Ileus Hihiri: whakarōpū, take, tohu me te maimoatanga

Ileus - mate, e whakauru ana i te matatini o ngā tohu e kua āhuatanga e te mate tūturu te kanohi ranei o whēkau hauātanga, e rua matotoru, me te kikokore. Ko te kore tūturu o te kaupapa o tetahi momo o te kai, tae atu ki te papatipu mārō, me te wai, a hoki te aroaro o te mumura kaha i roto i te kōhao peritoneal hoki reira. He hihiri, me te mīhini tukuna ai intestinal.

āhuatanga o te mate

ileus hihiri - he ahua motuhake o te mate mea ka puta i roto i te 10% o tūroro ki whēkau tukuna ai. Ki tenei tātaritanga o kaiwhakaako maha pana te hiahia ki te whakakore i te tutukitanga waewae aunoa, i te mea i roto i te hiahia akiaki mō te pokanga.

Te uaua i roto i te Tātaritia tenei mate ngā i roto i te meka e te pathogenesis o ileus hihiri kore āhuatanga e te aroaro o neke mau fifi inu unambiguous me whatiwhatinga kai wahi. I roto i tenei take, anake te whakaiti tūturu poto o ngā tukanga tinana.

Heoi, ko te ati o te mate e takoto i roto i te meka e taea ai te pōrearea neurohormonal i te manawanui, me te pā i te taumahinga o te whēkau iti, me te nui. A feruri i te āhuatanga e whakaawe te takanga o tenei mate rite te arai intestinal hihiri.

Ko te take o te mate

tohua Ahakoa pūtaiao hou e maitai nui me whakatutukitanga i roto i te rongoā, engari e kore kua ia te whakahaere ki te whakaoti i te huarahi motuhake e tīmata te ahua o te mate i roto i te pātai. kia meinga te putanga o taua raruraru rite tukuna ai intestinal hihiri i te āhuatanga e whai ake:

• peritonitis e taea meinga whēkau pancreatitis ranei;
• infarction mesenteric whakapeka;
• megacolon paitini (mate o Crohn, , colitis ulcerative a Hirschsprung);
• huru pūpū (huru postoperative, colic, toto, whētuki puku, piere filosilivá rite te ähua ileus aunoa);
• mate o te natura neurogenic;
• huringa i roto i ngā taumata hormonal (hei tauira, hapūtanga);
• mate pūkoro (hypokalemia, ketoacidosis, uremia, haurangi).

ileus hihiri Whakarōpū

I roto i te rongoā, te tātaritanga o ia he ona ake waehere, te ingoa me te paerewa whänui ana te whakaaetia o te tiaki hauora. Ko reira kahore okotahi me taua mate rite hihiri tukuna ai intestinal. ICD-10 (International Whakarōpū o Diseases) whakarōpū te mate i roto i te pātai e whai ake:

• XI Class "Diseases o te pūnaha kūnatu" (K00-K93);
• Vakai, "Ētahi mate whēkau" (K55-K63);
• waehere tātaritanga - K56.6;
• ingoa - "te Ētahi atu, me te kāore i tukuna ai intestinal."

I roto i te mahi hauora, ki te wehewehe i waenganui i rua momo taketake o te tukuna ai intestinal hihiri:

• mate hukihuki;
• pararutiki.

tukuna ai whēkau mate hukihuki

I roto i te mea nohinohi mahi haumanu, kei te nuinga o te wā tutaki i te reira i roto i te rua ki tetahi atu mate. E mea pinepine te take o te mate ko te mate o te tinana ki te noke pilorospazm ranei, rite ki te putanga o te whētuki whanau. Ano i roto i te tahi atu take o tenei momo o te mate ngā: mate o te pūnaha io, neuroses, dyskinesia.

Peia atu o tenei raruraru e taea e anake i te tikanga o ngā tikanga momo, rite ki te huihui ki wawaotanga hāparapara i roto i tenei take e kore e hanga tikanga.

tukuna ai whēkau mate hukihuki: tohu

I roto i ngā pakeke, puta nui atu pinepine atu i roto i ngā tamariki te mate, engari ko te taua i tetahi tau ona tohu. āhuatanga tēnei mate e huaki ana ohorere. amuamu te manawanui o te whakaeke i ora-poto o te mamae puku, e kore e nei i te localization motuhake.

Tūroro ki tenei tātaritanga i kitea i roto i te tohu e whai ake nei:

• skhvatkopodobnye mamae puku;
• tetere pāhiwihiwi me te mana'o o te tini;
• whakapairuaki, taea ruaki, kōroke.

