Payra ciwo: haddasawa, cututtuka, magani

Akwai 'yan mutanen da suka taba yana da ciwon ciki. A mafi yawan lokuta, da m bayyanar cututtuka dangantawa da tamowa, ko kuma cututtuka na narkewa kamar gabobin kamar gastritis, na ciki da miki ko cholecystitis. Idan ciwon mara kaifi, da mãsu haƙuri yana da tashin zuciya da kuma amai, sau da yawa gane asali appendicitis. Kuma cikin hanyar duk wadannan matsaloli na iya zama Payra ciwo lafiya. Menene wannan cuta da kuma yadda za ta bayyana kanta, bai ma san da kowane likita, don me, da kuma sanya ba daidai ba magani. A wannan yanayin, da mãsu haƙuri ne ba kawai babu wani ci ya auku, amma kuma ya dada tabarbare shi da matsala. A sakamakon haka, shi wajibi ne don warware kawai da aikin tiyata. Don zama adalci a ce asibiti kamu Payra ciwo tushen kawai a kan tarihi da kuma palpation na ciki da kuma ba tare da wani fasaha da bincike na da sakamakon, ainihin wuya. Amma wannan cuta akwai wasu siffofin da cewa rarrabe shi daga sauran gastrointestinal cututtuka. Ga bayani a kan yadda za a gane wannan hatsari ciwo da kuma ko yana yiwuwa in warkar da cutar ba tare da tiyata - mu labarin.

Payra ciwo - abin da yake da shi?

Ka tuna da tankwara makaranta. Duk abincin da muke ci zai fara zuwa a narkewar a ciki, sa'an nan motsa a cikin kananan hanji inda narkewa aiwatar ƙare. Akwai da wadatar abinci a cikin jini ya zo duk da cewa shi ne m, kuma shi ne m ga jiki wuce cikin manyan hanji. A nan, daga wannan taro na ruwa tunawa, da barin wani lokacin farin ciki daidaito sharar cewa muna kira da tumbi. A ciwon yana da dama sassan, mafi tsawo na wanda - da ciwon. Simplistically shi za a iya wakilta a cikin wani nau'i na m bututu da diamita na game 7 cm, kama da baki iyaka da kananan hanji. A ciwon ne zuwa kashi uku segments. Hawa kashi da aka located a gefen dama na ciki. Ya fada wa hanta, wadda aka lankwasa a wani kwana kusa da 90 ° da kuma Saide a mai gangara kashi. Wannan bangare na ciwon kai yankin na baƙin ciki (jiki kwance a hagu na sama quadrant), shi ne lankwasa sake, da ke shiga cikin sauko kashi daga baya a cikin sigmoid ciwon da kuma dubura. Stool, farko ta samar da mafita a cikin kananan hanji, sha duk wannan dogon hanya, a hankali thickened. A sakamakon haka, da fitarwa mun kafa lokacin farin ciki isa ga kirawo yawa. Payra ciwo ko cuta Payra lura a lokacin da na biyu lanƙwasa na ciwon (a cikin yankin na baƙin ciki) shi ne da yawa ya fi girma fiye da shi ya zama physiologically. A wannan lokaci, da diamita daga cikin Gut rami yawa narrower cewa magani ne ake kira stenosis. Ta ƙunƙuntar bude yana da thicken da stool ba su da lokacin da za a motsa da sauri isa ya yi sarari ga Gudun hanya. A sakamakon haka ne irin Mash daga gaskiyar cewa jiki yayi kokarin fitarwa. Sau da yawa kara wa stool gas samar a lokacin da narkewa abinci.

