mob plab hauv cov dev laus lossis cov dev uas muaj hnub nyoog laus dua yog ib qho laj thawj rau kev sab laj hauv tsev kho tsiaj me. Nws yog ib qho kev kuaj mob uas tuaj yeem tshwm sim cuam tshuam nrog ntau yam pathologies, tsis tsuas yog digestive, tab sis kuj muaj feem xyuam rau lwm yam kabmob thiab lub cev. Kev txheeb xyuas qhov ua rau mob raws plab yuav yog qhov tseem ceeb los tsim kom muaj kev kho mob tshwj xeeb thiab tswj cov txheej txheem.
Yog koj xav paub ntau ntxiv txog mob plab hauv cov dev laus, ua rau thiab yuav ua li cas peb xav kom koj nyeem ntxiv mus ntxiv tsab xov xwm hauv peb qhov chaw.
Nyob raws plab hauv cov dev laus
Ua ntej hais txog qhov sib txawv uas tuaj yeem ua rau mob raws plab hauv cov dev laus, peb yuav tsum sib txawv ntawm cov kab mob raws plab uas muaj.
- : cov uas kav tsawg dua 3 lub lis piam. Lawv muaj kev loj hlob sai thiab zoo heev, thiab feem ntau yog nrog los ntawm kev lwj thiab tsis zoo ntawm tus tsiaj.
- : cov uas kav ntev tshaj 3 lub lis piam. Cov kab mob raws plab tsis tu ncua kuj suav nrog hauv pab pawg no. Lawv tsim maj mam thiab cov xwm txheej ntawm tus tsiaj deteriorates maj mam.
Ntxiv rau, nyob ntawm qhov cuam tshuam ntawm txoj hnyuv, raws plab tuaj yeem raug cais raws li:
- mob plab zawv plab: lawv muaj xim daj los yog daj daj, qhov ntim ntawm cov quav tau nce ntxiv thiab lawv yuav muaj cov zaub mov tsis zoo, ua npuas ncauj., digested ntshav (melena) los yog rog (steatorrhea).
1. Laug Yeem Dawv Plaub NOJ NIAM, MUCUS THIAB / LOS YOG / LOS SIS / LOS NTAWM COV KHIS ZOO. Hauv qhov no, qhov ntim ntawm ib qho quav yog qhov qub tab sis qhov ntau zaus ntawm kev tso quav yog nce.
Knowing the chronicity of diarrhea and the intestinal segment that is cuam tshuam yuav yog ib qho tseem ceeb los coj kev kuaj mob hauv cov tsiaj no.
Yog koj xav paub ntau ntxiv txog Hom mob raws plab hauv dev, tsis txhob ua siab deb mus saib lwm tsab xov xwm no uas peb pom zoo.
Kab mob plab hnyuv loj los yog IBD
IBD yog ib qho ntawm feem ntau ua rau mob raws plab hauv cov dev laus thiab cov laus. Nws encompasses ib pab pawg neeg ntawm cov kab mob uas tshwm sim los ntawm kev loj hlob ntawm ib tug inflammatory teb nyob rau theem ntawm txoj hnyuv mucosaCov txheej txheem inflammatory no tiv thaiv cov as-ham los ntawm kev nqus hauv cov hnyuv, uas ua rau lub siab osmotic ntawm qib ntawm txoj hnyuv lumen, khaws dej thiab ua rau mob raws plab.
Hnub no suav hais tias yog idiopathic kab mob, uas yog, tsis paub keeb kwm Nws ntseeg tau tias yog txheej txheem ntau yam hauv qhov ntawd. immunological, allergic, noj zaub mov los yog dysbiotic mechanisms yuav cuam tshuam, txawm hais tias nws tsis paub meej. Txawm li cas los xij, nws yuav tsum tau muab sau tseg tias tsis ntev los no tau tshawb pom tias cov kab mob E. coli koom nrog cov kab mob histiocytic-ulcerative colitis hauv Boxers.
IBD tuaj yeem cuam tshuam rau txoj hnyuv me (SI), txoj hnyuv loj (GI), lossis ob qho tib si:
- IBD Me Me: Chronic ID raws plab (nrog mustard-xim, cov quav dej), blious ntuav nrog lub plab yuav pom qhov khoob, qhov hnyav. poob thiab mob plab. Mob plab tuaj yeem tshwm sim nyob rau hauv daim ntawv ntawm antalgic txoj hauj lwm (txoj hauj lwm thov Vajtswv) los yog nyob rau hauv daim ntawv ntawm kev tawm tsam (lawv tuaj yeem tsis meej pem nrog qaug dab peg)
- Large Bowel IBD: Cov neeg mob uas muaj kab mob IG mob raws plab (nrog cov hnoos qeev ntau thiab cov ntshav tshiab), tenesmus (yaum kom defecate tsis tu ncua) thiab nce plab hnyuv, tab sis ntuav thiab poob phaus feem ntau tsis tshwm sim rau qhov no.
