Huʻi abdomen maʻi pale: Symptoms, 'ehaʻeha ka a me ka iapaau ana

Abdominalʻeha lawe mai i ka puu o ka pilikia no nā mākua a me nā keiki. Gastritis, gastric ulcer, gastroduodenitis, reflux esophagitis, gastric Ka maʻi 'aʻai - kēia mau mea kekahi o ka loa e like me ka maʻi o ka gastrointestinal'āpana, a pinepine huli i loko o ke kahua maʻi. A mau weliweli ka huʻi abdomen maʻi pale. Pilikia kōkua ua koi 'ia. Kēia maʻi,ʻaʻole wale nō ke kumu no ka eha, akā, i ka pololei hoʻoweliweli 'i kanaka ola. Loa nui o ka 'eleu lapaʻau oʻoki lāʻau lapaʻau lapaau.

Pehea i hana ai i ka wehewehena o ka maʻi

Kēia manawa hoʻohana ma ka lapaau e Kû ke huʻiʻeha pilikia i loko o ka abdominal lua, a koi kokeʻoki kino. huʻi abdomen maʻi pale hiki e kena ae la ma kekahi blockage o ka abdominal lua ole gastrointestinal maʻi. Kēia maʻi pale He He maoli pilikia no ka hoʻomanawanui i ka ola.

Definition o ka maʻi pale o "huʻi abdomen"ʻikeʻia i loko o 'inikua hana maʻamau ma hope o ka puke o ka puke Genri Mondora "pilikiaʻike. Opu ", i i paʻiʻia ma ka 1940. Ka puke haawiia keia i ke surgeon hua'ōlelo'ālike - ". Abdominal catastrophe" Ia mea ma hope o kēia puke ma ka 'inikua mea, hoomaka ae la e kūkākūkā i kaʻike, a me ka hana ana o na maʻi like huʻi abdomen maʻi pale. Symptoms a me ka hookomo ana i hoomaka ae la e makaikai i nui loa.

Henri Mondor ua i ka wale surgeon, e hōʻike ana i ka maʻi. Russian surgeon N. Samarin a nānā aku i kēia moku'āina, a ma kona mau buke, ka mea hoʻopaʻapaʻa i hoomanawanui E e ia i ka haukapila i kēia maʻi pale loa koke. Ma kona mau ka lehulehu ākea, a i paʻiʻia he mau manawa, ke i mai nei, i ma hope o ka symptoms mua o ka hoʻomanawanui i wale 6 hola.

symptoms

No ka maopopo 'ana o ka lapaʻau kiʻi o kekahi maʻi ia mea e pono ke ike i na hoailona. A hiki i ke ano o ka huʻi abdomen maʻi pale, i ka i kēia symptoms:

• Loaʻeha i loko o ka abdomen.
• High ana wela.
• Rapid Kal.
• Ka luaʻi.
• Kahe ana ke koko.
• KŰia.

Akā, i ka papa kuhikuhiE hoopii o ka hoʻomanawanui koe eha. Ma muli o ka luna symptoms, kauka hiki e hewa, a kaila ia i nā maʻi. No ka laʻana,ʻeha i e hōʻike o generalized peritonitis, ka luaʻi - lae i ka ai kaʻapu kōheoheo. hilinaʻi nui o ka hopena o ka hana maikaʻiʻole i pololeiʻike, e e hoʻokūpaʻa koke.

huʻi abdomen maʻi pale: 'ehaʻeha ka

Kumu o ka maʻi i e no ka mea,:

• Pancreatitis, cholecystitis, appendicitis, peritonitis, AeXIeAaOIePEAaI Ka maʻi 'aʻai, embolism, thrombosis, abscesses.
• Mai hemo mai paha perforation o ka opu, liʻiliʻi.
• Mai hemo mai pancreas, spleen, akepaa, uterus, appendages, a hiki e ukali e kahe ana ke koko i loko o ka abdominal lua.
• Ileus.
• Maʻi o nā loko i i aia mawaho o ka abdominal lua.

Puka mai o ka luna, aia no he Mea Maluna o na kumu o ka maʻi.

