Diverticular kab mob ntawm cov nyuv: Cov tsos mob thiab kev kho mob

Tib neeg txoj hnyuv yog lub luag hauj lwm rau lub plab zom mov thiab haum ntawm zaub mov, thiab kuj yuav tshem co toxins los ntawm lub cev. Immune dab thiab synthesis ntawm peptide cov tshuaj hormones hais txog nws cov hauj lwm. Nws yog yog li ntawd tseem ceeb heev hais tias qhov no lub cev yog noj qab nyob zoo thiab muaj peev xwm rau siab ua lawv zog. Feem ntau, txawm li cas los, lub pathological dab nws muaj yuav luag imperceptibly los yog muaj cov tsos mob uas thaum xub thawj tsis ua kom muaj kev txhawj xeeb. Thiab nyob rau hauv lub daim ntawv ntsuam xyuas qhia ib tug pathology, uas tib neeg twb tsis muaj lub tswv yim.

Tus kab mob no yuav ua tau diverticular plob tsis so tswj kab mob. Nws yog ib nqi sau cia hais tias nws yog, oddly txaus, yog ntau ntau nyob rau hauv tsim lub teb chaws, thiab feem ntau nyob rau hauv cov neeg laus. Ntau npaum li cas tsis tshua muaj feem xyuam rau cov neeg uas yau dua 40 xyoo. Yog li ntawd yog dab tsi tus kab mob no, dab tsi yog nws cov tsos mob thiab yuav ua li cas nws yog kho li cas? Xav txog ntxiv lawm.

Dab tsi "diverticular kab mob"?

Ua ntej, peb txhais tau li cas ib tug diverticulum. Nws yuav ua nyob rau hauv lub plab hnyuv phab ntsa, qhov chaw uas nyob rau hauv lub yeej nqaij ntawm cov hlab ntsha muaj. Thaum lub siab ntawm lub nce nyob rau hauv lub gut, thaum lub zog feem ncaws tshwm sim mucosa mus rau hauv lub lumen ntawm nqaij fibers. Tsim lub thiaj li hu ua lub hnab-protrusion zoo. Lawv loj yuav tsum yog los ntawm 1 mus rau 2 centimeters. Ntawm no lawv hu ua diverticula. Diverticula yog tsim nyob rau ntau qhov chaw ntawm lub plab hnyuv ib ntsuj av tau, tab sis feem ntau nws tshwm sim nyob rau hauv txoj hnyuv loj.

Tag nrho cov kab mob nyob rau hauv lub International Classification muaj lawv cai, nws yog tsis muaj exception thiab diverticular kab mob. ICD-10 muaj xws li no pathology nyob rau hauv lub code K57.

Tus kab mob yuav tshwm sim raws li nws yog asymptomatic, thiab nrog o thiab mob. Raws li hais ua ntej lawm, qhov uas yuav tsim kab mob no yog siab tshaj plaws nyob rau hauv cov neeg laus. Thaum muaj hnub nyoog ntawm 40 nws yog ntau npaum li cas rarer.

Nyob ntawm seb yuav ua li cas tus kab mob no tshwm sim, nws yuav tsum txwv kom muab zais raws li nram no:

• Asymptomatic diverticulosis.
• Diverticulosis cov tsos mob.
• Diverticulitis nrog teeb meem.

Txawm li cas los ntawm lub chav kawm ntawm tus kab mob no, yog hais tias xws li ib tug mob no yog ua los, koj yuav tsum tau pom los ntawm ib tug kws kho mob. Yog hais tias koj pib nws thiab nws yuav siv sij hawm ib tug tham zoo lawm, nws yuav ua tau neeg tuag taus yog tias koj tsis ua li qhov phais nyob rau hauv ib tug raws sijhawm. Qhov no yuav qhia rau tom qab. Thiab tam sim no saib dab tsi cov tsos mob tej zaum yuav qhia hais tias muaj yog diverticular plob tsis so tswj kab mob. Ntawm nws tus kheej paub txog ib tug tab tom yuav muaj teeb meem?

