Suav Cov Kws Tshaj Lij Pom Zoo Rau Kev Ntsuas Thiab Kev Kho Mob Ntawm Qhov Ncauj Qhov Ncauj Quav Ⅰ

Nyob rau hauv xyoo tas los no, ntau lub zej zog hauv kuv lub teb chaws, suav nrog Cov Kws Kho Mob Anorectal ceg ntawm Tuam Tshoj Medical Doctor Association, tau ua tiav ntau yam kev kuaj mob thiab cov txheej txheem kho mob thiab cov kws tshaj lij pom zoo rau cem quav, uas tau ua lub luag haujlwm zoo hauv kev tsim qauv kev phais mob thiab kev kho mob. mob cem quav hauv kuv lub tebchaws. Txawm li cas los xij, raws li hom kab mob feem ntau ntawm kev ua haujlwm cem quav, qhov hluav taws xob ua rau cem quav (OOC) muaj cov tsos mob sib txawv, thiab kev ua haujlwm hauv plab hauv plab, thiab muaj ntau yam xws li kev ua haujlwm thiab kev xav. Nws qhov kev kuaj mob thiab kev kho mob tseem muaj teeb meem heev. Txawm li cas los xij, tseem muaj qhov tsis muaj cov qauv kub thiab cov ntaub ntawv tshawb fawb qib siab. Txhawm rau ua tus txheej txheem kuaj mob thiab kev kho mob ntawm OOC hauv kuv lub tebchaws, txhim kho kev kho mob kom zoo thiab txo cov teeb meem kev kho mob, Cov Kws Kho Mob Anorectal ceg ntawm Tuam Tshoj Tus Kws Kho Mob Association thiab nws Cov Kws Kho Mob Cov Txheej Txheem Ua Haujlwm tau coj los ntawm Pawg Neeg Saib Xyuas Kev Kho Mob thiab Cov Kab Mob Hauv Qhov Ncauj ntawm Suav. Society of Integrated Traditional Suav thiab Western Tshuaj thiab Pawg Neeg Ua Haujlwm Anoectal ntawm Suav Association ntawm Cov Kws Kho Mob. , Tuam Tshoj Constipation Medical Association, thiab lwm yam, thiab "Suav Phau ntawv Journal of Gastrointestinal Surgery" tau teeb tsa thiab tau teeb tsa ib pab neeg ua haujlwm ntawm cov kws tshaj lij hauv tsev hauv qhov kev tshawb fawb no los tsom rau kev kuaj mob, kev faib tawm, kev kuaj xyuas, thiab kev soj ntsuam ntawm OOC, suav nrog kev cog qoob loo zoo. noj thiab ua neej nyob. , kev kho tshuaj, kev kho mob biofeedback, kev cob qhia kev ua haujlwm hauv plab hauv plab, kev cuam tshuam txog kev puas siab puas ntsws, kev kho tshuaj suav tshuaj, thiab kev kho phais, thiab lwm yam, raws li kev tshawb fawb ntawm cov ntaub ntawv ntsig txog, suav nrog cov ntaub ntawv pov thawj tseeb ntawm cov tshuaj pov thawj thiab kev kho mob hauv tsev thiab txawv teb chaws, thiab tom qab ntau qhov kev sib tham thiab kev hloov kho, Lawv tau pov npav rau cov ntsiab lus tseem ceeb. Lawv tau mus txog "Suav Cov Kws Tshaj Lij Pom Zoo rau Kev Kho Mob thiab Kev Kho Mob ntawm Qhov Chaw Tiv Thaiv Kab Mob Hlwb (2022 Edition)", uas yog lub hom phiaj los pab cov kws phais mob anorectal txiav txim siab kho mob, ua qauv kev kuaj mob thiab kev kho mob, txo cov teeb meem, thiab txhim kho kev kho mob.

