Hōʻeuʻeu ileus: Mea Maluna, kumu, symptoms a me ka lapaʻau

Ileus - maʻi, a integrates he luna 'o symptoms e i wehewehe aku e he piha a hapa lilo o ka naʻau i kīnā o ke kino, o ka poe manoanoa a lahilahi. No ka mea, mea hoʻomaopop 'ana i ka nele o ka hele ana i kekahi' ano o ka ai, a me paa a me ka wai a nui, a me ke alo o ka, pili li nui i loko o ka peritoneal lua. Intestinal iaʻi ka hōʻeuʻeu a me mechanical.

hiʻona o ka maʻi

Hōʻeuʻeu ileus - he ano kaawale o ka olelo ana mai a me ia lŘlŘ i loko o 10% o nā mea maʻi me na naau oʻu iaʻi. A hiki i kēiaʻike o nā kauka pinepine pushes ka pono e hoʻopau ma paʻi iaʻi, i mea i loko o ka manaʻo pono no kaʻoki kino.

Ka pilikia i ka diagnosing keia maʻi ninoieo i loko o ka mea ana i ka pathogenesis o hōʻeuʻeu ileus i wehewehe aku ma ke alo o ka neʻe nā pilikia unambiguous Piʻihonua a me ka ai hakina'āpana. Ma keia hihia, wale he pōkole hoʻomaopop 'ana i ka ho'ēmiʻana o ke kino keʻano o ka hanaʻana.

Naʻe, i ka pilikia o ka mai moe ma ka oiaio i ka mea hiki i neurohormonal dysfunction ma ka hoomanawanui, e like me loli i ka functionality o ka liilii, a me ka nui liʻiliʻi. E noonoo oe i ka kumumea e ho ololi i ka hanana o kēia maʻi like me ka hōʻeuʻeu intestinal iaʻi.

Nā kumu o ka maʻi

Inā paha kēia 'epekema ua hoailono aku la ma ka hana maikai la, alahula mau a me ka piʻi like ma ka oihana lapaau, akāʻo ia i i kauoha aku ai i ke hoʻoponopono i ka hana i ho'ākāka' maomeka i kāhea i ke ano o ka maʻi i loko o nīnau. Ka muli o ka like hōʻeuʻeu intestinal iaʻi ia mau pilikia i ke, kena ae la ia e ka penei aʻe:

• peritonitis a hiki i appendicitis paha pancreatitis;
• huʻi mesenteric infarction;
• ʻawahia megacolon (Crohn ka maʻi, Hirschsprung ka, ulcerative colitis);
• reflex ana (postoperative ana, colic, kahe ana ke koko, abdominal trauma, spinal fractures like worsening me mechanical ileus);
• maʻi o neurogenic ano;
• loli ma hormonal pae (e laʻa me, hāpai keiki);
• metabolic maʻi (hypokalemia, ketoacidosis, uremia, intoxication).

Mea Maluna hōʻeuʻeu ileus

I lapaau, i kaʻike, o kela a me keia i kona iho kivila, i ka inoa a me ka nui oluolu mau hae o ka mālama '. Ua mea i koe, a na maʻi like hōʻeuʻeu intestinal iaʻi. ICD-10 (International Mea Maluna o ka Maʻi) classifies ka maʻi ma ka ninau like penei:

• Papa XI "Nā Maʻi o ka digestive'ōnaehana" (K00-K93);
• E nānā i "Other na naau oʻu maʻi" (K55-K63);
• ʻike, kuhi - K56.6;
• inoa - "Ka Other a unspecified intestinal iaʻi."

I ka 'inikua mea, eʻike ma waena o nā walaʻauʻanaʻano o hōʻeuʻeu intestinal iaʻi:

• spastic;
• lolo.

Spastic na naau oʻu iaʻi

I ka lapaʻau me ka hana pono i uncommon, ka mea, ua ana i halawai me ia ma kekahi mau me kekahi maʻi. Pinepine i ke kumu o ka maʻi o ka maʻiʻaʻai o ke kino me ka ilo a me pilorospazm, me ka a no o ka hanau trauma. Nō hoʻi i waena o ka mea 'ē aʻe kumu o kēia' ano o ka maʻi nā: maʻi o ka'emi'ōnaehana, neuroses, dyskinesia.

