Payra maʻi pale: mea, lalau mai, symptoms, lapaʻau

Aia i mau kanaka, ka poe i ike ole i ka'ōpū ache. Ma ka hapanui o na hihia, ka meaʻawaʻawa loa symptoms pili me ka malnutrition a me nā maʻi o ka digestive nā loko e like me gastritis, gastric ulcer paha cholecystitis. Inā abdominal eha pahi, eia kekahi i ka hoʻomanawanui, ua nausea a me ka luaʻi, pinepine diagnose appendicitis. A me ke kumu o ka pau kēia mau pilikia hiki ia Payra maʻi pale ola. He aha ka i kēia maʻi, a pehea e hoike mai ai ia ia, aole ia i hiki i na kauka, no ke aha la, a me ka ia i ka hewa lapaau. Ma keia hihia, ke hoʻomanawanui mea,ʻaʻole wale nō i hana hou i, akā, i exacerbated i ka pilikia. E like me ka hopena, ka mea i pono, e hoʻoponopono i wale nō eʻoki kino. Ia e maikaʻi i ka olelo i clinically diagnosed Payra maʻi pale ma muli wale nō ke ma ka mōʻaukala a me ka palpation o ka abdomen, a me ka ole oaoieei-Ka Ikepili o nā hualoaʻa, maoli paakiki. Akā, i kēia maʻi, aia nō kekahi mau hiʻona i maopopo ia mai gastrointestinal maʻi 'ē aʻe. No ka 'ike ma luna pehea e ike i kēia pilikia maʻi pale, a ina paha he mea hiki, e hoola i ka maʻi oleʻoki kino - mākou' atikala.

Payra maʻi pale - He aha ka mea?

Hoole i ka'anatomia kula. A pau i kaʻai, uaʻai hoʻomaka e e hōʻuluʻulu manaʻo i loko o ka opu, a laila kolo ana i loko o ka uuku liʻiliʻi kahi digestion kaʻina welau. Aia i ka meaʻai lako i loko o ke koko ke hele mai a pau i mea waiwai, a me ia mea lapuwale i ke kino hele i loko o ka naʻau liʻiliʻi nui. Eia, mai keia nui o ka wai o ke kemu, e waiho i ke ao hana mau neoneo ana mākou i kapa aku ai i ka feces. Ke AeXIeAaOIePEAaI loaʻa paha kekahi mau pauku, o ka loihi o ka a - ka AeXIeAaOIePEAaI. Simplistically ka mea, hiki e na poe ma ke ano o kekahi puha Tube me ka anawaena o ma kahi o 7 knm, like me ka Park moe ana i ka uuku liʻiliʻi. Ke AeXIeAaOIePEAaI Ua maheleia i ekolu Hoʻohana. Pii aku Hoʻohana ua aia ma kaʻaoʻao'ākau o ka abdomen. He hele i ke akepaa, a ua lena i ka huina kokoke i 90 ° a i loaa mai ma ka transverse Hoʻohana. Kēia hapa o ka AeXIeAaOIePEAaI kīnā o ka wahi o ka spleen (kino e moe ana ma ka hema maluna quadrant), Ua manao hou, hele aku i loko o ka iho Hoʻohana hope ma ka sigmoid AeXIeAaOIePEAaI a me ka rectum. Noho, hoomaka e hana i ka OAAIeOO o kaʻuʻuku naʻau liʻiliʻi, undergo i keia lōʻihi ke ala, i nāʻia naʻe. E like me ka hopena, i ka auoiaea mākou i hana manoanoa lawa no ka cal nuʻa. Payra maʻi pale a maʻi Payra malama ia i ka lua o ka hoʻohei o ka AeXIeAaOIePEAaI (i loko o ka wahi o ka spleen) mea iʻoi aʻe ka nui ma mua o ka mea, e ia physiologically. Ma keia wahi, i ke anawaena o ka gut lua nuiʻololī i ua kapaia stenosis ka laau lapaau. Ma ka puali ololi e komo ai i hanaʻia naʻe i ka noho mai ole i manawa e neʻe hookeai lawa e e ka lewa no ka holo Track. I ka hopena o ke ano o Masa, mai ka mea i ke kino UOAAaOON e auaiaea. Pinepine i hoʻohuiʻia i ka noho kinoea hua mai la i ka digestion o ka ai.

