Alama tari buga. Hanyar tabbatar da dalilin da kumburi a ciki

A ventral hernia bayyana kanta protrusion dukan ciki gaba ko wani rabo daga gare shi ta hanyar ƙofar da take cikin subcutaneous yankin na gaba bango na akwati ko kafa aljihu. A rabin na gabobin da kogon ciki located lokaci guda tare da parietal peritoneal leaf rufe da subcutaneous sarari a ciki. A hankula bayyanuwar a hernia ne mai alama na tari buga.

Don gane da dangantakar tasowa gaggawa tare da cuta, sa hannu da protrusion alama da ta lalata a lõkacin da tari. Yawanci, a tura aka ji, ya nuna cewa sakon da anomalous samuwar wani peritoneum, babu irin wannan shaida na strangulated hernia. Protrusion na gabobin faruwa ta cikin hernial zobe. Parietal peritoneum tare da wani ɓangare na hanjinsu, jijiya, tendons kama a lokacin fitarwa wakiltar hernial jakar kwai.

The ayyuka na peritoneum

Kayyade firam ga muhimmanci gabobin taimaka a aiwatar da homeostasis, m musayar, tana goyon bayan da ciki matsa lamba:

• Shi aikin resorptive aiki, wato zuwa sha da rashin lafiya kayayyakin sunadarai, nama necrosis, exudates, kwayoyin.
• serous cover a cikin wasu yankunan sirara kuma duodenum iya ware fibrin da ruwa.
• caul, bauta wa wani irin shamaki ga kumburi mayar da hankali na kamuwa da cuta, da wata barã'aa samar da inji kariya na salon salula da kuma humoral yanayi.

Hernia ciki da kuma ta da rikitarwa

Idan a cikin shakka daga m baki ne wanda arzikinsa ya karye hadin gwiwa, da mãsu haƙuri ba a cika complied tare da likita ya umarta, akwai mai maimaitawa hernia, abin da hidima a matsayin wata ƙõfa ga bakin ciki wuri na tabo. Ba ta yi aiki da hernia yana da wadannan matsalolin:

• idan hukuma dauke a cikin hernial jakar kwai, ne infringed, sa'an nan a hankali zo su immobilization, cewa hatsarin kumburi da kuma barazanar m.
• Idan protrusion na hanji yana da hannu, sa'an nan da nassi na abinci talakawa da wuya ciki.
• take kaiwa zuwa faru na peritonitis da kuma baki jamming sidewall hanji, wadda take kaiwa zuwa necrosis na kama rabo.
• tasowa surkin jini tsari (ƙurji).
• Hernia fari line qara zuwa wani babban size, wannan take kaiwa zuwa hali bayan cire gabobin dauke a cikin jakar, kada ku shige a cikin kogon ciki.

Stage na peritonitis a tsawon da cutar

A m kumburi tafiyar matakai a cikin ciki yankin nan da nan kira ga motar asibiti, da bata lokaci ba ne m a rayuwar mutum. Peritonitis dabam cikakken ko shafar wasu yanki. Kumburi ne ya sa ta daban-daban jinsunan aerobic da anaerobic kwayoyin cuta, karya a ciki kogon ciki. Hanyar tabbatar da dalilin da ka'idar L. S. Simonyana, dangane da pathological canje-canje da tsawon da cutar, peritonitis bambanta mataki:

• dauki lokaci yana a lokacin da ranar farko da matsakaicin bayyanar cututtuka bayyana.
• mi} a mulki ga mai guba mataki aka yi domin 24 zuwa 72 hours, bayyanar daban-daban manzanni, abin mãye da guba kwayoyin.
• zurfi, a mafi yawan lokuta, rashin komowar form tasowa bayan kwanaki uku, cutar da ba zato manifestations na gida kumburi.

