Dundira atsamwira: Zviratidzo, Treatment

About maviri muzana dzokushungurudzwa achiitiswa abdominal akavhiyiwa basa dundira ruptures. Nhengo iyi kashoma wakaremara nokuda kuchengeteka mapfupa pelvic.

The dundira ndiwo muviri pamhango umo weti iri vaunganidza pashure itsvo ropa kucheneswa. Kuburitswa mu of dundira kunoitika kuburikidza pressurizing dundira rusvingo netsandanyama. Izvi zvinozarura Urinary Canal kuburikidza iyo weti goho.

Kukuvadza isina muviri kudzivirira mapfupa pelvic, asi muromo dundira izere muchifarira muganhu chiuno kumusoro. Iyi inzvimbo pangozi uye kunogona abvarura panguva zvinokuvadza.

Zvinokonzera zvakakanganisika

Dundira atsamwira kazhinji kunoitika pamusana kukuvara. Fani iyi inogona kuonekwa rakapinza maronda chando kana pfuti, uyewo kwazvo mitswe ari chiuno, kana ndingangokuvara kuvadza dundira zvimedu pfupa. mamiriro ezvinhu akadaro vakachengeta somugumisiro petsaona, kana kuwira pasi dumbu rake.

dundira atsamwira anogona kuitika panguva kurapwa. Somuenzaniso, kuti kubvarura kunogona catheterization, cystoscopy kunhaka, endoscopy. Dzimwe nguva dundira atsamwira kunoitika pakukurukura.

Chikonzero pakakoromoka anogona kuva chirwere inotungamirira kuti kutyora weti water drainage. Kakawanda, pfungwa iri kukura chirwere varume vane prostatitis, kana kuzvimba kweprostate hwakatamisirwa nokuda Urinary kuyerera uye weti rinoungana iri dundira, zvichikonzera kuminyuka, uye ipapo ake masvingo zororo.

zviratidzo

dundira atsamwira Zviratidzo zviri rakakamurwa indoor uye Outdoor. Chokutanga mhando kunoratidzwa:

• bloating;
• abdominal weti rinoungana;
• marwadzo panzvimbo dzapasi mudumbu, izvo mumaawa mashoma asatenderwe kumarudzi mudumbu;
• ropa iri weti;
• weti mu migove diki;
• pashure imwe nguva, pane zviratidzo peritonitis.

Kana extraperitoneal dundira ruptures kuitika hematuria, kurwadziwa pubic nzvimbo, kapfungwa urinate.

Uine mhando kukuvara vakachengeta marwadzo dundira kumativi mudumbu. Nokuda panowanikwa marwadzo, varwere yakashuma Makakatanwa pamusoro abdominal tsandanyama, chema weti chengetedzo. Kana ukaedza kuenda chimbuzi pane kurwadziwa, uye mugove weti iri nechepadivi neropa.

Kana iwe kuputsa rouchenjeri murwere anonzwa ndisingafungiri. Kana kukuvadzwa nezvimedu munogona pelvic ropa faibha. With uku, chiremba anoita kubviswa zvakapwanyika zvose uye yakaiswa abudise kuti ubvise ropa uye weti parumananzombe mhango.

Kana extraperitoneal ruptures infiltration inogona kuchengetwa pamusoro pubis. Mazuva mashoma gare gare ganda rinowanika purulent kuzvimba zvinobatanidzwa munyaya pathological muitiro womunhu perineal munyama, dzakatendereka, scrotum, yakaderera dumbu. With kukura chirwere yave kuwedzera zviratidzo kudhaka. The murwere kuchengetwa kuwedzera muviri tembiricha, tachycardia.

Diagnostics

On kuongororwa, murwere kana pasina kukuvara, nguva dzose kuenda kare. Pazviri chiremba anogona kureva kukuvara muviri. Somuenzaniso, mumwe chiremba anogona kukumbira murume, ane nhoroondo chirwere prostatitis kana akanga zvichemo kurwadziwa kana vanhurume. Izvi zvinoratidza prostatitis, izvo zvingaita kuti dundira kukuvara.

Pamabiko, chiremba kunodiwa tsanangurai apo uye sei zviratidzo vakatanga zvokurwara. Izvi zvingava kutyorwa weti, zvakakomba kana munyoro marwadzo. Iva nechokwadi kuti tsanangurai chii kurapwa yaitwa uye kana. Dzimwe chikonzero pakakoromoka iri nomazvo dundira catheterization, dzimwe mhando Diagnostics.

Zviri fanira vanogadzwa kusarenda weti. Kana ropa kwake rokutanga chirwere chinogona kuitwa. Pakupedzisira dundira atsamwira iri dzakaonekwa pashure paku kuongorora nzira.

Kuti chirwere, chiremba rinovimba kwete chete pane zvichemo zvekuchipatara kuratidzwa, asiwo tsitoskopii date tsitografii uye dzimwe nzira bvunzo. Kuti uone nepakumedura sefuro iri chakaunzwa kusiyana pomutumwa. Maminitsi mashomanana pashure kushandisirwa chinhu X-ray.

