Isibindi uqhekeko: Oonobangela, unyango, iziphumo nabanye abantu abane

Ukwenzakala zezigqeba esiswini ungomnye iintlobo ezininzi ezinzima, ekubeni kwiimeko ezininzi bamele kusisisongelo kubomi amaxhoba. Izinto ezibangela umonakalo onjalo kuba iingozi ezindleleni, amagalelo kwindawo esiswini okanye bawe evela ukuphakama umxhelo. Eyona njalo zenzeka ukopuka zesibindi ngenxa yobukhulu enkulu ngokwaneleyo kunye nolwakhiwo umzimba. Yintoni na ikhefu isibindi ukunika uncedo kumaxhoba kwaye iya kuqhutywa ngayo unyango kwindawo yonyango? na impendulo uya kufunda ngokufunda eli nqaku.

Ubume kwesibindi

Ngaphambi kokuqhubeka iimpawu nomonakalo wesibindi, kuyimfuneko kukuthi amagama ambalwa malunga isakhiwo umzimba. Yintoni na kwesibindi, apho sibekwe khona kwaye kubuhlungu njani na umzimba? Isibindi ise kwinxalenye engentla peritoneum, elifumileyo ikota yesangqa ephezulu ngasekunene. isibindi kwabantu mass abadala ifikelele kwi-avareji yama neekhilogram enye enesiqingatha. Sakhiwo iye iindawo ezimbini: a phezulu elahliweyo ngqo ngezantsi uvalo, kunye ezantsi.

Kwesibindi iquka iinxalenye ezimbini: asekhohlo nasekunene. Umlinganiselo bahlukaniswa Crescent lungu. Ngu isibindi senyongo ukholwayo eyabelwe enyongweni umzimba ichibi.

umsebenzi kwesibindi

Isibindi lenza imisebenzi emininzi kwaye ebalulekileyo. It, bazenza nyulu igazi, lidlala ezahlukeneyo kubalulekile ukuba eqhelekileyo yokusebenza kwiiproteni lomzimba, uvelisa iienzymes kwaye inxaxheba zonke iindidi ukutya. Ngexesha foetal uphuhliso lwabantu isibindi lenza umsebenzi hematopoietic. Nangona kunjalo, abantu abaninzi abazi nto ingako ngayo, ezifana isibindi apho nendlela kubuhlungu umzimba. Ukwazi ezi zinto zibaluleke kakhulu: ukuba ixesha orhanela ubukho nasiphi na isifo, unyango iya kuzisa iziphumo ezingcono kakhulu.

iinyembezi ebuhlungu

Isibindi uba ukungqinelana noko elingqingqwa, kodwa organ yonakele kaninzi. Oku kungenxa yokuba i-isibindi igutyungelwe udonga esiswini kuphela (ngaphandle umzimba kumphezulu diff). peritoneum Thin ungakuvumeli kukhuselo enokuthenjwa kwiimpembelelo yangaphandle. izinto ezininzi kungabangela isibindi komsipha: Oonobangela kwesi sifo zahlukahlukene kakhulu. Umzekelo, eli laphu zingabangela lula umothuko okanye icala.

Le nesibindi nokuba yonakele kwi trauma esifubeni okanye esinqeni. Buninzi ikhefu isibindi kwingozi. Trauma kungabangela ngesibetho ngamandla esibindini. Oku kungenxa kwindawo ethile umbutho yokwakheka kwaye ubunzima bayo. Ekubeni isibindi luthambe ezahlukeneyo kwaye esiqingqiweyo phakathi iimbambo umnqonqo yonakele rhoqo kwanele.

Kwezinye iimeko, ukuba komsipha isibindi leswikulu engafanelekanga eyenziwa bazamile, kodwa oku kuyenzeka kunqabile kakhulu.

Ngaba kunokwenzeka ukuba komsipha yezizwe esibindini?

zisengozini enkulu yokuba zesibindi komsipha xa kuthe ukuba umzimba wawabetha nasiphi na isifo. Xa seengcongconi, negcushuwa, amyloidosis ndaphule Ayinaxesha iimpembelelo ezinamandla lwangaphandle kunokubangela. umonakalo enjalo ndingamkhubekisi kuphela isibindi shot, uhlobo kwezihlunu kodwa cinezela, umzekelo, xa ukhohlela. ikhefu isibindi okuzenzekelayo kunokwenzeka phambi yobubi emzimbeni okanye olujikeleza aneurysms.

isibindi uqhekeko inokwenzeka ngokuchasene nentsukaphi yokukhulelwa. Le ngezifo kuchazwa phantse izihlandlo ezingama-120 ukususela 1844. Ngelo xesha, uninzi abafazi waxilongwa lwegazi.

