Masiyanidwe matenda a ululu m'mimba. M'mimba matenda - ndichiyani?

Ngati inu kubva m'mimba, ambiri liwiro kutenga mankhwala, "Koma spa" kapena "ftalazol" poganiza kuti anali ndi vuto dongosolo m'mimba. Komabe, m'mimba mwina imapweteka chifukwa zifukwa khumi kwathunthu zifukwa kapena kwa m'mimba kapena m'matumbo. zodabwitsazi ngakhale azachipatala - syndrome m'mimba. Ndi chiyani icho? Dzina amachokera kwa Latin "pamimba" omwe anamasuliridwa kuti "mimba." Izo ziri zonse zimene zimagwiritsa m'dera limeneli la thupi ndi m'mimba. Mwachitsanzo, m'mimba, matumbo, chikhodzodzo, ndulu, impso - ndi ziwalo m'mimba, ndi gastritis, kapamba, cholecystitis, matenda a m'matumbo ndi mavuto ena m'mimba - matenda m'mimba. Ndi chitsanzochi, syndrome m'mimba - izo vuto m'dera m'mimba (mwamphamvu, ululu, kumva kulasalasa, cramping ndi maganizo ena oipa). Amenewa madandaulo ntchito mtima wa dotolo ali zosiyanasiyana zolondola zizindikiro, kuti kuonedwa ndi matenda. Tiye tione mmene zimenezi zichitike mogwirizana ndi ndalama zimene ali mbali ya ululu kugwirizana ndi aliyense matenda.

Human zonse m'mimba

Kukhala kosavuta kuthana ndi funso lakuti: "? M'mimba matenda - ndichiyani" ndiponso kumvetsa mmene amatengedwa, muyenera kudziwa bwino zimene zili mkati m'mimba wathu, amene ali ziwalo monga iwo kucheza ndi mzake. mungapezepo chojambula chubu kum'mero pa zithunzi anatomical, baggy m'mimba, matumbo writhing njoka, ndipo pa nthiti chiwindi, ndulu anasiya pa pansi pa chikhodzodzo kuti ureter ndi motsatizana kwa impso. Ndicho, monga, ndizo zonse. Ndipotu, M'mimbamo wathu m'mimba ali ndi dongosolo zovuta zambiri. Conventionally, izo lagawidwa zigawo zitatu. chapamwamba malire ndi - pa dzanja limodzi - ozungulira minofu kuitana zakulera. Pamwamba ndi thoracic M'mimbamo ndi mapapo. Kumbali ina ya gawo chapamwamba ndi wosiyana pafupifupi otchedwa mesentery ya m'matumbo. Izi khola awiri wosanjikiza, ndipo kudzera mwa ziwalo zonse za mundawo m'mimba amagwira kumbuyo kwa ndege mimba. Mu gawo pamwamba ali m'magulu atatu - chiwindi, kapamba ndi England. The gawo pakati mesentery imafika ku isanayambe mafupa a chiuno ndi. Ndi mu gawo ili la pamimba ndi malo umbilical. Pomaliza, m'munsi gawo - malo a beseni laling'ono, limene anapeza malo ziwalo urogenital ndi machitidwe ubereki.
kuvutika iliyonse (kutupa, matenda, zotsatira makina ndi mankhwala, kudwala mapangidwe ndi chitukuko) mu thupi la munthu wina aliyense pamwamba anakonza mu zigawo zitatu chifukwa syndrome m'mimba. Komanso, mu peritoneum ndi magazi ndi lymphatic ziwiya ndi ganglia. Pakati pawo wotchuka kwambiri ndi msempha ndi plexus dzuwa. Vuto pang'ono ndi iwo imfayo kupweteka m'mimba.