Diverticular kab mob symptomatology

Tej kab mob raws li diverticular kab mob (lub sigmoid cov nyuv, piv txwv li), cov tsos mob feem ntau tshwm sim nyob rau hauv thaum ntxov ua sawv, tshwj xeeb tshaj yog nyob rau hauv tub ntxhais hluas. Tsuas yog qee yuav tshwm sim xws kev tsis txaus siab:

• Cem quav.
• Plab ntswj.
• Qhov nce nyob rau hauv lub plab mog.

Cov tsos mob tej zaum yuav, yog tias diverticular kab mob loj zuj zus tsis muaj teeb meem, nyob rau hauv uas cov ntaub ntawv yog tsis muaj tseeb-txiav pov thawj ntawm tus kab mob.

Yog hais tias diverticulosis loj zuj zus, cov tsos mob tshwm zog npaum li cas. Nyob rau hauv cov ntaub ntawv no, lub tsis txaus siab yuav ua tau raws li nram no:

• Xeev siab.
• Ntuav.
• Cem quav.
• Mob plab, feem ntau yog nyob rau sab laug. Nws cov lus hais rau palpation.
• Nce lub cev kub.
• Muaj yog ib tug kub taub hau, tsis muaj zog.
• Qaug cawv, mob taub hau.

Qhov ntau complex cov ntaub ntawv, qhov ntau pronounced cov tsos mob ntawm tus kab mob. Yog hais tias koj xav tias koj muaj diverticular kab mob, cov tsos mob piav saum toj no, yuav tsum tau alerted. Nws yog ib qho tseem ceeb kom tsis txhob nco lub caij thiab nyob rau hauv ib tug raws sijhawm mus thov kev pab nyob rau hauv kev txiav txim kom tsis txhob loj teeb meem.

Yog vim li cas muaj diverticular kab mob ntawm cov sigmoid nyuv los yog lwm yam departments? Wb soj ntsuam.

Cov ua rau diverticular kab mob

Tsis txhob hnov qab hais tias xws li cov kab mob li diverticular kab mob ntawm cov nyuv yuav feem ntau cov neeg laus. Yog li ntawd, ib tug ntawm cov ua ntawm tus kab mob yog txuam nrog lub hnub nyoog, thiab nws yog ib tug ua txhaum ntawm cellular metabolism nyob rau hauv lub npag txheej ntawm cov hnyuv.

Cov nram qab no yam yuav tsum tau ntaus nqi kuj yuav yog vim li cas:

• Txawv txav kev loj hlob ntawm connective ntaub so ntswg, thiab muaj kev cuam tshuam ntawm cov synthesis ntawm collagen fibers.
• Txom nyem noj haus, namely, tsis txaus kom tsawg ntawm fiber thiab tshaj roj, hmoov khoom noj nyob rau hauv cov khoom noj.
• Tsis txaus yuav txo tau ntawm lub plab hnyuv phab ntsa thiab ncua pais plab muab nchuav.
• Ntev li txuam nrog ntawm roj nyob rau hauv cov hnyuv.
• Npag chua plab hnyuv phab ntsa, cuab los ntawm cov hlab ntsha.
• Cov kab mob ntawm cov hlab plawv system.
• Tsis muaj ib ce, sedentary txoj kev ua neej.
• Rog.

Tam sim no koj yuav tsum tau xam tawm yuav ua li cas paub txog qhov no pathology li diverticular kab mob ntawm cov nyuv.

Mob ntawm diverticular kab mob ntawm txoj hnyuv

Mob ntawm tus kab mob yog nqa tawm raws li nram no. Ua ntej ntawm tag nrho cov, tus neeg mob yuav tsum tau hais kom tshawb. Thaum mloog kom zoo zoo mus rau lub kev tsis txaus siab, tus kws kho mob twb presupposes lub hav zoov ntawm cov kab mob, txawm li cas los, rau ib tug ntau txhij txhua tsom xam yog tsim nyog los dhau qhov kev xeem. Tsuas yog tom qab yuav tau kuaj nrog "plab hnyuv diverticular kab mob," kev kho mob yuav muab.