Rau qhov ntawm IBD nws yog qhov tsim nyog:
- Perform ib qho endoscopy ntawm qhov cuam tshuam txoj hnyuv ntu.
- Khiav ib tug biopsy ntawm lub plab hnyuv mucosa ua ib tug histopathological tsom xam.
The Kev tswj hwm ntawm canine IBD yog raws li ob tug ncej:
- Kev noj haus: kev noj zaub mov tsis muaj roj thiab tsis muaj fiber ntau, nrog cov protein ntau hydrolyzed thiab nrog 1: 5 piv yuav tsum tau muab los yog 1:10 ntawm Omega-3 fatty acids: Omega-6.
- Kev kho mob ntawm kev xaiv rau ob hom IBD yog prednisone. Txawm li cas los xij, muaj lwm yam tshuaj xws li cyclosporine, azathioprine, metronidazole lossis sulfasalazine, uas tuaj yeem siv ob leeg thiab ua ke rau kev kho mob ntawm IBD. Hauv cov xwm txheej tshwj xeeb ntawm boxer histiocytic ulcerative colitis, kev kho mob ntawm kev xaiv yog tshuaj tua kab mob enrofloxacin, vim E. coli koom nrog nws cov kab mob.
Cov qog plab yog lwm qhov ua rau mob raws plab nyob rau hauv cov laus thiab cov dev.
Raws li IBD, cov qog kuj raug cais raws li cov hnyuv uas lawv cuam tshuam. Yog li, peb pom:
NOJ NIAM NTSEEG
LUB ZAUB NCAUJ NOJ DUA , vim nws yog tib txoj hauv kev kom paub meej hom qog uas tus tsiaj nthuav tawm. Cov qauv biopsy tuaj yeem tau txais los ntawm endoscopy lossis exploratory laparotomy.
LUB CAIJ NTUJ ZAUB TSEEM CEEB, Txawm hais tias nws yog feem ntau summarized hauv ob lub tswv yim:
- Qhov kev kuaj mob zoo tom qab phais.
- Chemotherapy: in lymphosarcomas. Hauv cov xwm txheej no, txawm tias kev kho mob, qhov kev cia siab tau raug tiv thaiv. Peb qhia koj ntxiv txog Tshuaj Khomob hauv dev: cov kev mob tshwm sim thiab cov tshuaj hauv cov ntawv tshaj tawm no ntawm peb qhov chaw.
Pab mob plab plab
plab hnyuv polyps yog hyperplastic loj hlob ntawm cov qog nqaij hlav uas tsis yog qog nqaij hlavuas feem ntau tshwm sim ntawm cov mucosa ntawm txoj hnyuv los yog qhov quav thiab, qee zaus, ntawm cov hnyuv. Lawv yog pedunculated masses, nyob ib leeg los yog ntau yam, uas feem ntau muaj ulcerated plab hnyuv mucosa.
Cov polyps no tshwm sim ntau zaus hauv cov dev hnub nyoog nruab nrab thiab tuaj yeem tsim cov tsos mob hauv qab no:
- mob plab.
- Tenesmus: tas mus li yuav tsum tau defecate. Peb tso koj cov lus hauv qab no rau vim li cas Kuv tus dev poops ntau: ua rau thiab kev daws teeb meem, hauv qab no.
- Hematochezia: qhov quav los ntshav.
- Melena: cov quav tsaus vim muaj cov ntshav digested.
- Vim.
Koj diagnosis xav tau kev ua haujlwm ntawm endoscopy, biopsy thiab histopathology kom paub meej tias nws tsis yog qog nqaij hlav.
lub resection ntawm qhov cuam tshuam ntawm txoj hnyuv.
kab mob raum mob (CKD)
CKD yog ib yam kab mob uas tshwm sim los ntawm progressive and irreversible pls of renal function. Nws yog ib qho ntawm cov kab mob tseem ceeb tshaj plaws hauv cov dev geriatric. Ntxim qab kawg li os, yog qhov thib peb ua rau cov tsiaj no tuag.
Txawm tias yog kab mob uas cuam tshuam rau ob lub raum, nws ua rau uas tuaj yeem cuam tshuam ntau yam khoom siv thiab tshuab, suav nrog kev zom zaub mov. Ntawm lwm yam, hauv cov dev uas muaj CKD muaj qhov sib txuam ntawm urea thiab creatinine hauv cov ntshav (azotemia), uas tuaj yeem ua rau raws plab.
