Lwesinye uqhekeko: Iimpawu, Treatment

Malunga amabini ekhulwini amatyala olwenziwe imisebenzi esiswini eyabelwe ugqabhuka kwisinyi. Eli lungu lunqabe yonakele ngenxa zokhuseleko amathambo zangasese.

Isinye umzimba umngxuma apho umchamo okongezeleke emva kokuba izintso zokuhlanjululwa igazi. Uqongqotha lwesinye kwenzeka ngokuthi ukumnyanzela izihlunu lwesinye. Oku kuvula lomsele wokuchama apho umchamo kwimveliso.

Umonakalo umzimba engenanto ukukhusela amathambo zangasese, kodwa incam esinyini lizele egameni umda isinqe phezulu. Le ndawo abuthathaka kwaye ezifeleyo kwi yokwenzakala.

Izinto ezibangela umonakalo

Lwesinye uqhekeko amaninzi kwenzeka ngenxa yokwenzakala. Le nto ibonakala angena amanxeba ngengqele okanye imipu, kwakunye Ukophuka silula isinqe, xa amathuba umonakalo ngamaqhekeza esinyini ithambo. iimeko ezifana kuvandlakanywa ngenxa yokwenzakala kwingozi ethile, xa esiwa phezu esiswini sakhe.

lwesinye uqhekeko kunokwenzeka ngexesha iinkqubo zonyango. Umzekelo, ukuba zirhwiqilize kunokukhokelela catheterization, edelela cystoscopy, endoscopy. Ngamanye amaxesha lwesinye uqhekeko kwenzeka ngexesha ukunikezelwa.

Isizathu sokuba umsantsa lungaba usulelo ekhokelela ekugxojweni umchamo lokuphuma. Amaninzi, olu khetho luphuhliso sifo namadoda prostatitis, xa ukudumba endlaleni yadluliselwa yi ukuhamba wokuchama kunye nomchamo oluhlala esinyini, okwabangela enyelisa, uze emva koko iintango zakhe ikhefu.

iimpawu

Iimpawu zesinye uqhekeko zahlulwe zibe zangaphakathi nangaphandle. Uhlobo lokuqala uboniswa:

• ukuqumba;
• umchamo esiswini oluhlala;
• intlungu osesiswini, nto leyo ngeeyure ezimbalwa babephikisana kulo lonke isisu;
• igazi umchamo;
• echama ngezinto ezincinane;
• emva kwexesha elithile, kukho iimpawu peritonitis.

Xa ugqabhuka zesinye extraperitoneal kwenzeka hematuria, iintlungu kwindawo zikawonke wonke, ndiyazibamba ukuchama.

Ngenxa uhlobo open umonakalo waphawula intlungu esinyini ngeenxa esiswini. Ngenxa ukwenzeka iintlungu, izigulane ingxelo ukuqina izihlunu esiswini, wakhala ukugcinwa umchamo. Xa uzama ukuya kwindlu yangasese kukho intlungu, yaye inxalenye umchamo ipeyintiweyo ngegazi.

Xa uwaphule isigulane kwiqamza uziva usengxakini. Xa ukulimala amaqhekeza aseleyo angenzeka zangasese legazi nefayibha. Ngesi ukonzakala, ugqirha uwugcinayo kususwe zonke kobutyobo kunye nokutsalwa efakiweyo asophise igazi nomchamo rivaleleke em-.

Xa ugqabhuka extraperitoneal nokungena inokubonakalisa ngaphezu pubis. Kwiintsuku ezimbalwa emva koko, akubonakala ulusu ubovu ukudumba ababandakanyeka kwinkqubo zophendlo lwezifo le isizalo kwinyama, amathanga, isingxobo samatyhalarha, osesiswini. Ngophuhliso sifo lonyuke iimpawu kunxilwe. Le isigulane wabona ukunyuka kweqondo lobushushu emzimbeni, tachycardia.

ekuxilongweni

Ngosuku loviwo, isigulana ukuba akukho ukwenzakala, kusoloko imbali khona. Kwayo ugqirha yokwenzakala emzimbeni zibonisa. Ngokomzekelo, ugqirha angacela umntu, ngubani na imbali prostatitis ezinganyangekiyo okanye ababa izikhalazo ubuhlungu xa uchama. Oku kubonisa prostatitis, nto leyo inokukhokelela wesinye yokwenzakala.

Enkhubyeni wa vukati, ugqirha kufuneka ucacise nini kwaye njani iimpawu yaqala ngezifo. Oku kungaba kukwaphula ukuchama, iintlungu kakhulu okanye ethambileyo. Qiniseka ukuba ucacise zithini iinkqubo zonyango iyenziwa kwaye nini. Ngamanye amaxesha isizathu umsantsa ubizwa ngokufanelekileyo wenziwe isinyi catheterization, ezinye iindidi noxilongo.

Kunyanzelekile ukuba kuqeshwa uzinikele umchamo. Xa zingenziwa igazi ekufumaniseni lakhe zokuqala. Ekugqibeleni lwesinye uqhekeko ibanjiwe emva iindlela zoviwo instrumental.