Rau ib txhij txhua xeem thiab kuaj siv instrumental txoj kev:

• Common ntshav kuaj yuav qhia lub xub ntiag ntawm o nyob rau hauv lub cev. Ntshav Puas Txaus qhia ib tug ua tau nrog los ntshav.
• Coprogram.
• Xoos hnyuv laus.
• Barium enema.
• Piv X-ray xeem.

Nyob rau kev xeem tus neeg mob yuav tsum them kom nws noj zaub mov zoo, txoj kev ua neej, uas nws ua rau yus, raws li zoo li cov xwm txheej ntawm cem quav thiab mob plab.

Kuaj kev ntsuam xyuas, kev kuaj ntshav thiab coprogram yuav paub meej tias muaj cov mob thiab nrog ntshav.

Mus xoos hnyuv laus tso cai rau koj mus nrhiav tau qhov chaw ntawm plab hnyuv los ntshav. Yog hais tias tus neeg mob thiaj paub tias yog nrog ib tug mob hauv daim ntawv ntawm diverticular kab mob, nws yog tsim nyog los ua ib tug CT scan. Nyob rau hauv cov ntaub ntawv no, lub plab hnyuv phab ntsa yuav tsum yog pom thiab mob fabrics uas yog juxtaposed.

Thov no hom ntawm kev tshawb fawb raws li cystography. Nws yog siv rau kev soj ntsuam ntawm vesico-plab hnyuv fistula. Tso dej urography yog ua los mus txiav txim seb puas nyob rau hauv lub inflammatory txheej txheem muab kev koom tes rau hauv lub ureter.

Angiography yog siv thaum los ntshav los ntawm ib tug diverticulum.

Tom qab ib tug meej kev soj ntsuam ntawm tus neeg mob, tus kws kho mob ua tus mob thiab ua raws li kev kho mob. Yuav ua li cas yog diverticular kab mob ntawm cov nyuv, xav txog ntxiv lawm.

Txoj kev ntawm treating diverticular kab mob

Yog hais tias diverticulosis muaj tshwm sim nrog active symptomatic, uas lub cev kev ua si yog txhob. Kev kho mob ntawm diverticular kab mob ntawm cov nyuv yog kiag li nyob rau yuav ua li cas tus kab mob no tshwm sim.

Nws muaj peev xwm raug muab tso rau cov nram qab no kev kho mob:

• Tsis pw kho yog qhia, tshwj tsis yog tias muaj yog intoxication, thiab cov qe ntshav dawb tsis muaj zog, tab sis muaj kev soj ntsuam kom paub txog tus kab mob no.
• Pw kho mob nyob rau hauv Coloproctology department yuav tsum tau yog hais tias tus kab mob no yog tsis yooj yim.
• Yog hais tias muaj yog ib tug kev hem thawj rau lub neej ntawm tus neeg mob raws li ib tug tshwm sim ntawm nyuab diverticular plob tsis so tswj kab mob, kev phais yog tau hais tseg.

Thiab tam sim no ib tug me ntsis txog txhua kev kho mob.

Yog hais tias muaj yog soj ntsuam tej yam tshwm sim ntawm tus kab mob, tab sis muaj ib tug inflammatory txheej txheem, tej zaum yuav appoint ib tug khoom noj thiab ua raws li cov tshuaj:

• Antispasmodic tshuaj ( "Tsis muaj-spa," "Spazmol", "Mebeverin").
• Cov tshuaj uas normalize lub plab hnyuv microflora ( "Linex", "Baktisubtil", "Atsipol").
• Enzymes ( "Festal", "Creon").

Yog hais tias muaj yog ib tug kaj soj ntsuam ces ntawm diverticular kab mob, kev kho mob yog cov tshuaj raws li nram no:

• GI kom stimulants ( "Motilium", "Pasazhiks", "Motilak").
• Tshuaj tua kab mob ( "Sulgin", "Biseptol").
• Plab hnyuv antiseptics ( "intestopan", "Intetriks", "Enterosediv", "Sumetrolim", "ersefuril").
• Cov tshuaj ntaus cev ( "Duphalac", "Normase").

