Inkxalabo enzulu kakhulu yezilonda zesisu kunye ne-duodenal ulcers yisilonda esiswini okanye isilonda. Ukuba awunikezeli ngokukhawuleza unonophelo lwengxamiseko, umntu ujongene ne-peritonitis kunye nokufa. Kwiimeko ezininzi, isifo samadoda, kuba abasetyhini bakhuselwa yi-estrogen yomzimba, ukukhusela i-mucous.
Iimbangela zokugqitywa kwesilonda
Ayikho into eyenziwa ngesilonda sesisu kwindawo elinganayo, kukho izihlandlo zaso. Ubukhulu bayo buphakamileyo kulabo abanesifo sesifo sesilonda esingaphezu kweminyaka emithathu, kwizigulane ezine-gastritis ezingabonqabana nodokotela. Ukufowunela ukuguqulwa kunakho:
- umthwalo oqinileyo;
- rhoqo ngokutya;
- i-asidi ephezulu yesantya sesisu;
- ukusetyenziswa kakubi kweziqholo;
- ukungathobeli ukulala nokuvuka, ukuhamba ebusuku emsebenzini, ukungabikho kokulala;
- kokubili ixesha elide kunye nokusetyenziswa kwexesha elifutshane kweziyobisi zamachiza athile;
- ukungahambisani nokutya, ukungavumi kokutya okumanzi, ukusetyenziswa kakubi kwemveliso ebisiweyo kunye nokutshaya;
- ukusetyenziswa rhoqo kotywala nokutshaya:
- ifa.
Isilonda esisisigxina sesisu - iimpawu
Naluphi na ubuhlungu obuqinileyo kwingingqi ye-epigastric kunokukhokelela kwingcamango yokugqitywa kwesilonda sesisu, iimpawu zazo ezizibonakalisa kunye neziqulatho. Isilonda esisongeziweyo okanye isisindo sesisu sichazwa ngu:
- etiology;
- indawo (indawo);
- indawo yokuphumla;
- amaxesha (izigaba zeclini).
Impawu zokuqala zesilonda esiswini
Ekuqaleni kwesi sifo, kwinqanaba lokuqala, xa i-perceration of ulcer ingakafumaneki, iimpawu ziyimpawu kwaye zicacile. Ukwazi kwabo, kukho ithuba lokungaqondi ngokungaqhelekanga imbangela yempilo embi. Kukho izigaba ezintathu:
- I-peritonitis yamachiza, egcina iiyure ezingama-3-6. Ngeli xesha kukho intlungu enzima kwintonga kunye nangakwesokudla kwesisu. Ngokuxhomekeka kwendawo, isilonda esiswini sesisu singabangela intlungu ye-atypical kwi-forearm forearm. Kancinci, intlungu ibuhlungu kwaye ivakalelwe kwisisu, ingcinezelo iyancipha. Ulusu luba luhlaza kwaye lube lukhuni, kwaye isisu siyathula ngenxa yokuqokelela kwegesi. Eli lixesha elifanelekileyo xa isiguli sifanele sithathwe esibhedlele.
- I-bacterium peritonitis ayifumaneki ngokukhawuleza, kodwa emva kweeyure ezingama-6 ukususela kwixesha apho iimpawu zokuqala zokugqitywa kwesilonda esiswini zabonwa. Kancinci, umzimba utywala kwaye imeko yesigulane ibuhlungu, nangona ingazi ubunzima beemeko. Eli lixesha lovuyo, xa iimpawu zokubethelwa kwesilonda ziba buthathaka, intlungu iyabuya kwaye umntu uziva kakuhle. Ngeli xesha, uxinzelelo lukhuphuka, njengolu bushushu bomzimba, i-peristalsis iyaphulwa, ulwimi luhlanganiswe ngengubo ebomvu.
- Ukuxiliswa ngokukhawuleza kwenzeka emva kweeyure eziyi-12 ukususela ekuqaleni kwesifo. Ukushisa kwehla, ulusu luba lumile, ukuhlanza nokudambisa amanzi kuya kuqala. Ukugqithisa esiswini kubangele ukuba isisu sinobunzima kwaye sivuvuke ngenxa yegesi kunye nemveliso yokuqhekeka eboshelwe kwi-peritoneum. Kukho ukungakhathaleli kwinto eyenzekayo, ukuphazamiseka, ukuveliswa kwemigodi kuyayeka. Kule nqanaba isilonda esiswini sesisu siyingozi kwaye akunakwenzeka ukugcina isigulane.
Isilonda esisisigxina - X-ray
Ukuqaphela izimpawu zokuqala zesilonda esiswini esiswini, umntu kufuneka athathwe kwangoko esibhedlele ukuze ahlalutyo. Esi sifo, nayiphi na ukulibaziseka kuyingozi kakhulu. Ukuxilongwa kwenziwa ngeendlela eziliqela:
- ukwenza i-anamnesis yesigulane;
- I-X-ray kunye noviwo lwebhoratri;
- kuhlolwa kwe endoscopic.
Kwi-80% yamatyala, i-X-ray ekugqibeleni isisu isiphumo esihle. Ukuziphatha kwayo kubonakalisa igesi kwisigxina esiswini, esiwela ngexesha lokuphuka kwodonga lwesisu. Ukuba ubungakanani balo buncinci kwaye ukuxilongwa kukungathandabuzeki, i-X-ray iphinda iphindwe, emva kokuba isiguli sinombane omncinci. Emva koko, igesi iyahamba ngokukhululekile kwi-peritoneum kwaye ibonakala kwi-X-ray.
