Differential mob ntawm lub plab mob. Abdominal syndrome - yog dab tsi?

Yog hais tias koj muaj kev mob plab, ntau maj mus coj ib tug ntsiav tshuaj, "Tab sis-spa" los yog "ftalazol", ntseeg hais tias lawv muaj ib qho teeb meem nrog lub digestive system. Txawm li cas los, lub plab yuav mob ib ce vim muaj ib tug teb yog vim li cas lig ncaj tog twg los lub plab los yog cov hnyuv. Qhov no tshwm sim txawm tias ib tug kho mob lub sij hawm - mob plab syndrome. Yuav ua li cas yog nws? Lub npe los ntawm cov Latin "plab mog", uas translates li "lub plab." Hais tias yog tag nrho cov uas yog txuam nrog rau qhov no cheeb tsam ntawm tus tib neeg lub cev yog lub plab. Piv txwv li, mob plab, hnyuv, zais zis, tus po, ob lub raum - yog mob plab nruab nrog cev, thiab gastritis, pancreatitis, cholecystitis, mob plab thiab lwm yam gastrointestinal teeb meem - mob plab kab mob. Los ntawm analogy, mob plab syndrome - nws teeb meem nyob rau hauv lub plab cheeb tsam (heev, mob, tingling, ntswj thiab lwm yam kev ntxhov siab). Thaum xws li kev tsis txaus siab rau tus neeg mob ua hauj lwm ntawm tus kws kho mob yog nyob rau hauv qhov tseeb ntau yam ntawm cov tsos mob, tsis yog yuav tsum yuam nrog tus mob. Cia peb kawm saib yuav ua li cas qhov no yog ua nyob rau hauv kev xyaum thiab dab tsi yog cov yam ntxwv ntawm tus mob txuam nrog txhua tus kab mob.

Tib neeg mob plab kab noj hniav

Kom nws yooj yim dua mus rau nrog rau cov lus nug: "Abdominal syndrome - yog dab tsi?" thiab to taub yuav ua li cas nws yog noj, koj yuav tsum to taub meej dab tsi hauv peb lub plab, uas nws muaj cov kabmob raws li lawv sib tham nrog txhua lwm yam. koj yuav saib tau lub schematic raj hlab pas rau anatomical duab, baggy plab, hnyuv writhing nab, txoj cai nyob rau hauv lub tav siab, po, sab laug, nyob rau hauv qab ntawm lub zais zis mus rau lub ureter, ncab ib ce los ntawm ob lub raum. Hais tias yog, zoo li, yog tag nrho. Nyob rau hauv qhov tseeb, peb mob plab kab noj hniav muaj ib tug ntau txoj kev teeb tsa. Conventionally, nws yog muab faib ua peb theem. sab sauv ciam yog - ib txhais tes - domed nqaij hu diaphragm. Saum toj no nws yog ib lub thoracic kab noj hniav nrog lub ntsws. Nyob rau sab tod los ntawm sab sauv ya yog cais los ntawm qhov nruab nrab thiaj li hu ua mesentery ntawm cov nyuv. Qhov no muab ob npaug rau-txheej quav, los ntawm txoj kev uas tag nrho cov kabmob ntawm cov hnyuv uas txuas mus rau sab nraum qab ntawm lub dav hlau plab. Nyob rau hauv lub saum toj ya muaj peb kev sib cais - siab, pancreas thiab caj pas. Qhov nruab nrab ya ntawm lub mesentery ncua los ntawm ua ntej pib ntawm lub plab mog. Nws yog nyob rau hauv no ib feem ntawm lub plab mog yog txoj hlab cheeb tsam. Thaum kawg, lub sab ya - thaj tsam ntawm ib tug me me phiab, uas pom ib qho chaw urogenital nruab nrog cev thiab kev ua me nyuam lub nruab.
Tej kev txawv txav (o, kab mob, cov neeg kho tshuab thiab tshuaj los, pathology tsim thiab kev loj hlob) nyob rau hauv lub cev ntawm txhua tus ntawm cov saum toj no cov txheej txheem ntawm nyob rau hauv peb feem ua mob plab syndrome. Tsis tas li ntawd, nyob rau hauv lub peritoneum cov ntshav thiab lymphatic hlab ntsha thiab ganglia. Cov lawv tus nto moo tshaj plaws yog cov aorta thiab lub hnub ci plexus. Lub slightest teeb meem nrog lawv kuj ntxias mob nyob rau hauv lub plab.