Phais pab yog tau yog hais tias:

• Diverticular kab mob ntawm cov nyuv muab teeb meem.
• Muaj fistulas.
• Muaj mob congestion nyob rau hauv cov ntaub so ntswg nrog ib tug admixture ntawm cov ntshav thiab cov qog.
• Mob diverticular kab mob yog feem ntau mob.
• Loj diverticular kab mob no yog tsis amenable mus kev kho mob. Qhov no yog tau thaum rov exacerbation.

Cov nram qab no yam yuav tau muab los xav thaum xaiv ib tug phais cov txheej txheem:

• Yuav ua li cas yog qhov teeb meem.
• Raws li deb raws li cov txheej txheem kis.
• Yuav ua li cas hloov raws li ib tug tshwm sim ntawm lub inflammatory txheej txheem tshwm sim nyob rau hauv cov nqaij phab ntsa ntawm lub hnyuv thiab lwm tus ntaub so ntswg.
• Puas muaj ib tug perifocal o los yog peritonitis.
• Tej comorbidities tus neeg mob tau, raws li feem ntau nws yog cov neeg laus.

Phais yog nqa tawm nyob rau hauv 2 theem. Thaum xub thawj tshem tawm cov cuam tshuam plob tsis so tswj seem. Nyob rau hauv lub kauj ruam thib ob daim ntawv anastomoses ntawm plab hnyuv feem nyob rau hauv kev txiav txim los nws laaj.

Nws yuav tsum tau nco ntsoov tias diverticula tom qab phais los yog ib tug muaj kev vam meej kev kho mob tej zaum yuav rov tshwm sim. Yog li ntawd, koj yuav tsum tau cia rau ib tug noj cov zaub mov, uas piav qhia txog nram qab no.

Noj cov zaub mov rau diverticular kab mob ntawm cov nyuv

Raws li peb tau sau tseg, nyob rau hauv cov kev kho mob ntawm txhua yam uas diverticular kab mob yog feem ntau tus kws kho mob yuav muab tshuaj rau dieting. Yog hais tias koj lo rau nws, koj muaj peev xwm txo tau cov mob ntawm tus kab mob los yog tiv thaiv cov kev loj hlob ntawm nws cov teeb meem.

Yuav ua li cas cov zaub mov yog pom zoo, yog tias koj paub hais tias "diverticular kab mob"? Cov khoom noj yog ib tug xuas. Cov ntawv qhia zaub mov yuav tsum tau li nram qab no noj qab nyob zoo cov khoom noj:

• Porridge ntawm whole grains.
• Germinated grain.
• Tag nrho cov grain mov ci, cereal.
• Kom ntau txiv hmab txiv ntoo thiab zaub nyob rau hauv lub qhib thiab nyob rau hauv lub tshav kub-kho daim ntawv no.
• Dried txiv hmab txiv ntoo.
• Khoom noj siv.

Thiab tseem yuav tsum tau haus dej kom ntau ib hnub twg, yam tsawg kawg ib nrab los yog ob tug litres ntawm cov dej ntshiab.

Khoom noj uas yog pom zoo kom raug tshem tawm los ntawm cov khoom noj:

• Qab Zib, khoom qab zib.
• Muaj zog tshuaj yej, kas fes.
• Carbonate thiab haus dej haus cawv.
• Txuj Lom.
• Cov khob cij.
• Semi-tiav lawm cov khoom.
• Vas nthiv zaub mov.

Nws yuav tsum tau muab sau tseg hais tias koj tsis tau noj zaub mov uas muaj tsis zoo digested cov Cheebtsam. Qhov no, piv txwv li, kiwi, txiv quav ntswv nyoos, sunflower noob. Yog hais tias koj noj cov ntses, nws yuav tsum tau kom huv si ntxuav ntawm nws me me pob txha.

Cov kws kho mob pom zoo kom siv ntawm bran, maj mam ntxiv kom cov tshuaj ntawm 5 mus rau 20 grams tauj ib hnub.

Yog hais tias koj tsis lo mus rau ib tug noj cov zaub mov, cov kab mob yuav tsum tau npaum li cas txoj kev kawm, thiab lwm yam mob yuav tshwm sim.

