Cov plab hnyuv infarction yog ib yam mob uas cov ntshav ncig hauv cov hlab ntsha hauv cov hnyuv cuam tshuam. Cov hlab ntsha tau txhaws nrog cov ntshav txhaws, vim tias cov ntshav tsis ntws mus rau qee lub tuam tsev. Qhov no ua rau kev tuag ntawm tes, lossis mob necrosis. Txoj hnyuv infarction yog ib yam kab mob txaus ntshai heev.
Vim li cas thiaj li tshwm sim?
Tab sis tsis yog cov ntshav txhaws tuaj yeem txhaws lub nkoj. Ib qho sclerotic plaque uas tau tawm tuaj tuaj yeem ua qhov no. Yog li, kev rog rog yog lwm qhov kev pheej hmoo. Interestingly, txiv neej thiab poj niam mob sib npaug zos ntau zaus.
Qhov no tshwm sim feem ntau hauv cov hnyuv me thiab nws thaj chaw tam sim ntawd. Feem ntau qhov no tshwm sim thaum muaj kab mob ntawm cov hlab plawv, thiab nws loj tuaj. Xav txog nyob rau hauv tsab xov xwm no ib qho hnyuv infarction. Cov tsos mob - thawj cov tsos mob ntawm tus kab mob no - yuav piav qhia.
kab mob plawv dab tsi ua rau thrombosis hauv txoj hnyuv?
Nws tshwm sim rau cov neeg laus dua 50 xyoo. Tsis tshua muajtshwm sim thaum tseem hluas. Tab sis yog tias muaj qee yam kab mob, uas yuav tau tham tom qab, nws muaj peev xwm txawm tias tus neeg tsis laus heev yuav ntsib tus mob no.
plab hnyuv infarction yog lwm yam hu ua mesenteric thrombosis lossis mesenteric obstruction. Muaj ib qho reflex spasm ntawm txoj hnyuv, qhov no ua rau vasoconstriction. Cov hlab ntsha, nyob rau hauv lem, tuaj yeem txhaws nrog cov ntshav txhaws. Qee tus neeg raug mob rau tus mob no thiab yog li muaj kev pheej hmoo.
Views
Muaj ntau hom mesenteric obstruction. Lawv nyob ntawm lub nkoj cuam tshuam:
- Arterial obstruction.
- Venous.
- Mixed bowel obstruction.
Qhov laj thawj tseem ceeb ntawm plab hnyuv infarction
Kev sib txuas nrog dab tsi tuaj yeem ua rau mob plab hnyuv? Cov laj thawj feem ntau pom tseeb.
Mesenteric thrombosis tau los ntawm:
- txhim kho rheumatism;
- atherosclerosis, uas ua rau vasoconstriction;
- vascular paresis;
- mob plawv thiab mob plawv tsis ua hauj lwm;
- ib qho kev poob siab, ua rau cov ntshav ntws tsis zoo. Ntshav nyob rau hauv lub ntim loj nkag mus rau hauv lub plawv thiab lub hlwb, thiab tawm ntawm cov hnyuv thiab lwm yam hauv nruab nrog cev. Qhov no ua rau qhov nqaim ntawm lumen ntawm cov hlab ntsha, uas tuaj yeem ua rau pom cov ntshav txhaws;
- ntshav poob hnyav;
- kab mob plawv;
- myocardial infarction;
- atrial fibrillation;
- kab mob endocarditis.
Qee zaum yog vim li castuaj yeem muaj ob peb tib lub sijhawm.
Feem ntau cov neeg uas muaj mob hnyav ntawm lub plawv raug mob los ntawm tus kab mob no. Qee lub sij hawm tus kab mob no tshwm sim los ntawm postpartum thrombosis. Thiab tseem muaj kev pheej hmoo yog cov poj niam uas siv cov tshuaj tiv thaiv hormonal ntev. Yog li ntawd, koj tuaj yeem haus cov tshuaj tsuas yog nyob rau hauv kev saib xyuas ntawm kws kho mob, qhov no yuav tsum tau ua nrog kev saib xyuas zoo. Tus poj niam noj cov tshuaj tiv thaiv qhov ncauj yuav tsum tsis txhob haus luam yeeb yog tias nws haus luam yeeb.
yam ntxiv
Qee zaum, me me plab hnyuv infarction tshwm sim vim:
- sepsis;
- endocarditis;
- ntshav siab;
- thrombophlebitis.