• Hoʻoʻino maʻi i koi pilikiaʻoki lāʻau lapaʻau malama.
• Huʻi kahe ana ke koko i loko o ka gastrointestinal'āpana (Mallory-Weiss maʻi pale, kahe ana ke koko ulcer, anorectal kahe ana ke koko, gastricʻeho, haemorrhagic gastritis).
• Abdominal trauma a penetrating eha, kahi poino akepaa, spleen, pancreas paha liʻiliʻi.
• Kāna hana o ka gastrointestinal'āpana, a e ole koi pilikiaʻoki kino (hepatitis, peritoneal carcinomatosis, gastroenteritis, yersiniosis, hepatic porphyria, hepatic colic, huʻi cholecystitis, pseudomembranous enterocolitis).
• Gynecological maʻi (dysmenorrhea, ola maʻi pale ma ka waena konu o ka menstrual kalapona, salpingitis).
• Hakuʻala maʻi (pyelonephritis,ʻaʻa puʻuwai infarction,ʻaʻa puʻuwai colic, paranephritis, hydronephrosis i loko o ka huʻi ke kahua).
• Mea'ōnaehana mānowai koko maʻi (aortic aneurysm, myocardial infarction, pericarditis).
• Neurological maʻi (herniated iwi kuamoʻo, herniated SHmorlja).
• Pleuropulmonary (pulmonary embolism, pleurisy, pneumonia).
• Urogenital maʻi (ovarian volvulus, huʻi urinary ka mālama).
• Spinalʻaha eha (trauma, myelitis), fractured iwi, vertebrae.
• Other maʻi (intoxication ka wāʻapu kōheoheo me arsenic, kēpau, uremic coma, leukemic ka hoʻoponopono ulia, diabetic coma, hemolytic ka hoʻoponopono ulia, Verlgofa maʻi).

Pehea e kuhikuhi i ka maʻi

Nānā 'ole o ke ano o ka hoʻomanawanui kauka hana lapaʻau' ana, a i ka kekahi noaia. ʻike, no ka maʻi pale o "huʻi abdomen" Ua like penei:

1. Anamnesis.
2. Hoʻokolokolo 'ana o ka moku'āina o ka hoʻomanawanui.

Ka mōʻaukala nā oi loa ia Hawaii: duodenal ulcer a gastric, hepatic,ʻaʻa puʻuwai colic, ana, voiding a noho, gynecological kāna hana. Kauka mua ua kokoke mai noonoo ana a hiki i ka manawa o ka eha a me kona IIeEeAIEUAA, dyspepsia, wela, i hala illnesses ma gynecology, menstrual paewaewa. Kēia mea nui, e like me ka huʻi abdomen maʻi pale e hana ana i ka hopena o ovarian apoplexy a ectopic hāpai keiki. Eʻohi ana i kēia mau kumumea, ka mea i lawe i ka lōʻihi manawa, akā, ka mea, e pono no i ka pololeiʻike.

Hoʻokolokolo 'kino o ka nana, palpation, percussion, he ao mālama' ia ma ka vagina, ke rectum. Kauka mua ua kokoke mai noonoo ana i ka nawaliwali, haikeaʻili, kaawale ana, dehydration. Mahope o keia hookolokolo ke kauka prescribes ke kēia keʻena hoʻokolohua ho'āʻo ma:

• Urinalysis.
• Hoʻoholo 'ana o ke koko pae a me RH ololi.
• I ka nui o ka hemoglobin, hematocrit.
• ESR.
• Piha koko Ka Ikepili ua kauohaʻia leukocyte haʻilula.
• Nā'ūhū pancreas a me ka akepaʻa.

Keʻena hoʻokolohua haʻawina nō ka mana hope ole, no laila, ke kauka prescribes he ultrasound o ka abdominal lua, retroperitoneal ka lewa. Ultrasound mea pono, e huai ae abnormalities i ole e i ka maopopo lapaʻau kiʻi. Nō hoʻi, ke kauka prescribes auscultation o ka abdomen, e huai ae intestinal motility 'ō ahonui a me ka nele o na naau oʻu kani. Ma waho aʻeo ia ultrasound, ke kauka prescribes he rectal hookolokolo a me ka vaginal wahine. Kēia mea nui, no ka mau ana ke hoike i ka eha i loko o nā pelvis, a hiki masquerade me ka huʻi abdomen. Ua mea i nui tactic pāhawewe ana i loko o ka maʻi pale o ka huʻi abdomen.

Palpation i loko o kaʻike, o ka maʻi

Kēia hana o kaʻike, e halihaliia oia iwaho akahele. Oe Pono e haha aku i ka lima pumehana i ua superimposed ma luna o ka mea a pau abdomen palahalaha. Mua, ke kauka nana ka painless like ma ka ao ana i ka hoʻomanawanui i kaʻawaʻawa loa ka waiʻona ma ke. A laila, i ka Kauka palpates ka abdomen ola mau. Ke kauka E i haha aku'ōpū lima ma ka huina akau. Kēia hana o kaʻike, hōʻike Muscle hoʻopilikia, huʻiʻeha, infiltrates,ʻeho ho okumu a me ka invaganity.

Instrumental like maʻi

I ka wā o ka hoʻomanawanui hōʻea i loko o ka pilikia lumi, ka mea, ua ia ka penei haʻawina.

