Payra syndrome: take, tohu, maimoatanga

E torutoru iwi e kore kua nei i te mamae puku. I roto i te nuinga o te wā, e pā ana te tohu kino ki pohokore mate o nga whekau kūnatu pērā i gastritis, whewhe pekitīlia cholecystitis ranei ranei. Ki te he whakapairuaki me te ruaki mamae puku koi, me te manawanui, maha whakatau whēkau. A ka taea e kia te take o enei whakapawera katoa Payra syndrome hauora. He aha te mea tenei mate, me pehea faaite te reira iho, e kore e ara mohio katoa tākuta, he aha, ka whakaritea te maimoatanga he. I roto i tenei take, e kore ko te manawanui anake puta kahore whakapai ake, engari kino ake ngaa ano hoki te raruraru. Ka rite ki te hua, he mea e tika ana ki te whakaoti anake i te pokanga. Hei kia ataahua ki te mea e hāngai ana hauora pāngia syndrome Payra anake i runga i te hītori me te palpation o te puku, me te ki kahore he tātari hangarau o nga hua, tino pakeke. Ko tenei mate i reira ko te tahi mau āhuatanga e te wehe i te reira i te tahi atu mate gastrointestinal. No te pārongo i runga i te āhua o ia ite tenei syndrome kino, me te ranei e taea ki te whakaora i te mate, kahore pokanga - to tatou tuhinga.

Payra syndrome - he aha te mea te reira?

A haamana'o na i te kura anatomy. tīmata te kai katoa tatou e kai ki te kia digested i roto i te kopu, a ka neke ki te whēkau iti te wahi mutu tukanga nakunaku. He te supply kai i roto i te toto mai katoa i te mea faufaa, a ko reira maumau haere mo te tinana ki te whēkau nui. Here, i tenei puranga o te wai whenumi, mahue he ururua ōrite matotoru e karanga tatou i te feces. He maha ngā wāhanga, ko te roa o nei te kopirua - te kopirua. Simplistically taea te māngai reira i roto i te puka o te ngongo tuwhera ki te diameter o e pā ana ki 7 cm, rite ki te awhi wahi e te whēkau iti. Kei te wehea te kopirua ki toru wāhanga. Kei piki ana wāhanga e i te taha ki matau o te puku. haere ia ki te ate, piko nei i te koki tata ki te 90 ° me te puta i roto i te wāhanga hake. Ko tēnei wāhanga o te kopirua tae te rohe o te kōateate (tinana e takoto ana i roto i te hautahi o runga maui), he piko ano, haere ki te wāhanga e heke iho i muri i roto i te kopirua sigmoid me te tōu. Nohoanga, timata ki te hanga i i te putanga o te piro iti, amohia e tenei ara roa katoa, āta thickened. Ka rite ki te hua, te putanga i hanga e matou matotoru nui hoki cal kiato. kite Payra syndrome mate ranei Payra ina ko te nui nui atu kia waiho reira physiologically te piko tuarua o te kopirua (i roto i te rohe o te kōateate). I tenei wāhi, te diameter o te kōhao punuatuna nui whaiti e huaina te rongoā te stenosis. Na roto i te whakatuwheratanga kuiti kua takaete te kumete e kore e whai wa ki te neke nohopuku nui ki te hanga wāhi mo te ara rere. Ko te hua ko te ahua o te penupenu i te meka e te tinana feinga ki te putanga. E mea pinepine te tāpiri ki te haurehu kumete hua i roto i te nakunaku o kai.

