Emathunjini isimiso uphawu, ukwelashwa. isimiso emathunjini ezinganeni: Izimpawu

Siyini isimiso wamathumbu? Izimpawu, ukwelashwa kanye izici yalesi sifo izokwethulwa ngezansi. Siphinde ngikuxoxele ukuthi izimbangela zesifo okukhulunywa nokuthi sitholakale.

ulwazi olujwayelekile

Ileus (izimpawu e abadala nezingane Kamuva sizoxoxa ngokuthi) libhekene esinqunyiwe noma ephelele ukumisa ukukhuthazwa chyme ngokusebenzisa namathumbu. isimo esinjalo sokugembula edinga esiphuthumayo zazi, ngakho-ke okusongela ukuphila kwesiguli.

Izizathu sokuthuthukisa izingane

Indlela kuyinto isimiso wamathumbu ezinganeni? Izimpawu zalesi sifo izinsana azihlukile kakhulu kusukela izimpawu kwabadala.

odokotela bobabili basolwa ngokudlala, lesi sifo sithinta bonke tigaba. Lesi simo sokugembula kungaphinde kwenzeke kwezinhliziyo zezinsana kwasebekhulile.

Ngokuvamile izinsana isimiso emathunjini is phetho ukukhula kwe-fetus. Kungenzeka ngenxa ukuvaleka mafutha anciphisa isikhala esingaphakathi emathunjini, noma okuthiwa stenosis, atresia ngomphimbo, akuphelele Ukujikeleza emathunjini, duplikatury emathunjini (ie kabili emathunjini) kanye emathunjini neuronal dysplasia izindonga.

Kungani kukhona abadala?

Manje uyazi ukuthi kungani uthuthukisa wamathumbu isimiso in izinsana. Izimpawu zesifo izokwethulwa ngezansi.

Ukuthuthukiswa leso sifo e abadala kunezimbangela eziningi ezahlukene. Khona-ke abakhululiwe ezivamile yilezi ezilandelayo:

• ukuhlinzwa kwamathumbu nokwethuka;
• ukuvuvukala kule peritoneum, esadaleka ngemva Izifo ukuvuvukala;
• isimila esiswini noma retroperitoneum;
• kumiswa Izigaxana emathunjini, lapho kukhona mesentery eside futhi mobile;
• imikhuba emibi ukuthuthukiswa emathunjini;
• ingcindezi naphakathi-besisu ngenxa kokuvivinya umzimba ngokweqile;
• ekudleni kanye nokudla ephula isheduli ukudla kanye nenani.

izinhlobo izifo

Uphawu ileus zingase zihluke. Ngokuvamile incike uhlobo lwesifo nezimbangela zayo.

Zokwelapha ukuze uhlukanise sifo umbuzo ngale ndlela:

• azalwa naso;
• kuluthola.

Kususelwa izimbangela futhi indlela lesi sifo, kufanele licaciswe ukuthi ifomu azalwa naso we isimiso emathunjini kuwumphumela anomalies fetus.

Ngokuphathelene izifo aluthola, luwumphumela mshini ukuthuthukiswa. Ngo iqembu lolu hlobo zihlanganisa okuthiwa hlobo ashukumisayo noma ukusebenza nge ileus kofé uhlangothi futhi ifomu spastic. Eyokuqala is phetho ukukhubazeka kanye paresis kwamathumbu. Ngokwejwayelekile kuzibonakalisa kuphela esigabeni sesibili futhi kungase kube ngenxa yokucindezeleka post-op.

ifomu spastic lesi sifo lihlotshaniswa reflex wamathumbu zibe. Lesi sifo is phetho kucabanga yisinanakazana futhi intoxications.

isimiso emathunjini: izimpawu

Ukwelashwa kwezingane kanye nabantu abadala lesi sifo kufanele kwenziwe ngokushesha, kungenjalo lisongela ukufa.

Ngokuvamile, ukuthuthukiswa kwalesi sifo libhekene emizweni ubuhlungu esiswini. Kungenzeka abukhali, cramping, kanye umlingisi ezikhulayo. Lesi simo ikhuthaza okuvela isicanucanu nokuhlanza okwalandela.

Ngemva kwesikhathi esithile, okuqukethwe wamathumbu (ngenxa yokuminyana yayo) kuya esiswini. Lesi simo esiyingqayizivele sibangelwa unikeza ebuhlanzweni nephunga sici kuso.

Njengoba obonwa isimiso emathunjini ezinganeni? Izimpawu zalesi sifo zihlanganisa: ingane ukuqunjelwa, futhi ukubuyisa.

At ekuqaleni kohlelo isifo peristalsis emathunjini ngokuvamile iqhubeka. Kulokhu, kungaba nokubuka ingane ogangeni besisu. Ngemva kwalokho, ngo-isiguli emathunjini ukuvimbela ukwanda ngokuphawulekayo isisu, okuyinto ethatha ukuma okungajwayelekile.

izimpawu ezivamile

Emazingeni ahlukahlukeneko yentuthuko uphawu isimiso emathunjini kungase ukuzibonakalisa ngezindlela ezahlukene. Ngo inqubo ukuxilongwa isiguli ungathola zimpawu ezilandelayo:

• bebek umfutho wegazi;
• anda kwenhliziyo;
• ulimi owomile;
• izihibe egcwele igesi kanye wamathumbu liquid ukwandisa osayizi zabo;
• ukwandisa izinga lokushisa komzimba.

Izimpawu ze-acute isimiso emathunjini

isimo esinjalo sokugembula eba ngokuzumayo. It kubonakala kahle ngendlela efanayo njengoba inqubo wamathumbu iziyaluyalu ukusebenza. Ngenxa yalokho, isiguli ngokuthi izici ezilandelayo:

• ubuhlungu esiswini;
• kwentaba kanye flatus;
• uhudo noma ukuqunjelwa,
• ukuhlanza nesicanucanu;
• ukushaqeka peristalsis anda.

Asinakusho ukuthi sibi isimiso emathunjini libhekene ngempela izimpawu ezinhlobonhlobo. Ayevame kuxhomeke ezingeni isimiso isitho ethintekile.

Ngamunye uphawu isimiso emathunjini ayinandaba indoda ngesikhathi esifanayo nabanye. Nokho, uma zingekho engenzi ngakususi khona kwale egunjini lokuhlolwa kwezifo.

Ubuhlungu isifo oyingozi kuthiwa, futhi kusukela ekuqaleni yentuthuko. Eziningi zalezi emizweni kuthiwa isebenze esiswini, okungukuthi, emhlabeni Inkinobho Belly. Ubunjalo ubuhlungu - spasmodic.

Uphawu isimiso emathunjini ngesimo ukuhlanza yinkulumo njalo kakhulu. Nokho, ochwepheshe bathi lokhu mkhuba siyenzeka kuphela uma kwenzeka ukuthi isithiyo emathunjini kuphezulu.

Ukuvimbela i-ikholoni, lesi sici ayitholakali, nakuba isicanucanu wahlala. Ekuqaleni ebuhlanzweni amelela kuphela okuqukethwe isisu. Ngemva kwesikhathi esithile bona ibe tint aphuzi, bese iba luhlaza ngisho umbala ogqamile brown.

Ikhona yini enye indlela abonisa ngayo acute isimiso emathunjini? Izimpawu (ekwelapheni lesi sifo kudingeka achushe phakathi kuphela isibhedlela) ziyancipha ukuze zokugula enjalo ukuqunjelwa ezinzima. Ngokuvamile, ukuthi lesi sici sale sifo yakamuva.

Kufanele futhi wazi ukuthi lo zokugula cishe ngaso sonke isikhathi sihambisana ukulahlekelwa enkulu uketshezi ukuhlanza futhi ukudakwa lokuqukethwe emathunjini.

Lapho ukwelashwa ilibele abantu kuyehla blood pressure kanye kwenhliziyo amanothi. Lezizibonakaliso ukhombise isiqalo ukushaqeka.

ileus kofé uhlangothi

Le ndlela lesi sifo ukuzibonakalisa ngesimo ukuncipha okuqhubekayo motility kanye wamathumbu ithoni. Ngenxa yalokho, ngokuvamile esisuke sibangelwa ukukhubazeka okuphelele isitho ethintekile.

Ukuze ileus kofé uhlangothi libhekene:

• ubuhlungu, ukuvuvukala, ngisho ukuhlanza;
• amagesi futhi sezinyawo imisiwe.

Ubuhlungu at isifo enjalo iyosithinta lonke esiswini. Basuke Echichima uhlamvu futhi ningathuli.

Ukuhlanza ileus kofé uhlangothi phakathi nesineke ukuvakashelwa ngokuphindaphindiwe. Ekuqaleni, kuba stomachic, bese okuqukethwe emathunjini. Lapho diapedetic opha odongeni wamathumbu and esiswini, ne-acute izilonda ebuhlanzweni kukhona oluhambisana ngokwemvelo.

ukubuyisa Sikuveze okubangela ukuphefumula thoracic. Futhi, iziguli ukuthi nginesifo umfutho ophansi wegazi, tachycardia nomlomo owomile.

isimiso ingcina

ububonisa kanjani ngokwayo ingcina ezingamahlalakhona isimiso emathunjini? Izimpawu zalesi sifo kufanele bazazi bonke abantu, uthambekela ivela khona. Lokhu kungenxa yokuthi leli zokugula ungephansi kwemandla ezivamile. Kuze kube manje, kukhona ukuthambekela ukwandisa imvamisa yayo. Lokhu kwenzeka ngenxa inani elikhulu imisebenzi esiswini.

Yesigcilikisha isimiso emathunjini ihlukaniswa kanje:

• obturation;
• nomaka;
• isimiso ashukumisayo.

Ifomu lokuqala isifo libhekene ingcindezi spikes emathunjini. Lokhu akwephuli innervation yayo futhi umthamo wegazi ogciniwe.

Lapho nomaka uhlobo ukuvuvukala bakucindezele elinamandla mesentery wamathumbu. Umphumela kuboniswa necrosis isitho ethintekile. Leli fomu ihlukaniswe izinhlobo ezintathu ezahlukene: nodulation, volvulus futhi Jamming.

nesigaba lesi sifo

Indlela kuyinto isimiso wamathumbu ezinsaneni? Izimpawu zalesi sifo ezinganeni nakubantu abadala abathembele enkundleni yayo.

Ngokusho kwezokwelapha, lesi sifo eba ngezigaba ezintathu:

1. Elementary. Uthatha amahora mayelana 3-12, futhi ephelezelwa ubuhlungu esiswini, nekusita peristalsis futhi ukubuyisa.
2. Lesisemkhatsini. Kuthatha amahora mayelana 13-36. Ngesikhathi esifanayo kokudamba kwezinhlungu futhi kuba isikhathi uMuntu engokomfanekiso. Phakathi nale nkathi, yenyuke izimpawu zokudakwa olubi nokuphela kwamanzi emzimbeni.
3. Isikhumulo. Ngokuvamile, lokhu esigabeni kwenzeka ezinsukwini ezimbili emva ukwakheka isifo. isimo sokungapheleli komuntu kakhulu liwohloka. Ngakho kukhona ukwanda izimpawu zokuphelelwa amanzi emzimbeni, isitho yangaphakathi kanye Sikazwelonke.

Indlela ukuxilonga?

Njengoba kwembulwe esinqunyiwe noma ephelele isimiso emathunjini? Izimpawu zalesi sifo iyafana izimpawu ezinye izifo ezenzeka pheshana emathunjini. Ngakho-ke, lapho senza uphethwe isekelwe kuphela izimpawu ayizange.

Indlela eyinhloko sitholakele lesi sifo kokuxilongwa-X-ray of the ingaphakathi lesisu, kanye ukuhlolwa igazi. Ngaphezu kwalokho, ibhekwa njengoba, abanye ochwepheshe zisebenzisa ultrasound.

Ukuhlolisisa ezomile futhi camera nge yokuqhuma ezimhlophe ulimi lesiguli. Futhi, isiguli ukuvuvukala engalingani.

Isimiso ezilwaneni

Kanjani wamathumbu isimiso ngenja? Izimpawu leso sifo e izilwane ezifuywayo cishe izakhamuzi zaseBosnia zifana kusuka awabantu. Lapho kuvela izimpawu zokuqala yesifo, qiniseka ukuthatha isilwane sakho ukuze nomtholampilo wezilwane. Okuwukuphela kwendlela uzokwazi ukugcina ngaye luphila.

zokwelapha

Kuthiwani uma umuntu kwatholakala noma okusolwa (ngisho nomncane) ku isimiso emathunjini? Kulokhu, idinga esibhedlela esiphuthumayo. Ngokuvamile nesineke ezinjalo ithunyelwa ngokushesha emnyangweni kuhlinzwa.

Uma isiguli okuqhubekayo okwenzeka noma ukuphelelwa amanzi emzimbeni oyinhlekelele, ekwelapheni isimiso emathunjini Kwenziwa ngokushesha. Nale uphethwe izinyathelo zokwelapha lufanele lwenteke kulamazinga lalandzelako ngangokunokwenzeka ngesikhathi iziguli.

