M ciki ciwo: Bayyanar cututtuka, Sanadin kuma Jiyya

Ciki zafi kawo matsala duka biyu manya da yara. Gastritis, ciki miki, gastroduodenitis, reflux esophagitis, na ciki da ciwon daji - wadannan su ne wasu daga cikin na kowa cututtuka na gastrointestinal fili, wanda sau da yawa juya zuwa kullum mataki. A musamman hadari ne m ciki ciwo. Gaggawa taimako ake bukata. Wannan cuta ba kawai yana sa jin zafi, amma kuma a tsaye barazana ga rayuwar dan Adam. Musamman muhimmanci ne dace magani daga m magani.

Yadda ya yi da definition da cutar

Wannan lokaci a yi amfani da magani don nuna a fakaice m zafi ci karo a cikin kogon ciki da kuma bukatar nan da nan tiyata. m ciki ciwo za a iya lalacewa ta hanyar wani blockage na kogon ciki ko gastrointestinal cuta. Wannan ciwo Hatsarin ga haƙuri da rai.

Definition na ciwo na "m ciki" ya bayyana a cikin likita yi bayan buga littafin Genri Mondora "gaggawa ganewar asali. Belly ", wanda aka buga a 1940. A littafin ake magana a kai a Likita dangantawa - "na ciki bala'i." Shi ne bayan wannan ɗaba'ar a likita yi ya fara tattauna da bincike da kuma magance irin wadannan cututtuka a matsayin m ciki ciwo. Alamun da Sanadin fara gano karin sosai.

Henri Mondor shi ba ne kawai Likita wanda ya bayyana da cutar. Rasha likita N. Samarin binciken wannan jiha, da kuma a cikin littattafai, ya bayar da hujjar cewa haƙuri wannan ciwo ya kamata a dauka zuwa asibiti da sauri sosai. A cikin wallafe, wanda aka buga a 'yan sau, sai ya ce, cewa bayan na farko da bayyanar cututtuka da mãsu haƙuri yana da kawai 6 hours.

cututtuka

Ga wani fahimtar da na asibiti hoto na wani cuta shi wajibi ne don sanin ãyõyinMu. Lokacin da ma'anar wani m ciki ciwo, da wadannan cututtuka:

• Ciwo mai tsanani a ciki.
• High zazzabi.
• Rapid bugun zuciya.
• Amai.
• Zub da jini.
• Shock.

Amma babban kuka da haƙuri da ya rage zafi. Bisa ga sama bayyanar cututtuka, likitoci za su iya yin kuskure kuma dangana su ga sauran cututtuka. Alal misali, zafi na iya zama nuni da jimlace peritonitis, amai - ma'ana zuwa ci abinci mai guba. A sakamakon magani dogara a kan daidai ganewar asali za a kafa nan da nan.

m ciki ciwo: Sanadin

Hanyar da cuta na iya zama saboda:

• Pancreatitis, cholecystitis, appendicitis, peritonitis, ciwon daji ta hanji, embolism, thrombosis, abscesses.
• Karyewa ko perforation na ciki, hanjinsu.
• Karya pancreas, saifa, da hanta, mahaifa, appendages, wanda zai iya a tare da zub da jini a cikin kogon ciki.
• Ileus.
• Cututtuka na gabobin cewa suna located waje kogon ciki.

A ci gaba daga sama, akwai wani rarrabuwa daga cikin Sanadin cutar:

• Kumburi cututtuka wanda bukatar gaggawa m kula.
• M zub da jini a cikin gastrointestinal fili (Mallory-Weiss ciwo, zub da jini miki, anorectal zub da jini, na ciki da ƙari, haemorrhagic gastritis).
• Ciki rauni ko iya shiga rauni, a cikinsa lalace hanta, saifa, pancreas ko hanji.
• Cuta daga cikin gastrointestinal fili, wanda ba ya bukatar gaggawa tiyata (hepatitis, peritoneal carcinomatosis, gastroenteritis, yersiniosis, hanta porphyria, hanta colic, m cholecystitis, pseudomembranous enterocolitis).
• Gynecological cututtuka (dysmenorrhea, azãba mai ciwo a tsakiyar hailar sake zagayowar, salpingitis).
• Koda cuta (pyelonephritis, koda infarction, koda colic, paranephritis, hydronephrosis a cikin m mataki).
• Cututtukan zuciya da (aortic aneurysm, tsokar zuciya infarction, pericarditis).
• Neurological cuta (herniated Disc, herniated SHmorlja).
• Pleuropulmonary (na huhu embolism, pleurisy, ciwon huhu).
• Urogenital cututtuka (ovarian volvulus, m urinary riƙewa).
• Laka rauni (rauni, myelitis), karayar hakarkarinsa, vertebrae.
• Sauran cututtuka (maye a lokacin da guba tare da arsenic, gubar, uremic coma, leukemic rikicin, m coma, hemolytic rikicin, Verlgofa cuta).

Yadda za a gane cutar

Ko da kuwa da yanayin haƙuri likitoci yi ganowa, wanda yana da wani makirci. Ganewar asali na ciwo na "m ciki" shi ne kamar haka:

1. Anamnesis.
2. Bincike na jihar na haƙuri.

A tarihin hada musamman irin jihohi: duodenal miki ko ciki, hanta, koda colic, yadda ake gudanar, voiding ko kujera, gynecological cuta. Doctor farko fa, tã da hankali ga lokaci na zafi da ta sarrafawa, dyspepsia, zazzabi, da cututtuka a gynecology, hailar magudi. Wannan yana da muhimmanci, kamar yadda m ciki ciwo na iya faruwa a sakamakon ovarian apoplexy ko ectopic ciki. Tara duk wadannan dalilai, zai ɗauki lokaci mai tsawo, amma suna zama dole domin a daidai ganewar asali.

Bincike gawarwakin ne dubawa, palpation, feat. Irfan, wani bincike da aka gudanar ta farji, da dubura. Doctor farko fa, tã da hankali ga wani rauni, kodadde fata, rabuwa, dehydration. Bayan jarrabawa likita ya furta wadannan dakin gwaje-gwaje gwaje-gwaje:

• Urinalysis.
• Tabbatar da dalilin da jini kungiyar da kuma RH factor.
• A matakin na haemoglobin, hematocrit.
• ESR.
• Complete jini analysis tura leukocyte dabara.
• Enzymes pancreas da kuma hanta.

Laboratory da karatu ne ba da karshe dalĩli, sabõda haka likita ya furta wani duban dan tayi na kogon ciki, retroperitoneal sarari. Duban wajibi ne don gane munanan cewa ba su da wata hujja na asibiti hoto. Har ila yau, likita ya furta auscultation na ciki don gane hanji motility inganta haƙuri ko rashin hanji sautuna. Bugu da kari ga duban dan tayi, likita ya furta a rectal jarrabawa da farji mata. Wannan yana da muhimmanci, tun da wadannan safiyo iya bayyana zafi a cikin kafafuwa, wanda zai iya dodo a matsayin m ciki. Yana da muhimmanci tactic radiation duba a cikin ciwo na m ciki.

Palpation a cikin ganewar asali da cuta

Wannan hanya na da lifiya kamata a da za'ayi a hankali. Kana bukatar ka ji wani dumi hannunka cewa ne superimposed a kan dukan ciki lebur. Da farko, likita na nazarin m yankunan da koyar da mãsu haƙuri ga m majiyai. Sa'an nan likita palpates ciki m yankunan. A likita ya kamata ba jin ciki hannu a wata dama kwana. Wannan hanya na da lifiya bayyana tsoka tashin hankali, m zafi, infiltrates, ƙari samuwar kuma invaganity.

