Bowel Thrombosis: zvinokonzera, zviratidzo, kurapwa

vanhu vakwegura kazhinji kugadzirisa nechirwere ichi, sezvo intestinal thrombosis. Uyezve ivo vanotaura zvakananga zvinoenderana sei zvakasimba ivo kuchipatara uye chiremba vanonyorera munhu kurapwa. Kuti varege kurasikirwa nguva inokosha, munhu wose anofanira kuziva zvikuru zviratidzo chirwere ichi uye ipapo utore matanho ose anodiwa.

Zvaunofanira kuziva pamusoro chirwere?

Ropa, sezvo tichiziva, zvinowanzoita kuti clot. Mukurapa, izvi anonzi coagulation. Ichi chinhu chakakosha kwazvo basa pasina iyo munhu agamuchira maronda kurasikirwa rose ropa uye somugumisiro akafa. Ukuwo, kunosimudzirawo coagulation pamusoro nguva paumbwe clots, izvo zvaizoita zvimwe raireva thrombi. Maererano nenyanzvi, vanogona aumbwa zvachose chero chikamu muviri. Somuenzaniso, akapinda intestinal tsinga thrombi successively kuzadza lumen ayo, saka anokangaidza zvakajairika inosimbisa chokwadi muviri mugove. Somugumisiro, necrosis akaona dumbu. The chirwere unonzi thrombosis (mesenteric) ura. In kunyanya zvakakomba nguva zvinogona kutungamirira kurufu.

Bowel mesenteric thrombosis - chirwere kuti kunoitika wakakodzera patency yokumusoro celiac kana isinganaki mesenteric tsinga. zvokurwara ichi kunowanzokonzera kuchinja ropa riyerere mune zvomudumbu turakiti. Maererano nenyanzvi, chirwere ichi ndicho zvakafanana muvanhu nevakadzi, asi kazhinji richiwanika vakwegura.

etiology

Nhasi, zvinosuwisa zvachose hapana yakachengeteka kubva chirwere ichi. Zvisinei, vanachiremba kuzodana zvinoverengeka predisposing zvinoita kuti kutsamwisa kukura uye zvinganaka pathologies zvakadai intestinal thrombosis. Zvikonzero angava sezvinotevera:

• Atherosclerosis (vascular chirwere inozivikanwa nokuda sequential inotungamirwa plaques, izvo kuumbwa pa zororo clots).
• Myocardial infarction.
• NeBP (cheBP).
• Thrombophlebitis (kuzvimba vemunyika ari mutsinga ari makumbo uye aine kurega kunotanga ropa).
• Endocarditis (kuzvimba womukati lining mwoyo, zvinobatsira kuti chitarisiko ropa clots).
• Septicemia (ropa chepfu).
• Rheumatic fivha (chirwere kunokanganisa connective zvinyama, zvakazoita kusimukira mwoyo chirwere).
• Postpartum thrombosis.

Kazhinji, Somuenzaniso, thrombosis pamusoro ura duku anovandudza pakarepo pashure maoparesheni mune dzimwe nhengo. Zvisinei, muchiitiko ichi murwere ane mukana nani kurarama, kana imwe nguva avhiyiwa rinenge kunyatsoongororwa zvazvaiita navanachiremba. Mumamiriro ezvinhu akadaro, nyanzvi anofanira kukurumidza kusarudza kurapwa. Suma anticoagulant kana mumwe mushonga, pakubvisa ari thrombus.

The chikuru zvekuchipatara Zviratidzo

Nyanzvi dzinoti tanga kukura chinogozha chaizvo rokuongorora intestinal thrombosis. Zviratidzo zviri pasi apa, nguva dzose kushanda aramu mabhero, uye tinofanira kuona munhu wose.

• Sudden kurwadziwa abdominal nharaunda, kunoitika pakarepo pashure kudya.
• Blanching ganda, muromo yakaoma, vangadikitira.
• Kuda kurutsa uye kurutsa, havachanyatsogoni chetsoka (manyoka kana kupatira).
• Flatulence.
• Low BP.
• Kuvapo ropa pachituru.

