Perforated ulcer - He aha ka mea?

Perforated ulcer? Acaeoey? Oi pinepine ia i loko o na kanaka, o ka oi aku ma hope o na makahiki 40. Nā kumu o kēia complication like nui o ka ulcer mea:

- stressful wahi, i hiki,

- kaumaha hoounauna,

- he nui hewa i loko o kaʻai,

- exacerbation o ka naciiiuo ano,

- i ke ano o ka mea paka,

- waiʻona hokii,

- eha ka wā probing i ka'ōpū.

E kū'ē i ke kāʻei kua o ka lōʻihi-makahiki hoʻohana o hormones, me ka pinepine heartburn i loko o ka mōʻaukala o ka hoʻomanawanui i kūkulu i ka perforated 'ōpū ulcer. Ke hoomanawanui i hoopii e pili ana i ka mahuahua eha i loko o ka abdomen, e māhuahua nawaliwali. Akā, perforation hiki ana koke. Ma keia hihia ia mea pono no ka hoʻoponopono 'koke i ka haukapila, no ka mea, keia kulana mea ona.

Ma ka loiloi mua ke kahua, he mea he hoopaapaa eha, e like ma hope o ka pahi. Ma gastric ulcer e hoomanawanui i ka eha ma kaʻaoʻao hema a puni ka piko, a me ulcer 12 duodenal ulcer - ma ka akau maluna quadrant. Kaʻeha hiki e haawiia i ka'ūhā mua'ākau, collarbone, ma lalo o ka'ūhā mua'ākau maka. Akā, ma hope o kekahi mau hola, he akaka delineation o ka eha hou. Ahonui uuku au pōniuniu, loa nawaliwali, nausea. Pale ili kala like 'ole, uhi me ka Padfolio anu hou. Elelo maloo, a me ka hoʻopā. Ke hoomanawanui waiho ma konaʻaoʻao,'ōpū nāʻiʻo tighten. He lua kaomi waina i kona mau kuli i kona opu a me ka ho'āʻo ana e waiho wale hoʻi. No ka mea, ma ka mea iki o ka neʻeʻana i ka eha, piʻi pū, a me keia hiki i ka luaʻi reflex. Na hiohiona hoʻopilikia o ka abdominal nāʻiʻo. Keʻena hoʻokolohua koko helu i maʻamau.

Ma ka lua o ke kahua perforated ulcer ua wehewehe aku ma ka mana maikaʻiʻana a me ka hana o ka hoʻomanawanui ola. Pain blunted, ke koko, ka lāʻau ikiʻai a me ke ana wela i normalized. Akā, i kēia mawaho hou Hōʻike he nalu p na loli: huʻi eha subsides, no ka mea, he mea atrophy o ke aʻalolo a hāʻule pahū wale, a ma hope o 8-12 hola o ka hoouka kaua peritonitis e hoʻomōhala ana i ke kiʻekiʻe mai kuni, tachycardia, ukali ma ka meheu o ka naau i kela a me ke koko, kulu.

Ma ke kolu o ke kahua o ka eha mea eiei ma ke ano maoli, e pili ana a puni ka abdomen. Ke koko a me ka opu Contents komo ka abdominal lua, nāuki mai i ka peritoneum. Ma ke kino, ka mea maoli he intoxication, i ka hoʻonāukiukiʻana pinepine ka luaʻi, a no ka maluhiluhi i ka hoʻomanawanui.

Bloating, intestinal peristalsis , aole ia e hoolohe ole. Ma X-Ray hiki hoʻomāhuahua o ka wai a me ke ea ma lalo o ka diaphragm i loko o ka palapala o ka pahikakiwi. I ka percussion hoopaa hoi i kani ma ke akepaʻa māhele nalo. Tympanic kani ma luna o ka wahi o ka naʻau liʻiliʻi i loko o ka abdomen Pńk'pika ma akemāmā kani ma luna o ka pahu kahi i loko o ka hapa akau o ke kanaka kino.

Perforated ulcer o ka'ōpū, i mea e pono ke ike i ka symptoms o kēlā me kēia kanaka, e pane koke, a, e kahea aku i ka ambulance i loko o ka 'eleu kūpono, ua manaoia kekahi o ka noho pilikia loa complications o peptic ulcer maʻi. Inā he ua he e hoʻohuoiʻia i ka hoʻomanawanui perforated ulcer o ka opu, e e hana koke no ka 'inikua kōkua. Hilinaʻi ma ka oleloia? Ienoai mea hiki ole, no ka mea, ua hiki i ka hala i kekahi manawa, a laila, i ka maʻi, e lawe i ka huli nui, i hiki ke pau tragically.

Perforated ulcer surgically hana wale i ka wahi ana. Iloko o ka hana, ia ma biopsy o ka'ōpū'aʻaʻa, e alii ai maluna o mai Ka maʻi 'aʻai. Inā he kanaka hiki ole e kaʻi aku i ka 'inikua Hoʻonaʻauao no ka nui o nā kumu (kekahi mea i loko o nā mauna, i loko o ka ululaau, ma kahi o ka amo paha i ka ino ino), ia mea pono e hoʻolauna atropine subcutaneously, i mea e emi i ke kahua o gastric wai, a omo kahi o ka'ōpū ma ka Tube hookomoia i loko o ka nasal e hooholo ia. Akā, ia mea he puʻe wale akula kēlā? Aiaiiuie ana.

Perforated ulcer ma hopeʻoki kino pono i ka lōʻihi haukapila lapaʻau, kaʻaeʻana me ka ikaika a me kaʻai hoʻopulapula ana. Ka mua 10 lā, i ka hoʻomanawanui pono ia e moe ma ka moe koena, i ka kela la i keia moe a me ka hoʻomaha. A mau mahina ma hope o ka hana ua koi 'ia e hahai i ka kūikawāʻai, e pale aku i kekahi mauʻai a me nā mea inu.