Qhov Tseem Ceeb Qhov txawv - Me me vs Loj Loj Obstruction
Kev mob plab hnyuv yog ib qho kev phais mob hnyav tshaj plaws. Tus neeg mob lub neej muaj kev pheej hmoo yog tias tsis tau txais kev kho mob sai thaum muaj kev cuam tshuam ntawm plab hnyuv. Nyob ntawm qhov chaw ntawm occlusion, kev kho mob tshwm sim txawv. Tawm ntawm cov tsos mob thiab cov tsos mob cuam tshuam nrog kev mob plab hnyuv, cem quav tuaj yeem suav tias yog lub ntsiab lus tseem ceeb uas pab cov kws kho mob hauv thaj chaw ntawm kev cuam tshuam. Muaj qhov cem quav kiag hauv cov plab hnyuv me tab sis tsis yog hauv plab hnyuv loj. Qhov no yog qhov sib txawv tseem ceeb ntawm kev thaiv ntawm ob qhov chaw no.
Dab tsi yog qhov mob plab me me?
Lub plab me muaj peb thaj chaw loj xws li duodenum, jejunum, thiab ileum. Nws yog lub luag haujlwm rau kev nqus cov as-ham tseem ceeb los ntawm cov khoom noj uas tau raug kho kom zoo los ntawm cov kua txiv hmab txiv ntoo. Kev cuam tshuam ntawm cov plab hnyuv lumen tuaj yeem ua rau muaj ntau yam kev kho mob tshwm sim uas feem ntau yog vim muaj kev cuam tshuam rau kev nkag mus ntawm cov zaub mov noj los ntawm txoj hnyuv.
Caus
- Strangulated hernias
- Adhesions
- Volvulus
Tshuaj Kho Mob
- plab hnyuv loj ua rau xeev siab, ntuav thiab nquag plab
- Muaj me ntsis, hauv nruab nrab plab mob
- cem quav tsis tshua muaj
Risk Factors
- Kev phais plab plab lossis plab ua ntej
- TB
- kab mob plab hnyuv loj
Kev tshawb nrhiav
Qhov chaw kuaj mob tsis txaus ntseeg ntawm plab hnyuv tuaj yeem lees paub los ntawm kev tshawb xyuas hauv qab no.
- CT Scan
- USS
- Endoscopy
Daim duab 01: X-ray ncaj qha qhia lub plab hnyuv me
Kev tswj hwm
Kev tswj cov plab hnyuv txhaws txawv raws li qhov tshwm sim ntawm tus mob. Thaum qhov kev cuam tshuam yog vim muaj kab mob plab hnyuv, cov tshuaj tiv thaiv kab mob tau muab los tswj cov kev hloov hauv plab hnyuv, yog li txo qhov cuam tshuam. Cov qog nqaij hlav malignant lossis benign uas occludes lub lumen tuaj yeem raug phais. Ib qho kev cuam tshuam ntawm lub plab me me yog qhov kev phais xwm txheej ceev vim tias muaj peev xwm ntawm ischemic necrosis ntawm txoj hnyuv ntu uas nyob deb mus rau qhov chaw ntawm strangulation.
Dab tsi yog qhov mob plab loj heev?
Cov zaub mov uas tau dhau los ntawm txoj hnyuv me ces nkag mus rau hauv lub plab loj sab hauv uas cov dej resorption tshwm sim. Ib qho kev cuam tshuam ntawm lub plab hnyuv loj tuaj yeem ua rau muaj cov duab kho mob uas txawv ntawm qhov ntawd vim qhov cuam tshuam ntawm lub plab me.
Caus
- Diverticulitis
- Volvulus
- Pseudo-obstruction ntawm lub plab loj thib ob rau qee qhov retroperitoneal pathologies
Tshuaj Kho Mob
- Lub plab zom mov qis tuaj yeem ua rau lub plab zom mov tseem ceeb
- Clicky hom mob plab kuj tuaj yeem tshwm sim
- Muaj cem quav yog tias plab hnyuv loj
- ntuav feem ntau tsis tshwm sim hauv plab hnyuv loj
Kev tshawb nrhiav
Cov kev tshawb nrhiav hauv qab no txhawb nqa cov txheej txheem los txog ntawm qhov kev kuaj pom tseeb
- CT
- Sigmoidoscopy
- Kev sib txawv radiography nrog enema
- suav ntshav
- YHematocrit
Daim duab 02: Loj Loj Obstruction
Kev tswj hwm
Kev cuam tshuam kev phais yuav luag tsis muaj. Volume resuscitation ntawm tus neeg mob thiab kev tswj hwm ntawm prophylactic broad-spectrum tshuaj tua kab mob yog qhov tseem ceeb heev thaum lub sij hawm npaj ua ntej. Hauv qhov mob hnyav tshaj plaws, kev tso rau hauv lub raj nasogastric yuav tsim nyog.
