Ib tus hernia tshwm sim thaum lub cev sab hauv nthuav tawm los ntawm kev qhib hauv cov leeg lossis cov nqaij sib txuas uas tuav nws nyob hauv qhov chaw. Piv txwv li, hnoos qeev tuaj yeem tshwm sim vim tias cov hnyuv nthuav tawm los ntawm phab ntsa plab. Cov neeg mob hernias feem ntau muaj mob plab hnyuv, tab sis hernias tuaj yeem tshwm sim hauv lub puab tais, ntaws, thiab thaj chaw puab tsaig. Kev phais tsuas yog txoj hauv kev los kho tus mob hernia. Tom qab kev phais hernia, nws muaj peev xwm ua rau tus neeg mob yuav tsum tau mob plab vim yog tshuaj loog ntau thaum lub sijhawm ua haujlwm. Cov neeg mob muaj cem quav yog tias lawv tso quav tsuas yog 3 zaug hauv ib lub lis piam. Feem ntau, qhov kev tsis txaus siab no yog kev phiv los ntawm ntau hom tshuaj, xws li tshuaj antacids (tshuaj zom zaub mov), tshuaj tiv thaiv kev nyuaj siab, tshuaj tiv thaiv kab mob, tshuaj calcium thiab hlau ntxiv, tshuaj tiv thaiv kab mob, tshuaj kho mob uas muaj cov tshuaj opium (morphine thiab codeine), thiab cov tshuaj diuretics.
Kauj ruam
Txoj Kev 1 ntawm 4: Hloov Koj Txoj Kev Ua Neej thiab Kev Noj Haus
Kauj Ruam 1. Ua tus cwj pwm haus dej tsawg kawg 2 litres dej txhua hnub
Feem ntau, cem quav yog tshwm sim los ntawm qhov tsis muaj kua hauv cov quav thiaj li ua rau nyuaj thiab nyuaj dhau los ntawm qhov quav. Qhov no tshwm sim vim tias kev txav peristaltic (cov leeg sib zog) ntawm txoj hnyuv zom zom ua qhov ua kom loog thaum tus neeg mob tau phais phais phais.
Ua kom koj cov kua dej txaus kom koj cov quav tau muag muag thiab koj tsis tas yuav ua rau lub plab zom mov
Kauj Ruam 2. Noj zaub mov muaj fiber ntau
Cov ntsiab lus fiber hauv cov khoom noj muaj txiaj ntsig zoo rau kev tiv thaiv cem quav vim nws ua haujlwm kom nqus tau cov kua los ntawm txoj hnyuv loj kom cov quav ua mos thiab yooj yim dua.
- Ua tau raws li qhov xav tau tsawg kawg 20 grams fiber ntau hauv ib hnub. Rau qhov ntawd, noj cov zaub mov muaj fiber ntau, xws li txiv pos nphuab, txiv apples, pears, txiv tsawb, txiv duaj, txiv pos nphuab, paj noob hlis, paj kws, paj noob hlis, txhuv xim av, barley, oatmeal, qhob cij tag nrho, lentils, almonds, pistachios, peas, broccoli, radishes, mini cabbage, txiv lws suav, carrots thiab qos yaj ywm.
- Ib qho ntxiv, koj tuaj yeem noj Metamucil, uas yog cov tshuaj laxative thiab ntxiv fiber. Metamucil tuaj yeem noj tom qab lossis ua ntej noj mov. Haus ib khob dej tom qab siv Metamucil kom nqus tau cov tshuaj ntau tshaj plaws.
- Yog tias koj xav noj Metamucil, koob tshuaj rau txiv neej hnub nyoog 19 xyoos thiab tshaj yog 38 grams/hnub; poj niam hnub nyoog 19 xyoos thiab tshaj 25 grams/hnub. Cov poj niam cev xeeb tub thiab pub niam mis yuav tsum sab laj nrog kws kho mob ua ntej noj Metamucil. Feem ntau, koob tshuaj rau poj niam cev xeeb tub yog 28 grams/hnub; poj niam pub mis niam 29 grams/hnub.
- Yog tias qhia los ntawm kws kho mob, menyuam yaus tuaj yeem siv Metamucil. Kev noj tshuaj rau menyuam yaus 1-3 xyoos 19 grams/hnub; menyuam yaus 4-8 xyoos 25 grams/hnub; cov tub hluas 9-13 xyoos 31 grams/hnub; ntxhais 9-13 xyoos 26 grams/hnub; cov tub hluas 14-18 xyoo 38 grams/hnub, ntxhais 14-18 xyoo 26 grams/hnub.
