Perforated ọnyá - ihe ọ bụ?

Perforated ọnyá afọ na-amalite ihe ugboro ugboro na ndị ikom, karịsịa mgbe ọ dị afọ 40. Na-akpata nke a dị nnọọ njọ sikwuoro nke ọnyá afọ na-:

- akpata nchekasị,

- arọ omumu,

- a akwa ndudue ke nri,

- exacerbation nke a n'oge a kara uwa,

- iji ụtaba na ngwaahịa,

- mmanya oriri,

- mmerụ mgbe probing afo.

Against ndabere nke ogologo oge nke homonụ, na Ugboro nrekasi obi na akụkọ ihe mere eme nke onye ọrịa nwere ike ịzụlite a perforated afo ọnyá afọ. Onye ọrịa nwere mkpesa banyere ihe mgbu ka ukwuu na afo, na-amụba ike. Ma perforation nwere ike ime na mberede. Na nke a ọ dị mkpa iji lebara ozugbo iji ọgwụ, n'ihi na nke a ọnọdụ bụ na-egbu egbu.

Mgbe mbụ ogbo, e nwere a ụfụ, dị ka mgbe a mma. Na gastric ọnyá afọ ọrịa bụ ihe mgbu na n'aka ekpe ma ọ bụ gburugburu otubo, na ọnyá afọ 12 duodenal ọnyá afọ - na nri elu quadrant. Ihe mgbu nwere ike e nyere ndị nri ubu, olu, n'okpuru nri ubu. Ma mgbe a awa ole na ole, a doro anya delineation mgbu ọzọ. Ndidi na-echegbu onwe dizziness, oké adịghị ike, ọgbụgbọ. Acha acha, kpuchie na nnyapade oyi ajirija. Ire akọrọ, na a aka. Onye ọrịa dabeere na ya n'akụkụ, afo mọzụlụ ikesiike. Ọ presses ikperè-ya abua ka ya afo ma na-agbalị na-edina ka na. N'ihi na, na nwetụrụ ije mgbu na-abawanye, na nke a nwere ike ime ka vomiting mpiaji. Omume ya erughị ala nke abdominal mọzụlụ. Laboratory egosi nke ọbara na-nkịtị.

Na nke abụọ ogbo perforated ọnyá afọ e ji ihe atụ ọdịmma na mma nke ndidi ahụ ike. Pain blunted, ọbara mgbali, usu na okpomọkụ na-normalized. Ma nke a mpụga mma na-egosi a kpata ajọ esịtidem mgbanwe: nnukwu mgbu belata, n'ihi na e nwere atrophy nke akwara endings na mgbe 8-12 awa nke mmalite peritonitis amalite a oké ahụ ọkụ, tachycardia, sochiri ibelata obi ọnụego na ọbara mgbali dobe.

Na-atọ ogbo mgbu bụ asị ibe na ọdịdị, na-echegbu gburugburu afo. Ọbara na afo ọdịnaya abatakwa abdominal uji eze, iwe na peritoneum. Ke idem, ọ enwekwu igbu egbu, nke na-akpalite Ugboro vomiting, na-agwụ ike na ndidi.

Bloating, nsia peristalsis adịghị ege ntị. On X-ray anya ìgwè nke mmiri mmiri na ikuku n'okpuru diaphragm n'ụdị a mma owuwe ihe ubi. Mgbe percussion dull ụda n'elu imeju region kpamkpam. Tympanic ụda n'elu ebe nke eriri afọ ke afo Nkea na akpa ume na-ada n'elu obi ebe ke nri ọkara nke ahụ mmadụ.

Perforated ọnyá afọ nke afo, nke dị mkpa ịma ihe mgbaàmà nke onye ọ bụla na-eme eme na oku maka ụgbọ ihe mberede na-adọ ha n'ụzọ, a na-ewere otu n'ime ndị kasị dị ize ndụ nsogbu nke peptic ọnyá afọ ọrịa. Ọ bụrụ na e nwere a enyo na ndidi perforated ọnyá afọ nke afo, a ga-emeso ozugbo maka enyemaka ahụike. Ịdabere na onye e kwuru na mma bụ ekwe omume, ebe ọ bụ omume na-agha a oge, mgbe ahụ, ọrịa uche na-ahụ a siri n'aka, nke nwere ike ọgwụgwụ n'ụzọ dị mwute.

Perforated ọnyá afọ nwere ike gwọrọ naanị site ịwa ahụ na a ọgwụ. N'oge na-arụ ọrụ, iwere na biopsy nke afo anụ ahụ na-achị achị si cancer. Ọ bụrụ na mmadụ enweghị ike gaa a ọgwụ eweta maka a ọtụtụ ihe (onye bụ n'ugwu, n'ime oké ọhịa, ebe e nweghị iga ma ọ bụ na ọjọọ ihu igwe), ọ dị mkpa ka ịme atropine subcutaneously, iji belata guzobere gastric ihe ọṅụṅụ na mia ọdịnaya nke afo site na a tube etinyere n'ime gọzie gị Itie. Ma, ọ bụ a na-amanye nwa oge ụfọdụ.

Perforated ọnyá afọ mgbe ịwa ahụ na-achọ a ogologo ọgwụgwọ n'ụlọ ọgwụ, na nnabata na a siri nri na-agwọ jikoro. The mbụ 10 ụbọchị ahụ, onye ọrịa kwesịrị ka a ndina ọzọ, kwa ụbọchị na-ehi ụra na ike. A ọnwa ole na ole mgbe ndị ọrụ na-achọrọ na-eso a pụrụ iche nri iji zere ihe oriri ụfọdụ na-aba n'anya.