Ukuze wenze sifo, ugqirha uxhomekeke kuphela izikhalazo kunye ibonwa lwezonyango, kodwa tsitografii data tsitoskopii kunye nezinye iindlela iimviwo. Ukuze ubone iqamza engenangqondo yaziswa-arhente umahluko. A kwemizuzu embalwa emva kokuba isicelo lixabiso X-ray.

Ngesivumelwano isigulane uyakwazi ukuqhuba CT scan. It ikuvumela ukuba zingqonge umfanekiso komzimba, kwakunye kubona kakuhle apho yonakele, faka ubude isikhewu.

iintlobo discontinuities

Uxilongo ivumela ukuba ukujonga uhlobo discontinuity. Oku intraperitoneal, extraperitoneal, ezendeleyo okanye idibanisa ukwenzakala extraperitoneal kunye intraperitoneal.

uqhekeko Intraperitoneal ye umchamo lwesinye kunokukhokelela peritonitis. Oku kungenxa yokuba i-kwisisu ufumana umchamo, nto leyo ebangela ingxaki. Eyabelwe uqhaqho olungxamisekileyo lowo ukuba asikhulule. Ugqirha yenza imbobo eludongeni akudala esiswini, apho isithuba msantsa leyo sutured, kwaye kudidi yonke umchamo kwisisu isusiwe. Emva kotyando, isigulane uya catheter apho yayikukuphuphuma umchamo organ yonakele. Oku kukuqinisekisa ukuba zonke iindawo ixesha kukwenzakala okuphilisa.

Xa Extraperitoneal fault komsipha kwenzeka ecaleni okanye emazantsi umzimba. Iimpawu ze uqhekeko lwesinye - yimbonakalo igazi yokuchama. Ngokuqhelekileyo olu hlobo yokwenzakala ivela xa catheter okanye engafanelekanga.

Maxa wambi ukwenzakala kukhokelela luchukumisa inxeba elo kufuneka uqhaqho. zonakala ngokuqhelekileyo ibekwe kufuphi zomzimba, amalungu Xa olu hlobo.

iingxaki kunokwenzeka

Imiphumo komsipha lwesinye kwiimeko ezahlukeneyo ezifanayo. Amaninzi, ukonzakala ikhokelela peritonitis kunye osteomyelitis. fistulas Ngaphantsi rhoqo, izilonda kwakhiwa, isikhumba eyaphukileyo.

Xa uqhekeko kwenzeka yophela ngaphakathi. Oko kungakhokelela ekubeni ukuhla koxinzelelo, ukubetha ngokukhawuleza. Ukuba akukho unyango ngexesha ikhutshwa phandle, lo ngezifo kunokukhokelela ekufeni.

Ukonakala esinyini kukhokelela kwii-micro-eziphilayo ancedisana amalungu ekufuphi lwesinye. Ngenxa kuphuhliso iimpawu microflora yayintsholongwane eyosulela kakhulu ukudumba ukunyuka isinqe, peritonitis, fistula, igazi. Sinokuba nethemba yoko esihle unyango kunye nonyango ngexesha kwagqirha.

ukuvimbela

Kwiimeko ezininzi ikhefu kwenzeka xa konzakale esiswini asezantsi. Ukuthintela umonakalo esinyini kufuneka bakhuselwe iimeko apho kunokuba esisu tramirovan. Kuyimfuneko ukuba ngokukhawuleza bafune unyango xa ugula ngexesha ukuchama.

ayini

unyango uqhekeko lwesinye unokuba kweentlobo ezimbini: non-umthungo yotyando. unyango Conservative kuboniswa ngenxa yokwenzakala lung, icala.

Indlela yokusebenza wabelwa ukuba ezinye unyango ayiniki isiphumo oyifunayo. ungenelelo lwentsebenziswano sikhatshwa basinqumla khona eludongeni esiswini, apho isithuba crosslinked umonakalo. Kufutshane umbutho ochaphazelekayo ugcinwayo yokukhupha amanzi apho zimke umchamo kunye negazi.

yokudla

ngokwaphula unyango kufuna ngamandla ulungiso. Nomonde ungadli ezinamanqatha, okroqiweyo, okuneziqholo, ukutya enetyuwa. Ningaba ke ninako na ukutya oko kubangele ukwanda umchamo zinomgutyulo emzimbeni. Ukususela yokudla ecaleni ngokupheleleyo utywala, ziilekese, umgubo izitya. Kukhethwa inikwa kwiimveliso ukukhanya, kungcono lokulima.

Ukungaphumeleli ukuthobela kwizidlo ezinokudala ubuhlungu, divergence beentanda, iyabhiqiza. Ukuze uphephe oku, kufuneka ulandele ngenyameko ukutya ngexesha kwimeko yesiqhelo.

Emva kokuba uqhekeko senkqubo yokuphilisa isinyi kuthatha malunga ezilishumi iintsuku. Ngeli xesha, isigulane wabeka catheter, ukubonelela ukugeleza umchamo. Emva kokuphilisa lwesinye isigulane ukubuyela ubomi bakhe obuqhelekileyo. Ngokwesiqhelo kwenyanga abantu ukuba kancane kancane ezityiwa ukutya okuthandayo, basele iziselo. Emva kweenyanga ezimbini lekhefu liya kuba phezu. Emva konyaka, wayeza kuba yindawo imperceptible yokungenelela zoqhaqho phezu esiswini.