Tātaritanga pārōnaki o mamae puku. syndrome puku - he aha te mea te reira?

Ki te wheako koe mamae puku, maha wiwi ki te tango i te pire, "Ko-kaukau" ranei "ftalazol", whakapono i ratou i te raruraru ki te pūnaha kūnatu. Heoi, e mamae ana te puku tika ki te take tatini rawa auauhia rānei ki te kopu nga paru ranei. Ko te ara tenei āhuatanga i te wā hauora - syndrome puku. He aha te mea te reira? mai te ingoa i te Latin "puku", e whakamāoritanga rite "te kopu." Ko e katoa e pā ana ki tenei rohe o te tinana tangata, ko te puku. Hei tauira, puku, whēkau, tōngāmimi, kōateate, whatukuhu - he whekau puku, me gastritis, pancreatitis, cholecystitis, colitis me ētahi atu raruraru gastrointestinal - mate puku. Na roto i te faaauraa, syndrome puku - te reira i raruraru i roto i te rohe puku (pakeke, mamae, mania, cramping me ētahi atu mau mana'o kino). A, no te he taua amuamu te mahi manawanui o te tākuta i roto i te pārōnaki tika o tohu, e kore e ki te e hape ki te tātaritanga. Kia kite a pehea meatia tenei e i roto i te mahi, me te aha ko nga āhuatanga o te mamae e pā ana ki ia mate.

kōhao puku Human

Hei hanga i te reira māmā ki te mahi ki te pātai: "? Syndrome puku - he aha te mea te reira" a ki te mārama me pēhea te te riro te reira, e hiahia ana koe ki te āta matau te mea te roto i to tatou puku, e kua reira whēkau rite taunekeneke ratou ki tetahi ki tetahi. Ka taea e kite koe i te pū kai ngongo schematic i runga i pikitia kikokiko, tangatanga puku, whēkau Mamae pu nakahi, tika i raro i te ate rara, kōateate, mahue, i te raro o te tōngāmimi ki te awa mimi, totoro i te whatukuhu. Ko te, rite, e te katoa. I roto i te meka, he hanganga matatini ake to tatou kōhao puku. Conventionally, kua wehea ai ki toru wāhanga. rohe o runga ko - i runga i tetahi ringa - uaua domed karanga HWM. Runga ake reira ko te kōhao rei ki te pūkahukahu. I te tahi atu taha o te wāhanga o runga wehea te i te toharite pera-ka karanga mesentery o te kopirua. Tenei kainga apa-rua, i te tikanga o nei e piri whēkau katoa o te wahi kūnatu ki te hoki o te kopu rererangi. I roto i te wāhanga runga e toru wehenga - ate, repe taiaki me te repe. Ko te wāhanga waenganui o te mesentery atu i te aroaro o te tīmatanga o te papatoiake. Ko roto i te mea tenei wahi o te puku te rohe pito. I te pae hopea, te wāhanga o raro - te wāhi o te peihana iti, i kitea e tetahi wahi whekau urogenital me ngā pūnaha whakaputa uri.
Tetahi abnormalities (mumura, mate, pānga pūkaha me te matū, māuiuitanga hanganga me te whanaketanga) i roto i te tinana o ia o whakaritea i roto i te toru wāhanga te runga ake meinga syndrome puku. I tua atu, i roto i te peritoneum he toto me te lymphatic oko, me te ganglia. I roto ia ratou Ko te haoraora me te plexus kōmaru te rongonui tino. Ko te raruraru iti ki a ratou whakapataritari ano te mamae i roto i te kopu.

