4 Txoj hauv kev los kho cem quav tom qab phais plab

Cov txheej txheem:

4 Txoj hauv kev los kho cem quav tom qab phais plab
4 Txoj hauv kev los kho cem quav tom qab phais plab

Video: 4 Txoj hauv kev los kho cem quav tom qab phais plab

Video: 4 Txoj hauv kev los kho cem quav tom qab phais plab
Video: Tshuaj theem vim li cas thiaj tau nqi ?/ Siv kho mob dab tsi?/paris polyphylla use for? 2024, Lub peb hlis ntuj
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Ib qho hnoos qeev tshwm sim thaum lub cev thawb los ntawm qhov qhib hauv cov leeg lossis cov nqaij uas tuav nws nyob hauv qhov chaw. Piv txwv li, txoj hnyuv tuaj yeem tawg los ntawm thaj chaw tsis muaj zog hauv plab phab ntsa. Hernias feem ntau tshwm sim hauv plab, txawm li cas los xij, lawv tseem tuaj yeem tshwm rau sab saud, pob hauv plab, thiab thaj chaw puab tais. Kev phais tsuas yog siv los kho tus txha nqaj qaum xwb. Ib qho teeb meem tshwm sim tom qab phais tus neeg mob phais hernia tuaj yeem tsim yog cem quav vim qhov ua kom loog dav dav muab rau lawv thaum phais. Kev cem quav tshwm sim thaum koj tsuas yog muaj peb lub plab zom mov ib lub lim tiam thiab tseem yog ib qho tshwm sim tshwm sim ntawm qee yam tshuaj xws li antacids (tshuaj rau plab zom mov), tshuaj tiv thaiv kev nyuaj siab, tiv thaiv kab mob vwm, calcium thiab hlau ntxiv, antipsychotics, opiate painkillers (morphine thiab codeine) thiab diuretics.

Cov kauj ruam

Txoj Kev 1 ntawm 4: Ntu 1: Hloov Kho Koj Txoj Kev Ua Neej thiab Koj Cov Khoom Noj

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 1
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 1

Kauj Ruam 1. Haus yim zaug lossis ntau dua dej hauv ib hnub

Kev quav quav feem ntau tshwm sim vim tias muaj dej txaus hauv koj cov quav, ua rau nws nyuaj thiab nyuaj dhau. Qhov no tshwm sim thaum peristalsis (cov leeg nqaij ua haujlwm) ntawm txoj hnyuv nres vim qhov cuam tshuam ntawm kev siv tshuaj loog dav dav thaum siv phais phais phais.

Ua kom koj cov kua dej nkag tau ntau tuaj yeem pab ua kom cov quav muag thiab tiv thaiv koj kom tsis txhob khov thaum lub plab zom mov

Kho tus mob plab tom qab phais phais Hernia Kauj Ruam 2
Kho tus mob plab tom qab phais phais Hernia Kauj Ruam 2

Kauj Ruam 2. Noj cov zaub mov muaj fiber ntau

Cov zaub mov muaj fiber ntau tiv thaiv kev tshaib plab los ntawm kev rub dej los ntawm txoj hnyuv, uas ua rau cov quav mos dua thiab yooj yim dua.

