Puhuki whētuki puku. Tūkino ki whēkau puku. whawhati tata

Maukatia (puhuki) puku whētuki - e kore te kino haere tahi e pakaru o te tapatahi o te taiepa puku. Ēnei wharanga e karangatia hoki "ongó-kore". Heoi, e kore he taunakitanga o te tiaki o whekau te kore o pathologies ataata. Kati whētuki puku ngā kino ki taiaki, kōateate, ate, wahi intestinal, tōngāmimi, me te tākihi, e pä hauora o te manawanui, me te kia arahi ki te mate.

etiology

Patua te kopu whakaaro te he take nui o te kino ki whekau. Ko te nuinga o tūroro pāngia i tenei ara, i mărû i te wa o te whara. Ko nga uaua i okiokinga, e whakaoho patu hohonu ope kătahi ki te kopa. āhuatanga tēnei tikanga e kino ki te wā e whai ake nei:

• mahinga taihara (pere weropepahia whana puku ranei);
• taka i te teitei;
• tukinga motokā;
• wharanga hākinakina;
• pūpū mare mana'o, aru e te hukihuki koi o nga uaua puku;
• aituā ahumahi;
• fakatamaki fakanatulá te whawhai ranei.

I te kau o pānga o te take ino meinga injuries o te taiepa puku, te aroaro o te mōmona me te kōrero, faarahi kēkeno uaua ranei ngoikore taputapu te mōrea o te whara ki whekau.

Kei te take haumanu auau e pā ana whētuki, tūhono pāpaka puku puhuki ki piere wheua o pito, papatoiake, rara, tuarā, whētuki cranio-kaka. he tikanga taua ai te whanaketanga o te mate toto tiketike, taimaha, me te huru o te manawanui accelerates te ahua o te ru pāmamae.

Ki te kia haere tetahi whētuki iti ki te ruma whawhati tata tata. Mahi a tawhio noa te karaka, ka whai āwhina tuatahi te tokotoko, whakatau i te pātai o hohipera me te aroaro o te kino ā-. Kia whai whakaaro! I roto i te take o te huru nui mo tetahi whaturama okana ā-kaupapa motuhake pāngia whakapae ranei o te manawanui contraindicated te. Kia tino ki te karanga i te waka tūroro.

whakarōpū

E wahia puhuki whētuki puku rite ki te mau parau tumu e whai ake nei:

1. Te kore te aroaro o te okana kino o te kōhao puku (karawarawa, piere ngā rōpū uaua, me te fascia).
2. Ki te aroaro o te kino ki whekau, e kua kei roto i te wāhi peritoneal (ate wawahi wāhanga kōateate tuleki, te tōngāmimi).
3. Ki te kino whakaritea whēkau retroperitoneal (taiaki āputa, tākihi).
4. Māuiuitanga ki toto intraperitoneal.
5. Kino, tahi e te riri o te takanga o te peritonitis (whētuki whekau tuwhera).
6. Ngā kino o te parenchymal me whekau tuwhera.

syndrome mamae

āhuatanga Kati whētuki puku e te tuatahi, me te amuamu matua i te patunga - ko te putanga o te mamae i roto i te puku. He mea nui ki te mahara e taea te haere tahi wāhanga erectile o hikitia i te inhibition o te mamae, hanga reira uaua ki te tātari mate. I roto i te take o te whara e pā ana te mamae o rara whati, me wahi, ka taea e te papatoiake pana nga tohu e kua meinga e te whētuki puku puhuki, ki te wahi tuarua.

wāhanga Torpid o ru depresses te wherikotanga o ngā āhuatanga fakamamahi e tika ana ki te meka i he puputu'u mauri moe ranei te manawanui.

Ko te āhua o te mamae, tona kaha me te irradiation o sensations whakawhirinaki i runga i te kino me te okana localization whai wāhi i roto i te tukanga. Hei tauira, haere tahi whētuki ate puhuki te mamae ate, anaana ki te rohe kikowhiti tika. Whaturama o te kōateate whakaaturia anaana mamae i roto i te kikowhiti maui. Hoki te kino o te repe taiaki āhuatanga e whitiki te mamae, urupare i roto i rua clavicles, hope, tona maui pokohiwi.

Whaturama o te kōateate, he taimaha hoki te manawanui hoki o te mate toto nui nga mau hopearaa o nei, tahi e te tuatoru o nga wharanga katoa o te puku katia. take toutou o kino ko te kōateate me mahue tākihi. E mea pinepine, tākuta i ki te mahi ano i runga i te manawanui ki te kahore i kite ia i te pikitia haumanu tetahi o te maha whēkau whara.

Whētuki o te wahi o runga o te wahi intestinal, tahi e te whaturama o nga taiepa, kite he mamae hoari-rite koi putanga e tika ana ki te kătahi o tirotiro intestinal ki te kōhao puku. Ko te tiaho o nga tūroro mamae kia ngaro mahara. Tūkino ki te kopirua he iti kaitaua i mau faaiteraa, no te mea te ihirangi kei kore te kaha te waikawa taiao.

