Payra syndrome: oonobangela, iimpawu, unyango

Kukho bambalwa abantu abaye zange eyethisa isisu. Kwiimeko ezininzi, ezi mpawu ezingemnandi ezinxulumene nokungondleki okanye izifo izitho zokugaya ezifana gastritis, isilonda esiswini okanye cholecystitis. Ukuba iintlungu esiswini elibukhali, kunye ogulayo isicaphucaphu nokugabha, ngokufuthi basibone appendicitis. Nonobangela zonke ezi nkathazo ingaba Payra syndrome zempilo. Yintoni na le sifo yaye oko kubonakala njani ngokwayo, akazi nokuba bayazi wonke ugqirha, kutheni, sanikwa unyango engalunganga. Kulo mzekelo, isigulana nje akukho uphuculo kwenzeka, kodwa kubaxa ngxaki. Ngenxa yoko, kubalulekile ukuba ukusombulula kuphela uqhaqho. Ukuze ube nobulungisa ukuba bathi ngokwezonyango ngoxilongo Payra syndrome esekelwe kuphela imbali Ngokucofa esisu kunye kungekho uhlalutyo zobugcisa lweziphumo, nzima ngenene. Kodwa lo sifo kukho ezinye iimpawu ezahlula kwezinye izifo zesisu. Ukuze ufumane inkcazelo malunga nendlela yokuqonda esi sifo eziyingozi kunye nokuba kunokwenzeka ukuba azisinyangi isifo ngaphandle utyando - Inqaku lethu.

Payra syndrome - ntoni na?

Khumbula isikolo nokwakheka. Konke ukutya esikutyayo uqalisa azinakwetyiswa esiswini, uze eshenxela emathunjini amancinci apho inkqubo ekugayeni iphela. Apho unikezelo ukutya egazini uza konke oko ezixabisekileyo, yaye ngamampunge umzimba singena Amathumbu amakhulu. Apha, kule ubunzima amanzi ako, eshiya a inkunkuma guquki elingqingqwa ukuba esiyibiza endleni. Ikholoni amacandelo eziliqela, elide apho - ikholoni. Simplistically kokuba zimelwe ngokohlobo ityhubhu Wosenza ububanzi of malunga 7 cm, ezifana kodini owayamene emathunjini amancinci. Ikholoni wahlulwe amacandelo amathathu. Wenyuka ingxenye ifumaneka kwicala lasekunene esiswini. Yena uya kwesibindi, uSathana uzimisele kwi-engile kufutshane 90 ° kunye ingeniso kwi icandelo ezinqamlezayo. Le yinxalenye ikholoni ufikelela indawo udakada (umzimba lulele ikota yesangqa ephezulu ekhohlo), kwakhona uzimisele, ingena kamva ikholoni sigmoid kunye isikali ehla ingxenye. Esitulweni, siqala ukwenza kwi uphume emathunjini amancinci, nise kuko konke ngale ndlela elide, ngokuthe ngcembe eqinileyo. Ngenxa yoko, imveliso siye kwabunjwa zamafu ngokwaneleyo ukuze cal mninzi. Payra syndrome okanye isifo Payra saphawula xa kwigophe lesibini ikholoni (kuloo ndawo udakada) inkulu kakhulu kunokuba kumele kube physiologically. Kweli nqanaba, i-sangqa ethunjini kwisisu kakhulu sincinane, ukuba iyeza ekuthiwa stenosis. Ngokuthi kuvulwe emxinwa iye izokhula ithe Andinaxesha ukuba akakhawulezi ngokwaneleyo ukwenza isithuba kwingoma ukubaleka. Isiphumo luhlobo ngumash ngenxa yokuba umzimba uzama ukuya kwimveliso. Amaxesha amaninzi zongezwe iigesi isitulo kuveliswa ngexesha ukwetyisa ukutya.