Mene ne hadari Payra ciwo

A cikin kananan hanji cikin jini daga abinci wuce amfani da alama abubuwa, bitamin da kuma sauran abubuwa, kuma duk ba dole ba kuma ko da cutarwa suna forming stool. Kullum da muke da su a kowace rana don kawar da jiki, cewa shi ne, don a yi aikin defecation. Idan stool an jinkirta da ya auku tare da maƙarƙashiya, da jini fara gudãna daga yanzu a cikin wadannan abubuwa masu cutarwa, shi zai fara a hankali a hankali guba na jiki (maye). Wannan shi ne babban Hazard, wanda ya haddasa Payra ciwo. Maye yana da yawa m sakamakon, daya daga wanda za a iya kira immunosuppression. Wannan bi da bi take kaiwa zuwa da cewa rage jure iri daban-daban cututtuka. Bugu da kari, m stool hangula da hanji bango, sakamakon su ulceration, kuma mutum yunkurin maƙarƙashiya iya haifar da bayyanar da basur. Wani tsanani matsalar sa ta ciwo Payra - shi kolonoptoz cewa yana nufin tsallake ciwon. Wannan take kaiwa zuwa hanji toshewa da kuma wani lokacin a volvulus.

etiology

Payra ciwo da aka bayyana ta da Jamusanci likita Irwin Pyro a riga m 1905. Domin fiye da shekaru 100, da na ruwan dare da wannan cuta ya karu da kai kamar 40% na yawan balagaggun jama'a na duniya. ciwon inflection aka lura a nakasar hanji pathological tsarin, kamar wani elongated giciye-kashi na ciwon. Tun da waɗannan ne nakasar anomalies, su haddasawa karya a wani gazawar da samuwar hanji a mataki na amfrayo. Daga cikin su akwai unfavorable yanayi, rashin lafiya da mahaifiyarsa a lokacin daukar ciki, magunguna, miyagun halaye, juyayi da danniya, barasa ciki da kuma sauran influencing dalilai a kan ci gaban da tayin. Medical Statistics gano cewa yara, mahaifinsa da mahaifiyarsa suka sha wahala daga cututtuka na narkewa kamar fili, an haife tare da ciwo Payra mafi kusantar fiye da yara da cikakken lafiya iyaye.

pathogenesis

Payra ciwo cututtuka ne da misali ga mutane da yawa da sauran cututtuka na narkewa kamar fili, sabili da haka sau da yawa kuskure kamu. Marasa lafiya na iya fuskanci:

- maƙarƙashiya.

- tashin zuciya.

- asarar ci.

- zafi a ciki.

- amai.

- kumbura ciki (saboda gaskiyar cewa gas ba zai iya tserewa daga manyan hanji).

- ciwon kai.

- irritability.

Har ila yau shi Payra ciwo iya nuna ta bayyananen wannan:

- paroxysmal zafi na unknown sarrafawa (saboda cunkoso a batu na inflection hanji gas da tumbi).

- ciwo mai tsanani a cikin zukatan da wuri daga cikin area (wani lokacin da suka bayar a karkashin kafada ruwa ko hagu);

- rage zafi, a lokacin da haƙuri ta'allaka horizontally.

Stagnation na tumbi sa kumburi da hanji bango da kuma jefa su cikin kananan hanji da ya auku a Payra ciwo sau da yawa take kaiwa zuwa reflux ileitis. A cikin wadannan lokuta, da kara bayyanar cututtuka na wadannan cututtuka for free:

- gamsai a cikin stool, wani lokaci tare da jini.

- wani karuwa a yawan zafin jiki.

dolichosigma

Daya daga cikin bangarorin da ciwon ne sigmoid ciwon, don haka mai suna saboda da siffar, da ɗan kama da harafin «S». An located kai tsaye a gaban dubura, wanda aiki ne da su fice excreted stool. Dolihosigmoy kira Pathology, a lokacin da wani mutum ya kafa sigmoid ciwon fiye dole anatomically. A daidai wannan lokaci shi ma ya faru unplanned yanayin stagnation na tumbi, da kuma cututtuka kama Payra ciwo. Dolichosigma iya zama ba kawai m, amma samu. An yi imani da cewa sigmoid ciwon za a iya yiwu a sauya tare da dogon lokacin da (a tsawon shekaru), matalauta abinci mai gina jiki, a cikin yin amfani da yawa dabba abinci da kuma carbohydrates, tare da masu zama a gida aiki. Daya daga cikin manyan cututtuka da wannan cuta ne maƙarƙashiya. Har ila yau, marasa lafiya koka zafi a hagu subcostal kuma cibiya, a kan flatulence, overall tabarbarewar a kan kiwon lafiya.