Pakele o ka pilikia hiki e wale n? Na kumu o ka makeʻe kulana ano, e like me ia, Kamuela iʻoki lāʻau lapaʻau 'uao i loko o keia hihia, aole ia i hana pono keia.

Spastic na naau oʻu iaʻi: na hoailona

Ma nā mākua, i ka maʻi ia lŘlŘ nui ma mua i loko o nā keiki hou pinepine, akā, kona symptoms e ka ia ma kekahi mau makahiki. Kēia maʻi ua wehewehe aku ma ka manawa e hoouka kaua. Ke hoomanawanui complains o pōkole-noho ho'āhewa wale o abdominal eha, a e ole i ka maopopo IIeEeAIEUAA.

Nā mea maʻi i kēiaʻike, i ike i ka hahai symptoms:

• skhvatkopodobnye abdominal eha;
• haoʻa nani, a me ka manao o ka mea i piha ai;
• nausea, hiki ka luaʻi, constipation.

Ma palpation o ka abdomen ua ikeia ka mai Hoʻohana o ka uuku naʻau liʻiliʻi, i ka'ōpū ka loa pahee. Haunaele mai nā nenoai ua i mālama. Ke mau ano o ka hoʻomanawanui mea,ʻaʻole pilikia.

Pseudoileus

Ka manao o lakou lolo peristalsis naʻau liʻiliʻi, pu ma ka ulia regression ooieoeiiaeuiiai vivacity neuromuscular hale. Hoomaopopo reflex a postoperative lolo ileus.

I ka wā o ka maʻi ia lŘlŘ like me ka reflex stimulation o ke aloha o lala o ka autonomic ko mākou hopohopo nenoaiu. Postoperative ileus Ua oi eiiieaena, a oi na Kin ma hope mau ana ma ka abdominal nā loko.

Hoʻonāukiuki aku i ke kahua a me ka hooulu ana o ka maʻi ma ka kēia kumumea:

• hoʻoʻino keʻano o ka hanaʻana i loko o ka abdominal wahi;
• loa (abscess) retroperitoneal wahi;
• ka pono kiʻi ua malama ma hope o ka hana e like me laparotomy;
• hopena o pathological kāna hana e like me pleurisy, pneumonia, myocardial infarction;
• mesenteric vascular thrombosis;
• infectious maʻi, meʻawahia paresis.

Aia i kekahi mau kuʻina o ka maʻi.

I ke kahua. "Compensated nahae" - Ua like no ka typical postoperative intestinal paresis. Duration o symptoms mau no 2-3 lā.

KaʻAnuʻu II. "Subcompensated nahae" - ua wehewehe aku ma ka mea i loaʻa mea he nui nani, eia na hoailona o ka intoxication a me ka pseudoperitonitis kino. 'Aʻole i hoʻolohe ino peristalsis. Aʻano o nā symptoms malamaia ma luna o radiographs.

KaʻAnuʻu III. "Decompensated kāna hana" - i ke kino i loko o ka moku'āina o ka nui intoxication. Oe ke kiai i ka naʻau i ka nawaliwali, ka luaʻi, intestinal Contents. Aia mau symptoms o peritoneal mea ukiuki loa,'ōpū pehu nunui. X-Ray Ka Ikepili hōʻike he iiiaanoaa o papamoe, pae o ka wai i loko o nā puka lou o nā naʻau liʻiliʻi (ka poe liilii, a me ka nui i ka mea ia manawa).

I Wa IV. "Ka lōlō o ka gastrointestinal'āpana" - i keia kahua, he mea ka 'aʻe' ana o nā mea a pau i ka nui nā loko no kanaka ola nenoai. Noke'ōnaehana manaʻo maʻi noke.

