Suav Cov Kws Tshaj Lij Pom Zoo Rau Kev Ntsuas Thiab Kev Kho Mob Ntawm Qhov Hluav Taws Xob Obstruction Constipation III
Dec 13, 2023
Suav kho mob
1. Cov tshuaj suav tshuaj thiab tshuaj acupuncture: Cov tshuaj suav tshuaj (xws li suav nrog tshuaj suav tshuaj patent thiab decoctions) tuaj yeem txo cov tsos mob ntawm OCC thiab nce tus naj npawb ntawm cov neeg mob defecation tiav hauv ib lub lis piam. Kev nyab xeeb zoo ib yam li cov placebo. Kev kho TCM yuav tsum muaj kev sib txawv ntawm cov tsos mob thiab kev kho mob los ntawm hom. Suav patent tshuaj xws li Qihuang Tongmi soft capsules yog siv tau rau cov neeg laus lossis cov neeg mob Qi tsis txaus cem quav. Kev siv cov tshuaj suav tshuaj suav tshuaj enema kuj tau nce zuj zus. Cov kev tshawb fawb tau pom tias nws tuaj yeem txhawb txoj hnyuv peristalsis thiab txhim kho lub siab anorectal los ntawm kev tswj cov qib oxidative kev nyuaj siab, yog li txo qhov mob. Raws li kev tshawb xav meridian ntawm cov tshuaj suav tshuaj, cov ntsiab lus acupuncture xws li Tianshu, Shangjuxu, Zusanli, Zhigou, thiab Dachangshu feem ntau siv. Lub impulse los ntawm acupuncture tuaj yeem npaj mus rau qhov tau txais ntau yam ntawm cov hnyuv loj, txhawb cov plab hnyuv peristalsis, thiab ua kom lub zog defecation. Nws muaj ob txoj hauv kev. Cov nyhuv tswj tau zoo rau ob qho tib si spastic thiab so OOC. Acupuncture ntawm Baliao taw tes tuaj yeem txhim kho qhov nyuaj ntawm qhov quav, qhov ntau zaus ntawm qhov quav, qhov kev xav ntawm qhov quav tsis tiav, lub sijhawm ntawm qhov quav, thiab kho lub qhov quav propulsion force.
Nyem rau tam sim cem quav cov neeg laus
Daim Ntawv Pom Zoo 18: Cov tshuaj suav tshuaj suav nrog (xws li suav nrog suav tshuaj patent tshuaj npaj thiab decoctions), acupuncture, thiab lwm yam kev kho mob dialectical yog qee qhov tseem ceeb ntawm kev kho tsis yog phais ntawm OOC, uas tuaj yeem txo cov tsos mob cem quav thiab txhim kho lub neej zoo (qib lus pom zoo : pom zoo; ua tiav kev pom zoo tus nqi 53%, ib feem kev pom zoo tus nqi 40%, kev pom zoo tus nqi 7%).
2. Sacral neuromodulation (SNM): Cov theem pib ntawm sacral neuromodulation hu ua sacral nerve stimulation (SNS). Los ntawm lub tshuab hluav taws xob sab nraud, nws cuam tshuam rau qhov txawv txav sacral paj hlwb reflex arc thiab cuam tshuam thiab tswj cov hlab ntsha sacral paj hlwb. ntawm kev ua haujlwm tsis zoo. Cov txiaj ntsig tom qab ntawm 3 txog 10 xyoo tau pom tias 47% ntawm cov neeg mob tau txhim kho lawv cov tsos mob cem quav, tshwj xeeb tshaj yog cov neeg mob uas muaj qhov tsis zoo ntawm qhov quav. Lub mechanism ntawm kev txiav txim tsis yog los hloov lub qhov quav kwj dej siab tab sis kom txhim kho lub qhov quav thiab ceev ceev. txo. "Cov Lus Tshaj Tawm Tebchaws Europe Cov Lus Qhia ntawm SNS rau Kev Kho Mob Fecal Incontinence thiab cem quav" luam tawm xyoo 2015 ntseeg tias cov pov thawj rau SNS hauv kev kho mob cem quav tsis txaus thiab xav tau kev tshawb fawb ntxiv kom paub meej tias nws. Txawm li cas los xij, thaum muaj kev cem quav qeeb thiab / lossis kev ua haujlwm tsis zoo ntawm SNS tuaj yeem raug txiav txim siab hauv cov neeg mob (tsis suav nrog cov organic cuam tshuam) uas nws cov tsos mob cem quav rau ntau tshaj 1 xyoo thiab lwm yam kev kho mob tsis zoo.
Cov lus pom zoo 19: SNM tuaj yeem siv los kho OOC uas cov qauv siv tsis tau zoo (qib lus pom zoo: pom zoo; tag nrho daim ntawv cog lus tus nqi 47%, ib feem kev pom zoo tus nqi 49%, kev pom zoo tus nqi 4%).
kev kho mob phais
Cov lus pom zoo 20: Rau cov neeg mob uas muaj qhov nruab nrab lossis siab tshaj cem quav uas muaj kev cuam tshuam me ntsis tom qab kev kho mob tsis yog phais thiab cov uas muaj qhov txawv txav tom qab kuaj tshwj xeeb ntawm cem quav, kev kho phais tuaj yeem txiav txim siab. Txawm li cas los xij, cov neeg mob uas cem quav hnyav ua ke nrog kev pom tseeb ntawm kev puas siab puas ntsws thiab kev puas siab puas ntsws yuav tsum tau ua nrog ceev faj. (Kev pom zoo qib: Pom zoo; tag nrho kev pom zoo tus nqi 70%, ib feem kev pom zoo tus nqi 28%, kev pom zoo tus nqi 2%).
