Mob diverticulitis: Cov tsos mob, ua rau thiab kho

Zoo Siab

• Cov tsos mob tseem ceeb
• Ua rau mob diverticulitis
• Yuav kho tus mob li cas
• Muaj teeb meem tshwm sim
• Yuav ua li cas zam

Mob diverticulitis yog mob plab hnyuv muaj cov tsos mob ua paug thiab / lossis kis tus kab mob diverticula, uas yog qhov quav me me lossis lub hnab ntim khoom ntim rau hauv cov phab ntsa ntawm cov hnyuv, tshwj xeeb tshaj yog ntu kawg ntawm cov nyuv.

Diverticula feem ntau tshwm sim rau cov neeg laus hnub nyoog 40 dua thiab muaj ntau dua rau cov neeg muaj cem quav lossis cov uas tsis muaj cov zaub mov muaj fiber ntau. Qhov no ua rau cov quav ua tsis tau dej tsis txaus thiab khaws cia hauv plab hnyuv, txhawb kev txhim kho ntawm diverticula thiab nws qhov ua paug, uas tuaj yeem pom los ntawm qee cov tsos mob xws li xeev siab, ntuav thiab mob hauv plab, piv txwv.

Nws yog ib qho tseem ceeb tias cov mob diverticulitis tau txheeb xyuas thiab kho raws li tus kws kho mob txoj kev taw qhia, vim li no thiaj li tiv thaiv kom tsis txhob muaj teeb meem xws li perforation lossis hnyuv txhaws.

Cov tsos mob tseem ceeb

Feem ntau, cov kab mob diverticulitis yog mob asymptomatic, tsuas yog nrhiav tau los ntawm kev kuaj mob ua tiav los soj ntsuam lwm yam pauv hnyuv. Txawm li cas los xij, qee tus neeg tuaj yeem tshaj qhia cov phiajcim tsis tseem ceeb xws li:

• Kev mob plab, tshwj xeeb tshaj yog nyob rau hauv qis ntawm sab laug, uas tuaj yeem yog tas mus li thiab txuas ntxiv mus li ob peb hnub;
• Raws plab thiab tso quav;
• Cov neeg tawg ntawm cov ntshis ntawm sab laug ntawm lub plab;
• Xeev siab thiab ntuav;
• Ua npaws;
• Ua daus no;
• Cov ntshav hauv cov quav, qee qhov;
• Tsis qab los noj mov.

Qhov kev siv ntawm cov tsos mob sib txawv raws qhov ua mob hnyav, uas, yog tias me me, tuaj yeem mus tsis tau. Txawm li cas los xij, nyob rau ntawm cov tsos mob no, nws yog ib qho tseem ceeb kom sab laj nrog kws kho mob txhawm rau soj ntsuam qhov xav tau los ua kev soj ntsuam cov duab xws li ultrasound lossis tomography ntawm lub plab, thiab kev kuaj ntshav uas pom tias muaj mob thiab kis hauv cov hnyuv, kom nws yog txhawm rau qhia kev kho mob kom tsim nyog.

Ua rau mob diverticulitis

Cov tsos mob ntawm diverticula nyob rau ntawm ntu kawg ntawm cov nyuv hu ua diverticulosis thiab thaum cov diverticula no o, cov diverticulitis yog tus yam ntxwv. Qhov mob hnyav no tuaj yeem tshwm sim los ntawm kev laus, thiaj li muaj qhov ploj ntawm elasticity ntawm cov leeg plab, txaus siab tias cov quav me me quav nyob rau hauv qhov chaw thiab ua rau mob ntawm diverticulum.

Tsis tas li ntawd, lwm qhov xwm txheej uas yuav txaus siab rau qhov o ntawm cov qauv yog noj zaub mov muaj fiber ntau thiab mob plab zom mov, qhov no ua rau tsim cov quav tsis zoo rau lub cev, uas ua rau lub siab hauv cov hnyuv thiab ua rau kom cov diverticula o tuaj.

Tsis tas li ntawd xwb, vim tias muaj qee qhov ntawm cov quav me me, nws tseem muaj peev xwm los ua kom muaj kab mob hauv zos, uas tseem ua rau pom kev tshwm sim thiab cov tsos mob ntawm tus mob diverticulitis.

Yuav kho tus mob li cas

Kev kho mob rau cov mob diverticulitis yuav tsum tau ua tus kws kho mob txhawm rau raws li qhov sib zog ntawm cov tsos mob thiab ua rau muaj mob, thiab siv cov tshuaj tiv thaiv kab mob thiab tshuaj tua kab mob kom txo cov tsos mob, thiab tshuaj tua kab mob, xws li Ciprofloxacino thiab Metronidazole, rau kho lossis tiv thaiv kev txhim kho kab mob.