He aha ka ka pilikia Payra maʻi pale

Ma ka liʻiliʻi liʻiliʻi i loko o ke koko, mai ka ai a kekahi, pono keia mau mea kumumea hehee wale, nā wikamina a me nā waiwai, a me nā mea a pau ole, a i nā palapala e ho okumu i noho. Maʻamau mākou i ia i kela lā, e hoomaemae i ke kino, i mea, e hana i ka hana o ka defecation. Inā ka noho ua hoolohi e ia lŘlŘ me constipation, i ke koko hoʻomaka e kahe makana i loko o kēia mau palapala waiwai, ka mea i hoʻomaka he gradual kaʻapu kōheoheo o ke kino (intoxication). 'O kēia ka papa kuhikuhiE p ÷ ino, i ke kumu no Payra maʻi pale. Intoxication he nui kona adverse ka hopena, i kekahi o i hiki ke kapa immunosuppression. Kēia i loko o hoi hiki aku ai i ka mea e hoemi ia ia'ku i nāʻano likeʻole o nā maʻi. Eia hou kekahi, paaʻo Eli ma nāuki mai i ka intestinal pa, kūpono ai i loko o kā lākou ulceration, a me kanaka ho'āʻo constipation hiki i keʻano o nā hemorrhoids. Kekahi mea pilikia, kena ae la ia e ka maʻi pale Payra - ia kolonoptoz mea 'o ia hoʻi ka ia kāna o ka AeXIeAaOIePEAaI. Ua hiki aku ai i intestinal iaʻi, a kekahi manawa i ka volvulus.

etiology

Ua ho'ākāka Payra maʻi pale ma ka German surgeon Irwin Pyro ma ke ano mamao 1905. No ka oi ma mua o 100 makahiki, ua hoonuiia ka prevalence o kēia maʻi, a hiki ka hola 40% o ka makua heluna o ka Honua. AeXIeAaOIePEAaI inflection ua malamaia ma congenital intestinal pathological 'ole, e like me he elongated keʻa-Hoʻohana o ka AeXIeAaOIePEAaI. No kēia mau mea congenital anomalies, kā lākou mau mea, lalau mai moe i loko o kekahi hemahema o ka ho okumu ana o ka naʻau liʻiliʻi ma ke kahua o ka embryo. Iwaena o lakou i ka noho lakou malaila kaiapuni, maʻi o ka makuwahine i hāpai keiki, lapaʻauʻia, inoʻano, ko mākou hopohopo stress, ka waiʻona hapai, a me ka i alakaʻi ai kumumea ma ka hooulu ana o ka fetus. Lapaʻau 'ikepili helu ike i na keiki,, i hanau makua kāne a me ka makuwahine i hana eha iaʻi mai na maʻi mai o ka digestive'āpana me ka maʻi pale Payra oi paha ma mua o nā keiki loa ola makua.

pathogenesis

Payra maʻi pale symptoms o ka hae no ka nui no hoi na maʻi o ka digestive'āpana, a no laila, pinepine incorrectly diagnosed. Hoʻomanawanui iki mai i ka mahina.

- constipation;

- nausea;

- kahe o ka ikaika loa ka makemake;

-ʻeha ma ka abdomen;

- ka luaʻi;

- pehu abdomen (aie i ka mea i hiki ole ke kinoea pakele mai ka naʻau liʻiliʻi nui);

- headache;

- irritability.