Nyem rau qhov zoo tshaj plaws laxative rau cem quav

Qhov hluav taws xob obstructive cem quav (OOC) yog hom kab mob feem ntau ntawm kev ua haujlwm cem quav. Nws tseem hu ua obstructive defecation syndrome (ODS) nyob rau hauv cov ntaub ntawv txawv teb chaws thiab suav txog li 60% ntawm cem quav. Vim muaj cov tsos mob sib txawv ntawm OOC, qhov nyuaj ntawm lub cev ntawm lub plab hauv plab, thiab kev koom tes ntawm ntau yam xws li kev ua haujlwm ntawm qhov quav thiab kev xav ntawm tus neeg mob, kev kuaj mob thiab kev kho mob ntawm OOC yog qhov teeb meem. Txhawm rau ua tus txheej txheem kuaj mob thiab kev kho mob ntawm OOC hauv kuv lub tebchaws, txhim kho kev kho mob kom zoo thiab txo cov teeb meem kev kho mob, Cov Kws Kho Mob Anorectal ceg ntawm Tuam Tshoj Tus Kws Kho Mob Association thiab nws Cov Kws Kho Mob Cov Txheej Txheem Ua Haujlwm tau coj los ntawm Pawg Neeg Saib Xyuas Kev Kho Mob thiab Cov Kab Mob Hauv Qhov Ncauj ntawm Suav. Society of Integrated Traditional Suav thiab Western Tshuaj thiab Pawg Neeg Ua Haujlwm Anoectal ntawm Suav Association ntawm Cov Kws Kho Mob. Koom tes pib los ntawm Tuam Tshoj Constipation Medical Association thiab lwm tus, Tuam Tshoj Journal of Gastrointestinal Surgery tau teeb tsa thiab tau teeb tsa ib pab neeg ua haujlwm ntawm cov kws tshaj lij hauv tsev hauv qhov kev tshawb fawb no. Raws li kev tshawb nrhiav cov ntaub ntawv muaj feem cuam tshuam, cov ntaub ntawv pov thawj tshiab los ntawm kev kho mob thiab kev kho mob hauv tsev thiab txawv teb chaws tau siv los ua kom muaj kev pom zoo. Tom qab ntau qhov kev sib tham thiab kev kho dua tshiab, thiab kev pov npav rau cov ntsiab lus tseem ceeb, "Suav Cov Kws Tshaj Lij Pom Zoo rau Kev Pom Zoo thiab Kev Kho Mob Ntawm Qhov Chaw Tiv Thaiv Kab Mob Hlwb (2022 Edition)" tau mus txog.

Cov qhab nia ntsuam xyuas rau qhov kev pov npav ntawm qhov kev pom zoo no yog raws li nram no: a. Pom zoo tag (tseem ceeb); b. Ib nrab pom zoo, tab sis nrog qee qhov tshwj xeeb; c. Pom zoo, nrog kev tshwj xeeb loj; d. Tsis pom zoo, tab sis muaj qee qhov tshwj xeeb; e. Tsis pom zoo. Cov theem kev pom zoo hauv qhov kev pom zoo no tau muab faib ua raws li cov txiaj ntsig kev pov npav: A-theem ntsuas (pom zoo), uas yog, qhov feem pua ​​​​ntawm cov pov npav rau ntau dua lossis sib npaug li 80%; Qib B qhov ntsuas (pom zoo), uas yog, qhov sib npaug ntawm qhov sib npaug ntawm cov pov npav rau a thiab b yog Ntau dua lossis sib npaug li 80%; Qib C Qhov Ntsuas (cov lus qhia), uas yog, qhov sib npaug ntawm qhov kev faib ua feem ntawm kev pov npav rau a, b thiab c yog ntau dua lossis sib npaug li 80%; yog tias nws tsis ncav cuag qhov ntsuas C-theem, nws yuav raug tshem tawm. Thaum kawg, cov kws tshaj lij tau tshuaj xyuas thiab ua tiav cov qauv tsim los tsim qhov kev pom zoo no. Raws li cov ntaub ntawv pov thawj thiab cov kws tshaj lij pov npav, qhov kev pom zoo no faib cov qib kev pom zoo ua peb theem: "pom zoo", "pom zoo" thiab "pom zoo".