Instrumental binciken cutar

Lokacin da haƙuri zo a cikin gaggawa dakin, shi ake sa da wadannan karatu:

• Radiography na ciki da kuma thorax, cewa wajibi ne ga bincike Iris jihar (ta motsi, da jari na gas, da ruwa matakin a cikin Gut).
• X-ray bambanci jarrabawa na ciki.
• Irrigoscopy (da ake zargi colonic toshewa).
• Laparoscopy (a wuya lokuta don gane asali).

Ta yaya za a taimaka wa haƙuri

Taimakon farko ga m ciki ciwo ne nan da nan asibiti. A lokacin arin da haƙuri kamata nan da nan za a gano a cikin m sashen.

Effect da kwayoyi a kan haƙuri da yanayin

Taimaka tare da ciwo na "m ciki" ware maganin ciwo. Wannan ya shafi duka narcotic da kuma wadanda ba narcotic analgesics, wanda ba kawai lubricates da na asibiti hoto, amma kuma hana haƙuri da ganewar asali. Bugu da kari, da kwayoyi na iya worsen da yanayin haƙuri, to cire sharuddan na tiyata, na iya haifar da spasm na sphincter na Oddi. Har ila yau, ba a yarda a yi amfani da nootropic, psychotropic, laxatives, maganin rigakafi da kuma sa wani tsarkakewa enema.

magani

Idan duk alamomi ne m na ciki ciwo, magani kunshi a wadannan matakai. A likita iya amfani da spasmolytics - 2 ml bayani "shpy" ko 1 ml "Atropine" intramuscularly ko intravenously. Jiyya da wannan cuta ne m hanya, wanda mai yiwuwa ne kawai bayan karfafawa daga m ãyõyin aiki. Dangane da haƙuri ta jiha ne na shiri domin da aiki iya daukar dan lokaci. A haƙuri wanda aka shigar da zub da jini, hanji toshewa, a Jihar buga, ya kamata a shirya tiyata kawai bayan kawar da rayuwa cuta. Rayuwa cuta (karu a Bcc, rushewa daga ruwa kuma electrolyte balance, dehydration, tabarbarewa daga muhimmanci gabobin, tashin hankali na acid-balance tushe) dole ne faruwa a marasa lafiya shigar a cikin tsanani yanayin.

Lokaci ne na shiri domin aiki ya dogara da haƙuri da yanayin. A cikin gaggawa dakin da mãsu haƙuri dole ne a shigar da bincike a cikin ciki abinda ke ciki don tsammãni. To, ku wanke da ciki kafin gastroscopy da kuma kula da zub da jini idan haƙuri aka shigar da shi cewa. A mafitsara catheter gane asali yiwu raunuka, da kuma mafi muhimmanci - don saka idanu hourly fitsari fitarwa a lokacin transfussion far.

Idan dole, gwamnatin kwayoyi intravenously, jini ko ja jini Kwayoyin bukatar gabatar da wani catheter cikin subclavian jannayẽnsa ga m ƙari na jini hasara, daidaita acid-balance tushe, ruwa-electrolyte rashin daidaituwa, da kuma kayyade tsakiyar venous matsa lamba.

A wannan cuta nuna jiko far:

• A glucose bayani.
• A gabatarwar da electrolyte bayani.
• A gabatarwar da jini-mafita.
• Gabatarwa daga cikin bayani "albumin".
• Gabatarwa na jini, idan ya cancanta.
• A gabatarwar da jini.
• Maganin rigakafi mutanen da ake zargin na hanji toshewa ko perforation na gabobin.

A baya magani farawa, da mafi m ne sakamako da baki. Shiri ga tiyata faruwa a lokaci guda tare da bata aiki.

m ciki ciwo da kuma yara

Pain ciwo a yara na iya zama alama da cututtuka daban-daban. Sau da yawa yana iya zama hangula na mucous membrane, da peritoneum, kuma ba wani m ciki ciwo a yara. Alamun wannan cuta a cikin yara ne guda kamar yadda a cikin manya. A tushen iya zama ba kawai jiki da aka located a cikin kogon ciki.

