M ciki rauni. Lalacewar ciki gabobin. gaggawa

Kulle (m) na ciki rauni - lalacewa ba tare da keta mutunci da ciki bango. Wadannan raunuka kuma ake kira "wadanda ba iya shiga". Duk da haka, da rashin gani pathologies ba da shaida na adana kayan ciki. An Rufe ciki rauni sun hada da lalacewar pancreas, saifa, da hanta, na hanji fili, mafitsara da koda, wanda rinjayar da haƙuri da kiwon lafiya da kuma na iya kai ga mutuwa.

etiology

Dõki ciki an dauki wata babbar hanyar lalacewar kayan ciki. Mafi yawan marasa lafiya shafa a cikin wannan hanya, aka annashuwa a lokacin da rauni. Tsokoki suna hutawa, cewa tsokani shigar azzakari cikin farji sojojin dũka zurfi a cikin kyallen takarda. Wannan inji ne halin lalacewar da wadannan lokuta:

• laifi da batutuwa (harbi ƙulli ko harba ciki).
• fada daga tsawo.
• mota hadarurruka.
• wasanni raunin.
• Indomitable tari reflex, bi da kaifi ƙanƙancewa na ciki tsokoki.
• masana'antu hatsarori.
• bala'o'i ko yaki.

A lokacin da tasiri na tareda žata factor haddasa raunin na ciki bango, gaban kiba da kuma conversely, ãr ko tsoka rauni inji qara hadarin rauni ga kayan ciki.

M asibiti lokuta ake dangantawa rauni, a haɗa m ciki raunuka tare da kashi samu karaya na extremities, kafafuwa, hakarkarinsa, kashin baya, cranio-cerebral rauni. Irin wannan inji sa da ci gaban high jini asara, nauyi da kuma yanayin haƙuri accelerates bayyanar traumatic buga.

Idan wani qananan rauni kamata je mafi kusa gaggawa dakin. Aiki a kusa da nan kowane lokaci, da ma'aikatan za taimakon farko, shata tambaya na asibiti da kuma gaban ciki lalacewa. Kula! A hali mai tsanani yanayin ga wani ya shafa ko zargin katsewa ciki sashin jiki m motsi na haƙuri ne contraindicated. Tabbata a kira motar asibiti.

rarrabuwa

M ciki rauni aka raba bisa ga wadannan ka'idodin:

1. Ba tare da lalacewa gabobin da kogon ciki (bruises, hawaye na tsoka kungiyoyin da fascia).
2. Tare da gaban lalacewar kayan ciki, wanda aka located a cikin peritoneal sarari (hanta karya baƙin ciki sassan fili, mafitsara).
3. Tare da lalacewar shirya retroperitoneal gabobin (pancreas rata, koda).
4. Pathology da intraperitoneal zub da jini.
5. Damage, tare da barazanar da ya faru na peritonitis (rauni m gabobin).
6. Hada lalacewar na parenchymal kuma m gabobin.

zafi ciwo

An Rufe ciki rauni ne halin da farko kuma babban kuka daga tuhuma - fitowan da zafi a ciki. Yana da muhimmanci a tuna cewa erectile lokaci na tura za a iya tare da hanawa da zafi, sa shi wuya a gane asali cutar. A cikin hali na hade raunin da zafi na karye hakarkarinsa da kuma wata gabar jiki, da kafafuwa iya tura da cututtuka da cewa suna lalacewa ta hanyar m ciki rauni, to na biyu wuri.

Torpid lokaci na buga depresses asubahin m yanayi saboda gaskiyar cewa haƙuri ne disoriented ko sõmamme.

A yanayi na zafi, da tsanani da kuma sakawa a iska mai guba da majiyai dogara ne a kan lalacewar da sashin jiki sarrafawa da hannu a cikin tsari. Alal misali, m hanta rauni tare aching zafi, haskakawa cikin dama hannu da dantse yankin. Katsewa na baƙin ciki nuna haskakawa zafi a hagu hannu da dantse. Domin lalacewa na pancreas halin da abin ɗamara zafi, amsa a duka biyu clavicles, kugu, ya hagu kafada.

Katsewa na baƙin ciki, da sakamakon wanda ya yi nauyi ga mãsu haƙuri saboda wuce kima jini asara, tare da wani uku na dukan raunin na ciki rufe. M lokuta na lalacewa ne baƙin ciki, kuma su bar koda. Sau da yawa, likitoci da ta yi aiki a kan haƙuri sake idan bai gani da na asibiti hoto daya daga cikin da dama suka ji rauni gabobin.

Rauni sama na hanji fili, tare da katsewa na bango bayyana wuƙa kaifi zafi da ya bayyana saboda shigar azzakari cikin farji na hanji abinda ke ciki a cikin peritoneal kogo. A kwarjinin da zafi marasa lafiya na iya rasa sani. Lalacewar da ciwon ne kasa m, a bayyananen, saboda abun ciki ba wani karfi acid yanayi.

Sauran asibiti ãyõyi

M ciki rauni bayyana ta amai reflex. A lokuta da katsewa na ganuwar da kananan hanji ko ciki aman dauke da jini clots ko suna da launi na kofi filaye. Irin wannan kadaici daga faeces nuna rauni na ciwon. Raunin dubura tare da bayyanar mai haske ja jini ko jini clots.