Ngaphansi kwezimo isimo engaguquguquki nge azikho izimpawu ezisobala ukwelashwa isimiso mechanical Kwenziwa, okuhlanganisa imisebenzi elandelayo:

• Okuqukethwe esiswini namathumbu is aspirated ngepayipi mncane okuyinto yethulwa ngokusebenzisa ekhaleni.
• Lapho hyperperistalsis nesineke ukunikeza antispasmodics.

Uma isiguli diagnostrovana isimiso mechanical, futhi izindlela olandelanayo musa asize, kubalulekile ukuba ukuhlinza eziphuthumayo. Ngokuvamile, sifaka:

• unwinding ka ukusonta;
• colliotomy;
• resection we necrosis wamathumbu;
• deinvaginatsiyu;
• wanameka fistula emathunjini (ukukhishwa lokuqukethwe yayo izimila kule ikholoni).

Emva isiguli balindelwe isikhathi ukuhlinzwa yokutakula. Kuhlanganisa izinqubo okuhloswe ngazo ukuzinza wamaprotheni ne amanzi-usawoti umzimba. Ngenxa yale njongo, Ochwepheshe zisebenzisa emthanjeni nosawoti izixazululo futhi igazi esikhundleni. Futhi baphathe ukwelashwa eqeda ukuvuvukala kudaleke ukusebenza motor-esiphuthumayo ipheshana wokugaya ukudla.

ukudla

Manje uyazi ukuthi isimiso wamathumbu (e amakati izimpawu ziyefana e kubantu nezinye izilwane). Ngaphezu kwalokho lokwelashwa kuhlinzwa lesi sifo, kanti isiguli ezinqunyiwe uhlobo olukhethekile lokudla.

Ngemva kokuhlinzwa ukuze isimiso emathunjini kungavunyelwe ukudla ukudla noma isiphuzo isigamu ngosuku. Ngezinye izikhathi umsoco lesiguli kuza parenterally. It is yethulwa ngokusebenzisa izixazululo umthambo izakhi.

Ngo leso sifo umuntu imvume yokusebenzisa imikhiqizo ubisi usana amafomula (futhi izingxenye ngokuvamile encane kakhulu).

Ngemva kwesikhathi esithile ngemuva kokuhlinzwa isiguli iqondiswa ukudla siyagwinyeka imikhiqizo ketshezi. Uma lokhu engayitholi usawoti uvinjelwe. Ngokulandelayo, ukuthuthela ekudleni, okuyinto eduze etafuleni № 4. Lokhu Ukudla lwenzelwe kute kwenyuswe umtselela emnene esiswini, kanye ukunciphisa inqubo ukuvutshelwa therein.

Lapho yiluphi uhlobo ukuvimbela umuntu kumele inciphise ngokwawo amafutha, carbohydrate, inyama, emakha, fibre, ukhukhamba futhi ubisi. Zonke izitsha wakhonza isiguli, kahle abilisiwe noma steamed ke ngokucophelela empini.

Ngemva kwesikhathi esithile, imenyu kancane wezokudla yandisa. Kulokhu, isiguli iguqulwe ngokuphelele inombolo Ukudla 4. By endleleni, it lenzelwa labo babe nesifo emathunjini.

Uhlu abantu abanezifo ka ipheshana wokugaya ukudla has ukunikeza okunomsoco ibe mnene ikakhulukazi amathumbu. Isabelo nge ileus (ngemva yokutakula) iba wehlukile. Kulokhu, ukudla asisekho, nazo zonke izitsha abilisiwe noma steamed. Lokhu kuzovumela umzimba nesineke ukugaya ke ngokucophelela.

Ukudla e isimiso oyingozi futhi ezingalapheki elivimbela Putrid, nezinqubo fermentative.

Kufanele kuphawulwe ukuthi nale uphethwe yini kufanele ngokuphelele ayifakiwe ezishukumisa ezishisayo, amakhemikhali kanye nohlobo lokukhanda.

Kufinyeta

ileus iyisifo sasivumela esikhohlisayo. Endabeni ka ukwelashwa kwesikhathi luvame ukubulala. Kufanele kuphawulwe ukuthi ngokuvamile kakhulu indlela kuphela ukwelapha lesi sifo kuyinto ukuhlinzwa. Emva isiguli kuyadingeka ukwenza eziningi izincomo likadokotela, okuhloswe ngaso ekubuyiseleni emzimbeni.