No hoi ia Payra maʻi pale e hōʻike kona hoike ana ia:

- paroxysmalʻeha o ka ike ole IIeEeAIEUAA (ma muli o ka congestion ma ka wahi o ka inflection na naau oʻu kinoea, a feces);

- loaʻeha i loko o ka naau o ka wahi o ka wahi (i kekahi manawa ka mea, e haawi aku ma lalo o ka'ūhā mua maka a me ka lima hema);

- ka ho'ēmiʻana o kaʻeha, i ka wa a ka hoʻomanawanui moe horizontally.

Stagnation o feces kumu li nui o ka intestinal paia, a hoolei ia mau mea i loko o ka uuku liʻiliʻi e ia lŘlŘ ma Payra maʻi pale pinepine hiki aku ai i reflux ileitis. Ma kēia hihia, i ka i hoʻohuiʻia symptoms o kēia mau maʻi no ka noa:

- mucus ma ka noho, i kekahi manawa me ke koko;

- he hoomahuahua i ana wela.

dolichosigma

Kekahi o na pauku o ke AeXIeAaOIePEAaI o ka sigmoid AeXIeAaOIePEAaI, no laila, i kapaʻia no ka mea, o kona helehelena, i kekahi mau mea like i ka palapala «S». Ua Ua Aia pololei iho la ma ke alo o ka rectum, i kuleana pili i mea e evacuate excreted noho. Dolihosigmoy kapa pathology, i ka wa a ke kanaka i hana i ka sigmoid AeXIeAaOIePEAaI hou ma mua pono anatomically. I ka Ia manawa ia i hana unplanned ano o ka stagnation o feces, a me symptoms e hoohalike ai Payra maʻi pale. Dolichosigma hiki e ole wale innate, akā, loaa. Ua Ua manaoio aku i ka sigmoid AeXIeAaOIePEAaI hiki ke elongated me ka lōʻihi-manawa (ma luna o nā makahiki), no kou kino, i loko o ka hoʻohana a nui loa ka holoholona i ka ai a me ka carbohydrates, me ka sedentary hana. Kekahi o na kumu nui symptoms o keia maʻi ka constipation. No hoi, e hoomanawanui i ohumu o kaʻeha i loko o ka subcostal hema a me ka piko, ma flatulence, nohona ma mea hōʻemi i ola.

lapaʻau '

Payra maʻi pale i loko o nā mākua a me nā keiki diagnosed mea e maʻalahi. Lapaʻau o mōʻaukala o keia maʻi ka mea i like loa me nā pilikia a me ka gastrointestinal'āpana. Ua hana ia na nā mea maʻi i ka maʻi pale Payra a hiki diagnosed appendicitis, a uaʻoki kino. I keia manawa, aia no he loa pololei iaoia o kaʻike, o keia pathology - ergography. 'O kēia ka loa ka hoʻokō hana, e hooholo me ka nui pololei i ka hoʻomanawanui i ke alo o ka inflection o ka AeXIeAaOIePEAaI. Ua lawe mai i ka hana me ka hoʻohana 'barium mai paha. Ke kaʻina o kona mau hoʻoponopono i ka hoʻomanawanui ua hoi malalo o X-Ray pale. I ka wa e hoopiha mai ana i ka AeXIeAaOIePEAaI kiʻi i me ka hoomanawanui, e moe ana i lalo, a me ka wā emptying i ka na naau oʻu - e ku ana.

i Children o ka makahiki pae 10-15 makahiki hoʻohana i ka noiʻi i ka AeXIeAaOIePEAaI radioisotope hana. Penei radioactive gula colloidal pāʻoihana.

I ka wā o ka maʻi pale Payra i loko o ke kiʻi 'oe ke ike i ka AeXIeAaOIePEAaI, e like me ka lei, sagging ma ka pelvic wahi.

