ImpiloIzifo nemibandela

Perforated isilonda: izimpawu kanye nokwelashwa

Noma yimuphi isifo ukuthi zingelashwa noma alihambisani zonke izincomo udokotela kungaholela eziyingozi. Okwamanje, isibalo esikhulu sabantu uhlushwa izifo ipheshana wokugaya ukudla, kuhlanganise kolwelwesi kanye nezilonda luthathe yezindawo zokuqala. Enye yezinkinga lezi pathologies kuyinto perforated isilonda esiswini futhi izilonda duodenal, izimpawu kanye nokwelashwa lezi pathologies Kamuva sizoxoxa ngokuthi.

Uyini perforation?

Lesisifo umphumela yezinkinga peptic isilonda isifo, okungase kwenzeke ngenxa yezizathu ezihlukahlukene, kodwa kungaholela ekwakhekeni emgodini ngokusebenzisa emzimbeni eziyize. Lokhu kungaba esiswini, futhi noma iyiphi emathunjini.

Ngenxa ukwakheka okuqukethwe yonke we perforation isisu noma amathumbu kanye nokuqukethwe kanye enzyme iwela ingaphakathi peritoneal futhi uqala ukudla ekhaya lakhe. ejenti ezithathelwanayo musa bahlala banganandaba, futhi ephendula sehlo eba i ukuvuvukala, okuthiwa peritonitis.

Lena isimo okungathí sina okudinga kokungenela lwezokwelashwa olusheshayo. Ngokuvamile lokhu inkinga kwenzeka engxenyeni eqinile lwesintu, futhi livela yeziqongo entwasahlobo and ekwindla.

Izimbangela perforation esiswini

Kunezizathu eziningana ukuthi kungaholela isilonda perforated, phakathi kwazo ezibaluleke kakhulu yilezi:

  • ukuvuvukala njalo isisu.
  • Ukuvivinya umzimba, okuholela ekwandeni ingcindezi intraabdominal.
  • esiningi ukudla.
  • isimo sengqondo sokungakunaki ukuze isimiso esinzima sokudla.
  • ezimweni ezicindezelayo.
  • Ukusetshenziswa aspirin noma ukwelashwa glucocorticoid.

Ukuba khona ukuvuvukala e ulwelwesi lwamafinyila kungaholela yokuthi isilonda perforated, izimpawu zayo ungavakashela nesineke. Kudingeka ukuba bahlolwe njalo bese ulandela izincomo udokotela.

Izimbangela isilonda 12 isilonda duodenal

Ngokuvamile lokhu umzimba Izilonda izimbangela zisekelwe nezinkinga esiswini. Uma kungekho senzo esithathwayo ukuqeda ukuvuvukala kulo, khona-ke qiniseka ukuthi lasakazekela duodenum.

Izimbangela zingase futhi zibe:

  • Ukuphuza ngokweqile.
  • isifo gallbladder, appendicitis okungamahlalakhona.
  • Ukutheleleka nge-bacterium Helicobacter pylori.

Kufanele kukhunjulwe ukuthi isilonda perforated 12 isilonda duodenal kwenzeka kakhulu njalo ezingaphezu kuka esiswini.

Symptomatology isilonda perforated

Lapho isiguli ukugula acute, njalo owabonakaliswa ubuhlungu, ukuhlanza, zonke Uvame kwenzeka emva kokudla. Ngesikhathi kumiswa perforation perforated izimpawu isilonda kuyinto "angababulali" abukhali buhlungu ukuthi ngeke nakancane sihambisane nakho. Isiguli ezama ukudonsa imilenze yakhe esifubeni, ukunciphisa ke.

Ngalesi sikhathi, njengoba kukhona izimpawu ukwanda lokudakwa ngenxa umthelela konke okukulo esiswini, e komgodi ongaphakathi kwamathumbu. Isikhumba iba ugodo, livela izithukuthuku ebandayo, kunciphisa umfutho wegazi futhi inhliziyo iqala ukushaya ngokushesha.

Ngo ukuthuthukiswa kwalesi sifo kukhona izigaba eziningana:

  1. Shock esiteji. Njengoba izikhathi futhi esibonakala ngokuqina okungabekezeleleki sebuhlungwini obunzima okunganikeza emuva esandleni sokudla. Ngenxa yalokhu, kuba nzima ukuphefumula, futhi imisipha kuzoba nzima kakhulu futhi ukhandlekile.
  2. Ukuthuthukiswa acabangwayo. Ngalesi sikhathi, kuba emuva kwamahora ambalwa kusanda nokuqala kwemihelo-ubuhlungu, isimo ngcono kancane, isilonda perforated izimpawu zabo ziye zancipha. Kukhona ubuthakathaka, ingcindezi uphansi, imisipha uphumule kancane, bese kuba lula ukuphefumula. lokushisa umzimba ngokuvamile kule nkathi luyanda, kukhona umoya esiswini, ukuqunjelwa, iziguli ezingakwazi ujwayelene nalesi simo, akusadingeki kudidaniswe kuye nge ubuthi noma umkhuhlane. Ngaphandle eziphuthumayo ngalesi sikhathi asikwazi akhishwa.
  3. Ngemva 12 amahora kakade ukubonakala kwezimpawu peritonitis ukoma e ngalo ingaphakathi ngomlomo, ubuhlungu besisu. Kufanele kuqashelwe ukuthi izibonakaliso peritonitis zihlale okufanayo, kungakhathaliseki ukuthi iyini imbangela, ukuthi isiqalile. Ngiyasola ukuthi lokhu livelile ngokumelene perforation of isilonda isisu noma amathumbu kungenzeka kuphela ngesisekelo uphethwe etholakalayo.

