Cov quav dub: ua rau cov tsos mob no

Cov quav, lossis quav, tso cai rau lub cev tshem tawm cov khoom pov tseg los ntawm kev zom zaub mov thiab lwm yam txheej txheem zom zaub mov. Cov quav ib txwm muaj li ntawm 75-85% dej thiab 20% qhov teeb meem qhuav.

Feem ntau lawv cov xim yog xim av, vim muaj cov xim av xim av hu ua stercobilin thiab urobilin.

Qee zaum cov quav ntawm cov xim yuav hloov. Ib qho xim dub txawv txawv ntawm cov quav yuav tsum coj mus rau kws kho mob tham.

Cov quav dub hauv cov menyuam mos

Nco ntsoov tias hauv cov menyuam yug tshiab, thawj cov quav tawm tom qab yug menyuam yog dub, thiab lawv qhov sib xws zoo ib yam li cov roj av. Qhov no yog ib txwm ua tiav: nws yog meconium.

Kev tso quav ntawm cov quav dub, tsis hais txog ntawm lawv qhov sib xws (kua los yog tsis), tej zaum yuav yog ib qho cim ntawm ntshav (lossis ntshav) hauv lub plab zom mov, tshwj xeeb yog lub plab.

Peb mam li tham txog melena lossis melaena. Nws tau kwv yees tias kwv yees li 80% ntawm cov plab zom mov tau pom tom qab melena.

Hauv cov ntshav uas muaj qhov quav, cov quav yog xim dub zoo li cov pa roj thiab tsw ntxhiab heev. Cov xim yog tshwm sim los ntawm qhov muaj cov zom cov ntshav.

Muaj ntau yam ua rau plab zom mov. Cov no suav nrog:

• mob plab;
• raug mob los yog poob siab;
• kua muag hauv txoj hlab pas;
• varicose leeg ntawm txoj hlab pas lossis lub plab;
• los yog mus rau mob plab.

Txawm li cas los xij, qee yam khoom noj thiab tshuaj tuaj yeem ua kom cov quav cov xim tsaus thiab ua rau lawv pom xim av tsaus lossis dub. Yog li, yog tias tsis muaj lwm cov tsos mob tshwm sim, cov quav dub yuav yooj yim vim yog lawv noj.

Cov no suav nrog, ntawm lwm tus:

• hlau ntxiv;
• tshuaj bismuth;
• activated charcoal;
• beetroot (xim liab tsaus);
• cuttlefish (nrog nws tus number case);
• dub paj npleg;
• spinach (ntsuab ntsuab);
• los yog txawm blueberries los yog blueberries.

Thaum tsis hnov ​​tsw txawv txav, feem ntau tsis muaj qhov ua rau txhawj xeeb. Yog tias tsis ntseeg, sab laj nrog koj tus kws kho mob.

Yog tias xim dub cuam tshuam txog kev noj tshuaj lossis noj zaub mov, tsis muaj kev nqis tes ua. Txhua yam yuav nyob sai sai.

Ntawm qhov tod tes, muaj cov ntshav zom hauv cov quav yog cov tsos mob uas yuav tsum coj mus rau kev sab laj xwm ceev.

Nws raug pom zoo kom mus rau chav kho mob xwm txheej ceev ntawm tsev kho mob thaum muaj melena, txhawm rau ua qhov kev kuaj mob tsim nyog rau kev kuaj mob. Thaum muaj ntshav los ntshav, yuav tsum tau phais.

Qhov ua rau los ntshav yuav txiav txim los ntawm pab pawg kho mob, tshwj xeeb los ntawm a tus kws kho mob plab zom mov.

Cov yam ntxwv ntawm lub cev thiab tshuaj lom neeg ntawm cov quav tuaj yeem qhia ntau yam txog tib neeg txoj kev noj qab haus huv, tshwj xeeb, txog kev ua haujlwm ntawm nws txoj hnyuv. Nrog rau txoj kev ua neej monotonous thiab khoom noj khoom haus, cov quav yog ruaj khov, yuav luag tib xim, qhov ntxoov ntxoo uas hloov me ntsis. Ib qho kev hloov ntawm cov xim yuav tsum tau saib xyuas, vim nws tuaj yeem ua teeb meem loj hauv lub cev. Koj yuav tsum ceev faj tshwj xeeb yog tias cov quav tau hloov xim rau xim dub. Qee zaum, cov xim no cuam tshuam nrog kev mob hnyav ntawm lub plab zom mov. Kev ncua hauv lawv txoj kev kho mob tuaj yeem ua rau tib neeg lub neej.

Dab tsi yuav tsum yog cov quav ntawm tus neeg noj qab haus huv?

