Tom qab kev cem quav ntev ntev, Kuv cov hnyuv tig dub! Gastroenterology kws tshaj lij ceeb toom: Ceev faj ntawm Colonic melanosis
Oct 17, 2023
Nrog rau kev mloog zoo rau kev noj qab haus huv thiab kev nrov ntawm hluav taws xob gastrointestinal endoscopy thev naus laus zis, ntau tus neeg tau txais kev kuaj mob plab hnyuv ntau dua li ua ntej. Ntau tus neeg tau pom tias lawv cov hnyuv tau "dub dub" tom qab kev kuaj mob plab hnyuv.
Tsis ntev los no, tus poj niam muaj hnub nyoog 41-xyoo-laus tus neeg mob uas muaj qhov tsis zoo nyob rau lub sijhawm ntev tuaj rau peb lub tsev kho mob kom tsis mob plab hnyuv endoscopy thiab tau kuaj pom tias "tag nrho melanosis ntawm txoj hnyuv loj nrog lub qhov quav polyps." Tus neeg mob thawj cov tshuaj tiv thaiv yog: cov hnyuv tau tig dub, nws txaus ntshai npaum li cas! Melanosis ntawm txoj hnyuv tsis yog ib yam kab mob loj heev. Cov neeg mob txhawj xeeb feem ntau yog vim tsis nkag siab txog tus kab mob. Tom ntej no, cia peb kawm ntxiv txog nws nrog Lub Tsev Haujlwm Saib Xyuas Kev Noj Qab Haus Huv ntawm Shanghai Jiahua Tsev Kho Mob!
1. Melanosis ntawm txoj hnyuv yog dab tsi?
Melanosis coli (MC), tseem hu ua colonic melanosis, yog tus kab mob mucosal pigmentation uas ua rau txoj hnyuv tsaus. Lub mucosal pigmentation tshwm sim vim cov tshuaj lipofuscin muaj nyob rau hauv lamina propria ntawm mucosa; MC Nws kuj yog ib qho zoo, thim rov qab, tsis muaj kab mob, thiab nws qhov kev kuaj pom tau nce zuj zus txhua xyoo.
Hauv cov lus layman, koj cov hnyuv tuaj yeem "noj" pigments zoo dua li cov neeg zoo tib yam. Yog tias koj "noj" ntau dhau, koj yuav dhau los ua "cov hnyuv dub." MC feem ntau tshwm sim rau cov neeg laus dua 60 xyoo. Hauv kuv lub tebchaws, qhov kuaj pom ntawm melanosis txoj hnyuv yog li 1% txog 2%. Txawm li cas los xij, hauv cov neeg mob laus uas noj cov tshuaj laxative ntev ntev vim yog cem quav, qhov kev kuaj pom ntawm melanosis txoj hnyuv tseem qis dua. Txog li 44.4%. Qhov zaus ntawm MC cuam tshuam nrog cov hnyuv los ntawm qhov siab mus rau qis yog sab laug txoj hnyuv, txoj hnyuv loj, qhov quav, thiab tag nrho cov hnyuv.
2. Koj tau txais "melanosis ntawm txoj hnyuv" li cas?
Tam sim no, qhov ua rau mob plab melanosis tseem tsis paub meej. Nws yog feem ntau ntseeg tias muaj feem xyuam nrog cem quav, tshuaj, khoom noj, hnub nyoog, kab mob, thiab lwm yam.
1. Kev cem quav ntev nrog keeb kwm ntev ntawm cem quav. Yog tias cov quav nyob hauv cov nyuv ntev dhau lawm, cov xim pigment yog absorbed los ntawm cov hnyuv, ua rau cov hnyuv mucosa tig dub.
2. Kev siv tshuaj anthraquinone mus ntev thiab ntau ntau
Anthraquinone laxatives feem ntau suav nrog cov tshuaj suav tshuaj xws li rhubarb, aloe vera, thiab senna, lossis bezoar detoxification ntsiav tshuaj, Maren Runchang Pills, Guodao ntsiav tshuaj, thiab aloe vera capsules. Lub ntsiab tseem ceeb ntawm anthraquinone laxatives yog anthraquinone derivatives, uas ua rau cov hnyuv loj thiab txhawb cov hlab ntsha hauv plab kom ntxiv dag zog rau plab hnyuv peristalsis, yog li muaj cov nyhuv laxative thiab raws plab. Cov kev tshawb fawb tau pom tias mob plab melanosis yuav tshwm sim tom qab noj cov tshuaj anthraquinone ntau npaum li 1 txog 6 lub hlis.
3. Lub sij hawm ntev heev ntawm kev noj cov kab hlau los yog cov zaub mov xws li hlau, magnesium, silicate, calcium, palladium, zinc ore, lead, cadmium, nickel, thiab manganese tuaj yeem ua rau mob melanosis.