Tsis tas li, tus kws kho mob tuaj yeem qhia kev saib xyuas nrog zaub mov, uas nyob hauv thawj 3 hnub, yuav tsum ua kua, thiab tsuas yog maj mam ntxiv cov zaub mov tawv, kom tsis txhob ua rau lub siab hauv plab hnyuv ntxiv. Vim tias qhov mob thiab cov tsos mob zuj zus zuj zus, tus neeg mob yuav tsum qhia cov zaub mov muaj fiber ntau hauv lawv cov zaub mov noj txhua hnub, xws li txiv hmab txiv ntoo thiab zaub los yog nplej tshiab tag nrho, piv txwv li, txhawm rau tiv thaiv cov diverticula los ntawm kev rov quav dua. Txheeb xyuas cov ntsiab lus ntxiv ntawm kev pub mis rau mob diverticulitis.

Thaum tus neeg muaj peev xwm ua tau raws li cov lus qhia ua tau zoo thiab thaum muaj mob me, qhov kev kho mob no tuaj yeem ua rau hauv tsev, txawm li cas los xij, kev coj tus cwj pwm tsis yooj yim, pw hauv tsev kho mob rau nqa tawm cov tshuaj nyob rau hauv txoj hlab ntsha thiab tshuaj xyuas qhov tseem muaj peev xwm phais yog qhov tseem ceeb.

Rau kev phais mob ntawm qhov o, hno yuav tuaj yeem ua kom hno cov kua paug lossis phais kom tshem tawm qhov uas puas ntawm txoj hnyuv. Saib cov ncauj lus kom ntxaws ntxiv txog kev kho mob thiab phais mob rau cov mob pob txha.

Muaj teeb meem tshwm sim

Thaum mob diverticulitis tsis kho sai sai thaum thawj cov tsos mob tshwm sim lossis thaum kho tsis ua raws li kws kho mob cov lus qhia, nws muaj peev xwm muaj qee qhov teeb meem tshwm sim, xws li:

• Ntshav, uas tuaj yeem mob siab thiab pom los ntawm qhov kuaj pom muaj ntshav nyob hauv cov quav;
• Qaug rau ntawm qhov chaw, uas tuaj yeem ua rau ntau qhov mob thiab ua rau muaj kev pheej hmoo ntau dua ntawm kev tsim kab mob hnyav ntxiv;
• Tsim kom muaj cov fistulas, uas yog kev sib txuas lus ntawm txoj hnyuv thiab lwm qhov plab hnyuv siab raum, uas yog los ntawm kev vim mob thiab tsim cov nqaij ntawm phab ntsa;
• Perforation ntawm txoj hnyuv, uas yog ib qho mob hnyav heev ntawm diverticulitis thiab ua rau mob hnyav ntxiv ntawm thaj chaw mob plab;
• Txoj hnyuv tawm hneev, nyob rau hauv kev o tiv thaiv kom tsis txhob tso dej thiab quav los ntawm txoj hnyuv, uas ua rau tsam plab, mob plab thiab ntuav.

Yog li, kom tsis txhob muaj cov teeb meem no nws yog ib qho tseem ceeb uas ua raws li kws kho mob cov lus pom zoo kom txo qis kev mob thiab zam kom tsis txhob muaj teeb meem thiab kev tawm tsam tshiab ntawm cov mob sai.

Yuav ua li cas zam

Txhawm rau tiv thaiv kev tsim cov diverticula nyob rau hauv cov hnyuv loj, lossis tiv thaiv kev tawm tsam tshiab ntawm diverticulitis, nws yog ib qho tseem ceeb kom muaj zaub mov muaj nplua nuj nyob hauv fiber, vim lawv txhawb cov haujlwm thiab ua kom huv ntawm cov hnyuv, thiab tiv thaiv nws cov phab ntsa kom tsis muaj zog thiab tshiab. quav ua.

Txhawm rau ua haujlwm zoo ntawm txoj hnyuv, nws tseem ceeb heev kom haus dej kom ntau thoob plaws ib hnub, nrog dej li 2 teev, ntxiv rau kom noj qeeb thiab zom kom zoo ua ntej nqos.

Saib, tseem, lwm cov lus qhia los ntawm tus neeg noj zaub mov kom noj zaub mov kom raug thaum lub sij hawm thiab tom qab kho cov kab mob diverticulitis, tiv thaiv cov teeb meem tshiab thiab txhim kho kev ua haujlwm ntawm txoj hnyuv: