Ba'an caloosha syndrome: Calaamadaha, Sababaha iyo Daaweynta

Calool xanuun keeno dhibaato badan, waayo, dadka waaweyn iyo carruurta. Gaastiriko, boog gastric, gastroduodenitis, esophagitis reflux, kansarka gastric - kuwani waa qaar ka mid ah cudurada ugu badan ee mareenka caloosha iyo mindhicirka, taas oo inta badan leexdo xagga marxaladda chronic. khatar A gaar ah waa ba'an syndrome caloosha. gargaar degdeg ah ayaa loo baahan yahay. Cudurka Tani ma aha oo kaliya wuxuu sababaa xanuun, laakiin sidoo kale khatar ku ah si toos ah nolosha aadanaha. Aad iyo aad muhiim u tahay daaweynta waqtiga daaweynta qalliin.

Sidee qeexidda cudurka

Ereygan waxa loo isticmaalaa in daawada si loogu yeero xanuun ba'an kala kulantay saabka caloosha iyo u baahan qaliin degdeg ah. ba'an syndrome caloosha waxaa keeni kara xannibaad ah ee saabka caloosha ama cudur mindhicirka. syndrome Tani waa khatar dhab ah nolosha bukaanka.

Qeexidda syndrome ee "caloosha ba'an" muuqday dhaqanka caafimaad ka dib markii daabacaadda buugga Genri Mondora "ogaanshaha xaaladaha degdegga ah. Caloosha ", kaas oo la daabacay 1940. Buuga gudbiyo micne qalliin - ". masiibo caloosha" Waxaa ka dib qoraalkan ku dhaqanka caafimaad bilaabeen inay ka doodaan baaritaanka iyo daawaynta cudurada sida ba'an syndrome caloosha. Calaamadaha iyo Sababaha bilaabeen inay sahamiyaan more si fiican.

Henri Mondor aan ahaa dhakhtarka qalliinka oo kaliya kuwaas oo ku tilmaamay cudurka. Dhakhtar Ruush N. Samarin bartay gobolka this, iyo buugaagta uu, uu ku dooday in bukaan-socodka this syndrome waa in loo qaaday isbitaal si dhakhso ah. In publications, uu lagu daabacay dhowr jeer, isagu wuxuu leeyahay, in ka dib markii koowaad ee lagu garto bukaanka uu leeyahay saacadood oo keliya 6.

calaamadaha

Waayo, fahamka sawirka caafimaad ee cudur waxaa lagama maarmaan ah in la ogaado calaamadaha. Marka macnaha ah syndrome caloosha ba'an, calaamadaha soo socda:

• Xanuun daran ee caloosha.
• heerkulka sare.
• garaaca wadnaha oo degdeg ah.
• Matag.
• Dhiig.
• Shoogga.

Laakiin cabashada ugu weyn ee bukaanka ayaa weli xanuun. Iyada oo ku saleysan calaamadaha kor ku xusan, dhakhaatiirta ay qaladaad sameyn karaan oo iyaga u yeelaan cudurada kale. Tusaale ahaan, waxaa laga yaabaa in xanuun muujinaysaa peritonitis guud, matag - dhibic si ay cunto lagu sumoobo. Natiijada daaweynta ku xiran tahay cudurka saxda ah si dhaqsi ah ku xoogaysan doonaan.

syndrome caloosha ba'an: Sababaha

Sababta cudurka laga yaabaa sababta oo ah:

• Ganaca, cholecystitis, qabsinka, peritonitis, kansarka mindhicirka, lungemboli, thrombosis, soo bax.
• Fasaxyada ama daloolin ee caloosha, xiidmaha.
• Jebiyo xameetida, caajisnimo, beerka, ilmo galeenka, appendages, taas oo ay wehlin karaan dhiig galay saabka caloosha.
• Ileus.
• Cudurada xubnaha in yaalaan banaanka saabka caloosha.

Socota ka kor ku xusan, waxaa jira kala soocidda ka mid ah sababaha keena cudurka:

• cudurada bararka oo u baahan daryeel qalliin oo degdeg.
• dhiigbax ba'an ee mareenka caloosha iyo mindhicirka (Mallory-Weiss syndrome, dhiigbaxa boog, dhiig anorectal, buro gastric, gastritis haemorrhagic).
• trauma Calool ama boogta cabaar, Gudaheedana waxaa burburay beerka, beeryarada, beeryarada ama xiidmaha.
• Xanuunka of mareenka caloosha iyo mindhicirka, taas oo aan u baahnayn qalliin degdeg ah (hepatitis, carcinomatosis xuubka hoose, caloosha, yersiniosis, porfyri cagaarshowga, calool xanuun, cagaarshowga, cholecystitis ba'an, enterocolitis pseudomembranous).
• cudurada dumarka (dysmenorrhea, syndrome daran dhexe ee wareegga caadada, salpingitis).
• cudurka kelyaha (hurgumada kilyaha, Wadnaxanuun kelyaha, calool kelyaha, paranephritis, hydronephrosis in marxaladda ba'an).
• cudurrada wadnaha (aneurysm aortic, Wadnaxanuun myocardial, pericarditis).
• cudurka maskaxda ah (disc herniated, SHmorlja herniated).
• Pleuropulmonary (lungemboli, pleurisy, pneumonia).
• cudurada Fistula (xidhmo ugxansiduhu, haynta kaadida ba'an).
• dhaawac lafdhabarta xadhig (trauma, myelitis), feeraha jabay, araxda.
• cudurada kale (Khamrada Jannada marka la arsenic, lead, kooma uremiskt, dhibaatooyinka leukemic, kooma macaanka, dhibaatooyinka hemolytic, cudurka Verlgofa sumoobay).

Sida loo aqoonsado cudurka

Marka laga xaalad ka mid ah dhakhaatiirta bukaanka qabtaan Baadhista xanuunada, taas oo uu leeyahay nidaamka gaar ah. Garashada syndrome ee "caloosha ba'an" waa sida soo socota:

1. Anamnesis.
2. Baarista ee gobolka bukaanka.

taariikhda waxaa ka mid ah waddamada gaar ahaan sida: boog dyspepsia ama gastric, cagaarshowga, calool kelyaha, hawlaha, gadh wadeenka ama kursi, cudurada dumarka. Doctor horeysay barbaro wakhtiga ugu xanuun iyo deegaamaynta, dyspepsia, heerkulka, cudurrada la soo dhaafay ee dumarka, khaladaad caadada dareenka. Tani waa muhiim, sida ba'an syndrome caloosha laga yaabaa inuu dhaco iyadoo ay sabab u apoplexy ugxansiduhu ama uurka ectopic. Ururinta arrimood oo dhan, waxaa laga yaabaa inay qaadato muddo dheer, laakiin ay lagama maarmaan u yihiin ogaanshaha sax ah.

meydadka Baarista waxaa kormeerka, taataabasho, durbaanka, daraasadda uu sameeyay iyada oo siilka, futada. Doctor horeysay barbaro in itaaldarrada, jirka oo caddaado, isa-soociddiisa, fuuq dareenka. Baaritaanka ka dib markii dhakhtarku kuu qoro imtixaanada soo socda shaybaarka:

• Urinalysis.
• Determination of kooxda dhiigga iyo factor Rh.
• Heerka hemoglobin, hiimotokiriit.
• ESR.
• Falanqaynta dhiig Buuxi geeyay formula leukocyte.
• Falgalka xammeetidu iyo beerka.

waxbarashada Laboratory ma yihiin amarka ugu dambeeya, si dhakhtarku kuu qoray ultrasound ah ee saabka caloosha, meel retroperitoneal. Ultrasound waxaa lagama maarmaan ah in la ogaado aan caadi ahayn waxaa laga yaabaa in aan qabto a sawir caafimaad oo cad. Sidoo kale, dhakhtarku kuu qoray auscultation ee caloosha si loo ogaado motility xiidmaha hagaajinta bukaan ama la'aanta dhawaaqa mindhicirka. Waxa intaa dheer in ultrasound, dhakhtarka kuu qoray baaritaanka malawadka iyo dumarka siilka. Tani waa muhiim, tan iyo sahan, kuwaas oo muujin kara xanuun ee miskaha, taas oo isu ekaysiiyaan karaa sida caloosha daran. Waxa kale oo sahan shucaaca xeelad muhiim ah in syndrome ee caloosha ba'an.

Taataabasho in ogaanshaha cudurka

Qaabkan cudurka waa in si taxadir leh u qaadeen. Waxaad u baahan tahay si ay u dareemaan gacanta diiran oo la superimposed on guri oo dhan caloosha. First, dhakhtarka baadhintaan meelaha aan xanuun lahayn by barayay bukaanka in dareenka xun. Markaas dhakhtarka palpates meelaha xanuun caloosha. dhakhtarka waa in aan dareemi gacanta caloosha xagasha midig. Qaabkan ah ogaanshaha waxyooday kacsanaanta muruq, xanuun ba'an, waa dhexgalay, formation buro iyo invaganity.

cudurka waxbarasho xarkaha

Marka bukaanka qolka xaaladda degdegga ah ee soo gaaray, waxaa loo xilsaaray daraasaadka soo socda:

• Raajada oo ka mid ah caloosha iyo thorax, waa lagama maarmaan u ah gobolka iris ogaanshaha (ay socodka, raasamaal ee gaaska, heerka dareeraha ah ee mindhicirka).
• X-ray baaritaan duwan ee caloosha.
• Irrigoscopy (shakisan yahay xirma colonic).
• Laparoscopy (xaaladaha adag tahay in la ogaado).