1. Kev kuaj mob ntawm OOC

Cov lus pom zoo 1: Kev kuaj mob ntawm OOC yuav tsum ua kom tau raws li Rome IV cov txheej txheem kuaj mob rau kev ua haujlwm cem quav, nrog rau lub sijhawm kab mob tsawg kawg yog 6 lub hlis, thiab cov txheej txheem kuaj mob hauv qab no rau 3 lub hlis dhau los: (1) Yuav tsum ua raws li kev ua haujlwm cem quav thiab / lossis cem quav. -predominant irritable plob tsis so tswj syndrome Diagnostic cov txheej xwm rau cov tsos mob. (2) Nyob rau hauv tus txheej txheem ntawm kev rov sim ua kom defecate, tsawg kawg yog ib qho ntawm cov hauv qab no suav nrog: kev ntsuas kev tshem tawm lub zais pa lossis kev kuaj pom pom tseeb tias muaj kev hloov pauv ntawm lub cev muaj feem cuam tshuam rau kev khiav tawm tsis muaj zog lossis kev so hauv pelvic; Kev ntsuas siab thiab ntsuas lossis ntsuas electromyography Qhov kev kuaj xyuas pom tau tias cov leeg hauv plab hauv plab tau cog lus tsis sib haum xeeb lossis cov sphincter yooj yim so siab npaum li cas.<20%; pressure measurement or imaging examination confirms that the rectal propulsion force is insufficient during defecation (recommendation level: strongly recommended; complete approval rate 91%, Partial approval rate 9%).

2. Kev faib tawm ntawm OOC

Kev Pom Zoo 2: OOC tau muab cais raws li kev piav qhia ntawm Rome IV cov txheej txheem kuaj mob rau kev ua haujlwm cem quav rau hauv pelvic pem teb spasm hom, pelvic pem teb so hom, qhov quav propulsion deficiency hom, thiab pelvic pem teb sib xyaw hom uas sib xyaw ob lossis ntau dua ntawm cov saum toj no. Ntawm lawv, pelvic pem teb spasm hom muaj xws li puborectalis syndrome thiab pelvic pem teb spasm syndrome; pelvic pem teb flaccid hom muaj xws li rectocele, rectal intramucosal prolapse, rectal intussusception, perineal qhovntsej thiaj tsis mob, thiab pelvic pem teb hernia ( Pom zoo qib: Pom zoo; 65% pom zoo tag nrho, 28% pom zoo ib nrab, 5% pom zoo, 2% tsis pom zoo).

3. Kev tshuaj xyuas thiab kev ntsuam xyuas

Cov neeg uas muaj cov tsos mob ntawm cov qog nqaij hlav xws li cov ntshav hauv cov quav thiab cov kev hloov pauv hauv cov cwj pwm defecation yuav tsum tau txais kev kuaj xyuas lub qhov quav thiab qhov quav lossis fiberoptic colonoscopy kom txiav tawm cov qog thiab cov kab mob inflammatory thiab ntxiv kev ntsuam xyuas puas siab puas ntsws yog tias tsim nyog. Cov kev ntsuam xyuas tshwj xeeb muaj qhov tseem ceeb hauv kev txheeb xyuas cov subtypes, qhov hnyav, thiab kev ntsuas kev ua tau zoo ntawm OOC.

1. Nug txog keeb kwm kho mob kom ntxaws.

Kev Pom Zoo 3: Nug txog keeb kwm kev kho mob kom ntxaws, suav nrog cov tsos mob thiab chav kawm ntawm OOC, kev noj zaub mov, cov tsos mob ntawm plab hnyuv, nrog rau cov tsos mob thiab kab mob, kev siv tshuaj thiab keeb kwm kev phais mob anorectal, zaus ntawm qhov quav, quav quav, kev paub txog kev tso quav, thiab seb Nws tshwm sim nyuaj los yog defecation du, defecation tsis tiav thiab sinking xav tom qab defecation; Kev soj ntsuam ntawm kev puas siab puas ntsws thiab kev puas siab puas ntsws (qib lus pom zoo: pom zoo; tag nrho daim ntawv cog lus tus nqi 95%, ib feem kev pom zoo tus nqi 5%).

