Whakapeka puku syndrome: tohu, Take me te rongoā

mamae puku kawe te rota o te he mo e rua ngā pakeke me ngā tamariki. Gastritis, whewhe pekitīlia, gastroduodenitis, Reflux esophagitis, mate pukupuku pekitīlia - ko etahi o nga mate tino noa o te wahi gastrointestinal, e maha tahuri ki te atamira ma'i enei. He fakatu'utāmaki ngā he whakapeka syndrome puku. hiahiatia āwhina ohotata te. Tenei mate ai kore anake mamae, engari ano hoki i te riri tika ki te ora te tangata. Tino nui ko te maimoatanga wā o te maimoatanga hāparapara.

Kia pehea te i te whakamāramatanga o te mate

Tenei wā e whakamahia ana i roto i te rongoa ki te rawea, mamae whakapeka tūpono i roto i te kōhao puku, me te rapu utu tafa tonu. Ka taea te meinga whakapeka syndrome puku i te blockage o te kōhao puku mate gastrointestinal ranei. Tenei syndrome Ko te ati mo'oni mo te ora o te manawanui.

puta Whakamāramatanga o syndrome o "puku whakapeka" i roto i te mahi hauora i muri i te whakaputanga o te pukapuka Genri Mondora "tātaritanga whawhati tata. Kopu ", i whakaputaina i roto i te tau 1940. tuku te pukapuka ki he uhinga tatau taote - ". paheke puku" Ko reira i muri i timata i tenei whakaputanga i roto i te mahi hauora ki te matapaki i te tātaritanga me te maimoatanga o taua mate rite syndrome puku whakapeka. timata tohumate me Take ki te tūhura ake ata.

kihai i Henri Mondor anake te tākuta nei whakaahuatia te mate. ako taote Russian N. Samarin tenei ahua, a i roto i ana pukapuka, tohe ia e manawanui tenei syndrome kia rawa hohoro tangohia ki hōhipera. I roto i ana pukapuka, i whakaputaina nei e te wa torutoru, e ai ta ia, e i muri i te tohu tuatahi kua 6 anake haora te manawanui.

tohu

Hoki te māramatanga o te pikitia haumanu o tetahi mate ko reira e tika ana ki te mohio ki nga tohu. A, no te te tikanga o te syndrome puku whakapeka, te tohu e whai ake nei:

• mamae kino i roto i te puku.
• High pāmahana.
• mokowhiti tere.
• Ruaki.
• Toto.
• Ru.

Ko te amuamu matua o te manawanui tonu te mamae. I runga anō i te tohu i runga ake, ka taea e hanga tākuta hape a huanga ratou ki ētahi atu mate. Hei tauira, kia tohu o te peritonitis te whakatakiruatanga o te mamae, ruaki - ira ki te paihana kai. Ko te hua o te maimoatanga tei runga i ka whakapumautia te tātaritanga tika hohoro.

syndrome puku whakapeka: Take

kia take o te mate, no te mea:

• Pancreatitis, cholecystitis, whēkau, peritonitis, mate pukupuku kopirua, Embolism, Thrombosis, abscesses.
• Wehenga ranei perforation o te puku, ngā whēkau.
• Wawahi taiaki, kōateate, ate, kōpū, konga, e ai kia haere tahi e toto ki te kōhao puku.
• Ileus.
• Diseases o whēkau e kua kei waho te kōhao puku.

Puta i te i runga, i reira te mea he whakarōpū o nga take o te mate:

• mate inflammatory e rapu utu whawhati tata tiaki hāparapara.
• toto koi i roto i te wahi gastrointestinal (Mallory-Weiss syndrome, toto whewhe, anorectal toto, puku pekitīlia, gastritis haemorrhagic).
• whētuki puku ranei ongó motu, ai ate pakaru, kōateate, repe taiaki whēkau ranei.
• Disorders o te wahi gastrointestinal, e kore e rapua e pokanga whawhati tata (kakā, carcinomatosis peritoneal, köpiro, yersiniosis, porphyria ate, colic ate, cholecystitis whakapeka, enterocolitis pseudomembranous).
• mate gynecological (dysmenorrhea, syndrome whakauaua i waenganui o te huringa paheketanga, salpingitis).
• mate tākihi (pyelonephritis, infarction tākihi, colic tākihi, paranephritis, hydronephrosis i roto i te wā whakapeka).
• mate Cardiovascular (aneurysm te pūtahi o, infarction myocardial, pericarditis).
• mate Neurological (kōpae herniated, SHmorlja herniated).
• Pleuropulmonary (Embolism pūkahukahu, kiripūkahu, kakā).
• mate Urogenital (na Uri ovarian, whakapeka pupuri mimi).
• whara filosilivá aho (whētuki, myelitis), rara whati, pekehoe.
• Ētahi atu mate (haurangi, ka kawa ki te ateneke, mata, uremic pōroa, raruraru leukemic, pōroa mate huka, raruraru hemolytic, mate Verlgofa).

Me pēhea te ki te tautuhi i te mate

Ahakoa o te huru o te taote manawanui mahi tātaritanga, e kua he tetahi kaupapa. Tātaritanga o te syndrome o "puku whakapeka" ko e whai ake:

1. Anamnesis.
2. Investigation o te kāwanatanga o te manawanui.

Ko te hītori ngā rawa taua āhua: whewhe duodenal pekitīlia ranei, ate, colic tākihi, ngā mahi, Manakore ranei parahiraa, disorders gynecological. Doctor tuatahi kumea whakarongo ki te wa o te mamae, me tona localization, dyspepsia, te pāmahana, mate mua i roto i te gynecology, kōtītiti paheketanga. He nui tenei, kia rite ki kia whakapeka syndrome puku puta rite ki te hua o te pā whakarere ovarian hapū i te pūkano ranei. Kohikohi enei āhuatanga katoa, kia tangohia e te reira i te wa roa, engari he tika ratou mo te tātaritanga tika.

tinana Investigation ko te tirohanga, palpation, percussion, he ako whakahaere i roto i te puta tenetene, te tōu. Doctor tuatahi kumea whakarongo ki te ngoikore, kiri ha ma, wehenga, maroketanga. I muri whakamātautau te tākuta whakarite ai nga whakamātautau taiwhanga e whai ake nei:

• Urinalysis.
• Whakatau i o rōpū toto me te tauwehe rH.
• Ko te taumata o te pūtoto, hematocrit.
• ESR.
• tohatoha tātari toto Complete tātai leukocyte.
• Whākōkī taiaki me te ate.

e kore e te mana whakamutunga ako Laboratory, na whakatakoto te tākuta he ultrasound o te kōhao puku, wāhi retroperitoneal. he tika ki te kitea abnormalities kore ai e whai i te pikitia haumanu mārama Ultrasound. Ano, whakatakoto te tākuta auscultation o te puku ki te kitea motility intestinal te whakarei ake manawanui kore o oro whēkau ranei. I tua atu ki te ultrasound, whakatakoto te tākuta he whakamātautau rectal me nga wahine tara. He nui tenei, mai i taea enei rangahau whakakitea te mamae i roto i te papatoiake, e taea whakaahua ke hei puku whakapeka. Ko reira ano nui rangahau radiation rauhanga i roto i te syndrome o puku whakapeka.

Palpation i roto i te tātaritanga o te mate

kia kawea i tēnei tikanga o te tātaritanga i āta. Me koe ki te ite i te ringa mahana superimposed e te i runga i te papa rawa puku katoa. Tuatahi, tirohia te tākuta te wāhi ongonoa e whakaako i te manawanui ki sensations kino. Na ka palpates te tākuta te wāhi mamae puku. E kore e te rata ite ringa puku i te koki matau. Tenei tikanga o te tātaritanga heheu uaua mānukanuka, te mamae whakapeka, infiltrates, puku hanganga me te invaganity.

mate ako Instrumental

A, no te tae te manawanui i roto i te ruma whawhati tata, kua whakaritea e te reira i te akoranga e whai ake:

• Radiography o te puku, me te ãpoko, e he tika mo te kāwanatanga iris tātaritanga (tona nekeneke, te haaputuputuraa o te hau, te taumata wai i roto i te punuatuna).
• X-ray whakamātautau rerekē o te puku.
• Irrigoscopy (whakapae tukuna ai colonic).
• Laparoscopy (i roto i te wā uaua ki te tātari).