Peritonitis kungadalwa appendicitis, pancreatitis, kodwa noma kunjalo okusolakala zokugula izidingo ezifana esibhedlela esiphuthumayo. Dangerous isimo lapho ekhula isilonda cishe akukho izimpawu. Izimpawu iphutha perforation isiguli singenakukwazi indiva, futhi nje uzame lokunciphisa izinhlungu yasendlini ngokurhaba izindlela kanye amaphilisi ezinhlungu, futhi ukuphila kusengozini.

Izimpawu wamathumbu izilonda

Uma kukhona perforation we duodenum 12, izimpawu zingase zihlanganise:

  • ubuhlungu olunamandla ku hypochondrium kwesokunxele, okuyinto inganikelwa entanyeni ingqwababa.
  • Ukuhlanza, avame kwenzeka kanye kuphela.
  • Kuba "esiswini Pancake emise."
  • Kukhona izithukuthuku ebandayo, futhi bluish nolwelwesi lwamafinyila.

Njengoba esimweni perforation esiswini, perforated isilonda 12 isilonda duodenal, izimpawu zazo izincwadi esizifundayo, kuholela yokuthi esikhathini komqondo nezinga lokukhula kwengane yesibili ngesikhathi esisodwa ziqala ukubonisa izimpawu ukuthola okuqukethwe wamathumbu phakathi komgodi ongaphakathi kwamathumbu. Tachycardia, imfiva, ubuhlungu obukhulu kukhona ubufakazi obucace njengalobu ukuthuthukiswa peritonitis. Kuleli zinga, kudingeka esiphuthumayo usizo lodokotela abahlinzayo.

ekuxilongweni perforation

Kusukela perforated isilonda esiswini kanye duodenal izimpawu isilonda uphinyiswa e esigabeni sokuqala, futhi iziguli ngokuvamile ukuza esibhedlela yesibili, khona-ke ngesisekelo okuyikona kuyinto nemlandvo wetekwelashwa kwakhe. Futhi, qiniseka ukuthi ucwaningo olwengeziwe:

  • Radiography, ebonisa khona igesi khulula, uma kukhona perforation.
  • US ikhomba ekuqaleni ukuvuvukala kule ingaphakathi peritoneal futhi khona uketshezi.
  • EGD ngezinye izikhathi lisetshenziselwa ukubonisa ukukhomba indawo esiqondile zokugula, kodwa kunobungozi gas phakathi komgodi ongaphakathi kwamathumbu, ngakho kumelwe niqaphelisise.
  • Uma kunjalo inzima, futhi izimpawu isilonda perforated we duodenum nivame, abakwenzayo laparoscopy.
  • Ukuhlolwa kwegazi futhi ibonisa anda amazinga ESR, okusezingeni eliphezulu angahlaba leukocyte kanye namazinga e-hemoglobin wehlise.

Kuphela emva isiqinisekiso khona eminingana perforation zizokwenziwa ukuhlinzwa.

Usizo lokuqala for isilonda perforated

perforation kwetinhlavu esiswini noma emathunjini kuyingozi kakhulu ukuphila komuntu, yingakho ngesikhathi izinsolo yokuqala yale isimo kuyadingeka ukubiza i-ambulensi. Ngo inqubo owawuthwele esigulini ngesimiso sina isimo amalungiselelo zaphathwa silondoloze ingcindezi lwemithambo, ephefumula umoya-mpilo Ubeke amaphilisi ezinhlungu.

Esetshenziswa kule nkathi okungalungile analgesics opioid ngoba yephula ukwazi lesiguli kanye gcoba ukubonakaliswa emitholampilo, elibangela ubunzima uphethwe yini.

ukwelashwa isilonda perforated

Perforated izimpawu wamathumbu isilonda cishe kuyafana perforation isisu, abelana ngaphezulu nokuthi ukuba abhekane ngokuphumelelayo nesitha isimo esinjalo kuphela abahlinzayo. kokungenela Wasebenza kuyadingeka ukuze afeze ngokushesha ngangokunokwenzeka, ngoba ngesikhathi esizayo kungaba lutho.

Uma isimo simphoqa, zonke manipulations Kwakuseshwa labagula. Ngaphambi kokuba ahlinzwe, probe sifakwe kanye ipayipi ku isinye, futhi ngokwalo ukuhlinzwa kwenziwe ngaphansi izinzwa jikelele.

