Ciki ƙurji: Sanadin kuma Sakamako

Thin serosa - peritoneum - wanda a daya nau'i ko wata ake located a kan hakan sassa na gabobin, yana da takamaiman m Properties. Alal misali, a cikin hali na kumburi, shi zai iya delimit da abin ya shafa yanki, forming ciki ƙurji. A likita irin harshe na dabam shi ne ake kira "soldering", da cewa shi ne, da samuwar adhesions tsakanin m gabobin don haka kamar yadda samu rufaffiyar sarari.

definition

Ciki ƙurji - a surkin jini kumburi wani sashin jiki ko kuma wani ɓangare daga gare ta, tare da kara narkewa nama da kuma kwantena samuwar kogo a kusa da shi. Yana za a iya kafa gaba daya a wani "kasa" da kogon ciki da kuma tare da bayyanar cututtuka na maye, da zazzabi da kuma sepsis.

Bugu da kari, da mãsu haƙuri zai fi zafi, ya lura Tsaro na ciki tsokoki, zai yiwu tashin zuciya da kuma amai. Wani lokaci, a cikin mai tsanani lokuta, adhesions sa hanji mai shãmakacẽwa.

epidemiology

Ciki ƙurji, ba mamaki, samar da wadannan m da kuma hanyoyin da aka fassara a matsayin mai wahala, irin wannan magani. A ra'ayi na girma a cikin yawan ayyukan yi a shekara, yawan irin wannan rikitarwa kuma qara murtukẽwa. A muhimmiyar rawa a cikin wannan ne rage na rigakafi da kuma tartsatsi amfani da maganin rigakafi a kwayoyin kafa zaman lafiya da kuma hampers rigakafin postoperative rikitarwa.

Bisa ga karshe na extras, kashi daya daga m marasa lafiya tasowa postoperative ƙurji. Wannan adadi ne mafi girma idan baki ya gaggawa da lokaci a kan preoperative shiri da aka ba.

hadarin dalilai

Babban hadarin factor, saboda wanda yana iya zama wani ƙurji na kogon ciki - shi ne, ba shakka, cavernous tiyata. An fi faruwa bayan jiyya ga pancreatic cututtuka, gall mafitsara, hanji madauki stitching.

A bayyanar kumburi saboda daukan hotuna da hanji abinda ke ciki a cikin peritoneum, kuma ta samu a cikin aiki dakin. Yana iya lalacewa ta hanyar m ciki rauni. A wuri na matsawa samar aseptic kumburi, wanda daga bisani ya koma sakandare Flora.

Fiye da rabin da ƙurji ne ko dai parietal (parietal) yanki na peritoneum, ko tsakanin ta parietal da visceral zanen gado.

dalilai

Ciki abscesses (ICD10 - K65) na iya zama da sakamakon rauni da ciki, misali, dogon compressions ko tura, cututtuka na hanji tube (iersiteoz, salmonellosis, typhoid zazzabi), ci gaba na kumburi tafiyar matakai a gabobin ko mucosa, kazalika bayan da perforation ulcers daga cikin ciki, ko kuma hanjin.

Akwai uku main dalilai:

1. A gaban sakandare peritonitis saboda katsewa da appendix, insolvency hanji anastomoses bayan na ciki gudanar, necrosis na pancreatic kai, ciki rauni.
2. Surkin jini kumburi da pelvic gabobin, kamar salpingitis, sigogi piosalpinks, tubo-ovarian ƙurji da sauransu.
3. M kumburi da pancreas da kuma gall mafitsara, ulcerative colitis.

Bugu da kari zuwa sama, wani lokacin cikin hanyar da ƙurji iya zama kumburi da perinephric nama, osteomyelitis, lumbar kashin baya, tuberculous spondylitis. Mafi sau da yawa a cikin kumburi seeded staphylococci, streptococci, clostridia da isherihy, watau Flora, wanda kullum na iya faruwa a cikin hanjinsu.

pathogenesis

Ƙurji postoperative ciki bayyana saboda matsanancin dauki na rigakafi da tsarin shiga tsakani a ciki yanayi ko haifuwa na kwayoyin. A wakili iya shiga cikin peritoneal rami da jini ko Lymph, kazalika da seep ta cikin hanji bango. Bugu da kari, akwai ko da yaushe wani hadarin kamuwa da cuta da likita ya sanya hannunsa, kayayyakin aiki, ko kayan a lokacin aiki. Wani factor protrude gawarwakin sadarwa tare da waje yanayi, kamar da fallopian shambura ko hanjinsu.

Ba za mu iya ware bayyanar kumburi infiltrates bayan iya shiga ciki raunuka, ulcers da perforations bambanta rarrabuwar sutures bayan tiyata.

Peritoneum reacts zuwa bayyanar da stimulating factor (kumburi) stereotypically, wato, shi ya haifar da fibrin a kan bãyan tẽkun, wadda za ta haduwa tare rabo daga cikin mucosa da haka delimits hearth daga lafiya nama. Idan wannan kariya an hallaka a sakamakon da ruɓaɓɓen jini, da kumburi detritus gudana a cikin Aljihuna na ciki da kuma shelving sarari. Tare da ci gaban irin wannan labari ambaci sepsis.

cututtuka

Abin da ya faru ga wani mutum a lokacin da ya kafa na ciki ƙurji? Cututtuka su ne kama da wani kumburi cuta:

1. High, kwatsam farko na zazzabi tare da jin sanyi da kuma profuse gumi.
2. Zane zafi a ciki, wadda aka Littafi ga tabawa ko matsi.
3. M urination, a matsayin peritoneum aka mĩƙe da shi irritates da mafitsara bango baroreceptors.
4. Stool tafka magudi a cikin nau'i na maƙarƙashiya.
5. Tashin zuciya da kuma amai da a tsawo na zazzabi.