He aha te mea te ati Payra syndrome

I roto i te kōpiro iti ki te toto i te kai haere āhuatanga whai hua wahi, huaora me ētahi atu matū, me te nohoanga faufaa, me te ara e hanga kino katoa. Te tikanga i tatou ratou i nga ra katoa ki te whakakahoretia te tinana, e ko, ki te hanga i te mahi o te defecation. Ki te roa te kumete te e puta i te kōroke, e haamata te toto ki te rere i roto i enei matū kino, haamata te reira i te poisoning āta o te tinana (haurangi). Ko te pūmate matua, e ai Payra syndrome tenei. He maha hopearaa kino, tetahi o e taea te huaina immunosuppression haurangi. i roto i te tahuri arata'i tenei ki te meka i heke ātete ki ngā momo o mate. I tua atu, kumete mārō mukākā te taiepa intestinal, hua i roto i to ratou ulceration, me ngana tangata kōroke kia meinga te ahua o te pukupuku. Ko tētahi atu raruraru nui meinga e te syndrome Payra - reira kolonoptoz e te tikanga te Karauna o te kopirua. arata'i tenei ki tukuna ai intestinal me ētahi wā ki te na Uri.

etiology

i whakaahuatia Payra syndrome i te taote Tiamana Irwin Pyro i kua tawhiti te 1905. Hoki neke atu i te 100 tau, kua nui haere te nuinga o tenei mate, a tae āhua 40% o te taupori pakeke o te ao. kitea kopirua kōpapa te i roto i te congenital hanganga pathological intestinal, pērā i te elongated ripeka-wāhanga o te kopirua. Mai he kōhikohiko congenital enei, ratou pūtake takoto i roto i tetahi kore o te hanganga o te whēkau i te wā o te ira. I roto ia ratou Ko te taiao kino, mate o te whaea i roto i hapūtanga, rongoā, peu kino, ahotea manavasii, waipiro hapu, me te tahi atu āhuatanga e awe ana i runga i te whanaketanga o te kukune. kitea Medical Tatauranga e tamariki, papa, me te whaea e mamae i mate o te wahi kūnatu, kua whanau ki te syndrome Payra atu pea atu tamariki mātua tino hauora.

pathogenesis

Payra tohu syndrome ko te paerewa hoki maha atu mate o te wahi kūnatu, a reira maha hē pāngia. kia wheako tūroro:

- kōroke;

- whakapairuaki;

- mate o hiahia;

- te mamae i roto i te puku;

- ruaki;

- puku tetere (e tika ana ki te meka e kore e taea e te haurehu e mawhiti i te kōpiro nui);

- ānini;

- kārangirangi.

Hoki kia tohu te reira Payra syndrome ona faaiteraa taua:

- te mamae paroxysmal o localization unknown (e tika ana ki te popoketanga i te mata o te kōpapa hau whēkau me feces);

- te mamae kino i roto i nga ngakau o te wāhi o te rohe (i ētahi wā hoatu ratou i raro i te mata pokohiwi te ringa maui ranei);

- whakaiti o te mamae, ka takoto te manawanui whakapae.

Stagnation o feces ai mumura o te taiepa intestinal ka maka ia ratou ki roto ki te whēkau iti e puta i Payra syndrome maha arata'i ki Reflux ileitis. I roto i enei take, i te tohu tapiritia o enei mate mō te kore utu:

- hūpē i roto i te kumete, ētahi wā ki te toto;

- he hua i roto i te pāmahana.

dolichosigma

Ko tētahi o nga wāhanga o te kopirua ko te kopirua sigmoid, na te ingoa hoki o tona āhua, ahua rite te reta «S». Kei te Kei te reira i tika i roto i mua o te tōu, e mahi, ko te ki te whakatahi kumete excreted. ka karanga Dolihosigmoy māuiuitanga, ina kua hanga e te tangata he kopirua sigmoid roa atu tika anatomically. I te wa ano reira tupu hoki āhua hia o stagnation o feces, me tohu rite Payra syndrome. Ka taea e Dolichosigma e tumu e kore anake, engari riro. Kei te whakapono te reira e taea te elongated te kopirua sigmoid ki wā roa-(i runga i te tau), rawakore kai tōtika, i roto i te whakamahi o te kararehe kai me warowaihā rawa nui, ki te mahi sedentary. Ko tētahi o nga tohu matua o tenei mate ko te kōroke. Hoki, amuamu tūroro o te mamae i roto i te subcostal maui, me te pito, i runga i flatulence, ino whānui i runga i te hauora.