Kuti adzimvera: syndrome m'mimba bwino zimayamba ndi aliyense kudziwika kwa tsiku, matenda m'mimba ndi dongosolo urogenital, mavuto ndi mitsempha ya magazi ndi plexus mitsempha ya peritoneum ndi, mankhwala oopsa (poizoni, mankhwala), makina psinjika (kufinya) mayunitsi onse pafupi kuti zili peritoneum lapansi.

kupweteka kwambiri

Masiyanidwe matenda a ululu m'mimba kawirikawiri imayamba ndi chizindikiritso cha malo ndi chikhalidwe cha ululu. The moyo pachiswe kwambiri ndi zovuta kulolerana anthu, ndithudi, kupweteka kwambiri. Zimachitika mwadzidzidzi, mwadzidzidzi, nthawi zambiri popanda kuwoneka chikwiyire zimayambitsa, akuwonetseredwa kuukira, wosatha ku maminiti pang'ono ola limodzi.

ululu waukulu akhozanso kukopeka ndi kusanza, kutsekula m'mimba, malungo, kuzizira, Thukuta ozizira, imfa ya chikumbumtima. Nthawi zambiri, ali ndi malo achindunji (kumanja, kumanzere, pansi, mmwamba), amene amathandiza kukhazikitsa matenda waukuluwo.

Matenda oyamba ndi matenda ngati m'mimba - ndi:

1. yotupa njira mu peritoneum wa - pachimake ndipo relapsing appendicitis, diverticulitis Meckel, peritonitis, pachimake kapamba kapena cholecystitis.

2. kutsekeka kapena khosi chophukacho.

3. perforation (perforation, dzenje) ziwalo za peritoneum kuti amapezeka zilonda muzituluka ndi / kapena mmatumbo ndi diverticulitis. Kwakenso monga mipata chiwindi, msempha, ndulu, n'kuwasanganiza zotupa.

Nthawi ya perforation, komanso appendicitis ndi moyo peritonitis mtima ndi 100% amadalira matenda zolondola ndi kuchita opaleshoni mwamsanga.

maphunziro:

• magazi mayeso (amalola kuunikira ntchito za ndondomeko yotupa, kudziwa gulu magazi);
• X-ray (limasonyeza kukhalapo kapena kusapezeka kwa perforations, obstructions, chophukacho);
• ultrasound;
• ngati pali kukayikitsa magazi kapepala kakuti m'mimba, kupanga esophagogastroduodenoscopy.

ululu aakulu

Iwo amakula pang'onopang'ono lomaliza kwa miyezi yambiri. Kumverera nthawi yomweyo ngati yosamveka, kukoka, kupweteka, nthawi zambiri "anakhetsa" pa periphery lonse la peritoneum, popanda wina kutanthauzira yeniyeni. ululu aakulu angathe kuchepa ndi kubwerera kachiwiri, mwachitsanzo pambuyo chakudya. Pafupifupi onse milandu, amasonyeza syndrome m'mimba matenda aakulu a zonse m'mimba. Zimakhala:

1) gastritis (ululu mu gawo chapamwamba, nseru, katundu m'mimba, belching, kutentha, ndi mavuto defecation);

2) muzituluka ndi / kapena zilonda mmatumbo mu magawo oyambirira (cha ululu "mu mimba yake," chopanda kanthu m'mimba, usiku kapena patapita nthawi yochepa kudya, kutentha pa chifuwa, asidi regurgitation, bloating, flatulence, nseru);

3) impso (ululu mbali yanu kapena pamimba, magazi ndi / kapena mchenga mu mkodzo, kupweteka pokodza, nseru, kusanza);

4) aakulu cholecystitis (ululu ufulu gawo chapamwamba, kutopa, pakamwa owawa, otsika kutentha, osati kudutsa nseru, kusanza - zina ndi ya ndulu, belching);

5) cholangitis aakulu (ululu chiwindi, kutopa, khungu yellowness, otsika kutentha, mu ululu waukulu zingaperekedwe ku mtima ndi mmera);

6) Oncology intestine mu siteji koyamba.

Kobwereza ululu ana

Otchedwa ululu kobwereza, mobwerezabwereza patapita nthawi. Iwo angayambe ana a m'badwo uliwonse ndi akuluakulu.

