob los yog ua pa sai heev).
• Tawv nqaij yuav txias, ntub dej, daj ntseg, lossis grey.
• Lub cev tsis muaj sia nyob.
• Poob siab.

Ua ntej koj mus ntsib kws kho mob, koj yuav tsum ua li cas?

Vim qhov no yog xwm txheej ceev, txhua yam yuav tshwm sim sai heev thaum koj mus txog tsev kho mob. Yog li ntawd, tsis txhob ntshai. Qhov tseem ceeb tshaj plaws yog, tsis txhob muab dab tsi rau koj tus menyuam noj, haus, lossis noj cov tshuaj tua kab mob uas yuav tau ntawm daim ntawv yuav tshuaj kom txog thaum koj mus txog tsev kho mob.

Yog koj muaj sijhawm, cim cov lus teb rau cov lus nug uas tus kws kho mob yuav nug. Ces koj mam li muab cov ntsiab lus sai sai.

• Cov tsos mob xws li mob plab pib thaum twg?
• Puas yog qhov mob tas li los yog nws tuaj thiab mus?
• Koj puas tau xeev siab, ntuav, lossis raws plab?
• Koj puas tau pom ntshav hauv koj cov quav?
• Koj puas tau pom ib qho o lossis ib lub pob hauv koj lub plab?

Yuav kuaj mob li cas?

Koj tus kws kho mob yuav nug txog koj tus menyuam cov tsos mob thiab keeb kwm kev kho mob. Tom qab ntawd lawv yuav kuaj koj tus menyuam. Lawv kuj tseem yuav muab ib txoj kab IV rau koj los tswj cov kua dej hauv koj tus menyuam thiab tej zaum yuav ntxig ib lub raj mis nasogastric los pab txo qhov siab hauv koj tus menyuam txoj hnyuv.

Tsis tas li ntawd xwb, lawv yuav xaj ntau qhov kev kuaj xyuas kom pom sab hauv lub plab.

• X-ray plab: Qhov no pab pom seb puas muaj qhov txhaws hauv txoj hnyuv.
• Kev Siv Ultrasound: Qhov kev kuaj no siv cov suab nthwv dej los tsim cov duab ntawm cov kabmob sab hauv ntawm lub plab. Qhov no yog ib qho kev kuaj tseem ceeb heev los kuaj mob intussusception.
• Kev siv cua los yog tshuaj enema uas muaj qhov sib txawv: Hauv qhov no, ib lub raj mos mos raug ntxig los ntawm lub qhov quav thiab ib qho kua tshwj xeeb, xws li cua los yog barium, raug xa mus rau hauv txoj hnyuv loj. Qhov no ua rau qhov txhaws pom tseeb ntawm daim duab X-ray. Qee zaum, lub zog los ntawm kev siv enema tuaj yeem pab txoj hnyuv loj txav rov qab mus rau qhov chaw. Yog tias qhov ntawd tshwm sim, nws kuj tuaj yeem yog kev kho mob.

Cov kev xaiv kho mob yog dab tsi?

Muaj tej rooj plaub uas tsuas yog ib ntus xwb thiab tej zaum yuav zoo li qub yam tsis tas yuav kho dab tsi li, tiam sis feem ntau yuav tsum tau kho.

Raws li tau hais ua ntej lawm, yog tias kev siv tshuaj enema kho tsis tau qhov mob, kauj ruam tom ntej yog phais. Tsis txhob ntshai phais, cov kws kho mob yuav ua txhua yam uas lawv ua tau kom tus menyuam tsis hnov ​​mob.

Nov yog qhov tshwm sim thaum lub sijhawm phais:

• Ib tug kws kho mob siv tshuaj loog rau menyuam yaus (ib tug kws tshwj xeeb hauv kev muab tshuaj loog rau menyuam yaus) yuav muab tus menyuam tsaug zog tag nrho.
• Yog tias qhov kev phais mob ua tiav laparoscopically, uas txhais tau tias "keyhole surgery," tus kws kho mob ua ob peb qhov me me hauv plab thiab ntxig lub koob yees duab thiab cov cuab yeej me me los ntawm lawv los ua qhov kev phais mob.
• Txwv tsis pub, yuav muaj ib qho kev phais me me rau sab xis ntawm lub plab, thiab qhov ntawm txoj hnyuv uas tau muab tso rau hauv yuav raug tshem tawm ntawm tes thiab muab tso rov qab rau hauv nws qhov chaw.
• Yog tias ib feem ntawm txoj hnyuv raug puas tsuaj thiab kho tsis tau, tus kws kho mob yuav tshem qhov seem ntawm txoj hnyuv uas puas lawm thiab rov txuas ob feem noj qab haus huv.

Tom qab kho mob tas lawm, muaj dab tsi tshwm sim?

Kwv yees li ib tug ntawm 10 tus menyuam uas tau txais kev kho mob yuav rov qab los dua hauv 72 teev. Yog li ntawd, txawm tias kev kho mob yog kev siv tshuaj enema lossis phais, tus menyuam yuav raug khaws cia hauv tsev kho mob li ib hnub rau kev soj ntsuam.

• Yog tias koj tau kho los ntawm enema:
• Cov pa yuav raug tso tawm ntawm lub cev ntawm tus menyuam hauv ob peb teev tom ntej no.
• Paracetamol (Acetaminophen) tuaj yeem muab rau kub taub hau.
• Tsis pub noj mov los yog haus dej rau 12 teev thawj zaug. Tom qab ntawd, yuav tsum muab cov kua ntshiab ua ntej, thiab tom qab ntawd mam li muab cov khoom noj khov rau.

• Yog koj tau phais:
• Tom qab phais tas, tus menyuam yuav raug khaws cia rau hauv chav kho mob rau ob peb teev thiab tom qab ntawd xa mus rau chav kho mob.
• Cov tshuaj tua mob yuav raug muab los ntawm IV rau qhov mob.
• Yog tias qhov phais raug npog nrog daim ntaub qhwv qhov txhab, nws tuaj yeem tshem tawm hauv ob peb hnub. Yog tias nws raug npog nrog ib yam dab tsi zoo li Dermabond, nws yuav yaj nws tus kheej.
• Yog lawv tau haus dej ua ntej thiab lawv tsis ntuav, lawv mam li pib muab zaub mov tawv rau lawv noj.
• Thaum tus me nyuam pib noj mov thiab haus dej zoo thiab xis nyob dua, lawv tuaj yeem mus tsev.
• Koj tuaj yeem da dej rau koj tus menyuam ob hnub tom qab phais, tab sis kom nws tsis txhob khiav, dhia, thiab lwm yam kev ua ub ua no kom txog thaum koj mus ntsib kws kho mob dua (feem ntau yog li ntawm 2-3 lub lis piam).