Features Payra maʻi pale i loko o nā keiki

Eia naʻe Payra maʻi pale i na keiki, ua uuku? Anoee, no laila,ʻaʻole nō he definitive koi ma pehea e oi pololei diagnose kona mau makahiki-kūpono opiopio nā mea maʻi, a pehea e oi ka pono hana. Lawelawe 'ia' inikuaʻepekema study hoike ia kaikamahine i kēia maʻi ia lŘlŘ oi ma mua o nā keikikāne pinepine.

I ka hoike ana mai o ka maʻi pale Payra helu kuhi puke i loko o ka mua 12 mahina ma hope o ka hānau, pinepine i kekahi manawa i ka wa a ke keiki hoomaka i ka lure. New ai hana ia oi anuanu noho keiki i ka paipai 'ana i kā lākou ka mālama i loko o kahi o ka AeXIeAaOIePEAaI inflection.

Ka mua symptoms o ka maʻi, e hoike ana i Payra maʻi pale i: ka mau kāʻei kua o ka pono ola o ke keiki ikea constipation a me abdominal eha. A laila pākuʻi intoxication symptoms (nausea, ka luaʻi) ma muli o ka hoʻomāhuahua o feces, a hoʻolōʻihiʻia ko lākou noho ana i loko o ka gut. Ole lapaʻau, keiki 12-15 makahiki, i ka ia symptoms Payra maʻi pale, e like me ka makua. A lohe o na keiki a me kēia mea, Payra maʻi pale ina hookolokolo, pono eʻoiaʻiʻo e pohihihi mai pehea hāpai keiki mai, ina paha he nui o kaʻohana o lalo o ka io me ka gastrointestinal pilikia, e pale aku hoʻoʻino keʻano o ka hanaʻana i loko o ka naʻau liʻiliʻi o ke koko alakai ho'āʻo ke kauka. Ka hope loaʻike, E ia ma luna o ke kumu o ka barium ninaninau i nā hualoaʻa.

Payra maʻi pale: lapaʻauʻai

A i keia maʻi he puu o ka noonoo, nā mea maʻi e e haawi i ka pono no kou kino. Food E e kiʻekiʻe-calorie, akā, i ka mea ia manawa oluolu, aole ia e apo ia i ka puu o toxins. Ka 'ike no pono e ike e eiooaa? Me ka waiū, me ka bata, huawaina holika, jelly. E hoomahuahua i peristalsis naʻau liʻiliʻi, nā mea maʻi e hoʻolauna i kāuʻai whey, kefir, kaʻawaʻawaʻana pūlehu akula i ka waiu, yogurt. Pono ole e haalele a me ka mea ala, a huki loli i loko o ka naʻau liʻiliʻi, i ka poʻea pau e thinning o feces, a defecation maʻalahi kaʻina. Nā mea maʻi e ai i ka puu o ka hua, me ka meli, i kau hua, a me ka malakeke.

Ma ke alo o ka maʻi pale Payra like constipation'ē aʻe etiology, ia mea pono e inu nō hoʻi kai, waiho ihola a me ka hua kea e like me freshly i wai o carrots, a heʻiʻo maka nō uala.

Eaioiuo aʻole e hoʻopau i ka maʻi, akā, e ka nui maʻalahi no ia.

makeʻe kulana lapaʻau

hiki pinepine kauka ike i ke kulana home 'ole ka mea, makauʻoki kino a me ka makemake e ho'āʻo mua i ka lāʻau Inc, e hoomanawanui i ka poe i loaʻa Payra maʻi pale. Iapaau ana He aha huaale ke Makuakane i kēia maʻi? Kauka e paipai aku lapaʻauʻia lactulose. Ka mea hiki ke haawiia mai i na keiki i kakahiaka nui meʻuʻuku mai. Lactulose iki dilutes noho, maoli he peristalsis a me ka poʻe noho ana ma ka gut o maikaʻi kēia microflora. Nā mākua a me ke kanaka me ka constipation ma muli o ka loa-makahiki li nui o ka intestinal pā, i lilo ai, i koi 'Anati-hoʻoʻino ai'. No ka eha ana ke kuka antispasmodics "Drotaverinum" a me "Platifillin" na papa i kekahi mau mea kōkua ma prebiotics, probiotics, nā wikamina.

