Suav Cov Kws Tshaj Lij Pom Zoo Rau Kev Ntsuam Xyuas Kev Ntsuas Thiab Kev Tswj Xyuas Kev Kho Mob Ntawm Slow Transit Constipation (2023 Edition)Ⅰ
Jan 05, 2024
Nyob rau hauv xyoo tas los no, kev tshawb fawb ntawm cov hauv paus ntsiab lus thiab kev phais mob thiab kev kho mob ntawm tus kab mob qeeb qeeb (STC) tau ua tiav qee yam. Txawm li cas los xij, Suav cov kws phais neeg tseem tsis muaj ntaub ntawv pov thawj hauv kev kho mob ntawm STC, tshwj xeeb tshaj yog hais txog kev ntsuam xyuas ua ntej thiab xaiv kev phais.
Txhawm rau txhim kho cov txheej txheem kho mob ntxiv, kev ntsuam xyuas thiab kev tswj xyuas kev phais ntawm STC, Tus Kws Kho Mob Anoectal Branch ntawm Tuam Tshoj Tus Kws Kho Mob Association thiab Pawg Neeg Ua Haujlwm Saib Xyuas Kab Mob tau xaiv cov kws tshaj lij hauv kev phais STC hauv Suav teb los tsim pawg kws kho mob ntawm "Cov Kws Tshaj Lij Kev pom zoo ntawm Kev Ntsuas, Kev Ntsuas thiab Kev Tswj Xyuas Kev Kho Mob ntawm Slow Transit Constipation nyob rau hauv Tuam Tshoj", tsom rau kev kuaj mob, kev kuaj mob sib txawv, kev kho tsis yog phais thiab kev phais kev phais ntawm STC, 20 cov lus pom zoo tau muab tso rau tom ntej los ntawm kev tshawb fawb hauv tsev thiab txawv teb chaws cov ntaub ntawv thiab sib txuas cov kev kho mob. ntawm cov kws tshaj lij, tsom mus rau tus qauv kev kuaj mob thiab kev kho mob ntawm STC hauv Suav teb thiab txhim kho tag nrho qhov zoo ntawm STC hauv Suav teb. Kev kuaj mob thiab kev kho mob qib.
Tam sim no, kev ua haujlwm cem quav (FC) feem ntau yog muab faib ua peb hom: kev cem quav qeeb qeeb (STC), qhov hluav taws xob cem quav (OOC), thiab cem quav sib xyaw [1-2]. Ntawm lawv, STC yog ib qho subtype ntawm kev ua haujlwm cem quav uas tshwm sim los ntawm kev sib kis kab mob colonic [3-5].
Cov tsos mob ntawm STC cov neeg mob feem ntau txo qis defecation zaus (spontaneous defecation<3 times/week), labored defecation, and dry and hard stool [6]. As the disease progresses, STC patients may gradually develop incomplete obstruction symptoms such as abdominal pain and abdominal distension, and severe patients may develop fecal stone colon obstruction. When non-surgical treatment measures are ineffective and clinical symptoms seriously affect the quality of life, STC patients often turn to surgical treatment [7].
Txawm li cas los xij, tseem muaj ntau qhov kev tsis sib haum xeeb thiab qhov tsis zoo hauv kev phais mob thiab kev kho mob ntawm STC. Txhawm rau ua qauv kev kuaj mob thiab kev kho mob ntawm STC hauv Suav teb, Tus Kws Kho Mob Anoorectal Branch ntawm Tuam Tsev Kho Mob Kws Kho Mob thiab Pawg Kws Kho Mob Ua Haujlwm tau sib koom ua ke pib lub tswv yim ua ke nrog Suav Journal of Gastrointestinal Surgery los xaiv cov kws tshaj lij hauv daim teb no hauv Suav teb. . Tom qab kawm STC cov ntaub ntawv ntsig txog, ua ke nrog cov kev hloov tshiab tshiab Raws li cov pov thawj los ntawm cov tshuaj forensic thiab kev soj ntsuam ntawm cov kws tshaj lij hauv kev tshawb fawb STC, thiab coj los ntawm kev kuaj mob phais thiab kev kho mob cuam tshuam nrog STC, qhov kev pom zoo no thaum kawg tau tsim tom qab. ntau qhov kev sib tham thiab kev sib koom ua ke ntawm kev xav.
Kev txhais ntawm STC
STC yog ib qho kab mob ntawm kev thauj mus los ntawm txoj hnyuv. Nws cov tsos mob tseem ceeb yog: tsis tas yuav defecate los yog yuav tsum tau defecate yog qhov tsis muaj zog, qhov zaus ntawm defecation yog txo qis (spontaneous defecation.<3 times/week) and progressively worsens; dry stool; over time, it may appear Abdominal bloating, labored bowel movements, and colon obstruction, among others. Simple STC specifically refers to STC without obvious OOC [4-5]. However, more than half of OOC patients have varying degrees of prolonged colon transit time, and more than two-thirds of STC patients have defecation coordination disorders [6,9]. Therefore, confirming (or suspected diagnosis of) STC requires an assessment of whether OOC also exists.
Kev Pom Zoo 1: Kev kuaj mob STC yuav tsum ua raws li cov xwm txheej hauv qab no:
(1) Ua tau raws li "Rome IV" cov txheej txheem kuaj mob rau kev ua haujlwm cem quav, thiab cov kab mob yuav kav ntev li 6 lub hlis;
(2) Tsis suav nrog cem quav los ntawm cov kab mob hauv cov hnyuv;
(3) Colonic transit test paub meej tias ncua sij hawm txoj hnyuv loj [6,10-12].
(Cov pov thawj zoo: nruab nrab, qib pom zoo: muaj zog)
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. Hom Cistanche feem ntau pom nyob rau hauv thaj chaw qhuav thiab suab puam ntawm Tuam Tshoj, Mongolia, thiab 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.