Thaum lub mob ntawm "diverticular kab mob" noj haus - ib qho ntawm qhov zoo tshaj cov cuab yeej los mus tiv thaiv cov teeb meem thiab pab txhawb tus txheej txheem no.

Nyaum teeb meem ntawm diverticular kab mob

Diverticular kab mob ntawm cov nyuv yuav ua rau txaus ntshai teeb meem uas yuav los ua ib tug loj kev hem thawj rau lub neej ntawm tus neeg mob. Cov teeb meem muaj xws li:

• Ntshav ntawm qhov chaw ntawm lub rwj tsim. Ib tug ntawm cov tsos mob ntawm los ntshav yog ntshav txhaws nyob rau hauv lub faeces.
• Kev loj hlob ntawm plab hnyuv rhuav txhua, vim hais tias ntawm protrusion yuav nqaim lub lumen ntawm lub plab.
• Cov tsim ntawm ulcers. Kua paug yuav tau txais mus rau hauv lub plab kab noj hniav.
• Local necrotic hloov raws li ib tug tsim nyog tau - peritonitis.
• Perforation uas nyob ib sab lub cev phab ntsa mus ua ib lub fistula. Feem ntau, qhov no yog ib tug mob ntawm lub urinary system, cov poj niam yuav kis tau tus kab mob nyob rau hauv qhov chaw mos.

Kev tiv thaiv ntawm tus kab mob diverticular

Ua ib tug ntau ntawm cov kev tshawb fawb los mus txiav txim yuav ua li cas tiv thaiv kom txhob loj hlob ntawm plob tsis so tswj diverticulosis thiab yuav ua li cas tiv thaiv kom txhob muaj tus kab mob los ntawm cov neeg kawm txoj. Zaum tau txiav txim tias: yog hais tias noj cov zaub mov nplua nuj nyob rau hauv fiber, uas diverticular kab mob yuav tsis vam meej. Cov neeg uas noj yam tsawg kawg 32 grams fiber ntau ib hnub twg, muab sau cia qhov zoo tshaj plaws kev ua tau zoo. Insoluble fiber - yog feem ntau txiv hmab txiv ntoo thiab zaub.

Tsis tas li ntawd sau tseg cov kev pab cuam ntawm lub cev ua si nyob rau hauv cov kev tiv thaiv ntawm plab hnyuv diverticular kab mob.

Cov dej cawv, haus luam yeeb thiab caffeine nyob rau hauv nrog cov ua kevcai nco txog noj cov zaub mov nplua nuj nyob rau hauv txiv hmab txiv ntoo thiab zaub. Nyob rau hauv cov ntaub ntawv no, muab sau cov poob nyob rau hauv lub efficiency ntawm kev siv ntawm fiber.

Nws yuav tsum tau nco ntsoov tias tus neeg mob yuav tsum tau ceeb toom hais tias nws yog tsim nyog los maj mam nce tus nqi ntawm no tivthaiv nyob rau hauv cov khoom noj, nws tseem yog ntshaw kom tshem tawm teeb meem cov khoom, uas peb tau sib tham txog ua ntej lawm. Nws yog qhov zoo tshaj plaws muab tsis tau phem, yog li ntawd cov zaub mov muaj ib tug zoo ntxim rau lub cev.

Cov kev ntsuas tiv thaiv diverticular plob tsis so tswj kab mob kev txhawj xeeb thiab raws sij hawm kev kho mob ntawm kev mob ntawm tus mob huam. Kev tiv thaiv ntawm cem quav thiab ib tug active txoj kev ua neej yuav pab tau kom koj tsis txhob no tsis kaj siab tus kab mob.

Yuav ua li cas yog lub raug ntawm kev kho mob?

Yog hais tias diverticular kab mob no yog asymptomatic, kev phais yog yuav tsum tau. Nws yuav tsis mus txuas ntxiv los cuam tshuam, yog hais tias tus neeg mob adheres rau ib tug zaub mov thiab tus kws kho mob pom zoo.

Yog hais tias tus kab mob no yog nyob rau hauv ib tug mob ntev, nws tau xaiv ib tug conservative kev kho mob, uas, raws li ib tug txoj cai, tus neeg mob yog zoo zam lub txim rau, thiab tsis muaj mus rau chaw uasi rau kev phais. Tsuas yog 15 feem pua ntawm cov neeg mob yuav tsum tau phais.