Ukwahlukanisa ikhefu zesibindi

Ngokutsho ubungqongqo kulimala zahlulwe zigaba 4:

• ephula isidima philisi kunye ukopha;
• umsantsa parenchymal apho ukopha siyeka ngokukhawuleza emva kokuba sutures ugqirha;
• Ukophuka ezinzulu apho amaxhoba silibonile ukothuka kunye nelahleko lokuqonda;
• parenchymal uqhekeko, sikhatshwe yaphula ingqibelelo iimpahla ezinkulu - walimala onjalo umntu ngokukhawuleza kufa ngenxa ukopha.

Imela ngaphandle njengoko phase-ezimbini okanye ikhefu isibindi libaziseko. Xa loo monakalo ezikhandelwa podkapsualnaya okanye hematoma intrahepatic leyo waphula kamva waya kwisisu.

Ukuba isibindi ihamba njengokutyhoboza umsantsa ingqibelelo ezinezikhondo umzimba iqokobhe, igazi ongena kwisisu. Kwimeko apho kukho zonakele umngxuma, igazi ibonakele kwisisu pleural. Ukuba esingxotyeni ezinezikhondo ithe yonakele, igazi ngcembe oluhlala phakathi kuyo kunye parenchyma.

Isibindi uqhekeko esisongela?

ikhefu isibindi phantse lonke ukumela isoyikiso ubomi ixhoba. Inokuba mhlawumbi omnye okanye emininzi; kulo mba uxhomekeke kubungakanani ukopha. Kubalulekile ukuphawula ukuba parenchyma isibindi kunye imithambo yegazi abakwazi ukunciphisa. Ibangela uphuhliso ukopha, leyo akakwazi ukuyeka ngokuzenzekelayo. Kwakhona, ukulahlekelwa igazi ziyanyuswa yinto yokuba isibindi esoloko ihamba ngomoya. Ukongeza, igazi ugalelwe inyongo, nto leyo ebangela kubenzima kakhulu ekunqandeni yayo. Kwiimeko ezingaqhelekanga, ukopha ukuze bayeke ngaphandle ungenelelo lonyango. Ngokuqhelekileyo, oku kwenzeka kwiimeko apho batshatyalaliswa akukho iimpahla ezinkulu.

symptomatology

Phakathi iimpawu eziphambili zesibindi komsipha ziquka:

• Intlungu esiswini. Iintlungu ingaba ayifiki perceptible, kunye ezibukhali. Ngokuqhelekileyo, xa ixhoba ufumana nomonakalo wesibindi eyabangelwa behleli isikhundla: xa uzama ukutshintsha indlela yokuma iba intlungu obukhulu ngakumbi ( "Roly-Poly" syndrome).
• Intlungu iba ngakumbi ukuba ixhoba yabuyela kwicala lasekhohlo: kungenxa yokuba igazi amaninzi kwicala lasekunene isisu, uyasuswa uye kwicala lasekhohlo.
• imilebe yexhoba ukuze uvule oluhlaza.
• Emva kokonzakala esiswini ungakhululekanga azotywe.
• Isicaphucaphu kunye nokugabha.
• Inkangeleko ukubila ebandayo, imilenze okupholisa.
• Le ixhoba Ndinxaniwe kakhulu.
• isikhumba Pale.
• Ukulahleka osezingqondweni, ukothuka iintlungu.

Ukuba lekhefu zesibindi hematoma encinane, imeko yomguli kudla eyanelisayo. Ukuba umonakalo okungakumbi, izigulana zikwimeko embi. Xa olimele kwiintsuku zokuqala emva kokufumana iimpawu ndingekho. Ngokuqhelekileyo intlungu ebunayo kude emva kweentsuku ezimbalwa, kodwa isibindi ukhamisile kancinane. Kusenokubakho ukunyuka kwamaqondo obushushu, maxa wambi liphuhlisa a senyongo encinane. Kamva, ngenxa yaso nasiphi na ombane kancinane lunokwenzeka philisi komsipha, ngaloo ndlela hematoma igalelwe kwisisu.

Ngoko nangoko emva kokonzakala eveliswe, xi inyuswe, kunjalo, oko iqala ukunciphisa emva okhulisa ukopha. Kukholelwa ukuba ukuhla xi luqala emva kokuba ilahleko igazi ifikelela 800-1500 ngeemililitha.

unesifo njani isibindi komsipha?

Uxilongo lwe gap isibindi kubakho iingxaki ezithile ngokukodwa ukuba isigulane wafumana ezinye iingozi. Ukuba ixesha ayenzi isifo ngokuxilonga "komsipha kwesibindi", imiphumo inokuba kakhulu. Ngethamsanqa, ngenxa iindlela zale mihla lweempazamo diagnostic kuncitshiswe.