Kauj Ruam 3. Tsis txhob ua haujlwm hnyav lossis nqa khoom hnyav
Tom qab phais, tshwj xeeb tshaj yog thawj ob peb lub lis piam, tsis txhob ua haujlwm hnyav lossis nqa khoom hnyav vim tias qhov txhab phais tuaj yeem qhib tau.
Kauj Ruam 4. Ua kom lub sijhawm qoj ib ce qoj ib ce
Ib txoj hauv kev ntawm kev tawm dag zog yog taug kev. Cov kauj ruam no ua haujlwm kom ntws cov kua txiv hmab txiv ntoo mus rau hauv cov hnyuv loj kom cov nqus dej los ntawm cov quav raug txo. Kev tawm dag zog kuj txhawb qhov kev cog lus ntuj ntawm cov leeg zom zaub mov. Cov quav tau yooj yim dua yog tias cov leeg raug cog lus kom raug.
- Kev tawm dag zog 1 teev tom qab noj mov muaj txiaj ntsig zoo rau cov ntshav ntws mus rau lub plab thiab cov hnyuv kom cov txheej txheem zom zaub mov zoo. Siv sijhawm taug kev qeeb li 15-30 feeb txhua hnub kom lub qhov txhab phais tsis qhib.
- Thaum thawj 4 lub lis piam tom qab phais, tsis txhob siv lub zog siab, xws li khiav, dhia, lossis lwm yam dej num uas cuam tshuam nrog lub cev vim tias cov dej num no tuaj yeem ua teeb meem hauv qhov txhab phais.
- Cov neeg mob uas yuav tsum tau pw hauv txaj yuav ua rau lawv ob txhais taw maj mam sab laug thiab sab xis lossis tig lawv lub dab teg thiab txhais taw rau 30-45 feeb txhua hnub txhawm rau txhawb kev peristalsis (cov leeg nqaij) ntawm txoj hnyuv. Peristaltic txav tau tuaj yeem pab txo qis plab.
Kauj Ruam 5. Tsis txhob haus luam yeeb
Thaum raug phais hernia, tshuaj loog nres qhov peristaltic txav ntawm txoj hnyuv. Tom qab phais tas, txoj hnyuv tsis ua haujlwm zoo yog tias koj haus luam yeeb. Nicotine hauv luam yeeb yog cov vascular constrictor vim nws ua rau cov hlab ntshav nqaim kom cov ntshav ntws mus rau txoj hnyuv raug txo.
Kev txo cov ntshav khiav qis ua rau cov txheej txheem zom zaub mov noj vim qhov kev txav mus los (peristalsis) ntawm txoj hnyuv tau txo. Yog li, cov zaub mov zom zom tau khaws cia hauv cov hnyuv ntev dua. Lub sijhawm no, txoj hnyuv loj tseem nqus cov kua los ntawm cov zaub mov zom, ua rau cem quav vim yog quav lossis tawv
Kauj Ruam 6. Nug koj tus kws kho mob txog kev noj Colace
Cov tshuaj no ua tau zoo heev hauv cov quav mos. Qee cov tshuaj kom quav quav tuaj yeem ua rau cov ntshav tawm hauv plab, kev vam khom, thiab hloov qhov sib npaug ntawm cov hnyuv yog tias siv ntev ntev. Tham nrog koj tus kws kho mob kom paub seb cov tshuaj laxative twg muaj txiaj ntsig zoo tshaj plaws rau kev kho cem quav.
- Colace ua rau cov quav nqus dej ntau, ua rau lawv softer thiab yooj yim dua.
- Yog tias koj tab tom noj Colace, koob tshuaj nyab xeeb yog 50-500 grams 1 zaug hauv ib hnub.
Kauj Ruam 7. Nug koj tus kws kho mob txog lwm hom tshuaj laxatives, xws li Senna (Senokot, Ex-Lax) thiab Bisacodyl (Correctol, Doxidan, Dulcolax)
Yog tias koj tab tom noj Senna, koob tshuaj nyab xeeb rau cov neeg laus (19 xyoos thiab tshaj saud): 2 ntsiav tshuaj (17.2 mg) 1 zaug txhua hnub noj thaum mus pw hmo ntuj ua ntej lossis tom qab noj mov. Tsis txhob noj ntau tshaj 2 ntsiav tshuaj hauv ib hnub thiab tsis pub dhau 1 lub lis piam, tshwj tsis yog qhia los ntawm kws kho mob.
