Ukuhlukunyezwa kwesisu okungenalutho

Umthelela wokuqhuma kwamagesi, ukuqhuma, ukuwa ezindaweni eziphakeme nokucindezela i-trunk kubangele ukulimala kwesisu okuyisisu okungathinta izitho zangaphakathi. Izinga lomonakalo lithembele kumagugu okweqile ngokweqile noma amandla okuthinta.

Izimpawu zesifo esibuhlungu esiswini

Nge-traumatic encane, isiguli singenza ukuhlukunyezwa esikhumbeni, ngobuhlungu, ngokuhlukunyezwa kwemisipha ye-peritoneum. Uma kwenzeka ezinye izibonakaliso, isiphetho senziwe ngokulimala komzimba:

1. I-Edema, ubuhlungu, obuya kakhulu lapho bekhwehlela futhi beshintsha isikhundla somzimba, bangakhuluma ngokulimaza kwodonga lwe-peritoneal.
2. Ubuhlungu obukhulu kakhulu bubonisa ukuhlukana kwemisipha.
3. Njengoba igxile ngaphansi kombambo olungakwesokudla, ubuhlungu obuqhuma endaweni engaphezu kwe-clavicle, ukwehla kwengcindezi, isikhumba sesikhumba sikhombisa ukuthi ukulimala kwesisu kwangasese kubangele ukulimala kwesibindi, okuvame ukuholela ekuphumeni kwangaphakathi .
4. Ukuvuvukala kwe-perineum, ubuhlungu, ukuhoxiswa komchamo kanye nokuhlanganiswa kwegazi kuyimpawu zokuphuka kwesisu.
5. Ukulimala emathunjini amancane kubonakala ngokuhlanza, ukuphazamiseka nokushaqeka. Ukunqotshwa kwemathumbu amakhulu akuvame ukubonakalisa ukushaqeka.

Usizo lokuqala lokuhlukunyezwa kwesisu esiswini

Kubalulekile ukuthi isiguli siqinisekise ukufinyelela okukhululekile emoyeni, bese ushayele i-ambulensi. Uma kwenzeka ukuhlukumezeka kwesisu, ukunakekelwa okuphuthumayo kungase kube ukwenza izinyathelo zokutakula zokuphefumula. Ukulinda odokotela, kubalulekile:

1. Musa ukuhambisa isiguli.
2. Unganiki izidakamizwa, iziphuzo kanye nokudla.

Lapho ubhekene ne-abrasions, ungawaphatha futhi usebenzise i-bandage futhi usebenzise i-compress ngamanzi abandayo.

Ukwelashwa kwesifo esibuhlungu besisu

Indlela yokwelashwa okulondolozayo kuyimivimbo futhi imisipha iqhuma. Isiguli sigxile ukucindezeleka okubandayo, ukuphumula kombhede kanye ne-physiotherapy. Uma kutholakala ama- hematomas abalulekile aqhuba amanzi.

Izikhala ezithombeni zangaphakathi, lapho kuphuma khona igazi, kudinga ukungenelela okuhlinzekwayo. Isiguli esiphuthumayo ngaphansi kwe-anesthesia jikelele sinikezwa i-laparotomy, emva kwalokho udokotela usebenza lezi zinyathelo ezilandelayo:

1. Iyeka ukuphuma.
2. Ihlola isimo sezingxenye ze-peritoneum.
3. Iqeda umonakalo okhona.
4. Ikhubaza isikhumba esiswini.

Ukuvimbela ukuthuthukiswa kwezinkinga, isiguli sinqunyelwe amalungiselelo amaprotheni, i-glucose, kanye nokwehliswa kwe-plasma negazi. Ukuvimbela ukuthuthukiswa kwe-peritonitis, isiguli sinikezwa ngama-antibiotics.