4. Hnub nyoog: Raws li lub hnub nyoog nce, qhov tshwm sim ntawm colonic melanosis kuj nce.
5. Kab mob: Qee cov kab mob hauv plab uas mob ntev nrog rau cov kab mob ulcerative colitis thiab mob raws plab kuj tseem tuaj yeem ua rau MC.
3. Cov tsos mob ntawm colonic melanosis yog dab tsi?
Feem ntau cov neeg mob uas mob plab melanosis tsis muaj cov tsos mob pom tseeb. Lawv raug kuaj pom tias muaj kab mob melanosis thaum lawv nrhiav pom tias txoj hnyuv loj dhau los ua qhov tsaus ntuj thaum lub caij colonoscopy. Kev kuaj kab mob pom tau tias txoj hnyuv tunica propria muaj ntau ntawm melanin.
Qee cov neeg mob uas muaj kab mob melanosis tuaj yeem ntsib cov tsos mob ntawm plab hnyuv xws li cem quav, quav tawv, thiab mob plab. Cov neeg mob me me tau nrog cov tsos mob xws li tsis qab los noj mov, mob plab hauv plab, thiab cov kab mob electrolyte xws li potassium tsawg, sodium tsawg, thiab calcium tsawg. Yog tias cov neeg mob koom nrog cov kab mob xws li enteritis, plab hnyuv polyps, thiab mob qog noj ntshav, lawv kuj yuav muaj cov tsos mob xws li ntshav hauv cov quav thiab raws plab.
4. Diagnostic hauv paus ntawm colonic melanosis
Kev kuaj mob ntawm MC feem ntau yog nyob ntawm kev kuaj mob endoscopic thiab pathological.
1. Endoscopic manifestations: Qhov chaw ntawm txoj hnyuv mucosa yog du, xim av, los yog dub granular pigmentation yog pom nyob rau hauv lub mucosa, lub mucosa yog lub teeb xim av, tan, los yog tsaus xim av, nrog milky dawb linear, cord-zoo li los yog reticular mucosa pom. Nyob rau hauv nruab nrab, thiab tag nrho cov mucosa yog Qhov saum npoo yog tsov-tawv-zoo li, vaub kib-rov qab-zoo li, reticulated qaum-zoo li los yog zoo li cov tsos ntawm cov txiv ntseej txiav nto. Cov kab mob ntawm tus kab mob tuaj yeem koom nrog ib lossis ob peb ntu ntawm txoj hnyuv, lossis txawm tias tag nrho cov hnyuv loj lossis cov hnyuv loj.
2. Pathological manifestations: Ib tug loj tus naj npawb ntawm cov xim uas muaj mononuclear macrophages thiab melanin deposition tuaj yeem pom nyob rau hauv lamina propria ntawm txoj hnyuv mucosa, thaum lwm cov khaubncaws sab nraud povtseg ntawm lub plab hnyuv phab ntsa yog qhov qub. Pathology yog tus qauv kub rau kev kuaj mob MC.
MC endoscopic grading: Qib I, lub plab hnyuv mucosa yog lub teeb xim av, patchy, zoo ib yam li tsov txaij tawv nqaij, thiab cov kab mob feem ntau nyob hauv zos; Qib II, lub plab hnyuv mucosa yog xim av tsaus, ntau dua nyob rau hauv txoj hnyuv sab laug los yog ib feem ntawm cov hnyuv mucosa; Hauv qib III, lub plab hnyuv mucosa yog xim av tsaus, thiab cov kab mob tuaj yeem ua rau tag nrho cov nyuv thiab qhov quav.
5. Puas yog melanosis ntawm txoj hnyuv yuav tsum tau kho?
Melanosis ntawm txoj hnyuv yog ib yam kab mob benign, uas tsis yog mob plab hnyuv. Cov neeg mob feem ntau tsis muaj tsos mob thiab tuaj yeem rov zoo ntawm lawv tus kheej tom qab txhim kho lawv txoj kev ua neej. Lawv tsuas yog xav tau kev tshuaj xyuas tas li thiab tsis tas yuav muaj kev kho mob tshwj xeeb.
Txawm li cas los xij, yog tias tus neeg mob muaj cem quav, quav tawv, mob plab, thiab lwm yam tsos mob, yuav tsum tau siv tshuaj kho mob. Cov tshuaj siv feem ntau suav nrog polyethylene glycol, mosapride, probiotics, thiab lwm yam kev npaj microecological, uas yog siv los txhim kho cov tsos mob cem quav.