2. Cov kws kho mob tshwj xeeb hauv lub cev.

Daim Ntawv Pom Zoo 4: Ua ib qho kev kuaj mob tshwj xeeb, thiab siv qhov kev ntsuam xyuas qhov quav kom nkag siab seb puas muaj cov quav khaws cia thiab nws cov yam ntxwv hauv qhov quav, seb puas muaj qhov quav hauv qhov quav lossis qhov quav stenosis, lossis qhov chaw nyob hauv qhov quav, thiab lwm yam, thiab nkag siab txog kev ua haujlwm ntawm qhov quav sphincter thiab cov leeg puborectalis. Mob thiab seb puas muaj rectocele, rectal prolapse, thiab lwm yam. Thaum lub sij hawm kev ntsuam xyuas, yuav tsum tau them nyiaj mloog mus saib seb puas muaj kev hloov nyob rau hauv cov duab ntawm lub perineum thiab seb puas muaj pelvic organ prolapse. Ua tib zoo saib xyuas cov kev hloov hauv pelvic pem teb thiab perineum thaum lub sij hawm Valsalva thiab simulated defecation txav. Yog tias tsim nyog, ua gynecological thiab urological kuaj. Kev phais mob ntsig txog kev sib koom tes ntawm lub cev. Anoscopy tuaj yeem nthuav tawm cov kab mob mucosal xws li xoob thiab khaws cov mucosa ntawm qhov quav thiab cov kab mob hauv qhov quav (qib pom zoo: pom zoo; tag nrho kev pom zoo tus nqi 91%, ib feem kev pom zoo 9%).

3. Defecography: Defecography feem ntau yog siv diluted barium. X-ray sib piv tuaj yeem ntes tus neeg mob so, levator ani, quab yuam defecation, thiab tom qab defecation mucosal theem. Ua ke nrog cov kab hauv nruab nrab, cov subtype thiab qhov hnyav ntawm OOC tuaj yeem txiav txim siab. Kev tshuaj xyuas, yog tias tsim nyog, tuaj yeem ua ib txhij nrog pelvic pem teb peritonography. Triple thiab/lossis plaub npaug angiography thiab pelvic dynamic ntau angiography tuaj yeem nkag siab txog cov kev hloov pauv ntawm cov kabmob ntawm cov kabmob nyob ib ncig ntawm lub qhov quav thiab lub plab hauv plab thaum lub sijhawm defecation. Lawv yooj yim rau kev khiav lag luam thiab tus nqi qis. , intuitive dluab, thiab txhim khu kev qha kev ntsuam xyuas, nws yog feem ntau siv txoj kev soj ntsuam rau OOC. Kev nce ntxiv ntawm cov dilute barium perfusion tuaj yeem tso saib cov nyuv sab laug thiab tag nrho cov nyuv, thiab tuaj yeem tshawb xyuas cov kab mob hauv plab xws li plab hnyuv loj, txoj hnyuv ntev, lub siab flexure lossis splenic flexure syndrome, thiab txiav txim tawm megacolon lossis colon lengthening syndrome. Dynamic magnetic resonance defecography tuaj yeem pom qhov txav thiab khoob ntawm cov plab hnyuv siab raum, cov ntaub so ntswg hauv plab, thiab qhov quav thiab qhov quav hauv lub sijhawm tiag tiag thaum lub sijhawm defecation. Nws yog qhov muaj txiaj ntsig sib npaug rau ntau qhov sib txawv pelvic contrast angiography rau kev txiav txim thiab kev phais ntawm cov kab mob pelvic pem teb tsis ua haujlwm. Kev tsim ntawm txoj kev npaj muaj qhov tseem ceeb siv tus nqi.

