Qaphela: "esiswini oyingozi"!

Igama elithi "esiswini oyingozi" kuyinto uphawu prefabricated ephawula okungazelelwe acute isifo besisu okwenzeka noma umonakalo mechanical, okuyiwona ngokuvamile edinga kokulashwa okusheshayo. Ngokuvamile, ukuhlolwa lokuqala nesineke esiswini oyingozi eyanikezwa odokotela kakade ngesikhathi Luhlolo wokuqala kanye nomlando ethatha. Kukhona ebaluleke elungile umehluko ukuxilongwa (uphethwe okungenzeka kakhulu njengoba ukunquma ngokunembile ukuthuthwa edingekayo ukuze esibhedlela kanye nezinqubo ezengeziwe zokuxilonga) kanye nosizo ngokushesha.

Isici esiswini oyingozi wukuthi isimo lesiguli uwohloka nge ihora ngalinye odlulayo. Acute ubuhlungu besisu - kuyisiqalo nje ngobufakazi inqubo sokugembula, futhi ngisho noma ngesikhathi ukuncipha, akusho ukuthi isimo saba ngcono.

isimo isiguli enjalo ingase ibe ngenxa yezizathu ezilandelayo:

1. umonakalo mechanical ngaphakathi komgodi ongaphakathi kwamathumbu;
2. Phakathi izinqubo ukuvuvukala sokugembula kule komgodi ongaphakathi kwamathumbu (isib peritonitis);
3. kokunikezwa kwe-bomzimba eziyize;
4. wamathumbu isimiso ;
5. izinkinga nge pooling eyeqile lwemithambo kwegazi endaweni peritoneum;
6. ukopha phakathi komgodi ongaphakathi kwamathumbu;
7. izinqubo sokugembula e insikazi uhlelo zokuzala (igebe esibelethweni, ukhulela ethunjini, izinhlumba wesibeletho, njll).

Izimpawu esiswini oyingozi kusobala ngempela, iziguli zabo ungaphuthelwa, ngoba ubuhlungu ngokuvamile enamandla kakhulu, asikwazi analgesics isuswe, baphoqelelwa ukuba bamukele sesimweni ophoqelelwe noma okuphambene nalokho ngokuvamile ukulishintsha (kuncike ngeso lengqondo ukuthi lesi simo siyaphuthuma), thwebula ukusebenza. Iziguli kukhona esimweni ubuhlungu ukushaqeka.

On luhlolo, isiguli nge uphawu "esiswini oyingozi kakhulu" kubalulekile ukuba banake izibonakaliso ezinje: isikhundla lesiguli, nokwanela ingqondo, khona amanzi emzimbeni, ibala lesikhumba, imvamisa kanye nekhwalithi kwesitulo. Ngemva kokuhlola Imininingwane kuyadingeka ukukala izinga lokushisa (axillary futhi rectal), ukunquma imingcele hemodynamic. Okulandelayo uphenyo esiswini - evunyelwe futhi auscultated kuchazwa umsindo lemali isethwe esiswini (avuvukele ezigwediwe), uphenywa ingemuva ngokuba khona edema, elengayo izindonga ukopha. Uma zonke izimpawu ukhombe "esiswini oyingozi", isiguli kumele basiwe esibhedlela ngoba uphethwe eminye - noma ngabe perforation semtimba, nobe ukuvaleka, noma ukopha naphakathi-besisu. Ngaphambi yokuvuma kungeke kwanikezwa analgesics - bangathumela ukusula isithombe lingaze futhi kuholele amaphutha ekuxilongweni.

Uma ngokuhamba esibhedlela noma ngisho ukubiza udokotela isiguli sine- ukushaqeka ubuhlungu, kubalulekile ukuba ahlele ukususwa zikuthola isimo uqobo.

Lapho efika e- isikhungo sokwelapha isifundo kohlelo senhliziyo ukuthola ukuthi kungenzeka ukopha ukushaqeka Inkomba (inquma iphesenti ukopha). Wenze kahle-X-ray kanye ultrasound.

Uma "esiswini oyingozi" kwatholakala kubantu besifazane, futhi kubalulekile ukuba banake ukukhulelwa kungenzeka, usuku lokugcina esikhathini, khona kudivayisi intrauterine, izifo concomitant izifo zabesifazane.

Phezu kokuthola isithombe onokwethenjelwa isifo ngaphakathi peritoneal ukwenza laparoscopy zokuxilonga - luhlolo ngokusebenzisa imbobo encane, okuyinto lembula isitho onesifo noma ezinye izinkinga. Ngokuvamile, ngokushesha ngemva imbobo laparoscopy senziwa ukufinyelela okuvulekile, wageza komgodi ongaphakathi kwamathumbu siqedwa imbangela yalesi sifo. Ngasikhathi sinye, nesineke okudingeka ukwenze lapho ukumpontshelwa igazi iqondiswa ukulondoloza isimo glucose.

Nge ukwelashwa esifike ngesikhathi esibhedlela, uphethwe okusheshayo elungile, iziguli eziningi kakhulu kusindisa ukuphila.