• Radiography o ka abdomen a me ka thorax, i ka mea pono no ka lapaʻau 'ana iris moku'āina (kona ka hoʻoneʻe, ka hoʻomāhuahua o kinoea, ke kinowaiʻilikai ma ka gut).
• X-Ray Akä naÿe hookolokolo ana o ka'ōpū.
• Irrigoscopy (kēia colonic iaʻi).
• Laparoscopy (ma ka noho pilikia manawa e diagnose).

Pehea e kōkua i ke ahonui

First kōkua no ka huʻi abdomen maʻi pale ka koke hospitalization. Ma hospitalization ka hoʻomanawanui lakou e ike koke e hōʻike 'ia ma keʻoki lāʻau lapaʻau' Oihana.

Kanawai o ka ai 'o ka hoʻomanawanui i kaʻano

Help me ka maʻi pale o "huʻi abdomen" hookaawale ia painkillers. Ua pili i nā narcotic a me ka 'ole-narcotic analgesics, i lubricates ole wale no ka lapaʻau kiʻi, akā, i keakea mai i ka hoʻomanawanui i kaʻike,. Eia hou, na ai 'ke worsen i ke ano o ka hoomanawanui, e wehe hua'ōlelo o keʻoki kino, e i spasm o ka sphincter o Oddi. Nō hoʻi i 'ae' ia ka hoʻohana nootropic, psychotropic, laxatives, antibiotics, a kau i ka hoʻomaʻemaʻeʻana enema.

lapaʻau

Inā a pau nāʻikepili i huʻi abdominal maʻi pale, lapaau ninoieo ma ke kēia mau kapuwai. Ke kauka Hiki nō ke hoʻohana spasmolytics - 2 ml pāʻoihana "shpy" a 1 ml "Atropine" intramuscularly paha intravenously. Iapaau ana o keia maʻi mea heʻoki lāʻau lapaʻau kaʻina hana, i mea hiki hope o noaaeeecaoee o nui na hoailona o ka ha awina wale. Ke kaumaha ma muli o ka hoʻomanawanui ka moku'āina o ka wa hoomakaukau ia no ka hana e lawe i kekahi manawa. A hoomanawanui i ua hoʻokomo me kahe ana ke koko, intestinal iaʻi, i loko o ka moku'āina o ka hawewe, E e hoomakaukau no kaʻoki kino ma hope o ka hoʻopau o metabolic kāna hana wale. pono hana Metabolic kāna hana (emi ma BCC, hoʻohuikau o ka wai a me ka electrolyte koena, dehydration, dysfunction o ka nui nā loko, mai ka pioloke o kaʻakika-waihona ipu kaulike) ma ka hoʻomanawanui iki mai ke komo ma ka hoʻoponopono ulia pōpilikia 'ana.

Manawa o ko lakou hoomakaukau ana no ka hana hilinaʻi nui ma luna o ka hoʻomanawanui ka kulana. Ma ka pilikia lumi i ka hoʻomanawanui pono komo i kaʻimi i loko o ka'ōpū Contents no ka wehena. A laila, e holoi i ka'ōpū mua kahe ana ke koko gastroscopy a me ka hooponopono ina ka hoʻomanawanui ua hoʻokomo i ka ia. Ke bladder catheter e diagnose hiki nā palapū, a me ka hapanui importantly - e kanaka hoʻoponopono Hawaii mimi auoiaea i transfusion Inc.

Inā pono, o ka hooko ana o ka ai 'intravenously, wai koko aʻulaʻula koko keena Pono e hoʻolauna i catheter i loko o ka subclavian aa koko no kokololio replenishment o ke koko lilo, normalization oʻakika-waihona ipu koena, ka wai-electrolyte imbalance, a me ka hoomaopopo ana Central venous puʻe.

Ma keia maʻi hōʻike infusion Inc:

• A monakō koko pāʻoihana.
• I ka hoike ana o ka electrolyte pāʻoihana.
• I ka hoike o ka wai koko-pāʻoihana.
• Introduction o ka pāʻoihana "Albumin".
• Introduction o ke koko, ina he pono.
• I ka hoike o ka wai koko.
• Antibiotics no kēia intestinal iaʻi paha perforation o nā loko.

Ka mua lapaau hoomaka, o ka oi maikaʻi o ka hope o ka piʻiʻana. E hoomakaukau ai no keʻoki kino i wahi i ka mea ia manawa me ka koke hana.

huʻi abdomen maʻi pale a me na keiki

Pain maʻi pale i loko o nā keiki i ia i symptom o ka maʻi likeʻole. Pinepine ia e ia ae hookaawale ana i ka mucousʻili lahilahi, i ka peritoneum, aʻaʻole he huʻi abdomen maʻi pale i loko o nā keiki. Symptoms o kēia maʻi i loko o na keiki i ka ia me ka makua. Ke kumu paha e ole wale ke kino i ke aia i loko o ka abdominal lua.

