Lokho okubizwa ngokuthi besisu syndrome? ukwelashwa syndrome besisu

syndrome besisu kwezokwelapha ngokuvamile okuthiwa eyinkimbinkimbi izimpawu, umbandela esiyinhloko okuyinto ubuhlungu esiswini. Ngokushesha kufanele kuphawulwe ukuthi ngokuvamile ayinakho uxhumano ngqo yimuphi zokugula kuhlinzwa, futhi izifo ezibangelwa yiziphi izinhlaka ezibekwe kule ingaphakathi lesisu, noma izinkinga isimiso sezinzwa esiguli, isimo yamaphaphu futhi enhliziyweni yakhe. Ngokuthi avuse ubuhlungu ingase futhi ukuvuvukala esiswini, kubangelwa ukuchayeka ezinobuthi, futhi eqine umzimba wayo ogulayo.

Ngokulandelayo, sizoxoxa izimpawu, izinhlobo nezindlela ukwelapha lesi sifo.

Kwezinye izimo, ukuthuthukisa besisu syndrome

Ubuhlungu besisu kuyinto ngezigaba kunalokho eziyinkimbinkimbi. Evamile, kungaba kuhlobene nezinga isifo ngokumelene kuyo kubonakala khona.

• Zingase zibekwe yezifo ngokweqile, izitho zokugaya - ukusha kwesibindi, isifo sokuqina kwesibindi, pyloric stenosis duodenum, njll ...
• Wathi ubuhlungu besisu futhi ungase uhambisane pathology kwesifuba - pneumonia, isilethikusebenza, ngomphimbo diverticulosis et al.
• Kubhekiwe Inkulumo syndrome besisu futhi izifo ezithathelwanayo noma viral - ugcunsula, herpes zoster, nabanye.

Iqembu olukhethekile izimo zokucabanga okubangelwa isifo ukuthi ukwakha ukuthuthukiswa kwe-pathology kuchazwe, kubalulekile ukuba sithwale Isifo esibangelwa iziyaluyalu umzimba noma izivikeli mzimba - sikashukela, rheumatism, futhi porphyria.

Kanjani ubuhlungu yezici ezihlukahlukene

Ubuhlungu besisu kuhluke kuye ngohlobo ubuhlungu. Kuyinto lesi sici ngokuvamile liyasiza ochwepheshe ukwenza uphethwe yini futhi kutholakale imbangela yokushona sifo. Lokhu kwenziwa esebenzisa ukucabangela ngokucophelela nesineke, kwamakhemikhali igazi ukuhlaziywa Imiphumela ultrasonography futhi esimweni kwesifuba nesisu.

1. Hlukanisa cramping, okuyinto avele futhi anyamalale ngokungazelelwe, egqoke ubunjalo ubuhlungu kuhlasela. Bavame imbuthuma ngemuva, ngaphansi ikhaba, e okhalweni noma emikhawulweni ephansi futhi ephelezelwa isicanucanu, ukuhlanza, okungalindelekile ukwamukelwa isikhundla futhi m. N. Njengomthetho, bephambana ukuvuvukala kule peritoneal ingaphakathi, ubuthi noma sokuphazamiseka ukusebenza emathunjini.
2. Uma lesi sifo sibangelwa ngilulekela kwezitho eziyize, ubuhlungu uba buthuntu futhi edonsa.
3. Futhi izinguquko ezihlelekile noma ukulimala kwezitho avele ubuhlungu peritoneal. Kwezokwelapha, basuke kubhekwe ayingozi kakhulu, futhi igama jikelele "esiswini oyingozi". Lokhu ubuhlungu kwenzeka ngokuzumayo, it is ezichithekile, ephelezelwa ukucobeka jikelele nokuhlanza ezinzima. Uma ushintsha isikhundla, ukunyakaza noma ukukhwehlela - buyathuthuka.
4. Kubonakala ubuhlungu zenzeka samakhaza, wahlaselwa isifo senhliziyo, pleurisy nokunye. D. Kulezi ukuhlaselwa nobuhlungu obubangelwa isifo somzimba, okuyinto ngaphandle komgodi ongaphakathi kwamathumbu, kubonakala esiswini. Ukuze-ke ngokuvamile elajoyinwa izimpawu zesifo, ngokumelene okuyinto kukhulisa echazwe syndrome - imfiva (uma ukutheleleka), ubuhlungu enhliziyweni noma emalungeni (i ischemic isifo senhliziyo noma isifo rheumatism), njll ...
5. A ubuhlungu psychogenic ongakaphathelani ngesifo izitho zangaphakathi. Ziyakwazi Neurotic futhi ngokuvamile kubangelwa ukucindezeleka, neziyaluyalu isimo ecindezelekile isiguli.