No kēia lapaau hakuʻole-e hoʻomōhala ana i palena pau PalekanaEND_LINK hiʻona o ka likeʻole pathologies e ana i loko o ka postoperative au, no laila, i kakahiaka nuiʻike, o ka maʻi i kokoke hiki ole i

Lolo ileus: Symptoms

Ma nā mākua, i ka maʻi ma luna o ke kāʻei kua o ka mea mau ke ano e wale kiʻiʻino loa. He Kahalaopuna a eia i eha i ua hookaheia'ku ma ka ano. Eia naʻe, ia mea,ʻaʻole like, pili me ka mechanically na naau oʻu iaʻi. Luaʻi launahele huikala. I ka hoʻomanawanui 'ana i kumumanaʻo ka hua exsicosis symptoms o kaʻawahia a me ka mea'ōnaehana mānowai koko kaumaha.

I ka lolo ileus e pehu ae o ka'ōpū o ka hoomanawanui, ma kona alo pa hiki ke ike i kekahi mea ulu i loko o ka buke o ke loop neperistaltiruyuschih liʻiliʻi. Inā peritoneal na hoailona ma kahi e, alaila, o ka abdomen mea pahee i ka hoʻopā.

No ka mea, i kēia maʻi o ke kahua kaʻina hana, a me ka hoomahuahua i loko o ka wā o ka maʻi moku'āina o ka hoʻomanawanui deteriorates. Ma ka hope kahua o ka hoʻonaʻauao ia i ke kaulana tachycardia a me ka pokole o ka hanu, bloating, languid peristaltic ino i mea kākaʻikahi 'enehana hou. Ka luaʻi nahae.

Ma ka hope o ke kahua, he nihinihi prevalence o morphological loli ma ka neuromuscular i hoʻomākaukauʻia. Ke hoomanawanui complains o kinoea, a noho kali hou aku; he infrequent urination.

Hōʻeuʻeu intestinal iaʻi i na keiki

Children i oi, he pono ole hōʻeuʻeu huʻi intestinal iaʻi, i ka loa pinepine ike i loko o ka lolo palapala. ʻO kēia mau kumu hiki ke hōʻike ', e hoʻonāukiuki i ke kūpono' ana o ka maʻi i loko o kamaliʻi.

• obstructive paha strangulation iaʻi;
• i kaupalena 'ole eiei? peritonitis;
• abdominal trauma;
• pneumonia;
• empyema;
• kāna hana o intestinal kuleana pili i.

Muli o kona kulana pinepine, hōʻeuʻeu ileus hana ino i na keiki ma ka postoperative wā. No hoi i lolo maturation ano o ka maʻi hiki e hypokalemia.

'Ākena o ka maʻi i loko o kamaliʻi o ka hiki poho o ka nui dala o ka loli a me ka paʻakai ma muli o ia a eia i ka luaʻi, lilo o ka ikaika loa ka makemake, hookuuia potasiuma hakuʻala hypoproteinemia. Ka oolea o keʻano i ke exacerbated ma ka aoao o adverseʻawahia a me ka mea koʻohune ana.

Hōʻeuʻeu ileus i loko o nā pēpē i hiki ke triggered ma ka helu o na kēia mau kumu:

• prematurity;
• 'Uao' aʻe ';
• i ke ano o ka ai '(a me ka hānau keiki i hāpai keiki);
• gipermagniemiya;
• hoʻohana ana o heroin hāʻawi ka hanau ana;
• hoʻohana 'hexamethonium;
• sepsis;
• enteritis;
• CNS maʻi;
• necrotizing enterocolitis;
• endocrine kāna hana.

Hōʻeuʻeu intestinal iaʻi i loko o nā keiki pinepine i, akā, ka mea, ua hoopuni diagnosed a leie koke lapaʻau. Ma ka hihia o ka hoʻohuoiʻia o ke alo o ia mau iaʻi importantly - e ole e lako i ka hoowalewale ana o ka hoʻoponopono ka lapaʻauʻia, a me ka ikaika hoopili i na kuhikuhi i hoakaka ia ma ka pili hoʻomalu. Lethal hoʻokūkū - ia mea he hiki Aey? Acaeoey me ia i ka pilikia e like me ka hōʻeuʻeu intestinal iaʻi.

