Mob ntawm ib ncig ntawm 80% ntawm cov mob tshwm sim vim kev mob plab thiab duodenum, ntxiv 20% yog: parasitic / helminthic invasions, kab mob ntawm cov hnyuv thiab hnyuv, pancreas, ob lub raum. Thaum nws mob nyob ib ncig ntawm lub puj ntaws, qhov ua rau ntawm kev mob nkeeg yuav ua mob hnyav heev, yuav tsum tau muaj kev kho mob sai, yog li tus kheej noj tshuaj tsis tsim nyog. Thaum muaj mob hauv lub ntaws, tsis hais lawv qhov kev siv, koj yuav tsum nrog tus kws kho mob ib txwm nrog - nws pab kom tsis txhob muaj teebmeem rau kev noj qab haus huv thiab lub neej tsis zoo.
Mob ntawm ib ncig ntawm lub pij ntaws - kev faib tawm:
- parietal mob. Nws tshwm sim los ntawm kev tsiv ntawm tus txha caj qaum tus paj hlwb, uas muab kev sib txuas ntawm cov peritoneum thiab lub hauv paus paj hlwb, nrog rau cov leeg khaus ntawm lub plab phab ntsa;
- visceral mob. Nws yog ib qho txiaj ntsim ntawm kev tsis sib haum nyob rau hauv kev ua hauj lwm ntawm plab hnyuv siab raum, lawv cov organic qhov chaw, tseem ceeb lossis "gnawing";
- Qhov mob rov qab xav. Focuses nyob rau hauv ib cheeb tsam ntawm qhov chaw ntawm cov txheej txheem pathological. Raug rau cov kab mob ntawm intestine, pancreas, gallbladder, plab;
- psychogenic mob. Laus nyob hauv plab kab noj plawv, kav ntev li ob peb lub hlis / xyoo thaum tsis muaj lub hom phiaj ntawm cov kev hloov hauv cov kabmob ntawm lub qhov ncauj. Kev kuaj mob rau cov tib neeg muaj kev tsis taus hlwb, yuav ploj mus rau hauv keeb kwm ntawm kev siv cov tshuaj psychotropic.
Qhov mob nyob ib ncig ntawm lub puj ntaws - dab tsi yuav nws yuav?
Qhov mob plab nyob ib ncig ntawm lub qhov ntub yog hlawv thiab qaug zog, muaj zog thiab tsis tu ncua, yoog nyob rau hauv ib qho chaw thiab tsiv mus rau sab xis / sab laug los yog tu / down - nyob rau hauv txhua rooj plaub, koj tsis tuaj yeem tsis pom nws. Qhov kev xaiv zoo tshaj yog txhawm rau txheeb xyuas qhov kev mob tshwm sim tam sim no (lub hwj chim ntawm kev xav, kev pov hwm, tus cwj pwm, lub zos) thiab teem caij nrog ib tus kws kho mob tshwj xeeb.
- Umbilical hernia. Qhov tsim tawm ntawm hernial lub thawv thiab nthuav ntawm umbilical nplhaib ua rau mob mob ib ncig ntawm lub puj ntaws thaum ua noj thiab tom qab noj mov. Lub hernia yog ib lub cim khi nyob ze ntawm lub puj ntaws, thaum nws tau ua txhaum txoj kev mob qhov hnyav tuaj lawm: cov ntsiab lus ntawm lub hernial lub vov tob tob tob, cov ntshav tau ua txhaum, cov necrosis ntawm cov ntaub so ntswg pib.
- Enteritis lossis mob plab. O ntawm cov hnyuv me me los yog loj. Ntxiv nrog rau qhov mob siab nyob rau hauv nruab nrab ntawm lub plab, cov pathologies no yeej ib txwm nrog mob raws plab. Enteritis yog tus cwj pwm ntawm cov plob tsis so tswj lub cev, nrog rau qhov mob plab me me, feem ntau yog ib qho quav ntawm cov hnoos qeev thiab ntshav.
