Abdominal pute: Zvinokonzera uye Consequences

Mutete serosa - peritoneum - izvo chimiro chimwe kana mumwe riri pamusoro pemasimba zvikamu nhengo, ane chaizvo kudzivirira zvivako. Somuenzaniso, kana mumwe kuzvimba, inogona delimit ari kukanganiswa nzvimbo, pova abdominal pute. In zvokurapa akariposhera inonzi "pokunamatidza", kureva, paumbwe adhesions pakati pedyo nhengo kuitira kuwana namahwindo nzvimbo.

tsananguro

Abdominal pute - a purulent kuzvimba imwe nhengo kana chikamu chayo, pamwe mberi utsotso rinenge uye Kamudzira inotungamirwa mhango kumativi. Rinogona aumbwa zvachose chero "paburiro" pamusoro abdominal mhango uye achiperekedzwa zviratidzo kudhaka, nefivhiri sepsis.

Mukuwedzera, murwere kuchatekeshera marwadzo, akacherechedza kudzivirira abdominal tsandanyama, zvichiita svoto uye kurutsa. Dzimwe nguva, muna Muzviitiko zvakaipisisa, adhesions kukonzera intestinal mhingaidzo.

epidemiology

Abdominal pute, kwete hazvishamisi, yakabereka zvinotevera maoparesheni uye sokureva kuomesa ine mabatirwo ichi. Tichifunga vachiwedzera remapazi anoitwa gore negore, nhamba yematambudziko akadaro kunowedzerawo zvishoma nezvishoma. A basa guru iri kuderera kuti kutapata uye kwakapararira kushandisa mishonga inorwisa mabhakitiriya ari tusingaoneki dzichiumbwa nokugadzikana uye ichivhiringa kudzivirira postoperative yematambudziko.

Maererano vafunga pakati Extras, mumwe muzana varwere zvomusejari dzichiri postoperative pute. Nhamba iyi ndiyo kumusoro kana kupindira raiva rokukurumidzira uye nguva iri preoperative kugadzirira haana.

zvinokonzera njodzi

Huru ngozi, nemhaka iyo kungava chinhu pute of abdominal mhango - Ichokwadi, cavernous kuvhiya. It anowanzodanwa kunoitika pashure pakurapa pancreatic zvirwere, nduru dundira, bowel loop stitching.

Chimiro kuzvimba nokuda pakunzwisisa intestinal zviri muna peritoneum, uye ayo kusvibiswa iri uchishandisa mukamuri. Zvinogona kukonzerwa kungopotsera abdominal kunotevera. Papera panzvimbo compression anogadzirwa aseptic kuzvimba, waiva akabatana yechipiri kasvisto.

Vanopfuura hafu pute ndiyo kana parietal (parietal) chidimbu kubva peritoneum, kana pakati ayo parietal uye visceral machira.

zvikonzero

Abdominal abscesses (ICD10 - K65) zvingaguma nei pfungwa yacho dumbu Somuenzaniso, refu kudzvinya kana kuvhunduka, zvirwere zviri intestinal chubhu (iersiteoz, salmonellosis, sefivha), kukura anogumbura pezvakaitwa vari nhengo kana mucosa, uyewo mushure perforation nemaronda mudumbu kana muura.

Pane zvikonzero zvitatu:

1. Kuvapo peritonitis yechipiri nokuda atsamwira yacho okuwedzera, insolvency intestinal anastomoses pashure abdominal kushanda, necrosis pamusoro pancreatic musoro, abdominal kunotevera.
2. Purulent kuzvimba pelvic zvomukati, akadai salpingitis, parameters piosalpinks, tubo-ovarian pute uye nevamwe.
3. Chenjera kuzvimba rwatata uye nenduru dundira, maronda colitis.

Kuwedzera pane zviri pamusoro apa, dzimwe nguva mhaka pute angava kuzvimba perinephric rinenge osteomyelitis, lumbar nomuzongoza, tuberculous spondylitis. Kakawanda iri kuzvimba seeded staphylococci, streptococci, clostridia uye isherihy, kureva nemiti, izvo kazhinji kunogona kuitika munguva muura.

pathogenesis

Pute postoperative abdominal anozviratidza nokuda kwazvo maitiro zvirwere kupindira munyaya dzomunyika masango kana kubereka zvigare. Mutumwa ingadzika munzvimbo peritoneal mhango uye muropa kana node, uyewo seep kuburikidza intestinal madziro. Uyezve, nguva dzose pane mumwe mukana wokutapukirwa chete chiremba kuti aise maoko ake, maturusi kana zvinhu panguva oparesheni. Chimwe protrude miviri vanokurukura zvokunze kwezvakatipoteredza, dzakadai fallopian sepombi kana ura.

Hatigoni haabatanidzi chitarisiko anogumbura infiltrates pashure rakapinza abdominal maronda, maronda uye perforations siyana sutures pashure kuvhiyiwa.

Peritoneum ikasakendenga pakuonekwa nekurukurirano chinhu (kuzvimba) stereotypically, kureva, zvinowanisa fibrin pamusoro wayo pechiso iro kubatanidza pamwe chete zvikamu mucosa uye nokudaro delimits pachoto kubva utano tishu. Kana kudzivirira ichi anoparadzwa somugumisiro yacho pus, kuti anogumbura detritus runoyerera kupinda muhomwe mudumbu uye shelving nzvimbo. With kukura kwakadaro Muchiitiko muudze sepsis.

zviratidzo

Chii chinoitika munhu apo vakaumba abdominal pute? Zviratidzo zvakafanana chero anogumbura chirwere:

1. High, pakarepo kutanga fivha achiperekedzwa chills uye kunonyengedza ziya.
2. Achishandisa marwadzo mudumbu, izvo yakakura kune kubata kana kumanikidzwa.
3. Kuita weti kakawanda, sezvo peritoneum ruchatambanudzirwa uye zvinondisvota dundira rusvingo baroreceptors.
4. Chetsoka hadzina kufambiswa zvakanaka muchimiro kupatira.
5. Svoto uye kurutsa panguva pakakwirira fivhiri.

