Isilonda esiswini: iimpawu kunye nonyango

Nasiphi isifo esingaphathwa okanye esingathobelani nazo zonke iingcebiso zegqirha zingakhokelela kwiimeko ezinzima. Okwangoku, ipesenteji enkulu yabemi ihlaselwe izifo zendlela yokugaya, phakathi kwazo i-gastritis kunye nezilonda zihlala kwenye yeendawo zokuqala. Enye yeengxaki zezilwanyana ezinjengesifo sesisu esiswini sesisu kunye ne- duodenum, iimpawu kunye nokunyangwa kwezi zifo ziya kuhlolwa kwakhona.

Iyintoni i-perforation?

Le ntsholongwane ngumphumo wesifo se-peptic sesilonda, esingafumaneka ngezizathu ezahlukahlukeneyo, kodwa zonke zikhokelela ekubunjweni komngxuma kwilungu elingenanto. Kungaba sisisu okanye nayiphi na intlungu.

Njengomphumo wokwakheka kwe-perforation, zonke iziqulatho zesisu okanye amathumbu kunye neziqulatho kunye ne-enzymes zifake isisu esiswini kwaye ziqale ukusikhupha. Amagciwane asasazekayo akahlali engabandakanyekanga, kwaye ngokuphendula kwisiganeko esinjalo, inkqubo yokuvuvukala ikhula, ibizwa ngokuba yi-peritonitis.

Le yimeko ebalulekileyo efuna unyango lwangoko kunyango. Ngokuqhelekileyo, ukuxhamla okunjalo kubonakala kwisiqingatha esinobubungqina buntu, kunye nenzeka enkulu kwintwasahlobo nasekwindla.

Iimbangela zokuphazamiseka esiswini

Kukho izizathu ezininzi ezingakhokelela kwisilonda esisisigxina, phakathi kwazo indawo ephambili ihlala kuyo:

• Iziganeko ezivuthayo ezivuthayo kwisisu.
• Ukunyamezela ngokomzimba, okukhokelela ekunyuseni kwexinzelelo lwangaphakathi kwesisu.
• Inani elikhulu lokutya.
• Isidima sengqondo sokuthobela ukutya.
• Iimeko ezinzima.
• Ukusetyenziswa kwe-aspirin okanye unyango lwe-glucocorticoid.

Ubungqina bokuvuvukala kwi-membrane ye-mucous kunokukhokelela ekubeni i-ulcer perforated, iimpawu zayo zingashenela isiguli. Kufuneka ukuba rhoqo uphando kwaye landele iingcebiso zegqirha.

Iimbangela zesilonda sesibini

Ngokuqhelekileyo, imbangela yesilonda salesi sigqeba sihlala kwiingxaki zesisu. Ukuba awuyi kuthatha nawaphi na amanyathelo okuphelisa inkqubo yokuvuvukala kuyo, ngoko kuya kusasazeka kwi-duodenum.

Izizathu zinokuba nazo:

• Utywala.
• Izifo ze gallbladder, appendicitis engapheliyo.
• Usulelo olubangelwa yiibhakteria i-Helicobacter pylori.

Kumele kukhunjulwe ukuba isilonda esiswini se-duodenal isilonda senzeke kaninzi kunesisu.

Iimpawu zezilonda zesisu

Xa isigulane siphazamisa isifo, ihlala ibonakaliswa ngentlungu, ukuhlanza, konke oku kwenzeka rhoqo emva kokutya. Ngeli xesha le-perforation, i-ulcer perforated inezibonakaliso ngolu hlobo lweentlungu ezibukhali "ezingenakunyamezela". Isigulane sizama ukutsala imilenze kwisifuba ukuze sinciphise.

Kulo mzuzwana, kukho ukwanda kwimiqondiso yokuxhatshazwa komzimba ngenxa yokufumana yonke into esesisu esiswini esiswini. Ulusu luba lubala, i- sweat ekhukhulayo ibonakala , uxinzelelo lwegazi luyehla kwaye intliziyo iqala ukubetha kaninzi.