Pa ana akhanda, chifukwa wamba kupweteka kwa m'mimba kukhala matumbo colic (zingadziŵike ndi lakuthwa okwera kulira, m'chikaiko chowakaikitsa, m'mimba distention, kulephera kudya, kumbuyo okhala, wachisokonezo kayendedwe kudya amangomvera-miyendo, regurgitation). Chinthu chofunika kwambiri pa colic matumbo kuti ndi Kupha kwawo mwanayo bata, zachimwemwe, aziphedwa wabwino. Kuthana ndi matenda kumathandiza kutentha, kutikita pamimba, katsabola Vodicka. Ndi mwana kukula, mavuto onsewa ali mwa izo zokha.

A vuto aakulu kwambiri ndi matenda m'mimba ndi matenda somatic ana. "Soma" njira Greek "thupi". Kuti ndi lingaliro la "matenda somatic" amatanthauza matenda alionse ziwalo thupi ndi aliyense kobadwa nako kapena kugula chilema. Neonates nthawi zambiri anati:

1) opatsirana matenda m'mimba (kutentha kwa mulingo yovuta, kukana chakudya, ulesi, kutsekula m'mimba, regurgitation ndi kusanza kasupe, kulira, zina, kusintha mtundu wa khungu);

2) matenda m'mimba thirakiti (chophukacho, chotupa, etc.).

Kuika matenda Pankhaniyi izo zovuta chifukwa chakuti mwana sangathe kusonyeza zimawawa, ndi kufotokoza mmene akumvera. Masiyanidwe matenda a ululu m'mimba mwa makanda imagwiridwa mwa mayesero zina, monga:

• coprogram;
• ultrasound;
• kusanthula magazi;
• esophagogastroduodenoscopy;
• X-ray barium m'mimba M'mimbamo;
• Esophageal pH polojekiti.

Kobwereza ululu akulu

Mu ana okulirapo (makamaka zaka sukulu) ndi akulu zimapangitsa ululu kobwereza m'mimba moti anali m'magulu asanu:

• opatsirana;
• yotupa (mulibe matenda);
• magwiridwe;
• anatomical (kugwirizana ndi ulamuliro ina);
• microbiological (chifukwa majeremusi osiyanasiyana, yothetsa kapepala kakuti m'mimba).

Kodi matenda ndi yotupa ululu, zambiri kapena sichidziwika bwino. Ndipo izo zikutanthauza magwiridwe a? Ngati iwo apatsidwa matenda, mmene kumvetsa pamene akuti "syndrome m'mimba mwa ana"? Ndi chiyani icho? Fotokozani mfundo ululu zinchito tinganene kuti: odwala nkhawa kusapeza m'mimba chifukwa chosadziwika ndi matenda a peritoneum lapansi. Anthu ena akuluakulu ena amakhulupirira kuti mwana ligona vuto lake, bola ngati iye sanawapeze zakusokonenezedwa. Komabe, chinthu choterocho mu mankhwala, ndipo apo izo ziri, monga ulamuliro, mwa ana okulirapo kuposa zaka 8. Kumapweteketsa zinchito ingakhale monga iyi:

1) migraine m'mimba (ululu m'mimba chimakhala mutu, kenako kusanza, kudya kulephera);

2) zinchito dyspepsia (mwana wathanzi kwathunthu, kupweteka chapamwamba pamimba gawo ndi kutha pambuyo matumbo kayendedwe);

3) matumbo mkwiyo.

matenda wina maganizo anali "pachimake kupuma tizilombo matenda ndi matenda m'mimba" ana. Chithandizo Pankhaniyi ali kulunjika zina, chifukwa ana zizindikiro ndi chimfine ndi matenda matumbo. Nthawi zambiri, madokotala oterewa ana amene ali ndi zizindikiro pang'ono matenda pachimake kupuma tizilombo (mwachitsanzo, chimfine), ndi kutsimikizira kwa matenda pa mundawo m'mimba si wapezeka. Pafupipafupi Zikatero, komanso matenda kuderako oyenera zina Kuphunzira ake.