Kana pamusoro zviratidzo Zvinokurudzirwa kuti pakarepo kwachiremba. The yapfuura kurapwa kunotanga, nani mikana akabudirira kupora. Zvimwe mukana dzichiri yematambudziko zvakanaka chaizvo. Mushure thrombus overlaps iri dumbu lumen, pane murombo kuparadzirwa munzvimbo unyanzvi. Somugumisiro, kwave kune mwoyo usisashandi ura (spasm, afunge necrosis). Somugumisiro, kukura peritonitis kunoitika kana chikuru womukati ropa iri peritoneum. Pasina nenguva vanokwanisa kubatsira ndingangokuvara rufu chaizvo.

The chikuru pavaipfuura chirwere

Nyanzvi conventionally yakakamurwa intestinal thrombosis panguva zvinhanho zvitatu budiriro:

1. bowel ischemia. Panguva iyi, chirwere sei nhengo vanongogona akapora. Varwere vari kuramba pamwe zvisingatsungiririki kurwadziwa abdominal nzvimbo, uye kurutsa kuti bile tsvina. The cheya anova zvokunwa.
2. bowel infarction. The chirwere haisi vamire ayo kukura achiri. Somugumisiro, njodzi nhengo dzakasimba kuitika kuchinja somugumisiro asina kudhaka zvose muviri. Manyoka kuchatsiviwa kupatira, yava pachituru anogona kuona ropa tsvina. Abdominal marwadzo vakava sokusingatsungiririki, hapana ganda, uye pashure pokuva rinokwanisa kucheneruka tint.
3. Peritonitis. Panguva iyi, akazivisa zvinokachidza Kusvibisa muviri, pane mhirizhonga munyika kweropa ino. The marwadzo anogona kurega kwenguva pfupi, asi kuritsiva ikakurumidza kuoma kurutsa, pachigaro kunova chete zvisingatarisirwi. Kuzvimba pamusoro nguva chete inowedzera. Nokukurumidza pane muviri, somugumisiro pane kunonoka ane chair. Kunoonekwa hypotension, uye zvishoma kuwedzera tembiricha muviri.

kupatsanura

Zvichienderana kana vakaronga kudzorerwa ropa kuyerera yaiitwa nemarudzi blockage, vanachiremba zviparadzanise mberi weboka chirwere nhatu mhando:

• Ndanyarara hangu (kuparadzirwa munzvimbo ura zvishoma nezvishoma anodzokera dzose).
• Subcompensated (vakachengeta chete zvishomanana mutangezve).
• Decompensated (hazvibviri normalize ropa riparadzirwe, somugumisiro, bowel infarction vakacherechedza).

How rokuongorora intestinal thrombosis?

Zvakakosha akuteerere muviri wako. Kana uri mudumbu uye mutsvina yadzo hwakakanyiwa kurwadziwa ropa vanofanira kutsvaka kurapwa nokukurumidza, sezvo paine mukana wokuti zvirwere zvakadai intestinal thrombosis. Zviratidzo mumwe murwere nomumwe dzingasiyana. Somuenzaniso, vamwe akacheneruka ganda tembiricha inokwira kusvika 38 madhigirii, pane BP, ipapo rakapinza donhwe BP. All kunotoda kurapwa zviratidzo izvi zvinofanira pasvika. Mumamiriro ezvinhu akadaro Zvinokurudzirwa kuzodana amburenzi. Zvakakosha kuyeuka kuti chero kunonoka aigona chaizvoizvo varasikirwe upenyu. Kana munhu asingadi kuenda kuchipatara kana zviratidzo izvi, tinogona vanoti nechivimbo kuti chirwere zvave zvinouraya.

