Tshuaj lom megacolon

Cov tshuaj lom megacolon tshwm sim thaum o thiab o tuaj rau hauv cov khaubncaws sab nraud povtseg tob ntawm koj txoj hnyuv. Raws li qhov tshwm sim, txoj hnyuv twm tsis ua hauj lwm thiab dav dav. Hauv cov mob hnyav, cov hnyuv tuaj yeem ua kom mob.

Lo lus "lom" txhais tau hais tias qhov teeb meem no txaus ntshai heev. Kev siv tshuaj lom megacolon yuav tshwm sim rau cov neeg uas muaj lub plab loj ua vim:

• Ulcerative colitis, lossis Crohn kab mob uas tsis tuaj yeem tswj tau zoo
• Kev kis mob ntawm cov hnyuv loj ntxiv Clostridioides sib txawv
• Ischemic plob tsis so tswj kab mob

Lwm hom megacolon suav nrog pseudo-obstruction, mob caj dab mob siab, los yog mob plab yug me nyuam. Cov mob no tsis suav nrog tus mob hnyuv lossis tus mob hnyuv tws.

Kev nthuav dav sai ntawm cov nyuv yuav ua rau cov tsos mob hauv qab no tshwm sim hauv lub sijhawm luv luv:

• Mob mob, cuam tshuam plab
• Kub taub hau (sepsis)
• Zawv plab (feem ntau los ntshav)

Tus kws kho mob yuav kuaj xyuas lub cev. Kev tshawb pom muaj xws li:

• Kev sib deev hauv plab
• Txo suab los sis tsis hnov ​​lub suab

Qhov kuaj mob yuav qhia cov cim dej caw, xws li:

• Txhawb lub plawv dhia
• Kev puas siab puas ntsws hloov
• Lub plawv dhia nrawm
• Cov ntshav siab qis

Tus kws kho mob yuav yuam kom ua ib qho dab tsi li nram no:

• Xoo duab xoo lub plab, ultrasound, CT scan, lossis MRI scan
• Ntshav electrolytes
• Ua kom tiav cov ntshav suav

Kev kho mob ntawm kev cuam tshuam uas ua rau muaj cov tshuaj lom megacolon suav nrog:

• Cov tshuaj steroid thiab lwm yam tshuaj uas tswj lub cev tsis muaj zog
• Tshuaj tua kab mob

Yog tias koj muaj mob septic, koj yuav tau mus nyob hauv tsev saib xyuas neeg mob lub tsev kho mob loj. Kev kho mob yuav suav nrog:

• Ua pa tshuab (tshuab pa)
• Kev lim ntshav rau lub raum tsis ua haujlwm
• Tshuaj kho mob ntshav siab, ua kom mob, ntshav txhaws khov
• Dej muab ncaj qha rau txoj leeg ntshav
• Cov pa

Yog tias qhov kev tawm nrawm nrawm tsis kho, ib qho qhib lossis tawg tuaj yeem ua rau txoj hnyuv loj. Yog hais tias tus mob tsis zoo tuaj nrog kev kho mob, yuav raug phais kom tshem tau ib feem lossis tag nrho cov hnyuv tws.

Koj tuaj yeem tau txais cov tshuaj tiv thaiv kab mob los tiv thaiv sepsis (mob nyhav heev).

Yog tias qhov xwm txheej tsis zoo, nws tuaj yeem ua rau tuag taus. Kev phais plab yog feem ntau xav tau nyob rau hauv cov xwm txheej zoo li no.

Teeb meem yuav suav nrog:

• Perforation ntawm txoj hnyuv
• Sepsis
• Poob Siab
• Kev Tuag

Mus rau chav kho mob maj nrawm lossis hu rau tus xovtooj xwm ceev hauv zos (xws li 911) yog tias koj mob plab heev, tshwj xeeb yog tias koj muaj:

• Ntshav plab zawv
• Ua npaws
• Ntau zaus mob raws plab
• Lub plawv dhia nrawm
• Kev sib sib zog thaum lub plab nias
• Lub plab txawv

Kho cov kab mob uas ua rau lom megacolon, xws li mob ncauj plab lossis mob Crohn, tuaj yeem tiv thaiv tus mob no.

Tshuaj lom nyoos lub nyuv; Megarectum; Cov mob ntawm txoj hnyuv - lom megacolon; Crohn tus kab mob - lom megacolon; Ulcerative colitis - lom megacolon

• Lub plab zom mov
• Tshuaj lom megacolon
• Crohn kab mob - cuam tshuam thaj chaw
• Kev mob caj dab
• Digestive system plab hnyuv siab raum

Lichtenstein GR. Cov mob ntawm txoj hnyuv. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 132.

Nishtala MV, Benlice C, Steele SR. Kev tswj cov tshuaj lom megacolon. Hauv: Cameron AM, Cameron JL, eds. Kev Kho Mob Tam Sim NoCov. 13th ed. Philadelphia, PA: Elsevier; 180-185.

Peterson MA, Wu AW. Kev cuam tshuam ntawm cov hnyuv. Hauv: Phab Ntsa RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Cov Tshuaj Siv Thaum Muaj Xwm Ceev: Cov Ntsiab Lus thiab Kev Siv TshuajCov. 9le ed. Philadelphia, PA: Elsevier; 2018: chap 85.