Yuav kom saib lub ntsab lug: mob plab syndrome yuav tshwm sim los ntawm tej lub npe hu mus rau hnub tim, hnyuv kab mob thiab urogenital system, muaj teeb meem nrog cov hlab ntsha thiab paj plexus ntawm lub peritoneum, tshuaj (lom, tshuaj), neeg kho tshuab compression (cia li muab) ntawm tag nrho cov nyob ib sab units uas muaj nyob rau hauv lub peritoneum.

ntse mob

Differential mob ntawm lub plab mob feem ntau yog pib nrog cov cim ntawm qhov chaw nyob thiab qhov xwm ntawm tus mob. Qhov tseem tuag taus thiab yooj yim rau tib neeg kam rau ua, ntawm chav kawm, ib tug ntse mob. Nws tshwm sim mam li nco dheev, dheev, feem ntau tsis muaj pom provoked nws ua, manifested tawm tsam, ntev los ntawm ib tug ob peb feeb rau ib teev.

Mob mob tej zaum yuav tsum tau nrog los ntawm ntuav, raws plab, kub ib ce, ua daus no, mob khaub thuas tawm fws, tsis nco qab. Feem ntau cov feem ntau, lawv muaj ib tug leej qhov chaw (txoj cai, sab laug, down, up), uas yuav pab tsim kom muaj ib yam ua ntej kev kuaj mob.

Cov kab mob tshwm sim los ntawm tej mob plab syndrome - yog:

1. inflammatory dab nyob rau hauv lub peritoneum - mob thiab relapsing hnyuv tws, diverticulitis Meckel, peritonitis, mob pancreatitis los yog cholecystitis.

2. Zais los yog strangulated hernia.

3. Cov perforation (perforation, qhov) lub nruab nrog peritoneum uas tshwm sim nyob rau hauv pais plab thiab / los yog duodenal ulcers thiab diverticulitis. Nws kuj yuav muaj xws li discontinuities siab, aorta, tus po, zes qe menyuam hlav.

Nyob rau hauv tus neeg mob ntawm perforation, raws li zoo raws li hnyuv tws thiab peritonitis neeg mob lub neej yog 100% nyob rau hauv lub tseeb mob thiab mus nqa tawm ceev phais.

Ntxiv cov kev tshawb fawb:

• cov ntshav mus kuaj (tso cai rau kom ntsuam xyuas cov kev ua ntawm lub inflammatory txheej txheem, los mus txiav txim cov ntshav pab pawg neeg);
• X-rays (qhia hauv lub xub ntiag los yog tsis tuaj kawm ntawv ntawm perforations, obstructions, hernia);
• ultrasound;
• yog hais tias muaj yog ib tug suspicion ntawm los ntshav nyob rau hauv cov hnyuv, ua esophagogastroduodenoscopy.

mob mob

Lawv loj hlob maj mam thiab lub xeem rau ntau lub hlis. Hnov nyob rau tib lub sij hawm raws li yog hais blunt, rub, mob tej, feem ntau "nchuav" thoob plaws lub periphery ntawm lub peritoneum, tsis muaj ib tug kev localization. Mob mob zuj zus lawm tso thiab rov qab tuaj ntxiv, piv txwv li tom qab ib tug noj mov. Nyob rau hauv txhua rooj plaub, qhov no qhia plab syndrome mob cov kab mob ntawm lub plab kab noj hniav. Nws yuav ua tau:

1) gastritis (mob rau hauv lub Upper ya, xeev siab, hnyav plab, belching, kub siab, nrog defecation teeb meem);

2) pais plab thiab / los yog duodenal ulcers nyob rau hauv thaum ntxov ua sawv (mob "nyob rau hauv nws lub plab," ib qho kev npliag plab, thaum hmo ntuj los yog tom qab ib tug luv luv lub sij hawm tom qab noj mov, kub siab, acid regurgitation, tsam plab, flatulence, xeev siab);

3) raum pob zeb (mob nyob rau hauv koj lub sab los yog plab mog, cov ntshav thiab / los yog cov xuab zeb nyob rau hauv cov zis, mob tso zis heev, xeev siab, ntuav);

