Kev kho cem quav - Kev phais phais

1. Cov neeg mob nrog qeeb-transit cem quav uas tsis ua tiav kev saib xyuas kev kho mob tuaj yeem tau txais txiaj ntsig los ntawm kev phais (cov pov thawj qib: C, kev pom zoo: muaj zog).

Rau refractory qeeb-transit cem quav uas ua tsis tiav kev kho mob tsis yog phais, kev phais yog kev kho mob zoo. Txawm li cas los xij, postoperative raws plab thiab mob plab mob kuj yuav cuam tshuam rau tus neeg mob lub neej zoo, yog li cov kev phais yuav tsum tau tswj nruj me ntsis: (1) Ua tau raws li Rome IV kev kuaj mob rau kev ua haujlwm cem quav; (2) Kev kuaj kab mob hauv plab qhia tau tias ncua sij hawm colonic transit; (3) Cov kab mob feem ntau yog ntau dua lossis sib npaug li 2 xyoos, thiab tsis muaj txiaj ntsig tom qab kev kho mob tsis yog phais; (4) Tsis suav nrog qhov hluav taws xob ua rau cem quav hnyav thiab megacolon; (5) Tsis suav cov kab mob hauv plab hnyuv; (6) Ua rau muaj kev cuam tshuam loj rau kev ua haujlwm thiab lub neej, tus neeg mob qhov kev txaus siab rau kev phais yog qhov tseeb; (7) tsis muaj contraindications rau kev phais raws li kev soj ntsuam ntawm lub hlwb thiab lub hlwb.

Nyem rau cov tshuaj hauv tsev rau cem quav

Cov teeb meem cuam tshuam txog kev phais feem ntau yog cuam tshuam txog kev tshem tawm txoj hnyuv thiab kev xaiv txoj hnyuv rov tsim kho. Tag nrho lossis subtotal colectomy tam sim no yog qhov kev lees paub tshaj plaws ntawm kev txiav. Cov neeg uas muaj qhov hluav taws xob cuam tshuam xws li intrarectal prolapse thiab rectocele nrog cov tsos mob pom tseeb ntawm qhov hluav taws xob cuam tshuam yuav tsum tau kho ua ntej lossis kev kho mob tib lub sijhawm [45]. Ib nrab colectomy yuav tsum tau ua nrog ceev faj vim qhov kev pheej hmoo ntawm cem quav.

2. Cov neeg mob refractory qeeb-transit cem quav tuaj yeem tau txais txiaj ntsig los ntawm tag nrho cov colectomy thiab ileorectal anastomosis (cov pov thawj qib: B, kev pom zoo: muaj zog).

Tag nrho cov colectomy nrog ileorectal anastomosis (TC⁃IRA) tam sim no yog ib txoj kev phais uas siv los kho cov kab mob qeeb qeeb hauv ntiaj teb. Vim tias tus neeg mob lub plab tag nrho nrog kev thauj mus los qeeb raug tshem tawm, lub sijhawm hloov pauv ntawm cov plab hnyuv siab raum yog luv luv, thiab cov tsos mob cem quav ntawm cov neeg mob nrog cem quav qeeb tuaj yeem txhim kho tau zoo. Kev ua haujlwm ntev ntev yog qhov siab thiab qhov rov ua dua ntawm cem quav yog qis [46-47]. Arabi et al. [46] soj ntsuam 48 cov ntaub ntawv los ntawm 1989 txog 2008. Tag nrho ntawm 1,046 (72%) ntawm 1,443 tus neeg mob uas mob cem quav tau raug phais TC⁃IRA, thiab 9 cov kev tshawb fawb qhia txog qhov txaus siab ntawm tsawg dua 100%. % thiab 18 cov kev tshawb fawb qhia txog qib siab ntawm 80% txog 96%. Xyoo 2017, Knowles et al. [48] ​​soj ntsuam 40 cov ntaub ntawv los ntawm 1988 txog 2015 nrog tag nrho ntawm 2,045 tus neeg mob. Ntawm lawv, 1,321 tus neeg mob (64.6%) hauv 30 txoj kev tshawb fawb tau raug phais TC⁃IRA, thiab qhov txaus siab yog 65%. ~ 100% [49⁃50]. Qhov zaus ntawm kev tso quav yuav nce ntxiv tom qab TC⁃IRA, uas ua tiav lub hom phiaj ntawm kev tshem tawm cem quav. Txawm li cas los xij, kev mob raws plab heev nyob rau lub sij hawm luv luv thiab fecal incontinence nyob rau hauv ib tus neeg mob yog cov teeb meem tseem ceeb thiab yuav tsum tau tswj cov tshuaj. Tus naj npawb ntawm cov neeg mob 'feem ntau tuaj yeem txo qis mus rau qhov nruab nrab ntawm 4 mus rau 5 zaug hauv ib hnub 1 txog 2 xyoos tom qab kev phais, uas yog siv tau rau cov neeg mob feem ntau [49, 51-52]. Feem ntau cov teeb meem luv luv tom qab kev phais yog cov kab mob plab hnyuv loj (6.7%-27.0%), cov teeb meem mus sij hawm ntev yog cov kab mob plab hnyuv txhaws (8%-20%), thiab lwm yam muaj xws li mob plab hnyuv. mob (13.0%-20.7%). thiab lwm yam. [49, 51, 53]. Cov no yog cov laj thawj tseem ceeb uas cuam tshuam rau lub neej zoo tom qab kev phais, tab sis raws li lub sijhawm dhau mus, cov teeb meem no yuav muaj kev txhim kho tseem ceeb thiab feem ntau yuav ncav cuag lub xeev txaus siab ob xyoos tom qab phais [49]. Cov txiaj ntsig ntawm kev tshawb fawb txog kev tswj xyuas rov qab tau pom tias kev phais laparoscopic TC⁃IRA tau qis dua qhov kev phais qhib hauv cov ntsiab lus ntawm qhov tshwm sim ntawm kev mob plab hnyuv tom qab phais, rov tshwm sim ntawm cem quav, thiab raws plab [54].