Yintoni na le ngozi Payra syndrome

In emathunjini amancinci egazini ukusuka ukutya kudlula izinto eziluncedo umkhondo, iivithamini kunye nezinye izinto, nabo bonke isitulo ngokungeyomfuneko nokuba yingozi ukuba bokwakha. Ngesiqhelo esinayo yonke imihla lokuphelisa umzimba, oko kukuthi, ukuze enze isenzo defecation. Ukuba ithe lilibaziseka oko kusenzeka kunye ukuqhina, igazi uqala ukugeleza babekho kwezi izinto eziyingozi, uqala i ityhefu chu emzimbeni (ukunxila). Le ngozi oluphambili, nto leyo ebangela Payra syndrome. Ukunxila ineziphumo ezininzi ezingalunganga, omnye leyo kubizwa ngokuba omzimba. Oku kukhokelela kukuba kuncitshiswa ukuxhathisa iintlobo ezahlukeneyo izifo. Ukongeza, isitulo eqinileyo ukubacaphukisa udonga isisu, okubangela zizilonda yabo, kwaye bazama ukuqhina kunokubangela imbonakalo hemorrhoids. Enye ingxaki enkulu ebangelwa yi syndrome Payra - it kolonoptoz oko kuthetha kukushiyelelwa ikholoni. Oku kukhokelela emathunjini kwaye ngamanye amaxesha volvulus.

umyalezo weimeyile

Payra syndrome kwachazwa ugqirha waseJamani Irwin Pyro kwi sele kude 1905. Iminyaka engaphezu kwama-100, ukwanda kwesi sifo liye landa waza wafikelela malunga nama-40% yabantu abadala le planethi. ikholoni inflection elifana neli kubume azalwa amathumbu lwezidumbu, njenge evuthelweyo cross-kwavela ikholoni. Ekubeni ezi mgaqweni iziphene, izinto zabo ilala ukungasebenzi lokusekwa emathunjini kwinqanaba le mveku. Phakathi kwazo kwakukho bume ntle, ukugula unina ngexesha lokukhulelwa, amayeza, imikhwa emibi, ntshikilelo luvo, utywala abakhulelweyo kunye nezinye izinto eziphembelela ekuphuhliseni olungekazalwa. Statistics Medical lufumanise ukuba abantwana, uyise nonina abaphethwe zizifo ze phecana wokudla, bazalwa kunye syndrome Payra kusenokwenzeka ngaphezu kwabantwana ngabazali abasempilweni ngokupheleleyo.

Pathogenesis

Payra Iimpawu syndrome ongumlinganiselo nezinye izifo ezininzi wokugaya, ngoko sivame ukuxilongwa ngokungachanekanga. Izigulane bangaziva:

- nokuqunjelwa;

- isicaphucaphu;

- ukulahlekelwa emnyama;

- intlungu esiswini;

- Ukuphalaza;

- isisu kalanga (ngenxa yokuba yeegesi andinako ukuzisindisa ukusuka Amathumbu amakhulu);

- intloko ebuhlungu;

- ucaphuka.

Kwakhona Payra syndrome kusenokubonisa obubonakala ezifana:

- paroxysmal buhlungu eyendawo ayaziwa (ngenxa ukuxinana kwindawo igesi namathumbu inflection kunye ngendle);

- iintlungu eziqatha ezintliziyweni indawo kwendawo (ngamanye amaxesha banikela phantsi igxalaba okanye ngesandla ekhohlo);

- ukuncitshiswa iintlungu, xa isigulane ilala tye.

Mihla le nangenxa yokudodobala of endleni ebangela ukudumba udonga wamathumbu nindijulele emathunjini amancinci okwenzeka Payra syndrome kukhokelela reflux ileitis kubo. Kule meko, iimpawu ongeze zezi zifo for free:

- yencindi kwi isitulo, ngamanye amaxesha ngegazi;

- ukwanda obushushu.

dolichosigma

Enye amacandelo ikholoni na colon sigmoid, ngoko igama ngenxa ukumila kwayo, noko efana incwadi «S». Le ibekwe ngqo phambi isikali, apho umsebenzi ukuba kuphunywe esitulweni salawo aphumayo. Dolihosigmoy wabiza ngezifo, xa umntu na oyile colon sigmoid elide kunokuba kuyimfuneko anatomically. Kwangaxeshanye oko kwenzeka uhlobo okungacetywanga zazimi ngxi ka endleni, kunye iimpawu afana Payra syndrome. Dolichosigma kungaba nje ngokwemvelo, kodwa bathenga. Kukholelwa ukuba ikholoni sigmoid ukuba side kunye ixesha elide (kule minyaka), ukungondleki kakuhle, xa ukusetyenziswa ukutya kwezilwanyana kakhulu kwaye carbohydrate, kunye nomsebenzi omdala. Enye iimpawu eziphambili kwesi sifo nokuqunjelwa. Kwakhona, izigulane ezikhala intlungu subcostal yasekhohlo kunye inkaba, phezu flatulence, ukwanda kokungazinzi ngokubanzi kwezempilo.

