Chilonda cha perforated ndi vuto lalikulu la zilonda zam'mimba ndi za duodenum, zomwe zimawopsyeza moyo. Nthawi zambiri amayamba mwa amuna, makamaka m'dzinja kapena m'nyengo yamasika, yomwe imakhudzidwa ndi kuwonjezereka kwa nyengo kwa matendawa. Kawirikawiri maonekedwe a perforation amakhudzidwa ndi maganizo ndi maganizo a anthu: motero, panthawi ya nkhondo kapena mavuto azachuma, madokotala amalembetsa matendawa kawiri kawiri kuposa nthawi zonse.
Anthu omwe ali ndi zilonda zam'mimba komanso omwe satsatira chakudya amakhala pachiopsezo chachikulu chotengera chilonda cha perforated mosiyana ndi odwala omwe amatsatira zakudya zoyenera ndikuwoneka bwino.
Zimayambitsa zilonda za perforated
Pali zifukwa zingapo zomwe zimathandiza kuti chitukuko cha matenda a zilonda zam'mimba chikhale chonchi:
- kuchulukitsa kwa kutupa kwa malo okhudzidwa;
- Kuwonjezeka kwa m'mimba mwathu chifukwa chochita mwakuthupi;
- kudya kwambiri kapena kusagwirizana ndi zakudya;
- nkhawa;
- kumeza salicylic acid kapena mankhwala ndi glucocorticoids.
Chilonda cha perforated - zizindikiro
Zizindikiro za chilonda cha perforated chingagawidwe mu magawo atatu.
- Yoyamba imatha pafupifupi maola asanu ndi limodzi, imatchedwa "siteji ya ululu," chifukwa panthaĊµiyi wodwalayo akumva ululu waukulu m'mimba mwa m'mimba. Odwala amawayerekezera ndi nkhonya: ndi ululu woopsa, wowawa kwambiri. Panthawiyi, kusanza kungayambe, wodwala ndi wovuta kudzuka, khungu lake limatuluka komanso thukuta limazizira. Kupuma kumakhala kofulumira komanso mopanda chitsimikizo, kupweteka kwakukulu kumayambitsa, kuthamanga kwa magazi kumachepetsedwa, koma kuthamanga kumakhalabe kosagwirizana ndi zomwe zimachitika: 73 mpaka 80 kugunda pamphindi. Ndi chilonda cha perforated cha duodenum, minofu ya m'mimba imakhala yovuta, kotero kumverera kuli kovuta.
- Pachigawo chachiwiri, chomwe chimapezeka pakatha maola asanu ndi asanu ndi asanu ndi awiri, odwala amapanga chithunzithunzi chowoneka: kuchepa kwa ululu kumachepa, mimba ya m'mimba imasiya kuchepa, ndipo chikhalidwe chonse cha thanzi chimasonyeza kuti matendawa adatha. Koma, omwe ali pafupi ndi wodwala, muyenera kumvetsera khalidwe lake, tk. Kukula kwa peritonitis kungapangitse tachycardia, kumangokhalira kuthamanga, kukulirakulira ndi kuchedwa muchitetezo. Panthawi imeneyi, leukocytosis imayamba kukula.
- Gawo lachitatu likuyamba mu maola 10-12 ndipo chithunzi cha kliniki chikufanana ndi kufalitsa ma peritonitis. Panthawiyi n'zovuta kudziwa chomwe chinachititsa kuti munthu akhale ndi thanzi labwino, choncho ndikofunika kupereka dokotala kumsonkhanowo zonse zozizwitsa.
Kuchiza kwa zilonda za perforated
Chithandizo cha zilonda zam'mimba zimayamba m'bwalo la opaleshoni. Mpaka apo, dokotala amamuyesa wodwala: amamva m'mimba mwake, amamufunsa, amalemba X.
Pachimake choipa, kutsekemera kwa mpweya kumachitika, mankhwala opatsirana amaphatikizidwa, analgesics (osati mankhwala osokoneza bongo) amalowetsedwa.
Pogwiritsa ntchito chilonda cha perforated, opaleshoni imachitidwa pamaso pa wodwalayo kuti ayambe kuwajambulira ndi kafukufuku kuti ayeretse m'mimba ndipo chikhodzodzo ndi catheterized. Anesthetics amajambulidwa ndipo malo opatsirana amachiritsidwa ndi mankhwala ophera tizilombo toyambitsa matenda.
Kuwombera zilonda zam'mimba zimapangidwa ndi kuperewera kwa piritonitis (kawirikawiri ngati chithandizo chamankhwala sichinagwiritsidwe ntchito kwa maola oposa 6 kuyambira chiyambi cha chitukuko cha chilonda cha perforated).
Kudya pambuyo pa zilonda za perforated
Ndikofunika kwambiri pambuyo pochita opaleshoni kuti muyambe kudya chakudya chapadera kwa miyezi yambiri.
Ndi chilonda cha perforated, chakudya chophweka, mchere ndi madzi sungakhoze kutengedwa mochuluka. Patangopita masiku angapo opaleshoniyo, wodwalayo akhoza kupatsidwa madzi osaphatikizidwa ndi mchere, zipatso zamtundu ndi tiyi. Kenaka mukhoza kupereka mazira ang'onoang'ono owiritsa ndi odulidwa tsiku, komanso supu yachakudya, mbatata yosakaniza.
Patatha masiku 10 opaleshoniyo, wodwala amapatsidwa mbatata yosenda, komanso mandimu yophika ndi kaloti. Zakudya zonse zikhale zofewa, osati zokometsera, osati zamchere, osati zonunkhira. Mkate umaloledwa kuwonjezedwa ku menyu pokhapokha mwezi.
Kuchokera ku zakudya mumaphatikizapo muffin ndi mbale kuchokera ku chiwindi, mapapo ndi impso, komanso kusuta fodya, zokometsera zokometsera ndi bowa.