Calaamadaha shoog qufac. Habka of go'an oo ah caabuq in caloosha ah

Sheelada The ventral teedu laftiisa protrusion xubnaha gudaha oo dhan ama qayb ka mid ah oo dhanba xagga iridda gobolka subcutaneous derbiga hore ee jirridda ama jeebka la aasaasay. In nus ka mid ah xubnaha saabka caloosha ku taala isku mar la parietal caleen xuubka hoose daboolaya bannaan ee subcutaneous gudaha. muujinta A caadiga ah ee Sheelada ah waa calaamad ka mid ah lama filaan ah qufac.

Si loo garto xiriirka ka timi degdeg ah la cudurka, gacan inay raad protrusion iyo dhaqanka gelin marka aad qufacayso. Sida caadiga ah, riix la dareemay, taasoo muujinaysa in fariinta of formation of anomalous peritoneum ah, maqnaanshaha caddayn sida of Sheelada strangulated. Protrusion xubnaha dhacdaa iyada oo loo marayo giraanta hernial. peritoneum Parietal la qayb ka mid ah xiidmaha, dareemaha, seedaha qabtay inta lagu guda jiro soo saarka ka dhigan koleyga ee hernial.

Shaqooyinka peritoneum ah

Qamaar loox xubnaha muhiimka ah ka caawisaa in nidaamka of homeostasis, sarrifka dareeraha, waxa ay taageertaa cadaadiska caloosha:

• Waxaa qabata shaqo resorptive, kuwaas oo uu u nuugo waxyaabaha burburka borotiinada, galleeyda nudaha, exudates, bakteeriyada,
• cover nabarrada meelaha qaar khafiif ah iyo malawadka awoodaan in ay qoondeeyo fibrin oo dareere ah,
• xuubkii, adeega nooc ka mid ah caqabad inay diiradda bararka cudurka, difaac bixiyaa difaac farsamo ee dabiiciga ah gacanta iyo humoral.

Sheelada caloosha iyo dhibaatooyinka

Haddii koorsada of qalliin waa si wadajir ah musallif, bukaanka aan si buuxda u raacay dhakhtarka amarada, waxaa jira Sheelada noqnoqonaysa, taas oo u adeegta sida albaab ah meesha khafiif ah oo astaantii. Ma aha in ay ku shaqeeyaan Sheelada leeyahay dhibaatooyinka soo socda:

• haddii uu maamulku ku jira koleyga ee hernial, waxaa ay falayeen darteed, ka dibna si tartiib ah u yimaado ay joojin, in khatarta ah ee caabuq iyo hanjabay dilaa;
• Haddii protrusion ee xiidmaha lug, ka dibna marinka ee tacsida cuntada iyo content adag;
• keenaysaa in dhacdo of peritonitis iyo laayeen arrimha dibada xiidmaha sidewall, taas oo horseedaysa galleeyda qaybtii qabtay;
• horumarisa habka carow ah (malax);
• Sheelada line cad kordhisaa in size aad u weyn, waxay keenaysaa in kiiska ka dib markii ay ka saareen xubnaha ku jira bacda, ha ku rakibin in saabka caloosha.

Stage of peritonitis on muddada cudurka

In geeddi socodka bararka ba'an ee aagga caloosha degdeg ah ugu yeero ambalaas, dib u dhac waa khatar ku ah nolosha aadanaha. Peritonitis kala duwan dhammaystiran ama saameeya deegaanka qaarkood. Caabuq waxaa keena noocyada kala duwan ee bakteeriyada laylinta iyo anaerobic, jiifsan gudaha saabka caloosha. Habka of go'an tahay aragtida L. S. Simonyana, taas oo ku xidhan isbedelka bahal ah iyo muddada cudurka, peritonitis kala tallaabo:

• muddo reaction socdaa inta lagu jiro maalintii ugu horraysay iyo calaamadaha ugu badnaan muujiyey,
• guurka si tallaabo sun ah lagu sameeyaa muddo 24 ilaa 72 saacadood, muuqaalka wargeeyayaal sarkhaan kala duwan oo u shaqeeyo sumow;
• oo qoto dheer, in kiisaska intooda badan, foomka karin yeesho saddex maalmood ah, cudurka la daliilka kadis ah caabuq maxalliga ah ka dib.

Qoondaynta oo ah cudurada by nooca cudurka

peritonitis Primary waa dhif, xisaabiyenimo ah oo ku saabsan 1% oo ka mid ah ifafaale bararka. Caabuqa dhacdaa dib soo-gaadhista ah microbes peritoneum hematogenous Jidka hoose, hab lymphogenous ama ka yimaada xubnaha taranka dhaddig oo dhuumaha ugxanta.