- Senna cov tshuaj muaj kev nyab xeeb rau cov neeg mob hnub nyoog 2-6 xyoos: ntsiav tshuaj (4.3 mg) noj thaum mus txog 1 ntsiav tshuaj hauv ib hnub; cov neeg mob hnub nyoog 6-12 xyoos: 1 ntsiav tshuaj (8.6 mg) noj thaum mus pw ntau tshaj 1 ntsiav tshuaj hauv ib hnub; cov neeg mob hnub nyoog 13-18 xyoo: 2 ntsiav tshuaj (17.2 mg) noj thaum mus pw ntau tshaj 4 ntsiav tshuaj hauv ib hnub.
- Cov poj niam cev xeeb tub thiab pub niam mis yuav tsum sab laj nrog kws kho mob ua ntej noj Senna.
- Kev nyab xeeb ntawm Bisacodyl rau cov neeg laus (18 xyoo thiab tshaj saud): 1-3 ntsiav tshuaj (5-15 mg) noj 1 zaug ib hnub ua ntej lossis tom qab noj mov. Tsis txhob noj ntau tshaj 15 mg ib hnub.
- Cov menyuam yaus hnub nyoog qis dua 18 xyoo thiab cev xeeb tub lossis poj niam pub niam mis yuav tsum tsis txhob noj Bisacodyl, tshwj tsis yog kws kho mob qhia.
Kauj Ruam 8. Qhia rau koj tus kws kho mob yog tias koj tab tom noj lwm yam tshuaj
Cov tshuaj laxatives tuaj yeem cuam tshuam rau lub cev lub peev xwm nqus lwm yam tshuaj, xws li tshuaj antacids, roj ntxhia, roj castor, tshuaj tua kab mob, ua kom ntshav qis, tshuaj kho plawv, thiab siv tshuaj kho pob txha. Yog li, koj yuav tsum sab laj nrog kws kho mob kom paub qhov tshuaj laxative uas tsim nyog tshaj plaws.
Txoj Kev 2 ntawm 4: Nrhiav Kev Pab Kho Mob
Kauj Ruam 1. Txheeb xyuas ntshav hauv cov quav
Yog tias koj mob plab thaum lub plab txav, qhov quav hernia yuav los ntshav lossis qhib kom muaj ntshav hauv cov quav.
Kauj Ruam 2. Ua tib zoo saib seb puas muaj lossis tsis hnov mob xws li raug khawb lossis raug riam los ntawm qhov quav thaum lub sijhawm tso zis
Txoj hlua ntev txaus tuaj yeem ua rau cov leeg leeg ua rau o tuaj. Cov quav loj, tawv tuaj yeem rhuav cov ntaub so ntswg ncig lub qhov quav.
Kauj Ruam 3. Tham nrog koj tus kws kho mob yog tias koj kub taub hau, o thiab/lossis los ntshav hauv lub cev ua haujlwm, tawm hws ntau dhau, lossis mob hnyav
Cov tsos mob no tuaj yeem qhia pom tias muaj kab mob.
Kauj Ruam 4. Mus ntsib kws kho mob yog tias koj mob plab heev
Cov quav uas nyob hauv cov hnyuv vim yog cem quav tuaj yeem txhaws qhov qhib hauv cov hnyuv. Qhov mob no ua rau cov quav tso rau hauv qhov ua haujlwm tshiab ntawm txoj hnyuv thiab thaiv cov ntshav kom cov nqaij tuag. Yog tias koj ntsib qhov no, qhov hnov mob nyob ib ncig ntawm cov nqaij cuam tshuam yuav raug txhawb kom muaj qhov mob tsis tuaj yeem zoo li raug txiav los ntawm riam.
Txoj Kev 3 ntawm 4: Paub Hom Hernia
Kauj Ruam 1. Paub txog hom hnoos qeev tshaj plaws, uas yog hnoos qeev (cuam tshuam nrog lub puab tsaig)
Cov txiv neej muaj kev pheej hmoo ntau ntxiv ntawm kev tsim cov hlab ntaws inguinal yog tias cov kwj dej hauv plab tsis kaw kom raug, ua rau muaj pob txha mos hauv cov nqaij leeg tsis muaj zog. Raws li qhov xwm txheej ib txwm, cov noob qes yuav nkag mus rau hauv lub qhov ncauj sai sai tom qab tus menyuam yug los thiab cov kwj dej yuav luag kaw tag. Ib qho hnoos qeev tshwm sim thaum cov hnyuv tawm los ntawm cov kwj dej inguinal.