Hei whakarāpopoto: Ka taea te meinga syndrome puku e tetahi mohiotia ki te rā, mate gastrointestinal me te pūnaha urogenital, raruraru ki oko toto, me te karere plexus o te peritoneum, te rongo matū (poisoning, rongoā), kōpeketanga pūkaha (pēpēhinga) o waeine pātata katoa e kua kei roto i te peritoneum.

mamae koi

te tikanga ka tīmata tātaritanga pārōnaki o mamae puku ki te tāutu o te wāhi me te āhua o te mamae. Ko te ora-te whakawehi te nuinga, me te uaua ki te kātakí tangata, o te akoranga, he mamae koi. Reira e tupu ohorere, koimutu, maha, kahore whakapataritari tetahi kitea ona take, whakakitea patua, tonu i te meneti torutoru ki te haora.

kia haere tahi te mamae whakapeka i te ruaki, korere, kirika, Chills, sweats matao, mate o mahara. Nuinga o ngā wā, to ratou he wāhi pū (tika, mahue, ki raro, ki runga), e tauturu ki te whakatū i te tātaritanga tuatahi.

Mate meinga e taua syndrome puku - he:

1. tukanga inflammatory i roto i te peritoneum - whakapeka, me te kai paipa whēkau, diverticulitis Meckel, peritonitis, pancreatitis whakapeka ranei cholecystitis.

2. tukuna ai whaturama strangulated ranei.

3. Ko te perforation (perforation, rua) whekau o te peritoneum e puta i roto i mariao pekitīlia me / ranei duodenal me diverticulitis. Reira kia ngā hoki discontinuities ate, haoraora, kōateate, pukupuku kura kākano.

I roto i te wā o te perforation, me te whēkau, me te ora peritonitis o manawanui ko te 100% ti'aturi i runga i te tātaritanga tika, me te ki te kawe i roto i te pokanga akiaki.

rangahau atu:

• whakamātautau toto (ka taea ki te aromātai i te mahi o te tukanga inflammatory, ki te whakatau i te rōpū toto);
• X-hihi (tohu te aroaro ngaro ranei o ngā pūwatawata, faaapiapiraa, whaturama);
• ultrasound;
• ki te mea i reira te mea he māharahara o toto i roto i te wahi kūnatu, hanga esophagogastroduodenoscopy.

mamae ma'i

tupu ratou āta me muri mō ngā marama maha. Iteraa i te wa ano e rite ana ki te puhuki, toia, mauiui to, maha "maringi" i runga i te taha katoa o te peritoneum, kahore te localization motuhake. Ka taea e te mamae ma'i iti me hoki mai ano, hei tauira i muri i te kai. I roto i te tata katoa wā, tohu tenei syndrome puku o mate mau o te kōhao puku. E nehenehe te reira:

1) gastritis (mamae i roto i te wāhanga o runga, whakapairuaki, puku taimaha, te paowa, tokopā, me raruraru defecation);

2) pekitīlia keha duodenal i roto i te tīmatanga o nga wāhanga (o te mamae "i roto i tona kopu," i te puku kau, i te po ranei i muri i te wa poto i muri i te kai, tokopā, regurgitation waikawa, bloating, flatulence, whakapairuaki) me / ranei;

3) kohatu tākihi (mamae i roto i to koutou taha ranei puku, toto onepu me te / ranei i roto i te mimi, urination mauiui, whakapairuaki, ruaki);

4) cholecystitis ma'i (mamae i roto i te wāhanga o runga tika, rohirohi, mangai kawa, iti pāmahana, e kore e haere whakapairuaki, ruaki - i ētahi wā ki te ate, te paowa);

5) cholangitis ma'i (i roto i te mamae ate, rohirohi, yellowness kiri, iti pāmahana, i roto i te mamae whakapeka kia hoatu ai ki te ngakau, me te mo te mata);

6) piro Oncology i roto i te wāhanga tuatahi.

mamae recurrent i roto i ngā tamariki

Ka karanga mamae recurrent, auau i muri i te wā o te wā. Ka taea e ratou puta i roto i ngā tamariki o tetahi tau, me te i roto i ngā pakeke.