6. Kev tshuaj xyuas tsis tu ncua thiab kev kwv yees
Kev tshuaj xyuas tsis tu ncua
1. Rau cov neeg mob uas tsis muaj tsev neeg keeb kwm ntawm mob qog noj ntshav thiab tsis muaj kev pheej hmoo xws li txoj hnyuv loj, kev rov kuaj dua tuaj yeem ua tau ib zaug txhua 1 txog 2 xyoos.
2. Rau cov neeg mob uas muaj plab hnyuv polyps, nws raug nquahu kom rov kuaj dua ib xyoos ib zaug; Yog hais tias tus kab mob polyp qhia tau hais tias tsis muaj qib intraepithelial neoplasia, yuav tsum tau kuaj xyuas dua txhua 3 mus rau 6 lub hlis; Yog hais tias tus polyp pathology qhia tau hais tias qib siab intraepithelial neoplasia, kev kho mob yog xaiv. , koj yuav tsum tau tshuaj xyuas nws txhua 3 lub hlis.
kev kwv yees
Melanosis ntawm txoj hnyuv yog ib yam kab mob benign uas tuaj yeem thim rov qab los ntawm kev tshem tawm cov laj thawj, tab sis nws tsis tuaj yeem kho tau hauv lub sijhawm luv. Tam sim no tsis muaj cov tshuaj tshwj xeeb rau kev kho mob melanosis, thiab kev daws cem quav yog qhov tseem ceeb.
1. Txhob siv cov tshuaj laxatives indiscriminately, tshwj xeeb tshaj yog anthraquinone laxatives. Cov ntaub ntawv qhia tau hais tias MC feem ntau tshwm sim hauv 5 lub hlis ntawm kev noj tshuaj anthraquinone laxatives thiab thim rov qab 6 mus rau 12 lub hlis tom qab txiav cov tshuaj laxative.
2. Kho cem quav: tsom rau kev kho cov hnyuv ua haujlwm thiab ntxiv cov probiotics sai.
3. Kho cov qauv kev noj haus, noj zaub mov muaj fiber ntau, txo cov protein, rog, thiab lwm yam, thiab tsis txhob noj zaub mov ntsim. Tsis txhob noj cov khoom noj uas muaj hlau xws li hlau thiab magnesium, nrog rau cov khoom noj uas muaj ntxhia xws li silicates.
4. Rau kev tawv ncauj tawv nqaij, koj tuaj yeem xaiv siv cov tshuaj yaj, xws li polyethylene glycol lossis zam txoj hnyuv sab ntawm cov tawv ncauj thiab cem quav. Rau cov neeg uas muaj teeb meem defecation, siv lubricating laxatives rau lub sij hawm luv luv.
5. Yog tias ua ke nrog polyp adenoma, yuav tsum tau kuaj xyuas lub sijhawm endoscopic thiab soj ntsuam ze.
6. Txhim kho tus cwj pwm ntawm kev tso zis tsis tu ncua. Piv txwv li, tso zis tsis tu ncua txhua txhua tag kis sawv ntxov, tso zis tam sim ntawd thaum koj hnov mob kom tso quav, tsis txhob nyeem lossis ua si nrog lub xov tooj ntawm tes thaum tshem tawm, thiab tsis txhob siv sijhawm ntev dhau los tso quav.
7. Kawm ua pa hauv plab kom tawm dag zog lub plab thiab diaphragm thiab pab tshem tawm. Ntawd yog, thaum exhaling, cog lub plab, qhov quav, thiab perineum quab yuam, thaum nqus tau pa, ua kom lub plab, thiab so lub qhov quav thiab perineum. Rov ua qhov no 6 mus rau 8 zaug.
8. Ua ib qho kev kuaj colonoscopy.
Kev kuaj xyuas tsis tu ncua tuaj yeem pab peb kuaj mob qog noj ntshav hauv nws cov theem pib rau kev kho mob ntxov. Feem ntau cov qog nqaij hlav thaum ntxov muaj cov teebmeem kev kho mob zoo, thaum cov qog nqaij hlav lig muaj kev kho mob tsis zoo.
Hauv luv luv, kev siv cov tshuaj laxative mus ntev rau kev cem quav ntev muaj qee yam kev puas tsuaj rau tib neeg lub cev. Rau cov neeg mob cem quav, sim tsis txhob siv cov tshuaj anthracene, thiab cov neeg uas tau siv lawv yuav tsum tsis txhob siv lawv; cov neeg uas muaj cov hnyuv polyps yuav tsum tau muab tshem tawm hauv lub sijhawm; cov neeg mob qog nqaij hlav hauv plab yuav tsum tau phais tam sim ntawd; nyob rau hauv kev kho mob mus sij hawm ntev ntawm cov neeg mob nrog cem quav, yuav tsum tau them nyiaj mloog mus rau colonic melanosis, thiab Long-term noj cov zaub mov fiber ntau los kho cov hnyuv flora yog tawm tswv yim.