Nau'in cututtuka da yanayin kamuwa da cuta

Primary peritonitis ne rare, lissafin kudi don game da 1% na kumburi mamaki. Kamuwa auku bayan daukan hotuna na peritoneum microbes ciki hanyar hematogenous, lymphogenous Hanyar ko daga cikin mata haihuwa gabobin da fallopian shambura.

diaphragm hernia sa sakandare peritonitis bayan tiyata ko saboda rikitarwa da peritoneal nama rauni. A wannan yanayin, akwai da wadannan kamuwa haddasawa:

• kamuwa da cuta daga kumburi.
• ruptured hanya.
• ingress na microbes saboda rauni.
• postoperative wahala.

Iri peritonitis dangane da wasu dalilai

Reshe na m kuma na kullum mataki aka samu daga asibiti bayyanar cututtuka da cutar. Hanyar for kayyade, bisa ga exudate bayyana fibrinous, serous, surkin jini, fibropurulent, haemorrhagic kumburi yanayi.

Etiological division siffofin peritonitis lalacewa ta hanyar wani iri-iri iri na microflora da kwayoyin, haddasa kumburi. Babban pathogenic microbes yau gane kamar yadda staphylococci, streptococci, anaerobes, Proteus, enterococci, E. coli. Domin sojojin kwayoyin hada pneumococci, gonococci, hemolytic streptococcus da sauran jinsunan.

A etiological kungiyoyin daban ware nonbacterial cututtuka aseptic harka, a lokacin da diaphragm hernia wuya saboda shigar azzakari cikin farji daga cikin peritoneal rami na fitsari, jini, bile ko na ciki da ruwan 'ya'yan itace. Wannan ne mai hadarin gaske, abin kõyi, kuma peritonitis a cikin 'yan sa'o'i jũya a cikin wani dauke da kwayar cutar, kamar yadda ganuwar ne permeable to kwayoyin cuta sosai da ewa ba bayan farko na kumburi.

Take hakkin tafiyar matakai na rayuwa

Rushewa daga ruwa-electrolyte rabo a cikin jiki da kuma gina jiki balance ne a matsayin wata ãyã daga wasa m ciki hernia. Kammalawa sunadaran da aka kara saboda hypermetabolism, asarar wani muhimmin gini abu ne da za'ayi a cikin fitsari, aman, exudate. Bayyana gipoproteinomiya da kuma rage adadin furotin aka nuna a sararin kabari peritonitis.

Tare da jiki ruwaye saki potassium, shi da ke daga cikin intercellular sarari, saboda wannan, marasa lafiya da hypokalemia. Bayan da ci gaban da kumburi tsari juna iya cin zarafi canza, kamar yadda rage koda tukar tumbi na ruwa, akwai halakar da wani isasshen yawan Kwayoyin. A sakamakon da canje-canje tasowa hyperkalemia.

Kashi biyu cikin uku na marasa lafiya a cikin jini alkalosis tasowa, wani lokacin a kyallen takarda saukar da wani motsi zuwa acidosis sakamakon Sistem disturbances, rushewa daga tafiyar matakai na rayuwa da kuma hypoxia, wannan tsari tarnhayar kau da wata hernia.

A mataki na m lokacin da oliguria tasowa hematopoietic tsarin zai fara aiki a kan samar da acidic rayuwa kayayyakin kamar magnesium, nitrogen, potassium da phosphorus. Akwai motsa jini sigogi a cikin numfashi da kuma na rayuwa acidosis. Gwaje-gwaje don m peritonitis an canja hanzari, don haka m monitoring bada shawarar jini, fitsari da kuma sauran jiki ruwaye.

symptomatology peritonitis

Akwai da dama na misali fasali da abin da muka sani yadda za a tantance a hernia da kuma kumburi daga cikin peritoneum:

• karfi numfashi ba zafi a cikin peritoneum.
• zazzabi.
• ciki ta kumbura, zama da wuya.
• a ji rauni a cikin dukan jiki.
• retching da tashin zuciya.
• take hakkin da gastrointestinal fili, maƙarƙashiya, flatulence.

Tari ciwo support

Yana bayyana a cikin m kuma na kullum cututtuka na kogon ciki. Ganewar asali for coughs miƙa G. G. Karavanovym da aka bayyana a cikin daki-daki, IM Siomashem. Mutane da yawa kananan dakunan shan magani tiyata sun soma wannan alama ga na farko tabbatar da dalilin da ãyõyin kumburi daga cikin ciki.

