Chinthu chovuta kwambiri pakati pa zilonda zam'mimba ndi duodenal zilonda zam'mimba ndi zilonda zam'mimba. Ngati simumapereka chithandizo msanga, munthu amatha kudwala peritonitis ngakhale imfa. Kawirikawiri, matendawa ali amuna, chifukwa amayi amatetezedwa ndi estrogen ya thupi, kuteteza mucous.
Zotsatira za perforation ya chilonda
Sipangakhale phokoso la zilonda zamimba pa malo ofanana, nthawi zonse zimakhala zofunikira pa izi. Zikuoneka kuti anthu ambiri amene akudwala matenda a zilonda zam'mimba amatha zaka zoposa zitatu, odwala omwe ali ndi gastritis omwe safuna kukaonana ndi dokotala. Kuitana phokoso kumatha:
- wolimba, wolemera;
- kawirikawiri kudya;
- mkulu acidity wa chapamimba madzi;
- kugwiritsa ntchito molakwa zonunkhira;
- kusagwirizana ndi kugona ndi kugalamuka, kusintha kwa usiku kuntchito, kusowa tulo;
- kugwiritsa ntchito mankhwala osokoneza bongo kwa nthawi yayitali komanso kawirikawiri;
- kusagwirizana ndi zakudya, kukana chakudya chamadzi, kugwiritsidwa ntchito kokazinga ndi zosuta;
- kumwa mowa ndi kusuta nthawi zonse:
- choloŵa choloŵa chawo.
Chilonda cha m'mimba - zizindikiro
Mavuto alionse omwe ali m'dera la epigastric angapangitse lingaliro la kupweteka kwa zilonda zam'mimba, zomwe zizindikiro zake ndizochita bwino komanso zodziwika bwino. Chilonda cha perforated kapena perforation m'mimba chimayikidwa ndi:
- malingaliro;
- malo (kumalo);
- malo otuluka;
- nthawi (zochitika zachipatala).
Zizindikiro zoyambirira za chilonda cha perforated
Kumayambiriro kwa matendawa, pa nthawi yoyamba, pamene mankhwala a chilonda sanagwiritsidwepo, zizindikiro zake ndizoonekera komanso zosavuta. Kudziwa, ndizotheka kumvetsa bwino chifukwa cha thanzi labwino. Pali magawo atatu:
- Mankhwala a peritonitis, omwe amatha maola 3-6. Pa nthawiyi pamakhala ululu waukulu mumphuno ndi kumanja kwa mimba. Malingana ndi malo, chilonda cha perforated m'mimba chingayambitse ululu wam'mimba kumanzere. Pang'onopang'ono, kupweteka kumakhala kovuta komanso kumverera m'mimba, kuponderezedwa kumachepetsedwa. Khungu limakhala losalala ndi lokha, ndipo mimba imakula chifukwa cha kusungunuka kwa mpweya. Iyi ndiyo nthawi yabwino kwambiri pamene wodwalayo ayenera kupita naye kuchipatala.
- Bakiteriya peritonitis samachitika mwamsanga, koma patadutsa maola asanu ndi limodzi kuchokera pamene zizindikiro zoyamba za zilonda za m'mimba zimapezeka. Pang'onopang'ono, ziwalo zimamwa mowa ndipo mkhalidwe wa wodwalayo umafalikira, ngakhale kuti sadziwa kukula kwa mkhalidwewo. Iyi ndi nthawi yodabwitsa, pamene zizindikiro za kupweteka kwa chilonda zimakhala zofooka, kupweteka kumawombera ndipo munthuyo amamva bwino. Panthawiyi, kupanikizika kumatuluka, monga kutentha kwa thupi, peristalsis yathyoledwa, lilime liri ndi zokutira imvi.
- Kumwa mowa kwambiri kumatha maola 12 kuchokera pamene matendawa ayamba. Kutentha kumadontho, khungu limakhala louma, kusanza ndi kutaya madzi kwa madzi kumayamba. Kugwidwa m'mimba kumapangitsa kuti mimba ikhale yovuta ndi kutupa chifukwa cha mpweya ndi zowonongeka zomwe zimagwidwa mu peritoneum. Pali chisamaliro cha wodwala ku zomwe zikuchitika, kuwonongeka, kukomoka kwa mkodzo kumasiya. Pa nthawi imeneyi chilonda cha m'mimba chimakhala chakupha ndipo n'zosatheka kupulumutsa wodwalayo.
Chilonda cha Perforated - X-ray
Pozindikira zizindikiro zoyambirira za chilonda cha m'mimba, munthu ayenera kutumizidwa kuchipatala kuti akadziwe. Ndi matendawa, kuchedwa kuli koopsa. Kusanthula kumachitika m'njira zingapo:
- kupanga anamnesis wa wodwala;
- Kuyeza X ndi ma laboratory;
- kusanthula kosatha.
Pakati pa 80%, X-ray peresenti ya m'mimba imapereka zotsatira zabwino. Makhalidwe ake amavumbulutsira mpweya m'mimba, yomwe imagwera pakutha kwa khoma. Ngati kuchuluka kwake kuli kochepa ndipo matendawa akukayikira, X-ray imabwerezedwa, wodwalayo atakhala ndi madzi pang'ono. Pambuyo pake, mpweya umachokera ku peritoneum ndipo umapezeka mu X-ray.