Daim Ntawv Pom Zoo 5: Defecography tuaj yeem ua tib lub sijhawm saib cov qauv morphological thiab kev ua haujlwm tsis zoo ntawm lub qhov quav. Nws tuaj yeem siv los ntsuas kev ua haujlwm ntawm lub cev thiab muab lub hauv paus txhim khu kev qha rau kev xaiv cov txheej txheem phais (qib pom zoo: pom zoo; tag nrho kev pom zoo tus nqi 88%, ib feem kev pom zoo tus nqi 7%, kev pom zoo tus nqi 5%).

4. Kev kuaj mob plab hnyuv (GIT): X-ray opaque markers feem ntau siv hauv GIT. Nws yog txwv tsis pub noj cov tshuaj laxatives thiab lwm yam tshuaj uas cuam tshuam rau txoj hnyuv ua haujlwm 3 hnub ua ntej kev kuaj mob. Noj 20 cov cim radiopaque nrog cov zaub mov txheem. Siv ib qho xoo hluav taws xob ntawm lub plab txhua 6, 24, 48, thiab 72 teev tom qab noj cov cim. Xam lub sij hawm hla txoj hnyuv thiab tshem tawm tus nqi raws li tus naj npawb ntawm cov cim hauv txoj hnyuv. Tus nqi ib txwm yog 72 h kom tshem tawm 80% ntawm cov cim. Raws li kev faib cov cim cim, nws muaj txiaj ntsig zoo los ntsuas seb OOC. Cov txheej txheem tseem ceeb muaj xws li X-ray opaque marker method, ib qho me me ntawm barium pluas noj txoj kev, kuaj hydrogen ua pa, thiab txoj kev scintillation fluorescence tracer method. X-ray opaque marker method yog siv dav tshaj plaws hauv kev kuaj mob ntawm cem quav ntev. Yog tias tsim nyog, qhov kev ntsuam xyuas no tuaj yeem ua tiav 2 lossis ntau zaus ua ntej kev phais kom muab cov txiaj ntsig tau tseeb dua. Txoj kev kuaj ua pa hydrogen thiab cov txheej txheem scintillation fluorescence tracer yog tam sim no tsis tshua muaj nyob hauv Suav teb.

Cov lus pom zoo 6: GIT yog ib txoj hauv kev tseem ceeb rau kev ntsuam xyuas kev thauj mus los ntawm txoj hnyuv. Nws yog ib qho tseem ceeb heev rau kev ntsuam xyuas qhov hnyav ntawm plab hnyuv motility dysfunction thiab ntsuam xyuas cov kev kho mob ntawm qeeb-transit cem quav. Nws kuj yog ib txoj hauv kev los ntsuas kev sib xyaw cem quav (qib pom zoo: Pom zoo pom zoo; tag nrho kev pom zoo tus nqi 90%, ib feem kev pom zoo tus nqi 5%, kev pom zoo tus nqi 5%).

5. Anorectal manometry: Anorectal manometry kuaj ntsuas muaj xws li lub qhov quav so siab, siab tshaj qhov quav systolic siab, defecation slowing reflex, recto-anal contractile reflex thiab recto-anal inhibitory reflex, rectal sensory function, thiab rectal ua raws. thiab lwm yam, muaj cov txheej txheem dej perfusion, kev ntsuas siab anorectal siab, digestive tract siab wireless capsule detection technology, thiab lwm yam, uas tuaj yeem siv rau kev ntsuam xyuas cov kab mob anorectal, kev taw qhia ntawm biofeedback, thiab kev ntsuam xyuas tom qab kev ua haujlwm ntawm OOC. . Nws yog cov cuab yeej tshawb nrhiav uas tsis muaj kev cuam tshuam, yooj yim rau kev khiav lag luam thiab muaj kev nyab xeeb siab.

Daim Ntawv Pom Zoo 7: Anorectal manometry tuaj yeem siv los txheeb xyuas qhov txawv txav hauv kev ua haujlwm anorectal, txheeb xyuas qhov anorectal sensory thiab motor dysfunction, thiab coj cov kev kho mob ntawm ntau yam subtypes ntawm OOC (qib pom zoo: pom zoo; tag nrho daim ntawv cog lus tus nqi 79%, ib feem kev pom zoo tus nqi yog 19 %, thiab qhov kev pom zoo yog 2%).