Tom qab kev phais, qhov xwm txheej no tuaj yeem ua tau, vim tias lub zog ntawm lub cev yog tsom los tiv thaiv kev poob ntshav vim los ntawm cov ntshav uas tau qhib. Nws yog lub sijhawm no tom qab kev phais mob uas cov ntshav txhaws feem ntau tsim, uas tuaj yeem txhaws cov hlab ntsha. Qee zaum nws yog cov hnyuv uas raug kev txom nyem. Cov mob thiab cov tsos mob feem ntau mus tsis pom, muaj qhov tshwm sim txaus ntshai.
Txoj kev kuaj mob
Tshuaj ntsuam xyuas tus kab mob tsis zoo thiab txaus ntshai siv cov cuab yeej thiab cov kev tshawb fawb hauv chav kuaj. Nws yog ib qho tsim nyog yuav tsum tau hu rau cov kws kho mob tshwj xeeb hauv lub sijhawm thiab raug kuaj xyuas tag nrho cov kab mob. Qhov no yuav pab txiav txim siab txog theem pib ntawm tus kab mob. Kev ntsuas yuav raug coj los ua kom tsis txhob muaj ntshav txhaws.
Mesenteric thrombosis thiab predisposition rau nws yog kuaj los ntawm ob pebtxoj kev:
- siv kev kuaj mob laparoscopy. Hauv qhov no, ob peb qhov me me tau ua nyob rau hauv lub plab kab noj hniav. Tom qab ntawd ib qho khoom siv kho qhov muag nkag mus rau hauv cov qhov no, yog li cov phab ntsa hauv plab tau kuaj xyuas. Yog li, txoj hnyuv infarction yuav zam tau. Txoj kev kuaj mob no yog qhov qhia tau zoo, tab sis nws yog siv nrog cov cim pom tseeb ntawm kev txhim kho ntawm tus kab mob txhawm rau tiv thaiv kab mob pathological;
- kuaj ntshav kuaj (mob hauv lub cev yog qhia los ntawm cov ntsuas ntawm leukocytes thiab ESR, uas siab dua li qub);
- siv kev kuaj mob laparotomy. Ib qho kev phais yog ua nyob rau hauv nruab nrab ntawm lub plab kab noj hniav, kev ntsuam xyuas yog nqa tawm los ntawm nws. Txiav txim siab lub xeev ntawm cov hlab ntsha, nrog rau txoj hnyuv loops. Yog tias pom thaj chaw uas muaj cov hlwb tuag, nws raug tshem tawm tam sim;
- nrog kev xaiv mesentericography, uas qhia txog kev cuam tshuam ntawm cov ntshav ncig;
- thaum lub sij hawm angiography ntawm cov hlab ntsha - ib tug txheej txheem rau staining cov ntshav nrog ib tug tshwj xeeb tshuaj yog ua, ces muab ib daim duab uas qhia lub xeev ntawm cov hlab ntsha mesenteric ntawm txoj hnyuv.
Nws yog ib qho tseem ceeb kom nkag siab tias laparotomy, laparoscopy, vascular angiography tsuas yog ua tau yog tias muaj tag nrho cov cim qhia tias mob thrombosis ntawm cov hlab ntsha mesenteric yuav sai sai no. Yog tias cov tsos mob no tseem tsis tau tshwm sim, kuaj ntshav kuaj yuav txaus.
Yog tso cai rau tsim mesenteric thrombosis, nws yuav ua rau tuag. Yog li ntawd, nws tseem ceeb heev kom nrhiav kev pab nyob rau lub sijhawm. Cov kws tshaj lijlawv yuav ua laparotomy thiab tshem tawm qhov chaw tuag, uas yuav cawm tus neeg mob txoj sia.
Lwm txoj kev tshawb fawb yog siv nyob rau hauv rooj plaub uas tsis muaj kev pheej hmoo rau txoj sia.
Cov tsos mob ntawm plab hnyuv infarction yog dab tsi?
Tus kab mob tuaj yeem pib mob hnyav, maj mam, thiab nws kuj tseem yuav muaj qee yam ua ntej.
Yog koj tswj kom paub tus kab mob raws sijhawm, koj yuav cawm tau tib neeg txoj sia. Cia peb xav txog cov ntsiab lus tseem ceeb ntawm mesenteric thrombosis:
- pallor ntawm daim tawv nqaij;
- lub plawv dhia tsis zoo;
- nce lub cev kub;
- quav nrog ntshav (qee zaum, cov ntshav yog xim tsaus, uas qhia tias nws laus - qhov no yog cov necrotic mucosa raug tsis lees paub);
- plab plab;
- pom pob hauv plab;
- mob plab heev;
- ntuav ntshav;
- dhia ntshav siab;
- fainting;
- roj thiab quav nyuaj dhau.