  • Nco ntsoov tias koj tau txais cov fiber ntau txhua hnub tsawg kawg 21 grams los ntawm kev noj zaub mov zoo li: txiv pos nphuab, txiv apples, pears, txiv tsawb, txiv kab ntxwv, txiv duaj, txiv pos nphuab, txiv pos, raisins, paj kws, xim av xim av, barley, oatmeal, qhob cij, lentils, almonds, pistachios, taum ntsuab, zaub paj, zaub qhwv, zaub zaub zaub, txiv lws suav, carrots thiab qos yaj ywm.
  • Koj tseem tuaj yeem noj Metamucil, cov tshuaj laxative fiber thiab ntxiv rau. Metamucil tuaj yeem noj tom qab noj mov lossis lub plab khoob. Muaj ib khob dej tom qab koj haus Metamucil kom nqus tau zoo dua.
  • Txiv neej, 19 xyoos thiab laus dua tuaj yeem noj 38 g/hnub. Cov poj niam, 19 xyoos thiab laus dua tuaj yeem noj 25 g/hnub. Cov poj niam cev xeeb tub thiab pub niam mis yuav tsum sab laj nrog lawv tus kws kho mob ua ntej noj Metamucil. Tus poj niam cev xeeb tub feem ntau tau xaj 28 g/hnub thiab poj niam pub niam mis feem ntau tau sau tseg 29 g/hnub.
  • Yog pom zoo los ntawm lawv tus kws kho mob, menyuam yaus tseem tuaj yeem siv Metamucil. Cov menyuam hnub nyoog 1-3 xyoos tuaj yeem nqa 19 g/hnub; cov menyuam hnub nyoog 4-8 xyoos tuaj yeem noj 25 g/hnub. Cov tub hluas hnub nyoog 9-13 xyoos tuaj yeem noj 31 g/hnub; ntxhais 9-13 xyoos tuaj yeem noj 26 g/hnub. Cov tub hluas hnub nyoog 14-18 xyoo tuaj yeem nqa 38 g/hnub thiab cov ntxhais 14-18 xyoos tuaj yeem siv 26 g/hnub.
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 3
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 3

Kauj Ruam 3. Tsis txhob nruj koj tus kheej lossis nqa khoom hnyav

Koj tsis xav kom yoog koj tus kheej lossis nqa khoom hnyav, tshwj xeeb yog thawj ob peb lub lis piam tom qab kev phais, vim qhov no tuaj yeem ua rau lub qhov txhab phais phais los kua muag.

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 4
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 4

Kauj Ruam 4. Ua ib ce qoj ib ce

Lub cev qoj ib ce zoo li taug kev yuav pab txo lub sijhawm nws yuav siv rau zaub mov txav mus rau hauv txoj hnyuv loj. Qhov no yuav ua kom ntseeg tau tias cov dej nqus los ntawm cov quav tau txwv. Kev tawm dag zog kuj txhawb qhov kev cog lus ntawm cov leeg hauv cov hnyuv. Yog tias cov leeg no cog lus tau zoo, cov quav yuav txav tawm sai dua.

  • Ua haujlwm ib teev tom qab noj mov vim qhov no yuav yuam kom cov ntshav ntws mus rau lub plab thiab cov hnyuv, uas yuav pab koj lub cev zom zaub mov kom raug. Taug kev tsawg kawg 15-30 feeb hauv ib hnub ntawm qhov nrawm kom koj tsis txhob cuam tshuam qhov chaw phais.
  • Tsis txhob ua ib yam haujlwm hnyav xws li khiav, dhia, lossis ua si sib tw kis las thaum thawj plaub lub lis piam tom qab kev phais, vim tias cov kev ua no tuaj yeem ua rau lub qhov txhab raug phais.
  • Cov neeg mob Bedridden tuaj yeem khawm lawv txhais taw ntawm lub txaj thiab ua caj npab thiab txhais taw ncig tsawg kawg 30 txog 45 feeb txhua hnub los pab txhawb kev rov qab los ntawm peristalsis (cov leeg nqaij) hauv txoj hnyuv. Kev rov qab los ntxov ntawm peristalsis tuaj yeem pab txo qis plab.
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 5
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 5

Kauj Ruam 5. Txhob haus luam yeeb

Kev haus luam yeeb luam yeeb tuaj yeem txo qis peristaltic txav ntawm cov hnyuv, uas twb muaj kev nyuaj siab vim kev siv tshuaj loog dav dav thaum siv phais phais phais. Cov nicotine hauv luam yeeb yog lub zog vasoconstrictor, uas txhais tau tias nws ua rau koj cov hlab ntshav nruj lossis nqaim, yog li txo cov ntshav ntws mus rau txoj hnyuv.

