Cov quav dub thiab melena: ua rau thiab kho rau cov neeg laus thiab menyuam mos

By Cristiano Antonino On Jul 3, 2022

Lub xub ntiag ntawm cov ntshav hauv cov quav ua rau lawv muaj xim tsaus heev, ua rau dub. Qhov no yog cov ntshav los ntawm sab sauv ntawm txoj hnyuv, piv txwv li los ntawm cov hlab pas, plab thiab cov hnyuv. Yog hais tias cov ntshav los ntawm qhov qis ntawm txoj hnyuv (ze rau ntawm lub qhov quav), cov ntshav yuav ci liab thiab tsis tsaus xim av tending mus rau dub.

Cov quav dub vim los ntshav yog hu ua 'melena'

Tsis yog tag nrho cov quav dub yuav tsum yog vim los ntshav: "cov quav cuav" yog cov quav uas tshwm tsaus nti lossis dub, tab sis tsis muaj ntshav.

Cov quav dub tuaj yeem tshwm sim los ntawm ntau yam ua rau, xws li noj qee yam tshuaj lossis noj tshuaj ntxiv.

Txawm li cas los xij, raws li tau hais ua ntej lawm, cov quav dub kuj tuaj yeem tshwm sim los ntawm qhov mob hnyav, uas yog los ntshav hauv plab hnyuv vim yog mob plab peptic.

Qee qhov feem ntau ua rau cov quav dub muaj xws li:

plab ulcer (peptic ulcer);
o ntawm lub plab zom mov;
siv cov tshuaj uas tsis yog-steroidal anti-inflammatory.

Cov quav dub tuaj yeem yog tus cwj pwm rau cov neeg uas tau txais kev phais colectomy, vim tias cov zaub mov tsis zom rau hauv txoj kev ua tiav.

Txawm li cas los xij, yog tias qhov mob plab hnyuv tau tshwm sim yav dhau los, cov quav muaj ntxhiab tsw phem lossis teeb meem tshwm sim ntau tshaj li ob peb hnub, nrog koj tus kws kho mob tam sim ntawd.

Cov quav dub thiab melena: ua rau thiab kho rau cov neeg laus thiab menyuam mos

Ib qho ntawm qhov ua tau ntawm melena yog los ntshav rwj: lub plab yog qhov txhab uas tshwm sim ntawm lub plab hauv ob sab phlu thiab tuaj yeem ua rau los ntshav thiab melena.

Contrary to popular kev ntseeg, plab rwj tsis yog feem ntau tshwm sim los ntawm kev ntxhov siab lossis ntsim zaub mov (txawm hais tias cov no tuaj yeem ua rau mob plab uas twb muaj lawm).

Qhov tseeb, lawv tshwm sim los ntawm tus kab mob vim yog kab mob hu ua Helicobacter pylori (H. pylori).

Cov tshuaj tua kab mob feem ntau tau muab tshuaj los tshem tawm cov kab mob, thiab qee zaum muaj kua qaub.

Lwm qhov ua rau mob plab rwj yog kev siv ntev ntev ntawm cov tshuaj tua kab mob hu ua NSAIDs (cov tshuaj tsis-steroidal anti-inflammatory).

NSAIDs tuaj yeem ua rau mob plab, ua rau lub plab tsis muaj peev xwm tiv thaiv cov kua qaub hauv plab.

Vim li no tib yam, NSAIDs muaj kev cuam tshuam tsis zoo rau Crohn tus kab mob thiab mob plab ulcerative.

NSAIDs yog cov tshuaj nquag xws li ibuprofen, naproxen sodium thiab aspirin. Qee cov NSAIDs tau raug tshuaj los ntawm kws kho mob.

Cov kab mob plab, tshwm sim los ntawm NSAIDs, feem ntau kho tau tom qab txiav cov tshuaj txhaum cai.

Gastritis (mob plab hauv ob sab phlu) tuaj yeem ua rau cov quav dub.