Payra maʻi pale ia me ka lapaʻauʻia wale nō ma nā kuʻina ka loiloi mua o ka maʻi, a me ka lawelawe i ka hopena, e e pokole-olaʻana. Ma ia laua me ka huaale kauka i hoakaka ia physiotherapy (electrophoresis me novocaine pāʻoihana, paraffin palapala noi ma ka abdomen, diathermy, UHF, obligatory i loko o ka opu lomilomi, a me ia kino e hooikaika kona pā pōhaku.

ʻoki lāʻau lapaʻau 'uao

'O kēia ka loa ka hoʻokō ano o ka lapaʻau, ma a na symptoms a pau nalo loa, a mau loa aku, aʻaʻole ma ka manawa, like me nā ano o ka nohoʻana. e lawe mai ana ma kekahi ano, ke kaumaha ma muli anatomical nāʻikepili. Ma kekahi o ia mau mea lawe i ka Media laparotomy, resection o ka transverse AeXIeAaOIePEAaI Māhele holo alaʻokoʻa i loko o ka waena hapa, hoʻokō i pololei anastomosis. Eia, transverse AeXIeAaOIePEAaI kolo ana laterally ma lalo o ka waihona ipu-gastric ligament a paa ma ka kūikawā kaʻina hana, no laila, i ka huakai hele i loko o ka'āina o ke ake, a spleen i ua hoʻokōʻia.

E like me ka lua o ka hana resected ligament, mālama 'ka nui liʻiliʻi (AeXIeAaOIePEAaI-splenic a me ka AeXIeAaOIePEAaI-diaphragmatic) laparoscopy degrade ka splenic flexure ma ka mea e lena aku liʻiliʻi. Ke hana ua hana ia me ka hoʻohana 'ana o ka' inikua trocars a me electrocautery.

Hui ana i lawe mai ai i ka poe diagnosed "Payra maʻi pale dolichosigma". Reviews o nā mea maʻi ma hope o ka hana, ua loa maikaʻi. Nā kanaka i loa eha, paʻa constipation, a me symptoms o ka intoxication nalo me ia. Iloko o ka hui ana, ma ka hou e manipulation nā mea maʻi me ka AeXIeAaOIePEAaI a me ka transverse hapa splenic flexure hana laparoscopy resection o ka sigmoid AeXIeAaOIePEAaI.

Outlook

Makeʻe kulana lapaʻau produces i nā hualoaʻa ma ka kuʻina kakahiaka o ka maʻi, akā, no ka mea, ua kena ae la ia e anatomical pathology i loko o ka intestinal 'ole, wale keʻoki kino kōkua i ka loa maluna o ka maʻi Payra. hoolaʻi Kids iapaau ana ua wale hoʻohana me he kākoʻo. Traditional lapaau e kaumaha ana infusions a me decoctions, thinning noho (laxatives) a me nā kumu o ka 'ō ka motility o ka naʻau liʻiliʻi. Ua hoi e kaumaha ana i na mea paahana e hooikaika i ka'ōnaehana paleʻea'ōnaehana, iaono? Ienoai ka mau kulana. E ho ohana i hiki ke hoolapalapaia plantain, uala wai, ai: e paʻipaʻi i, maloo hua. He nui ka ike i ka me ka maʻi pale Payra enemas i contraindicated.

Ke prognosis o ka hoʻomanawanui iki mai ka poe i lawe wale mai i ka pololei lapaʻau, Ua pau loa maikaʻi. Inā Payr maʻi hoʻomaka ', malaila e e ola-hooweliweli complications e like me hikoko, ulceration o ka pā, hemorrhoids, ka pukaʻana, mai ka paʻa poino i ka na naau oʻu feces.