Sanadin ciwon mara a yara:

• Dysbacteriosis.
• Kumburi daga cikin esophagus.
• Colitis.
• Enteritis.
• Enterocolitis.
• Gastro.
• Duodenitis.
• Gastritis.
• Na ciki miki.
• Reflux esophagitis.
• Ulcerative colitis.
• Maƙarƙashiya.
• Pancreatitis.
• Cholecystitis.
• Hepatitis.
• Tsutsotsi, giardia, roundworm.
• Biliary dyskinesia.
• Hanji kamuwa da cuta.
• Ari.
• Kyanda.
• Karambau.
• Cystitis.
• Pyelonephritis.
• Urolithiasis.

A cikin wani hali, idan akwai wani ciwo - m ciwon mara, ko a matsayin alama daga wani daga cikin wadannan cututtuka, shi ne na farko "kararrawa" kira ga taimako. Schitaetsya da cewa idan mutum isasshe ilimi, kuma yana da wata al'ada, shi ne iya sanin ko a m bayyanar cututtuka a cikin m mataki. Sau da yawa, shi ne ba. Bisa kididdigar da, sa mai tsanani da rikitarwa a m appendicitis mataki shi ne ya yi watsi da haƙuri farkon manifestations da cutar. A kwatsam babu wata azãba mai ciwo - wannan ba wani dalilin da farin ciki, tun da shi iya nuna wani katsewa na inflamed hanji bango. A lokuta da dama, a lokacin da wani haƙuri ne tsĩrar da marigayi, sakamakon tiyata dogara a kan likita na fasaha da kuma postoperative magani.

m ciki ciwo - mai tsoratarwa cuta, musamman ga iyaye. Saboda haka, yana la'akari ne ganin cewa kafin tuhumar da mafi mũnin, shi ne zama dole a san cewa da kowa, na jin zafi a cikin yara ne m appendicitis a wani mataki ko kumburi da appendix da cecum. Yana da muhimmanci a san cewa a m appendicitis a matasa da yara da zafi ne talauci bayyana. Amma yaron lethargic, ba barci, fitina. Jimawa zawo bayyana a cikin abin da gamsai ne ba. Saboda irin wannan alama gauraye da appendicitis guba ko wani hanji kamuwa da cuta.

Yadda za a bambanta appendicitis daga guba ko wani hanji kamuwa da cuta? A zafi na appendicitis faruwa a cikin sama da rabo ko da cibiyarki yankin, amma ba a dama iliac fossa (wurin da appendix aka located). Akwai lokuta inda kananan yara appendix aka located a cikin rectal yankin, a kusa da mafitsara. A wannan yanayin, da saba appendicitis iya gane kawai Likita da mafi kwarewa. Sauran hade bayyanar cututtuka (tashin zuciya, amai da zazzabi) ba ci gaba a wasu lokuta. A hali mai tsanani gangrenous appendicitis leukocytes ba za a iya ƙara, da kuma na ciki tsoka tashin hankali za a iya tsallake.

Yana da muhimmanci a san cewa yara kai unacceptable. Ba wai kawai tare da zafi da kuma ba zai iya wargi gangan bada magunguna ga yara, amma kuma tare da wani sauki sanyi za a trifled da. Enemas, ciki lavage, sorbents ko wasu kwayoyi da za a iya gudanar da abinci mai guba, maye, ko na hanji toshewa, iya tsananta m appendicitis, m ciki ko zai yiwu ciwo. Ya kamata nan da nan kira motar asibiti, ba sa mai da hoto da kuma ba sa likitoci zuwa "ƙarya sawu" kafin isowa. The yaro kada a ba ruwa ko abinci. A cikin akwati inda motar asibiti an jinkirta, kuma da yaron samun muni, za ka iya kira likita, domin ya iya ba da shawara ku a kan yadda za a ci gaba. Har ila yau, a game da kai gida, za ka iya yi da yaron da gaggawa sashen na asibiti.