4) mob cholecystitis (mob nyob rau hauv txoj cai qaum ya, qaug zog, iab qhov ncauj, tsis muaj kub, tsis dhau xeev siab, ntuav - tej zaum cov kua tsib, belching);

5) cholangitis mob (nyob rau hauv daim siab mob, qaug zog, daim tawv nqaij yellowness, tsis muaj kub, nyob rau hauv mob tej zaum yuav muab rau lub plawv thiab rau cov hniav);

6) Oncology hnyuv nyob rau hauv thawj zaug rau theem.

Recurrent mob nyob rau hauv cov me nyuam

Hu recurrent mob, repetitive tom qab ib lub sij hawm ntawm lub sij hawm. Lawv muaj peev xwm tshwm sim nyob rau hauv cov me nyuam uas muaj hnub nyoog thiab nyob rau hauv cov neeg laus.

Nyob rau hauv cov me nyuam mos, ib qho kev ua ntawm kev mob nyob rau hauv lub plab ua plab hnyuv Colic (yuav tsum tau txiav txim los ntawm ib tug ntse high-pitched quaj, nyob tsis tswm, mob plab distention, tsis ua hauj lwm rau noj, rov qab tej kev phem no, chaotic ceev taw tuam haujlwm txais-ob txhais ceg, regurgitation). Ib qho tseem ceeb feature ntawm plab hnyuv Colic yog tias nrog lawv tshem tawm tus me nyuam tiav niam txiv twj ywm, luag, zoo noj. Yuav kom tiv nrog tus kab mob no yuav pab kom cov tshav kub, zaws lub plab mog, dill Vodicka. Nrog rau cov me nyuam loj hlob tuaj, tag nrho cov teeb meem yog ntawm lawv tus kheej accord.

Ib tug ntau npaum li cas loj teeb meem yog cov mob plab syndrome nrog Somatic kab mob nyob rau hauv cov me nyuam. "Soma" nyob rau hauv Greek txhais hais tias "lub cev". Qhov ntawd yog lub tswvyim ntawm "Somatic kab mob" txhais tau tias tej yam kab mob ntawm lub cev nruab nrog cev thiab tej congenital los yog kis tau kho raws. Neonates yog feem ntau hais tias:

1) kab hnyuv kab mob (kub mus txog rau lub tseem ceeb heev ntau ntau, tsis kam ntawm cov zaub mov, nkees, raws plab, regurgitation thiab ntuav ciav, quaj, nyob rau hauv tej rooj plaub, hloov cov xim ntawm daim tawv nqaij);

2) cov hnyuv kab mob (hernia, cyst, etc.).

Teem lub mob nyob rau hauv cov ntaub ntawv no nws yog nyuab los ntawm qhov tseeb hais tias tus me nyuam yog tsis muaj peev xwm qhia nws nyob qhov twg mob, thiab piav qhia txog lawv txoj kev xav. Differential mob ntawm lub plab mob nyob rau hauv cov me nyuam mos yog ua los ntawm txoj kev ntxiv kev ntsuam xyuas, xws li:

• coprogram;
• ultrasound;
• ntshav tsom xam;
• esophagogastroduodenoscopy;
• X-ray barium mob plab kab noj hniav;
• Esophageal pH xyuas.

Recurrent mob rau cov neeg laus

Nyob rau hauv cov me nyuam hlob (feem ntau lub tsev kawm ntawv uas muaj hnub nyoog) thiab cov laus ua ntawm recurrent mob plab heev npaum li cas hais tias lawv tau muab faib ua tsib pawg:

• kab;
• inflammatory (tsis muaj kab mob);
• functionality;
• anatomical (txuam nrog ib tug kev cai);
• microbiological (ua ntau yam parasites, hauv nyob hauv cov hnyuv).