Nrog rau kev nce hauv cov neeg mob cem quav thiab nrov ntawm txoj hnyuv endoscopy, qhov kev kuaj pom ntawm melanosis tau nce. Txawm li cas los xij, pigmentation ntawm melanosis yog benign thiab thim rov qab, thiab qhov kev tshwm sim kuj zoo. Cov neeg mob yuav tsum tsis txhob txhawj xeeb thiab ntshai, tab sis melanosis ntawm txoj hnyuv loj feem ntau nrog cov plab hnyuv loj, qog nqaij hlav hauv plab, thiab lwm yam tsos mob. Yog li ntawd, rau koj txoj kev noj qab haus huv, thov nco ntsoov xyuas tsis tu ncua thiab kho cov teeb meem ntxov.
Ntuj Herbal Tshuaj Rau Relieving cem quav-Cistanche
Cistanche yog ib tug genus ntawm parasitic nroj tsuag uas belongs rau tsev neeg Orobanchaceae. Cov nroj tsuag no paub txog lawv cov khoom siv tshuaj thiab tau siv hauv Cov Tshuaj Suav Tshuaj (TCM) rau ntau pua xyoo. Cov hom Cistanche feem ntau pom muaj nyob hauv thaj av qhuav thiab suab puam ntawm Tuam Tshoj, Mongolia, thiab lwm qhov chaw ntawm Central Asia. Cistanche nroj tsuag yog tus cwj pwm los ntawm lawv cov nqaij tawv, yellowish stems thiab muaj nuj nqis heev rau lawv cov txiaj ntsig kev noj qab haus huv. Hauv TCM, Cistanche ntseeg tau tias muaj cov khoom siv tonic thiab feem ntau yog siv los kho lub raum, txhim kho qhov tseem ceeb, thiab txhawb kev ua haujlwm ntawm kev sib deev. Nws kuj yog siv los daws cov teeb meem ntsig txog kev laus, qaug zog, thiab kev noj qab haus huv tag nrho. Thaum Cistanche muaj keeb kwm ntev ntawm kev siv tshuaj ib txwm siv, kev tshawb fawb tshawb fawb txog nws txoj kev ua tau zoo thiab kev nyab xeeb yog tsis tu ncua thiab txwv. Txawm li cas los xij, nws paub tias muaj ntau yam bioactive tebchaw xws li phenylethanoid glycosides, iridoids, lignans, thiab polysaccharides, uas tuaj yeem ua rau nws cov teebmeem tshuaj.
Wecistanche covcistanche hmoov, cistanche ntsiav tshuaj, cistanche capsules, thiab lwm yam khoom tsim los sivsuab puamcistancheraws li cov khoom siv raw, txhua yam muaj txiaj ntsig zoo rau kev tshem tawm cem quav. Cov txheej txheem tshwj xeeb yog raws li hauv qab no: Cistanche ntseeg tau tias muaj cov txiaj ntsig zoo rau kev tshem tawm cem quav raws li nws cov kev siv ib txwm siv thiab qee cov tshuaj uas nws muaj. Txawm hais tias kev tshawb fawb tshawb fawb ntawm Cistanche qhov cuam tshuam rau cem quav yog txwv, nws xav tias muaj ntau lub tswv yim uas tuaj yeem pab txhawb rau nws lub peev xwm los daws cem quav. Laxative nyhuv:Cistanchetau ntev tau siv nyob rau hauv tsoos suav tshuaj raws li ib tug tshuaj rau cem quav. Nws ntseeg tau tias muaj cov nyhuv laxative me me, uas tuaj yeem pab txhawb kev zom zaub mov thiab ua rau cem quav. Cov nyhuv no tuaj yeem raug ntaus nqi rau ntau lub tebchaw nyob hauv Cistanche, xws li phenylethanoid glycosides thiab polysaccharides. Moistening cov hnyuv: Raws li kev siv ib txwm siv, Cistanche suav hais tias muaj cov khoom siv moisturizing, tshwj xeeb yog tsom rau cov hnyuv. Txhawb nqa dej thiab lubrication ntawm cov hnyuv yuav pab tau cov cuab yeej soften thiab yooj yim dua, yog li no relieving cem quav. Anti-inflammatory Effect: cem quav tej zaum yuav txuam nrog o nyob rau hauv lub plab zom mov. Cistanche muaj qee qhov sib txuas, suav nrog phenylethanoid glycosides thiab lignans, uas ntseeg tau tias muaj cov tshuaj tiv thaiv kab mob. Los ntawm kev txo cov kab mob hauv cov hnyuv, nws tuaj yeem pab txhim kho kev zom zaub mov tsis tu ncua thiab txo qhov cem quav.