Bugu da kari, da mãsu haƙuri iya zama palpitations. Yana faruwa a saboda dalilai guda biyu: a zazzabi da kuma maye. Kuma kamar yadda wani pathognomonic alama ne tsoka tashin hankali latsa. Wannan shi ne m reflex, wanda ya hana kara cuta da inflamed yankin.

Idan da ƙurji is located kai tsaye a kasa cikin diaphragm, a Bugu da kari ga kowa bayyanar cututtuka su ne wadanda suka nuna ga wannan fasalin. A farko bambanci shi ne, zafi da aka sarrafa a cikin hypochondrium, ya karu a lokacin wahayi da ta haskake da scapular yankin. Bambanci na biyu - wani canji a Gait. Man fara involuntarily kula da marasa lafiya da leans zuwa ga mata, don rage tsoka tashin hankali.

rikitarwa

Ciki abscesses (ICD-10 - K65) na iya zama undiagnosed idan tasowa a kan bango na sauran tsanani yanayi, ko da haƙuri ba neman taimako. Amma ya kamata mu tuna cewa a sakamakon da m hali iya ci gaba rayuwa-barazanar yanayi, kamar sepsis da kuma yaxuwa a peritonitis.

Subdiaphragmatic abscesses za a iya narkar da kuma budewa karya a cikin pleural rami, forming adhesions akwai. Irin wannan labari zai ma da kai ga huhu rauni. Saboda haka, idan bayan tiyata, ko cũta, ku da zazzabi ko wani zafi, bã su fatan cewa duk zai wuce ta kanta. A wannan fitowar ta karin dubawa ba zai iya ji rauni.

bincikowa da

Postoperative ciki ƙurji a wani asibiti gane fairly sauƙi. A mafi m hanyoyin su ne x-ray, duban dan tayi, CT da MRI na kirji da ciki gabobin. Bugu da kari, yana yiwuwa ga mata su sa a huda farji vault duba ko akwai wani surkin jini zane a gangaren yankunan.

Har ila yau, kada ka manta game da dakin gwaje-gwaje ganewar asali. A general, bincike na jini za a iya lura da wani kaifi karuwa a erythrocyte sedimentation kudi (ESR), wbc zai yi ban mamaki miƙa zuwa hagu, yana yiwuwa ko don matasa siffofin da cikakkar yawan Kwayoyin zai kara saboda neutrophils.

Standard a cikin ganewar asali ƙurji ne na ciki duban dan tayi. Akwai hujjoji bayyanannu da cewa nuna gaban kumburi infiltrate:

• samuwar yana bayyana shaci da kuma m kwantena.
• ciki shi ne wani ruwa;
• abun ciki inhomogeneous tsarin da aka raba yadudduka.
• Shi ne sama da ruwa da gas.

Jiyya na ciki abscesses

Babban Hanyar magani daga abscesses, ba shakka, shi ne tiyata. Wajibi ne a lambatu da ƙurji rami tare da antiseptic wanka da kwayoyin bayani. Conservative magani ba ya bayar da wani tabbacin cewa kumburi bice, da kuma ruwa cikin wani ƙurji kanka kwashe.

Hakika, bayan mayar da hankali an cire, da mãsu haƙuri ake bukata don rubũta antimicrobial far ga m bakan kwayoyin. Yawancin lokaci, likita ya furta wannan lokaci da biyu kwayoyi tare da daban-daban sunadaran da mataki da kuma yadda ya kamata halakar da daban-daban da wakilan na da ake dasu Flora.

Ko da yaushe daraja yi gargaɗi ga haƙuri da yiwu sakamakon da magani, kamar amai, rashin ci, kumburi da papillary Layer na harshe, ciwon kai, kuma m urination. Kuma zuwa ga likita ya kamata su tuna da su, kuma ƙara su zuwa asibiti hoto da cutar.

Hasashen da kuma rigakafin

Ciki abscesses (code ICD 10 - K65) - quite wani tsanani wahala, don haka marasa lafiya da likitoci kamata halarci zuwa ga rigakafin, da wannan yanayin. Wajibi ne a mayalwaci da kuma cikakken mu bi kumburi cututtuka da wani daga cikin kogon ciki, tabbatar da gudanar da xabi'a kuma post-gudanar da shiri na haƙuri, kazalika da-haifuwa kida da Likita hannuwanku.

Mutanen da ake zargin appendicitis ko a yanayin kwatsam Yunƙurin a zazzabi lallai ba ne su jira da wata ãyã daga sama, kuma ya kamata ka nan da nan tuntubar likita domin shawara. Yana iya ajiye your rayuwa da kuma kiwon lafiya.

Mace-mace daga ciki ƙurji kai arba'in bisa dari. A duk ya dogara kan yadda tartsatsi cikin tsari, inda aka located da kuma yadda shi ya sa cutar. Amma tare da lura dace zuwa asibiti da alama na wani ya fi karfinsu sakamako ne rage.