I roto i te whanau hou, (e taea te whakaritea e te koi nui-noho karanga, tahurihuri kau, distention puku, kore ki te kai, Buckle hoki, nekehanga nohopuku huru kakau-waewae, regurgitation) he take noa o te mamae i roto i te kopu hei colic intestinal. He āhuatanga nui o te colic intestinal ko e ki riro marino ratou pēpi whakakorenga, ataata, kai pai. Hei whakaea ki te mate āwhina te wera, romiromitia te puku, pi Vodicka. Ki te tamaiti e tipu ake, he o ratou ake tonu enei whakapawera katoa.

He raruraru nui atu nui ko te syndrome puku ki mate somatic i roto i ngā tamariki. "Soma" i roto i te tikanga Kariki "tinana". Ko te ariā o "mate somatic" tikanga tetahi mate o nga okana tinana me tetahi koha congenital riro ranei. Kei te maha kitea Neonates:

1) hopuhopu mate gastrointestinal (pāmahana ake ki nga taumata tino, kore o te kai, lethargy, korere, regurgitation me te ruaki puna, karanga, i roto i ētahi wā, te huri i te tae o te kiri);

2) wahi kūnatu mate (whaturama, whēwhē, me ētahi atu).

Tautuhi ana i te tātaritanga i roto i tenei take e uaua ai i te meka e kore e taea te tamaiti ki te whakaatu i te wahi e mamae ai, me te whakamārama o ratou mana'o. whakamana tātaritanga pārōnaki o mamae puku i roto i nga kohungahunga e te tikanga o whakamātautau atu, pērā i:

• coprogram;
• ultrasound;
• tātari toto;
• esophagogastroduodenoscopy;
• X-ray konu kōhao puku;
• aroturuki pH Esophageal.

mamae recurrent i roto i ngā pakeke

I roto i ngā tamariki pakeke (te nuinga kura tau) me ngā pakeke ai o recurrent mamae puku kia nui i wehea ratou ki e rima ngā kāwai:

• hopuhopu;
• inflammatory (kahore mate);
• taumahinga;
• kikokiko (e pā ana ki te mana ngā);
• microbiological (meinga ngā pirinoa, noho i roto i te wahi kūnatu).

He aha te mamae hopuhopu me te inflammatory, nui atu iti iho ranei mārama. Na e te tikanga te taumahinga? Ki te hoatu e ratou te tātaritanga, me pehea ki te matau, ka te wā "syndrome puku i roto i ngā tamariki"? He aha te mea te reira? Te whakamārama taea e pera te ariā o te mamae mahi: tūroro hoha'a e pā ana ki hūhi puku hoki kahore take kitea me nga mate o te peritoneum. ara whakapono ētahi pakeke e te takoto te tamaiti e pā ana ki tona mamae, ka rite ki te roa rite kihai i kitea e ia tetahi maumaui. Heoi, he āhuatanga taua i roto i te rongoa ki reira, a ka he te reira i reira, ka rite ki te tikanga, i roto i ngā tamariki pakeke atu i te 8 tau. Meinga mamae mahi kia ngā:

1) migraine puku (riro ānini mamae puku, aru e ruaki, whakapairuaki, kai kore);

2) dyspepsia mahi (i tamaiti rawa hauora, te mamae i roto i te wāhanga puku o runga, me te ngaro i muri i te kaupapa whēkau);

3) ritenga intestinal.

Tētahi atu tātaritanga tautohetia i "whakapeka mate viral matehā ki syndrome puku" i roto i ngā tamariki. Treatment i roto i tenei take he tetahi pū, mai i ngā pēpi i tohumate me te maremare, me mate intestinal. E mea pinepine, tākuta tātari nga tamariki, e whai i nga tohu iti o whakapeka mate viral matehā (hei tauira, matao noa), a kore te haamauraa o mate o te wahi kūnatu kitea. Ko te auau o ngā take pērā, me te mate te kōtore tika atu tona kapinga.