Ekuphuhlisweni kwesi sifo, amanqanaba amaninzi ahlukeneyo:

1. Isigaba sokutshatyalaliswa. Iyabonakala ngokugqithiseleyo ngeentlungu ezinzima ezingenakuxinwa, ezinokunika ilungelo langemuva. Ngenxa yoko, kunzima ukuphefumula, izihlunu ziba nzima kakhulu kwaye zinzima.
2. Ukuphuculwa komfanekiso. Ngeli xesha, kwaye oku malunga neeyure eziliqela emva kokuqala kwazo zonke iintlungu, imeko iphucula kancane, isilonda esisisigxina sinciphisa iimpawu zayo. Kunobuthathaka, uxinzelelo luhlala luphantsi, izihlunu ziphumula kancane, kwaye kuba lula ukuphefumula. Iqondo lokushisa lomzimba ludla ngokukhawuleza ngeli xesha, i-meteorism iyenzeka, izigulane eziqhelene nale meko akufanele zidibanise ngokutyhefu okanye umkhuhlane. Ngaphandle kwenkxaso yokuqala ngeli xesha, awukwazi ukwenza.
3. Emva kweeyure eziyi-12, iimpawu ze-peritonitis zivele zivele: ukoma emlonyeni womlomo, intlungu yesisu. Kufuneka kuqatshelwe ukuba iimpawu ze-peritonitis zihlala zifana nantoni na isizathu esabangela ukuba kubekho. Ukukrokra ukuba le nto yenzeke ngokumalunga nesimo semfesane yesisu esiswini okanye isisu sangokunokwenzeka kuphela ngesiseko se-diagnosis.

I-Peritonitis ingabangelwa yi-appendicitis, pancreatitis, kodwa nakubani na, ukuba kukho ukukhankanywa kweso sifo, i-hospital hospital urgence. Ingozi yimeko xa isilonda esisakhulayo singakhange sinike iimpawu. Iimpawu zokugqithiswa kwesi sigulane isenokushiya ngaphandle kokuqwalasela, kodwa nje uzame ukususa intlungu yezilwanyana eziphuculweyo kunye neyeza zentlungu, kwaye oku kuyingozi ubomi.

Izibonakaliso zesilonda esiswini

Ukuba i-perforation ye-duodenum iyabonwa, imiqondiso ingaba ngale ndlela:

• Intlungu ebuhlungu kummandla we-hypochondrium engasekhohlo, onokuyenza entanyeni kunye ne-collarbone.
• Ukuvutha, ngokuqhelekileyo kubakho kanye kuphela.
• Kukho "isisu esifana nesisu".
• Kukhona ukuthunga okubandayo kunye ne-blue hue yeembrane.

Njengokuba kunye nokugqithwa kwesisu, isilonda esisisigxina se-duodenum, iimpawu esicinga ngazo, kukhokelela ekubeni kwinqanaba lesibini lokuphuhliswa kweempawu zamathumbu emathumbu angena ngokukhawuleza aqale ukubonakala. I-Tachycardia, ubushushu bomzimba obuphezulu, ubuhlungu obukhulu bubufakazi obucacileyo bokuphuhliswa kwe-peritonitis. Kule ngxelo uncedo olukhawulezayo olufunekayo kubagqirha.

Ukuxilongwa kwe-perforation

Ekubeni isilonda esiswini sesisu nesifo se-duodenum sichazwa kwisigaba sokuqala, kwaye izigulane zivame ukungena esibhedlele okwesibili, ukuxilongwa kusekelwe kwimbali yesifo. Ukongezelela, uphando olongezelelweyo luqhutywa ngokufanelekileyo:

• Izahlulo-mfanekiso, eziza kubonisa ukuba khona kwegesi yamahhala, ukuba kukho i-perforation.
• I-Ultrasound ibonisa ukuqala kokuvuvukala kwisisu esiswini kunye nobukho be-fluid.
• Ngamanye amaxesha ukusetyenziswa kwe-FGDS ukuchonga indawo eyiyo yokugula, kodwa kukho umngcipheko wegesi ongena kwisisu esiswini, ngoko kufuneka uqaphele.
• Ukuba loo nto ityala kakhulu, kwaye iimpawu zesilonda ze-duodenal zesilonda ziphazamisekile, i-laparoscopy yenziwe.
• Uvavanyo lwegazi luya kubonisa kwakhona amanqanaba okwanda kwe-ESR, izinga eliphezulu le leukocyte kunye nokuhla kwe-hemoglobin.

Emva kokuba emva kokuqinisekiswa kweengcamango malunga nobukho bokuba kulungelelaniswa kuya kwenziwa ukungenelela.

Uncedo lokuqala kunye nesilonda esisisigxina

Ukubunjwa kwe-perforation kwisisu okanye emathunjini kuyingozi kakhulu kubomi bomntu, kungoko xa uqala ukukrokrela loo mqathango, kufuneka ubize i-ambulensi. Kwinkqubo yokuthutha, izigulane ezinobungozi obukhulu zilawulwa ngamachiza ukugcina uxinzelelo lwegazi, ukwenza inhalation nge-oksijini, kwaye unike i-painkillers.

Ukusetyenziswa kweli xesha le-analcotic ne-analgesics ayilunganga, njengoko liphulaphula isigulane sesigulane kwaye lubonakalise ukubonakaliswa kweklinikhi, ebangela ubunzima bokuxilongwa ngokuchanekileyo.

Unyango lwezilonda eziphambili

Isilonda esisisigxina samathumbu sineempawu ezifanayo kunye nokugqithwa kwesisu, zidibaniswe yinto yokuba oogqirha kuphela abanokujamelana nale meko. Ukungenelela kokusebenza kufuneka kwenziwe ngokukhawuleza, kuba emva kwexesha oku kungabi nentsingiselo.

Ukuba imeko ifuna oko, ke zonke izinto eziqhutyelwayo zenziwa kwiyunithi yokunyamekela. Ngaphambi kokuba usebenze, faka iprojekti kunye ne-catheter kwi-vestile, kwaye ukungenelela kwangena ngokwayo kwenziwa phantsi kwe-anesthesia jikelele.

Udokotela ogqirha wenza iinqununu kwaye ahlolisise isigxina sesisu okanye isisu, ufumanisa i-perforation, aze anqume indlela yokuyichitha. Kukho okukhethwa kukho oku:

1. Unokuwubetha umgodi.
2. Kwezinye iimeko, inxalenye yesisu isuswe kunye ne-perforation.
3. Ukuxubusha kwesilonda kunye ne-vagotomy.

Ngokuqhelekileyo, ukusuka kumava abo, oogqirha bayazi ukuba i-suturing ayikho isiqinisekiso esingu-100% sokunyanga okupheleleyo, kaninzi kukho kwakhona. Ngako-ke, le ndlela yokulwa nokugqithisa isetyenziswe kwiimeko kunye ne-peritonitis enzima okanye ebusweni bentsholongwane kubantu abaselula abanengcinezelo yolu meko.

Kwezinye iimeko ezithile, ukugqweswa kwesilonda okanye ukuthengiswa kwesisu kusebenza ngakumbi .

Njengoko ngaphambi kokugqithisa okanye ukukhangela, kwaye emva kokusebenza, i-sanity egcweleyo yendawo isenziwa kwaye kusetyenziswe amanzi amaninzi.

Sasihlolisisa isihloko esithi: "Iimpawu zezilonda zonyango kunye nokunyanga." Uncedo lokuqala kule meko lubaluleke kakhulu, kodwa ngokuqhelekileyo intsingiselo yalo ihlala esibhedlele ngokukhawuleza.

