Etsolo isisu syndrome: Iimpawu, Unobangela Treatment

neentlungu esiswini azise kwiinkathazo ezininzi kubantu abadala kunye nabantwana. Gastritis, isilonda esiswini, gastroduodenitis, reflux esophagitis, umhlaza esiswini - ezi zezinye izifo uqhelekileyo phecana emathunjini, nto leyo ngokufuthi ijike ibe kwinqanaba ezigulo ezondeleyo. A ngozi sibi isisu syndrome. kufuneka uncedo olungxamisekileyo. Esi sifo kubangela kuphela iintlungu, kodwa isisongelo ngqo kubomi babantu. Kakhulu ebalulekileyo unyango kwangethuba unyango ngotyando.

Njani kwenkcazo sifo

Eli gama lisetyenziswa amayeza ukubonisa lumngcungcuthekise nazo kule kwisisu kwaye zifuna utyando ngokukhawuleza. etsolo isisu syndrome ezinokubangelwa yi ukuvaleka kwisisu okanye izifo zesisu. Esi sifo ingozi yokwenene ebomini yesigulane.

wabonakala Ukuchazwa syndrome of "esisu etsolo" kwi yezonyango emva kokupapashwa ethi Genri Mondora "isifo kaxakeka. Sesisu ", eyapapashwa ngo-1940. Le ncwadi wabhekisela ntonye yingcibi - ". Ntlekele esiswini" Emva kwale ncwadi yezonyango baqala ukuxoxa isifo kwaye afumane unyango lwezifo ezifana acute esiswini syndrome. Iimpawu kunye Oonobangela baqalisa ukuhlola ngakumbi ngokucokisekileyo.

Henri Mondor akazange kuphela ugqirha lowo wachaza sifo. ugqirha Russian N. Samarin wafunda eli ngurhulumente, kwaye iincwadi zakhe, uyangqina ukuba isigulane esi sifo kufuneka asiwe esibhedlele ngokukhawuleza kakhulu. Ezincwadini zakhe, apapashwa izihlandlo ezimbalwa, uthi, emva kokuba iimpawu zokuqala ogulayo iiyure ezi-6 kuphela.

iimpawu

Kuba ingqiqo umfanekiso bezonyango nasiphi na isifo kuyimfuneko ukwazi iimpawu. Xa intsingiselo i syndrome etsolo isisu, ezi mpawu zilandelayo:

• ubuhlungu obukhulu esiswini.
• lobushushu eliphezulu.
• yomntanakhe Rapid.
• Ukubuyisa.
• Ukopha.
• Umothuko.

Kodwa isikhalazo engundoqo isigulane sihlala intlungu. Ngokusekelwe mpawu zingasentla, oogqirha ukwenza iimpazamo attribute them kwezinye izifo. Umzekelo, iintlungu kusenokuba kubonisa peritonitis nolahlo ngokubanzi, ukugabha - zalatha ityhefu ukutya. Isiphumo unyango kuxhomekeke ukuxilongwa oluchanekileyo ziya kusekwa kungekudala.

etsolo syndrome isisu: Oonobangela

Unobangela kwesifo ibe ngoba:

• I-pancreatitis, cholecystitis, appendicitis, peritonitis, umhlaza colon, Embolism, thrombosis, amathumba.
• Ikhefu okanye perforation esiswini, amathumbu.
• Iphula nepancreas, udakada, isibindi, wesibeleko, waso, nto leyo enokuthi sikhatshwe ukopha kungena kwisisu.
• Ileus.
• Izifo zezigqeba ukuba ibekwe ngaphandle kwisisu.

Uvela ngasentla, kukho ukuhlelwa oonobangela esi sifo:

• izifo ukudumba efuna unyango ngotyando olungxamisekileyo.
• ukopha Acute kwisiqwenga zesisu (UMallory-Weiss syndrome, ukopha isilonda, anorectal ukopha, ithumba esiswini, gastritis haemorrhagic).
• umothuko esiswini okanye inxeba gaze, apho ezonakeleyo isibindi, udakada, injeke okanye emathunjini.
• Ukuphazamiseka ye phecana emathunjini, nto ezo kungeyomfuneko ukuba utyando kaxakeka (hepatitis, carcinomatosis peritoneal, gastroenteritis, yersiniosis, porphyria hepatic, yokulunywa hepatic, cholecystitis etsolo, enterocolitis pseudomembranous).
• Izifo yamanina (seTrojan, syndrome esibuhlungu phakathi sexesheni, salpingitis).
• isifo sezintso (pyelonephritis, iposi sezintso, yokulunywa sezintso, paranephritis, hydronephrosis kwinqanaba oyingozi).
• isifo sentliziyo (kwemithambo aortic, iposi engabalulekanga, pericarditis).
• isifo luvo (herniated disc, SHmorlja herniated).
• Pleuropulmonary (Embolism yemiphunga, unepleurisy, pneumonia).
• Izifo enzala (volvulus ovarian, ukugcinwa etsolo womchamo).
• intambo Ukwenzakala spinal (trauma, myelitis), iimbambo eziintsalu, omqolo.
• Nezinye izifo (ukunxila xa ityhefu kunye iarseniki, ilothe, uremic isiqaqa, ntlekele leukemic, angabikho zingqondweni seswekile, ntlekele hemolytic, isifo Verlgofa).

Indlela yokubona esi sifo

Nokuba imeko oogqirha nomonde enze uxilongo, nto leyo iba cebo. Lokufunyaniswa onaso of "esisu etsolo" imi ngolu hlobo lulandelayo:

1. Anamnesis.
2. Uphando imeko yomguli.

Imbali iquka ingakumbi ezo ithi: isilonda duodenal okanye esiswini, hepatic, yokulunywa sezintso, imisebenzi, uchama okanye isitulo, ukuphazamiseka izifo. Ugqirha wokuqala ubhekisela kwixesha intlungu kwasendaweni yayo, ukuqunjelwa, ubushushu, izifo elidluleyo izifo nococeko, ukuphazamiseka kokuya. Oku kubalulekile, njengoko acute isisu syndrome kunokwenzeka ngenxa apoplexy ovarian okanye ukukhulelwa ethunjini. Lonke zonke ezi zinto, oku kungathatha ixesha elide, kodwa kuyimfuneko ukuba ukuxilongwa echanekileyo.

imizimba Investigation na uhlolo, Ngokucofa, zezihlokomiso, uphando olwenziwa ngokusebenzisa lobufazi, isikali. Ugqirha kuqala utsalela ingqalelo buthathaka, isikhumba lipholi, ukungcola, emzimbeni. Emva yoviwo ugqirha imisela iimvavanyo laboratory ilandelayo:

• Urinalysis.
• Ukuzimisela yeqela igazi RH factor.
• Inqanaba mpilo, hematocrit.
• ESR.
• Uhlalutyo igazi epheleleyo kwizi ifomula leukocyte.
• Enqanda nepancreas nesibindi.

izifundo Laboratory asingabo igunya lokugqibela, ngoko ugqirha ubeka ultrasound kwisisu, indawo retroperitoneal. Ultrasound kuyimfuneko ukungaphili ukuba ukuze zibe nomfanekiso ocacileyo clinical. Kwakhona, ugqirha umisela auscultation ye esiswini ukubona motility wamathumbu ukwandisa nomonde okanye ukungabikho namathumbu izandi. Ukongeza ultrasound, ugqirha ubeka uviwo efakwa kunye nabafazi lobufazi. Oku kubalulekile, kuba ezi uphando uyakwazi ukuchaza intlungu kwi isinqe, nto leyo bazimilise i esisu yayiyazi. Kwakhona uphando radiation Indlela ezibalulekileyo syndrome of esisu ahlekise.

Ngokucofa kwi lokufunyaniswa kwesifo

Le ndlela loxilongo kufuneka kwenziwe kakuhle. Kufuneka ukuziva isandla efudumeleyo ukuba enyanzeliswa phezu tyaba yonke esiswini. Okokuqala, ugqirha wasikhangela kwiindawo yalula ngokufundisa umguli mizwa ekhathazayo. Ke ugqirha palpates kwiindawo isisu esibuhlungu. Ugqirha kufuneka va ingalo isisu kwindawo esinekona sasekunene. Le ndlela loxilongo utyhila ukungakhululeki kwezihlunu, iintlungu etsolo, lingene, ithumba ukubunjwa invaganity.

isifo isifundo Instrumental

Xa isigulane ifika kwigumbi zonxunguphalo, kubhaliwe yabelwe ezi zifundo zilandelayo:

• Ray le esisu kunye Isifuba, oko kuyimfuneko ukuze iris karhulumente diagnostic (ukuhamba, nokwanda berhasi, inqanaba ulwelo ethunjini).
• X-reyi nshita zoviwo esiswini.
• Irrigoscopy (okusolwayo isithintelo colonic).
• Laparoscopy (kwiimeko kunzima ukubona).

