Puku whēwhē: Take me faahopearaa

Angiangi serosa - peritoneum - i roto i te kotahi te ahua ranei tetahi kei nei i runga i nga wahi teitei o whēkau, he āhuatanga tiaki motuhake. Hei tauira, ina puta te mumura, ka taea e na lahaga reira te wāhi pānga ki te hanga i abscesses o te kōhao puku. I roto i te piua hauora huaina reira ko "whakapiringa", e ko, te hanganga o adhesions i waenganui i whekau pātata kia rite ki te whiwhi i te wāhi kati.

whakamāramatanga

whēwhē puku - he mumura purulent o te okana te wahi ona ranei, ki te atu kōhao rewa kiko, me te capsule hanganga a tawhio reira. Ka taea te hanga e te reira i tino i roto i tetahi "witi" o te kōhao puku, me te haere tahi i tohu o te haurangi, kirika, me te sepsis.

I tua atu, i te manawanui ka taea te mamae, kite Defense uaua puku, whakapairuaki, me te ruaki taea. I te tahi taime, i roto i ngā take kino, meinga adhesions tutukitanga waewae intestinal.

mātai tahumaero

whēwhē puku, e kore e Koinei, hua e whai ake nei ngā tukanga hāparapara me te tikanga rite te pōauautanga o tenei ahua o te maimoatanga. I roto i te tirohanga o te tupu i roto i te maha o ngā mahi i mahi tau, ano faarahi te maha o taua pōauautanga haeretia. He wāhi nui i roto i tenei ko te heke o te wātea i te mate, me te parare te whakamahi o paturopi i roto i microorganisms hanga pūmautanga me e aukati ana i te ārai o pōauautanga postoperative.

E ai ki nga whakatau o extras, kotahi ōrau o tūroro hāparapara whakawhanake whēwhē postoperative. Ko teitei tenei ahua, ki te i te akiaki rawa o te wawaotanga me te wā i runga i te faaineineraa te pokanga kihai i.

āhuatanga mōrearea

Ko te āhuatanga mōrearea matua, no te mea o e kia ai he whēwhē o te kōhao puku - he, o te akoranga, tafa cavernous. Kei te tino noa te reira i puta i muri i te maimoatanga mō mate pancreatic, au tōngāmimi, whēkau koropiko tuitui.

Ko te ahua o te mumura tika ki te rongo ki te tirotiro intestinal i roto i te peritoneum, me tona contamination i roto i te ruma whakahaere. kia kia meinga te reira i te whētuki puku puhuki. I roto i te wahi o te kōpeketanga hua mumura iroiti, i ko muri piri tipu tuarua.

Neke atu i te hawhe o te whēwhē ko rānei kōpako (kōpako) wahi o te peritoneum, ranei i waenganui i ona kōpako me pepa visceral.

take

abscesses puku (ICD10 - K65) e taea e te hua o whētuki o te puku, mo te tauira, compressions roa ranei te ru, mate hopuhopu o te ngongo intestinal (iersiteoz, salmonellosis, taipō kirika), te whanaketanga o ngā tukanga inflammatory i roto i whekau mucosa ranei, me te i muri i te perforation mariao o te puku paru ranei.

E toru ngā take matua:

1. Ko te aroaro o te peritonitis tuarua e tika ana ki te whaturama o te tāpiritanga, kaihautanga anastomoses intestinal i muri ngā mahi puku, necrosis o te matenga pancreatic, whētuki puku.
2. Purulent mumura o nga whekau papatoiake, pērā i salpingitis, tawhā piosalpinks, whēwhē tubo-ovarian me ētahi atu.
3. mumura whakapeka o te repe taiaki me au tōngāmimi, colitis ulcerative.

I tua atu ki te runga ake, i ētahi wā te take o te whēwhē kia mumura o te kiko perinephric, te tapû, lumbar tuarā, spondylitis tuberculous. Nuinga o ngā wā i roto i te mumura Matete staphylococci, streptococci, clostridia me isherihy, arā nga otaota, i te tikanga kia puta i roto i te paru.

pathogenesis

puta whēwhē puku postoperative tika ki te tauhohenga nui o te pūnaha ārai mate ki te wawao i te taiao ā-uri o microorganisms ranei. kia tomo te kaihoko ki te kōhao peritoneal me te bloodstream tīpona ranei, me te taime i roto i te taiepa intestinal. I tua atu, i reira he tonu he mōrea o mate ki te taote ki te tuu i ona ringa, taputapu rauemi ranei i roto i te mahi. protrude tētahi atu take tinana kōrero ki te taiao o waho, pērā i te korere kākano nga paru ranei.

E kore e taea e tatou tutakina i te ahua o infiltrates inflammatory i muri i ongó patunga puku, mariao me sutures ngā pūwatawata hahiraa i muri i te pokanga.

tauhohe Peritoneum ki te ahua o te take whakaongaonga (mumura) stereotypically, ara, mahia reira pūtōtepe runga i tona mata e e te here tahi wahi o te mucosa me te kupu delimits te takuahi i te kiko hauora. Ki te whakangaromia tenei tiaki te rite ki te hua o te pirau, rere te detritus inflammatory ki te whitiki o te wāhi puku, me te tarenga. Ki te whanaketanga o te taua sepsis tauari whakahuatia.

tohu

Eaha te tupu ki te tangata, ka hanga e ia whēwhē puku? He rite ki tetahi mate inflammatory Tohu:

1. High, he tīmatanga ohorere o te kirika tahi e Chills me werawera auau.
2. Drawing mamae i roto i te puku, e koe'uhi ko ki te pa pēhanga ranei.
3. urination auau, rite totoro te peritoneum te me irritates reira nga baroreceptors taiepa tōngāmimi.
4. kōtītiti nohoanga i roto i te puka o te kōroke.
5. Whakapairuaki me te ruaki i te tiketike o te kirika.