- Mob pob txha. Ua ntej, tus mob concentrates ncig lub ntaws, ces tsiv mus rau sab xis thiab hauv qab. Kev siv ntawm kev hnov mob heev nws txawv nyob ntawm qhov chaw nyob ntawm qhov kev txiav txim rau lub cecum, los ntawm cov theem ntawm cov txheej txheem inflammatory (ntev / mob).
- Mob plab hnyuv. Nws yog tsi ntsees los ntawm kev ceev nrooj thiab npaj txhij txog "pib" - tus kab mob plab hnyuv. Qhov mob siab rau hauv nruab nrab ntawm lub puj ntaws, maj mam noj ntawm cov ua cim diffuse. Nws ntim nrog ntuav ntau, xeev siab, ua txhaum ntawm cov pa roj qaub, qaug dej qaug.
- Mob plab mog. Mob ntawm ib ncig ntawm lub puj ntaws yog mob siab heev, tshwm sim tawm tsam tom qab ntawm txias extremities, xeev siab, ntuav, raws plab, mob taub hau.
- Tsis chim siab plob tsis so tswj hlwb. Ib qho kab mob uas qhov mob ntawm txoj hnyuv zom, qhov paug, qhov mob ntawm qhov pwg, qis dua tom qab tawm cov quav thiab roj cua.
- Cancer ntawm cov hnyuv me me. Tsis tshua pom mob oncological pathology, uas ua nws tus kheej los ntawm ob hom kev cim qhia: hnyav hnyuv laus thiab cov quav. Qhov mob nyob ib ncig ntawm lub tsev menyuam hnoos, yog li 80-85% ntawm cov mob, nrog rau raws plab, mob plab hnyuv, hnoos, xeev siab, thiab kub siab.
- Malformations ntawm cov nyuv:
- Hirschsprung tus kab mob. Kev loj hlob ntawm cov nyuv tshaj qhov dav thiab ntev, sealing nws cov phab ntsa. Cov tsos mob: mob plab, mob nyhav, mob plab, mob plawv, mob plab (tawv nqaij tawv), mob plab, mob txob, mob ua xua, ua pa nyuaj. Txij lub sij hawm, cov bedsores uas ua rau hauv cov hnyuv loj ua rau mob thiab ua rau mob plab hnyuv / perforations;
- doubling ntawm intestine. Cov duab khij nyhav los ntawm lub plab zom zaws los yog ua rau mob ib ncig ntawm lub plab hnyuv ntawm lub plab hnyuv.
- Sib npaug aneurysm ntawm lub plab ntu ntawm lub tsho:
- kev mob qeeb ib ntus;
- lub sijhawm pib ntawm txoj haujlwm;
- qhov tsos ntawm qhov mob yog txuam nrog lub cev lub cev / kev hloov hauv lub cev.
- "Abdominal toad." Kev ua txhaum ntawm lub chaw siab me (lub plab hnyuv) tau tshwm sim los ntawm kev mob ntawm cov hlab ntsha hauv cov hlab ntsha uas tau pom los ntawm qhov tshwm sim ntawm kev mob siab heev nrog kev hnyav nyob nruab nrab ntawm lub puj ntaws. Kev hnov mob ntawm lub cev muaj tus kabmob qhia meej meej, "nplooj" tom qab noj nitroglycerin. Tus kab mob provokes plob tsis so tswj, constipation, flatulence, mob raws plab.
- O ntawm jejunum (jejunitis). Mob ntawm ib ncig ntawm lub puj ntaws yog ib yam kab mob ntawm cov mob yoynitis, yog hais tias txoj kev mob kis mus rau tag nrho cov hnyuv, nws yog ib tug mob chronic.