Indlela yokunceda isigulane

uncedo lokuqala acute isisu syndrome na esibhedlele ngoko nangoko. Esibhedlele isigulane kufuneka ngoko nangoko ukuba achongwe kwisebe utyando.

Isiphumo iziyobisi imeko yomguli

Nceda kunye syndrome of "etsolo esisu" ngaphandle ntlungu. Oku kusebenza kuzo zombini analgesics ezidakumbisayo and non-ezidakumbisayo, nto leyo lubricates kuphela umfanekiso lwezonyango, kodwa unqandwe sifo yesigulane. Ukongeza, iziyobisi, kungaba kubi imeko yomguli, ukususa ngokwemiqathango kotyando, kunokubangela spasm le sphincter ka Oddi. Kwakhona awavumelekanga ukuzisebenzisela nootropic, psychotropic, laxatives, elwa wabeka enema yokuhlanjululwa.

unyango

Ukuba konke ukwalatha etsolo esiswini syndrome, unyango sikuko manyathelo alandelayo. Ugqirha Ungasebenzisa spasmolytics - 2 ml isisombululo "shpy" okanye 1 ml "Atropine" intramuscularly okanye yegazi. Unyango lwesi sifo yinkqubo yotyando, apho kunokwenzeka kuphela emva nokuzinziswa iimpawu ezibalulekileyo yomsebenzi. Kuxhomekeka kwimeko yomguli kwamalungiselelo msebenzi kungathatha ixesha. Isigulana elamkelwe kunye ukopha, emathunjini, xa nematha, kufuneka uzilungiselele kutyando kuphela emva ekupheliseni ukuphazamiseka metabolic. izifo pathways (ukuncipha BCC, ukuphazamiseka kwamanzi kunye electrolyte balance, emzimbeni, kwekhono amalungu ebalulekileyo, ukuphazamiseka ukulungelelana acid-database) kuthi izigulane wavuma zikwimeko embi.

Ixesha kwamalungiselelo umsebenzi kuxhomekeke imeko yesigulane. Kwigumbi zonxunguphalo isigulane kufuneka ufake uphenyo imixholo nesisu Eskom. Emva koko uhlambe esiswini phambi gastroscopy nolawulo ezophayo ukuba isigulane kwamkelwa kweso. Le catheter lwesinye ukuxilonga ukulimala kunokwenzeka, kwaye okona kubalulekileyo - iliso imveliso umchamo ngeyure ngexesha therapy igazi.

Ukuba kuyimfuneko, ulawulo iziyobisi butofelwe, iplasma okanye iiseli ezibomvu egazini kufuneka nokuba sikuhambise nkusungula catheter kulo iphuma subclavian ukuba wemvula ngokukhawuleza ukopha, kuqheleke eseleyo acid-base, amanzi-electrolyte ukungalingani, kunye nokumisela uxinzelelo central lwemithambo.

Kule sifo ibonisa unyango ukumnika:

• Isisombululo glucose.
• Ukuqaliswa yezisombululo electrolyte.
• Ukwaziswa kwemithetho ye-plasma-isisombululo.
• Intshayelelo yesisombululo "albumin".
• Intshayelelo igazi, xa kukho imfuneko.
• Ukuqaliswa kwe plasma.
• Ezifo emathunjini kukrokrelwa perforation amalungu.

Unyango kwangoko siqala, evumayo ngakumbi sisiphumo kolo ngenelelo. Amalungiselelo utyando kuthatha indawo ngexesha elinye kunye nokusebenza ngokukhawuleza.

syndrome etsolo esiswini kunye nabantwana

Iintlungu syndrome e abantwana kube uphawu zizifo ezahlukahlukeneyo. Ngokufuthi kusenokuba kwinwebu le inwebu yangaphakathi, lo peritoneum, yaye hayi indlela sifo isisu etsolo ebantwaneni. Iimpawu zesi sifo abantwana ziyafana abadala. Umthombo isenokuba umzimba iqhele kwi kwisisu kuphela.