Yuav ua li cas yog cov kab thiab inflammatory mob, ntau dua los yog tsawg ntshiab. Thiab uas txhais tau hais cov functionality? Yog hais tias lawv yuav muab lub mob, yuav ua li cas to taub thaum lub sij hawm "mob plab syndrome nyob rau hauv cov me nyuam"? Yuav ua li cas yog nws? Piav lub tswvyim ntawm kev haumxeeb mob yuav ua tau li ntawd: cov neeg mob kev txhawj xeeb txog kev mob plab tsis xis nyob rau cov tsis muaj khees vim li cas thiab cov kab mob ntawm lub peritoneum. Ib txhia neeg laus txawm ntseeg hais tias tus me nyuam yog dag txog nws mob, raws li ntev raws li nws tsis nrhiav tej yam kev ua txhaum. Txawm li cas los, xws li ib tug tshwm sim nyob rau hauv cov tshuaj muaj, thiab nws muaj nws yog, raws li ib tug txoj cai, nyob rau hauv cov me nyuam laus tshaj 8 xyoo. Ua haumxeeb mob tej zaum yuav muaj xws li:

1) mob plab migraine (mob plab yuav mob taub hau, ua raws li los ntawm ntuav, xeev siab, noj mov tsis ua hauj lwm);

2) haumxeeb dyspepsia (los ntawm tag noj qab nyob zoo tus me nyuam, mob nyob rau hauv lub plab ya thiab ploj tom qab ib tug plob tsis so tswj zog);

3) cov hnyuv voos.

Lwm teeb meem mob yog "mob ua pa kab mob nrog mob plab syndrome" nyob rau hauv cov me nyuam. Kev kho mob nyob rau hauv cov ntaub ntawv no muaj ib tug tej yam tseem, txij li thaum me nyuam muaj cov tsos mob thiab tau khaub thuas thiab plab hnyuv kab mob. Feem ntau, cov kws kho mob kuaj cov me nyuam, uas muaj lub slightest tej yam tshwm sim ntawm mob ua pa kab mob (piv txwv li, mob khaub thuas), thiab qhia txog cov kab mob ntawm lub digestive ib ntsuj av tau yog tsis kuaj. Tus zaus ntawm xws li mob, raws li tau zoo raws li teb cov kab mob yuav tsum tau txais ntxiv nws kev pab them nqi.

Mob ua pa syndrome nrog mob plab

Qhov no pathology yog ntau ntau nyob rau hauv preschool thiab thawj lub tsev kawm ntawv cov me nyuam. Nyob rau hauv neeg laus, nws yog tsis tshua muaj tsis tshua muaj. Nyob rau hauv cov tshuaj, mob ua pa kab mob thiab mob ua pa kab mob txog rau ib tug tib yam ntawm ailments, raws li RE (ua pa kab mob) feem ntau tshwm sim los ntawm cov kab mob, thiab lawv yeej pauv mus rau hauv qeb ntawm RVI. Lawv feem ntau yooj yim "catch" nyob rau hauv cov me nyuam pab pawg - cov tsev kawm ntawv, kindergartens, nurseries. Tsis tas li ntawd tag nrho cov paub kab mob khaub thuas ua pa, ntau dua kev nyab xeeb yog qhov thiaj li hu ua "lub plab mob ua npaws" los yog kab mob rotavirus. Nws kuj thiaj paub hais tias raws li SARS nrog mob plab syndrome. Nyob rau hauv cov me nyuam, cov tsos mob ntawm tus kab mob tshwm sim li 1-5 hnub tom qab raug tus kab mob. Cov soj ntsuam daim duab no yog raws li nram no:

• kev tsis txaus siab ntawm qhov mob nyob rau hauv lub plab;
• ntuav;
• xeev siab;
• kub;
• raws plab;
• los ntswg qhov ntswg;
• hnoos;
• liab caj pas;
• mob nqos;
• nkees, tsis muaj zog.