Sida loo caawiyo bukaanka

Gargaarka degdegga ah ee loogu talagalay ba'an syndrome caloosha waa daaweyn degdeg ah. Inta lagu guda jiro isbitaal bukaan-socodka waa in si deg deg ah loo aqoonsado in waaxda qalliinka.

Saamaynta daroogada xaaladda bukaanka

Caawimada syndrome ee "caloosha ba'an" saarayso xanuun joojiyaha. Tani waxay khusaysaa analgesics maandooriyaha iyo non-maandooriyaha labadaba, oo ma aha oo kaliya lubricates sawir caafimaad, laakiin sidoo kale hor joogsan cudurka bukaanka. Intaa waxaa dheer, daawooyinka ka sii dari kara xaaladda bukaanka, in meesha laga saaro shuruudaha qalliinka, waxay keeni kartaa misko endetarms- of Oddi. Sidoo kale looma ogola in ay isticmaalaan nootropic, psychotropic, caloosha jilciya, antibiotics iyo saaray enema ah daahirintiisa aawadeed.

daaweynta

Haddii dhammaan muujinaya yihiin ba'an caloosha syndrome, daaweynta ka kooban yahay in talaabooyinka soo socda. Takhtarka ku isticmaali kartaa spasmolytics - 2 ml xal "shpy" ama 1 ml "Atropine" intramuscularly ama faleebo. Daaweynta cudurkan waa qalliin, taas oo suuragal ah keliya marka xasilinta astaamaha aasaasiga ah ee hawsha. Iyadoo ku xiran gobolka bukaan-socodka ah ee diyaarinta hawlgalka laga yaabaa inay qaadato waqti qaar ka mid ah. Qof bukaan ah oo la qirtay in dhiig bax, xirma xiidmaha, ee gobolka a of shock, waa in loo diyaar garoobo qalliin oo kaliya ka dib markii tirtiridda cudurada dheefshiidka. cudurada dheefshiidka (hoos u dhac ku BCC, carqalad oo biyo ah iyo elektrolytka dheelitirka, fuuq-bax, cillad ka mid ah xubnaha muhiim ah, qas ah dheelitirka acid-saldhig) waa inay dhacdaa in bukaan qirtay in xaalad halis ah.

Time of diyaarinta hawlgalka ay ku xidhan tahay xaalada bukaanka. In qolka gargaarka degdegga ah waa in bukaanka geli baaritaan ka kooban yahay caloosha, waayo, rajo gelin ah. Markaas maydho caloosha ka hor inta gastroscopy iyo xakamayso dhiigbaxa haddii bukaanka loo oggolaaday in. tuubada kaadi ah si loo baadho dhaawacyo suurto gal ah, iyo ugu muhiimsan - si ay ula socdaan wax soo saarka kaadida saacadiiba inta lagu guda jiro therapy shubo.

Haddii loo baahdo, maamulka daroogada intravenously, plasma ama unugyada dhiigga cas u baahan tahay inay soo bandhigto tuubo xidid ku subclavian for badalkooda deg deg ah oo dhiig la'aan, caadi ah dheelitirka acid-saldhig, dheelitir la'aanta biyo-elektrolytka, iyo go'aaminta cadaadis arooriyaha dhexe.

In cudurkan muujinaysaa therapy galiyey:

• Xalka glucose.
• hordhaca ah ee xal elektrolytka ah.
• hordhaca ah ee plasma-xal.
• Hordhac of xal "Albumin".
• Hordhac dhiigga, haddii loo baahdo.
• hordhaca ah ee plasma.
• Antibiyootikada oo lagu tuhmay xirma mindhicirka ama daloolin xubnaha.

Daaweyntu waxay hore bilaabo, ayaa in ka badan wanaagsan waa natiijada waxqabadka. Diyaarinta qalliinka ka qaadataa meel waqti isku mid ah ula socod degdeg ah.

syndrome caloosha ba'an iyo carruurta

Xanuun syndrome ee carruurta waxaa laga yaabaa inay calaamad u ah cudurro kala duwan. Inta badan waxaa laga yaabaa in cuncun ee darbiyada duufka, peritoneum ah, oo aan lagu syndrome caloosha ba'an ee carruurta. Calaamadaha cudurkan in carruurta la mid yihiin kuwa dadka waaweyn. Isha laga yaabaa in kaliya ma ahan jirka ee ay ku taalaa saabka caloosha.