Pachimake kupuma matenda ndi m'mimba

kudwala Izi ambiri mu sukulu ndi kusukulu ya pulayimale ana. Akuluakulu, n'kovuta kwambiri. Mu mankhwala, matenda pachimake kupuma ndi matenda pachimake kupuma tizilombo ikukhudzana bwanji ndi mtundu umodzi wa matenda, monga RE (matenda kupuma) zambiri amayamba chifukwa cha mavairasi, ndipo amasangalala kunditumiza ku gulu la RVI. Awo mosavuta "nsomba" magulu ana - masukulu, kindergartens, nurseries. Komanso onse fuluwenza kupuma amadziwika pangozi yaikulu ndi otchedwa "m'mimba chimfine" kapena rotavirus. Iye anapeza kuti SARS ndi matenda m'mimba. Ana, zizindikiro za matenda kuoneka masiku 1-5 pambuyo matenda. Chithunzi matenda chiri motere:

• madandaulo a m'mimba ya;
• kusanza;
• nseru;
• kutentha;
• m'mimba;
• chimfine mphuno;
• kutsokomola;
• wofiira pakhosi;
• chowawa kumeza;
• ulesi, kufooka.

Monga Tingaone mndandanda ndipo waledzera wa chimfine ndi matenda matumbo. Nthawi zina, mwana akhoza kwenikweni azipereka chimfine kuphatikiza m'mimba matenda madokotala ayenera bwino kusiyanitsa. Matenda a matenda rotavirus ndi yovuta kwambiri. Pamafunikanso immunosorbent zofufuza, elekitironi wamamamayikirosikopu, akakufunsani mpweya, adanyamula kuchuluka kwa zochita. Nthawi zambiri madokotala anandipeza popanda kufufuza osiyanasiyana, kokha mawonetseredwe matenda a matenda ndi pamaziko a anamnesis lapansi. Rotavirus, ngakhale pali zizindikiro za chimfine, musakhale kachilombo ziwalo chapamwamba kupuma ndi kapepala m'mimba, zambiri m'matumbo. Gwero la matenda - munthu wodwala. Rotavirus kudutsa mu thupi la mwini latsopano ndi chakudya, manja zonyansa, zinthu tsiku ndi tsiku (mwachitsanzo zidole), ntchito ndi wodwalayo.

Chithandizo cha SARS ndi matenda m'mimba iyenera kuchitikira pamaziko a matenda. Choncho, ngati ululu m'mimba mwana chifukwa cha mankhwala pathological za ntchito yofunika kwambiri ya mavairasi kupuma, ndi mankhwala a matenda chachikulu, kuphatikiza zakumwa zobwezeretsa kulandira sorbents. Ngati anatsimikizira rotavirus matenda sizimatanthauza kuika mankhwala mwana, popeza alibe mphamvu pa tizilomboto lapansi. Mankhwalawa tichipeza mu phwando adamulowetsa mpweya sorbents, zakudya, kumwa wochuluka. Ngati mwana alipo m'mimba, probiotics amaikidwa. Kupewa matenda ndi katemera.

ululu Paroxysmal popanda matenda matumbo

Kukhala kosavuta kudziwa chimene chinkachititsa vuto la kupweteka m'mimba ali m'magulu malinga ndi malo mu pamimba, kumene anamva kwambiri kwambiri.

Paroxysmal ululu popanda zizindikiro za dyspepsia zimachitika pakati gawo (mesogaster) ndi kutsikira (hypogastrium). zingayambitse:

• infestation ndi mphutsi;
• Payra syndrome;
• pyelonephritis;
• hydronephrosis;
• ndi ziwalo kugonana vuto;
• matumbo kutsekeka (chosakwanira);
• stenosis (kufinya) ndi celiac thunthu;
• IBS.

