Rectal los ntshav

Rectal los ntshav yog thaum ntshav kis tawm ntawm lub qhov quav lossis lub qhov quav. Yuav los ntshav rau ntawm tus menyuam cov quav lossis tau pom tias yog ntshav ntawm daim ntawv tso quav lossis hauv chav dej. Cov ntshav yuav liab ploog. Cov lus "hematochezia" yog siv los piav txog qhov kev tshawb pom no.

Cov xim ntawm cov ntshav hauv cov quav yuav qhia tau qhov los ntshav.

Cov quav tawv dub los sis tarry yuav yog vim los ntshav hauv qhov qaum GI (lub plab zom mov), xws li txoj hlab pas, plab, lossis thawj qhov hnyuv. Hauv qhov no, ntshav feem ntau yuav tsaus dua vim tias nws tau zom rau nws txoj hauv kev los ntawm GI cov kab mob. Feem ntau tsawg dua, hom kev los ntshav no tuaj yeem nrawm kom txaus los nthuav nrog lub qhov quav ci ntsa iab.

Nrog rau cov ntshav tawm ntawm lub qhov quav, cov ntshav yuav liab lossis tshiab. Qhov no feem ntau txhais tau tias yog qhov los ntshav yog qhov qis GI huam (txoj hnyuv thiab qhov quav).

Kev noj cov beets lossis cov zaub mov noj uas muaj xim liab xim qee zaum yuav ua rau cov quav ua quav tawv. Hauv cov rooj plaub no, koj tus kws kho mob tuaj yeem kuaj cov quav uas muaj tshuaj lom neeg txhawm rau txhawm rau tshem tawm cov ntshav.

Rectal los ntshav ua rau muaj xws li:

• Qhov quav ntawm qhov quav (hlais los kua muag hauv qhov quav, feem ntau tshwm sim los ntawm txoj hlua khov, tawv tawv tawv lossis zawv plab heev). Nws yuav ua kom qhov pib ntawm qhov quav los ntshav. Muaj feem ntau mob ntawm qhov quav.
• Hemorrhoids, uas ib txwm muaj tshwm sim los ntshav liab. Tej zaum lawv lossis tsis hnov ​​mob.
• Proctitis (o los yog nrawm ntawm lub qhov quav thiab lub qhov quav).
• Rectal prolapse (qhov quav tawm ntawm qhov quav).
• Kev poob plig lossis lub cev txawv teb chaws.
• Yooj Yim rau polyps.
• Mob hnyuv, lub qhov quav, lossis lub qhov quav mob.
• Kev mob caj dab.
• Kis hauv cov hnyuv.
• Diverticulosis (mob plab hnyuv hauv hnab hnyuv).

Hu rau koj tus kws kho mob yog tias muaj:

• Cov ntshav tshiab hauv koj cov quav
• Hloov xim ntawm koj cov quav
• Mob ntawm qhov chaw quav thaum zaum los yog tso quav
• Kev tswj tsis tau lossis tswj tsis tau hla ntawm cov quav
• Kev yuag yuag uas tsis yoo
• Ua rau hauv cov ntshav siab uas ua rau kiv taub hau lossis tsaus muag

Koj yuav tsum mus ntsib koj tus kws kho mob thiab kuaj, txawm tias koj xav tias hemorrhoids ua rau cov ntshav hauv koj cov quav.

Hauv cov menyuam yaus, ntshav me me hauv cov quav feem ntau tsis yog teeb meem loj. Feem ntau ua rau cem quav. Koj tseem yuav tau qhia koj tus menyuam tus kws zov menyuam yog tias koj pom qhov teeb meem no.

Koj tus kws khomob yuav kuaj mob yav dhau los thiab kuaj mob lub cev. Qhov kuaj yuav tsom rau koj lub plab thiab lub qhov quav.

Koj yuav raug nug txog cov lus nug hauv qab no:

• Koj puas tau raug mob rau lub plab lossis lub qhov quav?
• Koj puas tau muaj ntau dua ib ntu cov ntshav hauv koj cov quav? Txhua qhov quav puas yog txoj kev no?
• Koj puas tau poob ib qho hnyav dua tsis ntev los no?
• Puas muaj ntshav rau ntawm daim ntaub hoob nab?
• Cov quav yog dab tsi?
• Teebmeem tshwm sim thaum twg?
• Lwm tus mob dab tsi tshwm sim (mob plab, ntuav ntshav, tsam plab, muaj roj ntau dhau, raws plab, lossis kub cev)?

Koj yuav tsum muaj ib los yog ntau qhov kev sim ntsuas los saib rau qhov ua rau:

• Kev kuaj xyuas digital ntawm qhov quav
• Kev Ntsuam Mob.
• Sigmoidoscopy lossis txoj hnyuv tsom rau sab hauv koj txoj hnyuv siv lub koob tom qhov kawg ntawm txoj raj nyias kom pom los yog kho qhov ua kom los ntshav tej zaum yuav xav tau.
• Ntawv Dab Tsi.
• Ntshav kem.

Tej zaum koj yuav muaj ib lossis ntau qhov kev kuaj sim ua ntej, suav nrog:

• Ua kom tiav cov ntshav suav (CBC)
• Ntshav tshuaj chemicals
• Clotting cov kev tshawb fawb
• Lub cev quav

Rectal los ntshav; Cov ntshav hauv cov quav; Hematochezia; Txo qhov mob ntshav qis

• Anal fissure - series
• Hemorrhoids
• Kev kuaj mob hnyuv

Kaplan GG, Ng SC. Kev tua kab mob kis, pathogenesis, thiab kev kuaj mob ntawm txoj hnyuv mob tshwm sim. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 115.

Kwaan MR. Hemorrhoids, anal fissure, thiab anorectal abscess thiab fistula. Hauv: Kellerman RD, Rakel DP, eds. Conn's Kev Kho Mob 2020Cov. Philadelphia, PA: Elsevier; 2020: 222-226.

Teeb txawb LW. Anus. Hauv: Goldblum JR, Teeb Yuav LW, McKenney JK, Myers JL, eds. Rosai thiab Ackerman's phais Neeg Kho MobCov. 11th ed. Philadelphia, PA: Elsevier; 2018: chap 18.

Meguerdichian DA, Goralnick E. Gastrointestinal los ntshav. 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 27.

Swartz MH. Lub plab. Hauv: Swartz MH, ed. Phau Ntawv Qhia Txog Kev Mob Lub Cev: Keeb Kwm thiab KuajCov. 8 tus ed. Philadelphia, PA: Elsevier; 2021: chap 17.