Facilitating yam:
- kab mob hauv plab hnyuv taum (anamnesis (salmonellosis, dysentery);
- quav quav cawv;
- raum tsis ua, noj tsis haum;
- immunodeficiency xeev, gout;
- Cov kab mob ntawm daim tawv nqaij (eczema, psoriasis).
Mob ntawm ib ncig ntawm lub puj ntaws ntawm cov poj niam - tau ua rau
Kev hnov mob ntawm ib ncig ntawm lub pij ntaws yog ib qho kev tsis txaus siab hauv kev kho mob gynecology. Qhov no tsos mob yog tsis muaj txaus, vim nws yog tsau hauv ntau pathologies, uas yog vim muaj qhov txawv ntawm qhov txawv ntawm CNS ntawm qhov mob impulses uas tau mus ntawm cov plab hnyuv siab raum. Thaum kuaj mob ntawm lub plab hnyuv tws, ib tus yuav tsum nco ntsoov rau tus neeg mob ntawm qhov mob ntawm lub cev thiab cov yam ntxwv ntawm lub anamnesis: qhov pib mob qhov hnyuv (gradual / acute), qhov chaw nyob, kev mob hnyav (ntshav, ntuav, ua daus no, ua npaws), seb qhov mob yog nyob ze ntawm lub ntaws nrog lub cev ntas thiab cev xeeb tub.
Mob ntsig txog kev xeeb tub:
- ectopic cev xeeb tub. Lub plab hauv plab hauv plab hnyuv hauv lub plab hnyuv txhoj yog nyob hauv plab menyuam, menyuam yaus, lub ncauj tsev me nyuam los yog horn ntawm lub tsev menyuam, cov hlab ntaws. Mob hauv plab nyob ib ncig ntawm lub pij ntaws tshwm ntawm ib sab, tsis tshua muaj - nws yuav tsum generalized los yog ob sab. Nws loj hlob zuj zus, khov kho thaum lub sij hawm quab yuam, txav mus los. Lub pob tw ntawm lub plab ua rau mob hnyav thiab mob hnyav;
- kev hem thawj ntawm rho menyuam. Mob mob hauv nruab nrab ntawm lub plab, muab rov qab rau loins, txav ntawm qhov chaw mos;
- ua tsis taus hauj lwm ntxov. Mob hnyav mob hnyav hauv plab hauv plab yog, los ntshav.
Mob tsis muaj feem xyuam rau kev xeeb tub:
- pathology ntawm ovaries: malignant / benign formations (hlav, hlwv); syndrome ntawm poj niam ntawm kev sib daj sib deev. Nws tsim tawm rau cov poj niam uas muaj kab mob "infertility" tiv thaiv hormonal therapy. Daim ntawv me me yog tshwm sim los ntawm kev mob me me nyob ib ncig ntawm lub pwg, hnyav - ascites (kua nruab nrog cev hauv cov peritoneum) thiab ua tsis taus pa;
- dysmenorrhea. Cov poj niam mob siab heev, pom hauv cov kab mob ovulatory, uas yog: kev mob plab / qhov nqaij ntuag nyob ib ncig ntawm lub puj ntaws thiab hauv plab plab, raws plab, xeev siab, qaug zog, mob taub hau;
- inflammatory kab mob ntawm pelvic plab hnyuv siab raum, provoked los ntawm pathogenic microorganisms Mycoplasma hominis, Chlamydia trachomatis, Neisseria gonorrhoeae;
- endometriosis. Tshwm sim los ntawm txoj kev loj hlob ntawm qhov kev ntsuas tawm sab nraud sab nraum lub uterine kab noj hniav, qhia nws tus kheej ua mob ib ncig ntawm tus ntaws ntawm / ua ntej kev coj khaub ncaws;
- kab mob nplaum. Cov kev vam meej tom qab phais mob, nrog cov kev mob ntawm cov kab mob hauv tsev me nyuam.
Qhov mob nyob ib ncig ntawm lub puj ntaws nyob rau hauv tus menyuam - dab tsi yuav nws?