3. Subtotal colectomy ua ke nrog cov txheej txheem anastomosis sib txawv kuj yog qhov kev kho mob phais ntawm kev xaiv rau kev qeeb qeeb ntawm cem quav (pov thawj theem: C, kev pom zoo lub zog: muaj zog).

Subtotal colectomy kuj yog ib qho kev phais uas siv rau kev phais mob qeeb-transit constipation thiab yog siv dav hauv Suav teb. Nws feem ntau suav nrog ob pawg: (1) subtotal colectomy thiab cecal-rectal lossis ascending colorectal anastomosis nrog kev khaws cia ntawm ileocecal valve; (2) subtotal colectomy thiab ileosigmoid anastomosis nrog preservation ntawm lub distal sigmoid nyuv. Ob txoj kev phais tuaj yeem txhim kho cov tsos mob ntawm qhov txo qis qis qis hauv cov neeg mob uas muaj cem quav qeeb, tab sis muaj qhov sib txawv tseem ceeb hauv cov txiaj ntsig tau tshaj tawm los ntawm cov kev tshawb fawb sib txawv, nrog rau tag nrho cov txiaj ntsig zoo thiab cov neeg mob siab npaum li ntawm 39% txog 100% [49 ]. Tus qub tuaj yeem txo qis kev mob plab tom qab phais rau qee yam vim nws khaws cia lub ileocecal valve; tom kawg khaws cia ib feem ntawm lub plab hnyuv sigmoid, uas yog qhov pab tau rau kev txo qis ntshav qab zib, tab sis ob qho tib si zoo li yuav ua rau kom rov tshwm sim tom qab cem quav [55]. Subtotal colectomy nrog kev khaws cia ntawm ileocecal valve suav nrog ascending colorectal side-to-side anastomosis (Jinling operation) [56], end-to-side anastomosis of the cecum with 90-degree rotation and the rectum [57], thiab retroperistaltic anastomosis ntawm qhov kawg ntawm cecum thiab lub qhov quav [58]. Qee cov kev tshawb fawb ntseeg tias kev phais Jinling tuaj yeem kho qhov txawv txav ntawm lub cev thiab kev ua haujlwm tsis zoo ntawm lub qhov quav thiab qhov quav hauv tib lub sijhawm, thiab tsim nyog rau cov neeg mob uas feem ntau qeeb colonic transit thiab concurrent outlet obstruction [56]. Txawm li cas los xij, ultra-low ascending colorectal anastomosis ua rau muaj kev nyuaj ntawm kev ua haujlwm thiab kev pheej hmoo ntawm anastomotic to; Qee cov neeg ntseeg hais tias tsis ua qhov sib cais ntawm lub plab tuaj yeem zam qhov cuam tshuam ntawm kev tso zis thiab kev ua haujlwm ntawm kev sib deev [59].