ekuxilongweni

Payra syndrome abadala kunye nabantwana kwafunyaniswa ukuba akukho lula. imbali yezonyango kule sifo ifana kakhulu ezinye iingxaki kunye iphecana zesisu. Kuyenzeka ukuba izigulane kunye syndrome Payra wada ngoxilongo appendicitis yaye uqhaqho. Ngeli xesha, kukho indlela echanileyo kakhulu une le ngezifo - ergography. Le yeyona ndlela iphumelelayo ukujonga ngokuchanileyo olukhulu isigulane ubukho inflection ye ikholoni. Le nkqubo lwaqhutywa usebenzisa barium zokumiswa. Inkqubo yolawulo yayo kwisigulana ilawulwa X-ray screen. Xa ugcwalisa umfanekiso colon eyenziwe isigulane silele phantsi, naxa lokusula kwamathumbu - bemi.

Abantwana kwiqela lobudala leminyaka 10-15 asetyenziswa ukufunda indlela colon radioisotope. igolide Ngaloo radioactive isisombululo colloidal.

Xa syndrome Payra kulo mfanekiso ungabona ukuba colon, ngathi ngokombingeleli, unokukhawuleza kwindawo zangasese.

Features Payra syndrome ebantwaneni

Ngelishwa Payra syndrome ebantwaneni iye kancinane bafunda, ngoko akukho iingcebiso esichazayo ngendlela ukuxilonga ngokuchanekileyo ngakumbi izigulane zakhe nobudala babo abaselula, nokuba inyangwa njani ngempumelelo ngakumbi. Kwenziwa izazinzulu zonyango uphando lubonakalise ukuba amantombazana esi sifo kwenzeka kaninzi ngaphezu amakhwenkwe.

Ukubonakalalisa syndrome Payra iqala kwiinyanga zokuqala ezili-12 emva kokuzalwa, ngokufuthi ngexesha xa umntwana aqale asisuse. ukutya Entsha kwenza umntwana isitulo ashinyeneyo ngakumbi ukuba okhuthaza ukugcinwa babo endaweni inflection wamathumbu.

Iimpawu zokuqala zesi sifo, ebonisa Payra syndrome: imvelaphi jikelele impilo komntwana kuvela ukuqhina kunye neentlungu esiswini. Kamva wongezelela Iimpawu ukunxila (isicaphucaphu, ukugabha) ngenxa beqokelela endleni wayolula nokuhlala kwabo ethunjini. Ngaphandle konyango, abantwana iminyaka 12-15 ndisingasinga iimpawu ezifanayo Payra syndrome, ngokunjalo abadala. Xa ehlola abantwana kuyakrokreleka yena Payra syndrome, ugqirha kufuneka uqinisekise uku bana phandle wenza njani ukukhulelwa, nokuba kukho intsapho usisizalwane somgadi iingxaki emathunjini, ukuphepha iinkqubo ukudumba ethunjini zovavanyo lead igazi. Uxilongo lokugqibela kufuneka wenziwe kulandelwa iziphumo zeemviwo barium ngayo.

Payra syndrome: yokudla unyango

Xa oku ukugula eninzi ingqalelo, izigulane kufuneka anikwe isondlo esifanelekileyo. Ukutya kufuneka ibe phezulu-osidingayo, kodwa kwangaxeshanye lula, ayiqulathanga ezininzi ityhefu. Le menu mayibekho cottage itshizi, ibhotolo, cream ezimuncu, ijeli. Ukwandisa peristalsis emathunjini, izigulane kufuneka ukwethula yintloya yakho yokudla, kefir, ubisi womoji enegwele, iyogurt. Makangabi sishiywe kunye neelekese, leyo kukha ulwelo ukuya emathunjini, nto leyo inegalelo thinning of endleni kwaye defecation inkqubo lula. Kufuneka Izigulane sidle iziqhamo ezininzi, nobusi, badle isiraphu iziqhamo.

Xa phambi syndrome Payra njengoko ukuqhina enye umyalezo, kubalulekile ukuba asele broths yemifuno kunye neziselo yeziqhamo kwakunye esandula wenza isiselo leminqathe neetapile ekrwada.