Ētahi atu haumanu tohu

Puhuki whētuki puku whakakitea e ruaki pūpū. I roto i te wā o te whaturama o nga taiepa o te whēkau iti ranei puku ruaki i roto i clots toto ranei i te tae o te papa whenua kawhe. Taua motuhake i tütae Tohua whētuki o te kopirua. Wharanga tōu tahi e te ahua o kanapa toto toto ranei clots whero.

tahi toto Intraabdominal e te tohu e whai ake nei:

• ngoikore me te momoe;
• whanoke;
• te putanga o "namu" i mua i te kanohi;
• kiriuhi kiri me te mucous hei urukehu kikorangi;
• tukupu pēhanga toto;
• ngoikore, me te he pini tere;
• manawa pāpaku auau;
• te ahua o te werawera matao.

meinga kino whekau tuwhera te whanaketanga o peritonitis. I roto i taua ara haepapa māuiuitanga pānga kaiao i roto i te pāmahana tinana (ki te pakaruhanga toto kaha - hauhauaitu), ruaki haere noa, gastrointestinal hopu motility. Kei te rerekē haere tonu te āhua o te mamae, tētahi ki tetahi raru nui o tona ngaro rangitahi.

Mimi pūnaha whētuki ranei mate E haere tahi ana i te kore o mimi putanga, matotoru hematuria, whakauaua sensation i te hope rohe. I muri mai whakawhanake huamo i roto i te rohe crotch.

Tūkino ki whekau kahore whētuki

Laiki o te taiepa puku mārōrō, puta huringa ataata rohe:

• huamo;
• Makere;
• mamae;
• karawarawa me abrasions;
• hematomas.

Mamae contusion ◊oatu fakataha, rahi roa'tu, ki tetahi huringa i roto i te tūranga tinana, te tihe, te maremare, defecation.

kia haere tahi puhuki whētuki puku e te roimata fascia. amuamu te manawanui o te mamae korerotia, mana'o puru hipi. He he he paresis gastrointestinal hihiri, a i runga i, te āhua hihiri o te arai. Whaturama o ngā rōpū uaua tahi e faaiteraa rohe i roto i te puka o te pakaruhanga toto punctate kanokanototo nui ranei, e taea te paetata i te wahi o te whētuki kore anake, engari tawhiti ano tua atu.

hoatu te tātaritanga whakamutunga "taiepa puku mārōrō papaka" kei roto i te take o te haamauraa o te kore o pathologies ā-.

mehua tātaritanga

tātaritanga pārōnaki o huru o te manawanui haamata ki anamnesis me travmogeneza. whakamāramatanga atu o te huru whara ngā nga tikanga e whai ake nei o te whakamātautau:

1. Ko te tātari whānui o te toto piringa whakaatu nga tohu katoa o te mate whakapeka toto: hekenga i roto i ngā pūtau toto whero, me te pūtoto, hematocrit, leukocytosis i te aroaro o te tukanga inflammatory.
2. Urinalysis whakatau hematuria matotoru, a ka pakaru te repe taiaki te - te aroaro o te amylase i mimi.
3. Mai i ngā tikanga whakamātautau mauhaa tōngāmimi hāngai catheterization me te whakauru i te uiuia ki te kopu.
4. Ultrasound whakamātautau.
5. Computed tomography ki rauemi rerekē rō-uaua.
6. Radiography.
7. Ētahi atu rangahau, ki te tika (cystography, rheovasography, ERCP).

māuiuitanga pārōnaki

kia kia multilateral Tūhuratanga o te kōhao puku me okana kei reira, mai kia pehi whara te rere tohu o kino, outputting te mua whare hauora atu whētuki.

Ngaukino pokapū, te whakarato a tawhio te karaka hauora tiaki, ko kore e ahei ki te kawe i roto i katoa o enei tātaritanga tūāhua, pera i muri i te tuatahi te whakamātautau o te patunga tukuna ki te fare ma'i hāparapara tari.

āwhina Tuatahi mō te whara puku

Ki te whakapae koe e kia piri kino ki whekau ki te ture e whai ake nei:

1. Faaoroma'i kua whakanohoia ki runga ki te pakeke te mata, te whakarato i te āhua o te okiokinga.
2. Ki te wahi o te whētuki ki kia matao.
3. Kaua e hoatu te wai pārurenga me kai.
4. Kaua e tango i taero i mua i te taenga mai o te āwhina whawhati tata, rawa Pë.
5. Ki te taea, whakarato transportation ki te whare.
6. Ki te reira te ruaki, tahuri upoko o te manawanui ki te taha, na kihai kore e tupu o wawata.

te mau parau tumu tiaki hauora

titau puhuki whētuki puku tohunga wawaotanga tonu, rite te putanga pai he taea anake ki tātaritanga wā, me te maimoatanga wawe. I muri stabilization o te huru i pangia, me te antishock ine tūroro, wawao hāparapara. rapu wharanga Kati tautukunga ki te tikanga e whai ake nei i roto i ngā mahi:

• rehunga whānui ki te whakangā uaua tika;
• laparotomy reo-kātahi, e taea te uru ki ngā wāhanga katoa o te puku;
• he tikanga ohie, engari he hua pono mo te hui;
• pokanoa o poto roa;
• izlivshuyusya ki te toto uninfected kōhao puku tono hoki reinfusion.

Ki te pakaru te ate te, ki te hiahia mutu te toto, excision o kiko nonviable, suturing. Whaturama o te kōateate, kia arahi te hopearaa o nei ki te tango o te tinana, e titau te whakahōunga tino. I roto i te take o te whētuki iti whakaatu hemostasis suturing. Ki te okana kaha tono kino splenectomy.

Wawahi tuleki tahi e te tango o te kiko devitalized, mutu toto, whakahounga o nga koropiko katoa tū whēkau resection ki te tika.

Tākihi kino i roto i te hiahia o te okana-wawaotanga, engari wawahi kaha ranei wehenga o oko kai tinana kawea nephrectomy.

mutunga

whētuki matapae o te puku, tei runga i te tere o te āwhina, te huarahi o te whara, o te tātaritanga pārōnaki tika, ngaio ngā kaimahi hauora o pūtahi hauora, ki te āwhina i te patunga.