4. Antegrade colon lavage, txoj hnyuv loj los yog ileostomy, thiab kev phais txoj hnyuv tuaj yeem raug txiav txim siab thaum cov neeg laus muaj zog los yog tsis tuaj yeem ua rau lwm yam kev phais, thiab tseem yog cov kev xaiv hauv cov xwm txheej hnyav tom qab lwm qhov kev phais tsis tiav (qib pov thawj: C, kev pom zoo lub zog: qaug zog).

Antegrade lavage ntawm txoj hnyuv feem ntau yog siv lub appendicostomy lossis cecal raj. Cov ntaub ntawv qhia txog kev siv cov tshuaj antegrade colonic lavage, txoj hnyuv loj los yog ileostomy, thiab kev phais plab hnyuv loj rau cov neeg mob uas muaj cem quav hauv cov neeg tshwj xeeb yog feem ntau soj ntsuam nrog cov qauv me me. Lawv muaj kev cuam tshuam tsis ntev los no ntawm kev tshem tawm cem quav, tab sis muaj ob peb cov ntaub ntawv rov qab mus sij hawm ntev [60]. Hom kev phais no muaj qhov zoo ntawm kev ua haujlwm yooj yim, lub sijhawm ua haujlwm luv, thiab kev raug mob tsawg. Txawm li cas los xij, muaj ntau yam teeb meem tom qab phais, xws li qhov muag tsis pom lub voj voog tom qab kev cais tawm, uas tuaj yeem ua rau mob plab thiab mob plab; antegrade lavage tuaj yeem yooj yim ua rau lub raj txhaws lossis stenosis, Cov kua dej lavage rov qab; enterostomy-txog teeb meem tshwm sim [61-62]. Nws feem ntau ntseeg tau tias rau cov neeg mob uas tsis muaj zog thiab tsis tuaj yeem tiv taus colectomy, lossis cov uas muaj cov tsos mob hnyav ntawm plab hnyuv vim yog cem quav thiab tsis muaj cai yuav tsum tau mus rau colectomy, lossis cov uas tau cem quav tom qab kev phais yav dhau los ua tsis tau thiab tsis tuaj yeem nqa ntau dua. kev pheej hmoo ntawm kev phais, thiab lwm yam, koj tuaj yeem txiav txim siab xaiv cov ntawv thov.

5. Rau qhov nruab nrab mus rau qhov mob loj heev uas cuam tshuam nrog cov tsos mob ntawm qhov hluav taws xob thaiv, kev phais yuav raug txiav txim siab thaum kev kho mob tsis zoo (cov pov thawj qib: B, kev pom zoo: muaj zog).

Rau cov neeg mob uas muaj cov tsos mob ntawm qhov hluav taws xob cuam tshuam loj heev uas tau lees paub tias muaj qhov nruab nrab mus rau qhov mob hnyav heev los ntawm kev kuaj pom, kev phais yuav raug txiav txim siab thaum kev kho mob tsis zoo. Txoj kev phais yuav muab faib ua ob pawg: transabdominal thiab transperineal: transabdominal phais muaj ntau hom kev tshem tawm ntawm qhov quav lossis kho; Kev phais transperineal suav nrog kev phais Delorme, stapled transanal rectal resection (STARR)) tos. Txhua yam ntawm cov txheej txheem no muaj qhov zoo thiab qhov tsis zoo, thiab kev xaiv kho mob yog qhov tsis sib haum xeeb.