Raws li yuav pom los ntawm daim ntawv teev, thiab cuab cov tsos mob ntawm mob khaub thuas thiab plab hnyuv kab mob. Nyob rau hauv tsawg zaus, ib tug me nyuam muaj peev xwm tiag tiag tuaj rau mob khaub thuas ntxiv hnyuv kab mob uas kws kho mob yuav tsum kom meej meej paub qhov txawv ntawm. Mob ntawm kab mob zawv plab no tsis tshua muaj complex. Nws muaj xws li immunosorbent tshuaj ntsuam, electron microscopy, diffuse nag lossis daus, nqa ib tug plurality kev tshua. Feem ntau pediatricians thiaj paub hais tias peb tsis muaj tej txoj ntsuam, tsuas yog tus soj ntsuam manifestation ntawm tus kab mob thiab nyob rau hauv lub hauv paus ntawm lub anamnesis. Rotavirus, tab sis yog muaj cov tsos mob ntawm tus mob khaub thuas, tsis txhob kis tau tus mob nrog Upper pa nruab nrog cev thiab tus mob huam, feem ntau cov hnyuv loj. Yog qhov uas cov kab mob - ib tug mob tus txiv neej. Rotavirus txeem mus rau hauv lub cev ntawm tus tswv tshiab rau cov zaub mov, qias neeg txhais tes, txhua hnub khoom (xws li khoom ua si), siv los ntawm tus neeg mob.

Kev kho mob ntawm SARS nrog mob plab syndrome yuav tsum tau ua nyob rau hauv lub hauv paus ntawm tus mob. Yog li ntawd, yog hais tias tus mob plab nyob rau hauv ib tug me nyuam los ntawm pathological khoom uas tseem ceeb heev kev ua si ntawm ua pa kab mob, txoj kev kho ntawm lwm tus kab mob, nrog rau cov dej qab ntsev los ntawm tau txais sorbents. Yog hais tias paub tseeb hais tias kab mob zawv plab tsis ua kev zoo siab rau appoint ib tug me nyuam tshuaj tua kab mob, vim lawv muaj tsis ntxim rau cov pathogen. Cov kev kho mob muaj nyob rau hauv lub txais tos ntawm tshuab txais carbon sorbents, noj cov zaub mov, haus tshaj. Yog hais tias tus me nyuam yog tam sim no raws plab, probiotics yog taw. Kev tiv thaiv ntawm tus kab mob yog txhaj tshuaj tiv thaiv.

Paroxysmal mob tsis muaj plob tsis so tswj kab mob

Kom nws yooj yim dua mus txiav txim yog dab tsi tshwm sim los rau syndrome mob plab mob raug muab faib ua pawg raws li qhov chaw nyob rau hauv lub plab mog, qhov uas lawv yuav muaj feem ntau xav.

Paroxysmal mob uas tsis muaj cov tsos mob ntawm dyspepsia tshwm sim nyob rau hauv nruab nrab ya (mesogaster) thiab sab (hypogastrium). Tau ua:

• kab nrog cua nab;
• Payra syndrome;
• pyelonephritis;
• hydronephrosis;
• nrog rau cov kev sib deev kabmob ntawm cov teeb meem;
• plab hnyuv rhuav txhua (tsis tiav);
• stenosis (cia li muab) lub celiac lub cev;
• IBS.

Yog hais tias tus neeg mob yog xws li mob plab syndrome, kev kho mob yog cov tshuaj rau lub hauv paus ntawm ntxiv kev ntsuam xyuas:

• advanced cov ntshav mus kuaj;
• Yub quav rau qe ua kas thiab plab hnyuv kab mob;
• urinalysis;
• Ultrasound ntawm cov hnyuv;
• ergography (irrigoscopy barium beam txoj kev);
• Doppler ultrasound ntawm lub plab cov hlab ntsha.

Mob plab nrog plob tsis so tswj kev ntshawv siab

Tag nrho tsib pawg ntawm recurrent mob tej zaum yuav tshwm sim nyob rau hauv lub qis thiab theem nrab feem ntawm lub peritoneum ntawm teeb meem nrog cov hnyuv. Yog vim li cas yog vim li cas muaj xws li ib tug mob plab syndrome, heev npaum li cas. Ntawm no yog ib co ntawm lawv:

• helminthiasis;
• yog tsis haum rau tej khoom;
• nonspecific ulcerative mob plab (raws plab ntxiv cai, cov quav yuav ua tau nrog kua paug los sis cov ntshav, flatulence, tsis qab los noj mov, tsis muaj zog, kiv taub hau, poob phaus);
• celiac kab mob (ntau ntau nyob rau hauv cov me nyuam yaus thaum lub sij hawm pib ntawm lawv cov noj me nyuam mos liab mis nyuj tov rau cereals);
• kis kab mob (salmonellosis, campylobacteriosis);
• pathologies nyob rau hauv cov nyuv, piv txwv li, dolichosigma (sigmoid nyuv yog ntev), lub mob ntxiv ntev cem quav;
• disaccharidase tsis muaj peev xwm;
• hemorrhagic vasculitis.