Sababaha calool xanuun in carruurta:

• Dysbacteriosis.
• Caabuq ku hunguriga.
• Ulcerös.
• Enteritis.
• Enterocolitis.
• Calool.
• Duodenitis.
• Gaastiriko.
• boog caloosha.
• esophagitis reflux.
• colitis Ulcerative.
• Calool.
• Pankreatit.
• Cholecystitis.
• Hepatitis.
• Gooryaanka, Gaarda, roundworm.
• Tardive Biliary.
• caabuqa xiidmaha.
• ARI.
• Jadeecada.
• Busbusku.
• Cystitis.
• Hurgumada kilyaha.
• Urolithiasis.

Si kastaba ha ahaatee, haddii ay jirto ahayd syndrome a - calool xanuun ba'an, xataa sida calaamad u ah mid ka mid ah cuduradan, waa "dawan" ugu horeysay oo kaalmo u wacan. Schitaetsya in haddii qof ku filan aqoon iyo waxay leedahay dhaqan, waa ay awoodaan in ay go'aan ka at calaamadaha qalliin in marxaladda ba'an. Inta badan, ma aha. Sida laga soo xigtay tirakoob, keeni dhibaatooyin daran in talaabo qabsinka ba'an waa in ay iska indha daliilka bukaan hore ee cudurka. Maqnaanshaha lama filaan ah syndrome daran - tani ma aha sabab farxad, tan iyo markii ay astaan u noqon kartaa dillaac ah derbiga mindhicirka bararaan. Marar badan, marka bukaan ah waxaa laga samatabbixiyaa soo daahay, natiijada qalliinka waxay ku xiran tahay xirfad dhakhtarka iyo daaweynta postoperative.

syndrome ba'an caloosha - cudur cabsi leh, gaar ahaan waalidiinta. Sidaa darteed, waxaa xusid mudan in ka hor lagaga shakiyey ugu xumaa, waxaa lagama maarmaan ah in la ogaado in badan ee sababa xanuunka carruurta waa qabsinka ba'an yada ama caabuq lifaaqa ah ee cecum ah. Waxaa muhiim ah in la ogaado in ee qabsinka ba'an ee carruurta yar yar xanuun liidato muujiyay. Laakiin ilmaha itaal darnaadaa, ma hurdayo, xun. Wax yar ka shuban muuqataa oo xab joogo. Sababta oo ah calaamad sida khaldin sumowga qabsinka ama infekshan mindhicirrada.

Sida loo kala saaro qabsinka ka khubad ama cudur mindhicirka? xanuunka qabsinka dhacdaa qaybta sare ama gobolka xudunta, laakiin ma aha in fossa midig iliac (meeshii lifaaqa ku yaal). Waxaa jira kiisas carruurta yaryar lifaaqa waxa uu ku yaalaa meesha dabada, oo u dhow kaadi haysta. Xaaladdan oo kale, qabsinka caadiga aqoonsan karaa oo kaliya dhakhtarka qalliinka leh waayo-aragnimo dheeraad ah. Calaamadaha kale ee la xiriira (yalaalugo, matag iyo qandho) waxaa laga yaabaa in aan horumariyo xaaladaha qaarkood. In case of leukocytes daran qabsinka gangrenous lama kordhin karo, iyo kacsanaanta muruq caloosha loo saaray kartaa.

Waxaa muhiim ah in la ogaado in carruurta is la aqbali karin. Ma aha oo kaliya xanuunka oo aan qoslay kartaa dayasho siiyo daawo si ay carruurta, laakiin sidoo kale la hargab fudud in la trifled leh. Enemas, lavage gastric, sorbents ama daroogo kale in lagu maamulo waxaa laga yaabaa in cunto lagu sumoobo, sarkhaan ama xirma xiidmaha, xumayn laga yaabaa in qabsinka ba'an, caloosha ba'an ama suurto gal syndrome. Waa in si degdeg ah wac ambalaasta, ma saliidayn sawirka oo waxba ma ay u abaari dhakhaatiirta in "raad been ah" ka hor inta ay ka imanayaan. Ilmuhu waa in aan la biyo ama cunto siiyey. In kiiska halkaas oo ambalaas waa raagay, oo uu ilmuhu uu ka sii daro, waxaad wici kartaa dhakhtarka si uu kaala talin kara sidii loo sii wadi. Sidoo kale, in ay dhacdo guriga gaadiidka, waxaad waaxda gurmadka ee isbitaalka ku qaadan kartaa ilmaha.