Perforated chilonda: zizindikiro ndi mankhwala

matenda alionse amene sanalandire chithandizo kapena sizili ndi malangizo onse a dokotala kungayambitse mavuto aakulu. Panopa, anthu ambiri anthu amadwala matenda pa mundawo m'mimba, kuphatikizapo gastritis ndi zilonda zatenga amodzi a malo oyamba. Chimodzi mwa mavuto amene amabwera pathologies awa ndi perforated chapamimba chilonda ndi zilonda mmatumbo, zizindikiro ndi mankhwala a pathologies awa nkhani zotsatirazi.

Kodi perforation?

matenda chifukwa cha mavuto a matenda chironda chachikulu, amene angayambe zifukwa zosiyanasiyana, koma iwo kungachititse kuti mapangidwe bowo kudutsa mu thupi dzenje. Izi zikhoza kukhala m'mimba, ndi intestine iliyonse.

Chifukwa cha mapangidwe nkhani lonse la perforation a m'mimba kapena intestine pamodzi ndi zili ndi michere igwera mu M'mimbamo peritoneal n'kuyamba kudya kutali pa iye. wothandizila opatsirana musakhale osayanjanitsika, ndipo poyankha chochitika ngati akufotokozera ndi yotupa ndondomeko wotchedwa peritonitis.

Izi ndi zinthu kwambiri kuti amafuna yomweyo alowererepo zachipatala. Nthawi zambiri Vuto izi zimachitika mu theka amphamvu a anthu, ndi pakutchulidwa a mapiriwo mu kasupe ndi yophukira.

Zimayambitsa perforation mmimba

Pali zifukwa zingapo zimene zingachititse kuti chilonda perforated pakati pawo zofunika kwambiri:

• Pafupipafupi kutupa mimba.
• zolimbitsa thupi, zimene zimachititsa ponso mu kuthamanga intraabdominal.
• yambiri chakudya.
• mtima kunyalanyaza kuti kudya pang'ono.
• mavuto.
• Ntchito aspirin kapena mankhwala glucocorticoid.

Pamaso kutupa mu Kakhungu mucous kungachititse chakuti chilondacho perforated, zizindikiro zake akhoza kukaona wodwala. Kwenikweni ayenera ndisanabadwe nthawi zonse ndi kutsatira malangizo dokotala.

Zimayambitsa chilonda 12 mmatumbo chilonda

Nthawi zambiri zilonda thupi ili zimayambitsa mizu mwa mavuto ndi mmimba. Ngati palibe kanthu akutengedwa kuthetsa kutupa mu izo, ndiye motsimikiza kufalitsa kwa duodenum ndi.

zimayambitsa angakhalenso:

• Uchidakwa.
• Ndulu matenda, aakulu appendicitis.
• Infection ndi bakiteriya Helicobacter pylori.

Ziyenera adzanyamula kukumbukira kuti perforated chilonda 12 mmatumbo chilonda zimachitika kwambiri kambirimbiri kuposa m'mimba.

Symptomatology perforated chilonda

Pamene wodwalayo matenda pachimake, izo nthawizonse anaonetsa ululu, kusanza, zonsezi nthawi zambiri pambuyo chakudya. Pa nthawi mapangidwe a perforation perforated zizindikiro chilonda ndi lakuthwa "zigawenga" ululu kuti simungathe kupirira. Wodwala amayesetsa kukokera miyendo yake pamtima, kuchepetsa izo.

Pa nthawi iyi, pamene pali kuwonjezereka zizindikiro za kuledzera chifukwa mmene zonse zili m'mimba, mu zonse m'mimba. Khungu amakhala wotumbululuka, zikuoneka thukuta ozizira, amachepetsa magazi ndi mtima amayamba kumenya mofulumira.

Mu chitukuko cha matenda pali magawo angapo:

1. Shock siteji. Nthawi ndi amakhala ndi kosati ululu umene angapereke ku kumanja. Chifukwa cha ichi, ndi nthawi yopumula, minofu kudzakhala kovuta kwambiri ndi mantha.
2. M'maganizo kusintha. Panthawi imeneyi, ndi za maola ochepa pambuyo isanayambike ululu, chikhalidwe bwino pang'ono, perforated chilonda matenda awo yafupika. Pali kufooka, kuthamanga ndi otsika, minofu kumasuka pang'ono, ndipo mosavuta kupuma. Thupi kutentha ndi zambiri pa nthawi iyi kuchuluka, pali bloating, odwala amene amadziwa chikhalidwe ichi, alibenso kusokonezedwa iye ndi poyizoni kapena chimfine. Popanda mwadzidzidzi nthawi imeneyi sangathe zidzaperekedwa.
3. Pambuyo 12 hours kale kuoneka peritonitis zizindikiro dryness mu M'mimbamo m'kamwa, kupweteka m'mimba. Tikumbukenso kuti zizindikiro za peritonitis ndi yofanana, kaya chifukwa, kuti kumayambika. Ndikuona kuti kwachitika motsutsana perforation cha chilonda cha m'mimba kapena intestine n'chotheka pamaziko a matenda alipo.