Fecal masses yog tsim los ntawm chyme (khoom noj khoom haus) vim nws cov enzymatic ua. Qhov zoo ntawm kev hloov pauv thiab assimilation ntawm cov zaub mov yog nyob ntawm kev ua haujlwm ntawm kev zom zaub mov, uas suav nrog ntau yam (kev ua haujlwm ntawm kev zais ntawm lub plab zom mov, motility, kev noj haus muaj pes tsawg leeg). Kev tsim cov quav yog ua tiav hauv cov hnyuv. Tom qab ua tiav, quav tawm hauv lub cev nyob rau hauv daim ntawv ntawm cov khoom dai ntawm ntau qhov ntxoov xim av (los ntawm yellowish mus rau tsaus xim av). Feem ntau, lub rooj zaum yuav tsum tsis tu ncua thiab txhua hnub (los ntawm 2 zaug hauv ib hnub mus rau 1 zaug hauv 2 hnub).

Nrog rau kev hloov pauv hauv kev noj zaub mov thiab kev noj haus, ntau dhau ntawm qee pawg ntawm cov khoom lag luam, kev siv cov khoom noj txawv txawv, qhov tsis zoo ntawm cov quav hloov. Nws muaj peev xwm hloov xim, kev ntxhib los mos, tsw, qhov tsos ntawm ib qho me me ntawm undigested hais, uas yog suav tias yog tus qauv. Cov phenomena yog vim lub peculiarities ntawm digestion ntawm ib tug neeg cov khoom.

Kev hloov pauv loj hauv cov xim thiab qhov sib xws tuaj yeem qhia tau tias muaj kev ua haujlwm tsis zoo hauv lub plab zom mov, tsim cov kua txiv tsis txaus (hydrochloric acid, kua txiv pancreatic, kua tsib), qhov tsis txaus ntawm cov hnyuv microflora. Kev ntsuam xyuas los ntawm tus kws kho mob gastroenterologist yuav pab tsim kom muaj qhov ua rau, ua ntej ntawm tag nrho cov, ib coprogram (cov ntsiab lus tsom xam cov quav) muab ntau cov ntaub ntawv.

Cov quav tsaus dhau yog qhov sib txawv ntawm lub cev physiological. Cov tsos mob yuav tsum tau ua tib zoo saib xyuas thiab kawm ntxaws txog cov lus nug vim li cas cov quav dub. Nws yog ib qho tseem ceeb kom tshem tawm qhov ua rau muaj kev hem thawj rau lub neej sai li sai tau.

Tej zaum ua rau cov quav dub?

Lub ntsiab ua rau discoloration ntawm quav yog raws li nram no:

• kev siv cov khoom tshwj xeeb;
• noj tshuaj;
• kev phiv ntawm tej yam tshuaj;
• kev loj hlob ntawm cov kab mob ntawm txoj hnyuv.

Hauv qab no peb xav txog cov yam ntxwv ntawm qhov tshwm sim ntawm cov tsos mob rau txhua yam uas tau teev tseg.

Cov zaub mov hloov cov quav li cas

Thawj kauj ruam yog los txiav txim siab seb qhov twg cov xim dub ntawm cov quav tsis yog cov tsos mob txaus ntshai. Qhov tsaus nti ntawm cov quav feem ntau cuam tshuam nrog kev noj cov zaub mov tshwj xeeb, uas ncaj qha rau cov quav lossis hloov lawv cov khoom thaum lub sijhawm zom zaub mov. Cov quav yuav tsaus ntuj txawv txawv tom qab noj cov zaub mov hauv qab no:

• rooj beets;
• dub berries (blackberries, currants, blueberries);
• prunes;
• txiv hmab;
• khov kas fes thiab tshuaj yej;
• pomegranate;
• txiv lws suav;
• nqaij ntawm qis thiab nruab nrab ci;
• mob siab.

Tawm tsam keeb kwm yav dhau los ntawm kev siv cov khoom no, kev tsaus ntuj ntawm cov quav yog pom tom qab 1-2 hnub. Cov tsos mob tshwm sim rau 1-3 hnub. Tom qab kev tshem tawm ntawm cov khoom, cov quav tau txais cov xim qub.

Raws li txoj cai, blackening ntawm cov quav yog tsis nrog ib tug ntse hloov nyob rau hauv lub sib xws ntawm cov quav, lub excrement tseem tsim. Nrog rau kev siv ntau ntawm cov khoom provocative, cov nyhuv laxative lossis cem quav yuav tshwm sim. Yog tias cov xim tsaus nti ntawm cov quav yog txuam nrog cov khoom noj tshwj xeeb lossis cov tais diav hauv cov ntawv qhia zaub mov, cov xwm txheej ntawm tus neeg mob tsis hloov pauv thiab tsis muaj lwm yam kev tsis txaus siab.

