Afferent syndrome koropiko: tātaritanga me te maimoatanga

E pā ana tata tonu ngā tukanga hāparapara ki mōrea. I tua atu ki te toto taea i roto i te pokanga, i reira e nui ake ngā raruraru nui wā roa-. Ko rawa pono o whawhe whānui i roto i nei whakamana tango te okana wahi ranei ona tenei. He tauira ko te mahi Billroth-2. Ngā Ko tōna ngako i roto i te tango o te nuinga o te puku, me te hanga i te anastomosis ki te whēkau iti. maha whakawhanake syndrome koropiko afferent i muri i tenei pokanga. Taua pōauautanga taea whakatika tonu i muri i te pokanga, me te marama torutoru i muri mai. Ki te whakapae te whanaketanga o tenei huru te, ranei he mea e tika ana e tetahi atu pokanga.

Ko te ariā o te afferent koropiko syndrome

Afferent koropiko syndrome i muri resection pekitīlia puta i roto i pā ana ki 13% o te wā. kia rerekē tēnei ahua i te 1 ki te 50%, kia rite ki tākuta. Kei te Ko tōna tohumate matua ruaki ate, e pā ana ki te horomanga kai. syndrome koropiko Afferent - he huru i roto i nei wahi o te piro ko, rite i "tahuri atu" i te reira i te tukanga nakunaku. Ka rite ki te hua, piki te ate i roto i te tari, me te i roto i te aroaro o ngā āhuatanga kino ringihia ana ki waho. Ko tētahi atu ingoa mō tenei pōauautanga - syndrome duodenobilliarny. Tenei āhua Ko te tohu kino, a na reira titau maimoatanga hāparapara.

Take o te syndrome

Ko te take matua o te afferent koropiko syndrome ko te mahi Billroth-2. Ko te pokanga nui, me te pānga o te tinana katoa. kawea te mahi rite i roto i roto i te mate pukupuku pekitīlia, te whanaketanga o fifi o mate whewhe keté, e kore e taea te whakakorea te ara atu ngawari. Ka rite ki te hua o tenei whawhe o te whēkau duodenum me iti e kore whai wāhi i roto i te mahi o te nakunaku. No te mea o tenei tipu syndrome o afferent koropiko.

Ētahi āhuatanga e awe te takanga o tenei pōauautanga, ko nga maumaui e whai ake nei:

1. take aunoa. Kei raro te auraa reira papatipu kai tomo i te lumen "atu" inihi. Ano, i reira te putu ate, e roa ano te tukanga o te nakunaku.
2. Te rironga o te āhua uaua i roto i te wāhanga "atu". maha ai tenei take syndrome ma'i o afferent koropiko i muri i resection.
3. Spasm o anastomosis - te huinga o te take o te puku, me te whēkau iti. taea hoki te heke uaua me i te putanga koropiko.
4. koha ulcerative i roto i te anastomosis. arata'i te reira i ki te ahua o te take aunoa afferent koropiko syndrome. kia whakawhanake te reira i rite te tuatahi (i muri i te mahi), me te rua o te wa.
5. Kōpapa koromeke afferent. Ko te tikanga whakawhanake ano reira.

syndrome koropiko Afferent: pathogenesis o te mate

Ko te tikanga o te afferent koropiko syndrome ngā o te maha wae. Tuatahi o te katoa i reira he he hara mo te tinana mua taunekeneke kikokiko, me te mahi. Ka rite ki te hua o "horihori" hanganga o te kūnatu kai tukanga pūnaha rerekē hōneatanga. Food, runga i te "atu" koropiko intestinal, e kore e ahei kia pahemo i runga. Na reira i reira he maka hoki - Reflux. I tua atu, i roto i te pathogenesis o te inflammatory tukanga reira. Puta reira e tika ana ki te stagnation o nga tini me te KDP hypotension kūnatu. Ko te hua ko te dysbiosis intestinal tuarua. Ia muri arata'i ki te mumura o te wahi kūnatu: cholecystitis, pancreatitis, esophagitis.

Ko te pikitia haumanu i roto i te afferent koropiko syndrome

Ko te mau faaiteraa matua o tenei pōauautanga he mamae, me te ruaki. kia puta hūhi puku tonu i muri i te mahi i runga i te wā ranei. I roto i te take tuatahi i reira ko te tuatahi, afferent whakapeka koropiko syndrome. Kei te āhuatanga i te reira na roto i te cramping me āhua mamae Expander i roto i te hypochondrium tika, me te epigastric. I roto i te syndrome ma'i hua koropiko pikitia haumanu faaite te kore pera nui. puta Pain nuinga i muri kai, ake maha - i te fariiraa o ngā kai fatty. Ahakoa o te wa o te tupu o pōauautanga (wā whakapeka ma'i ranei) kitea te ruaki. mai te reira i muri i te ara o te mamae i roto i te puku, te tikanga e whai ake nei i te kai. Nā ki te ruaki auau kia tohatoha ake ki te 500 ml ia ra o te ate. Ko te hua ko te ahu whakamua kēkeno o te tinana. ngaro hohoro tūroro taimaha, ite ngoikore whānui.