Ukugqithiswa kwesilonda - iingxaki
Njengezinye izifo eziyinkimbinkimbi, ukuguqulwa kwesilonda esiswini kunemiqobo:
- i-fistula yangaphakathi (intestinal kunye ne-gallbladder);
- ikhefu;
- i-pneumothorax kunye nekhefu eliphukile;
- peritonitis .
Indlela yokuphatha isilonda esiswini esiswini?
Xa isilonda esiswini esiswini sitholakala kumntu, unyango luyakuthi lukhawuleze. Le yindlela efanelekileyo kakhulu yokuphuma kwimeko, xa kunokwenzeka ukuthunga umngxuma, kwaye kwezinye iimeko, ukuphumeza isisu esiswini. Kwimiba ekhethekileyo kuphela kunokunyangwa ukuba unyango lubekwe ukuba isigulane sichapha ukuhlinzwa. Emva koko, ukupompa umbane kwi-peritoneum kunye neprojethi isetyenzisiweyo, ngandlela-thile yeentsuku ezimbalwa isigulane sifakwa, amayeza e-anti-inflammatory therapy ayalelwe.
Isilonda esiswini se-Perforated - uncedo olungxamisekileyo
Ukunciphisa umngcipheko wesiphumo esibulalayo kubuncinci, unonophelo olukhawulezayo lufunekayo kwi-perforation yezilonda zesisu esiswini sokuqala, eso sifanele sinikezelwe ngamagqirha. Musa ukuzigulisa. Yenziwa ngolu hlobo lulandelayo:
- Isigulane sifakwa ngentloko ephakanyisiwe kunye namadolo aguqa.
- Suck okuqukethwe kweesisu ngeprobe.
- Ukususa ukutshitshiswa (ukuba kukho), ukuzisa iziyobisi zentliziyo;
- Ukunyuka kwe-saline kunye ne-glucose kwenziwa njengendawo yokulungiselela ngaphambi kokusebenza.
Isilonda esisisigxina sesisu
Kwi-99% yamatyala, isilonda esiswini sesisu sutured. Ngokuxhomekeka kwendawo yokulonda kunye nesimo sogulane, ukungenelela okunjalo kufanelekileyo:
- suturing;
- ukuxhamla kunye nokuhambisa amanzi;
- ukuthengiswa kwesisu ;
- i-resection yezoqoqosho kunye ne-vagotomy (i-dissection yeentsholongwane ezijongene nokuveliswa kwe-hydrochloric acid ukuphepha ukubuyela kwakhona);
- amanzi kunye ne-vagotomy.
Isilonda esiswini sePerformed - sesithuba esilandelayo
Ukugqitywa kwesilonda kuthetha isisombululo sokusebenza kwingxaki. Ixesha lokubuyisela alilula kwaye lide. Ukususela ekuziphatheni okuchanekileyo ngeli xesha kuxhomekeke kwimpilo ezayo yengqesho. Ingqwalasela eninzi ihlawulwa ngokutya kunye nomsebenzi wemoto. Emva kokuhlinzwa kwiintsuku ezingama-3-4 isigulane sihlala embhedeni, emva koko uvumelekile ukuba avuke. Yenza oku ngumncedisi kwaye ngokukhawuleza, ekubeni umzimba ubuthathaka emva kokuhlinzwa. Ukukhohlisa ngaphandle kokunyakaza akukhuthazwa ngenxa yendlela ephezulu yokumamathela.
Ukutya emva kokusebenza kwesisu sesisu esiswini
Ukunciphisa iingxaki ukusuka kutyando ukuya kutsho, uzakufuna ukutya okunzulu emva kwesilonda esiswini esiswini. Iintsuku zokuqala ezingu-3-4 isigulane asondli, ukuze isisu sisetyenziswe kwimeko entsha. Ukutya kuhanjiswa nge-dropper, usebenzisa isisombululo se-glucose. Ngosuku lwesihlanu isigulane sinokuqala ukusela i-jelly encinci kunye ne- decoction ye-dogrose , kodwa umlambo uvinjelwe ngobuninzi, njengetyuwa. Ekupheleni kweveki ekudleni kuqaliswe isobho selayisi e-rubbed / i-porridge kunye namaqanda aphekiweyo. Isiqingatha sexesha elizayo emva kokuhlinzwa siquka:
- amaqanda abilisiwe;
- i-cutlets ye-steam kunye nenyama ebilisiwe ye-turkey, umvundla, inkukhu;
- iintlanzi eziselwandle ezincibilikiweyo eziphekiweyo okanye ezitshiweyo;
- imifuno ehlambulukileyo;
- i jerry jelly;
- irayisi, i-oatmeal, i-buckwheat;
- iibhanana, amapheya;
- I-fat cottage cheese, i-milk, i-acidophilus kefir;
- abaphangi besonka sabo sezolo.
Ngelishwa, uluhlu lweemveliso ezivunyelweyo lincinci kakhulu, ngokungafani noluhlu lweenqatshelwe. Kuya kufuneka bahambelane nobomi bonke okanye benze izinto ezingaqhelekanga, iminyaka engama-2-3 emva kokusebenza:
- iimveliso zokutshaya;
- sausages;
- iziphuzo ze-carbonate;
- ukhukhamba, utamatisi, iklabishi, amakhowe;
- anyanisi, igalikhi;
- imbotyi;
- isoda, utywala, ikhofi, i-kvass;
- i-tshokoleta, i-dessert, ice cream, i-buns.