Ua rau mob ib ncig ntawm lub pwg yuav txawv: qhov plab, kab ntsig, mob appendicitis lossis ARVI. Ua ntej tshaj plaws, nws yog qhov yuav tsum paub seb qhov chaw nyob thiab qhov mob ntawm qhov mob qhov hnyav li cas, vim cov menyuam yaus me tsis tuaj yeem piav meej meej qhov twg thiab ua rau mob dabtsi. Nrog rau qhov mob siab "dagger" mob tus me nyuam nyiam pw, hloov maj mam, nrog nyuaj - qhov tsis pom zoo rau qhov no, nws tuaj yeem qhia tus mob peritonitis thiab mob hnyuv.
Pathologies ntawm gastrointestinal ib ntsuj av:
- gastritis. Cov tsos mob ntawm tus cwj pwm: mob hauv lub plab, yaj, tsis qab los, ntuav, xeev siab, hnyav hauv plab;
- nephritis. Ntxiv rau qhov mob nyob ib ncig ntawm lub puj ntaws, mob ntawm ob lub raum tshwm nws tus kheej ua rau lub qhov muag, qhov tsis tshua zis, darkening ntawm zis, tsis kub tsis txias;
- gastroduodenitis. Mob ntawm plab mucosa ua rau mob plab hauv plab tom qab noj mov, ib qho "lwj lwj", ploj zuj zus, kub siab, xeev siab, cem quav;
- ib tug peptic ulcer. Mob tshwm sim hauv lub plab tas, tom qab noj mov. Tus me nyuam yws yws ntawm xeev siab, roj, cem quav, ntsim saj hauv qhov ncauj;
- o ntawm biliary ib ntsuj av / gall zais zis. Tus kab mob loj hlob zuj zus: tus me nyuam muaj teeb meem los ntawm mob taub hau, mob ntsws mob ntawm txoj kev hypochondrium thiab ib ncig ntawm qhov pwg, zoo nkaus li txhaws hauv qhov ncauj, qhov ncauj xeev, plab / cem quav, tsis qab los noj mov;
- mob caj pas. Cov mob hnyav no yog mob ntshav qab zib, nrog ntshav dawb, hnyav, poob quav nrog ntshav;
- mob pancreatitis. Tus kab mob symptomatology zoo li tus kab mob ntawm tus kab mob appendicitis, tus me nyuam yws yws txog qhov mob hauv lub cheeb tsam epigastric thiab nyob ib ncig ntawm lub pwg, irradiating rau lub xub pwg, lub xub pwg hniav, uas yog nrog ntuav, xeev siab, daj ntawm daim tawv nqaij.
Lactose intolerance
Kev txo qis ntawm qhov ua kom tsis muaj zog (qhov enzyme uas ua rau cov kua mis qab zib) yuav raug muab zais lossis pom, ntau tus niam txiv tsis txawm tias lawv cov me nyuam mob los ntawm qhov tsis muaj qoob loo lawm. Qhov loj ntawm qhov kev ntsuam xyuas nrog lactose intolerance yuav hloov mus hloov, uas yog tshwm sim los ntawm kev sib txawv hauv plab hnyuv biocenosis, sib txawv ntawm qhov txo qhov enzyme, tus yam ntxwv ntawm tus me nyuam lub cev. Cov kev mob tshwm sim: mob raws plab (fermentation) tom qab noj cov khoom siv mis, cov quav foamy, mob mob nyob ib ncig ntawm lub puj ntaws.