Sheelada diaphragm sababa peritonitis sare qalitaanka ka dib ama ay sabab u tahay dhibaatooyinka trauma unugyada xuubka hoose. Xaaladdan oo kale, waxaa jira kuwa soo socda sababaha cudurka:

• infection ka caabuq;
• Jidka tuubbo dildillaacday;
• ingress of microbes sababo la xiriira dhaawac,
• Dhibaatada postoperative.

Noocyo peritonitis ku xiran tahay arrimo kale

Hoosaadka ee marxaladda ba'an iyo chronic ka qayib calaamado clinical iyo cudurka. Habka lagu ogaanayo, sida ay exudate wuxuu muujinayaa fibrinous, nabarrada, purulent, fibropurulent, dabeecadda haemorrhagic bararka.

noocyada kala qeybinta Etiological of peritonitis sababa noocyo kala duwan oo nooc oo microflora iyo bakteeriyada, taasoo keenta caabuq. The microbes pathogenic ugu muhiimsan ee maanta la aqoonsan yahay sida korka ✰Malax, streptococci, anaerobes, Proteus, enterococci, E. coli. Ciidankii reer bakteeriyada ka mid ah PNEUMOKOCKER, gonococci, streptococcus hemolytic iyo noocyada kale.

Kooxaha etiological cudurada nonbacterial si gooni gooni ah go'doonsan kiiska aseptic, marka Sheelada diaphragm ku adag ay sabab u tahay wax lays of saabka xuubka hoose ee kaadi, dhiig, ama bile juice gastric. Tani waa qaab khatar ah, oo peritonitis in dhowr saacadood beddelin faafa ah, sida darbiyada waa permeable bakteeriyada sida ugu dhaqsaha badan ka dib bilawga ah caabuq.

Ku xadgudubka geeddi socodka dheefshiidka

Oo khash-ratio biyo-elektrolytka ee dheelitirka jidhka iyo protein ah waxaa loo arkaa calaamad u ah fiicneeyay dibadda Sheelada caloosha. borotiinada Gunaanad waxaa la dedejiyey ay sabab u tahay hypermetabolism, luma wax ah dhismaha muhiim ah waa la fuliyay in kaadida, mataga, exudate ah. Muujiyeen gipoproteinomiya iyo yaraynta xaddiga oo borotiin ah waxaa lagu muujiyey at a peritonitis qabriga badan.

Oo ay la socdaan potassium ah dheecaannada jidhka sii daayay, tagaa ka bannaan ee intercellular, waayo, taas aawadeed, bukaanka leeyihiin hypokalemia. Ka dib markii horumarinta hannaanka geeddi-bararka si wayn ka beddeli kartaa, sida hoos Digo kelyaha ee dareeraha ah, waxaa jira burburka tiro ku filan oo unugyada. Sida ka dhalata isbeddellada soo koraya hyperkalemia.

Saddex-meelood laba ka mid ah bukaannada ku alkalosis dhiigga yeesho, mararka qaarkood in unugyada shaaca ka qaaday wareeg ah dhinaca aysiidh ka dhasha rabshooyin wareegga dhiigga, carqalad ah hababka dheefshiidka iyo hypoxia, habka this galisa ka kaxayntu ay of Sheelada ah.

The tallaabo ah terminal muddo la oliguria sameynta nidaam hematopoietic bilaabo inuu shaqeeyo wax soo saarka ee alaabta dheefshiidka acidic sida magnesium, nitrogen, potassium iyo fosfooraska. Waxaa jira isbedel argument dhiig aysiidh neefsashada iyo dheefshiidka. Baaritaanka peritonitis ba'an si degdeg ah la beddelo, si la socodka joogtada ah waxaa lagula talinayaa in dhiigga, kaadida iyo dheecaanada kale ee jirka.

peritonitis symptomatology

Waxaa jira tiro ka mid ah qaababka caadiga ah by kuwaas oo aan ogahay sida si loo ogaado eerno iyo caabuq peritoneum ah:

• xanuunka loo dulqaadan karin xoog ku peritoneum ah;
• qandho,
• caloosha Biyana, uu noqonayaa adag;
• dareen ah tabar ee jirka ku jira oo dhan;
• retching iyo lallabo,
• xad gudub ku ah ee mareenka caloosha iyo mindhicirka, calool, yaaqyaaqsi.

taageero Qufac syndrome

Waxaa muujiyey in cudurrada ba'an iyo chronic ee saabka caloosha. Cilad talogalay qufaca bixiyeen G. G. Karavanovym oo ku tilmaamay faahfaahsan IM Siomashem. qaliin rugaha badan ayaa qaatay calaamadda this for go'aanka horudhaca ah ee calaamadaha caabuq caloosha.