Yog tus kab mob no maj mam, ces cov tsos mob tsis tshwm li ci thaum xub thawj. Harbing mob nyob rau hauv lub plab mog, tsam plab, nquag raws plab yuav ua tau harbiners. Tab sis txoj hnyuv raug mob ntau zaus (cov kab mob thiab cov tsos mob yuav tsum paub kom paub qhov txawv).
Qhia qhov txawv ntawm plab hnyuv infarction los ntawm lwm yam kev phais mob, piv txwv li:
- los ntawm mob plab hnyuv siab raum (mob nyob rau sab xis, muaj xeev siab thiab ntuav);
- kab mob plab hnyuv lossis lomlom (ua txhaum cov quav, ntuav);
- plab lossis plab hnyuv los ntshav (ntuav uas muaj ntshav, quav nrog ntshav).
Peb theem ntawm plab hnyuv infarction
Muaj ntau theem ntawm tus kab mob:
- 1st theem. Cov theem no hu ua ischemic. Nws yog tus cwj pwm los ntawm qhov mob hnyav hauv cheeb tsam plab. Nws lub sijhawm yog li 5-6 teev. Mob ntawm thawj theem zoo li contractions, ces ua tas li. Nws mob feem ntau nyob rau hauv cheeb tsam ze ntawm lub plab, vim hais tias cov hnyuv me raug cuam tshuam. Mob nrog raws plab, xeev siab, ntuav.
- 2nd theem. Yog tias tus neeg mob tsis tau kho raws sijhawm, tus kab mob yuav nce ntxiv. Lub plab necrosis tshwm sim. Tus neeg mob txoj kev noj qab haus huv tsis zoo, muaj zog pallor ntawm daim tawv nqaij. Thiab tam sim no qhov mob yuav txo qis. Tus neeg mob tus nplaig yog coated. Lub plab yuav mos tab sis tsam plab.
- theem 3. Ib tug neeg raug kev txom nyem los ntawm qaug dab peg, lub cev qhuav dej. Muaj apathy rau lwm tus, convulsions, coma. Nyob rau theem no, ib tug neeg yuav tuag.
Yog li ntawd, yog tias muaj kev xav tias muaj kev mob plab hnyuv, koj yuav tsum hu rau lub tsheb thauj neeg mob tam sim ntawd.
Recommendations
Rau qhov mob hauv plab kab noj hniav, nws yuav tsum tau sab laj nrog kws phais. Raws li qhov tshwm sim ntawm kev sab laj, ib lossis lwm qhov kev ntsuam xyuas yuav raug sau tseg.
Tej zaum nws yog plab hnyuv. Dab tsi yog nws thiab qhov tshwm sim ntawm tus kab mob no peb tau tham ua ntej.
kho mob mesenteric thrombosis
kho mob plawvplab hnyuv yuav tsum tau raws sij hawm thiab ceev heev. Raws li twb tau hais lawm, tsuas yog ob peb teev yuav dhau los ntawm qhov pib ntawm theem ischemic, thiab nws yuav nyuaj heev los cawm tib neeg. Yog li ntawd, thaum thawj cov tsos mob ntawm mesenteric thrombosis tshwm sim, koj yuav tsum nrhiav kev pab kho mob tam sim ntawd.
Tab sis muaj qee lub sijhawm ua haujlwm, thiab tus neeg tseem tuag. Qhov no txhais tau hais tias muaj kev loj hlob sai ntawm necrosis. Tib neeg lub cev tau raug kev txom nyem heev los ntawm qhov no, kev puas tsuaj rau lub cev hauv lub cev yog incompatible nrog lub neej. Qhov no yog li cas cov kab mob ntawm cov neeg laus feem ntau tshwm sim lawv tus kheej.
theem ntawm kev cuam tshuam kev phais
- Ua ntej tshaj, koj yuav tsum nrhiav cov pob zeb uas txhaws lub nkoj.
- Tom qab ntawd qhia qhov mesentery thiab thaj tsam ntawm txoj hnyuv uas cuam tshuam.
- Tshem tawm cov ntaub so ntswg tuag thiab kab mob.
- Tshem cov ntshav.
Qhov nrawm dua thiab qhov tseeb ntawm cov kws kho mob ua, qhov loj ntawm cov ntaub so ntswg yuav raug cawm. Qhov no txhim kho tus neeg mob txoj kev muaj sia nyob.
Nyob rau hauv rooj plaub uas qhov kev thaiv tsis tiav ntawm lub nkoj tau tshwm sim, kev kho tshuaj tau ua tiav. Namely, tshuaj anticoagulant uas tuaj yeem ua rau cov ntshav nyias. Ntxiv occlusion ntawm lub nkoj tsis tshwm sim. Tab sis nrog kev thaiv tsis tiav ntawm lub nkoj, tsis muaj cov cim tshwj xeeb ntawm tus kab mob, yog li theem no feem ntau hla. Vim li ntawd, kev cuam tshuam kev phais tsis tuaj yeem zam tau.