Yog tias cov ntshav ntws qis, tom qab ntawd kev zom zaub mov thiab peristalsis lossis kev txav nrawm ntawm txoj hnyuv kuj tseem raug txo. Qhov no ua rau cov zaub mov zom zaub mov nyob hauv cov hnyuv ntev dua. Nyob rau lub sijhawm no, txoj hnyuv tseem nqus dej los ntawm cov zaub mov zom zaub mov, uas yuav ua rau lub plab khov lossis quav tawv thiab quav quav

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 6
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 6

Kauj Ruam 6. Tham nrog koj tus kws kho mob txog Colace, pom zoo kom tso quav ntau tshaj plaws

Tsis txhob siv tshuaj rau tus kheej. Qee cov quav muag tuaj yeem ua rau cov ntshav hauv plab, tso siab tau thiab tuaj yeem hloov pauv ib puag ncig ib puag ncig ntawm txoj hnyuv yog tias lawv siv ntev heev. Kev sab laj nrog koj tus kws kho mob yuav pab koj nrhiav txoj cai quav muag los kho koj qhov quav.

  • Colace ua haujlwm los ntawm kev nce cov dej uas cov quav nqus, ua kom softer thiab yooj yim dua.
  • Qhov zoo tshaj plaws ntawm Colace yog 50 txog 500 mg ib hnub ib zaug.
  • Ib txwm siv cov tshuaj laxative maj mam ua ntej sim tawm cov tshuaj laxative.
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 7
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 7

Kauj Ruam 7. Nug koj tus kws kho mob txog lwm hom tshuaj quav cawv zoo li Senna (Senokot, Ex-Lax) thiab Bisacodyl (Correctol, Doxidan, Dulcolax)

Cov neeg laus tau txhaj tshuaj (19 xyoo thiab laus dua) rau Senna yog ob ntsiav tshuaj (17.2 mg) hais lus thaum pw ib hnub ib zaug, nrog lossis tsis muaj zaub mov noj. Tsis txhob ntau tshaj ob ntsiav tshuaj hauv ib hnub thiab tsis noj Senna ntau dua ib lub lim tiam, tshwj tsis yog koj tus kws kho mob tau sau tseg.

  • Cov no yog hu ua tshuaj laxatives. Lawv ua haujlwm sai dua, tab sis lawv muaj peev xwm ua rau muaj yees ntau dua.
  • Cov neeg mob hnub nyoog 2-6 xyoos yuav tsum noj ib nrab ntsiav tshuaj (4.3 mg) ntawm Senna hais lus thaum pw, thiab tsis pub ntau tshaj ib nrab ntsiav tshuaj ib hnub. Cov neeg mob hnub nyoog 6-12 xyoos yuav tsum noj ib ntsiav tshuaj (8.6 mg) ntawm qhov ncauj thaum mus pw thiab tsis pub ntau tshaj ib ntsiav tshuaj ib hnub. Cov neeg mob hnub nyoog 13-18 xyoos yuav tsum noj ob ntsiav tshuaj (17.2 mg) ntawm qhov ncauj thaum mus pw thiab yuav tsum tsis pub ntau tshaj plaub ntsiav tshuaj hauv ib hnub.
  • Senna yuav tsum tsuas yog siv los ntawm cev xeeb tub thiab pub niam mis yog tias nws tau qhia los ntawm lawv tus kws kho mob.
  • Cov neeg laus txhaj tshuaj (18 xyoo thiab laus dua) rau Bisacodyl feem ntau yog 5 txog 15 mg (1 txog 3 ntsiav tshuaj) hais lus ib hnub ib zaug, nrog lossis tsis muaj zaub mov noj. Tsis txhob ntau tshaj 15 mg ib hnub.
  • Cov menyuam yaus hnub nyoog qis dua 18 xyoo thiab cev xeeb tub thiab poj niam pub niam mis feem ntau tsis tau sau nrog cov tshuaj no tshwj tsis yog kws kho mob sau tseg.
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 8
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 8

Kauj Ruam 8. Qhia rau koj tus kws kho mob paub yog tias koj tab tom noj lwm yam tshuaj lossis tshuaj noj

Kev noj tshuaj laxatives tuaj yeem cuam tshuam rau koj lub cev muaj peev xwm nqus tau lwm yam tshuaj xws li antacids, roj av ntxhia, roj castor, tshuaj tua kab mob, ua kom ntshav qis, siv tshuaj kho plawv thiab pob txha, yog li nco ntsoov nrog koj tus kws kho mob tham txhawm rau nrhiav tshuaj kho kom raug rau koj.