Cov yav tas mob no tshwm sim thaum lub kub lug thiab, raws li ib tug tshwm sim, yog o cov hlab ntsha nyob rau hauv cov hnyuv, lawv txhaws tshwm sim. Yog vim li cas - ntxaug nyob rau hauv kev ntshav thiab ib tug ua haujlwm nyob rau hauv hemostasis. Qhov no mob yog tseem lub npe hu ua hemorrhagic mob plab syndrome. Nws yog txawv nyob rau hauv peb degrees ntawm kev ua si:

Kuv (me me) - cov tsos mob yog me me, txiav txim los ntawm qhov kev kawm ntawm ESR nyob rau hauv cov ntshav.

II (mid-ceeb thawj) - muaj faint mob nyob rau hauv lub peritoneum, qhov kub thiab txias ntawm lub nce, muaj yog ib tug tsis muaj zog, thiab mob taub hau.

III (mob loj heev) - kub, mob mob taub hau thiab mob plab, tsis muaj zog, xeev siab, ntuav ntshav, zis thiab feces tov nrog cov ntshav, yuav ua rau los ntshav nyob rau hauv lub plab thiab hnyuv, perforation.

Yog hais tias koj muaj kev mob nyob rau hauv nruab nrab thiab qis qhov chaw hauv lub peritoneum nrog lub sijhawm twg los rau tej plob tsis so tswj teeb meem, diagnostics muaj xws li:

• Ncua ntshav tsom xam (Biochemical thiab koom txheej);
• coprogram;
• fibrocolonoscopy;
• ergography;
• quav haiv neeg;
• cov ntshav mus kuaj rau cov tshuaj;
• hydrogen xeem;
• Endoscopy thiab me ntawm cov hnyuv cov ntaub so ntswg;
• immunological kev ntsuam xyuas;
• qab zib nkhaus.

Mob rau hauv lub Upper ya ntawm lub plab (epigastric)

Nyob rau hauv feem ntau tus neeg mob, mob plab syndrome rau hauv lub Upper ya ntawm lub peritoneum yog ib lub txim ntawm khoom noj khoom haus kom tsawg thiab tej zaum yuav manifest nws tus kheej nyob rau hauv ob hom:

• dispepsionnom, uas yog nyob rau hauv yuam cai ntawm lub plab ( "tshaib kev mob kev nkeeg" mus tom qab ib tug noj mov);
• dyskinetic (bursting mob, ib tug zoo nkaus li ntawm overeating, tsis hais txog ntawm tus nqi ntawm cov noj cov zaub mov, belching, ntuav, xeev siab).

Cov ua xws tej yam kev mob tej zaum yuav gastroduodenitis, pais plab hypersecretion ntawm hydrochloric acid, kab mob, plab hnyuv cua nab, pancreatic cov kab mob thiab / los yog biliary ib ntsuj av tau, impaired gastroduodenal kom. Tsis tas li ntawd, epigastric mob yuav ntxias Dunbar syndrome (pathology celiac aortic lub cev thaum squeezed diaphragm). Tus kab mob no yog congenital, raws roj ntsha (feem ntau) los yog kis tau thaum ib tug neeg los neyrofibroznoy txoj kev loj hlob ntawm cov nqaij mos.

Celiac lub cev (loj luv luv ceg plab aorta) thaum compression yog tau tau pinned mus rau lub aorta, zoo heev roj nyob rau hauv nws lub qhov ncauj. Qhov no ua rau mob plab ischemic syndrome, mob yog tau siv zoo X-ray (angiography). Celiac lub cev ua ke nrog rau lwm cov hlab ntsha khoom siv ntshav mus rau lub plab kab noj hniav txhua txhua hnyuv kabmob. Thaum cia li muab cov ntshav tus me nyuam, thiab chaw pib lub mov hauv nruab nrog cev tsim nyog tshuaj yuav siv sij hawm qhov chaw nyob rau hauv lub tsis puv, uas ua rau yus cov pa deprivation (hypoxia) thiab ischemia. Cov tsos mob ntawm tus kab mob no zoo xws li cov cai nrog gastritis, duodenitis, pais plab rwj.

