Ileus: izimpawu, izimbangela, ukwelashwa

Ileus - a ukuvaleka, ngokwengxenye noma ngokuphelele, mafutha anciphisa isikhala esingaphakathi kwamathumbu, okwenza ukuthi kube nzima noma kungenzeki nhlobo ukuhamba emathunjini elikuqukethe. Ngenxa yalokho, kwegazi amathumbu, amanzi kanye nosawoti ibhalansi emzimbeni.

Kukhona isimiso ngenxa ukuvimbela mechanical noma ukwephula motor umsebenzi emathunjini. Kuye yini eyabangela ukuvaleka, ukukhishwa mechanical ashukumisayo emathunjini isimiso.

isimiso Mechanical kungenzeka ngenxa volvulus noma ifindo ekwakhekeni, okuholela isifo ingcina, umbhunu. Ithumbu Ungase futhi avimbekile ukudla noma indle, imizimba angaphandle, isimila, ascarids.

Mechanical wamathumbu isimiso izimpawu zimi kanje: ukuvuvukala, ubuhlungu, futhi besisu amajaqamba, okuyinto zenzeka ngokushesha, kungakhathaliseki ukuthi ukudla, ukungabi kwesitulo. Lapho isimiso emathunjini amancane kwenzeka ukuhlanza (ekugcineni ethola iphunga fecal). Kungenzeka uhudo olunegazi nge intussusception.

isimiso Dynamic kubangelwa ezihlukahlukene imiphumela reflex ku motility emathunjini, ephula acid-usawoti namanzi futhi electrolyte ibhalansi, kanye pathologies we kwemizwa uhlelo izinqubo.

Dynamic ileus izimpawu okungukuthi iyafana bhukwana, kodwa peristalsis (emathunjini ukusikwa) okungukuthi, emsebenzini.

Zonke izimpawu ngenhla - eziyisisekelo. Nokho, izimpawu wamathumbu isimiso nokuthi ethize: bese kuba khona ukuvuvukala azinzile quin okungahambisani ukuhambisa futhi kulula ukuhlonza ngokuthinta, futhi ngezinye izikhathi amehlo; ukuvuvukala ibhaluni emise we ingemuva, ushintsho anda peristalsis emathunjini ukunciphisa lantambama; yokuntuleka wamathumbu umsindo ukuncishiswa; abukhali ubuhlungu lapho ingcindezi isetshenziswa endaweni ngezansi inkaba nabanye.

Ngokuhamba lesi sifo yilabo ezintathu nezikhathi. Iminyaka yasekuqaleni kwawo-(emahoreni angu-12) inkathi uphawu eziyisisekelo - ubuhlungu. Esikhathini Lesisemkhatsini (kusuka amahora 12 kuya ngosuku) isikhathi wamathumbu izimpawu isimiso liyalingana isithombe ejwayelekile basemtholampilo acute isimiso emathunjini. Isiguli Ubangwa. Ngekhulu lesithathu (1.5-2 izinsuku) isikhathi ileus izimpawu zimi kanje: hypotension, tachycardia, imfiva, angagcina ukwehluleka yangaphakathi izitho.

Njengoba kwenzeka ngeningi izifo, ngaphambi ukuhlela yokwelapha, kudingeka ukuba uqonde lokho okungukuthi i-causative ejenti, futhi kulokhu, futhi ukwelashwa ngokwayo wamathumbu isimiso kuzoncika imbangela.

Esimweni lapho umshini wamathumbu ukuvimbela noma okusolwa kwasekuqaleni isiguli kufanele ngokushesha esibhedlela umnyango kuhlinzwa. Mechanical emathunjini isimiso ukwelashwa Idinga okulandelayo: kuqala, Umqhubi ucwaningo (uma uphethwe liqinisekiswe) kanye olandelanayo ukwelashwa, okubala USiphon enemas, IV uketshezi ngemithambo yegazi, isifiso ka esiswini okuqukethwe (nekusebenta olandelanayo izindlela kungenziwa zilandelwa ngu emitholampilo idatha nemifanekiso rengenologicheskim); uma ukwelashwa okungukuthi olandelanayo izindlela akusebenzi, udinga ukuhlinzwa, inhloso zazo ukushabalalisa izithiyo ukusungulwa noma emathunjini okuqukethwe workaround.

Ukuze ashukumisayo kokuphazanyiswa eziboiswa olandelanayo yokwelapha nge hypertonic, USiphon nokuhlanzwa enemas, ukukhuthazwa Kufinyeta we emathunjini odongeni, ekulweni amanzi emzimbeni futhi lokudakwa i umzimba.

Kunoma ikuphi, noma Kwakungesona isimiso, kubalulekile ukuba aphathe, futhi ngokushesha, ngaphandle kwalokho lesi sifo angase afanekisele ibe usongo olukhulu ekuphileni komuntu.