Txoj kev laparoscopic minimally invasive yog pom zoo rau txoj hauv kev transabdominal. Ntau yam suture rectopexy yog ib txoj kev phais classic rau kev kho mob ntawm qhov quav prolapse. Muaj ntau txoj kev phais mob qhia hauv cov ntaub ntawv. Qhov sib txawv tseem ceeb nyob hauv seb puas siv thaj chaw thiab qhov chaw nyob qhov twg lub thaj yog kho. Tus kab mob cem quav yog 40% txog 90% [63-64]. Ntawm lawv, cov txheej txheem phais neeg sawv cev, laparoscopic ventral mesh rectopexy (LVMR), tau txais kev qhuas zoo heev nyob rau xyoo tas los no thiab yog txoj kev phais uas nyiam rau kev kho mob ntawm cov kab mob hauv lub cev los ntawm European cov kws phais neeg mob plab [65-66]. Tus kab mob cem quav tom qab LVMR tshaj 90%, cem quav tshiab tsis tshua muaj, thiab tus nqi rov qab yog li 6% [67-68]. Cov teeb meem tom qab kev ua haujlwm ntawm LVMR suav nrog kev yaig mesh, kev kis kab mob, thiab kev txav chaw, thiab qhov tshwm sim ntawm cov mesh yaig yog 2% mus rau 3% [69-70]. Qee cov kev tshawb fawb ntseeg tias cov tshuaj lom neeg tuaj yeem txo qhov tshwm sim ntawm kev yaig [70]. Tsis tas li ntawd, kev phais LVMR tuaj yeem ua rau muaj teeb meem xws li mob plab thiab kev sib deev tsis zoo [71]. Qhov ua tau zoo ntawm cov neeg hlau pab ventral thaj rectopexy yog sib npaug ntawm LVMR [72]. Resection rectopexy yog sigmoidectomy ua raws li rectopexy [73]. Qee qhov kev tshawb fawb ntseeg tias qhov kev phais no tuaj yeem txhim kho qhov kev txhim kho ntawm cov tsos mob cem quav [63]; nws yuav tsis nce qhov tshwm sim ntawm cov teeb meem tom qab phais [74]. Txawm li cas los xij, kev ceev faj yuav tsum tau txiav txim siab thaum siv thaj kho kom tsis txhob muaj kab mob sib kis.

There are many transperineal surgeries, including Delorme surgery and STARR surgery. These two surgeries have similar therapeutic effects on rectal prolapse, and the long-term recurrence rate is >10% [75]. Ib txoj kev tshawb nrhiav kev tswj xyuas tau ua pov thawj tias LVMR phais tau ua haujlwm ntev ntev dua li STARR phais rau cov neeg laus [75]. Txawm li cas los xij, kev tshawb fawb rov qab ntawm 450 tus neeg mob tau xaus lus tias kev txhim kho cem quav tag nrho ntawm ob txoj kev phais mob zoo ib yam [76]. Nws yog feem ntau ntseeg hais tias txoj kev transabdominal mus kom ze muaj tus nqi qis dua thiab cov tsos mob zoo dua, tab sis qhov teeb meem me ntsis; thaum txoj kev transperineal mus kom ze muaj tus nqi qis dua, tab sis tus nqi rov qab ntau dua. Nrog rau qhov nrov ntawm laparoscopic thiab robotic minimally invasive phais, txoj kev phais transabdominal yog nce kev pom zoo thoob ntiaj teb. Txawm li cas los xij, muaj contraindications rau transabdominal mus kom ze rau kev phais, cov neeg uas tsis tuaj yeem zam qhov kev siv tshuaj loog, thiab cov txiv neej hluas thiab cov hnub nyoog nruab nrab uas ceev faj txog qhov cuam tshuam ntawm kev phais ntawm kev ua me nyuam. Thaum muaj kev cuam tshuam, kev phais transperineal kuj yog ib qho kev xaiv tsim nyog. Clinically, xaiv tus neeg yuav tsum tau ua raws li tus mob, tus kws kho mob qhov kev paub thiab tus cwj pwm, thiab tus neeg mob qhov kev xav tau.

6. Thaum rectocele tuaj yeem piav qhia cov tsos mob ntawm qhov hluav taws xob thaiv qhov hluav taws xob thiab cem quav, kev phais yuav raug txiav txim siab (cov pov thawj qib: B, kev pom zoo: muaj zog).

If the symptoms of outlet obstruction and constipation are obvious, rectocele may be considered in clinical and imaging diagnosis. If conservative treatment is ineffective, surgery may be considered. It is generally believed that when the depth of rectocele shown by defecography is >3 cm, and some studies suggest that it is >2 cm thaum cov tsos mob hnyav, nws tseem tuaj yeem txiav txim siab [77]; lub hnab protruding muaj qhov sib piv tus neeg sawv cev seem thiab yuav tsum tau ceev ceev ntawm qhov chaw mos lossis tes. Kev pab tshem tawm kuj yog lub hauv paus tseem ceeb rau kev xav txog kev phais ntxiv [13, 78]. Tam sim no tshaj tawm txoj kev phais rau rectocele muaj xws li transanal, transvaginal, transperineal, thiab transabdominal mus kom ze [13,78-83].