bincikowa da

Payra ciwo a manya da yara suka kamu da ita ba sauki. Medical tarihi da wannan cuta ne sosai kama da sauran matsaloli tare da gastrointestinal fili. Sai ya faru da cewa marasa lafiya da ciwo Payra ko kamu appendicitis, kuma yana da tiyata. A wannan lokaci, akwai wani sosai m Hanyar ganewar asali na wannan Pathology - ergography. Wannan shi ne mafi inganci Hanyar domin sanin da girma daidaito da haƙuri gaban inflection na ciwon. A hanya aka za'ayi amfani barium dakatar. A tsari na gwamnati da haƙuri ne sarrafawa X-ray allo. Lokacin da ciko da ciwon hoto sanya tãre da mãsu haƙuri kwance, da kuma lokacin da emptying da hanji - a tsaye.

Yara da shekaru kungiyar 10-15 shekaru ana amfani da su karatu da ciwon radioisotope Hanyar. Kamar wancan rediyoaktif zinariya colloidal bayani.

Lokacin da ciwo Payra a cikin hoto za ka ga cewa ciwon, kamar garland, sagging a pelvic yankin.

Features Payra ciwo a yara

Abin baƙin ciki Payra ciwo a yara da aka kadan karatu, don haka babu wani tabbatacce shawarwari a kan yadda za a more daidai gane asali da shekaru-dace matasa marasa lafiya, da kuma yadda za a more yadda ya kamata mu bi. Gudanar da kiwon lafiya da masana kimiyya binciken ya nuna cewa 'yan mata da wannan cuta ya auku fiye da sau da yawa fiye da yara maza.

Bayyanuwar da ciwo Payra fara a cikin na farko watanni 12 bayan haihuwa, sau da yawa a lokacin da yaro fara tafarkin. New abinci ya sa ya fi m stool yaro da cewa ya inganta su riƙewa a wurin ciwon inflection.

A farko bayyanar cututtuka da cutar, ya nuna Payra ciwo ne: general bango, na] aukacin kiwon lafiya na yaro bayyana maƙarƙashiya da ciwon mara. Daga bisani kara maye cututtuka (tashin zuciya, amai) saboda jari na tumbi da tsawo da suka tsaya a cikin Gut. Ba tare da lura, yara 12-15 shekaru lura guda cututtuka Payra ciwo, kazalika a manya. Yayin da muke yara da ake zargin ya Payra ciwo, likita dole ne a tabbatar an gano yadda ciki tafi, ko akwai wani iyali na dangi da gastrointestinal matsaloli, don kauce wa kumburi tafiyar matakai a cikin hanji na wani jini gubar gwajin. A karshe ganewar asali ya zama a kan tushen da barium jarrabawa results.

Payra ciwo: magani rage cin abinci

Lokacin da wannan rashin lafiya mai yawa da hankali, marasa lafiya ya kamata a ba su dace abinci mai gina jiki. Abinci ya zama high-kalori, amma a lokaci guda sauki, ba ya dauke da wani yawa na da gubobi. A menu dole ba gida cuku, man shanu, kirim mai tsami, jelly. Don kara hanginsu hanji, marasa lafiya ya kamata gabatar your rage cin abinci whey, kefir, fermented gasa madara, yogurt. Dole ne ba za a yi watsi da sweets, wanda zana ruwa a cikin hanji, wanda na taimaka wa thinning na tumbi da defecation sauki tsari. Marasa lafiya ya ci da yawa daga 'ya'yan, da zuma, da ci' ya'yan syrups.

A gaban da ciwo Payra kamar maƙarƙashiya sauran etiology, shi da amfani sha da kayan lambu da 'ya'yan itace broths drinks, kazalika da freshly sanya ruwan' ya'yan itace na karas da kuma raw dankali.