Intraabdominal hemorrhage yana tare da wadannan cututtuka:

• wani rauni da drowsiness.
• dizziness.
• fitowan "kwari" kafin idanu.
• fata da kuma mucous membranes zama bluish tinge.
• ragewan jini;
• rauni, kuma m bugun jini.
• m m numfashi.
• bayyanar sanyi gumi.

Damage m gabobin sa da ci gaban peritonitis. A cikin irin wannan Pathology shafi kwayoyin alhakin Yunƙurin a jiki zafin jiki (tare da wani karfi hemorrhage - hypothermia), wanda ba a iya lura da shi ba amai, gastrointestinal motility kama. A yanayi na zafi ne kullum canja, alternating tare da babban soreness na ta wucin gadi bacewar.

Urinary tsarin rauni ko rashin lafiya yana tare da rashin fitsari fitarwa, babban hematuria, m abin mamaki a cikin kugu yankin. Daga baya tasowa busa a cikin crotch yankin.

Lalacewar kayan ciki ba tare da rauni

Bruising na agara na ciki bango bayyana gida na gani canje-canje:

• ƙaruwa.
• yankin Flushing.
• zafi.
• bruises da abrasions.
• hematomas.

Pain rakiya contusion, Littafi tare da wani canji a jikin matsayi, sneezing, tari, defecation.

M ciki rauni iya a tare da hawaye fascia. A haƙuri tanã kai ƙãra wani pronounced zafi, m ji. Akwai tsauri gastrointestinal paresis, kuma daidai da, da tsauri yanayin da mai shãmakacẽwa. Katsewa na tsoka kungiyoyin tare da na gida bayyananen a cikin nau'i na punctate hemorrhages ko manyan hematoma, wanda za a iya sarrafa ba kawai a cikin wuri na rauni, amma kuma nisa fiye.

A karshe ganewar asali "lalace cikin agara na ciki bango" da aka sa a cikin hali na tabbatarwa da rashin ciki pathologies.

diagnostic matakan

Bambanci ganewar asali da haƙuri da yanayin fara da anamnesis da travmogeneza. Bugu da ari definition da suka ji rauni yanayin hada da wadannan hanyoyin da jarrabawa:

1. A general bincike na gefe jini ya nuna duk da ãyõyin m jini da asarar: karu a ja jini Kwayoyin da haemoglobin, hematocrit, leukocytosis a gaban wani kumburi tsari.
2. Urinalysis kayyade babban hematuria, da kuma lokacin da pancreas lalace - gaban amylase a fitsari.
3. Daga instrumental jarrabawa hanyoyin zartar mafitsara catheterization da kuma gabatar da wani bincike a cikin ciki.
4. Duban jarrabawa.
5. Lissafta tomography da igiyar jini bambanci abu.
6. Radiography.
7. Sauran binciken da idan ya cancanta (cystography, rheovasography, ERCP).

bambantawa Pathology

Bincike na kogon ciki da kuma gabobin dake akwai kasance da sulhu da, tun concomitant rauni iya kashe bayyanar cututtuka na lalacewa, outputting da fore asibitin sauran rauni.

Illar cibiyar, samar da zagaye agogon kiwon lafiya, ba zai iya gudanar da duk wadannan bincike da dabaru, don haka bayan da binciken farko na azabtar da aka aiko zuwa asibiti m sashen.

Taimakon farko ga na ciki rauni

Idan ka zargin cewa lalacewar kayan ciki ya bi su da wadannan sharudda:

1. Haƙuri aka sanya a kan wani m surface, samar da wani jihar da hutawa.
2. Don a wurin rauni yi sanyi.
3. Kada ku ba da aka azabtar ruwa da abinci.
4. Kada ku riƙi kwayoyi kafin zuwa na gaggawa taimako, musamman analgesics.
5. Idan zai yiwu, samar da sufuri da makaman.
6. Idan akwai amai, kunna haƙuri ta kai ga gefen, don haka da cewa bai faru ba daga tsammãni.

kiwon lafiya ka'idodin

M ciki rauni bukatar nan da nan baki kwararru, kamar yadda wani m sakamako mai yiwuwa ne kawai tare da dace ganewar asali da jiyya da wuri. Bayan karfafawa daga shafa yanayin da antishock ƙaddara marasa lafiya, m baki. An Rufe raunin bukatar yarda da wadannan yanayi a lokacin gudanar:

• janar maganin sa barci da isasshen tsoka shakatawa.
• matsakaici-midline laparotomy, wanda damar samun duk wuraren da ciki;
• mai sauki dabara, amma wani abin dogara sakamakon ga taron.
• kutse na gajeren duration.
• izlivshuyusya cikin kogon ciki uninfected jini nemi reinfusion.

Idan hanta ta lalace, da bukatar dakatar da zub da jini, excision na nonviable nama, suturing. Katsewa na baƙin ciki, da sakamakon wanda zai iya kai ga kau na jiki, na bukatar sosai bita. A cikin hali na qananan rauni nuna hemostasis suturing. Tare da karfi Gabar lalacewar amfani splenectomy.

Karya fili tare da kau da devitalized nama, a daina zubar da jini, bita duk madaukai gudanar hanji resection idan ya cancanta.

Koda lalacewa a bukatar zuciya da sauransu-shisshigi, amma karfi crushing ko rabuwa na jiki ciyar tasoshin kwashe nephrectomy.

ƙarshe

Forecast rauni daga cikin ciki dogara da gudu na taimako, da inji rauni, na daidai bambanci ganewar asali, sana'a likita ma'aikatan na kiwon lafiya cibiyoyin, don taimaka wa wadanda ke fama.