Kuputirwa - dumbu kana chiuno

Bundu remudumbu ihomwe yehutachiona hutachiona uye pus iri mukati medumbu (dumbu dumbu). Rudzi rwekuputa runogona kuwanikwa padyo kana mukati mechiropa, chirwatata, itsvo kana dzimwe nhengo. Panogona kuve nerimwe kana anopfuura mabundu.

Unogona kuwana matumbo emimba nekuti une:

• Appendikisi yakaputika
• Ura kana kuputika ura
• Kuputika ovary
• Chirwere chekuputira ura
• Utachiona mune yako gallbladder, pancreas, ovary kana dzimwe nhengo
• Utachiona hwepelvic
• Utachiona hwehutachiona

Iwe uri panjodzi yekuita mudumbu mudumbu kana iwe uine:

• Kushungurudzika
• Perforated ulcer chirwere
• Kuvhiya munzvimbo yako yedumbu
• Dziviriro yezvirwere mumuviri

Utachiona hunogona kupfuura nemuropa rako kuenda kunhengo iri mudumbu rako. Dzimwe nguva, hapana chikonzero chinogona kuwanikwa chekuputika.

Marwadzo kana kusagadzikana mudumbu kusingaendi chiratidzo chakajairika. Uku kurwadziwa:

• Inogona kuwanikwa chete munzvimbo imwechete yedumbu rako kana pamusoro pedumbu rako
• Inogona kuve yakapinza kana isina kujeka
• Inogona kuwedzera kuipa nekufamba kwenguva

Zvichienderana nekuti pute riripo kupi, unogona kunge uine:

• Marwadzo kumusana kwako
• Marwadzo mubhokisi rako kana pabendekete

Zvimwe zviratidzo zvebundu remudumbu zvinogona kunge zvakawanda sezviratidzo zvekuve nefuruu. Unogona kuva:

• Dumbu rakazvimba
• Manyoka
• Fivha kana kutonhora
• Kusava nechido uye kugona kurasikirwa uremu
• Kusvotwa kana kurutsa
• Kushaya simba
• Kukosora

Zviratidzo zvako zvinogona kuve chiratidzo cheakawanda matambudziko akasiyana. Mutapi wako wezvehutano achaita bvunzo kuti abatsire kuona kana iwe uine dumbu remudumbu. Izvi zvinogona kusanganisira bvunzo dzinotevera:

• Yakazara kuverenga kweropa - Yakakwira chena masero eropa chiyero chingangodaro chiratidzo chehutachiona hwehumwe hutachiona.
• Yakakwana metabolic pani - Izvi zvicharatidza chero chiropa, itsvo kana ropa matambudziko.

Mimwe miedzo inofanirwa kuratidza bundu remudumbu:

• Abdominal x-ray
• Ultrasound yemudumbu uye chiuno
• CT scan yemudumbu uye chiuno
• MRI yemudumbu uye pelvis

Chikwata chako chekuchengetedza hutano chichaedza kuona nekurapa chinokonzera bundu. Kusuruvara kwako kucharapwa nemishonga inorwisa mabhakitiriya, kubuda kwepus, kana zvese zviri zviviri. Pakutanga, ungangotarisirwa muchipatara.

ANTIBIOTICS

Unozopihwa maantibayoti ekurapa bundu. Iwe uchavatora kwemavhiki mana kusvika matanhatu.

• Iwe unozotanga nemishonga inorwisa mabhakitiriya yeVIV muchipatara uye unogashira mishonga yema IV kumba.
• Iwe unogona ipapo kuchinjira kumapiritsi. Ive neshuwa yekutora ese ako maantibayoti, kunyangwe iwe uchinzwa zvirinani.

DRAINAGE

Bundu rako rinoda kudhonzwa pus. Wako mupi uye iwe ucha sarudza nzira yakanakisa yekuita izvi.

Kushandisa tsono uye kukweva - Anopa wako anoisa tsono kuburikidza neganda uye mubundu. Kazhinji, izvi zvinoitwa nerubatsiro rwema-x-ray kuona kuti tsono yaiswa mubhodhoro.

Anokupa anokupa mushonga wekukotsira, uye mushonga wekugonyesa ganda tsono isati yaiswa mukati meganda.

Muenzaniso webhomba unotumirwa kubazi. Izvi zvinobatsira mupi wako kusarudza maantibayoti ekushandisa.

Dhinari inosara iri muvira kuitira kuti pus ibude.Kazhinji, dhureini rinochengetwa mukati memazuva kana vhiki kusvikira bundu rava nani.

Kuitwa oparesheni - Dzimwe nguva, chiremba anovhiya kuti abvise pute. Iwe uchaiswa pasi peiyo general anesthesia kuitira kuti iwe uvete kuvhiyiwa. Kuvhiya kunogona kudikanwa kana:

• Bundu rako harigone kusvikwa zvakachengeteka uchishandisa tsono kuburikidza neganda
• Appendikisi yako, ura, kana imwe nhengo yaputika

Chiremba anovhiya anozocheka mukati medumbu nzvimbo. Laparotomy inosanganisira yakakura kucheka. Laparoscopy inoshandisa kucheka kudiki uye laparoscope (kadiki vhidhiyo kamera). Chiremba anovhiya anozo:

• Chenesa uye dhonza iyo pute.
• Isa dhadha mubhodhoro. Dhinari rinogara mukati kusvikira bundu rava nani.

Kupindura kwaunoita pakurapwa kunoenderana nechikonzero chebundu uye kuti hutachiona hwakaipa zvakadii. Zvinoenderana nehutano hwako hwese. Kazhinji, mishonga inorwisa mabhakitiriya nemadhiraini zvinotarisira zviputi zvemudumbu zvisina kupararira.

Ungangoda kanopfuura kamwechete kuvhiyiwa. Dzimwe nguva, bhuru rinodzoka.

Zvinetso zvinogona kusanganisira:

• Iyo pute inogona kunge isinganyuri zvizere.
• Iyo abscess inogona kudzoka (kudzokorora).
• Iyo abscess inogona kukonzera chirwere chakakomba uye chirwere cheropa.
• Hutachiona hunogona kupararira.

Fonera mupiki wako kana iwe uine:

• Kutambudzika kwakanyanya kwepamuviri
• Fivha
• Nausea
• Kusvipa
• Shanduko mutsika

Kuputa - mukati-mudumbu; Pelvic pute

• Mukati-wepamuviri mudumbu - CT scan
• Meckel diverticulum

De Prisco G, Celinski S, Spak CW. Abdominal abscesses uye gastrointestinal fistula. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: chitsiko 28.

Shapiro NI, Jones AE. Sepsis syndromes. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 130.

Squires R, Carter SN, Postier RG. Dumbu rakaoma. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsamba 45.