I ite palpation o te puku te wāhanga mate o te whēkau iti, ko te tino ngohengohe te puku. e kore te raruraru i te tahi atu pūnaha kitea. E kore te mea nui te huru whānui o te manawanui.

Pseudoileus

Fakapapau'i piro ioio pararutiki, haere tahi e te inenga ohorere vivacity mahi hanganga uauaio. Te wehe pūpū me te postoperative ileus pararutiki.

A, no te tupu i te mate rite te whakaongaonga pūpū o te peka pukuaroha o te pūnaha io autonomic. He matatini ake me Genesis atu noa i muri ngā mahi ngā i runga i nga whekau puku ileus Postoperative.

Whakapataritari i te hanganga me te whanaketanga o te mate i te āhuatanga e whai ake nei:

• ngā tukanga inflammatory i roto i te rohe puku;
• maru (whēwhē) wāhi retroperitoneal;
• kitea te pikitia whānui e i muri i te mahi pērā i laparotomy;
• nunu'a o disorders pathological pērā i kiripūkahu, kakā, infarction myocardial;
• mesenteric Thrombosis iaia;
• mate hopuhopu, tae atu paresis paitini.

He maha ngā wāhanga o te mate:

atamira ahau. "Pakaru utua" - he ōrite ki te paresis intestinal postoperative angamaheni. Roa o tohu pumau mo 2-3 ra.

Hipanga II. "Pakaru Subcompensated" - āhuatanga e te meka e reira ko te puku nui, i reira he tohu o te haurangi me te tinana pseudoperitonitis. Ehara i whakarongo reo ioio. He momo o tohumate kitea i runga i radiographs.

Hipanga III. "Disorders Decompensated" - ko te tinana i roto i te āhua o te nui haurangi. Ka taea e koe te mataara i te ngoikore whēkau, ruaki, tirotiro intestinal. He tohu o te ritenga peritoneal, puku pupuhi tino. E whakaatu ana te tātari X-ray he plurality o ngā taumata whakapae o te wai i roto i nga koropiko o nga whekau (iti, me te nui i te wa ano).

IV Hipanga. "Ko te pāpāngia o te wahi gastrointestinal" - i tenei wā ki reira ko te takahi o nga whekau nui katoa mō ngā pūnaha ora tangata. ua mate pūnaha tōraro tonu.

Mai kore te rongoā hou te tīariari ano-whakawhanakehia āhuatanga tātaritanga pārōnaki o ngā pathologies e puta i roto i te wā postoperative, te tātaritanga wawe pera o te mate, ko te tata e taea

ileus pararutiki: Tohu

I roto i ngā pakeke, ka anake whiwhi kino te mate i runga i te whakamārama o te huru whānui. mana'o ia mamae tamau kua maringi e i roto i te natura. Heoi, e kore te mea te reira rite kaha rite i roto i te tukuna ai whēkau mihini. Ruakina poke matomato. tuhia te manawanui tohu te hua exsicosis o te tāoke me ngā paheketanga Cardiovascular.

A, no te putapu ileus pararutiki te puku o te manawanui, i roto i tona taiepa mua taea te kite i te hua i roto i te rōrahi o te paru koropiko neperistaltiruyuschih. Ki te he ngaro tohu peritoneal, na he ngohengohe ki te pa te puku.

No te mea tenei mate, ko te tukanga atamira, me te hua i roto i te wā o te kāwanatanga mate o ino roa te manawanui. I roto i te wāhanga i muri mai kia tuhia te reira tachycardia me hāhā o te manawa, bloating, languid reo peristaltic e e varavara patapata. Ruaki kino.

I roto i te wāhanga whakamutunga, he nuinga koi o huringa morphological i roto i te taputapu uauaio. amuamu te manawanui o haurehu me te nohoanga roa he urination taupetupetu.

tukuna ai intestinal Dynamic i roto i ngā tamariki

He nui ake noa tukuna ai hihiri whakapeka intestinal, e te tino maha kitea i roto i te puka pararutiki tamariki. Ka taea te tāutuhia e te take e whai ake nei, whakapataritari i te whanaketanga o te mate i roto i te kōhungahunga:

• taunutia strangulation ranei tukuna ai;
• peritonitis iti ruia ana ranei;
• whētuki puku;
• kakā;
• empyema;
• disorders o te mahi intestinal.

Tino maha, i ahatia ileus hihiri tamariki i roto i te wā postoperative. meinga ano momo matuatanga pararutiki o te mate e taea e hypokalemia.