Cov tshuaj dab tsi tuaj yeem hloov xim ntawm cov quav

Qee cov tshuaj muaj peev xwm ua rau muaj kev hloov pauv hauv cov xim ntawm cov quav, mus txog rau xim dub. Qhov tseeb yog tias nyob rau hauv tus txheej txheem ntawm kev txav mus rau hauv lub plab zom mov, cov tshuaj tau raug rau cov kua txiv hmab txiv ntoo. Qhov no tej zaum yuav cuam tshuam cov khoom ntawm pharmacologically active tshuaj. Blackening ntawm cov quav yog pom thaum noj tshuaj ntawm pawg hauv qab no:

• antianemic (hlau-raws li tus neeg sawv cev);
• enveloping (kev npaj bismuth, piv txwv li De-Nol);
• vitamin thiab mineral complexes (nrog hlau nyob rau hauv muaj pes tsawg leeg).

Yog tias cov tsos mob tshwm sim los ntawm cov tshuaj, tsis muaj dab tsi yuav txhawj txog. Tsis ntev tom qab txiav cov tshuaj, cov quav tau txais cov xim li niaj zaus. Nws raug nquahu kom nyeem cov lus qhia thiab xyuas kom meej tias cov khoom tuaj yeem hloov cov xim ntawm excrement. Nws yuav tsum tau nco ntsoov tias yuav tsum tsis txhob muaj qhov tshwm sim (tshwj tsis yog cov tsos mob ntawm tus kab mob hauv qab).

Activated charcoal thiab npaj raws li nws muaj peev xwm muab cov quav dub xim. Staining yog vim lub excretion ntawm cov khoom nyob rau hauv unchanged daim ntawv los ntawm lub cev. Raws li txoj cai, ib hnub tom qab txiav tawm cov tshuaj, cov xim ntawm cov quav yuav zoo li qub.

Kev mob tshwm sim ntawm cov tshuaj

Yog vim li cas rau kev faib cov quav dub tuaj yeem noj cov tshuaj uas tuaj yeem ua rau los ntshav sab hauv. Cov no suav nrog:

• non-steroidal anti-inflammatory tshuaj;
• cov tshuaj antiplatelet raws li acetylsalicylic acid;
• qee cov tshuaj tua kab mob.

Hauv qhov no, lwm yam kev mob ntawm lub cev ntawm cov quav (qhov sib xws, zaus), nrog rau kev noj qab haus huv ntawm tus neeg mob, tuaj yeem hloov pauv. Cov tsos mob ntawm cov ntshav tsis muaj zog yog qaug zog, tsaug zog, pallor ntawm daim tawv nqaij, xeev siab, ntuav, tsis qab los noj mov, thiab lwm yam.

Yog tias tsis ntev los no ib tus neeg tau noj tshuaj los ntawm cov pab pawg uas tau teev tseg, thiab cov quav dheev tsaus nti, nws yuav tsum tau mus ntsib kws kho mob sai li sai tau. Txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau txhawm rau nws nws yuav tsum tau kuaj xyuas cov ntshav los ntshav. Qhov xwm txheej no hu rau kev pab ceev.

Cov kab mob dab tsi ua rau cov quav dub

Qhov kev xaiv txaus ntshai tshaj plaws yog cov quav dub, raws li cov tsos mob ntawm tus kab mob. Nws qhia tau hais tias los ntshav nyob rau theem ntawm txoj hlab pas, plab, los yog thawj ntu ntawm txoj hnyuv loj. Feem ntau tsawg dua, cov ntshav nkag mus rau hauv lub plab zom mov hauv cov kab mob ntawm cov kab mob ENT thiab cov kab mob ua pa. Lub tsev kho mob yog vim qhov hloov pauv ntawm cov ntshav hemoglobin mus rau hauv hemin raws li kev ua ntawm gastric hydrochloric acid. Cov quav dub hauv ib tus neeg qhia tias muaj ntshav ntau ntau (ntau dua 60 ml), yog li kev mus ntsib kws kho mob yog qhov yuav tsum tau ua.