syndrome matehā ki puku

Ko atu noa i roto i kōhungahunga me te kura tuatahi tamariki tenei māuiuitanga. I roto i te pakeke, he mea tino onge. I roto i te rongoā, whakapeka mate romahā me te whakapeka mate viral matehā pā ana ki te momo kotahi o ma'i, rite RE (mate romahā) tino noa meinga e wheori, a kua whakawhiti aunoa ratou ki te kāwai o RVI. Ratou tino ngāwari "hao" i roto i ngā rōpū o te tamariki - kura, kindergarten, nurseries. I tua atu katoa romahā rewharewha mohiotia, fakatu'utāmaki nui ko te pera-ka karanga "rewharewha puku" rotavirus ranei. pāngia hoki e ia kia rite ki te mahaha ki syndrome puku. I roto i te tamariki, puta nga tohu o te mate 1-5 ra i muri i mate. Ko te pikitia haumanu ko e whai ake:

• amuamu o mamae i roto i te kopu;
• ruaki;
• whakapairuaki;
• pāmahana;
• korere;
• ihu mātihetihe;
• mare;
• korokoro whero;
• horomia mamae;
• lethargy, ngoikore.

I taea te kite i te rārangi, me tohu mārama o maremare me mate intestinal. I roto i te wā onge, taea tino tapae he tamaiti te mate makariri me gastrointestinal noa e kia mārama te wehewehe kaiwhakaako i waenganui. Ko te tino matatini tātaritanga o mate rotavirus. Kei roto te reira i anga matou immunosorbent, irahiko Microscopy, ngā rerenga E ruia ana, e mau ana i te plurality o tauhohe. E mea pinepine pediatricians pāngia waho taua tätari matatini, anake te faaiteraa haumanu o te mate, me te ki runga ki te kaupapa o te anamnesis. Rotavirus, ahakoa i reira he tohu o te matao, e kore e riro i pangia ki runga whekau matehā me te wahi gastrointestinal, te tikanga te kopirua. Ko te puna o te mate - te tangata e mate ana. Rotavirus tomo ki te tinana o te rangatira hou ki te kai, ringa paru, ngā rā (hei tauira taonga tākaro), whakamahia e te manawanui.

kia maimoatanga o te mahaha ki syndrome puku kia whakahaeretia i runga i te pūtake o te tātaritanga. Na, ki te mea te mamae puku i roto i te tamaiti meinga e hua pathological o mahi faufaa o huaketo romahā, te therapy o te mate e whāriki ana, me rehydration i te fariiraa i sorbents. Ki te kore e rotavirus whakapumautia mate kia tikanga ki te whakarite i te paturopi tamaiti, mai to ratou kahore pānga i runga i te tukumate. Kei roto i te maimoatanga i roto i te fariiraa o sorbents waro whakahohe, he kai, inu nui. Ki te te tamaiti he korere reira, kua whakaritea probiotics. Prevention o te mate ko te werohanga.

mamae Paroxysmal kahore mate whēkau

Hei hanga i te reira māmā ki te whakatau he aha meinga e wehea te syndrome o mamae puku ki ngā kāwai rite ki te wahi i roto i te puku, te wahi e ua ite ratou tino kaha.

mamae Paroxysmal ki kahore he tohu o te dyspepsia puta i roto i te wāhanga o waenganui (mesogaster) me raro (hypogastrium). take pea:

• infestation ki noke;
• Payra syndrome;
• pyelonephritis;
• hydronephrosis;
• ki nga whekau fakasekisualé o te raruraru;
• tukuna ai intestinal (oti);
• stenosis (pēpēhinga) te kātua celiac;
• IBS.