Risk o mate i roto i te tamarikitanga ko te mate ka taea o moni nui o inu, me te tote tika ki te ruaki tamau, mate o hiahia, rere konurehu tākihi hypoproteinemia. Pakeke o te huru kia kino ake ngaa e te mana o ngā āhuatanga paitini, me te kitakita kino.

ileus hihiri i roto i whanau hou e taea te pōreareatanga e te maha o te take e whai ake nei:

• prematurity;
• Wawaotanga takahi;
• te whakamahi o te raau taero (tae atu hoatu whanau i roto i hapūtanga);
• gipermagniemiya;
• whakamahi o te taimiri homaitanga whanau;
• te whakamahi i hexamethonium;
• sepsis;
• enteritis;
• mate CNS;
• necrotizing enterocolitis;
• disorders endocrine.

maha puta Dynamic tukuna ai intestinal i roto i ngā tamariki, engari kei te ngāwari pāngia reira me taea maimoatanga wawe. I roto i te take o te māharahara o te aroaro o taua mau faaapiapiraa nui - e kore e kia tukua ki te faahemaraa o te whaiaro rongoā-, a tino piri ki te tohutohu e whakaratohia ana e te mātanga e hāngai ana. putanga whakamate - ko reira whanaketanga rawa taea ki te raruraru pēnei i te arai intestinal hihiri.

tātaritanga o te mate

Tohu o te mate-motuhake, me te marama, e kore e arai i te tukanga o te tātaritanga. Hoatu nga tikanga tātaritanga e whai ake nei:

• hītori hauora;
• whakamātautau o te manawanui;
• X-ray whakamātautau o whēkau i roto i te rohe puku (kiia aroaro o ngā haurehu i runga te taumata wai i roto i te whēkau);
• Ultrasound (e kore e tika i te ako no te mea ehara i te mea tohu feunga mōhiohio);
• Kia hia ngā toto oti.

tukuna ai intestinal Dynamic: maimoatanga

Ko te tikanga, e hāngai ana maimoatanga i te whakakore i te mate take tuatahi e whakapataritari tona whanaketanga (āhua hopuhopu o te mate, kakā, peritonitis me ētahi atu.). I roto i te take te mate ko te putanga o tūkunga paitini pūpū ranei e tika ana maimoatanga momo, e ngā i roto i te therapy tarukino o te tītohu kino e arahi ki tu te ioio paerewa intestinal. Taua therapy taea te rite i te whakauru ki roto ki te tinana tangata o te raau taero pērā i te konutai pūhaumāota, me ki te kūhuka. Na e hiahia ana koe ki te horoi i te whēkau ki te werowero, ki te tika - ki te mahi i te kupu whakataki o te ngongo pekitīlia. I mamae tiketike ai sensations e te fariiraa i painkillers.

I roto i te take, ka hoki maimoatanga e ono haora hauora huru o te manawanui e kore e whakapai ake, whakamana pokanga te. Hoki whakamana pokanga ohotata te i roto i te tukuna ai whēkau congenital.

Tikanga, Kei te mahi o te tango te kanohi o te punuatuna, e kore fakahoko ona mahi. I roto i te wāhanga nui me tangohia colostomy (nono tāwhaiwhai i roto i te taiepa puku i roto i nei neke me te nohoanga i te whai wāhi ki te haere ki te putea motuhake whakanohoia).

Kaua e tango i te wāhanga punuatuna he taea anake i roto i te take o te intussusception. I roto i taua mau huru e taea ki te horapa i te whēkau e mokowhiti ana Air whēkau, me te atu whakahaere te pikitia whānui mā te whakamahi i X-hihi.

Kei maimoatanga Postoperative o kai takitahi, e tei runga i te rōrahi o te wawaotanga hāparapara. Ko te rua ra tuatahi i muri i te pokanga, kia waiho te manawanui i roto i te tūranga Fowler, Me hoki ki te mahi i mahi manawa. Ano hoki i tenei wā ka waha therapy tarukino, disintoxication therapy e ngā, māori o kawehiko pākia, te whakamahi o paturopi whanui-hihinga, āpiha whakaongaonga gastrointestinal ki te tohua - maimoatanga hormonal.

A, no te ai kāfakafá pōauautanga i roto i te wā postoperative patunga, toto, peritonitis, mate piripiri o te peritoneum.

Ki te ileus hihiri, pera me tetahi atu mate, he faufaa kore pera nui maimoatanga me te ārai o tenei raruraru. tikanga ārai ngā:

• te ako o te toenga kawehiko;
• rongoā prokinetic;
• paturopi;
• kai e tika ana e he iti i roto i te ngako, hua miraka me te whakato kai ki te ihirangi tiketike o wāhanga e kore e i digested e te tinana tangata.