Lub plab hnyuv tawm thiab Ileus

Txoj hnyuv plab yog ib feem txhaws tag nrho los yog txoj hnyuv quav. Cov ntsiab lus ntawm cov hnyuv tsis tuaj yeem hla los ntawm nws.

Teeb meem ntawm txoj hnyuv tuaj yeem yog vim:

• Kev tsim tshuab, txhais tau tias qee yam nyob hauv txoj kev
• Ileus, ib qho mob uas ua rau lub plab ua haujlwm tsis raug, tab sis tsis muaj teeb meem txheej txheem ua rau nws

Paralytic ileus, tseem hu ua pseudo-obstruction, yog ib qho tseem ceeb ua rau mob hnyuv hauv cov menyuam mos thiab menyuam yaus. Cov ua rau tuag tes tuag taw tej zaum yuav muaj:

• Cov kab mob los yog kab mob uas ua rau mob hnyuv (mob plab zom mov)
• Tshuaj, electrolyte, lossis ntxhia tsis txaus (xws li cov poov tshuaj tsawg dua)
• Kev phais plab
• Kev ua kom ntshav tsawg rau cov hnyuv
• Kev kis mob hauv plab, xws li mob hnyuv tws
• Raum los yog mob ntsws
• Siv qee yam tshuaj noj, tshwj xeeb yog cov tshuaj yeeb dej cawv

Txhua yam ua rau txoj hnyuv txuas tuaj yog:

• Cov nplaum lossis caws pliav uas ua rau tom qab kev phais
• Lub cev txawv teb chaws (cov khoom uas nqos thiab thaiv cov hnyuv)
• Gallstones (tsis tshua muaj)
• Hernias
• Cuam tshuam cov quav
• Intussusception (tsom kwm ntawm ib ntu ntawm quav mus rau lwm qhov)
• Cov qog ua haujlwm thaiv cov hnyuv
• Volvulus (txoj hnyuv)

Cov tsos mob tuaj yeem suav nrog:

• Lub plab o (kev ntxhov siab)
• Plab plab tag nrho, roj
• Mob plab thiab cramping
• Ua pa tsw ntxhiab tsw
• Cem quav
• Zawv plab
• Tsis muaj peev xwm kis roj
• Ntuav

Thaum kuaj mob lub cev, tus kws kho mob tuaj yeem nrhiav pom tsam plab, rhiab, lossis hernias hauv plab.

Kev ntsuam xyuas uas qhia tias muaj kev cuam tshuam nrog:

• Mob plab hauv TV
• Lub plab xoo hluav taws xob
• Barium enema
• Upper GI thiab quav me me ua

Txoj kev kho mob txhais tau hais tias tso lub raj rau ntawm qhov ntswg rau hauv plab lossis hnyuv. Qhov no yog pab txhawm rau txo mob plab (ntxhov siab) thiab ntuav. Volvulus ntawm txoj hnyuv loj tuaj yeem kho los ntawm kev xa ib lub raj mus rau qhov quav.

Kev phais mob tuaj yeem kho kom thum yog lub raj tsis txhawm rau txo cov tsos mob. Nws kuj tuaj yeem xav tau yog tias muaj cov cim qhia ntawm kev tuag daim ntaub.

Qhov tshwm sim yog nyob ntawm qhov ua rau ntawm blockage. Feem ntau ntawm lub sijhawm, qhov ua kom tiav yog kho tau zoo.

Teeb meem yuav muaj xws li lossis tuaj yeem ua rau:

• Electrolyte (ntshav tshuaj thiab ntxhia) tsis txaus
• Lub cev qhuav dej
• Qhov (perforation) nyob rau hauv cov hnyuv
• Kab mob
• Qhov muag daj (daj tawv nqaij thiab qhov muag)

Yog hais tias qhov khaum kev thaiv cov ntshav hauv lub plab hnyuv, nws yuav ua rau kis mob thiab nqaij tuag (mob caj pas). Kev phom sij rau cov nqaij mos tuag yog hais txog qhov ua rau ntawm qhov txhaws thiab ntev npaum li cas nws tau nyob ntawd. Hernias, volvulus, thiab intussusception ua rau muaj kev phom sij txog kev sib deev ntau dua.

Hauv tus menyuam mos, tuag tes tuag taw ileus uas rhuav tshem lub plab hnyuv (necrotizing enterocolitis) yog qhov ua rau lub neej tsis zoo. Tej zaum yuav ua rau mob ntshav thiab mob ntsws.

Hu rau koj tus kws khomob yog koj:

• Yuav kis tsis tau cov quav lossis roj
• Muaj lub plab o (ntxhov siab) uas tsis ploj mus
• Khaws ntuav
• Muaj kev qhia txog mob plab uas tsis ploj mus

Kev tiv thaiv yog nyob ntawm qhov laj thawj. Kho cov mob, xws li qog thiab hernias tuaj yeem ua rau txhaws, tuaj yeem txo koj txoj kev pheej hmoo.

Qee qhov laj thawj tsis tuaj yeem tiv thaiv tau.

Paralytic ileus; Lub plab volvulus; Txoj hnyuv tawm; Ileus; Pseudo-obstruction - plab hnyuv; Colonic ileus; Tej plab hnyuv me

• Cov kua ua kom ntshiab
• Ntawv qhia txog kev ua kua puv
• Loj lub plab hnyuv rov qab - tso tawm
• Kev tso quav me me - tawm
• Tag nrho colectomy lossis proctocolectomy - tshem tawm

• Lub plab zom mov
• Ileus - xoo hluav taws xob ntawm lub plab hnyuv thiab lub plab
• Ileus - xoo hluav taws xob ntawm lub plab nyhuv
• Intussusception - xoo hluav taws xob
• Volvulus - xoo hluav taws xob
• Cov hnyuv me - xoo hluav taws xob
• Kev tso quav me me - ntu

Harris JW, Evers BM. Cov hnyuv me. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 49.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Nyuv thiab qhov quav. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 51.

Qeb Nruab Nrab WC, Turnage RH. Kev rhuav tshem txoj hnyuv. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 123.