Izitho zangaphakathi zihlanganiswe ngendwangu yesibindi se-serous. Ngenxa yezinqubo ezihlukahlukene ze-pathological, ingasetshenziswa futhi ifakwe isisindo esihlangene. Isibonelo esisodwa ukunamathela emathunjini - izimpawu zalesi simo zibonakala, njengomthetho, emva kokulimala komshini, ukungenelela kokuhlinzwa noma emva kokubuyela emuva kwesifo esingelapheki.
Izimbangela zokunamathela emathunjini
Indlela yokubukeka kwe-splices ihlotshaniswa neqiniso lokuthi ubuqotho be-epithelium ye-peritoneum buthaka. Ezindaweni zokulimala, ukukhwabanisa kuqala ngokusebenzisa izicubu ezixhunyanisayo ukuthi amangqamuzana e-solder we-membrane emangcwabeni.
Izinto eziyinhloko ezibangela inqubo echazwe:
- izifo ezithathelwanayo ezivuthayo, ikakhulukazi i- peritonitis esimweni esibucayi nesiguli;
- ukufakwa kwe-appendicitis nokususwa okulandelayo kwesithasiselo;
- ukulimala okuvulekile nokuvaliwe kwesigxobo esiswini;
- isilonda se-duodenum ne-perforation (ngokusebenzisa ukuguqulwa kwesidonga);
- ukuvuvukala kwama-ovari nama-appendages kwabesifazane, isikhathi eside singekho ngaphansi kokwelashwa;
- ukukhiqizwa kwezakhi zofuzo kanye nokukhiqizwa kwama-enzyme okwenziwe ukukhula kwezicubu ezixhunyiwe;
- noma yikuphi ukungenelela okuhlinzeka endaweni okucatshangelwa kuyo.
Kumele kuqashelwe ukuthi ukunamathela emathunjini ngemuva kokuhlinzwa akuveli ngokushesha, kodwa emva kwesikhathi eside: kusuka ezinyangeni ezimbili kuya kwezi-6. Ngakho-ke, odokotela abahlinzayo bahlale beluleka ukuba baqhubeke behlonishwa ngugqila phakathi nezinyanga eziyisithupha emva kokuphathwa.
Indlela yokubona ukunamathela emathunjini?
Ngenxa yokuthi uhlelo lokunamathela lude kakhulu, ngezinye izikhathi kuthatha iminyaka engu-3-4, ukubonakaliswa kwemitholampilo kubonakala kuphela lapho kunezinkinga, okwenza kube nzima ukuxilonga nokubeka ukwelashwa okudingekayo.
Izimpawu nezibonakaliso zokunamathela emathunjini:
- i-dyspepsia;
- i-raspiree eduze nendawo ephakathi kwesisu nesiseduze nenkaba;
- isifo sosizi, sanda emva kokuzivocavoca, kanye nokudla "ukudla okunzima";
- izinkinga zokugaya ukudla ngendlela yokuqothulwa;
- ukuvula;
- ukwehla kwamathumbu emathumbu, ukuntuleka kwesitokisi izinsuku ezingaphezu kwezinsuku ezintathu.
Ngokuvamile, ngokungahlali isikhathi eside kwesiguli, imiphumela enzima ikhula, ngokwesibonelo, ubuhlungu obunzima phakathi nokunamathela emathunjini ngenxa yokuvinjelwa okukhulu kwe-lumen yayo. Bavuka ngokumelene nesizinda se-fusion multiple ye-serous tishu nokudluliselwa emathunjini, okuvimbela ukuhamba okuvamile kwezixuku ze-fecal.
Esinye isici, esivele sibhekiswe kudokotela ohlinzayo, yi-necrosis yesayithi lesigungu. Lesi simo senzeke ngoba kukhona ukungabi khona kwegazi emiphakathini ethile yamathumbu (izinkontileka zomthambo). Akunakwenzeka ukuphilisa lesi sifo, ukwelashwa kuhlinzeka ukususwa (ukuhlukaniswa) kwesigamu esifile samathumbu.
Ukuxilongwa kokunamathela emathunjini
Ukunquma ngokunembile izimbangela zezimpawu ezichazwe ngenhla, izindlela ezilandelayo zisetshenziswa:
- Ukuhlolwa kwe-Ultrasound kwesiguli esiswini esingenalutho ukugwema amathuba okubonakala kwegesi ku-lumen emathunjini.
- Ukuhlaziywa okuningiliziwe kwemitholampilo yegazi, okuvumela ukukhomba izinqubo zokuvuvukala emzimbeni.
- I-Radiographie noma i-imagination resonance yamagnetic ngenhlanganisela ye-barium njenge-agent ehlukile.
- I-laparoscopy ngezinjongo zokuxilonga. Lo msebenzi wenziwa ngaphansi kwe-anesthesia. Ngesikhathi sokungenelela, ukufakwa okukodwa kwenziwa nge-tube encane eguquguqukayo enekhamera yevidiyo encane efakwe. Umcimbi usiza ekunqumeni ngokunembile ukutholakala noma ukungabikho kwenqubo yokunamathela, ubungako nenani lokuthintela, izinga lokubhujiswa kwamathisini emathumbu, ngakho-ke kubhekwa njengolwazi oluningi kakhulu.