Kutshanje, ngenxa uxilongo okuphumla zesibindi isicelo okuhlatywa esiswini kunye ukusungulwa catheter okhethekileyo. Ngale ndlela sinako ukuchonga ngokukhawuleza ezi nkcukacha ze wokwenzakala, undikhuphele ngaphandle amanyathelo ayimfuneko okulungisa. Ezinye izigulane moshilongo oluchanekileyo Kucetyiswa ukuba wenze i-ultrasound esibindini.

Ukumisela utshintsho nokuqina okubangelwa ukopha, inceda uvavanyo lwegazi. Inani iiseli ezibomvu egazini baqalise ukwehla ngeeyure ezimbalwa emva kokuba komsipha yenzekile, kamva ukuphuhlisa igazi kakhulu. legazi elibomvu isantya count nokuhla ukufumanisa amandla ukopha lwangaphakathi. iimvavanyo kwegazi kufuneka qho kwiiyure ezimbalwa, nto leyo evumela ukuba ukulandelela ezi Dynamics imeko yesigulane wenziwe.

Lidla isifo nzima ukuba hemorrhages subcapsular: Kwiintsuku zokuqala ezimbalwa, imeko izigulane iyanelisa, ngoko kuguga e izilonda ezinjalo.

Ngaba nzima isifo ukunxila okanye utywala ze isigulane okanye ukungabikho zingqondweni okubangelwa kukwenzakala engqondweni esibuhlungu.

amanyathelo zonyango

Abaninzi abanomdla, njengoko abana imphathe wesibindi kunye nokuba unyango endala kwesi sifo kunokwenzeka. unyango ukwa inokuba intsumpa kuphela. Tsala kuyo nayiphi na imeko ayikwazi ukuba: ukuba ngoyaba komsipha kwesibindi, imiphumo inokuba yingozi. Uthomalaliso ukunqanda ukopha, susa amaninzi kwisisu igazi inyama necrotic. Umsebenzi kufuneka ngokukhawuleza kangangoko kunokwenzeka: iyure nganye ukubambezeleka kwandisa amathuba ukufa. Ukwalelwa msebenzi bugwetyelwe kuphela xa ixhoba wasiwa esibhedlele ikwimeko embi esingasebenziyo.

I-ALS of komsipha hepatic

Ukuba isigulana umntu komsipha isibindi, i-ALS kuxhomekeke kwizinto ezininzi:

• degree of umonakalo iziko;
• uhlobo okubi;
• ubudala yomguli: abantwana kunye nabantu abadala ubunzima breaks zesibindi inzima kakhulu kunezinye iindidi izigulane;
• ukufaneleka uqhaqho.

Yintoni kungaba iingxaki?

Enye iingxaki ezinkulu esinxulunyaniswa yesibindi komsipha yi hematobilia. Xa hemobilia empahleni yegazi baphazamiseka ngenxa yokulimala uqalisa angemi ndawonye umoya senyongo kunye inyongo nokungena emendweni. Hemobilia uyakwazi ukulungiswa kuphela ngokususa unxibelelwano phakathi isitya kunye isinye nenyongo. Kungenjalo, isiguli kufa ngenxa yokufelwa igazi olubanzi.

ingxaki anqabe yi biligemiya. Esi simo senzeka xa wambetha ngaxeshanye yaye ibile ducts, kunye neempahla ezinkulu. Kulo mzekelo, igazi nga ingena inyongo. Iimeko ezinjalo baphathwa kuphela uqhaqho.

ngenxa amaninzi ukuba kuqhutywa ngendlela engafanelekanga uqhaqho, ukopha elide kwenzeka ngokusebenzisa idreyini okanye ngqo kwi kwisisu. Ngokuqhelekileyo oku ukopha ibanjiwe emva kweentsuku nje ezimbalwa emva kotyando. Ukongeza, ezinye izigulane subdiaphragmatic mathumba kwakhiwa, cysts isibindi okanye fistula postoperative.

Ukufa kwesibindi ochaphazelekayo ngethuba lokuphumla kwiimeko ezininzi zibangelwa ngokubeka umthamo wegazi elahlekileyo. Inani yokufa kwixesha perioperative yi malunga ne-9%. Ukuba isigulane kufuneka umonakalo kwamanye amalungu, le ukunyuka kakhulu izinga lokusweleka (ku-24%).

kwesibindi uqhekeko, oonobangela apho ukusetyenziswa kumxholo wawakhoakulula ezahlukeneyo, i imeko eyingozi ukuba kufuneka ungenelelo lonyango ngoko nangoko. Kungenjalo, emngciphekweni omkhulu ukufa ngenxa yokulahlekelwa kakhulu igazi ehamba kunye nale hlobo yokwenzakala.