Txawm hais tias nws yog ib qho kab mob kho tsis tau, ua kom tus kab mob qeeb zuj zus, thiab kho mob kom txo tau tus tsiaj cov tsos mob (xws li zawv plab). Tshwj xeeb, kev tswj xyuas kev kho mob ntawm CKD suav nrog:
- kho mob: hydroelectrolyte thiab acid-base tshuav yuav tsum tau rov qab los ntawm kev kho kua dej, nrog rau kev kho mob kub siab nrog vasodilators.
- Kev noj haus: "Nyob raum noj" uas muaj ntau ntau Omega-3 fatty acids, antioxidants thiab soluble fiber yuav tsum tau muab, raws li Ntxiv rau qhov txo qis ntawm sodium, phosphorous thiab protein.
kab mob siab
Cov kua ntsev yog qhov tseem ceeb rau kev tsim cov micelles thiab nqus cov rog ntawm cov hnyuv. Thaum muaj kab mob siab uas txo qis cov kua tsib ntsev los yog tiv thaiv kom cov kua tsib nkag mus rau txoj hnyuv(cholestasis), tsis muaj kev zom cov rog thiab cov duab Cov kab mob hauv plab me me tshwm.
Tshwj xeeb, raws plab feem ntau tshwm sim nrog rau lwm cov tsos mob uas tsis yog kev kho mob tshwj xeeb (xws li ntuav, polyuria thiab polydipsia lossis poob phaus) nyob rau hauv thawj theem ntawm tus kab mob, ua ntej cov tsos mob qhia txog kab mob siab (xws li jaundice, ascites, lossis hepatic encephalopathy) tshwm sim.
LUBPHEM thiab tej zaum yuav muaj xws li:
- ZIB U Ursodeoxychocic Acid, Surymarin, Etc. 15
- Dietary Management: kev noj zaub mov tshwj xeeb yuav tsum tsim los rau txhua tus neeg mob, txawm hais tias feem ntau nws yuav yog cov zaub mov digestible, nplua nuj nyob hauv carbohydrates. carbon ntawm yooj yim assimilation thiab nruab nrab hauv rog.
-Tam Sim No
Exocrine pancreatic insufficiency
Ib etiology uas peb yuav tsum tsis txhob hnov qab nyob rau hauv dev nrog raws plab yog exocrine pancreatic insufficiency. Thaum lub sij hawm tus kab mob no, muaj ib tug tsis txaus nyob rau hauv lub synthesis thiab secretion ntawm pancreatic enzymes, uas yog ib qho tseem ceeb rau kev zom cov carbohydrates, proteins thiab rog.
Cov enzymes uas tsis muaj cov enzymes no tiv thaiv cov as-ham los ntawm kev zom thiab nqus, ua rau cov kab mob maldigestion - malabsorption. Raws li qhov tshwm sim, cov tsos mob hauv qab no tuaj yeem pom:
- Pov poob Marked.
- Voracious appetite: qhov no yog qhov zaus ntawm polyphagia, coprophagia thiab pica cwj pwm.
nrog zaub mov. Nws yog ib qho kev kho mob rau lub neej, txawm tias qhov kev kuaj mob zoothiab cov tsiaj feem ntau txhim kho zoo heev tom qab pib tswj cov enzymes.
Koj tuaj yeem nyeem cov lus hauv qab no ntawm Exocrine pancreatic insufficiency hauv dev: cov tsos mob thiab kev kho mob kom paub ntau ntxiv txog cov ncauj lus.
Lwm yam ua rau
Ntawm tsab xov xwm no, peb tau piav qhia txog lub ntsiab ua rau mob raws plab hauv cov dev laus. Txawm li cas los xij, muaj lwm yam aetiologies uas tuaj yeem tsim qhov kev kuaj mob no hauv cov dev, tsis hais lawv hnub nyoog li cas:
- Vim li no, thaum twg peb hloov pauv ntawm ib qho khoom noj mus rau lwm qhov, nws yog ib qho tseem ceeb uas yuav tsum tau muab cov khoom noj tshiab nrog rau yav dhau los, thiab ua kom cov khoom noj tshiab kom ntau ntxiv raws li tus tsiaj tolerates nws. Nyob rau hauv cov ntaub ntawv ntawm cov khoom noj hauv tsev, thaum twg cov zaub mov tshiab tau qhia nws yuav tsum ua kom tsawg
- noj tsis txaus: Cov txheej txheem zawv plab feem ntau tshwm sim thaum cov neeg zov me nyuam muab zaub mov rau lawv cov tsiaj. Vim li no, kev pab ntawm cov khoom noj uas tsis yog ib feem ntawm kev noj zaub mov ib txwm ntawm cov dev yuav tsum tau zam, kom tsis txhob muaj cov tsos mob ntawm kev zom zaub mov.
- : ob leeg kab mob (xws li salmonellosis) thiab viral (xws li canine distemper).
- kab mob plab hnyuv: vim yog protozoa, nematodes los yog cestodes, nyob rau hauv cov tsiaj uas tsis zoo dewormed.
