Intestinal perforation: zviratidzo, zvinokonzera, nzira nechirwere uye kurapa

Bowel perforation - rwakavhunika kuburikidza parusvingo muura kana diki bowel. Somugumisiro vakadaro vanogutsikana deformation muviri chinopinda munzvimbo abdominal mhango. kutanga kwakadaro anonzi perforation. Rinoreva kuti kutyora zvomusejari zvirwere.

The kukonzera

Bowel perforation - kutyorwa iyo mavari haamo. Pane zvikonzero zvakati kuti pave deformation duku kana guru ura. Pamazita Izvi zvinosanganisira:

1. Ileus.
2. Diverkulit muura.
3. Fecal mabwe.
4. Necrosis anomera achiumbwa munyika muura.
5. Maronda colitis.
6. Gangrenous appendicitis, izvo zvinokonzera disintegration pakati zvinyama of okuwedzera.
7. Vamwe zvirwere, zvakadai tibhii kana tsitomegaloviirusnaya chirwere.
8. Open uye up makuvaro.

Ndivo Pane zvinhu, izvo kuguma bowel perforation. VaBennett kukuvadzwa dzakaonda madziro kana guru ura anogona kuva nevamwe. Atsamwira kuti munyama rinowanzoberekera somugumisiro vasawira nemudumbu, chenjera homogeneous miviri: nembambo, tsono, toothpicks, hove uye nyama nemapfupa.

Zvinokonzera intestinal perforation mu vacheche

Intestinal perforation mune zvimwe zviitiko unowanikwa vacheche. Perforation mu vacheche zvingava nokuda pezvakaitwa akadai:

1. Intrauterine hypoxia, akapfeka hunhu kwenguva refu.
2. Kunonotsa kukura chaizvo gadziriro.
3. Feeding ane enteral nzira mucheche.
4. The zvokurwara of nemudumbu akadai mhingaidzo.
5. Surgery.

Punctures vachangoberekwa - ava kure zviitiko. Several hwatsvuka vari apo neapo. Sezvo nhamba inoratidza, vasikana intestinal perforation ruviri kakawanda vakomana.

intestinal perforation: Zviratidzo

Perforation ane chaizvo zviratidzo. Signs pakakoromoka haagoni kuva vasipo. The chikuru chiratidzo perforations - kurwadziwa mudumbu, ayo achiperekedzwa tsandanyama makakatanwa. On palpation kusagadzikana unokura. Pane zvimwe zviratidzo intestinal perforation:

1. Kakawanda uchida defecate.
2. Bloating.
3. Kukurumidza kufamba kweropa.
4. Svoto uye kurutsa.
5. Oligulyatsiya.
6. Kuwedzera tembiricha muviri kusvika 39 ° C.
7. Zvishoma kana nekugogodza mweya. Nengano rutapudzo pamusoro diaphragm kukonzera kurwadziwa.

Budiriro munyama panguva colonoscopy

Kana kenza muura kudzidza kushandisa chaiyo vachiongorora zvinogona kuitika intestinal perforation. Fani iyi inogona kutsanangurwa sezvinotevera:

1. Kubviswa polyps - poliektamiya. Kana hanya hwaiitwa nzira anogona zvakaipa kupiswa tishu. Zviri panzvimbo ino uye makaumba budiriro. Mune zvisingawanzoitiki Muzviitiko, kukuvara bowel rusvingo kunoitika pakuvhiya. Zviratidzo yokutambudzika rokutanga kungowanikwa pashure mashoma.
2. Zvakawandisa insufflation - kutungamirira munhu powdery medicament kuti traumatizing tishu colonoscope. rusvingo atsamwira kunoitika munguva oparesheni. Zviratidzo bowel perforation yokutanga kuonekwa pakarepo. Punctures muchiitiko ichi kunogona kuva guru saizi.

Chirwere kubva intestinal perforation

Localization pute bowel perforation vagara vandifungira palpation ari mudumbu. Pakakoromoka iri panzvimbo murwere anonzwa kurwadziwa kana akabata. Nokuti nechirwere unowanzoshandiswa kwete chete kuongororwa digitaalinen, asi computed tomography uye radiography. Mune zvimwe zviitiko, kuona chikonzero kusagadzikana mune abdominal nzvimbo hakusi nyore. Perforation zvakaoma rokuongorora Varwere:

1. Achirapwa Kuvhiya chokuita nhego transplantation.
2. Kugamuchira zvinodhaka chemotherapeutic.

Abdominal marwadzo pavarwere izvi - munhu kakawanda chinoshamisa. kombiyuta kushanda pakuvheneka kunodiwa hwokugadza kuongororwa zvakarurama. Chero intestinal perforation kunoda pakarepo kuvhiya kupindira. Anosiyiwa ndivo zviitiko apo zviri duku kana guru ura kupinda munharaunda yacho nepanhengo uye dundira. Panyaya iyi, murwere anogona kuonekwa Kushanduka magasi uye mutsvina yadzo panguva weti.

Nzira kurapwa

Bowel perforation zvinogona kurapwa chete kuvhiyiwa. Mhanyai muitiro haina varumbidzwa, sezvo kungaguma zvakakomba. Patient nezviratidzo pachena bowel perforation pakarepo muchipatara uye nokukurumidza pakuita kukurukurwa.

Zviito vanachiremba kuva nokukurumidza, asi yakarurama. In utachiona idzi intestinal zvinyama havagoni verengera, nokuti kusingarapiki pezvakaitwa angatanga mumuviri murwere.

Kakawanda, varwere vakanodzidziswa laparoscopy. Uyezve, akabata concomitant kurapa mwoyo zviratidzo, zvakadai mwoyo kukundikana. Urongwa kuongorora kutenderwa muzviitiko apo intestinal mukati hwapinda mukati dundira kana nyinyo.

Nyanzvi regai yemutemberi kunonoka kushanyira chiremba. Ingapedza bowel perforation kumba hazviiti. Zvinofanira kucherechedzwa kuti perforation kungaita kuti rufu nomurwere. Pashure pemaawa mashomanana pashure kutanga buri muura kana chiduku ura kunotanga neronda rinonyenga - necrosis of nadzo uye munyama.