Cov quav thaum los ntshav hloov tsis tau tsuas yog xim, tab sis kuj sib xws. Excrement ua unformed, viscous thiab nplaum, zoo li tar. Cov tsos mob tuaj yeem nrog cov kab mob hauv qab no:

• mob erosive esophagitis;
• nodular periarteritis;
• rupture ntawm aortic aneurysm rau hauv lub lumen ntawm txoj hnyuv;
• mob plab zom mov;
• peptic rwj ntawm lub plab thiab duodenum;
• Mallory-Weiss syndrome;
• qog nqaij hlav plab;
• ua npaws hemorrhagic;
• ua npaws;
• dengue kub taub hau;
• hemophilia;
• thrombocytopenia;
• kab nuv ntses;
• histoplasmosis;
• cirrhosis ntawm daim siab;
• mob lymphoblastic leukemia, thiab lwm yam.

Cov ntaub ntawv txaus ntshai ntawm los ntshav sab hauv yog nrog xeev siab thiab ntuav (nrog cov caws pliav lossis kas fes-xim xim), qhov tsis muaj zog, tsis muaj ntshav siab, thiab mem tes. Internal los ntshav nyob rau hauv cov kab mob kis tau nrog ua npaws, tawm hws, ua daus no.

Yog tias koj muaj ib qho ntawm cov kab mob uas tau teev tseg los yog ua ke ntawm cov quav dub nrog kev tsis zoo ntawm koj tus mob, koj yuav tsum nrhiav kev pab tam sim ntawm lub tsev kho mob.

Puas yog cov quav dub hauv menyuam yaus ib txwm muaj lossis pathological?

Cov kab mob uas provoke los ntshav sab hauv yog tsis tshua pom nyob rau hauv cov me nyuam. Cov teeb meem kev noj qab haus huv hnyav kuj qhia tau tias muaj lwm yam tsos mob (ua npaws, mob plab, tsis muaj zog, ntuav, thiab lwm yam). Hauv cov xwm txheej zoo li no, kev kho mob yuav tsum tau nrhiav yam tsis muaj kev ncua.

Feem ntau, qhov tsaus nti ntawm cov menyuam yaus cov quav yog vim kev noj zaub mov zoo lossis kev siv tshuaj. Vim qhov txo qis ntawm cov enzymes, kev zom zaub mov tsis tiav ntawm ib tus neeg cov khoom thiab kev hloov pauv hauv lawv cov xim vim muaj kev cuam tshuam nrog cov kua txiv hmab txiv ntoo. Ib qho piv txwv yuav yog niam txiv kev ntxhov siab txog me me dub fibers hauv cov quav, uas feem ntau yuam kev rau cov kab mob cab. Cov no yog txiv tsawb hais tias tsis tau tag nrho digested.

Dub, nrog ib tug ntsuab tinge, quav nyob rau hauv cov me nyuam mos yog tus qauv. Qhov no yog meconium los yog cov ntsiab lus ntawm txoj hnyuv, uas tau tsim thaum lub sij hawm kev loj hlob ntawm fetal. Thaum pib ntawm kev siv cov niam cov kua mis los yog cov mis mos, cov quav tau txais cov xim ntawm cov menyuam mos (mustard, lub teeb xim av lossis daj).

Tsis tas yuav txhawj xeeb txog cov xim ntawm cov quav thaum tus me nyuam noj cov tshuaj multivitamin complex los yog hlau ntxiv. Kev hloov xim ntawm cov quav hauv qhov xwm txheej no kuj yog tus qauv.

Cov quav dub thaum cev xeeb tub

Cov quav tsaus nti hauv tus poj niam cev xeeb tub tuaj yeem tshwm sim thaum kho cov ntshav ntshav nrog kev npaj cov hlau los yog hloov pauv hauv cov ntawv qhia zaub mov. Qhov no yog ib txwm zoo li qub thiab tsis ua rau muaj kev hem thawj rau kev noj qab haus huv ntawm leej niam lossis tus menyuam.

Thaum cov quav dub tshwm sim, koj yuav tsum ceev faj yog tias tus ntxhais muaj keeb kwm ntawm cov kab mob ntawm lub plab zom mov, daim siab lossis ntshav. Cev xeeb tub nyob rau hauv lub sij hawm nce lub load ntawm tus poj niam lub cev, uas yuav ua rau exacerbation ntawm mob pathologies. Nrog rau qhov tsaus ntuj ntawm cov quav, ua ke nrog kev noj qab haus huv tsis zoo, nws yog qhov yuav tsum tau hu rau tus kws kho menyuam yaus-gynecologist uas saib xyuas cov txheej txheem gestational.

Yuav ua li cas yog tias quav dub?

