Hom quav dab tsi qhia tias lub cev noj qab nyob zoo?

Yawg Yang, ib tug txiv neej muaj hnub nyoog 45 xyoos, tau nrhiav kev kho mob vim yog mob raws plab, mob plab, thiab quav quav nrog cov hnoos qeev thiab cov ntshav tawm. Nws tus kws kho mob pom zoo kom kuaj fecal calprotectin, uas qhia tau hais tias nce qib (> 200 μg / g), qhia tias mob plab hnyuv. Tom qab colonoscopy tom qab tau lees paub qhov kev kuaj mob ntawm tus mob ulcerative colitis.

Cov quav txawv txav ua qhov pom "barometer" ntawm kev noj qab haus huv ntawm plab hnyuv, muab cov ntsiab lus tseem ceeb rau kev kuaj pom kab mob ntxov. Kev txheeb xyuas raws sij hawm thiab kev cuam tshuam tuaj yeem tswj kev mob o thiab txo qhov kev pheej hmoo ntawm mob qog noj ntshav.

Kev ntsuas ntsuas rau cov quav noj qab haus huv

Bristol Stool Scale

Lub Bristol Stool Classification System categorizes cov quav morphology rau hauv xya hom, muab ib qho kev xav pom tseeb ntawm lub sij hawm ntawm txoj hnyuv thiab kev zom zaub mov:

• Hom 1-2:Cov quav tawv, lumpy (xws li cem quav).
• Hom 3-4:Smooth, sausage-zoo li cov quav (zoo tagnrho, daim ntawv noj qab haus huv).
• Hom 5-7:Cov quav xoob los yog dej (qhia raws plab lossis kev thauj mus los sai).

Xim quav quav thiab cuam tshuam rau kev noj qab haus huv

Cov quav ib txwm tshwm xim daj lossis xim av vim yog cov metabolism hauv bilirubin. Cov xim txawv txav tuaj yeem qhia cov teeb meem hauv qab no:

• Dub los yog Tarry quav:
  • Tsis yog-pathological ua rau: tshuaj ntxiv hlau, tshuaj bismuth, los yog siv cov licorice dub.
  • Pathological ua rau: los ntshav nyob rau hauv plab (piv txwv li, gastric ulcers, plab cancer). Cov quav dub tsis tu ncua nrog kiv taub hau lossis ntshav ntshav xav tau kev kho mob tam sim.
• Liab lossis Maroon quav:
  • Kev noj haus ua rau: Beets los yog liab zaj txiv hmab txiv ntoo.
  • Pathological ua rau: txo qis gastrointestinal los ntshav (xws li, hemorrhoids, qhov quav fissures, mob qog noj ntshav).
• Cov quav ntsuab:
  • Ua rau lub cev muaj zog: noj chlorophyll ntau dhau (piv txwv li, nplooj ntsuab).
  • Pathological ua rau: Gut dysbiosis (tom qab siv tshuaj tua kab mob), kab mob raws plab, lossis tsis txaus cov kua tsib.
• Pale lossis av nplaum-xim quav:
  • Qhia txog cov kab mob ntawm cov kab mob hauv lub cev, uas yog vim muaj pob zeb, kab mob siab, lossis mob qog noj ntshav pancreatic.

Lwm yam Morphological Clues thiab Health Risks

• Floating vs. Sinking quav:
  • Floating: Cov khoom noj muaj fiber ntau ua rau muaj roj ntau thaum fermentation.
  • Sinking: Kev noj cov tsiaj protein ntau, tejzaum nws txuas rau kev pheej hmoo mob qog noj ntshav.
• Pebble-zoo li lossis "Sheep Dung" Cov quav (Cov quav qhuav hauv TCM):
  • Qhia Qi deficiency lossis plab microbiota imbalance.
• Mucus los yog ntshav Streaks:
  • Tej zaum yuav qhia txog kab mob plab hnyuv (IBD), plab hnyuv polyps, lossis kab mob enteritis.

Cov cuab yeej tseem ceeb Diagnostic: Tus nqi kho mob ntawm FecalKev kuaj Calprotectin

Calprotectinyog ib qho protein uas qhia txog kev ua haujlwm ntawm neutrophil hauv cov hnyuv. Nws qhov kev sim muaj qhov zoo tseem ceeb:

1. Kev tshuaj ntsuam tsis-invasive:
   • Ntsuam xyuas cov kab mob hauv plab los ntawm kev kuaj cov quav, pab kuaj mob ntawm IBD, adenomas, lossis mob qog nqaij hlav hauv plab yam tsis muaj cov txheej txheem cuam tshuam xws li colonoscopy.
2. Differential Diagnosis:
   • Pab kom paub qhov txawv ntawm cov kab mob plob tsis so tswj (IBD) thiab chim siab plob tsis so tswj (IBS).
3. Kev Saib Xyuas Kev Kho Mob:
   • Kev taug qabtshuaj calprotectinqib dynamically ntsuam xyuas cov tshuaj ua tau zoo thiab kev pheej hmoo rov qab los.