Hanyoyin da yin amfani da

Yatsunsu dan kadan lankwasa zuwa ga dabino da knuckles ɗauka da sauƙi latsa a kan binciken yankin. Wasu lokaci bayan wannan mataki bai yi cewa zafi daga matsa lamba kwanta. Bayan haka, da mãsu haƙuri ne jarraba ga alama tari buga. Ya miƙa yi wasa da tari, idan bayan hanya, akwai zafi a yankin na matsin lamba, shi ya nuna kumburi a peritoneum.

manufa na aiki

A kaifi raguwa a tari spasm peritoneal bango da kuma diaphragm watsa wani tura zuwa surface located kasa da hanta da kuma gabobin. Cika kuma ya hõre zuwa mataki na hanjinsu, wanda watsa motsi saukar. Abin mamaki na zafi faruwa a lokacin da motsi ko da wani rashin lafiya jiki ci karo da wani yankin guga man da hannunsa. Idan kumburi tsari ya shafi cikin peritoneum, abin mamaki na zafi da aka bayyana ta girgiza ciki Layer, cikinsa da ciki-ciki matsa lamba yakan.

Nazarin marubucin A. Cheremskoy tari ciwo ya bayyana mataki game da appendicitis cuta. Lokacin da tari haƙuri a cikin hali na kumburi da appendix ne kullum ji zafi a cikin iliac yankin. Wannan sakamako ne dan kadan daban-daban daga tari a lokacin peritonitis da hernia.

Syndrome yaxuwa m peritonitis da kullum mataki na cutar sa daban-daban majiyai lokacin da tari. Kullum appendix amsa shortness na numfashi, kamar yadda idan haƙuri yana kokarin jinkirta da zafi. The m mataki ne halin da m zafi. Alama tari buga a hanyoyi daban-daban ya bayyana mataki na peritonitis.

Baya peritonitis, appendicitis da hernia, wannan alama bayyana kanta a m da kullum cututtuka na sauran ciki gabobin. Pain daga irin ƙarfin lantarki a tari bayyana a cikin hali na kumburi da gallbladder, ciki ulcers da hanji mai shãmakacẽwa. Saboda haka, tari buga alama ya bambanta daga sauran nazarin cewa ya bayyana a manyan yawan cututtuka a can farko.

Hernia da bambance-bambancen karatu

Protrusions a cikin mutane za a iya samu kuma nakasar. Zabi na biyu shi ne jariri jariran. Wannan take hakkin ya auku saboda wani sakon peritoneum a lokacin fetal ci gaba. An samo protrusion na ciki gabobin bayyana a lokacin haƙuri ta rayuwa, kuma ya kasu kashi uku iri:

• a raunana tsokoki na ciki bango.
• saboda da manyan wasanni ko aikin kaya;
• posttraumatic tasowa saboda take hakkin da mutunci da peritoneum, idan akwai wani baya aiki. Laser yana da wani amfani a kan al'ada m kida a cikin irin wannan hali.

Ciki hernia dake a cikin thoracic rami ko da na ciki yankin. Waje protrusion gawarwakin dake a cikin wadannan wurare:

• a cikin makwancin gwaiwa.
• a kan hip da ciki ko waje gefe.
• lumbar sacrum.
• a cikin wuri na wuri na perineum da kafafuwa.
• a gaban gefe na jiki (epigastrocele).
• a wani yanki na jiki a cikin kufai daga tiyata.

Human hernia kasu maimaita, rikitarwa ko ba wuya (da dama). Nau'i na farko ya hada da wani protrusion, kullum Ɗ bayan tiyata.

Alamun herniation

Farko kumburi auku a matsayin madauwari siffar wanda yana da taushi daidaito, kuma da mãsu haƙuri iya da kansa daidaita shi da hasken matsa lamba. Bayan da raguwa a cikin peritoneal surface a wannan lokaci za a palpated shigarwa kofa, doguwar a cikin nau'i na ramummuka ko madauwari ciki bango lahani.