6. Pelvic floor electromyography: Feem ntau siv yog anal sphincter electromyography, pudendal paj somatosensory evoked muaj peev xwm, thiab bulbocavernosus nqaij electromyography. Pelvic pem teb electromyography yog txoj hauv kev zoo tshaj plaws los saib xyuas cov haujlwm hluav taws xob ntawm sab nraud qhov quav sphincter thiab puborectalis thaum so lossis thaum defecation. Nws tuaj yeem nrhiav thiab ua tus cwj pwm perianal paj hlwb lossis cov leeg nqaij raug mob thiab tuaj yeem siv rau cov paj hlwb uas tshwm sim los ntawm cov kab mob hauv nruab nrab ntawm lub paj hlwb (xws li Parkinson's disease lossis ntau yam sclerosis) lossis peripheral paj hlwb (xws li conus conus, cauda equina, sacral. plexus thiab pudendal paj). Kev kuaj mob sib txawv ntawm kev sib deev cem quav thiab cem quav myogenic. Pelvic pem teb nto electromyographic kev ntsuam xyuas tuaj yeem siv los ua ib qho kev pab cuam kom paub qhov txawv OOC hom thiab ntsuas qhov cuam tshuam ntawm kev cuam tshuam.

Daim Ntawv Pom Zoo 8: Pelvic pem teb electromyography tuaj yeem siv los ua ib txoj hauv kev pab txhawm rau txheeb xyuas cov cem quav neurogenic thiab cem quav myogenic, thiab tuaj yeem nrhiav thiab ua tus cwj pwm perianal paj hlwb lossis cov leeg nqaij raug mob (qib pom zoo: pom zoo; 58% pom zoo tag nrho, ib feem pom zoo qhov kev pom zoo yog 40% , thiab qhov kev pom zoo yog 2%).

7. Balloon expulsion test: The balloon expulsion test is usually positive if the expulsion time of the 50 ml balloon is >5 feeb. Txawm li cas los xij, ib qho kev sim tshem tawm lub zais pa ib txwm tsis tuaj yeem txiav txim siab tsis txaus qhov quav lossis lub plab hauv plab pelvic spasms.

Daim Ntawv Pom Zoo 9: Kev ntsuas kev tshem tawm lub zais pa tuaj yeem cuam tshuam lub peev xwm ntawm anorectum kom tso tawm lub zais pa thiab tuaj yeem siv rau kev kuaj mob ua ntej ntawm OOC (qib lus pom zoo: pom zoo; tag nrho daim ntawv cog lus tus nqi 65%, ib feem kev pom zoo tus nqi 33%, daim ntawv cog lus 2 %).

8. Pelvic pem teb ultrasound: Rau OOC nrog lub hauv pliaj pelvic pem teb, pelvic pem teb ultrasound tuaj yeem kuaj pom qhov txawv txav ntawm ultrasound xws li rectocele, perineal qhovntsej thiaj tsis mob, qhov quav intussusception, thiab plab hnyuv hernia. Nws cov nyhuv diagnostic zoo ib yam li X-ray lossis MRI defecography. Nws yog ib qho yooj yim rau kev kuaj xyuas lub sij hawm thiab rov ua dua thiab muaj txiaj ntsig zoo; Txawm li cas los xij, pelvic pem teb ultrasound tej zaum yuav underestimate qhov hnyav ntawm qhov txhab vim yog vim li cas xws li txoj hauj lwm thaum lub sij hawm kev ntsuam xyuas, tus neeg teb xov tooj qhov kev paub theem, los yog lub siab ntawm lub sojntsuam. Rau pelvic pem teb spasm hom OOC, pelvic pem teb ultrasound muaj nws qhov tshwj xeeb zoo hauv kev soj ntsuam cov txheej ntawm lub qhov quav phab ntsa thiab qhov quav sphincter, lub cev lub cev thiab txav ntawm cov leeg nqaij, thiab tuaj yeem soj ntsuam kev so thiab Valsalva, lub kaum sab xis ntawm lub qhov quav thaum simulated defecation txav, thiab Kev Hloov ntawm qhov quav sphincter, puborectalis leeg, thiab levator ani hiatus muab ntau qhov kev siv rau kev xaiv kho mob ntawm txoj kev kho mob thiab kev ntsuam xyuas ntawm kev ua tau zoo. Transperineal ultrasound shear yoj elasticity imaging (SWE) tau siv nyob rau hauv xyoo tas los no los ntsuas qhov elasticity thiab contraction muaj nuj nqi ntawm pelvic pem teb cov leeg nqaij xws li puborectalis thiab levator ani cov leeg, uas tuaj yeem coj cov kev kho mob pelvic pem teb thaum ntxov. , soj ntsuam cov nyhuv ntawm pelvic pem teb rehabilitation.

