Cov plab hnyuv perforation yog los ntawm kev ua txhaum ntawm cov phab ntsa ntawm cov hnyuv loj lossis cov hnyuv. Raws li qhov tshwm sim ntawm xws li deformation, cov ntsiab lus ntawm lub cev nkag mus rau hauv lub plab kab noj hniav. Qhov no tshwm sim yog hu ua perforation. Qhov kev ua txhaum cai no hais txog kab mob phais.
Qhov laj thawj tseem ceeb ntawm qhov tshwm sim
plab hnyuv perforation yog ib qho mob uas tsis tshwm sim ntawm nws tus kheej. Muaj ntau qhov laj thawj hauv qab uas ua rau muaj qhov deformation ntawm txoj hnyuv me lossis loj. Cov npe no suav nrog:
- plab hnyuv.
- Diverculitis ntawm txoj hnyuv.
- Fecal pob zeb.
- Necrosis ntawm neoplasms tsim rau ntawm txoj hnyuv.
- Ulcerative colitis.
- Gangrenous appendicitis, uas provokes kev tawg ntawm cov ntaub so ntswg ntawm lub appendix.
- Qee tus kab mob, xws li tuberculosis lossis cytomegalovirus kab mob.
- Qhib thiab kaw kev raug mob.
Cov no yog yam tseem ceeb uas ua rau plab hnyuv perforation. Tej zaum yuav muaj lwm yam laj thawj rau kev puas tsuaj rau phab ntsa ntawm cov hnyuv me los yog loj. Cov ntaub so ntswg rupture feem ntau tshwm sim los ntawm kev nkag mus rau hauv lub plab zom movntse homogeneous lub cev: pins, koob, toothpicks, ntses thiab nqaij pob txha.
Ua rau plab hnyuv perforation hauv cov menyuam yug tshiab
Tshuaj plab hnyuv hauv qee kis tshwm sim hauv cov menyuam mos. Perforation nyob rau hauv cov me nyuam mos tej zaum yuav yog vim cov txheej txheem xws li:
- Intrauterine hypoxia, uas yog qhov ntev.
- Kev ncua kev txhim kho ntawm qee lub tshuab.
- Pub mis rau menyuam mos los ntawm txoj kev nkag.
- Pathology ntawm lub plab zom mov, xws li kev cuam tshuam.
- Kev cuam tshuam kev phais.
Punctures hauv cov menyuam yug tshiab yog cais tawm. Ntau qhov kev so yog qhov tsawg kawg nkaus. Raws li kev txheeb cais, plab hnyuv perforation yog ob zaug tsawg dua rau cov ntxhais hauv cov tub.
Npaj plab perforation: cov tsos mob
Perforation muaj cov tsos mob tshwj xeeb. Cov tsos mob ntawm rupture yuav tsis tuaj. Lub ntsiab cim ntawm perforation yog mob hnyav nyob rau hauv lub plab mog, uas yog nrog los ntawm cov leeg nro. Thaum palpation, qhov kev xav ntawm qhov tsis xis nyob nce. Muaj lwm cov cim qhia ntawm plab hnyuv perforation:
- Ncua kom defecate.
- Bloating.
- High heart rate.
- Ntaus thiab ntuav.
- Oligulation.
- nce hauv lub cev kub txog 39 ° C.
- Ua pa qeeb lossis qeeb. Thaum lub diaphragm cog lus, qhov mob hnyav tshwm sim.
Cov ntaub so ntswg tawg thaum lub sij hawm colonoscopy
Thaum kuaj cov nyuv nrogib qho kev sojntsuam tshwj xeeb yuav ua rau plab hnyuv perforation. Qhov tshwm sim no tuaj yeem piav qhia raws li hauv qab no:
- Kev tshem tawm ntawm polyps - polyectomy. Yog tias qhov txheej txheem no ua tiav tsis raug, cov ntaub so ntswg kub hnyiab tuaj yeem tshwm sim. Nws yog nyob rau hauv no qhov chaw uas ib tug breakthrough yog tsim. Muaj tsawg zaus, kev puas tsuaj rau cov phab ntsa hauv plab hnyuv tshwm sim thaum lub sijhawm ua haujlwm. Thawj cov tsos mob tshwm sim tom qab ob peb hnub xwb.
- Ntau dhau insufflation - kev qhia txog cov tshuaj hmoov thaum cov ntaub so ntswg raug mob los ntawm colonoscope. Kev tawg ntawm phab ntsa tshwm sim thaum lub sijhawm ua haujlwm. Thawj cov tsos mob ntawm plab hnyuv perforation tshwm tam sim ntawd. Kev sib tsoo hauv qhov no tuaj yeem loj.
Kev kuaj mob plab hnyuv perforation
Localization ntawm ib qho abscess nyob rau hauv plab hnyuv perforation yog txiav txim los ntawm txoj kev palpation ntawm lub plab phab ntsa. Qhov sib txawv yog nyob rau hauv qhov chaw uas tus neeg mob hnov mob hnyav thaum kov. Rau kev kuaj mob, tsis yog tsuas yog kev kuaj digital feem ntau yog siv, tab sis kuj suav tomography thiab radiography. Qee zaum, nws tsis yooj yim los tsim qhov ua rau tsis xis nyob hauv plab. Perforation yog qhov nyuaj rau kev kuaj mob hauv cov neeg mob:
- Tshaj tawm kev phais lub cev.
- Kev siv tshuaj khomob.
mob plab yog tshwm sim hauv cov neeg mob no. Yuav tsum tau CT scan kom tsim tau qhov kev kuaj mob kom raug. Txhua lub plab hnyuv perforation yuav tsum taukev cuam tshuam kev phais tam sim. Cov kev zam yog cov xwm txheej thaum cov ntsiab lus ntawm cov hnyuv me los yog loj nkag mus rau hauv qhov chaw mos thiab zais zis. Hauv qhov no, tus neeg mob yuav muaj roj thiab quav thaum tso zis.
Kev kho mob
Cov plab hnyuv perforation yog kho nrog kev phais nkaus xwb. Nws tsis pom zoo kom pib txheej txheem, vim qhov no tuaj yeem ua rau muaj qhov tshwm sim loj. Tus neeg mob uas muaj cov tsos mob tshwm sim ntawm plab hnyuv perforation yog tam sim ntawd mus pw hauv tsev kho mob thiab ua haujlwm sai li sai tau.
Cov kws kho mob yuav tsum ua sai tab sis ua tib zoo. Nrog xws li deformations ntawm cov hnyuv, ib tug yuav tsum tsis txhob yig, raws li cov txheej txheem irreversible yuav pib nyob rau hauv tus neeg mob lub cev.
Feem ntau, cov neeg mob tau txais laparoscopy. Tsis tas li ntawd, concomitant kho mob rau cov tsos mob ntxhov siab vim, xws li lub plawv tsis ua hauj lwm, yog ua tiav. Kev kuaj niaj hnub raug tso cai nyob rau hauv rooj plaub uas cov ntsiab lus ntawm txoj hnyuv nkag mus rau hauv lub zais zis lossis qhov chaw mos.
Cov kws tshaj lij tsis pom zoo kom ncua sijhawm mus ntsib kws kho mob. Nws yog tsis yooj yim sua kom kho cov hnyuv perforation nyob rau hauv tsev. Nws yuav tsum raug sau tseg tias perforation tuaj yeem ua rau tus neeg mob tuag. Tseeb tiag, ob peb teev tom qab pom qhov pom ntawm lub qhov loj lossis cov hnyuv me, gangrene pib - necrosis ntawm cov kabmob thiab cov ntaub so ntswg.