Repetition ntawm mob diverticulitis yog suav tias yog tau nyob rau hauv 1 ntawm 4 tus neeg mob. Ua exacerbation taus heev npaum li cas. Nyob rau hauv cov ntaub ntawv no, lub cev tsis teb zoo mus conservative kev kho mob kev kho mob. Nyob rau hauv tej lub sijhawm, feem ntau phais yog tau hais tseg. npaj lag luam tej zaum yuav raug muab tso tom qab uncomplicated thib ob nres. Thaum rov mob diverticulitis ho muaj dua lub neej no.

Yog hais tias koj xav tau kom pab tus kws phais, nws yog ntshaw tsis laug sij hawm mus rau nws raws li delaying lub lag luam tsub kom kev pheej hmoo ntawm lub neej no ntawm 18%. Nyob rau hauv lub xub ntiag ntawm perforations nyob rau hauv lub plab kab noj hniav ntawm tus neeg mob nrog peritonitis yog ib qho mob ceev heev yuav tsum tau ua hauj lwm raws li cov theem ntawm cov neeg tuag nyob rau hauv xws li mob yog 35%.

Muaj kev tshawb fawb uas hais tias nyob rau hauv cov tub ntxhais cov neeg mob txoj kev uas yuav rov muaj dua ntawm tus kab mob no yog ntau tshaj nyob rau hauv cov laus cov neeg mob. Nyob rau hauv cov neeg mob uas txo tiv thaiv repetition ntawm cov kev tawm tsam ntawm diverticular kab mob no yog siab tshaj nyob rau hauv cov neeg uas muaj ib txwm muaj zog.

Tom qab muab hlais tawm lawm reoperation yog yuav tsum tau nyob rau hauv 10% ntawm cov neeg. Nyob rau hauv 20% ntawm cov neeg mob yog hais tias muaj tau los ntshav, nws muaj peev xwm tau rov qab tom qab ib co sij hawm ntawm lub sij hawm. Nyob rau hauv 33% ntawm cov neeg uas tau rov muaj dua ntawm lub inflammatory txheej txheem.

Nyob rau hauv kev peb yuav hais tias nrog raws sij hawm kev kho mob thiab ua raws li ib tug noj haus thiab kev prophylaxis ntawm teeb nyob rau hauv plob tsis so tswj cwj pwm tsis zoo yuav tau muab ib tug zoo raug.

tsoos kev kho mob

Txij ancient sij hawm, muaj ntau ntau yam zaub mov txawv ntawm tsoos tshuaj rau ntau yam kab mob. Nws yog tsis muaj kev zam thiab diverticular kab mob ntawm cov nyuv los yog lwm yam yog ib feem ntawm txoj hnyuv.

Cov zaub mov txawv yuav siv tau tsuas yog tom qab kev noj kev haus ib tug kws kho mob. Ib tug zoo dua tom qab ib tug tag nrho cov kev xeem yuav tsum tau muaj, lub tseem ceeb tshaj plaws - nws tsis ua mob rau hauv lub cev.

Kev kho mob rau diverticular kab mob pej xeem tshuaj yuav ua tau zoo xwb yog tias nyob rau hauv tas li ntawd rau tus neeg mob adheres rau lub pom zoo noj haus zoo thiab muaj ib tug noj qab nyob zoo txoj kev ua neej.

Ntawm no yog ib co zaub mov txawv thiab cov tswv yim:

• Roj thiab flax noob. Tsim nyog ua ntej rau cov kev siv ntawm cov noob sau nrog dej sov ntawm tus nqi ntawm ib tug diav ib khob ntawm cov dej. Tom qab ib co sij hawm, lub noob swell thiab dej yuav tsum zoo xws li cov jelly. Ntawm no yog cov muaj pes tsawg leeg ntawm txig tiv thaiv lub txheej membrane ntawm tus mob huam, raws li zoo raws li txoj kev nws ua tau zoo. Yuav tsum tau noj nyob rau hauv ib qho kev npliag plab ib diav.
• Fount ntawm fiber yuav tsum tau rau xws li ib tug kab mob raws li diverticular kab mob, - lub noob ntawm plantain. Raws li cov xov tooj ntawm tshuaj lawv yog superior rau oats thiab barley. Noj nqos tau cov noob tso cai rau kom npaj lub chaw ua hauj lwm ntawm tus mob huam, pab txoj kev peristalsis. Koj yuav tau siv lawv rau xws li ib tug tswvyim. Ib diav ncuav ib lub khob ntawm cov dej los yog kua txiv, koj yuav siv tau kua mis nyeem qaub. Qhov no sib tov yuav tsum tam sim ntawd haus. Tom qab 30 feeb, nws yog kom coj ib khob ntawm cov dej. Kom ntau - lub ntsiab mob rau siv psyllium. Cov noob swell sab hauv thiab ua lawv pab tau ua hauj lwm. Koj yuav tsum haus dej haus peb lub sij hawm ib hnub twg kom txog thaum koj xav tias txoj kev txhim kho.
• Raws li nrov zaub mov txawv yog qho tseem ceeb heev los ntxuav lub hnyuv ntawm toxins, quav pob zeb, los ntawm cov hniav lwj cov khoom ntawm cov zaub mov. Rau plob tsis so tswj cleansing nws yog heev pab rau sau tshuaj ntsuab. Nws paj thiab ceg ntawm pos. Peb diav sau los yog tsim nyog rau ncuav ib liter ntawm boiling dej thiab insist hais tias nws yog zoo dua rau siv ib tug thermos, txij thaum lub Txoj kev lis ntshav yuav tsum sawv ntsug nyob rau hauv lub sov so hmo ntuj. Ces lim thiab haus dej haus nws 3 lub sij hawm ib hnub twg, ib teev ua ntej noj mov, 1 khob. Qhov yuav tsum tau nqa daim ntawv no khwv tau peb hnub. Yog hais tias koj tau txais constipated, haus dej haus lub Txoj kev lis ntshav yog tsis tsim nyog. Siv dej ntau thiab yogurt, yam tsawg kawg ib liter ib hnub twg.
• Thaum mob chav kawm ntawm diverticular kab mob no yog pom zoo kom siv cov nram qab no pej xeem daim ntawv qhia. Nws yog tsim nyog los noj 100 grams ntawm peony paus, tshuaj ntsuab mistletoe, nettle nplooj. Ob dia sau ncuav ib liter ntawm dej txias thiab muab tso rau hauv hluav taws. Coj mus rau boiling, tab sis tsis npau. Ces txias, lim thiab coj ib khob ob zaug ib hnub twg, thaum sawv ntxov thiab yav tsaus ntuj, tom qab ib tug noj mov kom dhau ib teev. Broth yuav siv tau rau enemas. yuav siv tsis tau rau cov hemorrhoids. Kev kho mob mus txuas ntxiv rau 10-14 hnub.
• Ib tug zoo tshuaj rau cov kev kho mob ntawm tus kab mob diverticular los ntawm elm tawv rusty. Nws yog npaj raws li nram no. Ib nrab diav tawv hmoov thiab granular ua kiav txhab me nyuam diav uas nrog ib khob ntawm cov dej. Simmered nws yuav tsum simmer rau 20 feeb. Ces lim, coj cov kua ntim ntawm ib khob thiab npaum li cas nyob rau hauv lub yav sawv ntxov thiab nyob rau hauv lub yav tsaus ntuj ntawm 200 ml.

Ua ntej siv pej xeem tshuaj yuav tsum tham nrog ib tug kws kho mob. Tej zaum, cov kws kho mob tej zaum yuav tsis pom zoo kom ib co zoo txhais tau hais tias yuav siv tau nyob rau hauv nrog cov tshuaj. Nws yuav tsum tau muab sau tseg tias tej kev kho mob yuav tsum tau nqa tawm nyob rau hauv saib xyuas ntawm ib tug kws, tshwj xeeb tshaj yog nyob rau hauv rooj plaub uas yog nrog lub manifestation ntawm cov tsos mob mob.