Qhov mob no tuaj yeem tshwm sim los ntawm kev haus cawv ntau dhau los lossis zaub mov, zaub mov ntsim, haus luam yeeb, kab mob los yog siv NSAIDs ntev.

Gastritis tuaj yeem tshwm sim tom qab kev phais lossis kev raug mob, lossis nws tuaj yeem cuam tshuam nrog cov mob uas twb muaj lawm.

Oesophageal varices yog dilated veins nyob rau hauv lub plab phab ntsa, nyob rau hauv lub Upper los yog qis oesophagus, thiab kuj yuav ua rau cov quav dub.

Thaum cov hlab ntsha no tawg, lawv tuaj yeem ua rau los ntshav, uas tuaj yeem ua rau cov ntshav tawm hauv cov quav lossis ntuav.

Oesophageal varices yog ib qho teeb meem loj uas tshwm sim los ntawm portal hypertension (siab ntshav siab) tshwm sim los ntawm daim siab cirrhosis.

Cov tsos mob dab tsi nrog cov tsos ntawm cov quav dub?

Cov quav dub tuaj yeem nrog rau lwm cov tsos mob, uas txawv nyob ntawm lub hauv paus.

Cov tsos mob thiab cov cim qhia uas tuaj yeem nrog cov quav dub muaj xws li:

mob plab
plab bloating;
hloov hauv plab hnyuv;
raws plab;
kem plab;
Cov tsos mob zoo li mob khaub thuas;
malodorous quav;
xeev siab thiab ntuav;
tsis qab los noj mov;
general malaise;
asthenia;
mob qhov quav los yog kub hnyiab;
poob ceeb thawj.

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Lub hauv paus ua rau cov quav dub feem ntau kuaj pom los ntawm tus kws kho mob los ntawm keeb kwm kev kho mob, kev tshuaj xyuas lub hom phiaj thiab ntau yam kev sim thiab kev kuaj pom.

Cov kev xeem no suav nrog:

X-rays;
kuaj ultrasound;
kuaj ntshav;
kuaj quav;
kuaj pom cov ntshav hauv cov quav;
colonoscopy;
gastroscopy;
quav kab lis kev cai.

Kev kho cov quav dub yog dab tsi?

Kev kho mob txawv nyob ntawm seb qhov ua rau muaj teeb meem, yog li nws tuaj yeem ua tshuaj, phais lossis lwm yam, nyob ntawm qhov xwm txheej.

Cov quav dub hauv cov menyuam yaus thiab menyuam mos

Nws yog ib qho ua tau rau cov quav yuav ua rau cov xim no vim yog kev noj cov hlau ntau dhau yog tias tus menyuam tau noj zaub ntau.

Yog hais tias, ntawm qhov tod tes, cov xim yog xim dub tag, ces nws yog ib qho tsim nyog yuav tsum tau kuaj xyuas tus menyuam tam sim ntawd, vim qhov no tuaj yeem yog cov tsos mob ntawm los ntshav nyob rau hauv lub plab hnyuv sab sauv thiab cov xim tsaus tuaj yeem yog vim muaj qhov tshwm sim. ntawm digested ntshav.

Yog hais tias, ntawm qhov tod tes, me me ci liab streaks ntawm cov ntshav pom nrog rau cov quav, feem ntau ua rau yog me me fissures los yog excoriations ntawm qhov quav mucosa, vim yog tshem tawm cov quav tawv; leej niam (los yog tus kws kho menyuam yaus) ceeb toom rau lawv vim tias lawv pom meej nyob ib ncig ntawm lub qhov quav.

Txhawm rau zam lawv, txhua tus yuav tsum ua yog ua kom cov quav mos, kho txhua qhov cem quav; txhawm rau txo qhov tsis xis nyob, ib tus tuaj yeem siv cov tshuaj pleev kom zoo, xws li phytostimulines, lossis zinc oxide tshuaj pleev me me, uas muaj cov haujlwm tiv thaiv daim tawv nqaij thaum cov quav dhau.