Txoj Kev 2 ntawm 4: Ntu 2: Nrhiav Kev Pab Kho Mob rau cem quav

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 9
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 9

Kauj Ruam 1. Txheeb xyuas ntshav hauv koj cov quav

Kev nyuaj siab thaum lub sijhawm ua haujlwm hauv plab tuaj yeem ua rau puas lossis rov qhib lub qhov txhab hauv koj qhov quav, ua rau muaj ntshav hauv koj cov quav.

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 10
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 10

Kauj Ruam 2. Tshaj tawm yog tias koj mob hnyav lossis hnyav heev hauv koj lub qhov quav thaum sim txav koj lub plab

Kev siv sijhawm ntev tuaj yeem ua rau o ntawm cov leeg ntawm qhov quav. Qhov no tseem tuaj yeem rhuav lub qhov quav, tshwj xeeb tshaj yog yog quav loj thiab tawv dhau.

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 11
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 11

Kauj Ruam 3. Hu rau koj tus kws kho mob yog tias koj pom cov tsos mob zoo li kub cev, o thiab/lossis ntshav hauv qhov chaw phais, tawm hws ntau dhau, lossis mob hnyav dua

Tej no yuav yog txhua yam qhia tias muaj kab mob.

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 12
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 12

Kauj Ruam 4. Mus ntsib kws kho mob yog tias koj mob plab heev

Thaum cov quav tsis dhau, lawv nyob hauv txoj hnyuv thiab tuaj yeem thaiv txoj hnyuv qhib. Qhov no ua rau muaj cov quav ntau ntxiv hauv qhov cuam tshuam ntawm cov hnyuv thiab tuaj yeem txwv cov ntshav ntws, yog li tua cov nqaij hauv nws. Yog tias qhov no tshwm sim, cov neeg hnov qhov mob ib puag ncig yuav raug qhib thiab koj yuav zoo li tsis tuaj yeem tiv taus lossis mob heev.

Txoj Kev 3 ntawm 4: Ntu 3: Txheeb Xyuas Qhov Sib Txawv Ntawm Hom Hernias

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 13
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 13

Kauj Ruam 1. Paub txog hom hnoos qeev ntau tshaj plaws, ib qho hnoos qeev

Kev hnoos qeev hauv plab yog ib txwm muaj nyob hauv cov txiv neej vim tias cov kwj dej hauv plab tsis kaw kom zoo, tsim qhov chaw tsis muaj zog uas ua rau hernias. Feem ntau, tus txiv neej cov noob qes nqis los ntawm cov kwj dej inguinal sai tom qab yug los thiab cov kwj dej kaw yuav luag tag tom qab lawv. Ib qho hnoos qeev tsim thaum cov hnyuv thawb los ntawm cov kwj dej inguinal.

Hauv cov txiv neej thiab poj niam, cov kwj dej inguinal muaj nyob hauv thaj chaw puab tais. Hauv cov txiv neej, nws yog thaj chaw uas spermatic qaum, uas tuav cov noob qes, hla los ntawm lub plab mus rau lub zais zis. Hauv cov poj niam, cov kwj dej inguinal muaj cov leeg uas pab tuav lub tsev menyuam nyob hauv qhov chaw

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 14
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 14

Kauj Ruam 2. Yog tias ib feem ntawm koj lub plab nthuav tawm los ntawm koj lub diaphragm mus rau hauv koj lub hauv siab, koj yuav muaj tus mob hnoos qeev

Hom hnoos qeev no ua rau lub plab zom mov rov qab, qhov kub hnyiab uas tshwm sim los ntawm kev xau ntawm tus neeg lub plab cov ntsiab lus rov qab rau hauv lawv txoj hlab pas.