Yog hais tias cov ntshav mov tsis txaus tej hnyuv muaj ischemic mob plab, enteritis. Yog hais tias cov ntshav yog nyob rau hauv luv luv mov rau hauv lub siab, tus kab mob siab tsim thiab lub pancreas teb swb nyob rau hauv cov ntshav mov ntawm pancreatitis.

Tsis yuav yuam kev nrog rau cov mob, yuav tsum tau nqa tawm ntxiv rau ntawm cov neeg mob nrog xav tias mob plab angina. Endovascular diagnostics - qhov no yog qhov zoo tshaj plaws txoj kev muaj nyob rau hauv lub fact tias cov ntshav hlab ntsha tau soj ntsuam los ntawm inputting therein ib tug catheter muaj ib tug X-ray zog. Uas yog, txoj kev yuav tso cai mus saib teeb meem nyob rau hauv cov hlab ntsha tsis muaj kev phais. Endovascular mob yog siv nyob rau hauv tag nrho cov kab mob ntawm lub plab cov hlab ntsha. Yog hais tias muaj yog indications, nyob ntawm tej thiab endovascular phais. tau lus teb rau cov lus tsis txaus siab ntawm tus neeg mob xav tias mob plab angina:

• pheej mob nyob rau hauv lub plab mog, tshwj xeeb tshaj yog tom qab noj mov, thaum ua tej haujlwm uas lub cev ua hauj lwm los yog kev nyuaj siab;
• kev xav ntawm fullness thiab heev rau hauv lub Upper ya ntawm lub peritoneum;
• belching;
• kub siab;
• bitterness nyob rau hauv lub qhov ncauj kab noj hniav;
• zawv plab los yog, conversely, cem quav;
• nquag mob taub hau;
• ua tsis taus pa;
• mem nyob rau hauv lub plab mog;
• poob;
• general qaug zog thiab tsis muaj zog.

Tsuas yog lwm kev soj ntsuam ntawm tus neeg mob, raws li tau zoo raws li tus qauv diagnostic txoj kev (cov ntshav, zis, ultrasound) yog tsis tseem ceeb rau qhov nrhiav kom tau ntawm tus kab mob.

Vertebral mob plab syndrome

Qhov no hom ntawm pathology yog ib tug ntawm cov feem ntau nyuaj rau ntes. Nws cov lus dag nyob rau hauv lub fact tias cov neeg yog qhia meej txog cov teeb meem nrog rau cov mob huam (mob plab, ntuav, belching, kub siab, raws plab los yog cem quav), tab sis lawv yog tshwm sim los ntawm cov kab mob ntawm cov nqaj qaum los yog lwm qhov chaw ntawm lub licas. Cov kws kho mob feem ntau tsis raug txheeb xyuas qhov ua rau tam sim ntawd, yog li kev kho mob yog nqa tawm, tsis ua tau. Yog li, raws li statistics, hais txog 40% ntawm cov neeg mob nrog osteochondrosis ntawm lub thoracic, kho rau lawv cov uas tsis yog-existent plob tsis so tswj kab mob, thiab lub plab. Txawm sadder daim duab nrog tus txha caj mob. Mob nyob rau hauv xws li mob feem ntau mob tej, npub, kiag li tsis txuam nrog cov khoom noj kom tsawg thiab yog hais tias cov neeg mob muaj cem quav los yog raws plab, lawv yuav tsis kho los ntawm cov pa txoj kev. Ua raws li nram no cov kab mob yuav vertebral mob plab syndrome:

• spondylosis;
• yog qhov khoov pob;
• Mob Ntsws ntawm cov nqaj qaum;
• syndromes txuam nrog mob hloov nyob rau hauv cov leeg nrob kem;
• visceral syndromes (Guttseyta).

Lub saddest tshaj plaws yog tias cov neeg tsis txaus siab ntawm plab mob thiab uas tsis yog-hnyuv pathologies, feem ntau ntaus nqi raws li malingerers. Yog xav paub qhov ua rau ntawm qhia yog mob plab mog, nws yog tsim nyog los siv ntxiv txoj kev mob, xws li spondylography, X-ray, MRI, rentgenotomografiya, ehospondilografiya thiab lwm tus neeg.