Dieting ba kawar da cutar, amma shi ne sauƙin gare shi.

ra'ayin mazan jiya magani

Doctors iya sau da yawa ganin halin da ake ciki suna tsõron tiyata da kuma son farko kokarin da wani magani far, marasa lafiya da suke samu Payra ciwo. Jiyya Abin da kwayoyi iya jimre wannan cuta? Doctors iya bayar da shawarar magunguna lactulose. Su za a iya bai wa yara a farkon jarirai. Lactulose da ɗan dilutes stool, qara hanji suna da kuma lokaci guda yi kawaici a cikin Gut na amfani microflora. Manya da kowa tare da maƙarƙashiya saboda dogon lokaci kumburi daga cikin hanji bango ya fara, rubũta anti-kumburi kwayoyi. Domin zafi taimako iya shawara antispasmodics "Drotaverinum" ko "Platifillin" darussa ne ma amfani prebiotics, probiotics, bitamin.

Payra ciwo bi da tare da magani kawai a matakin farko na wannan cuta, da kuma sakamakon da ayan zama short-rayu. A layi daya da kwayoyi likitoci rubũta physiotherapy (electrophoresis da novocaine bayani, paraffin aikace-aikace a kan ciki, diathermy, UHF, wajibi a ciki tausa, da kuma sanya darussan a karfafa ganuwar ta.

m baki

Wannan shi ne mafi inganci Hanyar magani, a cikin abin da duk alamomin bace gaba daya, da kuma har abada, kuma ba a kan lokaci, kamar yadda da wasu hanyoyin magani. Ayyuka suna da za'ayi ta hanyoyin daban-daban, dangane da ilimin Halittar Jiki alamomi. A daya daga cikinsu ɗauke a tsakãtsaki ce laparotomy, resection na mai gangara ciwon Division kewaye a tsakiyar part, kallafa kai tsaye anastomosis. Bugu da ari, mai gangara ciwon motsa laterally karkashin tushe-ciki jijiya da kuma gyarawa da musamman tsari, don haka da cewa bends a yankin na hanta da saifa aka taso keya.

A matsayin na biyu hanya resected jijiya, kullawa da manyan hanji (ciwon-splenic da kuma ciwon-diaphragmatic) laparoscopy kaskantar da splenic flexure domin tanƙwara tafi hanji. The aiki aka yi tare da amfani da likita trocars da electrocautery.

Hada ayyukan suna da za'ayi wa waɗanda suka kamu "Payra ciwo dolichosigma". Reviews da marasa lafiya bayan irin wannan magani ne sosai m. A mutane ne gaba daya zafi, dakatar maƙarƙashiya, da kuma tare da bayyanar cututtuka na maye bace tare da su. A lokacin da a hade aiki, ban da magudi marasa lafiya da ciwon da wani mai gangara rabo splenic flexure aiki laparoscopy resection na sigmoid ciwon.

Outlook

Conservative magani samar da sakamakon a farkon matakai da cutar, amma saboda shi ne ya sa ta daga ilimin Halittar Jiki Pathology a cikin hanji tsarin, kawai tiyata taimaka wajen gaba daya shawo kan cutar Payra. jama'a magunguna Jiyya ne kawai amfani da wani karin. Traditional magani offers infusions da decoctions, thinning stool (laxatives) da kuma wajen inganta motility na hanjinsu. Yana kuma yayi kayan aikin da ƙarfafa tsarin na rigakafi, da inganta general yanayin. Amfani za a iya Boiled plantain, dankalin turawa, ruwan 'ya'yan itace, stewed prunes, bushe' ya'yan itãcen marmari. Yana da muhimmanci a san cewa tare da ciwo Payra enemas suna contraindicated.

A hangen nesa na marasa lafiya da suke yi kawai za'ayi daidai magani, shi ne gaba daya m. Idan Payr cutar fara, akwai iya zama rai-barazanar rikitarwa kamar marurai, ulceration daga cikin ganuwar, basur, kunno kai daga wani m rauni zuwa hanji tumbi.