Ki te te manawanui he taua tika syndrome puku, whakaritea maimoatanga te i runga i te pūtake o ngā whakamātautau atu:

• whakamātautau toto matatau;
• matomato feces i runga i hua o kutukutu me mate intestinal;
• urinalysis;
• Ultrasound o te wahi kūnatu;
• ergography (tikanga kurupae konu irrigoscopy);
• Doppler ultrasound o nga oko puku.

mamae puku ki disorders whēkau

kia puta katoa ngā wāhanga e rima o te mamae recurrent i roto i te wāhanga o raro, me te waenganui o te peritoneum i raruraru ki te paru. Take he aha i reira he he taua syndrome puku, nui atu. Tenei ko etahi o ratou:

• helminthiasis;
• He mate pāwera ki tetahi hua;
• colitis ulcerative nonspecific (korere atu i kitea ai, ka taea e hei te kumete ki pirau ranei toto, flatulence, mate o hiahia, ngoikore, whanoke, mate taimaha);
• mate celiac (atu noa i roto i ngā tamariki taitamariki i roto i te timatanga o to ratou kai tamaiti tātai ki pata);
• mate hopuhopu (salmonellosis, campylobacteriosis);
• pathologies i roto i te kopirua, hei tauira, (he roa kopirua sigmoid) dolichosigma, te mamae e tapiritia kōroke roa;
• hē disaccharidase;
• vasculitis hemorrhagic.

puta te huru muri ka te matia, a, rite ki te hua, he oko toto tetere i roto i te whēkau, puta ratou upoo-. Ko te take - ngangau i roto i tohanga toto, me te neke i roto i te hemostasis. Ana tēnei huru Kei te mohiotia ano rite hemorrhagic syndrome puku. Kei te rerekëtanga ia i roto i toru nekehanga o mahi:

Ahau (ngawari) - he ngawari nga tohu, i whakaritea e te mahi o ESR i te toto.

II (waenganui-taimaha) - i reira he mamae hemo i te peritoneum, e whakatika te pāmahana, i reira te mea he ngoikore, me te ānini.

III (kino) - tiketike pāmahana, pāhoahoa nui me te mamae puku, ngoikore, whakapairuaki, ruaki o toto, mimi me feces i konatunatua ki te toto, e taea meinga toto i roto i te kopu, me te whēkau, perforation.

Ki te wheako koe mamae i roto i te wahi o waenganui me te raro o te peritoneum ki whakapae i runga i tetahi raruraru whēkau, tātaritanga ngā:

• tātari toto Toronga (Biochemical me tiritahi);
• coprogram;
• fibrocolonoscopy;
• ergography;
• ahurea kumete,;
• he whakamātautau toto mo paturopi;
• whakamātautau hauwai;
• Endoscopy me unuhanga o te kiko whēkau iti;
• whakamātautau immunological;
• huka ānau.

Mamae i roto i te wāhanga o runga o te puku (epigastric)

I roto i te nuinga o te wā, syndrome puku i roto i te wāhanga o runga o te peritoneum ko te putanga o te horomanga kai me kia whakaatu ano i roto i ngā puka e rua:

• dispepsionnom, e ko roto i te ofatiraa o te puku ( "mamae matekai" haere i muri i te kai);
• dyskinetic (pakaru mamae, he mana'o o opue, ahakoa o te nui o ingested kai, te paowa, ruaki, whakapairuaki).

pea te take o taua tikanga gastroduodenitis, hypersecretion pekitīlia o te waikawa pūhaumāota, mate, noke intestinal, mate pancreatic me / ranei wahi biliary, waimaero motility gastroduodenal. I tua atu, ka taea e te mamae epigastric whakapataritari Dunbar syndrome (māuiuitanga celiac te pūtahi o kātua ka romia e HWM). he congenital, tuku (maha) ranei riro ina tae mai te tangata tupu neyrofibroznoy o kiko tenei mate.