tātaringa

e kore te mea ngāwari Payra syndrome i roto i ngā pakeke me ngā tamariki pāngia. Ko te tino rite ki ētahi atu raruraru ki te wahi gastrointestinal hītori Medical o tenei mate. tupu te reira i e te tūroro ki te syndrome noa pāngia Payra whēkau me i pokaina. I tenei wa, i reira he he tikanga tika rawa o te tātaritanga o tenei māuiuitanga - ergography. Ko te tikanga whai hua tino ki te whakatau ki te tika nui te manawanui te aroaro o kōpapa o te kopirua tenei. kawea te tukanga i roto i te whakamahi i pārana whakatārewatanga. whakahaeretia te tukanga o tona whakahaere ki te manawanui ko te X-ray mata. A, no te whakakī i te pikitia kopirua hanga ki te manawanui e takoto iho, a ka meinga e te whēkau - tu.

E whakamahia tamariki o te rōpū pakeke 10-15 tau ki ako i te tikanga kopirua ehu iratuke. koura te kupu ira otinga colloidal.

A, no te taea te kite koe i te syndrome Payra i te pikitia e te kopirua, rite te pare, sagging i roto i te rohe papatoiake.

Āhuatanga Payra syndrome i roto i ngā tamariki

Kia aroha mai, kua oti iti ako Payra syndrome i roto i ngā tamariki, na reira he kore tūtohutanga ení i runga i te āhua o ki te tātari ake tika ana tūroro taitamariki tau-e tika ana, me pehea ki te hamani atu tōtika. whakakitea whakahaere ako pūtaiao hauora e kotiro puta tenei mate atu pinepine atu i te mau tamaroa.

Ko te putanga o te syndrome Payra haamata i roto i te marama 12 tuatahi i muri i whanau, maha i te wa ka timata te tamaiti ki te kukume. hanga kai New reira tamaiti kumete atu mātotoru e whakatairanga ratou pupuri i te wahi o te kōpapa kopirua.

Ko te tohu tuatahi o te mate, tohu Payra syndrome ko: puta te papamuri whānui o te hauora whānui o te tamaiti kōroke me mamae puku. I muri tāpiri tohu haurangi (whakapairuaki, ruaki) e tika ana ki te whakaeminga o feces, a roa ratou e noho i roto i te punuatuna. Kahore maimoatanga, tamariki 12-15 tau kitea te taua tohu Payra syndrome, me te i roto i ngā pakeke. A, no te ui tamariki ki whakapae Payra ia syndrome, me kia mohio ki te feruri i roto i pehea puta hapūtanga, ahakoa i reira ko te hapu o muri o te whanaunga ki raruraru gastrointestinal, ki te karo i ngā tukanga inflammatory i roto i te whēkau o te whakamātautau toto mata te tākuta. kia te tātaritanga whakamutunga i runga i te pūtake o ngā hua pārana whakamātautau.

Payra syndrome: maimoatanga kai

A, no te tenei mate he rota o aro, kia hoatu tūroro ki te kai tōtika tika. kia kai nui-pūngoi, engari i te wa ano ngāwari, e kore e he rota o tāoke roto i. Me kia te tahua tīhi reira pahī, pata, kirīmi kawa, tiēre. Hei whakanui i ioio whēkau, kia whakamōhio tūroro ki tou waikuruwhatu kai, kefir, kaha waiu tunua, miraka pē. e kore Me whakarere me sweets, e utu wai ki te whēkau, e whai wāhi ana ki te thinning o feces me defecation tukanga māmā. kia kai tūroro he rota o te hua, te honi, kai syrups hua.

