Hluav taws xob enteritis

Hluav taws xob xoos yog kev puas tsuaj rau lub plab hnyuv (cov hnyuv) los ntawm kev kho hluav taws xob, uas yog siv rau qee yam kev kho mob cancer.

Kev siv hluav taws xob tua hluav taws xob siv hluav taws xob ntau xoo hluav taws xob, xaj xaim, lossis cov noob hluav taws xob kom tua cov qog noj ntshav. Txoj kev kho yuav tuaj yeem ua rau lub hlwb ntawm cov kab mob hauv cov hnyuv.

Cov tib neeg uas muaj tshuaj tua hluav taws xob mus rau lub plab los yog thaj tsam thaj chaw hauv plab yog qhov muaj pheej hmoo. Cov no suav nrog cov neeg mob ncauj tsev me, pancreatic, prostate, uterine, lossis mob cancer rau txoj hnyuv thiab lub qhov quav.

Cov tsos mob yuav txawv, nyob ntawm seb qhov twg ntawm txoj hnyuv tau txais hluav taws xob. Cov tsos mob tuaj yeem mob ntxiv yog tias:

• Koj muaj cov kws kho mob thaum tib lub sijhawm hluav taws xob.
• Koj tau txais cov tshuaj tiv thaiv hluav taws xob muaj zog dua.
• Ib thaj tsam loj dua ntawm koj txoj hnyuv tau txais hluav taws xob.

Cov tsos mob yuav tshwm sim thaum lossis tom qab lossis ntev tom qab siv hluav taws xob.

Cov kev pauv nyob hauv plab hnyuv tuaj yeem suav nrog:

• Los ntshav lossis hnoos qeev tawm los ntawm qhov quav
• Zawv plab los yog tso quav ua paum
• Xav tias qhov yuav tsum tau muaj plab yug me nyuam feem ntau lossis tas li
• Mob hauv qhov chaw ntawm lub qhov quav, tshwj xeeb tshaj yog thaum tso quav

Lwm cov tsos mob tuaj yeem suav nrog:

• Tsis qab los noj mov
• Xeev siab thiab ntuav

Feem ntau, cov tsos mob no tau zoo tuaj li 2 rau 3 hlis tom qab kev xoo hluav taws xob tas. Txawm li cas los xij, qhov xwm txheej yuav tshwm sim ntau lub hlis lossis xyoo tom qab siv hluav taws xob.

Thaum cov tsos mob ua mus ntev (mob ntev), lwm yam teeb meem yuav suav nrog:

• Mob plab
• Ntshav plab zawv
• Khaus lossis rog quav
• Lub cev yuag

Tus kws kho mob yuav kuaj ib ce thiab nug txog koj li keeb kwm kho mob.

Kev ntsuam xyuas yuav muaj xws li:

• Sigmoidoscopy lossis mob txoj hnyuv
• Lub endoscopy

Pib noj cov khoom noj muaj fiber ntau thawj hnub ntawm kev kho hluav taws xob yuav pab koj zam teeb meem. Qhov kev xaiv zaub mov zoo tshaj plaws yog nyob ntawm koj cov tsos mob.

Qee yam tuaj yeem ua rau cov tsos mob hnyav ntxiv, thiab yuav tsum zam. Cov no suav nrog:

• Cawv thiab luam yeeb
• Yuav luag txhua cov khoom siv mis nyuj
• Kas fes, tshuaj yej, qhob noom xim kasfes, thiab dej qab zib nrog dej qab zib
• Cov zaub mov muaj cov ceg tawv tag nrho
• Txiv hmab txiv ntoo tshiab thiab qhuav
• Fried, greasy, lossis cov zaub mov muaj roj
• Ceev thiab noob
• Paj Kws, qos yaj ywm txiav, thiab pretzels
• Cov zaub nyoos
• Cov ncuav qab zib nplua nuj thiab cov khoom ci
• Ib co txiv kua txiv
• Cov txuj lom muaj zog

Cov zaub mov thiab dej haus uas muaj kev xaiv zoo yog:

