Enteritis - yog dab tsi? Ua, cov tsos mob, kev kho mob

Enteritis yog ib qho inflammatory kab mob ntawm ib tug nyias tib neeg txoj hnyuv, thaum uas dystrophic hloov nyob rau hauv lub mucosa, thiab cuam tshuam cov haum thiab digestion.

Enteritis - yog dab tsi? hom enteritis

Mob enteritis yog txwv kom muab zais raws li etiology, morphology, soj ntsuam thiab tej tsos mob.

Etiology paub qhov txawv cab, kev noj haus, mob, tshuaj lom, radiation, post-phais thiab kev siv yeeb tshuaj hob enteritis. Ntxiv mus, tus kab mob manifests nws tus kheej nyob rau hauv congenital txawv txav ntawm cov hnyuv, valve tsis ua hauj lwm ntawm lub tsev loj thiab me me hnyuv, enzimopatii, theem nrab enteritis.

Los ntawm anatomical thiab morphological kev hloov tsis loj enteritis cais mucosal mob, raws li tau zoo raws li ib tug mob loj tsawv degree los yog subtotal Atrophy ntawm plab hnyuv epithelial hlwb thiab villi.

Clinically, tus kab mob no zoo nkaus li me me, loj tsawv lossis mob daim ntawv. Thaum mob enteritis tej zaum yuav muaj txoj kev zam txim thiab exacerbation theem. Txij li thaum enteritis - ib tug kab mob inflammatory xwm, nws yog tsim nyog los pib kev kho mob ntawm thawj kos npe rau ntawm tus kab mob los khaws cia noj qab haus huv ntawm cov hnyuv.

Kev mob yog yus muaj los ntawm cov kev mob - malabsorption cov as-ham rau hauv cov hnyuv, kev hloov nyob rau hauv lub hydrolysis ntawm khoom noj khoom haus, enteral insufficiency, thiab exudative enteropathy.

Cov ua rau tus kab mob

Yog vim li cas uas tshwm sim los zoo li ntawm teeb nyob rau hauv cov hnyuv tej zaum yuav ob peb:

• kab kab mob, plab hnyuv parasites, uas kawm tau thiab muab nyob rau hauv cov hnyuv;
• tej yam tshuaj lom (arsenic, txhuas, thiab lwm tus);
• nws tus kheej, heev siv cov tshuaj tua kab mob thiab lwm yam tshuaj;
• tas cov kev kho mob enteritis;
• tsis txaus zom zaub mov, cov neeg pluag noj haus (noj ntsim thiab fatty khoom noj, noj mov, overeating, khoom noj khoom haus tsis haum);
• tsis ua hauj lwm tiam plab hnyuv enzymes;
• xub ntiag ntawm concomitant cov kab mob (pancreatitis, tuberculosis, mob npuas paug, mauj lupus erythematosus, kab mob siab).

Tsis muaj kom kev kho mob ntawm tus kab mob enteritis yuav ua rau kom dystrophic hloov thiab o nyob rau hauv lwm qhov chaw ntawm lub digestive system (txiav, tsib lub zais zis, mob plab).

Cov soj ntsuam daim duab ntawm enteritis

Cov sab nraud paub txog tus kab mob muaj xws li tej malabsorption thiab assimilation ntawm cov khoom noj. Cov muaj xws li:

• cia li thiab ceev ceev poob (ib tug neeg poob mus rau 20 kg);
• tsos insomnia, mob txob taus;
• txos zog ua si;
• daim tawv nqaij muaj teeb meem (thinning, dryness, desquamation), plaub hau poob, ib thooj ntawm tus ntsia thawv phaj thiab fragility;
• tachycardia;
• nqaij mob, tsis muaj zog, paresis thiab convulsions.

Vim malabsorption ntawm cov vitamins yuav tsim kab mob - hmo ntuj dig muag, neuropathy, myopathy, cheilitis, glossitis, subcutaneous los ntshav.

Intraenteric cov tsos mob ntawm enteritis

Enteritis nyob rau hauv tib neeg yog yus muaj los ntawm mob plab ib tug manifestation ntawm lub puj ntaws, palpation mob yuav tsub kom. Syndrome tshwm sim 2-3 teev tom qab haus. Mob yuav muaj ib tug txawv cim (npub, ru, ntswj).

Qhov no tshwm sim vim malabsorption ntawm cov kua tsib acids nyob rau hauv lub distal hnyuv. Raws li ib tug tshwm sim, lub acid noj rau cov nyuv thiab ntxias ntxaug nyob rau hauv lub haum thiab kev zom (zoo nkaus li raws plab, tsam plab, flatulence, borborygmus). Nws yog ib cov cwj pwm manifested enteritis.