Tus mob no muaj kev pheej hmoo tuag.
Tus kab mob tuaj yeem ua rau cov txiaj ntsig hauv qab no. Tus neeg mob tuaj yeem rov zoo tom qab phais, hauv cov hnyuvulcers yuav tsim, inflammatory txheej txheem nyob rau hauv cov hnyuv yuav tshwm sim, los ntshav yuav qhib, perforation ntawm txoj hnyuv phab ntsa tuaj yeem tsim, thiab nws tuaj yeem ua rau mob purulently, uas yog fraught nrog peritonitis. Qhov ntawd yog li cas insidious plab hnyuv infarction. Nws cov tsos mob yuav tsum raug lees paub raws sijhawm.
Yuav ua li cas rau kev mob plab hnyuv plab?
Nws yog ib qho tseem ceeb kom nkag siab tias tus kab mob no muaj kev tuag ntau. Nws yog siab tshaj nyob rau hauv perforated rwj thiab mob appendicitis. Txij li cov plab hnyuv thrombosis feem ntau zoo li lwm yam kab mob uas yuav tsum tau kho phais, nws yog qhov nyuaj heev los kuaj xyuas. Qhov tshwm sim ntawm qhov no tuaj yeem hloov tsis tau.
Ib tug noj qab nyob zoo thiab hluas tsis tas yuav raug kuaj rau mesenteric thrombosis uas twb muaj lawm. Tab sis cov neeg uas poob rau hauv ib pab pawg muaj kev pheej hmoo yuav tsum tau tshuaj xyuas tas li. Qhov no yuav pab txheeb xyuas cov pathology kom ntxov li sai tau. Cov neeg uas muaj lub plawv mob lossis cov hlab ntsha tsis zoo yuav tsum txhawj xeeb. Nws yog ib qho tsim nyog los pub ntshav rau kev tshuaj xyuas ib ntus txhawm rau txheeb xyuas qhov pib ntawm kev tsim cov thrombus. Anticoagulants yuav txo cov ntshav kom tsis txhob txhaws.
Txhawm rau kom tsis txhob muaj qhov xwm txheej tshwm sim, koj yuav tsum tsis tu ncua kuaj thiab noj tshuaj (ua kom cov hlab ntsha, tiv thaiv thrombosis, tswj cov ntshav txhaws). Yog tias tsis ua dab tsi, qhov mob plab hnyuv loj yuav tshwm sim, uas tuaj yeem ua rau tuag taus.
Tab sis yog tias kev ua haujlwm tau ua raws sijhawm, theem pib ntxov, kev vam meej yog lav. Yuav tsis muaj teeb meem. Tau kawg, qhov chaw ntawm thrombus txiav txim siab qhov ua tauteebmeem. Tus neeg mob yuav zoo tag nrho tom qab kev phais. Tshwj xeeb yog tias koj noj tshuaj los kho cov hnyuv microflora.
ntsuas kev tiv thaiv
Txhua yam kev coj ua txhawm rau tiv thaiv plab hnyuv thrombosis zoo ib yam li cov uas tau ua thaum muaj myocardial infarction. Ua ntej ntawm tag nrho cov, nws yog ib qhov tsim nyog los tiv thaiv kom txhob muaj ntshav txhaws. Feem ntau, cov lus pom zoo yog raws li hauv qab no:
- tuav lub neej noj qab nyob zoo;
- ua cov txheej txheem rau lub cev tawv, uas txhawb cov hlab ntsha;
- koj yuav tsum tau txav mus los ntau li ntau tau, ua kev kawm lub cev (jogging, ua luam dej, ua si sab nraum zoov yog qhov tsim nyog);
- tswj cov khoom noj khoom haus - tso cov rog, kib, cov khoom noj starchy, noj tsawg dua nqaij thiab ntses, zaub thiab txiv hmab txiv ntoo ntau dua;
- nws yog ib qho tseem ceeb kom coj qhov hnyav rov qab los;
- tsis lees paub txhua yam kev phem uas twb muaj lawm - kev haus luam yeeb tshwj xeeb yog cuam tshuam rau lub xeev cov hlab ntsha, nws kuj ua rau cov ntshav txhaws;
- zoo, koj yeej yuav tsum tau noj tshuaj los kho cov hnyuv microflora.
Yog koj ua raws li txhua qhov lus qhia, kev nyab xeeb tuaj yeem zam tau.