• Kua los yog kua txiv rau
• Applesauce, tev txiv apples, thiab txiv tsawb
• Cov qe, buttermilk, thiab yogurt
• Ntses, nqaij qaib, thiab nqaij uas tau ci los yog ci
• Me me, zaub ua siav, xws li cov lus qhia ua asparagus, taum ntsuab lossis dub, carrots, zaub ntsuab, thiab taub ntoo
• Qos yaj ywm uas tau ua noj, hau lossis ci
• Kev zom cheese, xws li Asmeskas cheese
• Ncuav mog tus txiv laum huab xeeb
• Cov khob cij dawb, macaroni, lossis mij

Koj tus kws khomob yuav siv koj cov tshuaj xwsli:

• Cov tshuaj uas pab txo qhov raws plab, xws li loperamide
• Tshuaj kho mob
• Steroid ua npuas uas ua kom txheej txheej ntawm lub qhov quav
• Cov tshuaj tshwj xeeb los hloov cov enzymes los ntawm cov txiav
• Qhov ncauj 5-aminosalicylates lossis metronidazole
• Teeb tsa kev teeb tsa nrog hydrocortisone, ua tiav, 5-aminosalicylates

Lwm yam koj tuaj yeem ua muaj xws li:

• Noj cov khoom uas sov li chav nyob.
• Noj mov me me kom ntau.
• Haus dej kom ntau, haus txog 12 8-ooj (240 milliter) khob txhua txhua hnub thaum koj mob zawv plab. Qee tus neeg yuav xav haus dej rau los ntawm cov ntshav (cov dej hauv cov leeg ntshav).

Koj tus kws kho mob yuav xaiv txo koj cov hluav taws xob tsawg zuj zus.

Feem ntau tsis muaj txoj kev kho zoo rau kev mob ntsws ntev uas ua rau mob hnyav dua.

• Cov tshuaj xws li cholestyramine, diphenoxylate-atropine, loperamide, lossis ua kom zoo dua yuav pab tau.
• Kev kho cua sov (argon laser sojntsuam, plasma coagulation, rhaub kev sojntsuam).
• Koj yuav tau txiav txim siab mus phais kom tshem tawm lossis mus ncig (kev dhau) ib ntu ntawm cov hnyuv uas puas lawm.

Thaum lub plab tau txais hluav taws xob, yeej ib txwm muaj qee qhov xeev siab, ntuav, thiab zawv plab. Feem ntau, cov tsos mob tau zoo zuj zus li ntawm 2 mus rau 3 hlis tom qab kev kho tas.

Txawm li cas los xij, thaum tus mob no loj tuaj, cov tsos mob yuav nyob ntev mus ntev. Ntev (ntev) tus mob kuj yuav kho tsis tau.

Teeb meem yuav suav nrog:

• Los ntshav thiab ua kom ntshav khov
• Lub cev qhuav dej
• Hlau tsis muaj peev xwm
• Malabsorption
• Khoom noj khoom haus tsis muaj zog
• Lub cev yuag

Hu rau koj tus kws kho mob yog tias koj muaj kev kho mob hluav taws xob lossis yav dhau los nws tau ua rau mob plab zom mov heev lossis mob plab thiab ntswj.

Tshuaj hluav taws xob enteropathy; Tawg hluav taws xob vim raug mob plab hnyuv; Kev kis mob tom qab hluav taws xob

• Lub plab zom mov
• Digestive system plab hnyuv siab raum

Kuemmerle JF. Cov mob ntawm lub plab thiab cov nqaij ntshiv ntawm txoj hnyuv, peritoneum, mesentery, thiab omentum. Hauv: Goldman L, Schafer AI, eds. Goldman-Cecil TshuajCov. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 133.

Lub koom haum Cancer National website. Lub plab zom mov muaj teeb meem PDQ. www.cancer.gov/about-cancer/treatment/side-effects/constipation/GI-complications-pdq. Hloov kho thaum Lub Peb Hlis 7, 2019. Nkag mus rau Lub Yim Hli 5, 2020.

Tanksley JP, Willett CG, Czito BG, Palta M. Mob nyhav thiab mob plab hnyuv mob tshwm sim ntawm kev kho hluav taws xob. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 41.