Ake rupture: 'ehaʻeha ka, lapaau, a me ka hopena prognosis

Nā palapū o abdominal nā loko e kekahi o ka loa pilikia? Ueony, ma ka hapanui o na hihia ka mea, ho i ka hoʻoweliweli 'ana i na ola o naʻia ma hope. Nā kumu o ka poino hiki e alanui he ulia pakalaki, makani i loko o ka'ōpū kahi a haule mai kekahi kilakila kiʻekiʻe. Ka loa pinepine ana ake, mai hemo mai ma muli o ka nui lawa ka nui a me ka 'ole o ke kino. He aha ka ke ake wanaao ae like i kōkua ai i nā mōhai, a pehea ia e lawe wahi hana maikaʻiʻole i loko o ka 'inikua Hoʻonaʻauao? Ka pane 'oe e aʻo ma ka heluhelu i kēia' atikala.

Ka 'ole o ke ake

Ma mua o na lede i na ano o ke akepaa poino, ia mea e pono ke olelo aku nei au i kekahi mau olelo e pili ana i ka 'ole o ke kino. He aha ka ke ake, kahi ia o ka moana , a pehea ia eha i ke kino? Ke ake o Nyos i loko o ka luna o ka peritoneum,? Iaeoe? I ka akau maluna quadrant. kanaka makua kanaka ake nuipa kīnā ka awelika o kekahi, a me ka hapalua kilograms. Ka hui, he mau surfaces: ka luna manaʻo 'ana ma lalo o ka diaphragm a me ka lalo.

Ke akepaʻa he o nā māhele: ma ka hema a me ka pololei. Like kaawale ma crescent ligament. By ake gallbladderʻanuʻu ka anao? Aou i ka? Aieeeua kino bile.

ake kuleana pili i

Ke ake hanaʻia kekahi mau mea nui i hana '. Ua hoomaemae i ke koko, Radio kela nui no ka maʻamau functioning o ke kino o nā polokina, produces nā'ūhū, a ua komo i loko o nā ano o ka pūnao. Ma fetal kūpono 'kanaka ake hanaʻia hematopoietic kuleana pili i. Eia naʻe, he nui loa kanaka i mea uuku no ia, e like me ke ake kahi, a pehea e eha ke kino. Knowledge o kēia mau mea nui koʻikoʻi: ina o ka manawa, e manao i ke alo o kekahi mai, lapaau, e lawe nui maikaʻi i nā hualoaʻa.

traumatic waimaka

Ke ake i ka hana mau 'ano manoanoa, akā, ua poino loa pinepine i ka hui,. O ke kumu ho i ka mea i ua uhiia i ke akepaʻa abdominal pa wale (Ma waho aʻeo ka kino hope ili). Lahilahi peritoneum mea ole conducive i ka ike loea ka palekana i ka mawaho ololi. He nui aʻe hiki i ake rupture: 'ehaʻeha ka o keia maʻi, ua loa like. No ka laʻana, ka lole hiki haehaeʻano hoopuni trauma a me ka hahau ana.

Ke ake hiki ke poino ma ka trauma umauma a me ka puhaka. Ua pinepine ake wanaao ae i loko o ka ulia. Trauma hiki hoʻonāukiuki i ka ikaika loa i ke akepaʻa. O ke kumu ho i ka hana i ho'ākāka 'hui, anatomical henua a me kona kilakila kaupaona. Mai ke akepaʻa mea okoa elasticity, a ua paa ma waena o na iwi aoao a me ka spine ua poino pinepine ia nui iho la ia.

I kekahi manawa, e rupture i ke akepaʻa hiki hopena improperly hana cardiopulmonary resuscitation, akā, i kēia hana loa kākaʻikahi.

Ua mea hiki i ka noho'na makaainana i ulu rupture o ke akepaʻa?

High pilikia o ke akepaa rupture i loko o ka hanana i ke kino hahau ma kekahi maʻi. Ma malaria, syphilis, amyloidosis e uhai a hiki i ikaika mawaho ololi e i. Oia poino paha i ole wale pana akepaa, Muscle ke kanana nei akā, i ua pilikia, no ka laʻana, ka wā me ka puʻu. Noho'na makaainana i ulu ake, mai hemo mai kānāwai i loko o ke alo o ka malignancy i loko o ke kino a me vascular aneurysms.

ake rupture ke hiki aku i ka kāʻei kua o ka hāpai keiki. Ua ho'ākāka kēia pathology aneane 120 mau manawa mai ka makahiki 1844. I ka Ia manawa, loa na wahine i ua diagnosed me ka hypertension.