Yuav ua li cas yog nws? Nyob rau hauv kev ua txhaum ntawm lub ileocecal valve (separates lub me me thiab hnyuv loj) tej zaum yuav tuaj mus sib cuag hummus rau hauv cov hnyuv, uas yog vim li cas nws shatters teeb meem microorganisms.

mob ntawm tus kab mob no

Lub hom mob yog raws li nyob rau hauv lub daim ntawv ntsuam xyuas thiab zuag qhia tag nrho kev ntsuam xyuas ntawm tus neeg mob, uas muaj xws li palpation thiab percussion (tapping ntawm lub plab phab ntsa). Cov kauj ruam tom ntej yog mus kev coprogram. Lub macroscopic txoj kev tshawb no txiav txim tsis hnov tsw, kev ntxhib los mos, xim thiab nyob rau hauv lub me me - lub xub ntiag ntawm roj, starch los yog nqaij fibers nyob rau hauv lub tshuaj ntsuam.

Nyob rau hauv thiaj li yuav txiav txim seb lub hnyuv kab kab mob thiab cov kab mob overgrowth, nws yog tsim nyog los ua kev cai bacteriological xeem ntawm quav rau enteritis. Yuav ua li cas yog nws? Nyob rau hauv ntev enteritis nyob rau hauv lub biochemical tsom xam ntawm cov ntshav muaj peev xwm yuav ntes tau tsis ua hauj lwm cov tsos mob as haum nyob rau hauv cov hnyuv (malabsorption syndrome).

Nqa endoscopy hauv cov hnyuv ua rau ib tug ntau ntawm teeb meem, raws li mus xyuas xwb ib tug me me ib feem ntawm nws. Thaum lub sij hawm endoscopy nqa laj kab mucosal me, uas yog yuav tsum tau rau histological tsom xam. Nws yog feem ntau sau tseg Atrophy thiab degeneration ntawm epithelial hlwb thiab plab hnyuv villi.

X-ray xeem qhia lub qog, rwj, hnyuv folds hloov cov qauv. Ua ntej tshuaj ntsuam lub cev ib tug zoo ib tus neeg saib xyuas yog tswvcuab, uas tso cai rau kom paub tias enteritis. Yuav ua li cas yog nws, koj qhia rau tus kws kho mob. Yuav kom qha cov kab mob yuav tsum tau kev daim ntawv ntsuam xyuas siv niaj hnub diagnostic txoj kev.

Symptomatology ntawm tus kab mob yog heev uas zoo sib xws rau cov kev soj ntsuam kom paub txog lwm yam gastrointestinal mob. Yog li ntawd yuav tsum tau differential mob ntawm enteritis gastritis, teeb meem thiab pancreatic hlav.

hnyuv tej yam kab mob yuav tsum tau ib txhij txhua xeem, raws li ntau ntawm cov tib cov tsos mob ua rau yus misdiagnosis thiab tawg paj txi txiv lub sij hawm, nyob rau hauv tej rooj plaub txawm txaus ntshai kev kho mob uas yuav aggravate qhov mob hauv cov hnyuv.

Kev kho mob ntawm mob enteritis

Mob enteritis yuav tsum tau kev kho mob nyob rau hauv lub tsev kho mob. Cov neeg mob tus kws kho kev noj haus, txaj so, haus kom ntau. Tej zaum lub sij hawm ntawm co kev kho mob. Kev kho mob yog teem rau lub zuag qhia tag nrho lub cev ntxiv dag zog rau thiab kom txhob muaj ces tsis kaj siab tsos mob.

Yog hais tias enteritis yog nrog los ntawm ib tug loj heev hauv daim ntawv ntawm dysbiosis, yuav tsum tau kev txais tos ntawm cov tshuaj uas nws txiav txim yog raws kev coj kom lub plab hnyuv microflora rov qab. raws plab tshem tawm yog nqa tawm los ntawm tau txais binders. Yog hais tias muaj yog ib tug ua txhaum ntawm protein metabolism, nws yog tsim nyog muab ib tug polypeptide daws teeb meem.

Qhov nruab nrab ntev ntawm kev kho mob yog 7-10 hnub. Lub cropped mob cov tsos mob ntawm tus kab mob, thiab muaj yog zoo dua noj qab haus huv thaum lub sij hawm lub sij hawm no. Enteritis kev kho mob uas kav tsawg tsis rov qab txog rau thaum xaus thiab provokes rov manifestation ntawm tsis kaj siab thiab mob cov tsos mob.

Yog hais tias tus kab mob no tsis yog lom los yog kab xwm, tus neeg mob yuav tsum tau yuav tsum tau pw tsev kho mob.

