Mondor chirwere vanamwari vatatu vatatu: Zviratidzo uye rubatsiro

The kunzwisisa kuti zviratidzo yakapinza kuzvimba munzvimbo abdominal nzvimbo inowanzotaurwa nezvayo sezvo vanamwari vatatu vatatu kuti Mondor, mushure chiremba French. The chirwere dererei, asi vanachiremba vanofanira kuona nyore mhando chirwere. Rondedzero iyi zvinoreva kukura munhu perforation ane nhengo dzomukati, anonziwo Perforated urikanwi. Dambudziko nhengo - mudumbu kana duodenum.

Chii zvinosanganisira zviratidzo?

Vanamwari vatatu vatatu Mondor chinorondedzerwa se kutaridza chakasimba ezvinhu ari repamusoro mudumbu. chiremba French Akaongorora dzinonetsa mamiriro varwere inoda zvashata nokumutswa. Kunonoka nyaya dzakadaro hazvibviri, tiri kutaura pamusoro okuponesa cheupenyu.

Vanamwari vatatu vatatu Mondor anoshanda mukati kuita chiremba aiongorora (1885-1962) zvinosanganisira 3 mhando zvekuchipatara zviratidzo:

1. Chenjera zvisingatsungiririki kurwadziwa repamusoro mudumbu. Zvakawanda zvive zvikaramba. Muviri tembiricha mismatch kupomba rinoonekawo.
2. Nzvimbo migumisiro pachaunga, akazoteerera mamiriro. Kurwadza kwacho kazhinji vanotadza kufema zvakanaka.
3. Zviratidzo zvakawanda zvive, sezvinonzi zvigunwe kuti dambudziko kunzvimbo - dumbu kana duodenum.

Vanamwari vatatu vatatu Mondor anobvumira vanachiremba kuti zvakarurama rokuongorora propodobnuyu nemaronda mudumbu. Maererano nachiremba zviratidzo vanoenda kuvhiyiwa, saka kuderedza kutsvaka nguva zvezvinokonzera chirwere. Vanachiremba vanotanga kubatsira pakarepo pasina zvimwe miedzo.

Zvimwe zviratidzo rokutambudzika

Vanamwari vatatu vatatu Mondor pamwe Perforated urikanwi ndiko unexplored pamusoro paumbwe dzakaoma ezvinhu omurwere. Masayendisiti akaratidza fungidziro. Mukusarudza nemaonero ari kutyora zvirwere, riri kumhanyira somugumisiro maronda kwacho.

perforation of inotungamirwa inogona nyore kuvhiringidzwa nezvimwe zvakafanana zviratidzo yematambudziko:

• munhu chiratidzo rikwanise pfungwa nomuviri zvemwana asati;
• dzakabudirira cholecystitis;
• bowel mhingaidzo;
• renal colic;
• appendicitis.

Pamusoro kuonekwa imwe yematambudziko izvi aite Diagnostics pamusoro vanamwari vatatu vatatu kuti Mondor. Kana zvapedzisira ezvinhu kunoitika, murwere mumhanye kuchipatara. Panguva zvokufambisa, kazhinji zvisingafanoonekwi ezvinhu yaida matanho kununura munhu. Saka, muna amburenzi murwere ainyatsotevedzera.

By punching varume vade, uye hosha ikaonekwa iri zvachose utano munhu pasina chikonzero pachena. Kusiyanisa yematambudziko panzvimbo dzidzo indisposition: mune vakasununguka nzvimbo, pokukundwa mudumbu rusvingo abdominal mhango, retroperitoneal nzvimbo.

diagnosing zvirwere

The kusiyaniswa kuongororwa yakatarwa dzakanyorwa matambudziko anoitika aidzidza zviratidzo. Saka, chenjera cholecystitis iri pakutsvaga kutanga zviratidzo: kurwadziwa chokumusoro mudumbu, iye anowanzopa kodzero yokumusoro mutumbi. Muvanhu, murwere ane mukuru muviri tembiricha, kurutsa iripo kusvika secretion kuti bile. Zvisinei, pakutanga nzendo chisimbiso abdominal rusvingo tsandanyama havasi detectable.

The chiratidzo rikwanise pfungwa nomuviri zvemwana asati ane nguva nenguva uchidzokorora. Kumarutsi, nebhanhire kurwadza. Tsandanyama vakasununguka, murwere anonzwa kusagadzikana mune neitsvo. With yakadaro kuomesa haina zvaida kuvhiyiwa, kurapwa rinoitwa mishonga nzira.

Intestinal mhingaidzo vakasiyana bloating nekupatsanurana ezasi. Pane kusava mutsvina yadzo, colic nokuda kuunganidza magasi. Kurwadziwa kuoneka uye inonyangarika chero.

Appendicitis kunoitika ne chakasimba uye patainzwa marwadzo kurutivi rworudyi. Nefivha dzaserera, panguva palpation ari mudumbu murwere anonzwa backache. Abdominal tsandanyama vari nerongo. Renal colic akafanana zviratidzo pamwe mhingaidzo, asi murwere rinogara bowel kufamba uye kurutsa.

Description kunotoda kurapwa zviratidzo

The dzinonetsa wehurumende aumbwa payakakurudzirwa. Kunotanga sokusingatsungiririki marwadzo, iyo kwakaoma kuti kunyange murume akura. Panguva iyi, chero kufamba pakarepo hunopiwa tsinga harinzwi ari abdominal tsandanyama vari overstrained, vanhu kuita chinhu. Kurutsa uye zvakakomba utera ndaona maawa anenge 6, zvino anogona nani. Asi kwete kwenguva refu, pashure maawa 12 zvose inodzokororwa.

Zvinyoronyoro danho kazhinji inoitika munzvimbo amburenzi. Kana Kurwisa inodzokororwa zvakare, mugwagwa achava zvakaoma kubatsira murwere. Danho kunorondedzerwa se kuzvimba peritonitis. Chinetso vanachiremba - kukunda migumisiro yematambudziko akadaro.

Zvinokonzera dzinonetsa mamiriro

Vanamwari vatatu vatatu Mondor pfungwa nomuviri zvemwana asati anozviratidza nokuda kudzikisirana pamadziro zvomukati ari zvomudumbu hurongwa. The nenhongonya pamusoro anogumbura pezvakaitwa kuitika mune kure-mwaka. dzidzo maronda vari pakati huru zvinopa perforation.

Vaikurudzira ezvinhu akadaro ndiwo:

• Masvingo zvomukati dzinotambura yakawedzera intra-abdominal kumanikidzwa nokuda kukuvara, kurovedza muviri.
• An urikanwi kunoitika nokuda kushushikana uye mupfungwa epfungwa.
• Fufune rinotanga nenzara, kushaya zvokudya zvinovaka muviri.
• Medicines anogona attenuate rusvingo ura uye mudumbu.

Sei kubata kuomesa?

Chenjera perforation mamiriro zvakadai peritonitis, zvinopedzwa mune uchishandisa mukamuri. The chinangwa chikuru ndechokuti nokukurumidza sezvinobvira kuderedza penguva pakati kutanga akangokudenha, uye rwekutanga. Ngozi nguva apo chokufambisa kuchipatara kunotora maawa anopfuura 3.

Kubatwa mukati akabvisa kuburikidza perforations inokosha vachiongorora. Zvinonzi zvaisambobvumirwa kugeza kunze dumbu uye kufambisa murwere pachavo. Zvinonzi uchakumikidzwa kuchipatara pamubhedha. The chiremba vanoda mashoko azere kubva tsvimbo pamusoro zvashata rubatsiro rwekutanga dzokuvhiya.