Matumbo perforation: zizindikiro, zinthu zomwe, njira ya matenda ndi mankhwala

Matumbo perforation - kuphwanya khoma ya m'matumbo kapena matumbo yaing'ono. Monga Chifukwa zili mapindikidwe thupi likulowerera mu zonse m'mimba. chodabwitsa oterowo amatchedwa perforation. Zimatanthauza kuphwanya matenda opaleshoni.

Zimayambitsa waukulu

Matumbo perforation - kuphwanya amene mwa iwo okha siziwoneka. Pali zifukwa zingapo zazikulu zimene zimachititsa mapindikidwe za m'mimba yaing'ono kapena yaikulu. mndandanda Izi zikuphatikizapo:

1. Ileus.
2. Diverkulit m'matumbo.
3. Fecal miyala.
4. Necrosis a zotupa aumbike mwa m'matumbo.
5. Anam'peza matenda a m'matumbo.
6. Gangrenous appendicitis, zomwe zimabweretsa azingokhala minofu ya kumapeto.
7. Ena matenda, monga TB kapena tsitomegaloviirusnaya matenda.
8. Open ndi chatsekedwa kuvulala.

Izi ndi zinthu zazikulu, zimene zimabweretsa matumbo perforation. Zimayambitsa kuwononga khoma woonda kapena m'mimba angakhale ena. Chophukacho wa zimakhala zambiri kumachitika chifukwa cha kugwa mu kapepala m'mimba, pachimake matupi homogeneous: zikhomo, masingano, toothpicks, nsomba ndi mafupa nyama.

Zimayambitsa perforation m'mimba mwa makanda

Matumbo perforation zina amapezeka makanda. Perforation makanda mwina chifukwa njira monga:

1. Intrauterine hypoxia, atavala khalidwe yaitali.
2. Sachedwa chitukuko cha machitidwe enieni.
3. Kudyetsa mwana enteral njira.
4. The kudwala pa mundawo m'mimba monga kutsekeka.
5. Opaleshoni.

Punctures mu akhanda - izi milandu lakutali. yopuma angapo n'zochepa kwambiri. Monga Kafukufuku amasonyeza, atsikana matumbo perforation amapezeka kawiri monga momwe anyamata.

matumbo perforation: Zizindikiro

Perforation ali ndi zizindikiro zenizeni. Zizindikiro kusiyana sangakhale kwina. The chizindikiro chachikulu cha perforations - kupweteka kwambiri pamimba, amene anatsagana ndi kuphwanya kwa thupi. Pa palpation kusapeza wagundika. Pali zizindikiro zina perforation matumbo:

1. Pafupipafupi adzafune defecate.
2. Bloating.
3. Mofulumira zimachitika.
4. Kunyansidwa ndi kusanza.
5. Oligulyatsiya.
6. Kuwonjezera thupi kutentha kwa 39 ° C.
7. M'mbuyo kapena kugogoda mpweya. Ndi kuchepetsa wa zakulera kuchititsa ululu.

zimakhala yojambula pa colonoscopy

Pamene phunziro m'matumbo khansa ntchito kafukufuku wapadera zingachitike matumbo perforation. zodabwitsazi angafotokozedwe motere:

1. Kuchotsa tizilombo ting'onoting'ono - poliektamiya. Khalidwe Simukulabadira za ndondomeko akhoza atapsa minofu. Ilo liri mu malo awa anapanga yojambula. Nthawi zina, matumbo khoma kuwonongeka amapezeka pa opaleshoni. Zizindikiro zoyambirira za mavuto amaoneka okha patapita masiku angapo.
2. Owonjezera insufflation - kugwiritsira ndi powdery medicament kwa minofu zoopsa colonoscope. khoma chotupa chikuchitika pa ntchito. Zizindikiro zoyambirira za matumbo perforation uonekera nthawi yomweyo. Punctures Pankhaniyi akhoza kukhala chachikulu.

Matenda a perforation matumbo

Kutanthauzira abscess matumbo perforation anatsimikiza mtima palpation wa pamimba. kusiyana ili mu malo wodwala akumva kupweteka kwambiri pamene anakhudza. Pakuti matenda kawirikawiri ntchito osati digito bwinobwino koma yopangidwa tomography ndi radiography. Nthawi zina, kudziwa chifukwa cha ululu m'dera m'mimba si yapafupi. Perforation n'zovuta oterewa odwala:

1. Likufa opaleshoni kugwirizana ndi chiwalo kupatsidwa zina.
2. Kulandira mankhwala chemotherapeutic.

ululu m'mimba odwala awa - chodabwitsa pafupipafupi. kompyuta chindodo chofunika kukhazikitsa ndi matenda zolondola. Aliyense perforation matumbo amafuna yomweyo alowererepo pa opaleshoni. Kuchotserapo milandu kumene zili za m'mimba yaing'ono kapena yaikulu likulowerera nyini ndi chikhodzodzo. Pankhaniyi, wodwala akhoza anaona zamoyo wa mpweya ndi ndowe pa pokodza.

Njira zochizira

Matumbo perforation angathe kuchiritsidwa yekha ndi opaleshoni. ndondomeko kuthamanga ali osavomerezeka chifukwa angathe kuyambitsa mavuto aakulu. Wodwalayo ndi zizindikiro zoonekeratu matumbo perforation yomweyo kuchipatala mwamsanga kugwira akuchitira.

Zochita madokotala kukhala mwamsanga, koma zolondola. Mu tizilombo ta izi minofu m'mimba sangathe kukambirana, chifukwa njira sizingasinthe amayamba m'thupi la wodwalayo.

Nthawi zambiri, odwala anakumana laparoscopy. Komanso, unachitikira mankhwala concomitant zizindikiro nkhawa, monga matenda a mtima. Chizolowezi mosamala amaloledwa milandu pamene zili matumbo aloŵa mu chikhodzodzo kapena kumaliseche.

Akatswiri musati amalangiza kuzengereza kuyendera dokotala. Chiritsani matumbo perforation kunyumba zosatheka. Tikumbukenso kuti perforation kungachititse kuti imfa ya wodwala. Patapita maola angapo pambuyo isanayambike dzenje m'matumbo kapena yaing'ono intestine akuyamba chilonda - necrosis cha ziwalo ndipo zimakhala.