Khoom noj khoom haus tsis haum
Tus kab mob "noj tsis haum" yog muab rau tus me nyuam nyob rau hauv lub xub ntiag ntawm kev sib raug zoo ntawm cov zaub mov noj thiab qhov tshwm sim ntawm qhov kev mob tshwm sim ntawm nws cov kev tsis pom zoo. Qhov kev tsis haum ntawm kev noj qab haus huv txawv ntawm qhov txawv ntawm 1-50%, yog tas rau thawj zaug thaum yau. Muab cov khoom noj rau hauv kev ua kom muaj kev noj qab haus huv: kev noj zaubmov thaum cev xeeb tub / kev pub niam mis, kev hloov ntxov rau tus mosliab rau cov khoom noj khoom haus, kev noj zaubmov, uas yog hais txog qhov sib txawv ntawm cov khoom noj khoom haus / qhov hnyav ntawm tus menyuam, nrog cov kabmob hauv cov kabmob thiab lub siab. Manifestations ntawm tus kab mob yog ntau yam raws li qhov huab cua, qhov tseem ceeb, qhov chaw, daim ntawv. Lub plab hnyuv ntawm lub plab hnyuv ntxwm: cem quav, ntuav, plab, mob plab, mob plab, mob plab, mob plab, mob plab, mob plab, mob hauv plab 3-4 teev tom qab noj mov. Cov kev kho mob ntawm cov kev tsis haum khoom noj rau cov menyuam yaus - tshem tawm (tshwj tseg) los ntawm kev noj haus ntawm kev noj haus tshuaj thiab kev ua kom tsis haum tshuaj.
Tus mob nrog cov hnyuv cab
Hauv cov menyuam yaus, muaj 15 hom kab mob helminths, feem ntau yog cov tshuaj (ascariders) (10%) thiab pinworms (90%). Cov kab mob ntxeem tau ua rau muaj kev cuam tshuam ntawm txoj hnyuv quav, kev tsis haum, kev qaug zog, lub cev tsis muaj zog ntawm lub cev.
Clinical tshwm sim ntawm helminthic ntxeem tau:
- diathesis, tawv nqaij ua pob, xauv hlwb, mob ntsev;
- quav tsis ruaj tsis khov, propensity rau constipation, zaub ntsuab hauv cov quav;
- kev ua pa, ntuav, ntuav, xeev siab;
- Qhov "mob ntsws" mob hauv plab thaj tsam, nyob ib ncig ntawm tus ntaws;
- kev ua tsis ncaj ncees, kev ua phem (kev poob ntawm cov hniav);
- insomnia, teeb meem nrog pw tsaug zog;
- liab / khaus nyob hauv qhov quav;
- mob hnyav, muaj kev puas siab ntsws, mob hauv asthenic syndrome.
Psychogenic mob ib ncig ntawm lub puj ntaws
Lawv tau sau tseg rau hauv cov menyuam uas muaj kev tsis ruaj siab khov kho tsis zoo rau cov keeb kwm ntawm kev lomzem heev, tshwm sim los ntawm kev sib cav nrog cov phooj ywg los yog cov niam txiv, dhau ntau tus cwj pwm txawv. Xws li tus me nyuam yog tus cwj pwm ntawm txoj kev xav ua thawj coj, kev xav, kev ua siab ntev. Cov tsos mob: colic / soreness nyob rau hauv plab, ntuav, xeev siab, quav tawv / plab, muaj ntsej muag, prostration, febrile mob, kev tsis pom kev, auditory tsau. Nruab nrab ntawm qaug dab peg tus me nyuam zoo li qub. Hauv qhov no nws yog qhov zoo dua los ua kom muaj kev nyab xeeb - nrog tus kws kho menyuam yaus thiab tus kws kho mob tus kws kho mob.
Qhov mob nyob ib ncig ntawm lub puj ntaws yog ib yam kabmob uas tsis muaj peev xwm ua tsis tau. Yog tias muaj kev mob, mob hnyav, mob hnyav lossis mob hnyav hauv cheeb tsam mesogastric, nws yuav tsum hu rau kws kho mob tshwj xeeb - kws kho mob, kws kho mob, kws kho mob, kws kho plawv, kws kho mob poj niam, mus kuaj kom tiav thiab, yog tias tsim nyog, kev kho mob.