Tenesmus
Tenesmus yog qhov kev xav hais tias koj yuav tsum kom dhau los ua quav, txawm tias koj qhov quav twb khoob. Tej zaum nws yuav suav nrog txhaws, mob, thiab mob plab.
Tenesmus feem ntau tshwm sim nrog mob ntawm cov hnyuv. Cov kabmob no tuaj yeem tshwm sim los ntawm kis lossis lwm yam mob.
Nws kuj tseem tuaj yeem tshwm sim nrog cov kabmob uas cuam tshuam cov kev hloov mus ua haujlwm ntawm cov hnyuv. Cov kab mob no tau paub tias mob plab hnyuv.
Cov neeg uas muaj tus mob tenesmus yuav thawb kom nyuaj (txoj hlab ntsha) mus sim ua kom lawv tso quav. Txawm li cas los xij, lawv tsuas yog tso quav me me.
Tus mob yuav yog los ntawm:
- Tsis pom kev lawm
- Mob caj dab hlav lossis mob qog
- Crohn kab mob
- Kev raug mob ntawm cov hnyuv (mob ncauj plab)
- Kev ua mob ntawm txoj hnyuv lossis qhov quav los ntawm hluav taws xob (hluav taws xob proctitis lossis colitis)
- Plob tsis so tswj kab mob (IBD)
- Kev mus los (lub zog) cuam tshuam ntawm cov hnyuv
- Ulcerative colitis lossis ulcerative proctitis
Ua kom cov fiber ntau thiab cov dej hauv koj txoj kev noj haus tuaj yeem pab kom cem quav.
Hu rau koj tus neeg saib xyuas kev noj qab haus huv yog tias koj tseem muaj cov tsos mob nyob hauv tenesmus uas ib txwm muaj lossis ib txwm tuaj thiab mus.
Hu rau yog tias koj muaj:
- Mob plab
- Cov ntshav hauv cov quav
- Ua daus no
- Ua npaws
- Xeev siab
- Ntuav
Cov tsos mob no tuaj yeem yog cov cim ntawm tus kab mob uas tuaj yeem ua qhov teeb meem.
Tus kws kho mob yuav tshuaj xyuas koj thiab nug cov lus nug xws li:
- Teeb meem tshwm sim thaum twg? Koj puas tau muaj ua ntej?
- Koj muaj cov tsos mob zoo li cas?
- Koj puas tau noj cov khoom noj nyoos, tshiab, lossis tsis paub? Koj puas tau noj hmo hauv phoj lossis kev lom zem loj?
- Puas muaj lwm tus hauv koj tsev neeg muaj teebmeem zoo ib yam?
- Lwm yam teeb meem kev mob dab tsi yav dhau los koj tau muaj lossis tau muaj yav dhau los?
Kev kuaj lub cev yuav suav nrog kev kuaj mob plab. Qhov feem ntau kuaj mob tawm hauv lub qhov ncauj feem ntau.
Kev ntsuam xyuas uas yuav ua tau muaj xws li:
- Txoj hnyuv kom saib cov hnyuv thiab lub qhov quav
- Ua kom tiav cov ntshav suav (CBC)
- CT scan ntawm lub plab mog (hauv qee qhov tsis tshua muaj)
- Proctosigmoidoscopy (kev tshuaj ntsuam xyuas ntawm lub plab hnyuv hauv qab)
- Kev cai quav
- Xoo hluav taws xob ntawm lub plab
Mob - dhau kev tso quav; Kev mob plab tso quav; Nyuaj dhau tso quav
- Kev txo qis qhov quav ntawm lub cev
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 Tshuaj. 26th ed. Philadelphia, PA: Elsevier; 2020: cha 133.
Ceev CRG, Biers SM, Arulampalam THA. Kev tsis mob plab thiab lwm yam kev mob plab thiab tsos mob. Hauv: ceev CRG, Biers SM, Arulampalam THA, eds. Cov teeb meem phais mob tseem ceeb, Kev kuaj mob thiab kev tswj hwm. 6 tus ed. Philadelphia, PA: Elsevier; 2020: chap 18.
Tanksley JP, Willett CG, Czito BG, Palta M. Mob nyhav thiab mob plab hnyuv muaj mob tshwm sim ntawm kev kho hluav taws xob. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran mob hnyuv thiab nplooj siab mob. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 41.