Plab hnyuv perforation: cov tsos mob, ua rau, cov hau kev ntawm mob thiab kev kho

Plob tsis so tswj perforation - ib tug ua txhaum cai los ntawm cov phab ntsa hauv cov nyuv los yog cov me me quav. Raws li ib tug ntawm xws li deformation lub cev cov ntsiab lus penetrates mus rau hauv lub plab kab noj hniav. Xws li ib tug tshwm sim yog hu ua perforation. Nws yog hais txog qhov tau ua txhaum ntawm kev phais kab mob.

Lub ntsiab ua rau ntawm

Plob tsis so tswj perforation - ib tug ua txhaum uas nyob rau hauv lawv tus kheej tsis tshwm sim. Muaj ntau ntau lub ntsiab yog vim li cas uas ua rau kom lub deformation ntawm lub me me los yog txoj hnyuv loj. Qhov no daim ntawv teev muaj xws li:

1. Ileus.
2. Diverkulit nyuv.
3. Quav pob zeb.
4. Necrosis ntawm hlav tsim nyob rau hauv cov nyuv.
5. Ulcerative mob plab.
6. Gangrenous hnyuv tws, uas ua rau disintegration ntawm cov ntaub so ntswg ntawm lub appendix.
7. Ib txhia kab mob, xws li mob ntsws los sis tsitomegaloviirusnaya kab mob.
8. Qhib thiab kaw kev raug mob.

Cov no yog cov ntsiab yam tseem ceeb, uas ua nyob rau hauv plob tsis so tswj perforation. Ua ntawm kev puas tsuaj mus rau lub nyias lub phab ntsa los yog txoj hnyuv loj muaj peev xwm yuav lwm leej lwm tus. Kev sib tawg ntawm ntaub so ntswg feem ntau tshwm sim raws li ib tug tshwm sim ntawm kev ntog mus rau hauv lub mob huam, mob homogeneous lub cev: pins, koob, toothpicks, ntses thiab nqaij pob txha.

Cov ua rau plab hnyuv perforation nyob rau hauv cov me nyuam mos

Plab hnyuv perforation nyob rau hauv tej rooj plaub tshwm sim nyob rau hauv cov me nyuam mos. Perforation nyob rau hauv cov me nyuam mos tej zaum yuav yog vim dab xws li:

1. Intrauterine hypoxia, hnav ib lub caij nyoog ua cim.
2. Ncua txoj kev loj hlob ntawm tej tshuab.
3. Pub tug me nyuam mos enteral txoj kev.
4. Lub pathology ntawm tus mob huam xws li dab tsi thaiv.
5. Phais.

Punctures nyob rau hauv cov me nyuam mos - cov no yog cov raug rho tawm tus neeg mob. Ob peb so yog tsis tshua muaj heev. Raws li statistics qhia, cov ntxhais plab hnyuv perforation tshwm sim ob zaug raws li feem ntau raws li cov tub hluas.

plab hnyuv perforation: Cov tsos mob

Perforation muaj ib cov tsos mob. Tej yam tshwm sim kis tsis tau tuaj kawm ntawv. Lub ntsiab seb mob dab tsi ntawm perforations - mob heev nyob rau hauv lub plab mog, uas yog nrog leeg nro. Nyob rau palpation tsis xis nyob intensifies. Nws muaj lwm yam tshwm sim ntawm plab hnyuv perforation:

1. Nquag along tso quav.
2. Tsam plab.
3. Ceev ceev mem tes.
4. Xeev siab thiab ntuav.
5. Oligulyatsiya.
6. Kom nyob rau hauv lub cev kub rau 39 ° C.
7. Qeeb los yog khob ua tsis taus pa. Nrog rau yuav txo tau ntawm lub diaphragm ua mob heev.