Kho cov quav dub hauv cov neeg laus lossis menyuam yaus yuav tsum tsis txhob ua rau muaj kev ntshai. Qhov tshwm sim no tuaj yeem cuam tshuam nrog nws tus kheej hauv ntau theem:

1. Nws yog ib qho tsim nyog los tshuaj xyuas lub xeev ntawm ib tus neeg tam sim no. Yog tias muaj cov tsos mob tshwm sim, hu rau lub tsheb thauj neeg mob lossis coj lawv mus rau tsev kho mob ntawm lawv tus kheej.
2. Yog tias tus neeg mob nyob hauv tsev, koj yuav tsum nug nws lossis nco ntsoov koj tus kheej li cas koj tau hnov ​​​​hauv ob peb lub lis piam dhau los (txawm tias muaj cov tsos mob, seb puas muaj kab mob, seb puas tau noj tshuaj). Yog tias cov lus teb yog, koj yuav tsum hu rau lub tsev kho mob. Yog tias tus neeg xav tias zoo thiab zoo, koj tuaj yeem txav mus rau qib tom ntej.
3. Qhia meej tias cov tshuaj twg tus neeg mob noj tsis tu ncua lossis tsis ntev los no tau noj. Nyob rau hauv cov ntaub ntawv ntawm kev siv cov tshuaj uas yuav provoke los ntshav sab hauv, koj yuav tsum sab laj nrog kws kho mob. Yog tias tus neeg tsis tau noj tshuaj, koj tuaj yeem mus rau kauj ruam tom ntej.
4. Txheeb xyuas tus neeg mob noj zaub mov rau 2-3 hnub dhau los (puas muaj kev hloov pauv hauv kev noj haus, yog cov tais diav txawv txawv, txuj lom, dej qab zib qhia, yog cov khoom noj los ntawm cov npe tshwj xeeb siv). Yog tias qhov kev sib txuas nrog cov khoom noj khoom haus tau lees paub, nws yog ib qho tsim nyog yuav tsum tsis suav nrog cov khoom provoking thiab xav kom normalization ntawm cov quav hauv 1-3 hnub.

Thaum twg koj yuav tsum tau mus ntsib kws kho mob sai?

Tawm tsam keeb kwm ntawm cov quav dub, cov tsos mob hauv qab no yuav tsum tsis txhob ignored:

• hnoos hnyav;
• ntshav ntswg;
• mob nyob rau hauv lub hauv siab cheeb tsam;
• mob plab;
• txo qhov siab;
• qeeb plawv dhia;
• xeev siab, ntuav;
• tsis nco qab;
• tsis muaj zog;
• qaug zog sai thaum ua haujlwm ib txwm ua;
• nce hauv lub cev kub;
• hws;
• pallor ntawm daim tawv nqaij.

Nyob rau hauv lub xub ntiag ntawm ib los yog ntau tshaj ntawm cov cim qhia, nws yog tsis tsim nyog rau ncua mus ntsib kws kho mob.

Yuav ua li cas ntsuam xyuas nrog rau cov quav dub?

Nrog rau qhov teeb meem ntawm cov xim txawv txawv ntawm cov quav, koj yuav tsum hu rau tus kws kho mob gastroenterologist. Hauv qhov xwm txheej hnyav, xav tau kev pab ntawm tus kws phais. Yog xav tias los ntshav sab hauv, kev kuaj xyuas suav nrog cov txheej txheem hauv qab no:

• kuaj ntshav (feem ntau yog ib qho chaw kho mob dav dav, nrog rau kev kuaj ntshav coagulation);
• tsom xam cov quav (ua ib qho kev sim rau cov ntshav occult, coprogram, nrog rau kev tsom xam bacteriological);
• endoscopy (esophagogastroduodenoscopy thiab colonoscopy tso cai rau tsis tsuas yog los txiav txim qhov chaw ntawm los ntshav, tab sis kuj yuav tsum tsis txhob, coj cov nqaij mos fragments rau histological tsom xam);
• X-ray / MRI nrog qhov sib txawv ntawm qhov sib txawv (tso cai rau koj txheeb xyuas qhov chaw ntawm qhov chaw los ntshav).

Ntawm tus kheej, daim ntawv teev cov txheej txheem kuaj mob tuaj yeem ntxiv.

Yuav mus qhov twg rau cov quav dub?

Yog tias koj tsis xis nyob, koj yuav tsum tau hu rau lub tsheb thauj neeg mob 112. Yog tias cov quav dub tsis nrog kev noj qab haus huv tsis zoo, koj tuaj yeem tau txais kev pab ntawm MedProsvet multidisciplinary chaw kho mob txhua hnub. Tus kws kho mob gastroenterologist yuav ua ib qho anamnesis, ua ib qho kev kuaj mob thiab palpation, thiab kos ib lub phiaj xwm kuaj mob kom tsis suav nrog cov txheej txheem pathological.