Iingxaki emva kokuhlinzwa kunye nokuchazwa kwexesha elizayo

Phakathi kwazo zonke iingxaki zenkqubo yokusebenza emva koko zilandelayo:

• Ukuphuhliswa kwekhefu kwisigxina esiswini.
• Pneumonia.
• Ukuba ama-seams ayenziwe kakuhle, ngoko aphethwe ngokugqithiswa okuphindaphindiweyo kunye nokubunjwa kwe-peritonitis kunye ne-sepsis.
• Kuyinto engavumelekanga ukuba kukho ukuphazanyiswa kokunyuka kokutya ngokusebenzisa isisu kwisisu ngenxa yokunciphisa ukungena kwe-sphincter.

Ukuba isilonda esisisigxina sifumaneka ngexesha, iimpawu ziyaqedwa kwaye zonke iindlela ezifunekayo zithathwe ekupheliseni intsholongwane, ngoko ke ukuhlwayelwa kwesimo esivakalayo kudla ngokufanelekileyo. Kuzo zonke iziphakamiso zogqirha kunye nokutya, unokukhokelela ekusebenzeni ngokuqhelekileyo.

Unyango lwezilonda zezilonda

Ukuba eso sifo siphume kakhulu, kwaye i-perforation yenzeke, ngoko ke iindlela zendoda aziyi kuba nempembelelo. Kodwa emva kokuhlinzwa, kunye nekhosi eqhelekileyo yonyango, kunokwenzeka ukusebenzisa iziphakamiso zonyango zendabuko.

Nazi ezinye iindlela zokupheka eziza kunceda ukunciphisa u-acidity of juice gastric ukukhusela ukuphuhliswa kokuphindaphinda:

1. Hlanganisa ijusi kwiimons ezimbini kunye neelitha ezingama-0.5 zobusi kunye nomlinganiselo ofanayo weoli yeoli. Yilungise imithi yokusebenzisa 1 tbsp. L. Ngaphambi kokutya kathathu ngosuku ngenyanga.
2. 250 amagremu amaqabunga e-aloyi ukuba aguqe kwisiqhumiso somzimba, engeza ama-250 amagremu ebusi kunye nokufudumala umxube ukuya kuma-degrees ama-50, kwaye wongeze iirayi enye yewayini ebomvu. Yonke le nto igxininisa kwindawo emnyama iintsuku ezi-7, kwaye ke ungathabatha isipuni sesithathu kathathu ngosuku ngaphambi kokutya. Ubungakanani bonyango olunjalo iiveki ezi-3.

Kufuneka kukhunjulwe ukuba amayeza esintu angasebenza kwiinqanaba zokuqala zesilonda, kwaye xa kukho ukuphazamiseka akukho nto.

Indlela yokuthintela ukuphindaphindwa kwe-perforation

Ukuze kuphephe ukuphindaphinda kokubonakala kwesilonda esisisigxina, kubalulekile ukuqhuba rhoqo unyango olwenqabelayo, olubandakanya:

1. Ukuthotyelwa kokutya. Njengomlinganiselo wokuthintela, izigulane zikhuthazwa ukuba zihambisane nokutya kweNombolo 1, ingakumbi ngexesha lexesha elinokubandezeleka kwesifo.
2. Ukufumana amayeza afanelekileyo. Ugqirha oya kuba uya kunika iingcebiso ngale ngxaki.
3. Physiotherapy. Banika iziphumo eziphawulekayo ngokubambisana nesondlo esifanelekileyo kunye neyeza.
4. Unyango lwexesha lokuhlaselwa.

Izifo zesigxina somzimba zingabangela ingxaki enkulu kumnini wayo. Ukuba awuhambelani nemingcipheko eqinile ekudleni, ukusetyenziswa kakubi kwemikhwa emibi, zixhomekeke kwiingcinezelo eziqhelekileyo, ngoko awukwazi ukumangaliswa ukuba isilonda siphinde sichaze ngokwazo iimpawu ezingathandekiyo. Zizinakekele kunye nempilo yakho, awukwazi ukuyithenga nayiphi na imali.