Cherechedza: "rikwanise dumbu"!

Shoko rokuti "rikwanise dumbu" ndiko prefabricated chiratidzo kunozivisa kungoerekana chakasimba abdominal chirwere yokuvamba kana zvokuimba kukuvadzwa, nokuti izvo kazhinji zvinoda kukurumidzirwa zvokurapa kupindira. Kazhinji, kuti kuyera rokutanga murwere rikwanise dumbu inopiwa vanachiremba kare pakutanga kuongororwa uye nhoroondo kupinza. Pane zvinokosha yakarurama differential zvokuongorora (the ungangotarisa zvokuongorora kuti zvakarurama kuona inodiwa chokufambisa kuenda kuchipatara uye mamwe chirwere maitirwo ezvinhu) uye rubatsiro kunokurumidza.

Chinoratidza chenjera dumbu ndechokuti murwere nemamiriro iri kuipa pamwe roga awa. Chenjera abdominal marwadzo - chete kutanga uchapupu munhu pathological kwacho, uye kunyange kana vari pamusoro nguva kuserera, hazvirevi kuti zvinhu kwakavandudza.

Vagumirwe murwere kungava nokuda kwezvikonzero zvinotevera:

1. zvokuimba kuvadza abdominal mhango;
2. Munguva pathological anogumbura pezvakaitwa ari abdominal mhango (semuenzaniso, peritonitis);
3. kutyora kuvimbika negomba muviri;
4. bowel mhingaidzo ;
5. nematambudziko venous uye arterial kweropa munzvimbo yacho peritoneum;
6. ropa munzvimbo abdominal mhango;
7. pathological pezvakaitwa ari munhukadzi dzokubereka nadzo (ovary gwanza, ectopic pamuviri, ovarian cysts, etc.).

Zviratidzo chenjera dumbu rakanyatsojeka pachena, varwere vavo musapotse, nekuti kurwadziwa kazhinji simba chaizvo, hachibvi analgesics, kumanikidzwa kubvuma kumanikidzwa nechinzvimbo kana vakutarisire kazhinji kuzvishandura (zvichienderana pfungwa maonero ezvinhu), remadza unongotaura. Varwere vari mumamiriro marwadzo nehana.

On kuongororwa, murwere ane chiratidzo "rikwanise dumbu" Zvakakosha kuteerera zviratidzo zvakadai: murwere nzvimbo, iyo adequacy mupfungwa, kuvapo kupera muviri, ruvara rweganda, kakawanda uye unhu hwake chair. Pashure zvachose vaongo- zvakafanira kuyera tembiricha (axillary uye rectal), kuona hemodynamic parameters. Next nezvokumwe dumbu - tapping uye auscultated anotsanangurwa ruzha mari yakaiswa dumbu (kuzvimba, akaidzikisa), anoongororwa mugaranhoko kuvapo edema, overhanging masvingo kubuda ropa. Kana zvose zviratidzo zvinoratidza "rikwanise dumbu", murwere inofanira kuchipatara kumwe chirwere - kana iri perforation ane muviri, kana blockage, kana intra-abdominal kubuda ropa. Asati kubvuma haagoni kupiwa analgesics - vanogona vadzime symptomatic mufananidzo uye kutungamirira misdiagnosis.

Kana mukufamba muchipatara kana kunyange kuzodana chiremba murwere ane kunorwadza kuvhunduka, zvakakodzera kuronga kubviswa kubva ehurumende pachayo.

Patakasvika pane zvokurapa chivako inoitwa kudzidza kumwoyo kuona kana munhu zvichibvira ropa kuvhunduka indekisi (anosarudza kuti chikamu kurasikirwa ropa). Zvakanaka X-ray uye Ultrasound.

Kana "dumbu chakasimba" akaonekwa mune vakadzi, zvinokosha kuti unyatsoteerera kuti zvinobvira pamuviri, musi wokupedzisira kumwedzi, kuvapo imwe intrauterine mudziyo, concomitant gynecological zvirwere.

Pamusoro okutambirwa akavimbika mufananidzo chirwere mukati peritoneal kuti chirwere laparoscopy - kuongorora kuburikidza incision duku, izvo anoratidza hosha nhengo kana zvimwe zvinetso. Kazhinji, pakarepo mushure laparoscopy incision yakaitwa vakwanise kuwana, akashambidza abdominal mhango panobviswa mhaka chirwere. Panguva imwe chete, kuti murwere vanofanira kuita kana ropa chinotarisirwa kuramba shuga ezvinhu.

With nenguva kunorapwa muchipatara, kufambira uye zvakarurama nechirwere, varwere vakawanda kunoponesa upenyu.