Perforation emathunjini: izimpawu, izimbangela, izindlela ukuxilongwa kanye therapy

Wamathumbu perforation - kuwukwephula ngokusebenzisa odongeni ikholoni noma wamathumbu encane. Ngenxa yalokho okuqukethwe ukusonteka umzimba okunjalo ingena phakathi komgodi ongaphakathi kwamathumbu. into enjalo ibizwa ngokuthi perforation. Libhekisela ukuhlukumeza izifo kuhlinzwa.

Ziyini izimbangela eziyinhloko zalokhu of

Wamathumbu perforation - ukuhlukumeza okuyinto ngokwazo ayiveli. Kunezizathu eziningana eziyinhloko enesandla ukusonteka emathunjini amancane noma enkulu. Lolu hlu lufaka:

1. Ileus.
2. ikholoni Diverkulit.
3. amatshe fecal.
4. Necrosis izimila kwakheka ikholoni.
5. izilonda emathunjini.
6. appendicitis Gangrenous, elibangela nokwahlukana izicubu of isithasiselo saleli Bhayibheli.
7. Ezinye izifo, njengesifo sofuba noma tsitomegaloviirusnaya ukutheleleka.
8. Vula futhi avaliwe ukulimala.

Lawa izici eziyinhloko, okwakuyoholela wamathumbu perforation. Izimbangela umonakalo odongeni mncane noma emathunjini ezinkulu kungaba abanye. Ukudabuka kwezicubu ngokuvamile kwenzeka ngenxa ukuwela pheshana emathunjini, emizimbeni acute eyohlobo: izikhonkwane, izinaliti, asikiweko, inhlanzi nenyama amathambo.

Izimbangela perforation emathunjini ezinsaneni

perforation emathunjini kwezinye izimo kwenzeka in izinsana. Perforation ezinsaneni kungenzeka kubangelwa izinqubo ezifana:

1. hypoxia Intrauterine, egqoke uhlamvu isikhathi eside.
2. Alibale ukuthuthukisa izinhlelo ezithile.
3. Ukondla indlela usana enteral.
4. I zokugula yokusetshenziswa pheshana emathunjini ezifana isimiso.
5. Surgery.

Punctures e izinsana - lawa amacala angawodwa. amakhefu eziningana ezingajwayelekile kakhulu. Njengoba izibalo zibonisa ukuthi la mantombazane perforation emathunjini kwenzeka kabili kaningi njengokuthanda abafana.

perforation emathunjini: Izimpawu

Perforation inezimpawu ezithile. Izimpawu igebe akukwazi lingekho. Uphawu oyinhloko perforations - nobuhlungu obukhulu esiswini, okuyinto ahambisana imisipha ukungezwani. On palpation ukungakhululeki iyanda. Zikhona nezinye izimpawu perforation emathunjini:

1. nesifiso sokufuna njalo ukuze azikhulula.
2. Ukuvuvukala.
3. ishayela Rapid.
4. Ukucanuzela kwenhliziyo nokuhlanza.
5. Oligulyatsiya.
6. Ukwanda lokushisa lomzimba kuya ku-39 ° C.
7. Yehlisa noma ungqongqoze umoya. Nge zokunciphisa diaphragm okubangela ubuhlungu obunzima.

kwezicubu Breakthrough ngesikhathi colonoscopy

Lapho isifundo umdlavuza colon usebenzisa uphenyo ekhethekile engenzeka perforation emathunjini. Lesi simo esiyingqayizivele sibangelwa zingachazwa kanje:

1. Ukususwa kwezimiso polyp - poliektamiya. Lapho ukuziphatha abanganaki inqubo ingase kabi ashisiwe izicubu. Kuyinto kule ndawo futhi kwakhiwa intuthuko. Ezimweni ezingavamile, umonakalo wamathumbu odongeni kwenzeka phakathi nokuhlinzwa. Izimpawu zokuqala zokucindezeleka avele kuphela ngemva kwezinsuku ezimbalwa.
2. insufflation okweqile - esasikhipha a nomuthi powdery ngoba traumatizing izicubu colonoscope. udonga ukudabuka, kutawenteka ngesikhatsi operation. Izimpawu zokuqala wamathumbu perforation avele ngokushesha. Punctures kulesi simo kungaba usayizi esikhulu.

Ukuxilongwa perforation emathunjini

Kwasendaweni ithumba wamathumbu perforation kunqunywa palpation esiswini. Igebe itholakala endaweni lapho isiguli uzizwa ubuhlungu obukhulu lapho wathinta. Ukuze kuhlonzwe ngokuvamile lisetshenziswa luhlolo hhayi kuphela digital, kodwa computed tomography futhi-X ray. Kwezinye izimo, imbangela ukungakhululeki endaweni besisu ngisho simple. Perforation kunzima ukuxilonga ezigulini:

1. Othola ukuhlinzwa elihlobene ne sitho ukufakelwa.
2. Ukuthola imithi chemotherapeutic.

Ubuhlungu besisu kulezi iziguli - into njalo. ikhompyutha ukuskena liyadingeka ukufaka ukusazi ngokunembile isifo esikuphethe. Noma yimuphi perforation emathunjini edinga ngokushesha kuhlinzwa. Okuhlukile ikakhulukazi ezimweni lapho okuqukethwe emathunjini amancane noma enkulu ingena esithweni sangasese somuntu wesifazane futhi esinyeni. Kulokhu, isiguli lungase lubonwe kwemvelo yamagesi futhi indle ngesikhathi ukuchama.

Izindlela yokwelashwa

Wamathumbu perforation ingelapheka kuphela ukuhlinzwa. inqubo sokuqalisa is hhayi Kunconywa, njengoba kungaholela emiphumeleni engathí sina. Nesineke izimpawu ezisobala wamathumbu perforation ngokushesha esibhedlela futhi ngokushesha afeze handling.

Izenzo odokotela kufanele iyashesha, kodwa olunembile. Kulezi zamagciwane nezicubu emathunjini ayikwazi ukuzindela, ngoba izinqubo engelapheki ungaqala emzimbeni wesiguli.

Ngokuvamile, iziguli kwavele laparoscopy. Ngaphezu kwalokho, isikhundla ukwelashwa concomitant izimpawu nokukhathazeka, ezifana ukuhluleka inhliziyo. Ukuhlolwa Asebenza uvunyelwe ezimweni lapho okuqukethwe emathunjini singene ku esinyeni noma esithweni sangasese.

Ochwepheshe batusa uyephuza ngokuvakashela udokotela. Yelaphani wamathumbu perforation ekhaya engenakwenzeka. Kufanele kuqashelwe ukuthi perforation kungaholela ekufeni isiguli. Ngemva kwamahora ambalwa lapho kuqala imbobo ikholoni noma encane amathumbu iqala esibhibhayo - necrosis we kwezitho nezicubu.