Hababka isticmaalka

Faraha wax yar ka qaloocsan dhinaca timireed, iyo laabatooyinka khafiif riix on aagga daraasadda. Muddo ka dib tallaabadan ma qaadan xanuun in cadaadiska dantay. Ka dib markii in, bukaanka waxaa lagu tijaabiyaa shoog qufac calaamad. Wuxuu ku bixiyey inuu u ciyaaro qufac, haddii dib markii nidaamka, waxaa jira xanuun aagga of cadaadis, waxay muujinaysaa caabuq ku peritoneum ah.

Mabda 'hawlgalka

Hoos u fiiqan ee qufaca dabac derbiga xuubka hoose iyo diaphragm ka gudbiya riixay in ay dusha hoose beerka iyo xubnaha ku yaal. Buuxsantay oo sakhiray in ay tallaabo ah ee mindhicirka, oo gudbiya mooshin hoos. Dareen xanuun dhacdaa marka mooshinka ama in jidhka ah oo xanuunsan kulan ee gobolka a cadaadisay gacanta. Haddii geedi socodka bararka ku lug peritoneum ah, dareen xanuun la muujiyey by gariir lakabka hoose, kuna waari dhexdeeda cadaadiska intra-caloosha baxdo.

author Study A. Cheremskoy qufac syndrome sifeynaya tallaabadaasi ee ixtiraamka cudurka qabsinka. Marka aad qufacayso bukaanka in ay dhacdo caabuq lifaaqa waxaa si joogto ah dareemay xanuun gobolka iliac ah. saamayn Tani waa wax yar oo kala duwan ka soo qufac iyo Sheelada ah peritonitis.

Syndrome waasac dambidhaafkiisu peritonitis ba'an iyo marxaladda chronic cudurka sababi dareenka kala duwan marka aad qufacayso. lifaaqa Chronic jawaab neefta oo ku qabata, sida haddii bukaanku waxa uu isku dayayaa in ay dib u dhigto xanuunka. Marxaladda ba'an waxa lagu gartaa xanuunka loo dulqaadan karin. Calaamadaha shoog qufac siyaabo kala duwan ayaa muujinaya heerka ugu of peritonitis.

ka peritonitis, qabsinka iyo Sheelada reebo, calaamad this muuqato in cudurrada ba'an iyo chronic xubnaha kale ee caloosha. Xanuun ka danab ee qufac u muuqataa in ay dhacdo caabuq kaadi ah, boogaha gastric iyo xirma xiidmaha. Sayidka, astaan lama filaan ah qufac ka duwan waxbarashada kale oo uu muujinayaa tiro badan oo cudurro qabtay oo marxalad hore.

Sheelada iyo kala duwanaansho ay

Protrusions in aadanuhu waa la heli karaa, loona lagu dhasho. Habka labaad waa ilmaha dhashay. xadgudub Tani waxay dhacdaa sababtoo ah peritoneum a samaysan inta lagu guda jiro horumarinta uurjiifka. protrusion helay ee xubnaha gudaha u muuqdaan inta lagu guda jiro nolosha bukaan-socodka, iyo waxa loo qaybiyaa saddex nooc:

• at muruqyada ay daciif yihiin oo derbigii ah caloosha,
• ay sabab u tahay isboorti oo waaweyn ama culayska shaqada;
• qoonmay timi sabab u tahay xadgudub daacadnimada peritoneum ah, haddii ay jiraan waa hawlgal hore; laser leeyahay faa'iido badan alaabtii caadiga qalliin in kiiska noocan oo kale ah.

Sheelada Gudaha ku yaalla saabka thoracic ama aagga caloosha. meydadka protrusion ka baxsan oo ku yaalla goobaha soo socda:

• qanjidhka;
• on hip la dhinaca gudaha ama dibadda xaggeeda,
• dabanicis lumbar,
• meeshii ay goobta ka perineum iyo miskaha,
• dhinaca hore ee jir ah (epigastrocele);
• in meel kasta oo jidhka ka mid at astaantii ka qalitaanka.

Human Sheelada tilmaamay galay noqnoqonaysa, adag ama aan adag (xaqa ah). Nooca ugu horeeya waxa ka mid ah protrusion a, si joogto ah gow ah qalitaanka ka dib.

Astaamaha sheelo

barar marxaladda bilowga ah waxay dhacdaa iyada oo qaab wareeg ah taas oo uu leeyahay joogta ah oo jilicsan, iyo bukaanka si madaxbanaan u fidi kara cadaadiska iftiinka. Ka dib markii hoos u dhac ku sugan dusha sare ee xuubka hoose markan la taataabasho iridda laga soo galo, saadaalineysa in foomka boosaska ama iin darbiga caloosha oo wareeg ah.

