Ileus: iimpawu, izinto, unyango

ileus - ukuvaleka, buso okanye epheleleyo, le mithambo ye amathumbu, nto leyo eyenza kube nzima okanye nzima intshukumo emathunjini ngezinto ezilapho kuyo. Ngenxa imali yoko, amathumbu kwegazi, amanzi kunye netyuwa emzimbeni.

Kukho kokuphazamiseka ngenxa nezithintelo ngomatshini okanye ukunyhashwa umsebenzi lwemoto yethumbu. Kuxhomekeka yintoni eyabangela ukuvaleka, khupha isithintelo ngoomatshini kunye neguquguqukayo emathunjini.

kokuphazamiseka Mechanical esinokubakho ngenxa volvulus okanye kwiqhina Ukwakheka, okubangela izifo yokuncamathelisa, Ithemba. Yethumbu kwakhona kucocwe ukutya okanye ngendle, amaqumrhu amazwe, ithumba, ascarids.

Iimpawu kokuphazamiseka yesisu Mechanical zezi zilandelayo: ukuqunjelwa, iintlungu, kunye amahlaba esiswini, oko kwenzeka ngokukhawuleza, nokuba isidlo, ukungabikho kwesitulo. Xa kokuphazamiseka ye emathunjini amancinci lwenzeka ukugabha (ekugqibeleni uzuza ivumba indle). Kusenokuba utyatyazo yegazi kunye intussusception.

kokuphazamiseka Dynamic ibangelwa ezahlukeneyo neziphumo reflex kwi motility isisu, waphula umthetho asidi-ityuwa namanzi kunye nokulungelelana electrolyte, kwakunye ezimbi yenkqubo luvo.

Dynamic ileus Iimpawu iyafana nale ncwadana yemigaqo, kodwa peristalsis (ucutheko wamathumbu) asikho.

Zonke ezi mpawu zingentla - basic. Nakuba kunjalo, iimpawu kwamathumbu ekuphazamiseni kwaye ngqo: ukufukuka izinzile yezi loo nto kwaye kulula ukuchonga ngokuthinta, kwaye ngamanye amaxesha phezu kwamehlo; ibhaloni-ezimile ekweneni isikali, utshintsho ukwanda peristalsis yethumbu ukunciphisa ebunayo; ukungabikho namathumbu izandi ukuncipha; intlungu ezibukhali xa xi lisetyenziswa kwi ariya ngezantsi inkaba kunye nabanye.

Ngexesha izihlandlo ezithathu sifo ayinabantu. Ixesha lokuqala (kwiiyure ezi-12) lowokuqala umqondiso esisiseko - ubuhlungu. Kule esiphakathi (iiyure ezili-12 ukuya ngosuku) isithuba iimpawu isithintelo namathumbu iyahambelana umfanekiso eqhelekileyo kwezonyango kwimiqobo ahlekise emathunjini. Isigulane siba sibi. Kule lesithathu (iintsuku 1.5-2) iimpawu ixesha ileus zezi zilandelayo: hypotension, tachycardia, ifiva, ukuze aphuhlise ukusilela ngamalungu angaphakathi.

Njengoko zizifo ezininzi, phambi kokuba unyango ukuhlela, kubalulekile ukuqonda ukuba yintoni le arhente causative, yaye kulo mzekelo, kwaye unyango ngokwalo wamathumbu isithintelo iya kuxhomekeka unobangela.

Kwimeko apho isithintelo kwamathumbu ngomatshini okanye ekukrokrelwa kwindawo yokuqala isigulane kufuneka ngoko nangoko asiwe esibhedlele kwisebe yotyando. unyango ileus Mechanical kufuna oku kulandelayo: Uviwo yokuqala ikhutshwa phandle (ukuba kuyimfuneko ukuqinisekisa uxilongo), kunye nonyango elondoloza kuquka elizenzekelayo enema ulwelo intshayelelo butofelwe, ngeminqweno emihle imixholo esiswini (ukusebenza endala iindlela nga aya kulandelelwa ngokumana kusenziwa iinkcukacha zonyango kunye iifoto ezikhawulezayo rengenologicheskim); ukuba uphathwa iindlela angqingqwa ayisebenzi, kufuneka utyando, injongo yazo kukuba ukuphelisa imiqobo ngokumiselwa okanye imixholo wamathumbu ye sebenzo jikelele.

Kuba kokuphazamiseka enamandla kuboniswe kuphela unyango endala kunye hypertonic, elizenzekelayo kunye enemas nyulu, ukukhuthazwa izishunqulelo zodonga isisu, ukulwa emzimbeni kunye ukunxila ye ephilayo.

Enoba kwenzeka ntoni na, nokuba yayingekuko isithintelo, kuyimfuneko ukuluphatha, yaye ngoko nangoko, kungenjalo isifo imela ingxaki enkulu ebomini bomntu.