By kugadzwa murwere anogona kuitisa CT scan. Kunoitawo kuti vakombe muviri mufananidzo, uyewo kuona chaizvoizvo apo wakaremara, dzishandise pakakoromoka pakureba.

marudzi discontinuities

Chirwere anobvumira kuona mhando discontinuity. Izvi zvinogona kuva intraperitoneal, extraperitoneal, rakapinza kana rinobatanidza extraperitoneal uye intraperitoneal kukuvara.

Intraperitoneal atsamwira of dundira weti kunogona kutungamirira peritonitis. Izvi imhaka yokuti vari abdominal mhango unowana weti, izvo hunokonzera kuomesa. Basa chimbichimbi Kuvhiya kuti arubvise. Chiremba anoita incision ari Anterior abdominal rusvingo, kuburikidza icho pakakoromoka nzvimbo iri sutured, uye rakava mu yose mhango weti kubviswa. Pashure pokuvhiyiwa, murwere achienda anobudisa mushonga zvishoma nezvishoma kuburikidza iyo water drainage kuti weti kubva dzaparadzwa nenyere. Izvi kuitira kuti zvose nzvimbo kukuvara nguva yokupora.

Apo Extraperitoneal mhosva atsamwira kunoitika kurutivi kana pazasi muviri. Zviratidzo atsamwira of dundira - chitarisiko ropa iri weti. Kazhinji ichi mhando kukuvara chinovapo kana anobudisa mushonga zvishoma nezvishoma kana kukodzera.

Dzimwe yokukuvara kunotungamirira rakapinza ronda inoda kuvhiyiwa. dzaparadzwa makhiriniki pedyo munyama, nhengo With ichi mhando.

zvinogoneka yematambudziko

Migumisiro atsamwira of dundira akasiyana zviitiko zvakafanana. Kakawanda, zvinokuvadza kunotungamirira peritonitis uye osteomyelitis. Zvishoma kakawanda fistulas, nemaronda kuumbwa, akaputsika ganda.

Kana atsamwira kunoitika zvemukati kubuda ropa. Izvozvo zvinogona kuita kuti vasanyanye kumanikidzwa, nokukurumidza kufamba kweropa. Kana hakuna nenguva kurapwa kuri kuitwa, asi zvokurwara kunogona kutungamirira kurufu.

Kuvadza dundira kunotungamirira kuti kupinda pakati Micro-zvinenge munyama uye zvomukati iri pedyo dundira. Nokuda kukura pathogenic microflora Zviratidzo kuzvimba chiuno, peritonitis, fistula, kupererwa neropa inowedzerawo. Tinogona kutarisira zvakanaka pamusana kurapwa pamwe nenguva kurapwa nachiremba.

dziviriro

Kazhinji mashoko kwemasikati kunoitika apo kukuvadzwa repasi dumbu. Kuti tidzivise kuvadza dundira anofanira anodzivirirwa ezvinhu umo zvinogona tramirovan dumbu. Zvinokoshawo kuti kukurumidza kwachiremba kana kurwara panguva weti.

kurapwa

dundira atsamwira kunokwanisa kuva marudzi maviri: non-zvomusejari uye zvomusejari. Kuchinja mabatiro zvinoratidzwa nekuda zvemapapu kukuvara, kurohwa.

The operative nzira iri basa kana mamwe marapirwo Haapi achida mugumisiro. Kushanda kupindira ari kubatana chekawo pakati abdominal rusvingo, kuburikidza icho nzvimbo crosslinked kukuvara. Pedyo sei nhengo iri akagadzawo abudise panguva iyo akaendisa weti uye ropa.

dhayeti

muchirwadzisa marapirwo kunoda kururamiswa simba. Patient kudya mafuta zvakakangwa, Spicy, vava nezvokudya. Newewo unogona kudya zvokudya ita zvakawedzera weti excretion kubva mumuviri. Kubva Zvokudya vanodzinga doro, zvihwitsi, furawa ndiro zvachose. Zvatinofarira anopiwa kuti chiedza zvigadzirwa, zvakanakisisa kudyara.

Kutadza kutevedza zvokudya kunogona kukonzera marwadzo, kusiyana uku kunoita kuti vazvo uye akaora. Kuti izvi zvisaitike, unofanira mukanyatsoteerera kutevera kudya panguva vapore.

Mushure atsamwira pamusoro dundira apore Zvinotora mazuva gumi. Panguva ino, murwere akaisa anobudisa mushonga zvishoma nezvishoma, ichipa zvakajairika chokubuda weti. Paakarapa dundira murwere anogona kudzokera hwake wenguva upenyu. Kazhinji pane mwedzi vanhu zvishoma nezvishoma zvinogona kusumwa kuti zvokudya zvako kufarira zvokudya, nokumwa doro. Pashure pemwedzi miviri zororo zvichava pamusoro. Kwapera gore, yaizova nzvimbo imperceptible pakati kuvhiya Kupindira pamusoro pechiso mudumbu.