Isibeletho esisodwa yisimiso esidinga ukungenelela kokuhlinzwa ezindaweni eziningi. Ake sicabangele ukuthi iziphi izimpawu zokuzivikela kanye nokuthi yiziphi izindlela ezivumela ukuba zihlonishwe ngokuhamba kwesikhathi.
Izimpawu zesisu esiswini
Kuye ngezimbangela, izimpawu zesisu esiswini zingase zihluke. Izimpawu ezisemqoka yizi:
- Ubuhlungu emgodini wesisu. Ngokuvamile kunesifo sobuhlungu obukhulu. Kodwa, isibonelo, nge-appendicitis, ubuhlungu bungabonakala njengokudonsa.
- Isisu, isisu esisithukuthele. Iphethini elifanayo lingabonwa ngokucasuka kwe-peritoneum, ikakhulukazi uma i-perforating the ulcer. Esigabeni sokuqala sesi sifo, ngokuphambene nalokho, kuvame ukuphumula kwezicubu zomzimba kanye nokuhoxiswa kwesisu.
- Ukushisa okukhulayo. Njengomthetho, kubonakala ukuthi lesi sifo sinzima kakhulu nge-peritonitis.
- Ukuphefumula okungajulile. Ukuphefumula okujulile kubangela ukuqinisa i-syndrome ebuhlungu ngesisu esiswini. Ngakho-ke, isiguli siphefumula kakhulu, sivikela i-peritoneum.
- Ukushintsha isilinganiso senhliziyo. Esikhathini sokuqala kukhona ukwehla kwenhliziyo. Njengoba ukuqhubeka kwe-pathology kwandisa ukudakwa, okuholela ekutheni umfutho osheshayo.
- Ukuvota. Unomlingiswa ohlukile kuye ngokuthi i-pathology. Ngokuvamile sinquma uhlelo lwezokwelapha. Uma ukuhlanza kwenzeka ngemuva kokuqala kobuhlungu, ukwelashwa okuhlinzeka kuvame ukudingeka. Kungenjalo, izindlela ezisetshenzisiwe zisetshenziswa.
Ngaphandle, umuntu obhekene nesisu esiswini esibucayi ubonakala enamahloni - ukuwa kwamehlo, izici zobuso zikhula.
Izimbangela zesisu esiswini
Kunezizathu eziningana ezibalulekile ezingabangela isisu esisemqoka:
- i-appendicitis enzima;
- ukuvimbela emathunjini;
- i-peritonitis enzima;
- i-thrombosis yomthambo we-mesenteric;
- i-pyelonephritis elula;
- ukuhlushwa kwama-cysts;
- ukuvuvukala kwe-ovary;
- urolithiasis.
Ngokuyisisekelo, izibalo zesimpawu yinoma yisiphi isifo sokuvuvukala, kanye nenqubo esithathelwanayo, i-perforation yesigxobo esiswini.
Ukuxilongwa kwesisu esiswini
Njengoba izimbangela ezivusa ukukhubazeka ziningi, kubalulekile ukwenza ucwaningo olunembile. Izindlela ezilandelayo zisetshenziselwa lokhu:
- Ukuhlukaniswa - kukuvumela ukuba ucacise ukutholakala kobuhlungu futhi kungenzeka - indawo yokugula.
- Ukuvuthwa - kusetshenziselwa ukusola okusobala kwesipeni, i-neoplasm yesibindi noma i-aortic aneurysm. Usiza ukuxilonga izithiyo zokuvimbela emathunjini, ukushaywa umoya.
- Ukuhlola igazi kwegazi - kwembula izinga le-electrolytes, umsebenzi we-serum amylase, ukuvezwa kokuhlushwa kwe-bilirubin.
- Ukuhlaziywa okujwayelekile komchamo - Kunconywa ukuthi urolithiasis noma u-pyelonephritis oyingozi.
- I-ECG - yenziwa ngezizathu ezijwayelekile zokukhomba ukuthi kungenzeka yini izifo zomzimba wenhliziyo.
Kuncike ekuhlosweni okuhlosiwe, ukuxilongwa kungadluliselwa. Isibonelo, uma kungenzeka ukuthi igesi iqoqa ngaphansi kwesifingqo noma uma kwenzeka ukusola ukuphazamiseka kwe-aneurysmal, kusetshenziswe i-x-ray yesifuba. Ukuxilongwa kwe-pancreatitis noma i-infarction yamathumbu kungenziwa nge-laparocentesis.
Ukwelashwa kwesisu esiswini
Imithi yokwelashwa ihlanganiswa ngamunye emva kokuxilongwa okuningiliziwe nokuhlonza izimbangela. Izinyathelo ezijwayelekile zokwelashwa zifaka:
- amanzi amanzi;
- indlala;
- kungenzeka, ukugcoba esiswini ;
- Ukuqapha okuqhubekayo kwezinga le-electrolytes.
Uma usola ngesisu esisodwa, usizo oluphuthumayo kufanele lunikezwe. Ukwelashwa okwesikhashana nokuzama ukuzimela ekuqedeni ubuhlungu kungaholela ekufeni, okubangelwa ukuphuma kwegazi okukhulu, isisu, izicubu ze-necrosis.