  • Hiatal hernia feem ntau tshwm sim rau cov neeg laus dua 50 xyoo.
  • Kev yug me nyuam tsis xws luag tuaj yeem ua rau tus menyuam loj hlob tuaj.
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 15
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 15

Kauj Ruam 3. Kom koj tus menyuam mos kuaj mob hnoos qeev

Cov menyuam mos uas muaj hnub nyoog qis dua rau hli muaj kev txhim kho hnoos qeev yog tias lawv cov hnyuv tawm los ntawm lub plab phab ntsa ze ntawm lub plab plab. Yog tias koj pom pom qhov o lossis o nyob ze koj tus menyuam lub plab lub plab thaum nws quaj, nws yuav muaj qhov hnoos qeev.

  • Cov hnoos qeev feem ntau tawm ntawm lawv tus kheej, thaum tus menyuam mus txog ib xyoos.
  • Yog tias muaj cov hnoos qeev tseem nyob tom qab tus menyuam tig ib zaug, yuav tsum tau phais kom kho qhov quav.
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 16
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 16

Kauj Ruam 4. Yog tias koj nyuam qhuav tau phais plab, yuav tsum ceev faj ntawm tus mob hnoos qeev

Ib qho hnoos qeev tshwm sim thaum cov hnyuv thawb los ntawm qhov caws pliav lossis cov nqaij tsis muaj zog tom qab phais plab.

Txoj Kev 4 ntawm 4: Ntu 4: Nkag Siab Txog Kev Tshem Tawm ntawm Hernia (Herniorrhaphy)

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 17
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 17

Kauj Ruam 1. Yog tias ua tau, tau txais kev phais laparoscopic

Hom kev phais no ua rau muaj kev puas tsuaj tsawg dua rau cov ntaub so ntswg ib puag ncig thiab xav tau lub sijhawm rov zoo dua. Txawm li cas los xij, muaj qhov pheej hmoo ntawm kev rov huam tuaj dua.

Cov txheej txheem no siv lub koob yees duab me me thiab cov cuab yeej phais me me los kho tus mob hernia siv qhov txhab me me. Tus txha nqaj qaum tau kho dua los ntawm kev xaws lub qhov los kaw cov phab ntsa hauv plab. Lub qhov phais phais kuj tseem siv los txhawm rau lub qhov

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 18
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 18

Kauj Ruam 2. Yog tias koj muaj mob plab hnyuv, koj yuav xav tau phais phais

Hom kev phais no tau ua tiav rau hernias qhov twg ib feem ntawm txoj hnyuv tau txav mus rau hauv lub zais zis. Ib feem ntawm qhov hnoos qeev lossis puab tais tuaj yeem raug muab tshem tawm thiab rov ua haujlwm dua cov hnyuv. Tom qab ntawd, nws raug kaw siv cov hlua.

Kev phais qhib yuav tsum muaj txheej txheem rov zoo dua. Tab sis, tus neeg mob tuaj yeem rov pib ua nws cov haujlwm niaj hnub niaj hnub rau rau lub lis piam tom qab phais tas

Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 19
Kho Mob Zawv Zawg Tom Qab phais Hernia Kauj Ruam 19

Kauj Ruam 3. Nco ntsoov tias koj yuav nyob hauv tshuaj loog lossis dav dav thaum lub sijhawm phais

Kev phais phais plab feem ntau yog ua los ntawm tus neeg mob sab nrauv. Tus kws phais neeg hloov pauv cov nqaij mos herniated thiab, yog tias muaj qhov strangulation tshwm sim, tshem tawm cov pa tshaib plab ib feem ntawm lub cev. Cov phab ntsa cov leeg puas yuav nquag kho nrog cov khoom sib txuas los yog cov ntaub so ntswg.

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