syndrome koropiko Afferent: māuiuitanga tātaritanga

Tātaritanga o te mate haamata ki anamnesis (gastrectomy whakawhiti) me te whakamātautau o te manawanui. Tuatahi o te katoa e hiahia ana koe ki te mohio e pā ana ki te āhua o te mamae, me te auau o te ruaki, tona hononga ki tikanga kai. I te whakamātautau, kia whakarongo ki te karawhiti puku: i nga rakau tari tika. Tenei tohu haere atu i muri i ruaki, rite nga tirotiro o te koropiko mai ki waho. Ko tētahi atu āhuatanga ko te jaundice o te teatea me te kiri.

I tua atu ki te aro mātai o ngā raraunga haumanu, te taiwhanga me tātaritanga mauhaa. kia huringa KLA (B-12 hē anemia), toto pani, coprogram (ahua o leukocytes, ngako pukupuku). A, no te kite X-ray tukunga tohumate o te wāhi i roto i te koropiko afferent, dyskinesia gipermotornaya. Ko te kaihoko rerekē whakakiia ana te koropiko hua. i mahi hoki whakamātautau endoscopic. I roto i te ma'i syndrome afferent koropiko maha tohua huringa inflammatory i roto i te gallbladder me aerodynamics. I roto i ētahi wā, whakawhanake pancreatitis. A, no te kitea tenei mumura te me te repe taiaki. A, no te rui i te tirotiro o te tipu kitakita intestinal te kitea, te ōwehenga o waimaero whākōkī pancreatic. whakaritea te pakeke o te mate e kēkeno o te tinana, te rahi o te mate o te ate manawanui.

He aha te mea te ati o te afferent koropiko syndrome: pōauautanga

Kia mahara te reira e te syndrome afferent koropiko ko te pōauautanga nui o resection pekitīlia. Ko te mate tonu o te ate kia puta kēkeno nui o te tinana. tomo te kai e kore e taea te tinana tika ngaungau (e tika ana ki "atu" i te KDP me wahi o te piro iti), a kahore e matūkai whenumi. Ka rite ki te hua o te whanaketanga o te dysbiosis intestinal whekau gastrointestinal E whai wāhi ana ki ngā tukanga inflammatory. Ki te whanaketanga o te Reflux esophagitis ki te tohu whakarārangitia e tapiritia mamae uma ki, he mana'o o "puranga i korokoro te." tahi Cholecystitis e te reka kawa i roto i te mangai, whakapairuaki. Ki te hono mumura o te repe taiaki, e taea te rahi roa'tu, te mamae ki te whai pūāhua herpes. A, no te ai whakawhanake i te roanga o te pancreatitis nāianei mate huka. Fifi o tāhapa syndrome afferent koropiko ngā peritonitis, te tutukitanga intestinal. rapu utu ēnei mate tiaki hāparapara tonu.

Treatment o te syndrome o afferent koropiko

Ko te kōwhiringa o te maimoatanga tei runga i te manawanui, raraunga taiwhanga me whakamātautau mauhaa. He mea nui ki te mohio he aha te pakeke o te syndrome he afferent koropiko. Ka taea e Treatment e momo, me te hāparapara. whakahau ngawari te kai motuhake, inflammatory me taero antibacterial (medicaments "Tsefriakson", "Tsiprolet"). I roto i ētahi wā ka hiahia toutou lavage pekitīlia. I hiahia maimoatanga hāparapara te āhua, me te kino. kia hāngai te reira i te whakakore i te stagnation o kai. Nuinga o ngā wā whakaputa he hangaia anō o te anastomosis. A, no te whakaiti ia hua i roto i koropiko piri ki te tūranga tika, me te sutured ki te peritoneum. Ko te nui me te momo o te maimoatanga hāparapara taea e rerekē, me te tei runga i te pōauautanga take.

Prevention o afferent koropiko syndrome

I tēnei wā, pokanga ki Billroth-2 tamata ki te whakakapi atu ngā tukanga hāparapara. meatia tenei i roto i te tikanga ki te tiaki i te whaiaroaro o te wahi kūnatu. Ki te Billroth-2 mahi ano i hanga, he mea e tika ana ki te kawe i roto i āraihia katoa whakaritea e te tākuta. Matua ngā kai tenei. I muri i resection kore e taea te kai fatty me kai paraurehe. Tangohia te kai e hiahia ana koe 6-7 wa he ra i roto i nga wahi iti, me te āhua āhua-wai (porridges, hupa).