Peritonitis bwino zimayamba appendicitis, kapamba, koma Mulimonsemo wa amaganiziridwa kudwala zofuna amenewa mwamsanga m'chipatala. Koopsa zili pamene kukula chilonda pafupifupi palibe zizindikiro. Zizindikiro zinachitika perforation wodwala ananyalanyaza, ndipo monga kuyesa kuthetsa ululu banja improvised njira ndi mankhwala othetsa ululu, ndipo iwo ali moyo pachiswe.

Zizindikiro zilonda matumbo

Ngati pali perforation wa duodenum 12, zizindikiro ingakhale monga iyi:

• Pachimake kupweteka kwa hypochondrium kumanzere, amene angathe kuperekedwa khosi ndi phewa.
• Kusanza, nthawi zambiri zimachitika kamodzi kokha.
• Kumakhaladi "pancake woboola pakati m'mimba."
• Pali thukuta ozizira, ndi bluish nembanemba mucous.

Monga zinachitikira perforation chapamimba, perforated chilonda 12 mmatumbo chilonda, zizindikiro zimene ife zolowa, kumabweretsa mfundo yakuti mu gawo lachiwiri la chitukuko nthawi yomweyo anayamba kuwonetsa zizindikiro chotenga zili matumbo mu zonse m'mimba. Tachycardia, malungo, kupweteka kwambiri ndi umboni omveka chitukuko cha peritonitis. Mu chikhalidwe ichi, tiyenera mwamsanga thandizo madokotala.

Kupeza Vuto perforation

Popeza perforated chapamimba chilonda ndi zizindikiro mmatumbo chilonda limachulidwa mu gawo loyamba, ndipo odwala zambiri abwere kuchipatala lachiwiri, ndiye maziko a matenda lolondola ndi mbiri zachipatala. Komanso, onetsetsani kuti kafukufuku zina:

• Radiography, zomwe zikuonetsa pamaso pa ufulu mpweya, ngati pali perforation.
• US limatchula chiyambi cha kutupa mu M'mimbamo peritoneal ndi kukhalapo kwa madzi.
• EGD nthawi zina amagwiritsidwa ntchito kuzindikira Malo kudwala, koma pali chiopsezo mpweya mu zonse m'mimba, choncho muyenera kukhala osamala kwambiri.
• Ngati choncho kwambiri, ndi zizindikiro za perforated chilonda cha duodenum ndi afewetsedwa, iwo amachitira laparoscopy.
• MAGAZI amasonyezanso chinawonjezeka chiwerengero cha ESR, mkulu kubaya leukocytes ndi milingo hemoglobin ndichepe.

Pokhapokha chitsimikiziro cha pamaso pa mfundo perforation adzapatsidwa opaleshoni.

thandizo kwa chilonda perforated

perforation lomenyera m'mimba kapena m'matumbo ndi choopsa kwambiri kwa moyo wa munthu, chifukwa chake pa kukayikirana loyamba la chikhalidwe ichi m'pofunika itanani ambulansi. Mu ndondomeko ya kayendetsedwe wodwala zokonzekera ndi vuto kutumikiridwa kukhalabe kuthamanga wolumikizira, inhalation ya mpweya tcherani othetsa ululu.

Ntchito nthawi siwoyenera opioid analgesics, ngati iwo akuphwanya chikumbumtima wodwalayo ndi mafuta mawonetseredwe matenda, zomwe zimabweretsa mavuto kwa matenda zolondola.

perforated chilonda chithandizo

Perforated zizindikiro matumbo chilonda ndi pafupi zofanana monga perforation m'mimba, iwo kugawana ndi kuti kupirira okhumudwa yekha madokotala. Kugwira Ntchito watsala zofunika kuchita posachedwapa, chifukwa pa nthawi kungakhale kopanda phindu.

Ngati zinthu imafunika, mwai onse ikuchitika odwala mwakayakaya. Asanachite opareshoni, kafukufuku ndi anaikapo ndi catheter mu chikhodzodzo, ndipo uwo opaleshoni anachita pogonekedwa ndi mankhwala ambiri.