Transanal rectocele kho muaj xws li kev kho mob ntawm transanal rectocele, STARR phais, thiab lwm yam kev phais thiab kev kho stapler rectocele [13, 79-83]. Cov neeg mob uas muaj kev pheej hmoo ntawm qhov quav incontinence yuav tsum siv kev phais transanal nrog ceev faj [13]. Raws li cov ntaub ntawv tshaj tawm, tag nrho cov txiaj ntsig ntawm kev kho cov tshuaj transanal rectocele yog li 70% [84]; tag nrho cov kev txaus siab tom qab ua haujlwm tom qab STARR yog 68% rau 99% [80, 85]. Cov qhab nia tom qab cem quav tau qis dua qhov ua ntej kev phais [80]. Cov teeb meem tshwm sim muaj xws li ceev ceev ntawm qhov quav, ntshav anastomotic, thiab mob qhov quav. Raws li lub sijhawm rov qab los, qhov rov tshwm sim ntawm cem quav nce [76, 85-86].

Transvaginal rectocele surgery is a commonly used surgical approach. It has the advantages of better exposing the pelvic fascia and levator ani muscles, maintaining the integrity of the rectal wall, and reducing complications such as infection and rectovaginal fistula formation. The overall effective rate is >80 %, thiab tus nqi rov qab yog qis [85]. Qhov tshwm sim ntawm cov teeb meem dyspareunia qhia hauv cov ntaub ntawv yog 0 txog 36% [87].

Txoj hauv kev transperineal rau kev kho rectocele feem ntau ua ke nrog thaj chaw tso lossis levator angioplasty, tshwj xeeb tshaj yog rau cov neeg mob uas muaj rectocele nrog sphincter tsis xws luag lossis pheej hmoo ntawm fecal incontinence. Kev txhim kho tus nqi ntawm qhov hluav taws xob thaiv cov tsos mob yog 70% mus rau 91%. [88⁃89]. Cov teeb meem tshwm sim muaj xws li qhov txhab kab mob, los ntshav los yog hematoma, dyspareunia, rectovaginal fistula, thiab thaj erosion [89-90]. Ib txoj kev tshawb nrhiav RCT tsis ntev los no tau xaus lus tias txoj hauv kev transvaginal muaj kev txhim kho cem quav zoo dua thiab kev sib deev lub neej zoo [88].

Rau cov neeg mob uas muaj rectocele nrog los ntawm qhov txawv txav xws li lub qhov quav prolapse, pelvic pem teb peritoneal hernia, los yog utero-vesical prolapse, LVMR phais raug pom zoo [13, 78, 85, 91-92]. Qee cov kev tshawb fawb ntseeg hais tias piv nrog kev kho lub cev thiab transanal rectocele, cov neeg mob hauv pawg LVMR tau ua tiav cov qhab nia zoo dua tom qab kev ua neej, kev kho anatomical, thiab qis dua tus nqi [91-92].

7. Kev kho mob biofeedback yuav tsum yog thawj qhov kev xaiv rau kev cem quav ntawm cov leeg hauv plab pelvic. Hom A carnitine txhaj tshuaj kaw kuj tuaj yeem xaiv. Cov txiaj ntsig ntawm kev phais mob ntawm qhov quav cem quav ntawm cov leeg hauv plab hauv plab yog qhov tsis meej thiab yuav tsum tau ua tib zoo xaiv (Cov pov thawj zoo: C, Cov Lus Pom Zoo: Muaj zog).

Cov kab mob dyssynergic defecation disorders (DD) uas muaj nyob rau hauv kev kho mob muaj xws li pelvic pem teb spasm syndrome thiab puborectalis syndrome. Cov kev kho mob tshwm sim ntawm ob qho tib si zoo sib xws thiab nws yog ib qho nyuaj rau kev paub qhov txawv ntawm lawv cov duab. Qhov tshwm sim tseem ceeb yog tias sab hauv thiab sab nraud qhov quav sphincter, puborectalis, thiab lwm cov leeg hauv plab hauv plab tsis tuaj yeem so lossis so tsis txaus thaum lub sijhawm defecation, lossis txawm tias cog lus txawv txav [93]. Qhov kev vam meej ntawm kev kho biofeedback yog nyob nruab nrab ntawm 33% thiab 80% [94-95]. Nws tuaj yeem siv los ua thawj txoj kev kho mob thiab tau sim ntau zaus.