1. Kev kho mob ntawm pelvic pem teb spasm-hom cem quav: kev tshawb fawb tam sim no ntseeg tias cov kab mob ntawm lub plab hauv plab spasm-hom cem quav nyob hauv qhov txawv txav -reflex thiab sympathetic-reflex ntawm cov leeg txha caj qaum, nrog rau ischemic spasm thiab TrP-reflex tshwm sim los ntawm overload. contraction ntawm cov leeg pelvic pem teb. Spasm (TrP-spasm, uas yog cov leeg taw tes spasm). Cov txheej txheem cem quav txawv teb chaws pom zoo kom biofeedback thiab botulinum toxin txhaj (BTX) ua cov kev kho mob tseem ceeb. Kev phais tsuas yog ua rau cov neeg mob uas muaj ischemic spasm, TrP-spasm, thiab cov neeg uas tsis muaj txiaj ntsig hauv kev kho mob thiab muaj lub siab xav rau kev phais.
Cov lus qhia rau kev phais rau pelvic pem teb spasm-hom cem quav: (1) Cov kev kho mob tshwm sim xws li thinning ntawm cov quav, tsis yooj yim rau defecation, laboriousness, thiab siv sij hawm ntev; (2) Kev X-ray abnormality hauv defecography; (3) Kev tshem tawm lub sijhawm ntev rau ntau tshaj li ib nrab xyoo Kev tswj xyuas nruj tsis zoo; (4) Kev kuaj mob colonic yog qhov qub lossis ntev me ntsis, nrog rau qhov pom tseeb ntawm qhov quav; (5) Lub zais pa yuav siv sijhawm ntau dua 5 feeb kom tawm ntawm lub qhov quav lossis tsis tuaj yeem tso tawm; (6) Lub kaum sab xis ntawm lub qhov quav yuav me dua, thiab lub qhov quav qhov quav yuav me dua. Tsawg dua los yog sib npaug li 4 cm.
Cov lus pom zoo 21: Qhov kev ua tau zoo ntawm kev kho mob phais ntawm pelvic pem teb spasm-hom cem quav tsis meej, yog li kev phais yuav tsum tau tswj nruj me ntsis. Cov kev kho mob uas tsis yog phais xws li biofeedback thiab botulinum toxin hom A txhaj tshuaj yuav tsum zoo dua (qib pom zoo: pom zoo; tag nrho kev pom zoo tus nqi 67%, ib feem kev pom zoo tus nqi 28%, kev pom zoo tus nqi 5%).
Kev kho mob rau pelvic pem teb spasm cem quav muaj xws li hauv qab no.
(1) Anal dilation: Siv cov tshuab dilation los txo cov leeg nqaij leeg thiab ua kom cov quav tso zis. Muaj phau ntawv anal dilation thiab mechanical anal dilation. Cov neeg kho tshuab dilator tuaj yeem maj mam nce qhov loj. Kuj tseem muaj txoj hauv kev dilation thiab vibration, lossis ua ke nrog biofeedback. Cov tshuaj loog hauv zos feem ntau yuav tsum tau ua kom qhov quav dilation zoo dua. Qhov zoo dua yog tias nws tsis tas yuav muaj kev phais, tsis hloov cov qauv hauv zos anatomical, thiab tuaj yeem ua tau ntau zaus; Qhov tsis zoo yog qhov tuab ntawm cov leeg puborectalis tsis hloov, thiab rov tshwm sim tuaj yeem tshwm sim tom qab tso tseg qhov quav dilation. Kev ua haujlwm ntxhib lossis ua haujlwm ntau dhau tuaj yeem ua rau qhov quav fissures thiab lub sijhawm luv lub qhov quav. Kev tuav lub qhov quav nthuav dav feem ntau xav tau plaub ntiv tes kom dhau thawj qhov kev sib koom ua ke, thiab qhov ntsuas kev nthuav dav siv txoj kev nthuav dav ib kauj ruam. Qhov quav dilation yog suav tias yog thawj qhov kev xaiv thiab txoj kev kho yooj yim tshaj plaws rau puborectalis spasm-hom cem quav; Qhov txiaj ntsig zoo yog 46.3% rau 77.3%.
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 yog tsim los siv suab puam cistanche li raw cov ntaub ntawv, tag nrho cov uas muaj ib tug zoo ntxim rau relieving 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 tshwj xeeb ntawm Cistanche qhov cuam tshuam rau cem quav yog txwv, nws tau xav tias muaj ntau lub tswv yim uas yuav ua rau nws muaj peev xwm txo tau cem quav. Laxative nyhuv: Cistanche tau 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 tej zaum yuav raug ntaus nqi rau ntau cov tebchaw nyob hauvCistanche, 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.