Ngati wodwala matenda lokha m'mimba, chithandizo Kwalamulidwa pamaziko a mayesero zina:

• zotsogola magazi;
• seeding ndowe pa mazira ndi mphutsi ndi matenda matumbo;
• urinalysis;
• Ultrasound pa mundawo m'mimba;
• ergography (irrigoscopy barium mtengo njira);
• Doppler ultrasound wa ziwiya m'mimba.

ululu m'mimba ndi matenda matumbo

Onse magawo asanu a ululu kobwereza kumachitika mu zigawo m'munsi ndi pakati peritoneum pa mavuto ndi matumbo. Zifukwa pali ndi matenda m'mimba, kwambiri. Nawa ena mwa iwo:

• helminthiasis;
• matupi awo sagwirizana ndi mankhwala aliwonse;
• nonspecific anam'peza matenda a m'matumbo (m'mimba ananenanso, ndi chopondapo akhoza kukhala ndi mafinya kapena magazi, flatulence, kusafuna kudya, kufooka, chizungulire, kuwonda);
• matenda celiac (wamba ana pa chiyambi cha kudya awo woŵirikiza kwa mbewu monga chimanga);
• matenda opatsirana (salmonellosis, campylobacteriosis);
• pathologies mu m'matumbo Mwachitsanzo, dolichosigma (sigmoid m'matumbo yaitali), ululu ndi anawonjezera yaitali kudzimbidwa;
• disaccharidase akusowa;
• hemorrhagic vasculitis.

The chikhalidwe yamasika kumachitika pamene chofuna ndipo zotsatira zake, ndi mitsempha intestine, ndi clotting awo amapezeka. The zifukwa - chisokonezo mu magazi ndi olakwika hemostasis. chikhalidwe ichi imatchedwanso hemorrhagic matenda m'mimba. Iye kusiyanitsidwa amakhala atatu a ntchito:

I (wofatsa) - zizindikiro wofatsa, anatsimikiza mtima ntchito ya ESR m'magazi.

II (m'ma kulemera) - pali kukomoka ululu peritoneum ndi, kutentha limatuluka, pali kufooka, ndipo mutu.

III (aakulu) - kutentha, aakulu mutu ndi ululu m'mimba, kufooka, nseru, kusanza magazi, mkodzo ndi ndowe wothira magazi, zingachititse magazi m'mimba ndi intestine, perforation.

Ngati inu kubva m'mbali pakati ndi apansi peritoneum ndi kukayikirana pa mavuto alionse matumbo, diagnostics zikuphatikizapo:

• Anawonjezera magazi kusanthula (amuzolengedwa ndipo tinkalalikira);
• coprogram;
• fibrocolonoscopy;
• ergography;
• chopondapo zikhalidwe;
• atayezetsa kwa chitetezo;
• mayeso a hydrogen;
• Endoscopy ndi biopsy ina yaing'ono intestine minofu;
• immunological mayesero;
• shuga limaoneka lokongola.

Ululu mu gawo kumtunda kwa m'mimba (epigastric)

Nthawi zambiri, matenda m'mimba mu gawo chapamwamba peritoneum ndi zotsatira za madyedwe chakudya ndi kungaonekere m'njira ziwiri:

• dispepsionnom, ndiko kulakwila m'mimba ( "zowawa njala" kupita pambuyo chakudya a);
• dyskinetic (akuphulikira ululu, kumverera ya kudya, kaya kuchuluka kwa ingested chakudya, belching, kusanza).

Zimayambitsa mavuto amenewa gastroduodenitis, chapamimba hypersecretion asidi hydrochloric, matenda, nyongolotsi m'mimba, matenda pancreatic ndi / kapena kapepala biliary, mkhutu gastroduodenal motility. Komanso, ululu epigastric kungakhale Dunbar matenda (kudwala celiac kung'ambika thunthu pamene cholizira zakulera). matenda ndi kobadwa nako, kumtundu (zambiri) kapena kugula pamene munthu abwera kukula neyrofibroznoy minofu.