Mea Maluna o ke ake, mai hemo mai

E like me ka oolea o kēia nā palapū, ua māheleʻia i loko o ka papa kuhikuhiE 4 waeʻano:

• 'aʻe' ana i ka pono o ka mea hōʻikeʻikeʻuʻuku me ka uuku kahe ana ke koko;
• parenchymal nahā i ma a kahe ana ke koko aɃe koke ma hope o ka surgeon sutures;
• hohonu fractures ma i nā mōhai i ike i ka kŰia a me ka poho o ka ike paka i;
• parenchymal rupture, pu ma ka 'aʻe' ana i ka pono o ka ipu nui - me na nā palapū he kanaka hiki koke make, no ke koko lilo.

Ua kū mai me nā-pae a hoolohi ake, mai hemo mai. I ka ua poho ua hana podkapsualnaya paha intrahepatic hematoma i a laila e uhaʻi aku i loko o ka abdominal lua.

Inā ke akepaʻa ua pu ia e nahae ka nahā i fibrous kino iwi ano hoopono, i ke koko komo ka abdominal lua. Ma ka hihia kahi malaila e poino puka, i ke 'akomi i ke koko i loko o ka pleural lua. Inā ka fibrous wahi ua ole poino, i ke koko i nā accumulates ma waena ona a me ka parenchyma.

O na olelo hooweliweli e ake rupture?

aneane mau ho i ake e uhaʻi aku i ka hoʻoweliweli 'ana i ka luahi e ola ana. Ua hiki e kekahi he hookahi paha mau: mai keia ololi hilinaʻi nui ma luna o ka nui o ke kahe ana ke koko. Ua mea waiwai 'ana i kumumanaʻo i ke ake parenchyma a me ka ipu koko mea,ʻaʻole hiki ke ho'ēmi i. Ka mea, ke kumu o ka hooulu ana o ke kahe ana ke koko, i hiki ole ana spontaneously. Nō hoʻi, i ke koko poho ua listen ma ka mea i ke akepaʻa ua mau neʻe ana me ka hanu. Eia hou, i hui pūʻia ke koko me ka bile, i complicates nui kona clotting. Ma pohihihi nui, kahe ana ke koko ke ana me ka 'inikua' uao. Nō kāu, keia ia lŘlŘ ma ka manawa, kahi i nui moku i lukuia.

symptomatology

Mawaena o ka papa kuhikuhiE symptoms o ke akepaʻa rupture nā:

• Pain i loko o ka'ōpū wahi. Pain hiki ia he māhunehune perceptible, a me kaʻoi. Pinepine, i ka wa a ka luahi loaa ana ake poino e poloʻai pule e noho wahi: e hoʻololi i ke kulou wā ho'āʻo ana i oi, pili ka eha ( "Roly-Poly" maʻi pale).
• Ka ehaeha i ikaika ina ka luahi ua huli ae i ka hema-ʻaoʻao: keia mea ku pono i ka mea ana i ke koko loaa ma kaʻaoʻao'ākau o ka abdomen, ua hoʻoneʻe ma kaʻaoʻao hema.
• luahi mau lehelehe i huli uliuli.
• Ma hope o eha opu Makamae, a ukuhi ai.
• Nausea a me ka luaʻi.
• I ka helehelena o ke anu hou, anuanu lala.
• Ka luahi ke haha loa wai.
• Pale ili.
• Loss o ka ike paka i, eha kŰia.

Inā iʻoluʻolu o akepaa uuku hematoma, ke hoʻomanawanui i ka ke ano o IeAUPIIe, IAa IO kupono. Inā ka poho mea nui aku, na nā mea maʻi i loko o mea ano. Ka wā He nīnūnē eha i loko o nā lā mua ma hope o ka loaʻa 'ana o kahi e symptoms. I hookuu i ka eha mae wale aku ma hope o kekahi mau o ka lā, akā, ke akepaʻa ua ho'ākeaʻia iki. Aia paha e kekahi ala i loko o ke ana wela, kekahi manawa e hoʻomōhala ana i he uuku jaundice. A laila, no ka mea, i kekahi hōʻemi iki anakahi uila hiki i hoʻomaka ai mea hōʻikeʻikeʻuʻuku rupture, pela hematoma ua nininiʻia i loko o ka abdominal lua.

Koke ma hope o eha hua, ka'aloʻahiʻa ua mahuahua, nae, e hoʻomaka e emi hope amplification kahe ana ke koko. Ua Ua manaoio aku i ka'aloʻahiʻa kulu hoʻomaka ma hope o ke koko poho ihoiho 800-1500 ka pono.

Pehea ua diagnosed ake rupture?

ʻike, o ke akepaa nahā i ke e kekahi pilikia pakahi aku la ia ina ka hoʻomanawanui loaa'ē aʻe nā palapū. Inā manawa Aʻole ole e i kaʻike, "rupture o ke akepaa", ka hopena hiki e loa. Mea pōmaikaʻi, mahalo i ke kālā no ano o PalekanaEND_LINK hewa i minimized.

