Ingqalelo: "isisu esibukhali"!

Igama elithi "isisu esisisigxina" luyinkimbinkimbi yobunzima obunomdla obonakala ngokukhawuleza izifo zesisu esiswini okanye ukulimala kwayo, okudla kakhulu kufuneke ukungenelela kwonyango oluphuthumayo. Ngokuqhelekileyo ukuhlolwa kokuqala kwimeko yesigulane kunye nesisu esibukhali kunikezwa oogqirha sele sele beqala ukuhlolwa kunye nokuqokelela i-anamnesis. Nanku ukuchongwa kokuchaneka kokuchanekileyo kubalulekile (ukuxilongwa ngokuthe tye, kuba kuya kufuneka ukuba uthuthelele kwiziko lezonyango kunye neenkqubo zokuxilonga ezongezelelweyo) kwaye uncedo olukhawulezayo.

Ubungqina bebilini esisisigxina kukuba imeko yesigulane ibuhlungu ngeeyure. Intlungu ebuhlungu kwisisu esisodwa nje kubungqina bokuba kuqaliswe inkqubo ye-pathological, kwaye nangona bephela ixesha elithile, oku akuthethi ukuba imeko iphucule.

Isimo esifanayo kwisigulane sinokuvela ngenxa yezi zizathu zilandelayo:

1. Ukukhutshwa komatshini wesisu esiswini;
2. Inkqubo yokuvuvukala yeenkqubo ze-pathological in the cavity (eg, peritonitis);
3. Ukuchithwa kwengqibelelo yomzimba ongekho;
4. Isithintelo samathumbu ;
5. Iingxaki nge-bloodshed blood circulation circulation in peritoneum;
6. Ukumisa isisu kwindawo yesisu;
7. Inkqubo yezilwanyana kwi-system yozala (ukukhulelwa kwe-ovari, ukukhulelwa kwe-ectopic, i-cyst ovarian, njl.).

Izibonakaliso zesisu esisisigxina ziyacaca, izigulane aziziphoso, ngenxa yokuba uvakalelo olubuhlungu luhlala luqine kakhulu, alukhiphulwa yi-analgesics, inyanzelekile ukuba ithathe isikhundla esinyanzelisiweyo okanye ngokuthe tye, iguqulwe rhoqo (kuxhomekeke kwingcamango yengqondo yaloo meko), ikhubaze amandla okusebenza. Izigulane zisesigxina.

Xa uhlolisisa isigulane esinomqondiso "isisu esisisigxina" kubalulekile ukunyamekela imiqondiso enjalo: isikhundla sesigulane, ukufaneleka ngokwengqondo, ukubonakala komzimba, umbala wesikhumba, ubukhulu kunye nomgangatho wesigxina. Emva kokuvavanywa ngokubanzi, kubalulekile ukulinganisa iqondo lokushisa (kwi-armpit ne-rectally), ukuchonga iipameters ze-hemodynamics. Emva koko isisu sifunyenwe - sithathwe kwaye siphulaphule, isandi sichazwa, ivolumu yesisu isetyenziswe (ikhutshwe, ikhutshwe), i- rectum ihlolwe ukuba kukho i-edema, iindonga ezigqithiseleyo, ukuphuma kwamanzi. Ukuba yonke impawu ibonisa "isisu esisisigxina," isiguli kufuneka sithathwe ngokukhawuleza kwiziko lezokwelapha ukuze kucaciswe ukuxilongwa-nokuba ingaba yinto yokuguqulwa kwelungu elithile, okanye ukukhutshwa kwegazi ngaphakathi. Ama-Analgesics akufanele anikezelwe ade afikelele esibhedlele-anokususa umfanekiso wesifo aze akhokele ekuchaseni ngokungafanelekanga.

Ukuba ngethuba lokubhedlele okanye ngaphambi kokubizelwa ngugqirha isigulane sinokutshatyalaliswa kwentlungu, ngoko kuyimfuneko ukuba uyenze amanyathelo okumkhupha kweli lizwe.

Xa sifika kwiziko lezonyango , i-cardiovascular system ihlolwe ukuba ichanele ukuba i-index ye-bleeding index (shock loss of blood). Uvavanyo lwe-x-ray kunye ne-ultrasound luye lwenziwe.

Ukuba "isisu esisisigxina" sifumaneka kwabasetyhini, kuyimfuneko ukunyamekela ukukhulelwa kwangaphambili, umhla wokugqibela kwinyanga, ubukho befowuni ye-intrauterine, ubukho bezilwanyana zesifo esithintekayo.

Xa ufumana umfanekiso onokwethenjelwa we-pathology ngaphakathi kwe-peritoneum, i-laparoscopy yokuxilonga yenziwe-uviwo ngokuchaneka okuncinane okutyhila igumbi eligulayo okanye ezinye iingxaki. Ngokuqhelekileyo, ngokukhawuleza emva kwe-laparoscopy, i-incarcer width isenziwa, isambatho esiswini sisuswa, imbangela yesifo isuswe. Ngelo xesha, ukuba kunyanzelekile, isigulane sinikezelwa ngegazi, i- glucose ijojowe ukugcina imeko.

Ngonyango olufanelekileyo ngexesha elikliniki yezokwelapha, ukuxilongwa ngokukhawuleza nangokuchanekileyo kokuxilongwa, izigulane ezininzi zigcinwa ngobomi.