Qhov quav pauj

Qhov quav ntawm qhov quav yog qhov sib cais me me lossis los kua muag ntawm daim ntaub nyias nyias (mucosa) hauv ob sab ntawm qhov quav (qhov quav).

Qhov mob fim yog muaj ntau rau cov menyuam mos, tab sis nws yuav tshwm sim thaum muaj hnub nyoog.

Hauv cov laus, txhaws yuav tshwm sim los ntawm kev tso quav loj, tawv tawv, lossis zawv plab ntev heev. Lwm qhov xwm txheej yuav suav nrog:

• Ua rau ntshav ntws tsawg rau thaj chaw
• Ntau dhau nro hauv cov leeg pob txha caj qaum uas tswj cov qhov quav

Tus mob muaj feem cuam tshuam rau txiv neej thiab poj niam sib npaug. Qhov mob fim yog tseem muaj rau cov poj niam tom qab yug menyuam thiab cov neeg muaj tus kab mob Crohn.

Qhov quav ntawm qhov quav tuaj yeem pom tau tias muaj qhov tawg ntawm cov tawv nqaij quav thaum thaj chaw tau ncab me ntsis. Kev sib txhuam yog yuav luag ib txwm nyob hauv nruab nrab. Qhov quav yuav ua rau pob ntseg mob thiab los ntshav. Tej zaum yuav muaj ntshav nyob sab nraud ntawm cov quav lossis ntawm daim ntawv tso quav (lossis ntaub so menyuam) tom qab tso quav.

Cov tsos mob yuav pib dheev lossis maj mam dhau sijhawm.

Tus kws kho mob yuav kuaj lub qhov quav thiab saib ntawm qhov quav. Lwm yam kev kuaj mob uas tej zaum yuav ua tau muaj xws li:

• Txoj kev kuaj mob - kev kuaj mob ntawm qhov quav, qhov quav, thiab sab hauv qab
• Sigmoidoscopy - kev soj ntsuam ntawm qhov qis dua ntawm txoj hnyuv loj
• Tso me me - tshem tawm cov ntaub so ntswg rau kev kuaj mob
• Kev mob hnyuv - kuaj cov nyuv

Feem ntau cov fissures kho lawv tus kheej thiab tsis xav tau kev kho mob.

Txhawm rau tiv thaiv lossis kho qhov quav ntawm cov menyuam mos, yuav tsum hloov daiv pawm kom ntau thiab tu qhov chaw zoo.

TUS ME NYUAM THIAB LAUS

Txhawj xeeb txog qhov mob thaum tso quav yuav ua rau tus neeg zam dhau lawv. Tab sis tsis muaj qhov quav cov quav tsuas yog yuav ua kom cov quav quav tawv xwb, uas yuav ua rau lub qhov quav tsis ncaj.

Kev tiv thaiv cov quav tawv tawv thiab quav tawv los ntawm:

• Ua kev hloov kev noj haus - noj kom muaj fiber ntau lossis ntau, xws li txiv hmab txiv ntoo, zaub, thiab nplej
• Haus dej kom ntau
• Siv cov yas muag muag

Nug koj tus kws kho mob txog cov tshuaj pleev lossis pleev pleev hauv qab no los pab soothe cov tawv nqaij:

• Tsaus lee, yog tias qhov mob tabkaum ua haujlwm plob tsis so tswj
• Petroleum jelly
• Zinc oxide, 1% hydrocortisone lee, Npaj H, thiab lwm yam khoom

Ib tug da dej sitz yog da dej sov siv rau kev kho kom zoo lossis ntxuav. Zaum hauv da dej 2 mus rau 3 zaug ib hnub. Cov dej yuav tsum npog tsuas yog duav thiab pob tw.

Yog tias qhov pij ntawm fimures tsis ploj nrog cov hau kev hauv tsev, kev kho mob tuaj yeem koom nrog:

• Tshuaj Botox rau hauv cov leeg qhov quav (lub qhov quav sphincter)
• Kev phais me me kom so qhov quav leeg
• Cov tshuaj pleev rau cov tshuaj, xws li nitrates lossis calcium channel blockers, tau thov dua lub ntsej muag kom pab ua rau cov nqaij ntshiv

Qhov quav txhaws feem ntau zoo sai sai uas tsis muaj teeb meem ntxiv.

Cov tib neeg uas tsim fissures ib zaug muaj feem ntau yuav muaj lawv yav tom ntej.

Fissure hauv ano; Tsis nco pob txha; Qhov quav

• Lub Pob Tsuas
• Anal fissure - series

Downs JM, Kulow B. Kab mob quav. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran mob hnyuv thiab nplooj siab mob. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 129.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Kev phais mob ntawm lub qhov quav thiab lub qhov quav. Hauv: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Phau Ntawv ntawm Pediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: cha 371.

Merchea A, Larson DW. Anus. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho Mob. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 52.