Dab tsi yog qhov zoo sib xws ntawm qhov me thiab qhov loj ntawm lub plab?
Kev cuam tshuam ntawm kev nkag mus ntawm cov zaub mov los ntawm lub lumen ntawm lub plab zom mov yog qhov ua rau cov tsos mob tshwm sim hauv ob qho xwm txheej
Dab tsi yog qhov txawv ntawm qhov me thiab qhov loj ntawm lub plab?
Small bowel obstruction vs Large bowel obstruction |
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| Ib qho kev cuam tshuam ntawm txoj hnyuv lumen nrog rau tuaj yeem txheeb xyuas tau tias yog qhov quav quav me me. | Ib qho kev cuam tshuam hauv plab hnyuv lumen tuaj yeem txheeb xyuas tau tias yog plab hnyuv loj. |
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Ua rau lub plab me me yog, · Strangulated hernias · Adhesions ·Malignancies · Crohns disease · Volvulus |
plab hnyuv loj yog tshwm sim los ntawm, · Carcinomas · Diverticulitis · Volvulus · Pseudo-obstruction ntawm lub plab loj thib ob mus rau qee qhov retroperitoneal pathologies |
| Cov tsos mob thiab cov tsos mob | |
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Cov tsos mob thiab cov tsos mob ntawm cov plab hnyuv me muaj xws li, · Cov plab hnyuv siab ua rau xeev siab, ntuav thiab nquag plab · Muaj me ntsis, hauv nruab nrab plab plab · cem quav tsis tshua muaj heev |
Cov yam ntxwv kho mob hauv qab no tuaj yeem pom hauv plab hnyuv loj, · Cov plab hnyuv loj qis tuaj yeem ua rau lub plab zom mov tseem ceeb · mob plab mob plab kuj tuaj yeem tshwm sim · Muaj cem quav yog tias plab hnyuv loj · ntuav feem ntau tsis tshwm sim hauv plab hnyuv loj |
| Tshawb nrhiav | |
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Ib qho tshuaj tsis txaus ntseeg ntawm cov hnyuv me tuaj yeem lees paub los ntawm kev tshawb xyuas hauv qab no. · CT · USS · Endoscopy |
Cov kev tshawb nrhiav hauv qab no txhawb nqa cov txheej txheem los txog ntawm qhov kev kuaj pom tseeb · CT · Sigmoidoscopy · Qhov sib txawv radiography nrog enema · suav ntshav tag nrho · Hematocrit |
| Kev tswj hwm thiab kev kho mob | |
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Kev tswj hwm txawv raws li qhov tshwm sim ntawm tus mob. · Thaum qhov kev cuam tshuam yog vim muaj kab mob plab hnyuv, cov tshuaj tiv thaiv kab mob tau muab los tswj cov kev hloov pauv hauv lub plab yog li txo qhov cuam tshuam. · Cov qog nqaij hlav malignant lossis benign uas occludes lub lumen tuaj yeem raug phais. · Ib qho kev cuam tshuam ntawm lub plab me me yog qhov kev phais xwm txheej ceev vim tias muaj peev xwm ntawm ischemic necrosis ntawm txoj hnyuv uas nyob deb mus rau qhov chaw ntawm strangulation. |
· Kev phais phais yuav luag tsis muaj kev zam. · Volume resuscitation ntawm tus neeg mob thiab kev tswj hwm ntawm prophylactic broad-spectrum tshuaj tua kab mob tseem ceeb heev thaum lub sij hawm npaj ua ntej. · Hauv qhov mob hnyav tshaj plaws, kev tso lub raj nasogastric yuav tsim nyog. |
Summary – Me vs Loj Hlob Obstruction
Nyob ntawm qhov chaw ntawm kev cuam tshuam, kev kho mob uas tshwm sim txawv. Hauv cov plab hnyuv me me, txoj hauv kev uas yuav muaj cem quav kiag yog nyob deb heev. Tab sis kev cem quav tsis txaus yog ib qho tseem ceeb ntawm cov plab hnyuv loj. Qhov no yog qhov sib txawv ntawm Me thiab Loj Loj Obstruction.
Download the PDF Version of Small vs Loj Plawv Obstruction
Koj tuaj yeem rub tawm PDF version ntawm kab lus no thiab siv nws rau offline hom phiaj raws li daim ntawv ceeb toom. Thov download PDF version ntawm no Qhov txawv nruab nrab ntawm me thiab loj plab obstruction