Kuperewera kwa zilonda - zovuta
Monga matenda ena ovuta, kupweteka kwa zilonda zam'mimba kumakhala ndi mavuto ake:
- fistula mkati (m'mimba ndi ndulu);
- chosowa;
- pneumothorax ndi abscess kupasuka;
- peritonitis .
Kodi mungatani kuti muchepetse zilonda zam'mimba?
Pamene chifuwa cha m'mimba chimapezeka mwa munthu, mankhwala amatha kuthamangira. Iyi ndiyo njira yabwino kwambiri yothetsera vutoli ngati n'kotheka kudula dzenje, ndipo nthawi zina, kuchita mimba resection. Pokhapokha pokhapokha amatha kuchiritsidwa ngati wodwalayo akukana opaleshoni. Kenaka, kutulutsa madzi kuchokera ku peritoneum ndi kafukufuku kumagwiritsidwa ntchito, mwanjira inayake kwa masiku angapo wodwalayo atayikidwa, mankhwala oletsa anti-inflammatory therapy amauzidwa.
Perforated m'mimba zilonda - thandizo ladzidzidzi
Pochepetsa kuchepa kwa zotsatira zoopsa, kuchepa kwachangu kumafunikanso kuwonetsa zilonda za m'mimba mu maola oyambirira a matendawa, omwe ayenera kuperekedwa ndi madokotala. Musati muzidzipangira mankhwala. Likutembenuzidwa motere:
- Wodwala ali ndi mutu wokweza pang'ono komanso mawondo akugwada.
- Sungani zomwe zili m'mimba kudzera mufukufuku.
- Kuchotsa mantha (ngati alipo), yambitsa mankhwala osokoneza bongo;
- Kutsekedwa kwa saline ndi shuga kumapangidwa ngati gawo lokonzekera isanayambe kugwira ntchito.
Ululu wa zilonda za m'mimba - opaleshoni
Mu 99%, milandu ya perforated ya m'mimba imagwedezeka. Malingana ndi malo a chilonda ndi kuopsa kwa chikhalidwe cha wodwala, njira zoterezi zimayenera:
- kusokoneza;
- chisokonezo ndi madzi;
- resection ya m'mimba ;
- ndalama za resection ndi vagotomy (kutayika kwa mitsempha yopangira hydrochloric acid kuti asabwererenso);
- madzi ndi vagotomy.
Mphuno ya m'mimba ya Perforated - postoperative period
Kuperewera kwa chilonda kumatanthauza njira yothetsera vutoli. Nthawi yochira si yosavuta komanso yayitali. Kuchokera ku khalidwe lolondola pa nthawi ino kumadalira thanzi labwino la ogwiritsidwa ntchito. Kusamala kwambiri kumaperekedwa kwa zakudya ndi magalimoto. Pambuyo pa opaleshoni kwa masiku 3-4 wodwala amakhala pabedi, pambuyo pake amaloledwa kudzuka. Chitani izi ndi wothandizira komanso pang'onopang'ono, popeza thupi lifooka pambuyo pa opaleshoni. Kunamizira popanda kuyenda sikunalimbikitsidwenso chifukwa cha kuchuluka kwa njira yomatira.
Kudya pambuyo pa opaleshoni ya zilonda za m'mimba
Pochepetsa kuchepetsa mavuto kuchokera ku opaleshoni mpaka ku zero, muyenera kudya zakudya zolimba pambuyo pa chilonda cha m'mimba. Masiku 3-4 oyambirira wodwalayo sadyetsedwa, kotero kuti mimba imagwiritsidwa ntchito ku dziko latsopano. Chakudyacho chimaperekedwa kudzera mu galimoto, pogwiritsa ntchito njira ya shuga. Patsiku lachisanu wodwala akhoza kuyamba kumwa pang'ono zakudya komanso kumwa mankhwala , koma madzi ambiri amaletsedwa, ngati mchere. Pamapeto pa sabata mu zakudya zimayambitsidwa unsalted rubbed mpunga soups / phala ndi yofewa-yophika mazira. Mgonero wa posachedwapa pambuyo pa opaleshoni umaphatikizapo:
- mazira owiritsa;
- Zakudya zam'madzi ndi nyama yophika, kalulu, nkhuku;
- nsomba zofiirira zophika kapena zowonongeka;
- masamba;
- mabulosi odzola;
- mpunga, oatmeal, buckwheat;
- nthochi, mapeyala;
- kanyumba kakang'ono ka mafuta, mkaka, acidophilus kefir;
- osokoneza chakudya cha dzulo lawo.
Mwamwayi, mndandanda wa zinthu zogulitsidwa ndizochepa kwambiri, kusiyana ndi mndandanda wa zoletsedwa. Adzayenera kumamatira ku moyo wawo wonse kapena kupatulapo zochepa, zaka 2-3 mutatha opaleshoni:
- zosuta;
- sausages;
- mowa;
- nkhaka, tomato, kabichi, bowa;
- anyezi, adyo;
- nyemba;
- soda, mowa, khofi, kvass;
- chokoleti, mavitamini, ayisikilimu, mabulu.