Mukuwedzera, murwere anogona kuva palpitations. It kunoitika nokuda kwezvikonzero zviviri: nefivha uye kudhaka. Uye somunhu pathognomonic chiratidzo ndiyo tsandanyama makakatanwa wokudhinda. Uyu unodzivirira dzepanguva, izvo kunotadzisa mberi kukuvadza pasi zvomoto nzvimbo.

Kana mota iri zvakananga pasi diaphragm, kuwedzera kune nevakawanda zviratidzo ndeavo vanoti ichi chinhu. Musiyano wekutanga ndechokuti kurwadziwa vemunyika vari hypochondrium, vakawedzera panguva kurudziro uye anoratidza kuti scapular nharaunda. The musiyano chechipiri - nokuchinja gait. Man anotanga involuntarily kutarisira vanorwara uye Inosendamira vakananga kwaari, kuderedza tsandanyama kusawirirana.

yematambudziko

Abdominal abscesses (ICD-10 - K65) ugare undiagnosed kana kutanga pamusoro pakanyorwa dzimwe ezvinhu zvakakura kana murwere haadi kubatsirwa. Asi tinofanira kurangarira kuti somugumisiro wacho vakaregeredza mufambiro anogona kuva ezvinhu zvinouraya, akadai sepsis uye diffuse peritonitis.

Subdiaphragmatic abscesses anogona muchanyauswa uye aperture kumedura munzvimbo pleural mhango, zvichiumba adhesions ikoko. Mamiriro ezvinhu akadaro kuti kunyange kutungamirira kukuvara yemapapu. Naizvozvo, kana pashure kuvhiyiwa kana kukuvara, uine nefivha kana kurwadziwa, usatarisira kuti zvose zvichapfuura woga. In nyaya iyi mamwe kuongorora haakuvadzi.

Diagnostics

Postoperative abdominal pute muchipatara wanikidza zvakanaka nyore. Chinonyanya zvakwo dzinoshandiswa X-ray, Ultrasound, CT uye MRI pechipfuva uye dumbu zvomukati. Uyezve, zvinoita kuti vakadzi vaite ponji kusangana nekutsi kwemukadzi rakatenderera kuti aone kana pane purulent mitaro mu raiiswa munzvimbo.

Uyewo, usakanganwa pamusoro murabhoritari zvawanikwa. Kazhinji, kuongorora ropa chichachengetwa rakapinza kuwedzera erythrocyte sedimentation mwero (ESR), wbc achava zvinoshamisa kuchinja kuruboshwe, zvinokwanisika kunyange vaduku siyana uye Mhedziso nhamba masero kuchawedzera nokuda neutrophils.

Standard iri nechirwere nokuda pute ndiyo abdominal Ultrasound. Pane pachena zviratidzo kuti anoratidza kuvapo anogumbura nda:

• inotungamirwa ane zvakajeka hurukuro uye batana Kamudzira;
• mukati imvura;
• kugutsikana inhomogeneous marongerwo uye rakakamurwa akaturikidzana;
• Zviri pamusoro mvura gasi.

Treatment abdominal abscesses

The nzira chikuru mabatiro abscesses Chokwadi, ndiyo kuvhiya. Zvakakodzera ubvise pute mhango pamwe akambozvishandisa kuuraya utachiona ageza uye asingaurayiwi mhinduro. Kuchinja mabatiro havapi zvinovimbisa kuti chokutsva dzaserera, uye Urume mukati ane pute pachako anobviswa.

Chokwadi, pashure kukosha yabviswa, murwere anofanirwa taurira inorwisa utachiona kurapa nokuda chakarondedzera mushonga. Kazhinji, chiremba prescribes iyo zvinodhaka maviri akasiyana zvigadziriswe kuita uye zvinobudirira kuparadza vamiririri siyana pamusoro microbial kasvisto.

Nguva dzose zviripo zvinonyevera murwere pezvingazoitika kwokurapa, akadai kurutsa, nokushayiwa kudya, kuzvimba papillary paiva rurimi, kutemwa nomusoro, uye kuita weti kakawanda. Uye kuti chiremba vanofanira kurangarira navo uye kuwedzera navo kunotoda mufananidzo chirwere.

Kufembera uye kudzivirira

Abdominal abscesses (bumbiro ICD 10 - K65) - zvikuru kwakakomba kuomesa, saka varwere uye vanachiremba vanofanira kupinda kuti kudzivirira chirwere ichi. Zvakakodzera akatiita uye zvakazara kubata anogumbura zvirwere vamwe abdominal mhango, iva nechokwadi kuti kuitisa chi- uye post-kushanda kugadzirira murwere, uyewo-sterilized zvakanaka zviridzwa uye maoko chiremba wacho.

Nokuti vanofungidzirwa appendicitis kana mune mhosva pakarepo kuwedzera kupisa haumanikidzwi kumirira chiratidzo chinobva kumusoro, uye iwe unofanira pakarepo bvunza chiremba mazano. It aigona kuponesa upenyu hwako uye utano.

Rufu kubva abdominal pute rinosvika makumi mana kubva muzana. Zvose zvinoenderana sei rakapararira muitiro, apo riri uye sei akakonzera chirwere. Asi nenguva kurapwa kuchipatara mukana wokuti zvisingafadzi. Mugumisiro ipfupi.