I-ulcer perforated yisimo esibi sezinkinga zesisu nesisu se-duodenum, okuyinto esongela ukuphila. Ngokuvamile kuvela emadodeni, ikakhulukazi ekwindla noma entwasahlobo, ehambisana nokukhushulwa kwenkathi yesifo esiyisisekelo. Ukuvama kokubukeka kwe-perforation kubuye kuthinteke isimo somqondo nangokomzwelo kubantu: ngakho-ke, ngesikhathi sezimpi noma izinkinga zomnotho, odokotela babhalisa lesi sifo kaningi kaningi kunezikhathi ezivamile.
Abantu abanezifo zesilonda esidalwa yisilonda futhi abangalandeli ukudla bangengozi enkulu yokuthola isilonda esine-perforated ngokungafani nalezo ziguli ezihambisana nokudla okufanele futhi zigcine ukuzola kwengqondo.
Izimbangela zezilonda eziphazamisayo
Kunezizathu eziningana ezibangela ekuthuthukiseni izinkinga ezinjalo zesifo se-peptic ulcer:
- ukwandisa inqubo yokuvuvukala endaweni ephethwe;
- ukwanda kwengcindezi yangaphakathi kwesisu ngenxa yokwenza ngokomzimba;
- ukudla ngokweqile noma ukungahambisani nokudla;
- ukucindezeleka kwengqondo nangokomzwelo;
- ukungenisa i-salicylic acid noma ukwelashwa nge-glucocorticoids.
I-ulcer perforated - izimpawu
Izimpawu zesilonda esine-perforated zingahlukaniswa ngezigaba ezintathu.
- Eyokuqala ihlala cishe amahora angu-6, kuthiwa "isiteji sokuphazamiseka kobuhlungu," ngoba phakathi nalesi sikhathi isiguli sizwa ubuhlungu obukhulu esifundeni sesisu. Iziguli zikuqhathanisa nomlenze wokulwa: ubuhlungu obunzima, obukhulu nobukhali obubukhali. Ngalesi sikhathi, ukuhlanza kungase kwenzeke, isiguli sinzima ukuvuka, isikhumba sakhe sivulekile futhi sifudumele. Ukuphefumula kuyashesha futhi kungenangqondo, ngokuphefumulela okujulile, kuvela ubuhlungu, ukucindezeleka kwegazi kunciphisa, kodwa ukushaywa kwegazi kuhlala ngaphakathi kwemingcele evamile: ukushaya okungu-73-80 ngomzuzu. Ngesilonda se-perforated se-duodenum, imisipha yamathumbu iyancipha, ngakho-ke umuzwa unzima.
- Esigabeni sesibili, okwenzeka emva kwamahora angu-5-6, isiguli siqala ukuthuthukiswa okubonakalayo: ubuhlungu bezinhlungu buyehla, imisipha yomzimba iphela ukuba ihlukumezeke, futhi isimo sempilo jikelele sibonisa ukuthi lesi sifo siphelile. Kodwa, labo abaseduze nesiguli, kudingeka uqaphele ukuziphatha kwakhe, tk. ukuthuthukisa i-peritonitis kunganika i-tachycardia, umuzwa wokujabula, ukukhula okukhulayo nokulibaziseka esitokisini. Kulesi sikhathi, i-leukocytosis iqala ukuqhubeka.
- Isigaba sesithathu siqala emahoreni angu-10-12 kanti isithombe somtholampilo sifana nokusabalalisa i-peritonitis. Ngalesi sikhathi kunzima ukuthola ukuthi yini ebangele isimo esinjalo sempilo, ngakho-ke kubalulekile ukudlulisela kudokotela oya kuyo yonke imininingwane yezimpawu ezandulele.
Ukwelashwa kwezilonda eziphethwe yi-perforated
Ukwelashwa kwezilonda zamathumbu e-perforated kuqala emnyangweni wokuhlinza. Kuze kube yileso sikhathi, udokotela uhlola isiguli: uzizwa esiswini sakhe, umbuza, ubeka i-X-ray.
Ezimweni ezimbi, ukuphefumula kwe-oksijeni kwenziwa, ukwelashwa kwe-infusion kwenziwa, ama-analgesics (okungewona i-narcotic) ajojowe.
Uma kuqinisekiswa isilonda se-perforated, kwenziwa ukuhlinzwa phambi kwesiguli okujojowe nge probe ukuhlanza isisu kanti isambiso is catheterized. I-anesthetics i-injected bese insimu yokusebenza iphathwa nge-disinfectants.
Ukulonda isilonda esine-perforated kwenziwa nge-peritonitis ejwayelekile (ngokuvamile uma ukunakekelwa kwezokwelapha kungasetshenziswanga amahora angaphezu kuka-6 kusukela ekuqaleni kokuthuthukiswa kwesilonda esisodwa).
Ukudla ngemuva kwezilonda eziphethwe yi-perforated
Kubaluleke kakhulu emva kokuhlinzwa ukugcina ukudla okukhethekile izinyanga ezimbalwa.
Nge-ulcer perforated, i-carbohydrate elula, usawoti kanye ne-liquid ayikwazi ukuthathwa ngemali enkulu. Ezinsukwini ezimbalwa emva kokuhlinzwa, isiguli singanikezwa ngamaminerali angabonakali amanzi, izithelo jelly kanye netiye. Khona-ke unganika amaqanda ambalwa abilisiwe nosuku ngosuku, kanye nesobho esincane semifino, amazambane ahlambulukile.
Izinsuku eziyishumi emva kokuhlinzwa, isiguli sinikezwa amazambane ahlambulukile, kanye neyomungu elibilisiwe kanye ne-izaqathe. Zonke ukudla kufanele zibe zithambile, hhayi ezibabayo, hhayi usawoti, hhayi amafutha. Isinkwa sivunyelwe ukuba singezwe kwimenyu kuphela emva kwenyanga.
Kusukela ekudleni kungabandakanyi ama-muffin kanye nezitsha ezivela esibindi, amaphaphu nezinso, kanye nemikhiqizo ebhemayo, ukudlala okuneziphuzo namakhowe.