I tua atu, kia waiho te manawanui palpitations. Puta reira hoki e rua take: he nui te kirika, me te haurangi. A, kia rite ki te tohumate pathognomonic he uaua press mānukanuka. Ko te pūpū paruru, e aukati atu kino atu te rohe matia tenei.

Ki te kei te whēwhē te tika i raro i te HWM, i roto i te tua ki te tohu noa ko te hunga e tohu ki tenei āhuatanga. Ko te rerekētanga tuatahi ko e paetata te mamae kei roto i te hypochondrium, nui haere i roto i te faaururaa, me te turamaraa i ki te rohe scapular. Ko te rerekētanga tuarua - he huringa i roto i te kiwi e. tīmata te tangata ki te tango i oke ai tiaki o te mate, me te whirinaki mai ki a ia, ki te whakaiti i uaua mānukanuka.

pōauautanga

kia noho undiagnosed ki te whakawhanake i runga i te whakamārama o te tahi atu tikanga nui, ranei e kore e te manawanui rapu tokoni - abscesses puku (K65 ICD-10). Engari kia tatou mahara e rite ki te hua o te mahi mangere kia whakawhanake tikanga te ora-whakawehi, pērā i sepsis me haaparare i peritonitis.

Ka taea te rewa abscesses Subdiaphragmatic me te piata ki te wahi i ki te kōhao pleural, hanga adhesions reira. ara ai te Mēnā i pēnei arahi ki pūkahukahu wharanga. Na reira, ki te i muri i te pokanga wharanga ranei, whai koe i te kirika tetahi mamae ranei, e kore e mahara e katoa e haere atu ana ano. I roto i tenei take o te arowhai anō e kore e taea e kino ia.

tātaringa

Postoperative whēwhē puku i roto i te fare ma'i kitea tika ngāwari. Ko te tikanga tino kōrero he x-ray, ultrasound, CT ko MRI o te pouaka me te okana puku. I tua atu, he reira taea hoki ki te wahine kia te kikorangi tara poka ki te taki mēnā i reira he he koputaputa purulent i roto i ngā wāhi kuiti.

Ano, e kore e wareware e pā ana ki te tātaritanga taiwhanga. I roto i te whānui, ka hei maharatanga tātari o te toto he hua koi i roto i te auau ngeniwhero parataiao (ESR), WBC e whai i te neke whakaari ki te maui, he taea reira noa ki ngā puka taitamariki, a ka nui ake te maha tino o ngā pūtau e tika ana ki neutrophils.

Paerewa i roto i te tātaritanga o te whēwhē he ultrasound puku. He mārama tohu e tohu i te aroaro o te urutomo inflammatory:

• He fokotu'utu'u mārama me te capsule mātotoru hanganga;
• i roto i te reira, ko te wai;
• Kei te wehea ihirangi hanganga inhomogeneous me ki paparanga;
• Ko reira runga ake te hau wai.

Treatment abscesses puku

Ko te tikanga matua o te maimoatanga o abscesses, o te akoranga, ko te pokanga. He mea tika ki te tatau i te kōhao whēwhē ki horoi rongoā horoi, me te otinga paturopi. e kore e maimoatanga momo hoatu tetahi kī taurangi e subsides te mumura, me te inu i roto i te whēwhē whakatahia koe.

O te akoranga, i muri i nekehia atu te arotahi te, e hiahiatia ana te manawanui e ki whakahau therapy antimicrobial mo te rongoā paturopi whānui. Ko te tikanga, ta te tākuta te wa taua nga taero e rua ki ngā pūhanga rerekē o te mahi, me te whai hua whakangaro ngā māngai o te otaota koiora.

utu tonu ki te whakatupato i te manawanui o te mau hopearaa taea o te maimoatanga, pērā i ruaki, te kore o te hiahia, mumura o te kahu papillary o arero, pāhoahoa, me urination auau. A ki te tākuta kia mahara ratou, ka tāpiri ratou ki te pikitia haumanu o te mate.

Matapae me te ārai

abscesses puku (waehere ICD 10 - K65) - he pōauautanga nui rawa, na tūroro me rata kia haere ki te ārai o tenei huru. He mea tika ki te āta, me te tino ki te hamani mate inflammatory o tetahi o te kōhao puku, kia mohio ki te whakahaere te faaineineraa mua- me pou-mahi o te manawanui, me te pai-oneone mea me ringa o te tākuta.

Hoki whēkau whakapae ranei i roto i te take o te ara ohorere i roto i te pāmahana e kore te mea e tika ana ki te tatari mo te tohu i runga ake, a kia kōrero tonu koe i te tākuta mō te tohutohu. i taea te whakaora te reira i to outou oraraa, me te hauora.

Te tahuti nei i te whēwhē puku tae e wha tekau ōrau. Te reira i katoa tei runga i te āhua o whānui te tukanga, i reira te kei reira me pehea reira meinga te mate. Otiia ki te maimoatanga wā ki te hōhipera iti te tūponotanga o te putanga kino te.