Kev kho mob ntawm tus kab mob enteritis

Nyob rau hauv ntev enteritis kev kho mob yog zoo tib yam. Nws yuav tsum tau tib yam kev noj haus thiab pw so. Nyob rau hauv cov ntaub ntawv ntawm ua txhaum ntawm lawv cov khoom ntawm digestive enzymes yog muab nyob rau hauv daim ntawv ntawm cov enzyme npaj ( "Festal" "Pancreatin"). Koj kuj yuav tsum txhaj ib koob tshuaj noj tshuaj, kom ntseeg tau tus haum thiab rov qab los ntawm tus xovtooj ntawm membrane ntawm plab hnyuv epithelial hlwb.

Enteritis, uas kho mob yog nqa tawm nyob rau hauv raws li tus kws kho mob tshuaj, ceev txaus kom tsis txhob txhawj. Txawm li cas los, tus mob daim ntawv no yog yus muaj los ntawm heev theem ntawm exacerbations thiab remissions.

Nrog dysbacteriosis yuav tsum tau kho nrog probiotics eubiotics thiab es ua plab hnyuv microflora. Yog hais tias cov tsos mob ntawm enteritis tshwm sim nyob rau hauv lub keeb kwm yav dhau ntawm lub rov tshwm sim ntawm hlav nyob rau hauv lub me me hnyuv (diverticulosis, polyps), koj thawj zaug yuav tsum phais tshem tawm, thiab tsuas yog tom qab uas yog tau kom tsis txhob tsos mob ntawm tus kab mob.

noj cov zaub mov enteritis

Enteritis tshuaj noj cov zaub mov №4. Nws muaj xws li ntshiv nqaij los yog ntses, uas yuav tsum tau boiled, ci los yog kib. Tas yuav tsum npaj kua zaub nyob rau hauv cov nqaij, ntses, zaub los yog mushroom broth. Zaub pom zoo finely txiav, nyob rau hauv tej rooj plaub, txawm yuav so cereals yuav tsum tau los ntawm ib tug sab cib.

nyiam rau kefir thiab curdled khoom noj siv mis. Cov dej qab zib ua rau nws tau mus sai sai rov qab kho cov plab, kom nws ua tau zoo thiab pab tau kab mob nyob.

Tsob nroj khoom noj uas zoo rau noj tom qab thaum tshav kub kub kev kho mob. Zaub yuav tsum tau boiled, ci los yog kib, thiab txiv hmab txiv ntoo compote yuav welded, jelly los yog muab nrog qab zib. Heev pab yuav tshuaj yej nrog txiv qaub, broth lub duav, berries thiab bran.

Kev tiv thaiv enteritis

Tej yam kab mob yog yooj yim los mus tiv thaiv tshaj rau kev kho. Cov kev ua ub no, kev tiv thaiv plab hnyuv enteritis yog:

• xuas;
• tsuas siv cov high-zoo thiab tshiab cov khoom;
• tsis muaj khoom noj khoom haus tej yam tshuaj lom (tsis tau noj berries thiab nceb tsis paub hais tias keeb kwm);
• tus kheej kev tu cev;
• ceev faj tuav ntawm khoom noj khoom haus;
• tshuaj raws li tus kws kho mob tshuaj;
• raws sij hawm mus ntsib kev noj qab nyob chaw mus ntes hnyuv kab mob thiab mob ntawm lub endocrine thiab metabolic dab nyob rau hauv lub cev.

Raws li tag nrho cov kev pab tiv thaiv kev ntsuas tau los mus tiv thaiv cov kev loj hlob ntawm digestive kab mob thiab mob, thiab noj qab nyob zoo txoj kev ua neej, yuav muaj lawv noj qab haus huv nyob rau theem siab tshaj plaws.

Enteritis menyuam dev

Nyob rau hauv dev, tus kab mob no manifested nws tus kheej nyuam qhuav xwb, txawm li cas los, nws kev vam meej provoking ib siab lub neej no tus nqi ntawm cov pups. Ib tug kab mob ntawm cov hnyuv ntawm cov tsiaj, yog tsis txaus ntshai rau tib neeg, tab sis yog tsim sai heev nyob rau hauv cov tub ntxhais dev thiab ua rau mob loj yam ntxwv thiab tej kev ntshawv siab.

Enteritis menyuam dev manifested los ntawm nkees, ua npaws, thiab thaum stroking los yog nias rau cov sab ntawm lub plab aub yuav koov nws rov qab thiab kos nyob rau hauv tus Tsov tus tw, qhia tias mob syndrome. Thaum xws li cov tsos mob yuav tsum hu rau ib tug kws kho tsiaj rau ib tug muaj tseeb mob thiab kho mob.