Paralytic ileum: nws yog dab tsi, cov tsos mob, ua rau thiab kho mob

Zoo Siab

• Cov teeb meem muaj peev xwm
• Cov tsos mob ua rau tuag tes tuag taw
• Yuav kho tus mob li cas

Paralytic ileus yog qhov xwm txheej uas muaj mob plob tsis so tswj tsis tau ib ntus, uas tshwm sim tshwj xeeb tom qab kev phais mob hauv thaj tsam plab uas tau koom nrog txoj hnyuv, ua rau muaj kev txhim kho qee yam tsos mob xws li cem quav, tsis qab los noj mov, xeev siab thiab ntuav, rau Piv txwv.

Txawm hais tias muaj kev cuam tshuam ntau zaus nrog kev phais mob plab, tuag tes tuag taw kuj tseem tuaj yeem tshwm sim vim muaj cov kab mob inguinal hernias lossis kev siv qee cov tshuaj, thiab nws yog ib qho tseem ceeb uas tau txheeb xyuas kom thiaj li tau txais kev kho mob kom tsim nyog los tiv thaiv kev txhim kho ntawm lwm yam nyuaj.

Cov teeb meem muaj peev xwm

Paralytic ileus feem ntau cuam tshuam txog kev phais mob plab vim kev tsim cov nqaij mos ua ke, txawm li cas los xij lwm qhov xwm txheej uas tuaj yeem nyiam qhov kev mob tuag tes tuag taw yog:

• Mob plob tsis so tswj;
• Cov mob o, xws li Crohn's mob;
• Diverticulitis;
• Tawv xim rau;
• Tshuaj tsw qab plab;
• Tus kab mob Parkinson.

Ntxiv rau, tuag tes tuag taw ileus tuaj yeem tshwm sim los ntawm kev siv qee cov tshuaj xws li tshuaj yeeb, xws li hydromorphone, morphine lossis oxycodone thiab lossis tricyclic antidepressants, xws li amitriptyline thiab imipramine.

Nws yog ib qho tseem ceeb uas tus kab mob tuag tes tuag taw tau txheeb xyuas thiab cov kev kho mob tau pib tam sim ntawd, vim nws muaj peev xwm tiv thaiv cov teeb meem xws li sepsis, uas sib raug rau cov kev kis kab mob dav dav los ntawm cov kab mob hauv plab uas tsis tau raug tua kom zoo, lossis muaj mob hnyuv, uas tuaj yeem nqa ntau lub txim rau kev noj qab haus huv. Kuaj seb qhov tshwm sim ntawm txoj hnyuv hnyuv yog dab tsi.

Cov tsos mob ua rau tuag tes tuag taw

Cov tsos mob ua rau tuag tes tuag taw yog hais txog qhov ua kom tso quav, plab, poob plab, tsis qab los, cem quav, tsam plab mob plab, txhaws qa, xeev siab thiab ntuav tej zaum yuav tau sau tseg.

Hauv ntau qhov xwm txheej loj dua, cov teeb meem xws li cell necrosis ntawm txoj hnyuv tuaj yeem tshwm sim vim qhov ntshav tsawg nyob rau hauv qhov chaw lossis txoj hnyuv tawm ntawm cov hnyuv, feem ntau tsis tshua muaj, uas tuaj yeem ua tus mob hu ua peritonitis, uas tshwm sim vim qhov nce ntxiv ntawm cov kab mob hnyuv thiab uas tuaj yeem ua rau muaj kev pheej hmoo kis mob coob ntxiv.

Yuav kho tus mob li cas

Kev kho mob tuag tes tuag taw lub hom phiaj txhawm rau kho qhov ua rau muaj kev tsis sib haum xeeb thiab txhawb tus mob. Muaj qee kis, qhov xwm txheej tuaj yeem daws tau yam tsis tas yuav tsum muaj kev kho mob, tsuas yog ua kom lub cev ruaj khov los ntawm kev tswj hwm cov kua los ntawm txoj hlab ntshav, ntxig qhov ntswg rau lub cev kom nqus tau huab cua thiab kua, uas yuav pab tau kom tus mob hauv plab. Txawm li cas los xij, yog tias tsis muaj kev txhim kho, tus kws kho mob yuav tsum xaiv lwm txoj kev kho ntxiv txhawm rau txhawm rau tiv thaiv kom tsis txhob mob plab hnyuv tawm.

Yog tias nws yog cov tshuaj uas yog qhov teeb meem, tus kws kho mob yuav ncua kev noj cov tshuaj ntawd, los yog sau ntawv noj tshuaj uas ua rau lub plab hnyuv hloov, ib yam li metoclopramide lossis domperidone.

Txhaum ntawm qee ntu, ntawd yog, yog tias qee yam zaub mov thiab dej haus mus txuas ntxiv los ntawm lub plab hnyuv, nws tsuas yog yuav tsum ua kom tus neeg nyob ruaj khov thiab noj zaub mov muaj fiber ntau, thiab cov tshuaj kom kho cov hnyuv hauv lub plab kuj tseem yuav raug txiav txim. Cov.

Yog tias muaj teeb meem tag nrho, lossis yog kev kho mob rau qee ib feem tsis ua haujlwm, nws yuav raug txiav txim siab kom phais txhawm rau txhawm rau tshem tawm qhov khaum no, tshem ib feem ntawm txoj hnyuv lossis txawm tias tshem tawm tag nrho cov hnyuv. Nyob rau hauv rooj plaub uas tag nrho cov hnyuv tshem tawm, nws yog qhov tsim nyog yuav tsum muaj ostomy, uas muaj qhov tsim cov channel uas txuas cov hnyuv mus rau ib hom hnab, los ntawm kev qhib rau hauv plab, los ntawm kev tso quav.