Tirada kala duwan dhagixiina labo ka mid ah saddex milimitir in darsin dhowr sentimitir. Haddii koleyga ee hernial qayb ka mid ah derbiga mindhicirka ama jirkeeda, taataabasho caan ku qeexnayn maqli karo content marinka dhawaaqa qabsaday. Calaamadaha daalid laftiisa naxli Sheelada ka mid ah caloosha oo, lalabo, laab, dibiro, caloolxumo, xad gudub ku ah kaadi.

Sheelada waxaa lagu talinayaa in ay dhacdo xadgudub ah diverticulum ah, taas oo ah waxa lagu gartaa calaamadaha soo socda:

• inta badan waxaa jira a xanuun af badan lama filaan ah ka dib markii miisaanka qaadista, jimicsi, dhantaalan ku saxaroodaan dhif dhacaya aan sabab lahayn;
• barta qaar ka mid ah bukaanka ma, sida ka hor, seal siman, waxa uu noqonayaa mid adag oo xanuun leh;
• oo ay la socdaan calaamadaha hore ayaa retching, niyad of kursi.

Sababaha Sheelada

Dhamaan sababaha kala qaybsan yihiin kaca haysashada shuruud iyo orod. Kooxdu waxay ugu horeysay waxay ka kooban tahay sababo badan:

• cilladaha lagu dhasho ama horumarka aan caadi ahayn oo derbigii ah caloosha,
• sabab qaar ka mid ah, ballaarinta ka mid ah goobaha caloosha daciif dabiiciga ah (bidig iyo siddo inguinal, xuddunta);
• hoos ka mid ah xoog siligga unugyada ay sabab u da 'isbeddel ama daaqa ee jidhka;
• joogitaanka ee meelaha daciif ah caloosha qoonmay ama haddii ay jirto ahaa qalliin, laser soo ugu nabdoon ee la jeexay saaraysa.

Kooxda ayaa soo socda waxaa loola jeedaa jirtid ama keenaysay arrimood waa sababta oo ah cadaadis sii kordhaya gudaha saabka caloosha,

• shaqada ama awoodda ciyaaraha adag;
• caloosha oo soo noqnoqda,
• qufacdo, dabeecadda chronic;
• barar caloosha gudaha ay sabab u tahay hawlaha aan habboonayn ee u shaqeeyo;
• yaaqyaaqsi.

Sidee si loo ogaado eerno

Dhakhtar uu hubsado in sheelo ka dib markii baaritaan bukaanka iyo go'aan ka joogaan nolosha qofka bukaanka ah loo ogaado arrimaha kor ku xusan oo ay bateen. Iyada oo la tixgelinayo dhaawacyo nololeed, qalliin iyo jirka. Si aad u ogaato xubnaha afka ku jira koleyga ee hernial, dhakhtarka waraysi daraasad ah iyadoo la kaashanayo oo ah alaabta iyo qalabka.

Ultrasound ee caloosha iyo protrusions ah oo noo ogolaadaa in ay tixgeliyaan content iyo kala dhaqanka cudurka dhexena cudurada kale. Habka X-ray waxaa loo isticmaalaa sanamyada imaanayn oo ka mid ah bac oo Sheelada iridda.

hababka caafimaad iyo qaliin

Habka ugu muhiimsan daawaynta waa gudbin qalliinka. Xirashada labo taageero waxa lagu qoray kuwa bukaanada qaba sababo halis ah in qaliin, sida isbedel da'da la xiriira ama xinjirowga dhiigga masaakiinta. Soo saarida protrusion la qabtay sida ay qorshaha, haddii bukaanku waa isku diyaarinaya hawlgalka, ama xaaladaha daran, qalliinka waxaa lagu fuliyaa si deg deg ah. Tusaale ka mid ah sida dhacdo aan la qorshayn waxaa strangulated Sheelada xanuunka loo dulqaadan karin ama ileus jirka.

Hawlgalka ayaa ka kooban yahay in ay furan yihiin content koleyga Sheelada iyo baaritaanka. Haddii xubnaha gudaha ma ay waxyeello, waxay hoos u dhigi a, bac iyo iridda la sutured u tirada la mari karin. iridda caaga sameeyaa iyadoo la isticmaalayo unugyada ka bukaan ama isticmaalaya jiil cusub oo qalab dardaro. Waa waafaqsanaanta khasab ah tilmaamaha post-operative dhakhtarka si loo yareeyo khatarta ka mid ah sheelo soo noqnoqonaysa.

Gebogebadii, waa in la sheegay in at calaamadaha ugu horreeya ee protrusion xabadka ama caloosha derbiga waa in isla markiiba la tasho dhakhtar. Qalliinka Sheelada ma aha qalliinka adag oo ah, dhib badan in ay ka fogaadaan dhibaatada ka socda protrusion iyo xanuunka xidhiidh la leh.