The chikuru nzira nechirwere mu sangano zvokurapa

On kubvuma kuchipatara pamwe vanofungidzirwa thrombosis murwere bowel kazhinji pasi yokuongororwa kuongorora hwakadzama. Aireva ne anotevera nzira:

• History uye chinooneka kuongorora.
• Analysis ropa pamwero SOE uye uwandu leucocytes (manhamba aya inflated pakuparwa thrombosis).
• Radiography.
• Computed tomography (Kunowanzurudza uchida kudzidza mamiriro zvomukati).
• Chirwere laparoscopy (chiremba anoita ponji paganda, kubudikidza handset kuchaita kusumwa gare gare kamera kuguma, mufananidzo iyo rwunoratidzwa zvakananga panguva pakombiyuta).
• Laparotomy (kuitwa nyaya pasina mukana wokuita chimwe laparoscopy).
• vascular angiography kushandisa musiyano nevasori (nokuda muedzo uyu anogona iratidzwe rwakadini vascular occlusion).
• Colonoscopy.
• Endoscopy.

kuchinja kurapa

On kubvuma murwere kuchipatara chiremba pakutanga kuongorora Panguva chii kukura intestinal thrombosis. Treatment ne kuchinja nzira kazhinji rakaiswa mune chiitiko kuti hosha asingadi chitanga mberi. Inoshandisa:

• Parenteral anticoagulation nzira, chinangwa chikuru chiri thinners ropa. The anowanzodanwa kushandiswa zvinodhaka "Heparin" uye vamwe analogues ayo.
• Majekiseni thrombolytic uye antiplatelet (mishonga "Trental", "Reopoligljukin", "Hemodez").

Pasinei pfupi yakakwirira kufa nezvirwere izvi, kune mangwanani nemabatiro zvakawanda mukana kunaya zvakakwana murwere.

kushanda kupindira

Kana bowel mesenteric thrombosis mberi, kana mishonga nzira vakatadza kukurira chirwere, chiremba prescribes oparesheni uye zvinodhaka kurapa mabasa sezvi- kurapwa.

Kana intestinal ischemia iri kazhinji inopfuura hosha pachavo, asi somunhu chokudzivirira asingaurayiwi kurapwa inokurudzirwa kuti Kugeza zvinokachidza kubva mumuviri.

The oparesheni kunosanganisira kubviswa ukama zvikamu muviri kwaizotevera crosslinking utano tishu pamwe chete. Mune zvimwe zviitiko, anowedzera zvaida ndavhiyiwa. Panguva nzira iyi nyanzvi pave "yokunzvenga" kunhivi occluded mudziyo, ropa yaizotamira mberi.

Kana thrombosis rimwe intestinal midziyo ropa kunoitika muna rikwanise chimiro, sezvo kuvhiya anogadzwa. Chiremba anosarudza kuti kunodiwa kuita (kubvisa ropa clot, vakayambusa angioplasty, ndavhiyiwa, uye zvichingodaro. D.). zvitinakire date kubatsira kumisa kwechirwere chacho, zvinyama necrosis vakazochinja anooneka.

vapore

Pashure pezvose maoparesheni murwere kazhinji anopedza nguva ari muchipatara. Mumakore akatevera vhiki mbiri, zvinonzi contraindicated chero kurovedza muviri. Zvikasadaro, zvinogona kutsamwisa panowanikwa herniation.

Doctors mu vapore vanokurudzira mubhedha zororo, kana zvakafanira pachavo kuita kwiza mudumbu, asingaremekedzwi stroking nayo Kutenderera.

Zvakakosha kutevera mazano ose kubva vanachiremba. Pashure pezvose, nzira chete kukanganwa zvakadaro dambudziko sezvo intestinal thrombosis.

Pashure pokuvhiyiwa, zviri zvakafanana zvinokosha kuramba mukaka-muriwo zvokudya. Zvokudya kunofanira mupunga Porridge, michero, yakaderera-mafuta yakabikwa nyama / hove, dheri zvigadzirwa. Unorambidza zvose zvomumagaba uye rakapfungaira zvigadzirwa, doro, gariki uye hanyanisi. Not yakarumbidza nomwedzi wokutanga pashure pokuvhiyiwa kunwa mukaka yose, kuti arege kutsamwisa fufune.

Mukugumisa, zvinofanira kucherechedzwa kuti mangwanani pakurapa chirwere ndiyo inenge nguva kunoguma muna pakupora zvakakwana. Hatifaniri kuzeza kushanyira chiremba wako uye kutevera-up kurapa.