Cov kwj dej inguinal yog nyob hauv puab tais. Hauv cov txiv neej, hnoos qeev hauv lub cev tshwm sim hauv thaj tsam ntawm lub cev uas muaj cov kwj phev (los tuav cov noob qes) pib los ntawm lub plab mus rau lub zais zis (lub zais zis). Hauv cov poj niam, cov kwj dej hauv plab yog ua los ntawm ligaments uas tuav lub tsev menyuam nyob hauv qhov chaw
Kauj Ruam 2. Paub tias lub zais zis hiatal txhais li cas
Ib tus neeg muaj hnoos qeev hiatal yog tias ib feem ntawm nws lub plab tawm ntawm lub hauv siab los ntawm lub diaphragm. Hiatal hernia ua rau rov ua kua qaub ntawm lub plab kom lub hauv siab xav zoo li nws kub hnyiab thaum cov kua paug ntws mus rau hauv txoj hlab pas.
- Feem ntau, hiatal hernia cuam tshuam rau cov neeg hnub nyoog 50 xyoo thiab tshaj saud.
- Cov menyuam mos uas muaj lub cev tsis xws luag yuav muaj feem pheej hmoo tsim tus mob hernia.
Kauj Ruam 3. Coj tus menyuam mus rau kws kho mob lub tsev kho mob hnoos qeev
Cov menyuam mos hnub nyoog qis dua 6 lub hlis muaj qhov hnoos qeev yog tias lawv cov hnyuv tawm los ntawm lub plab phab ntsa ze ntawm lub plab plab. Muaj peev xwm ua tau tias tus menyuam mos muaj qhov hnoos qeev yog tias muaj qhov o lossis o nyob ze nws lub plab thaum nws quaj.
- Feem ntau, qhov hnoos qeev tawm ntawm lawv tus kheej thaum tus menyuam muaj 1 xyoos.
- Yog tias tus txha nqaj qaum tseem nyob tom qab tus menyuam muaj 1 xyoos, nws lossis nws yuav xav tau phais los kho tus quav quav.
Kauj Ruam 4. Saib xyuas tus mob hnoos qeev yog tias koj nyuam qhuav tau phais nrog phais hauv lub plab plab
Tus mob hernias tshwm sim thaum lub qhov txhab tawm los ntawm lub qhov txhab phais lossis cov leeg nqaij tsis muaj zog vim lub plab phab ntsa raug txiav thaum phais.
Txoj Kev 4 ntawm 4: Nkag Siab Txoj Kev Hernia Surgery (Herniorafi)
Kauj Ruam 1. Xaiv qhov phais laparoscopic yog tias ua tau
Qhov kev phais no ua rau txiav me me rau ntawm cov ntaub so ntswg ib ncig ntawm lub zais zis thiab lub sijhawm kho tau luv dua, tab sis hernias tuaj yeem tshwm sim dua.
Txoj kev no yog ua los ntawm kev siv lub koob yees duab me me thiab cov cuab yeej phais me me uas tso rau hauv tus neeg mob lub cev los ntawm kev phais me me. Txhawm rau kho tus mob hernia, tus kws kho mob tau qhib qhov qhib hauv lub plab phab ntsa thiab tuav nws nruj nrog cov ntaub qhwv kho mob
Kauj Ruam 2. Npaj rau kev phais nrog qhov txhab dav yog tias lub plab tsis txav
Qhov kev ua haujlwm no yog ua yog tias ib feem ntawm txoj hnyuv nqes mus rau hauv lub zais zis. Muaj peev xwm ua tau, tus kws kho mob txiav qee thaj chaw hauv cov hnoos qeev lossis hauv puab tais txhawm rau txhawm rau hloov pauv txoj hnyuv uas ua rau muaj quav quav. Tom qab ntawd, nws xaws qhov txhab txhawm rau kaw nws nruj.
Lub sijhawm rov zoo tom qab kev phais mob no ntev dua. Tus neeg mob tuaj yeem rov qab ua haujlwm li qub 6 lub lis piam tom qab phais tas
Kauj Ruam 3. Paub tias tus neeg mob yuav nyob hauv qab tshuaj loog lossis dav dav ua ntej phais
Feem ntau, cov neeg mob tsis tas yuav nyob hauv tsev kho mob tom qab phais phais hernia. Tus kws phais yuav rov kho cov ntaub so ntswg uas ua rau mob pob txha. Yog tias muaj txoj hlab ntshav, tus kws kho mob yuav txiav lub cev uas tsis muaj oxygen. Cov phab ntsa ntawm cov leeg puas yuav raug npog nrog cov ntaub qhwv kho mob lossis cov ntaub so ntswg kom nws kho tau.