Nei, no ka mea, keʻike, o ke akepaʻa, mai hemo mai noi abdominal puncture me ka hoʻokomo 'ia' ana o ka kūikawā catheter. Me keia hana ia mea hiki ke kuhikuhi i koke i ka i Kekahi Mau 'o ka poino, a lawe mai i ka mea e pono ai remedial ana. Kekahi hoʻomanawanui iki mai no ka pololeiʻike, ua pono, e hana i ka ultrasound o ke akepaʻa.

Ho oholo i ka pinepine 'loli, kena ae la ma ke koko poho, e kokua ke koko hōʻike. I ka helu o kaʻulaʻula koko keena hoʻomaka e huli i loko o kekahi mau hola ma hope o ka rupture ana, a laila hoʻomōhala loa anaemia. ula koko aeea helu emi wikiwiki, e hooholo i ka nui o na kahe ana ke koko. Koko e ho'āʻo ai e halihaliia oia iwaho o kela mau hora, a leie aku oe e Hoʻokolo i nāʻano o ka hoʻomanawanui ka kulana.

Muli o kona kulana he paakikiʻike, no ka subcapsular hemorrhages: ka mua mau lā, i keʻano o nā mea maʻi ua kupono, a laila ka mea, deteriorates i loko o ia mau lesions.

Hiki complicateʻike, kanakaʻona mau intoxication o ka hoʻomanawanui a me ke unconsciousness, kena ae la ia e traumatic lolo eha.

pākōlea ana

He nui nā mea hoihoi, e like me ka malama ia no elike ake nahā i, a ina paha makeʻe kulana hana o keia maʻi me ke kūʻokoʻa. fracture lapaʻau i wale nō e surgically. E hoʻokaʻawaleʻoe i loko o kekahi hihia hiki ole ia: ina oe kāpae'ōlelo ke akepaa rupture, i ka hopena hiki e ona. Ke Inc mea, e pau ana i ke kahe ana ke koko, wehe i loaa i loko o ka abdominal lua o ke koko a me ka necrotic'aʻaʻa. Hana ua koi me ka hikiwawe e loaa: kēlā me kēia hora o ke kali maoli ka likelihood o ka make. Hoole o ka hana, ua hooponoia ia wale nō, inā i lawe i ka haukapila ka luahi ma ka mea ano inoperable.

Ke prognosis o hepatic rupture

Inā he hoomanawanui i ke akepaa rupture, ka prognosis hilinaʻi nui ma luna o kekahi mau aʻe:

• degere o ka hui, poho;
• ano o ka ino;
• ke hoʻomanawanui i ka makahiki: keiki, a me nā kūpuna me koʻu hoomanawanui ana'ku akepaʻa, mai hemo mai me ka nui loa kaumaha ia ma mua o nā waeʻano o nā mea maʻi;
• Alemanaka o keʻoki kino.

He aha hiki e complications?

Kekahi o na complications loa hoʻoponopono i i ke pili me ka ake rupture mea hematobilia. I ka hemobilia mai o Nyos ipu koko like me ka hopena o ka hewa hoʻomaka e loaa a puni ka leki uea o ka gallbladder a me ka bile lua i pele, mai kuamoʻo. Hemobilia hiki wale ke? Ee ma ke kāpaeʻana ka mākau hoʻokaʻaʻike ma waena o ka moku, a me ka laau make bladder. I ole ia, i ka hoʻomanawanui i make no ka mea, o ka mea nui ke koko me keia poho.

Rarer complication o biligemiya. Keia ano e hoʻomōhala ana i ka wā i pepehi ka poʻe a me ka bile ducts, a me ka nui o na moku. Ma keia hihia, ke koko ke kahe ana i loko o ka bile. Na hana hea hana wale ma keʻoki kino.

Pinepine manawa e improperly hanaʻoki kino, hooloihiia kahe ana ke koko ia lŘlŘ ma ka moni loa paha 'ana i loko o ka abdominal lua. IeAUPIIe, IAa IO keia kahe ana ke koko ua 'akomi i ma hope o kekahi mau lā ma hope oʻoki kino. Eia hou, i kekahi mau hoʻomanawanui iki mai subdiaphragmatic hana abscesses, ake cysts a postoperative fistula.

I ka make ana o ke akepaʻa loli ma ka wanaao ae i loko o ka hapanui hihia, kena ae la ia e kau ka leo o ke koko nalowale. I ka helu o ka make i loko o ka perioperative wā mea e pili ana 9%. Inā ka hoʻomanawanui i poho i nā nā loko, i ka make ana, piʻi pū nunui (i 24%).

akepaa rupture, na kumu o ka i hiki e loa ai like, o ka mea pepehi ana i ka pono koke 'inikua' uao. I ole ia, he kiʻekiʻe pilikia o ka make ma muli o ka loa koko poho i accompanies i kēiaʻano o ka hewa.