Dokotalayo wopanga ang'ambe thupilo komanso amayang'ana M'mimbamo a m'mimba kapena intestine, kudziwa perforations, kenako vutolo, Achotsa bwanji izo. Kuti tichite zimenezi, mungachite zotsatirazi:

1. Inu mukhoza kutenga mdzenje.
2. Nthawi zina, mbali pochotsa m'mimba pamodzi ndi perforation lapansi.
3. Excision wa chilonda ndi kugwira vagotomy.

Nthawi zambiri zimene anakumana wanga, madokotala kudziwa kuti suturing si 100% chitsimikizo cha kuchira kwathunthu, musabise amayambira. Choncho, njira imeneyi kulamulira perforation achisangalalo zinthu ndi peritonitis kwambiri, kapena pamaso pa matenda a achinyamata amene akhala chifukwa boma la nkhawa.

Nthawi zina, zosavuta excision wa chilonda kapena chapamimba resection.

Monga pamaso excision kapena suturing, ndipo pambuyo ntchito zimagwiridwa wathunthu ziŵalo M'mimbamo ndi malamulo drainages.

Takambiranazi mutu: ". Perforated zizindikiro chilonda ndi mankhwala" thandizo imeneyi n'kofunika kwambiri, koma ambiri tanthauzo lake lagona hospitalization oyambirira.

Zovuta pambuyo opaleshoni Mapa m'tsogolo

Mwa mavuto postoperative za ndondomeko ndi zotsatirazi:

• Kukula kwa abscess ndi zonse m'mimba.
• Chibayo.
• Ngati matabwa ndi mwachita bwino, ndi zinadzala ndi mapangidwe kukonzanso perforation ndi peritonitis ndi sepsis.
• kawirikawiri zotheka kuphwanya Kukwezeleza chakudya kudzera kum'mero mu m'mimba chifukwa cha kuchepetsa wa Muzifunsa sphincter lapansi.

Ngati wapezeka mu nthawi perforated chilonda, zizindikiro anatsimikiza ndi watenga miyeso zonse zofunikira kuthetsa matenda, kuti madokotala ananena zawo zambiri zabwino. Kugwilizana ndi malangizo onse a dokotala ndi zakudya akhoza munthu wabwinobwino.

chithandizo anthu zilonda

Ngati matenda wapita patali, ndipo anapanga perforation, ndi mankhwala njira za makolo alibe chochita. Koma pambuyo opaleshoni, kuwonjezera ndi muyezo njira ya chithandizo, n'zotheka kutsatira malangizo a asing'anga.

Pano pali maphikidwe zimene zingakuthandizeni kuchepetsa acidity wa madzi chapamimba, kuletsa kuyambiranso kumwa:

1. Sakanizani madzi a mandimu awiri ndi malita 0.5 uchi ndi yofanana mafuta. Wokonzeka kugwiritsa ntchito mankhwala kwa 1. L. musanadye 3 pa tsiku kwa mwezi umodzi.
2. magalamu 250 masamba aloe wolapadi nyama chopukusira, kuwonjezera magalamu 250 uchi ndi kutenthetsa osakaniza kwa madigiri 50, onjezerani lita imodzi theka la vinyo wofiira. Zonsezi ndi kunena m'malo a mdima masiku 7, ndiyeno inu mukhoza kutenga supuni ndi 3 zina tsiku kwa ola limodzi pamaso chakudya. Kutalika kwa mankhwala masabata 3.

Kumbukirani kuti mankhwala akhoza mogwira magawo koyamba chitukuko cha zilonda ndi perforations kukachitika palibe tanthauzo lenileni.

Momwe mungapewere zisadzachitikenso wa perforation ndi

Pofuna kupewa kubwereza yatsoka a perforated chilonda mankhwala odana muyambirenso ayenera nthawi zonse ikuchitika, womwenso:

1. zakudya zoletsedwa. Monga kukonzekereratu odwala akutumikira № 1 zakudya, makamaka pa nthawi imene exacerbation zotheka.
2. Kulandira mankhwala zofunika. Dokotala kupezeka chofunika kuti malangizo pa nkhani imeneyi.
3. Physiotherapy. Iwo kupereka zotsatira zabwino molumikizana ndi kudya zakudya zopatsa nthanzi ndi yoyendetsa mankhwala.
4. Zodziwitsa spa chithandizo.

Matenda pa mundawo m'mimba zingachititse mavuto kwa mwini wake. Ngati inu satsatira malamulo okhwima chakudya, kumwa zizolowezi, ukuvutika ndi maganizo pafupipafupi, mukhoza kudabwa kuti mliri kachiwiri kulengeza wokha zizindikiro zake zosasangalatsa. Dzisamalire ndi thanzi lanu, iyo siingakhoze adagula ndalama iliyonse.