Kev Pom Zoo 10: Pelvic pem teb ultrasound tuaj yeem soj ntsuam cov qauv morphological ntawm lub zais zis, urethra, lub ncauj tsev menyuam, qhov chaw mos, qhov quav, thiab qhov quav thiab lub sijhawm ua haujlwm ntawm Valsalva lossis simulated defecation txav, muab cov ntaub ntawv siv rau kev xaiv cov kev kho mob ( Kev pom zoo qib: Pom zoo; Kev pom zoo tag nrho 68%, kev pom zoo ib nrab tus nqi 21%, kev pom zoo tus nqi 9%, tsis pom zoo tus nqi 2%).

9. Kev soj ntsuam kev puas siab puas ntsws: Yog tias cov tsos mob ntawm cem quav tseem tsis tuaj yeem daws tau tom qab kho txoj kev ua neej thiab kev kho mob, yuav tsum tau saib xyuas tshwj xeeb rau kev soj ntsuam ntawm tus neeg mob lub hlwb kev xav, kev pw tsaug zog, thiab kev txhawb nqa kev sib raug zoo los txiav txim siab txog kev sib raug zoo. nruab nrab ntawm kev puas siab puas ntsws txawv txav thiab cem quav. Ua kom muaj kev cuam tshuam txog kev puas siab puas ntsws los txhim kho kev ua tau zoo thiab kev ua neej zoo ntawm cov neeg mob, thiab tseem muab cov ntaub ntawv siv rau kev soj ntsuam kev pheej hmoo ntawm kev phais thiab kev ceev faj txog kev phais mob rau cov neeg mob uas muaj kev puas siab puas ntsws loj thiab puas siab puas ntsws.

Daim Ntawv Pom Zoo 11: Nkag siab tus neeg mob lub siab lub ntsws ntxov thiab ua qhov tsim nyog rau kev soj ntsuam kev puas siab puas ntsws rau cov neeg mob cem quav nrog cov tsos mob ntawm kev puas siab puas ntsws (qib lus pom zoo: pom zoo; tag nrho daim ntawv cog lus tus nqi 91%, ib feem kev pom zoo tus nqi 9%).

10. Kev ntsuas kev ua tau zoo.

Cov lus pom zoo 12: Kev ntsuam xyuas cov txiaj ntsig kev kho mob ntawm OOC feem ntau yog nyob ntawm tus neeg mob qhov kev tso quav tawm, suav nrog tus neeg mob qhov zaus ntawm kev tso quav tawm ib lub lim tiam, lub sij hawm tshem tawm, fecal tshem tawm txaus siab thiab muaj feem cuam tshuam cov tsos mob txhim kho kev txaus siab ua ntej thiab tom qab kev kho mob (0 mus rau 10 ntsiab lus). Ntau cov qhab nia xws li cem quav (CSS), Cleveland clinic qhab nia (CCS), thiab obstructed outlet syndrome qhab nia (ODS) muaj qee qhov kev siv qhov tseem ceeb (qib lus pom zoo: Pom zoo; tag nrho kev pom zoo tus nqi 84%, ib feem kev pom zoo tus nqi 14%. , pom zoo tus nqi: 2%).

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 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: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.