Me pēhea te ki te āwhina i te manawanui

āwhina Tuatahi mō te syndrome puku whakapeka he hohipera tonu. I roto i hohipera kia tonu kia tāutuhia te manawanui i roto i te tari hāparapara.

Pānga o raau taero i runga i te huru o te manawanui

Āwhina ki te syndrome o "whakapeka puku" tutakina painkillers. E pā ana tēnei ki e rua Pë whakapōauau me te kore-whakapōauau, e lubricates kore anake te pikitia haumanu, engari arai ano hoki tātaritanga o te manawanui. I tua atu, ka taea e te taero pōhara kē te huru o te manawanui, ki te tango i ngā o te pokanga, kia meinga spasm o te sphincter o oddi. Hoki e kore whakaaetia ki te whakamahi i nootropic, psychotropic, laxatives, paturopi, me te hoatu i te werowero purenga.

maimoatanga

Ki te he tohu katoa whakapeka syndrome puku, ngā maimoatanga i roto i te whai i ēnei. Ka taea e te rata whakamahi spasmolytics - 2 ml otinga "shpy" ranei 1 ml "Atropine" intramuscularly pâmuhia ranei. Maimoatanga o tenei mate ko te tukanga hāparapara, i te mea ka taea i muri i anake stabilization o tohu faufaa o te mahi. I runga anō i te āhua o te manawanui o te faaineineraa mo te mahi kia tango i etahi wa. He manawanui e uru te ki toto, te tutukitanga intestinal, i roto i te āhua o te ru, kia rite mō te pokanga i muri anake i te whakakorenga o disorders pūkoro tinana. disorders pūkoro (te iti iho i roto i BCC, tauwhatinga o te wai me te kawehiko toenga, maroketanga, pōrearea o whekau nui, ngangau o toenga waikawa-turanga) Me puta i roto i tūroro uru i roto i te huru taumaha.

Time o te faaineineraa mo te mahi tei runga i te huru o te manawanui. I roto i te ruma ohotata me tomo te manawanui he uiuia ki te tirotiro kopu mo te wawata. Na ka horoi i te kopu i mua i gastroscopy me mana toto ki te uru te manawanui e ki e. Ko te pū tōngāmimi tōngāmimi ki te whakatau whara taea, me tino nui - ki te aroturuki putanga mimi haora i roto i huhu therapy.

Ki te tika, e pâmuhia, wē pūtau toto whero ranei e hiahia ana te whakahaere o taero ki te whakauru i te pū tōngāmimi ki te rua subclavian mō te whakakī tere o mate toto, māori o waikawa-turanga toenga, wai-kawehiko tāne i, me te whakatau i te pēhanga venous pokapū.

I roto i tenei mate whakaatu whaowhia therapy:

• He otinga kūhuka.
• Ko te kupu whakataki o te otinga kawehiko.
• Ko te kupu whakataki o te wē-otinga.
• Kupu Whakataki o te otinga "albumin".
• Kupu Whakataki o toto, ki te tika.
• Ko te whakataki o te wē.
• Paturopi mō te tukuna ai intestinal whakapae perforation o whēkau ranei.

tīmata te maimoatanga mua, te pai atu ko te putanga o te wawaotanga. Te faaineineraa mo te pokanga e wahi i te wa ano ki te mahi tonu.

whakapeka syndrome puku me ngā tamariki

Mamae syndrome i roto i ngā tamariki kia he tohu o tini o nga mate. Mea pinepine kia mau ai ki ritenga o te membrane mucous, te peritoneum, a kahore he syndrome puku whakapeka i roto i ngā tamariki. Ko te taua rite i roto i ngā pakeke Tohu o tenei mate i roto i ngā tamariki. pea te pūtake e kore anake te tinana kei e te roto i te kōhao puku.