I roto i te aroaro o te syndrome Payra rite te kōroke atu etiology, he reira pai ki te inu broths huawhenua me inu hua me te korari hanga wai o kāreti me te mata rīwai.

e kore e dieting faaore i te mate, engari he māmā nui hoki ia.

maimoatanga momo

Ka taea e maha kite Doctors he āhuatanga wehi ratou pokanga me te hiahia ki te tuatahi tamata i te therapy tarukino, tūroro nei kitea Payra syndrome. Ka taea e Treatment He aha pire akakoromaki i tenei mate? kia tūtohu Doctors rongoā lactulose. Ka taea te hoatu ratou ki tamariki rite wawe rite kei valevalé. Lactulose ahua i āna nohoanga, faarahi ioio, me te wā kotahi nohoia te punuatuna o microflora whai hua. timata ngā pakeke me te tangata ki te kōroke tika ki mumura o te taiepa intestinal wā roa-, whakahau taero anti-inflammatory. Ka taea e hoki te mamae te tauturu tohutohu antispasmodics he prebiotics whai hua, probiotics, huaora hoki "Drotaverinum" ranei "Platifillin" akoranga.

tukinotia Payra syndrome ki rongoā anake i te wāhanga tuatahi o te mate, a ka ahu te hua ki te kia poto-ora. I roto i te whakarara ki pire tākuta whakahau i tua (electrophoresis ki otinga novocaine, tono parawini i runga i te puku, diathermy, UHF, obligatory i roto i te mirimiri puku, me mahi whakaritea ki te whakakaha i ona taiepa.

wawaotanga hāparapara

Ko te tikanga whai hua tino o te maimoatanga, i roto i nei nga tohu katoa ngaro rawa, a ake ake, a kahore i runga i te wā, pera ki ētahi atu tikanga o te maimoatanga tenei. E kawea Operations i na tikanga rerekē, i runga i tohu kikokiko rānei. I kawea tetahi o ratou te laparotomy waenga, resection o te karo kopirua Division hake i roto i te wahi o waenganui, tangohia anastomosis tika. I tua atu, kopirua hake neke rerekë i raro i te nape turanga-pekitīlia ka whakaritea e te tukanga motuhake, kia i porotaka te whakaiti i roto i te rohe o te ate, me te kōateate.

Ka rite ki te tukanga tuarua resected nape, te whiwhi i te kōpiro nui (kopirua-splenic me kopirua-diaphragmatic) laparoscopy māia te flexure splenic i roto i te tikanga ki te whakapiko atu whēkau. whakamana ana te mahi kei te ki te whakamahi o trocars rata me te electrocautery.

E kawea ngā mahi ngā atu ki te hunga e pāngia "Payra dolichosigma syndrome". He tino pai arotake o tūroro i muri i taua maimoatanga. Ko te iwi tino mamae, mutu kōroke, a ki tohu o te haurangi ngaro ki a ratou. I roto i te mahi ngā, i roto i te tua ki te tūroro whawhe ki kopirua me te flexure splenic wahi hake whakahaere resection laparoscopy o te kopirua sigmoid.

outlook

maimoatanga tūpato hua hua i roto i te tīmatanga o te mate, engari no te mea kei te meinga te reira i te māuiuitanga kikokiko i roto i te hanganga intestinal, anake āwhina te pokanga ki te hinga rawa te mate Payra. rongoā iwi Treatment te anake whakamahia hei pŭpŭ tauturu. rongoā tuku iho tuku infusions me decoctions, thinning kumete (laxatives) me te tikanga o te whakarei ake i te motility o te paru. Reira hoki tuku taputapu e whakakaha te pūnaha ārai mate, whakapiki i te huru whānui. Ka taea te kohuatia Whakamahia te kopakopa, wai rīwai, maha tatao, maroke hua. He mea nui ki te mohio e ki te syndrome e contraindicated Payra enemas.

Ko te waitohunga o te tūroro e kua tika kawea i roto i te maimoatanga tika, he tino pai. Ki te tīmata te mate Payr, i reira kia kia pōauautanga ora-te whakawehi pērā i pukupuku, ulceration o nga taiepa, pukupuku, puta i te wharanga tūturu ki te feces whēkau.