Oonobangela neentlungu esiswini ebantwaneni:

• Dysbacteriosis.
• Ukudumba emphinjeni.
• Besisu.
• Enteritis.
• Enterocolitis.
• Gastro.
• Duodenitis.
• Gastritis.
• isilonda esiswini.
• esophagitis Reflux.
• okwenziwa sisilonda sikabhobhosi.
• Nokuqunjelwa.
• Pancreatitis.
• Cholecystitis.
• Kwesibindi.
• Ziimpethu, giardia, amile.
• zeDyskinesia Biliary.
• isisu.
• Ari.
• Imasisi.
• Irhashalala.
• Ngokuzimela.
• Pyelonephritis.
• Urolithiasis.

Kuyo nayiphi na imeko, ukuba kukho syndrome - iintlungu etsolo esiswini, njengoko iliphawu nasiphi na kwezi zifo, lo ngowona "intsimbi 'kuqala ukuze ucele uncedo. Schitaetsya ukuba umntu ofundileyo ngokwaneleyo kwaye inkcubeko, liyakwazi ukujonga kwi iimpawu zotyando kwinqanaba oyingozi. Amaxesha amaninzi, akunjalo. Ngokutsho manani, kubangela iingxaki obukhulu appendicitis inyathelo etsolo kukuba ngoyaba wabonakala yokuqala ngomonde esi sifo. Ukungabikho ngesiquphe a sifo kabuhlungu - oku sisizathu ngovuyo, ngokuba oko kusenokubonisa uqhekeko kodonga kwamathumbu ebushushwini babo. Kwiimeko ezininzi, xa isigulane kusiwa kade, isiphumo utyando kuxhomekeke ubuchule kagqirha kunye nonyango postoperative.

etsolo syndrome isisu - isifo eyoyikisayo, ingakumbi kubazali. Ngoko ke, kubalulekile ukukhumbula ukuba ngaphambi kokuba suspecting eyona, kuyimfuneko ukwazi ukuba unobangela oqhelekileyo iintlungu abantwana appendicitis yondele kakhulu kwisigaba okanye ukudumba isihlomelo le cecum. Kubalulekile ukwazi ukuba appendicitis etsolo isentlungwini abantwana abancinane ayiqondakali kubonakaliswa. Kodwa ke umntwana ecubhukile, akabi kulala, uyaganga. Kungekudala utyatyazo ivela apho yencindi ekhoyo. Ngenxa ezinjalo uphawu asingosinga ityhefu appendicitis okanye isisu.

Indlela yokwahlukanisa appendicitis ukuba ityhefu okanye isisu? Intlungu appendicitis lwenzeka kwinxalenye eliphezulu okanye ummandla yosana, kodwa hayi kwi iliac fossa ekunene (kwindawo apho ibekwe isihlomelo). Kukho iimeko apho abantwana abancinane isihlomelo ibekwe kwindawo efakwa, kufuphi lwesinye. Kulo mzekelo, i appendicitis njengesiqhelo lingaqonda kuphela ugqirha kunye namava. Ezinye Iimpawu ezinxulumene (isicaphucaphu, ukugabha kunye nomkhuhlane) akanakho ukuphuhlisa kwezinye iimeko. Kwimeko obukhulu leukocytes appendicitis xuki ayikwazi wande, kwaye esiswini kwempixano kwezihlunu olunokutyeshelwa.

Kubalulekile ukwazi ukuba abantwana self engamkelekanga. Hayi kuphela intlungu yaye akakwazi Baqhula ngokungakhathali ukunika imithi abantwana, kodwa kwakhona nge abandayo elula ukuba undikhohlisile. Enemas, lavage esiswini, sorbents okanye ezinye iziyobisi linokwenziwa kunye ityhefu ukutya, ukunxila okanye emathunjini, ukuze kube kubi appendicitis etsolo, isisu oyingozi okanye kunokwenzeka syndrome. Kufuneka ngoko nangoko ubize inqwelo yezigulana, musa kuthambisa umfanekiso kwaye zange lenze oogqirha ukuba "trail bobuxoki 'ngaphambi kokufika. Umntwana kufuneka banikwe amanzi okanye ukutya. Kwimeko apho i-ambulensi ilibele, kwaye umntwana uba mkhulu ngakumbi, ungatsalela umnxeba ugqirha ukuze icebise ukuba uqhubeke ngayo kuwe. Kwakhona, kwimeko ekhaya zothutho, unako ukuze isebe olungxamisekileyo esibhedlele umntwana.