Celiac thunthu (zikuluzikulu lalifupi nthambi m'mimba msempha) pamene psinjika analandira wakukhomerwa msempha, kwambiri mwapang'ono m'kamwa mwake. Izi zimapangitsa m'mimba ischemic matenda, matenda imagwiridwa ntchito mosiyana X-ray (angiography). Celiac thunthu pamodzi ndi chotengera china magazi amapereka magazi zonse m'mimba iliyonse ziwalo m'mimba. Pamene kufinya yobereka magazi, motero kotunga ziwalo zinthu zofunika chikuchitika mu si zonse, imbaenda mpweya kulandidwa (hypoxia) ndi ischemia. Zizindikiro za matenda ena ofanana ndi amene anaona ndi gastritis, duodenitis, chapamimba chilonda.

Ngati intestine kotunga magazi kuchepa anakumana akufotokozera ischemic matenda a m'matumbo, enteritis. Ngati magazi chikusoŵa chiwindi, matenda a chiwindi akufotokozera ndi kapamba kuyankha zolephera mu kotunga magazi a kapamba.

Osati kuti kuonedwa ndi matenda, ayenera idzachitika atafufuza odwala ndi amaganiziridwa angina m'mimba. Endovascular diagnostics - izi ndi zabwino njira lili mu choona kuti ziwiya magazi anali ankafufuza ndi inputting m'menemo ndi catheter kukhala katundu X-ray. Ndiko kuti, njira adzalola kuwona mavuto m'zotengera magazi popanda opaleshoni. matenda Endovascular ntchito matenda onse ziwiya m'mimba. Ngati pali zizindikiro, mawaya ndi opaleshoni endovascular. Yankho zotheka madandaulo a wodwalayo amaganiziridwa angina m'mimba:

• kulimbikira kuwawa m'mimba, makamaka kudya, pamene kugwira ntchito iliyonse thupi kapena maganizo;
• kumverera kwa chidzalo komanso kusalekerera mu gawo chapamwamba peritoneum ya;
• belching;
• kutentha;
• kuwawa mu M'mimbamo m'kamwa;
• kutsekula m'mimba kapena, Tikawonetsetsa kudzimbidwa;
• pafupipafupi mutu;
• kufupika kwa mpweya;
• pulsation m'mimba;
• kuwonda;
• kutopa komanso kufooka.

Kupenda yekha kunja wodwala, komanso njira muyezo matenda (magazi, mkodzo, ultrasound) sali ovuta kudziwika matenda.

Vertebral syndrome m'mimba

Mtundu wa kudwala ndi imodzi mwa zovuta kwambiri kudziwa. Iwo kwagona odwala ndi zizindikiro bwino mavuto ndi kapepala m'mimba (ululu m'mimba, kusanza, belching, kutentha, m'mimba kapena kudzimbidwa), koma iwo amayamba ndi matenda a msana kapena mbali zina za dongosolo minofu ndi mafupa. Madokotala amakonda musati molondola kupeza chifukwa yomweyo, kotero mankhwala ikuchitika, sangabereke zotsatira. Motero, malingana ndi kuwerengera, 40% odwala ndi osteochondrosis wa thoracic ndi anachitira sanali sakupezeka matumbo matenda awo, ndi m'mimba. Ngakhale sadder chithunzi ndi matenda msana. Ululu Zikatero zambiri kupweteka, wosasamala, mwamtheradi kugwirizana ndi kudya chakudya ndipo ngati odwala ndi kudzimbidwa kapena m'mimba, iwo ankachitira ndi njira zinazi. Chifukwa matenda otsatirawa akhoza vertebral syndrome m'mimba:

• spondylosis;
• kupindika msana;
• TB msana;
• syndromes kugwirizana ndi kusintha chotupa mu ndime msana;
• syndromes choipidwa (Guttseyta).

Chinthu zomvetsa chisoni ndi odwala kudandaula ululu m'mimba ndi omwe si a m'mimba thirakiti pathologies, nthawi zambiri amaona malingerers. Kuti tipeze chifukwa cha ululu osadziŵika m'mimba, m'pofunika kugwiritsa ntchito njira zina za matenda, monga spondylography, X-ray, Kujambula, rentgenotomografiya, ehospondilografiya ndi ena.