Celiac kātua (nui peka poto haoraora puku) ina e kua riro mai pinea kōpeketanga ki te haoraora, nui whāiti i roto i tona mangai. ai tenei syndrome rere pūroto puku, whakamana tātaritanga te whakamahi i te rerekē X-ray (angiography). Celiac kātua tahi ki ētahi atu oko toto kaiwhakawhiwhi toto ki te kōhao puku nga whekau gastrointestinal. I pēpēhinga te tuku toto, a konei te supply o whēkau matū e tika ana e wahi i roto i te kore tonu, e tika ana ki te hāora fakamasiva (hypoxia) me ischemia. He rite ki te hunga kitea ki gastritis, duodenitis, whewhe pekitīlia Tohu o te mate.

Ki te whakawhanake i te whēkau supply toto kaimahi ite rere pūroto colitis, enteritis. Ki te he i roto i te supply poto te toto ki te ate, whakawhanake kakā me whakautu te repe taiaki ki rahunga i roto i te supply toto o pancreatitis.

E kore e ki kia ngaro ki te tātaritanga, kia kawea i roto i tūhuratanga atu o te tūroro ki te whakapae angina puku. tātaritanga Endovascular - ko tenei ngā tikanga pai i roto i te meka i te uiui nga oko toto na roto i te inputting reira te pū tōngāmimi he āhuatanga X-ray. Ko, te tikanga ka tukua ki te kite i raruraru i roto i te oko toto, kahore pokanga. whakamahia te tātaritanga Endovascular te i roto i te mate katoa o te oko puku. Ki te mea i reira he tohu, waea, me te pokanga endovascular. whakautu taea ki nga amuamu o te angina puku manawanui whakapae:

• mamae tamau i roto i te puku, rawa i muri i te kai, ka e mahi ana i tetahi mahi tinana ahotea aronganui ranei;
• mana'o o te tini me te pakeke i roto i te wāhanga o runga o te peritoneum;
• te paowa;
• tokopā;
• kawa i roto i te kōhao-waha;
• korere ranei, hei kōrero, kōroke;
• pāhoahoa auau;
• hāhā o te manawa;
• otu'itu'iraa i roto i te puku;
• mate taimaha;
• ngenge whānui me te ngoikore.

whakamātautau ā-waho anake o te manawanui, me te tikanga tātaritanga paerewa (toto, mimi, ultrasound) kore e tino ki te rapunga o te mate.

syndrome puku vertebral

Tenei momo o te māuiuitanga ko tetahi o te uaua tino ki te kitea. takoto te reira i roto i te meka e tūroro e mārama tohu o ngā raruraru ki te wahi gastrointestinal (mamae puku, ruaki, te paowa, tokopā, korere kōroke ranei), engari kua meinga ratou e mate o te tuaiwi ranei te tahi atu wahi o te pūnaha musculoskeletal. maha e kore e te tāutu Doctors tika te take tonu, na kawea te maimoatanga i roto, e kore e hua hua. Ko te kupu, kia rite ki tatauranga, e pā ana ki 40% o te tūroro ki te osteochondrosis o te rei, tukinotia hoki ratou mate whēkau kore-whiwhi, me te puku. Ahakoa he kino pikitia ki disorders tuaiwi. Mamae i roto i ngā take pēnei i maha maru, puhoi, e kore tino e pā ana ki horomanga kai, me te ki te whai kōroke korere ranei tūroro, kahore e tukinotia ratou e te tikanga tikanga. Meinga nga mate e whai ake nei e taea vertebral syndrome puku:

• spondylosis;
• scoliosis;
• Kohi o te tuaiwi;
• syndromes e pā ana ki ngā huringa puku i roto i te tīwae tuaiwi;
• syndromes visceral (Guttseyta).

Ko te mea oto, ko te e tūroro amuamu o mamae puku me pathologies wahi kore-kūnatu, maha mohio a rite malingerers. Hei kitea i roto i te take o te mamae puku tākaha, he mea e tika ana ki te whakamahi i ngā tikanga atu o te tātaritanga, pērā i spondylography, X-ray, MRI, rentgenotomografiya, ehospondilografiya me etahi atu.