Take o te mamae puku i roto i ngā tamariki:

• Dysbacteriosis.
• Mumura o te pū kai.
• Colitis.
• Enteritis.
• Enterocolitis.
• Gastro.
• Duodenitis.
• Gastritis.
• whewhe pekitīlia.
• esophagitis Reflux.
• colitis ulcerative.
• Kōroke.
• Pancreatitis.
• Cholecystitis.
• Hepatitis.
• Worms, giardia, roundworm.
• dyskinesia Biliary.
• mate intestinal.
• ARI.
• Puupuu.
• Koroputa hei.
• Cystitis.
• Pyelonephritis.
• Urolithiasis.

I roto i tetahi take, ki te reira ko te syndrome - whakapeka mamae puku, ara ka rite ki te tohu o tetahi o enei mate, ko reira te tuatahi "pere" ki te karanga mō te awhina. Schitaetsya e ki te feunga mātauranga he tangata, me te kua he ahurea, he reira e taea ki te whakatau i te tohu hāparapara i roto i te wā whakapeka. E mea pinepine, e kore te mea te reira. E ai ki ngā tatauranga, meinga pōauautanga kino i roto i te taahiraa whēkau whakapeka ko ki te tau'a ore i te mau faaiteraa wawe manawanui o te mate. Ko te ngaro ohorere o te syndrome fakamamahi - e kore te mea he take mo te hari tenei, mai kia tohu te reira i te whaturama o te taiepa whēkau matia. I roto i te nuinga o te wā, ina te hoatu he manawanui mutunga, te putanga o te pokanga tei runga i pūkenga o te tākuta, me te maimoatanga postoperative.

syndrome whakapeka puku - he mate ri'ari'a, rawa hoki ngā mātua. Na reira, ko te reira ia tapao e te aroaro suspecting te kino, he mea e tika ana ki te mohio e te take noa o te mamae i roto i ngā tamariki he whēkau koi i roto i te wā mumura ranei o te āpitihanga o te cecum. He mea nui ki te mohio e i roto i te whēkau whakapeka i roto i ngā tamariki taitamariki mamae te ruarua whakahuatia. Ko te tamaiti lethargic, e kore e moe, kino. Taimi nounou korere puta i roto i nei hūpē he reira. No te mea o taua tohumate raruraru ki whēkau poisoning he mate intestinal ranei.

Me pēhea te ki te wehewehe whēkau i pau i te mate intestinal ranei? Ko te mamae o te whēkau puta i roto i te wahi o runga o te rohe pito ranei, engari i roto i te fossa iliac matau (te wahi i reira kei te āpitihanga te) kore. He take i reira kei tamariki iti tāpiritanga e i roto i te rohe rectal, e tata ana te tōngāmimi. I roto i tenei take, ka taea e te whēkau mua ite i te faitafá anake ki atu wheako. Ētahi atu tohu e pā ana (whakapairuaki, ruaki me te kirika) kore e whakawhanake i roto i ētahi wā. I roto i te take o nui leukocytes whēkau olotou kore e taea te nui haere, a taea te mahue mānukanuka uaua puku.

He mea nui ki te mohio whaiaro e tamariki Kāore. Ehara i anake ki te mamae, me te kore e taea e ho'ata ta'etokanga hoatu pharmaceuticals ki tamariki, engari ano hoki ki te matao ohie mai no te hauti. Enemas, lavage pekitīlia, sorbents ranei te tahi atu raau taero e kia whakahaerea ki poisoning kai, haurangi tutukitanga waewae intestinal ranei, kia whakahōhā whēkau whakapeka, puku whakapeka taea syndrome ranei. kia karanga te reira i tonu te waka tūroro, e kore e whakahinuhinu te pikitia, me te kore i häpaingia taote ki "hala teka" i mua i te taenga mai. e kore e hoatu i te tamaiti te wai kai ranei. I roto i te take i reira te roa he waka tūroro, ka whiwhi kino te tamaiti, ka taea e koe te karanga i te tākuta kia e taea e ia te tohutohu koe i runga i te āhua o ki te puta. Ano, i roto i te take o te waka te kāinga, ka taea e tangohia e koe te tamaiti ki te tari whawhati tata o te hōhipera.