Chiphuphu chokhala ndi kachilombo kakang'ono - mapangidwe a purulent, omwe anawonekera pansi pa chithunzithunzi. Kawirikawiri zimapezeka chifukwa cha mavuto m'maganizo opweteka kwambiri a ziwalo za peritoneal, kuphatikizapo peritonitis, pachimake chowunikira komanso cholecystitis. Matendawa ndi osavuta. Kwenikweni imapezeka mkati mwa mimba, mobwerezabwereza - kumbuyo kwa dipatimentiyi. Malingana ndi malo a neoplasm, matendawa adagawanika kumanja, kumanzere ndi kumbali. Kawirikawiri mtundu woyamba wa matendawa umapezeka.
Zizindikiro za abscess subdiaphragmatic
Kukula kwa matendawa kumaphatikizapo zizindikilozi:
- ululu m'dera la subcostal kumanja kapena kumanzere;
- chisangalalo mu chifuwa;
- chithunzi ;
- chisokonezo;
- kutentha kwakukulu;
- thukuta;
- kuchuluka kwa mtima;
- kupuma pang'ono.
Pamene zizindikiro zingapo kapena zonsezi zikuwonekera, zimasonyeza kuti wodwalayo akudwala mofulumira.
Kuzindikira kwa chifuwa chachikulu cha subdiaphragmatic
Kupeza matendawa pogwiritsa ntchito njira zosiyanasiyana:
- chifuwa ndi mimba x-ray;
- kuyesa magazi;
- Ultrasound ya mimba;
- chiwerengero ;
- mukapeza kupuma, kuyesa kumatengedwa.
Zifukwa za abscess subdiaphragmatic
Pali zifukwa zingapo zomwe zimayambitsa matendawa:
- postoperative peritonitis, yomwe inawonekera pambuyo pa resection of the stomach, zilonda zam'mimba, kugwedeza;
- Kuvulala komanso kutsekedwa kwa mimba (kutsekedwa, zilonda, kudula), mikwingwirima;
- kutupa kwa ziwalo za mkati - nthenda, chiwindi, appendicitis;
- Njira zamatsukidwe m'mapapo ndi mapemphero.
Chithandizo cha abscess subdiaphragmatic
Chithandizo chovuta chimakhala ndi mankhwala othandiza ambiri:
- antibacterial;
- kukondana kwakukulu;
- chizindikiro;
- detoxification.
Pa nthawi yomweyi, njira yogwiritsidwa ntchito kwambiri pochiza matendawa ndikuthamangitsidwa kwa pulojekiti yomwe imadutsa. Ntchitoyi imagwira ntchito ziwiri - transthoracic kapena transabdominal. Kusankha njira mwachindunji kumadalira pa siteji ya chitukuko ndi malo a matendawa.
Ntchitoyi ndi kukonzanso kwadothi kumapangitsa kuti zinthu zonse zikhale zofunikira. Kawirikawiri, pamodzi ndi kutsindika kwakukulu, chinthu china chimapangidwa. Izi zimapangitsa kuti pang'onopang'ono kutsuka mpandawo ndi kuyendetsa bwino. Kuwonjezera apo, zomwe zili mkatizi zikuwonetsedwa ndi singano yaikulu. Pambuyo pake, chisa chopanda kanthu chimatsukidwa ndi antibiotics ndi antiseptics.