Odla akuthethi ukuphelisa esi sifo, kodwa kulula kakhulu kuye.

unyango elondoloza

Oogqirha kuvamile ukubona imeko besoyikela utyando kwaye ufuna kuqala ukuzama kwanonyango iziyobisi, izigulane wafumana Payra syndrome. Unyango Yintoni iipilisi ukumelana nesi sifo? Oogqirha usenokuncomela amayeza lactulose. Bona inokunikwa abantwana kwangethuba ebuntwaneni. Lactulose thile dilutes isitulo, kwandisa peristalsis kunye ngaxeshanye, ohleli amathumbu of microflora luncedo. Abantu abadala kunye nabani na kwesisu ngenxa yokukrala ixesha elide udonga wamathumbu yaqala, amisele amachiza-ukudumba. Kuba ntlungu angacebisa antispasmodics "Drotaverinum" okanye "Platifillin" izifundo nawo prebiotics luncedo, probiotics, iivithamini.

Payra syndrome kunyangwa ngamayeza kuphela kwisigaba sokuqala sesi sifo, kwaye iziphumo zithande ukuba mfutshane elide. Ngaxeshanye kunye iipilisi oogqirha ukumisela physiotherapy (electrophoresis kunye nesisombululo novocaine, izicelo zeparafini kwi esiswini, diathermy, UHF, kusisinyanzelo kwi yokuthanjiswa esiswini, kunye imisebenzi eyabelwe ukomeleza iindonga zayo.

ukungenelela kuhlinzwa

Le yeyona ndlela isebenzayo unyango, apho zonke iimpawu unyamalale ngokupheleleyo, nangonaphakade, kwaye hayi ngexesha, njengoko kunye nezinye iindlela zonyango. Imisebenzi ziqhutywa ngeendlela ezahlukeneyo, ngokuxhomekeke ezibonisa yokwakheka. Kolunye kuzo wayephatha laparotomy median, resection le ezinqamlezayo colon Division bypass kwi indawo ephakathi, ukuwisa anastomosis ngqo. Ngaphezu koko, ikholoni ezinqamlezayo ihamba yokuxazulula phantsi isiseko-esiswini lungu, wayifaka yinkqubo okhethekileyo, kangangokuba bend kummandla wesibindi udakada babanjwa.

Njengoko inkqubo yesibini resected lungu, nokukhusela Amathumbu amakhulu (colon-splenic kunye colon-diaphragmatic) laparoscopy kwehlisa i flexure splenic ukuze agobe kude emathunjini. Olu tyando lwenziwa kunye nokusetyenziswa trocars zonyango kunye electrocautery.

imisebenzi Ludityanisiwe yenziwa kwabo kwafunyaniswa ukuba "Payra syndrome dolichosigma". Izimvo ezigulane emva kokucocwa ezinjalo kakuhle kakhulu. Abantu ngokupheleleyo intlungu, yima ukuqhina, kunye iimpawu kunxilwe shwaka nabo. Ngexesha ukusebenza zidityanisiwe, ukongeza izigulane nokuqhathwa kunye colon yaye inxalenye ezinqamlezayo flexure splenic zisebenza resection laparoscopy le colon sigmoid.

Outlook

unyango Conservative uvelisa iziphumo nisaqala esi sifo, kodwa ngenxa yokuba kubangelwa ngezifo yokwakheka kubume isisu, kuphela utyando inceda soyise ngokupheleleyo sifo Payra. amayeza esizwe Unyango isetyenziswa kuphela nje nkarhinyana. amayeza emveli linikeza infusions kunye decoctions, olindelwe isitulo (laxatives) kunye neendlela zokuthuthukisa motility le amathumbu. Isenza izixhobo ukomeleza amajoni omzimba, kuphucula imeko jikelele. Sebenzisa unako iphekiweyo ngeplantain, juice iitapile, uyawathena yathamba, womile iziqhamo. Kubalulekile ukwazi ukuba le syndrome contraindicated Payra enemas.

I-ALS kwizigulane abaye nje kwenziwe unyango oluchanekileyo, akholiswe ngokupheleleyo. Ukuba isifo Payr waqalisa, kusenokubakho iingxaki ezisongela ubomi ezifana nangezilonda, izilonda beendonga, hemorrhoids, asakhulayo ukusuka njengokonzakala isigxina endleni kwamathumbu.