Rau cov neeg mob uas tsis muaj txiaj ntsig hauv kev kho mob biofeedback, perianal txhaj tshuaj ntawm hom A carnitine tuaj yeem txiav txim siab rau kev kho mob kaw. Feem ntau, nyob rau hauv kev taw qhia ntawm kev ntsuam xyuas qhov quav ntawm lub qhov quav ntawm 3 teev thiab 9 teev, cov leeg puborectalis thiab / lossis sab nraud ntawm qhov quav sphincter raug txhaj, thiab cov tsos mob zoo tuaj. Tus nqi yog 29.2% ~ 100%, nrog zoo heterogeneity [96]. Thaum muaj ntau yam kev kho mob tsis zoo, ib nrab puborectal leeg amputation tuaj yeem sim, tab sis muaj qee cov lus ceeb toom, qhov ua tau zoo tsis paub meej, thiab muaj qee yam kev pheej hmoo ntawm incontinence, thiab cov lus qhia rau kev phais yuav tsum tau tswj nruj heev [95].

8. Tus neeg laus Hirschsprung kab mob yog ib hom kev cem quav tshwj xeeb nrog cov kab mob tshwj xeeb thiab cov txheej txheem phais sib txawv. Lub xub ntiag ntawm tus kab mob no yuav tsum tau qhia meej thaum lub sij hawm ntsuam xyuas ua ntej ntawm kev cem quav ntev (Cov pov thawj qib: B, Cov lus pom zoo: Muaj zog)

Cov neeg laus megacolon suav nrog cov neeg laus Hirschsprungdisease (HD) thiab cov neeg laus idiopathic megacolon (IMC). Vim lawv cov kab mob sib txawv, cov txheej txheem phais sib txawv [97-98].

HD yog tshwm sim los ntawm tsis muaj ganglion hlwb nyob rau hauv cov hnyuv distal, qhov quav submucosal plexus, thiab myenteric plexus. Kev phais yog ib txoj hauv kev zoo los kho tus kab mob. Lub hauv paus ntsiab lus ntawm kev phais yog tshem tawm stenotic ntu, ntu ntu ntu thiab pom tseeb dilated ntu ntawm txoj hnyuv. Thaum lub sijhawm ua haujlwm, cov ntaub so ntswg tau khov sai sai thiab muab faib los saib xyuas kev faib tawm ntawm cov hlwb ganglion hauv plab hnyuv phab ntsa cov leeg nqaij txheej. Ganglion hlwb yuav tsum tau pom meej meej ntawm ob qhov deb thiab ze ntawm cov npoo resection ua ntej txoj hnyuv tuaj yeem ua tiav [99].

IMC muaj ntau qhov zoo sib xws nrog HD, tab sis IMC tsis muaj qhov nqaim ntawm txoj hnyuv. Nws dilated plab hnyuv ntu yog kab mob plab hnyuv. Tus naj npawb ntawm ganglia nyob rau hauv cov hnyuv ntu no yog txo thiab degenerated, cov nqaij ntshiv ntawm lub plab hnyuv phab ntsa yog nyias, thiab plab hnyuv peristalsis tsis muaj zog. Cov hauv paus ntsiab lus ntawm kev kho mob phais ntawm IMC kuj txawv ntawm HD. Nyob rau hauv lub qub, lub dilated plab hnyuv ntu yuav tsum tau resected. Subtotal colectomy ntxiv rau ileorectal anastomosis lossis ascending colorectal anastomosis yuav tsum raug xaiv. Cov tom kawg khaws cov kev ua haujlwm ntawm ileocecal valve thiab tuaj yeem txo qhov mob plab tom qab phais. Cov tsos mob [100].

Txij li thaum ua rau cov neeg laus megacolon txawv, cov tswv yim kho mob phais kuj txawv. Tsuas yog los ntawm kev ua kom tiav thiab nthuav dav qhov kev ntsuam xyuas ua ntej kom ua tau peb thiaj li tau txais txiaj ntsig kev kho mob zoo.

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 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's cistanche hmoov, cistanche ntsiav tshuaj, cistanche tsiav tshuaj, thiab lwm yam khoom yog tsim los siv suab puam cistanche raws 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 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.