Girma dabam bambanta daga sealing biyu daga uku millimeters zuwa dama dozin santimita. Idan hernial jakar kwai kama ɓangare na hanji bango ko ta jiki, halayyar palpation audible bubbling sauti nassi ciki. Alamun kasãla bayyana kansa hernia hada maƙarƙashiya, tashin zuciya, ƙwannafi, bloating, nauyi, take hakkin urination.

Hernia bada shawarar a hali na ƙeta da wani diverticulum, wanda aka halin da wadannan cututtuka:

• akwai sau da yawa kwatsam kaifi zafi bayan nauyi dagawa, motsa jiki, defecation hanawa da wuya ya faru ga wani dalili;
• a wasu nufi da haƙuri iya ba, kamar yadda a gabãnin haka, m hatimi, shi ya zama da wuya da kuma m.
• tare da baya cututtuka aka retching, takaici da kujera.

Sanadin hernia

All haddasawa kasu kashi matukar mallakan Yunƙurin kuma jog. Na farko da kungiyar ta kunshi dalilai:

• Nakasar lahani ko mahaukaci ci gaban da na ciki bango.
• saboda wasu dalilai, da fadada daga cikin halitta rauni, ciki wurare (femoral da inguinal zobba, cibiya).
• akan rage nama tensile ƙarfi saboda tsufa canje-canje ko ãr na jiki;
• gaban a ciki posttraumatic rauni yankunan ko idan akwai wani aiki, da Laser samar da mafi hadari a cikin wannan girmamawa incisions.

A gaba kungiya tana nufin jog ko triggering dalilai ne cikin hanyar kara matsa lamba a cikin kogon ciki:

• aiki ko ikon wasanni.
• m maƙarƙashiya.
• tari, na kullum yanayi.
• ciki na ciki kumburi saboda rashin iya aiki da kwayoyin.
• flatulence.

Yadda za a tantance a hernia

Likita ascertains cewa herniation bayan jarrabawa na haƙuri kuma sanin gaban a cikin rãyuwar haƙuri ƙayyade sama dalilai da karuwa. Shan la'akari da salon, tiyata da kuma jiki rauni. Domin gano wanda baka gabobin suna kunshe a cikin hernial jakar kwai, likita gudanar da wani binciken da taimakon kida da kayan aikin.

Duban dan na ciki da kuma na protrusions yale mu mu yi la'akari da ciki abun ciki da kuma hali bambantawa ganewar asali da sauran cututtuka. X-ray Hanyar da ake amfani da contrasting images of da jakar da Ƙofar hernia.

Medical da kuma hanyoyin da tiyata

Babban Hanyar magani ne m game da. Sanye da takalmin gyaran kafa taimaka aka sanya wa waɗanda marasa lafiya da suke da tsanani contraindications wa tiyata, kamar shekaru da alaka da canje-canje ko matalauci jini clotting. Ana cire da protrusion ne aka gudanar bisa ga shirin, idan haƙuri da yake shirya wa aiki, ko a mai tsanani lokuta, tiyata ne da za'ayi gaggawa. Wani misali na irin wannan unplanned taron da aka strangulated hernia tare da numfashi ba zafi ko ta jiki ileus.

The aiki kunshi a bude hernia jakar kwai da kuma jarrabawa ciki. Idan kayan ciki ba su lalace, suka rage a, mai jakar da wata ƙõfa aka sutured ga m masu girma dabam. Roba ƙofar yi amfani da nama daga wani haƙuri ko yin amfani da wani sabon ƙarni na roba kayan. Shi ne m yarda da post-gudanar da umarnin na likita to rage hadarin maimaita herniation.

A ƙarshe, dole ne a ce cewa a farko alamun protrusion a cikin kirji, ko na ciki bango ya kamata nan da nan tuntubar likita. Surgery ga wata hernia ba wani hadadden aiki, fiye da wuya don kauce wa matsalolin da na gudãna protrusion da zafi hade da shi.