ʻike, o ka maʻi

Symptoms o ka maʻi-kekahi a me ka vivid, i 'aʻole i keakea mai i ke kaʻina o kaʻike,. Pili i ke kēia PalekanaEND_LINK ki ina hana:

• 'inikua moʻolelo;
• ka ninaninau ana i ke ahonui;
• X-Ray ka ninaninau ana o nā loko ma ka abdominal wahi (helu mua o kinoea ma luna o ka wai a pae i loko o ka naʻau liʻiliʻi);
• Ultrasound (ʻaʻole pono i ke ao, no ka mea, mea,ʻaʻole i lawa informative anakahi);
• piha koko helu.

Hōʻeuʻeu intestinal iaʻi: lapaʻau

Nui, lapaʻau ua nona ma ke kāpaeʻana i ka maʻi loiloi mua kumu e hoonaukiuki kona ulu (infectious ano o ka maʻi, pneumonia, peritonitis a me kekahi poe e ae.). Ina o ka maʻi o kekahi no o kaʻawahia a reflex ana kūpono makeʻe kulana lapaʻau, i ninoieo ma ka lāʻau Inc o ka ioʻike manaʻo e alakai i noho i ka hae intestinal peristalsis. O ia Inc hiki ke hoʻokōʻia ma ka i hoʻolaunaʻia ma loko o ka kanaka kino o ka ai 'e like me paʻakai koloriside, a me ka monakō koko. A laila 'oe makemake e holoi i ka naʻau liʻiliʻi me ka enema, ina e pono ai - e hana i ka hoʻokomo' ia 'ana o ka gastric Tube. At kiʻekiʻeʻeha ka waiʻona ma ke hiki e loaa ana painkillers.

Ma ka hihia ia no eono hola 'inikua lapaʻau i ka hoʻomanawanui i ka ke ano, aole ia e hoʻoikaika' ana,ʻoki kino ua hana. I pilikiaʻoki kino ua hana i loko o congenital na naau oʻu iaʻi.

Nō kāu, o ka hana ninoieo o kekahi hapa no kona wehe 'ana o ka gut, i ole hou hoʻokōʻana kona hana. I loa Episode ponoʻauhau iā colostomy (ʻimi hoʻopunipuni anus i loko o ka abdominal paia ma i ka neʻeʻana i ka noho, a i ka manawa e hele aku i loko o ka kūikawā eke hitched).

Mai wehe i ka gut Hoʻohana mea hiki wale i ka hihia o ka intussusception. Ma ia ana ia mea hiki ia, e halii mai i ka naʻau liʻiliʻi ma ka skipping Air liʻiliʻi a me ka pāʻana i ka nohona ma kiʻi hoʻohana X-kukuna hou.

Postoperative lapaʻau ninoieo o kanakaʻai, i hilinaʻi nui ma ka buke o keʻoki lāʻau lapaʻau 'uao. Ka mua mau lā ma hope oʻoki kino, i ke ahonui e ia i loko o ka oihana Fowler, i pono e hana hanu kino. No hoi i keia kahua e undergo lāʻau Inc, disintoxication Inc ia mai nā ', normalization o electrolyte pūnao, ka hoʻohana' ana i ka laulā-pae antibiotics, gastrointestinal noho haumāna kahi konohiki ina hōʻike - hormonal lapaau.

I ka complications ma ka postoperative au i Wa Mamua palapu, kahe ana ke koko, peritonitis, lina mai o ka peritoneum.

Me ka hōʻeuʻeu ileus, like me kekahi'ē aʻe maʻi, he mea nui i ka nui o ka hana likeʻana me Kāohiʻana o kēia pilikia. Kāohi ki ina hana like nā:

• ? iaea o electrolyte kaulike;
• prokinetic ka lapaʻauʻia;
• antibiotics;
• kūponoʻai i mea haʻahaʻa i ka momona, haleʻuwī waiū huahana, a kanu i ka ai me ka maʻiʻo kiʻekiʻe o eiiiiiaiou a i ole hōʻuluʻulu manaʻo ma ka mea kanaka kino.