Txhob ntaub so ntswg thaum lub sij hawm mus xoos hnyuv laus

Thaum cov nyuv mob cancer txoj kev tshawb no siv ib tug tshwj xeeb kev sojntsuam yuav tshwm sim plab hnyuv perforation. Qhov no tshwm sim muaj peev xwm yuav piav raws li nram no:

1. Kev tshem tawm ntawm polyps - poliektamiya. Thaum lwj liam cai ntawm qhov txheej txheem yuav tsum phem heev hlawv cov ntaub so ntswg. Nws yog nyob rau hauv no qhov chaw thiab tsim ib tug txhob. Nyob rau hauv tsawg zaus, plob tsis so tswj phab ntsa puas tsuaj tshwm sim thaum lub sij hawm kev phais. Cov thawj cov cim qhia ntawm kev nyuaj siab tshwm sim tsuas yog tom qab ib tug ob peb hnub.
2. Tshaj insufflation - muab ib tug powdery medicament rau traumatizing cov ntaub so ntswg colonoscope. phab ntsa rupture yuav siv sij hawm qhov chaw thaum lub sij hawm lub lag luam. Cov thawj cov cim qhia ntawm plob tsis so tswj perforation tshwm sim tam sim ntawd. Punctures nyob rau hauv cov ntaub ntawv no yuav muaj ib tug loj loj.

Mob ntawm plab hnyuv perforation

Localization rwj plob tsis so tswj perforation yog txiav txim los ntawm palpation ntawm lub plab mog. Cov kis yog nyob rau hauv qhov chaw uas tus neeg mob hnov mob heev thaum kov. Rau cov mob no feem ntau yog siv tsis tau tsuas yog cov kev xeem, tab sis xoo tomography thiab radiography. Nyob rau hauv tej rooj plaub, txiav txim qhov ua rau ntawm tsis xis nyob rau hauv lub plab cheeb tsam yog tsis yog li ntawd yooj yim. Perforation yog ib qhov nyuaj rau kev tshawb nrhiav nyob rau hauv tus neeg mob:

1. Niaj phais txuam nrog hloov hloov.
2. Tau txais chemotherapeutic tshuaj.

Mob plab nyob rau hauv cov neeg mob no - ib tug heev tshwm sim. PP computer yog yuav tsum tau rau nruab ib tug muaj tseeb kuaj mob. Tej plab hnyuv perforation yuav tsum tau tam sim ntawd phais kev cuam tshuam. Tsuav txhob yog cov neeg mob qhov twg cov ntsiab lus ntawm cov me me los yog txoj hnyuv loj penetrates qhov chaw mos thiab lub zais zis. Nyob rau hauv cov ntaub ntawv no, tus neeg mob tej zaum yuav muaj cai evolution ntawm gases thiab quav thaum lub sij hawm tso zis.

Txoj kev kho mob

Plob tsis so tswj perforation yuav kho nkaus xwb los ntawm kev phais. Khiav txheej txheem yog tsis pom zoo, raws li nws yuav ua tau kom loj txim. Tus Neeg Mob nrog pom tseeb cim ntawm plob tsis so tswj perforation tam sim ntawd pw tsev kho mob thiab kom sai nqa tawm tuav.

Nqis tes ua cov kws kho mob yuav tsum tau ceev, tiam sis muaj tseeb. Nyob rau hauv cov kab mob los lub plab hnyuv cov ntaub so ntswg muaj peev xwm tsis tos lwm hnub, vim hais tias cov irreversible dab tej zaum yuav pib nyob rau hauv tus neeg mob lub cev.

Feem ntau cov feem ntau, cov neeg mob underwent laparoscopy. Nyob rau hauv tas li ntawd, nws muaj nyob rau concomitant txoj kev kho ntawm kev ntxhov siab vim cov tsos mob, xws li mob plawv tsis ua hauj lwm. Sij kuaj yog tau tso cai nyob rau hauv tus neeg mob thaum lub plab hnyuv txheem tau penetrated rau hauv lub zais zis los yog qhov chaw mos.

Kws txawj tsis pom zoo kom ncua mus xyuas tus kws kho mob. Kho plob tsis so tswj perforation nyob rau hauv tsev tsis yooj yim sua. Nws yuav tsum tau muab sau tseg tias perforation yuav ua rau tuag ntawm tus neeg mob. Tom qab ob peb teev tom qab qhov pib ntawm ib lub qhov nyob rau hauv cov nyuv los yog me me hnyuv pib gangrene - necrosis ntawm tus kabmob thiab ntaub so ntswg.