Kumu o abdominal eha i na keiki:

• Dysbacteriosis.
• Li nui o ka esophagus.
• Colitis.
• Enteritis.
• Enterocolitis.
• Gastro.
• Duodenitis.
• Gastritis.
• Gastric ulcer.
• Reflux esophagitis.
• Ulcerative colitis.
• Constipation.
• Pancreatitis.
• Cholecystitis.
• Hepatitis.
• Ilo, giardia, roundworm.
• Biliary dyskinesia.
• Intestinal maʻiʻaʻai.
• ARI.
• Waimānalo.
• Chickenpox.
• Cystitis.
• Pyelonephritis.
• Urolithiasis.

Ma kekahi hihia, ina ua he maʻi pale - huʻi abdominal eha, e like me ka symptom o kekahi o kēia mau maʻi, ka mea, o ka mea mua "bele", e kahea aku no ke kōkua. Schitaetsya i ina he kanaka lawa ka hoʻonaʻauao a me ka mai i ka moʻomeheu, ia mea hiki ke ike i ka meaʻoki lāʻau lapaʻau symptoms i loko o ka huʻi ke kahua. Pinepine, ia mea ole. Wahi a ka 'ikepili helu, i loa complications ma huʻi appendicitis anu u mea e kāpae'ōlelo i ka hoʻomanawanui i kakahiaka nui hoikeana o ka maʻi. Ka ulia nele o ke ola maʻi pale - keia mea,ʻaʻole he kumu no ka olioli, no ka mea, e hōʻike i ka rupture o ka wela ai na naau oʻu pa. Ma na hihia, ka wā i ka hoʻomanawanui ua hoopakele ke aumoe, i ka hope o keʻoki kino hilinaʻi nui ma luna o ke kauka o ka akamai a me ka postoperative lapaʻau.

huʻi abdomen maʻi pale - he makau iho la lakou maʻi, o ka oi aku no nā mākua. Nolaila, e pono ke kūʻai 'ana i kumumanaʻo i mua manaʻo pü' o kaʻino, e mea pono e ike i ka pono kumu o ka eha i loko o nā kamaliʻi ka huʻi appendicitis i loko o ke kahua a li nui o ka i paiiaʻi o ka cecum. He nui i ka ike i ka huʻi appendicitis i kahi mau keiki liilii eha ua poorly i olelo ia. Akā, lethargic i ke keiki, aole ia e hiamoe, hewa. Ma diarrhea ikeia ma i mucus mea i loaʻa. No ka mea, o ua symptom pioloke me ka appendicitis kaʻapu kōheoheo a me ka intestinal maʻiʻaʻai.

Pehea eʻike appendicitis mai kaʻapu kōheoheo a he intestinal maʻiʻaʻai? I ka ehaeha o ka appendicitis ia lŘlŘ i loko o ke keena kuleana a me ka umbilical māhele 'āina, akā,ʻaʻole i loko o ka pono iliac fossa (o ka wahi, kahi i paiiaʻi na ka ua ke aupuni'). Aia nā hihia kahi keiki uuku i paiiaʻi ua aia i loko o ka rectal wahi, kokoke i ka bladder. Ma keia hihia, ke mau appendicitis ke ike wale ka surgeon me ka hou ka hoao ana. Other pili symptoms (nausea, ka luaʻi a me ka wela) e ole hoʻomōhala i loko o kekahi mau hihia. I Ina o loa gangrenous appendicitis leukocytes hiki ole ke mahuahua, a me ka abdominal Muscle hoʻopilikia hiki ke hōʻike pū 'ana.

He nui e ike i na keiki naʻu unacceptable. 'Aʻole wale nō me kaʻeha a me ka hiki ole'ōlelo hoʻomakeʻaka ke kūlana haawi pharmaceuticals i na keiki, akā, no hoi me ka mea anu e e trifled me. Enemas, gastric lavage, sorbents 'ole' ē ai 'i hiki ke lawelawe i ka ai kaʻapu kōheoheo, intoxication a intestinal iaʻi, e aggravate huʻi appendicitis, huʻi abdomen a hiki maʻi pale. Ia lakou e ike koke i kapa aku ai i ka ambulance, mai lubricate i ke kiʻi, a i ole induce kauka e "wahahee Trail" ma mua o ka hōʻeaʻana. Ke keiki e ole e haawiia mai ka wai a me ka ai. Ma ka hihia ma ka ambulance ua hoopanee, a loaʻa oi aku i ke keiki, e hiki ke kapa aku i ke kauka no laila, e hiki ia ia ke hōʻike iā 'oe ma luna o pehea e ke hoomau aku. Nō hoʻi, ma ka hihia o ka amo ka hale, e hiki ke lawe i ke keiki a hiki i ka pilikia oihana o ka haukapila.