Udokotela ohlinzayo kwenza imbobo bese uhlola ingaphakathi isisu noma amathumbu, ukubona perforations, bese ukuxazulula le nkinga, kanjani ukuqeda kwalo. Ukuze wenze lokhu, wena nazo izinketho ezimbalwa:

  1. Ungathatha emgodini.
  2. Kwezinye izimo, ingxenye ekhishiwe isisu kanye perforation.
  3. Excision we isilonda futhi ubambe vagotomy.

Ngokuvamile, kokuhlangenwe nakho kwami, odokotela abahlinzayo ukwazi ukuthi suturing akuyona 100% isiqinisekiso ukululama ephelele, uyahluleka uma elwa nokuphuza ngokuvamile zenzeka. Ngakho-ke, le ndlela wokulawula perforation resort ezimweni nge peritonitis ezinzima, noma ukuba khona isifo abantu abasha abaye baba isizathu salokhu isimo ukucindezeleka.

Kwezinye izimo eziningi, excision ezingcono isilonda noma resection esiswini.

Njengoba ngaphambi excision noma suturing, futhi ngemva imisebenzi eyenziwa ephelele kabusha ingaphakathi futhi uqale drainages.

Sesihlole isihloko: ". Perforated izimpawu isilonda nokwelashwa" Usizo lokuqala kulesi simo kubaluleke kakhulu, kodwa iningi incazelo yalo itholakala esibhedlela ekuseni.

Izinkinga emva kokuhlinzwa futhi isibikezelo Ngokuzayo

Phakathi nezinkinga nasezinkingeni ezilandela ngemva kokuhlinzwa yenqubo kukhona okulandelayo:

  • Ukuthuthukiswa ithumba e komgodi ongaphakathi kwamathumbu.
  • Isifo samaphaphu.
  • Uma ezivuzayo zenziwa kahle, igcwele kumiswa kabusha perforation futhi peritonitis futhi sepsis.
  • Kakhulu akuvamile nokwephulwa ukukhuthazwa ukudla ngokusebenzisa kuqhoqhoqho zingene esiswini ngenxa ukuvaleka uvo we sphincter.

Uma sitholakale ngesikhathi perforated isilonda, izimpawu ixazululwe futhi selithathe zonke izinyathelo ezidingekile ukuze kuqedwe izifo, onalesi sifo ngokuvamile evumayo. Ngokuhambisana zonke izincomo udokotela umzimba nokudla ngokulinganisela kungase ukuphila okuvamile.

ukuphathwa Yabantu izilonda

Uma lesi sifo: Seledlulise amalawulo, bakha perforation, therapy izindlela ezivamile akunamthelela. Kodwa ngemva kokuhlinzwa, ngaphezu inkambo ejwayelekile yokwelashwa, kungenzeka ukusebenzisa izincomo abelaphi bendabuko.

Nazi ezinye izindlela ukuthi kuzosiza ukunciphisa asidi of juice esiswini, ukuvimbela lokubuya kwesifo:

  1. Hlanganisa umpe ulamula ezimbili 0.5 amalitha uju kanye ne esilinganayo zamafutha omnqumo. Ready ukusebenzisa umuthi 1 st. l. ngaphambi kokudla izikhathi 3 ngosuku ngenyanga.
  2. 250 amagremu amaqabunga Aloe ochotshoziwe grinder inyama, engeza 250 amagremu of uju kanye nokushisa ingxube degrees 50, bese ufaka isigamu ilitha newayini elibomvu. Konke lokhu kungenxa ukugcizelela endaweni emnyama izinsuku ezingu-7, bese ungathatha ku isipuni izikhathi 3 ngosuku ihora ngaphambi kokudla. Isikhathi salesi kwelashwa amaviki 3.

Kumele kukhunjulwe ukuthi umuthi wendabuko ungalunga emabangeni yokuqala ukuthuthukiswa izilonda futhi perforations kwenzeka kukhona awusekho umqondo.

Indlela yokuvimbela yokuphindela perforation

Ukuze uvimbele okuyinto impinda isilonda perforated, imishanguzo-lokubuya kwesifo kufanele njalo kwenziwe, okubandakanya:

  1. Ukudla ukuhambisana. Ukuze bagweme ukubanjwa for iziguli ukhonza № 1 Ukudla, ikakhulukazi ngezikhathi kungenzeka exacerbation.
  2. Ukuthola imithi edingekayo. Udokotela ukuba khona kuyadingeka ukwenza izincomo mayelana nalokhu.
  3. Physiotherapy. Batinikela imiphumela emihle ngokuhlanganyela umsoco ofanele kanye nokuphathwa izidakamizwa.
  4. ukwelashwa spa Periodic.

Tifo letibangwa pheshana emathunjini kungabangela asemrarweni kumniniyo. Uma ungenalo abanamathela esiqinile imikhawulo ukudla, ukuhlukunyezwa eziluthayo, sebunzimeni njalo, ungeke bamangale ukuthi isifo futhi ukumemezela ngokwawo izimpawu zaso edabukisayo. Zinakekele futhi impilo yakho, asikwazi wathenga mali.

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