Ngifuna ukugcizelela ukuthi yimuphi ubuhlungu besisu kumele kube isizathu ngokufuna usizo lodokotela ngoba lesisu syndrome, njengoba usulibonile, kungase kube uphawu lokungabi isimo, ezidinga ukuhlinzwa eziphuthumayo futhi zisongela ukuphila kwesiguli.

Izici kuwukubonakaliswa ezingamahlalakhona ubuhlungu besisu

Syndrome ka ubuhlungu besisu zingavela ukuhlaselwa esifushane futhi omatasatasa, futhi abagqoka futhi ezingalapheki eside.

Kulo mBhalo, ubuhlungu ngokuvamile kwandisa kancane kancane futhi ziyabuya amasonto ambalwa noma ngisho nezinyanga imbala. Futhi kufanele ukuthi ifomu njalo lesi sifo ikakhulu kwakhiwa ngokuvumelana nokusebenza kwengqondo kunokuba izinga imiphumela elimazayo. Yileyo zokugula ngesilinganiso esithile iyeke libonise degree lesi sifo umsuka ucala kutfutfukisa imithetho yayo siqu.

Abacwaningi bakholelwa ukuthi ezingamahlalakhona syndrome besisu ngokuvamile sokucasuka isimo esicashile zokucindezeleka. Iziguli ezinjalo ngokuvamile esekhala inhlanganisela kwasendaweni ezahlukene ubuhlungu - ngokwesibonelo, bangakwazi kanyekanye emaphilisini ekhanda, emuva, esiswini, njll isimo zayo bavame kangaka kuchazwe kanje: "Kubuhlungu wonke umzimba" ...

Nokho, akubona bonke ubuhlungu chronic besisu kubangelwa okuthile engqondweni - bangase ivele zangokwasemuva zezinhlelo umdlavuza, izifo ngisho namalungu, isifo senhliziyo. Kodwa kulokhu, lesi sifo sinendawo ecacile neqondile.

Izenzo besisu syndrome ezidinga esibhedlela ngokushesha

Njengoba kushiwo ngaphambili, sibi syndrome besisu kwezinye izimo kungase kube uphawu lokungabi nokwephula isebenze kwezinye izitho ngaphakathi komgodi ongaphakathi kwamathumbu noma ngaphandle kwalo. Ngakho-ke, ukuze hhayi bazichaya engozini okungenzeka ukubukeka ubuhlungu besisu, kufanele wazi lapho izimo sidinga simemo esiphuthumayo esiya bathole usizo lwezempilo.

• uma kuhambisana ubuhlungu livela ubuthakathaka ezinzima, isiyezi, futhi isimo nokunganaki;
• Umzimba kokuba hematoma ongama amaningi;
• nesineke libuhlungu ukuhlanza ngokuphindaphindiwe;
• imisipha besisu kubophekile;
• kanye ubuhlungu kuphakama tachycardia, futhi yehlise umfutho wegazi;
• Iziguli bakhathazekile imfiva, umsuka zazo alucacile;
• ngevolumu esiswini luyanda kakhulu, ephelezelwa ubuhlungu obukhulu;
• amagesi akusuki, futhi imisindo peristaltic bengekho;
• abesifazane avele osenyameni kakhulu noma ukopha.

Ngayinye yalezi zici (futhi ikakhulukazi inhlanganisela yabo) idinga iseluleko saziso onguchwepheshe, njengoba kungaba isimo ukubonakaliswa okuyisimo esisongela ukuphila.

Ubuhlungu besisu ezinganeni

Ngokuba ukuthuthukiswa besisu syndrome izingane Uyi ingozi iqembu elikhethekile. Lokhu kungenxa ikhono umzimba wengane ukuze phezu-basabela yimaphi zici elimazayo.

Ngakho, zisencane ngokuthi syndrome zingase kube ngenxa ukubuyisa ngokweqile, okubangela emathunjini ingane colic. A ophuzayo njengoba izizathu Ungase futhi wenze intussusception (ezihlukahlukene isimiso) emathunjini, okudinga esibhedlela ngokushesha, anomaly azalwa naso noma izitho besisu.

syndrome besisu ezinganeni abasesikoleni ngokuvamile kakhulu kuwuphawu gastroduodenitis esingamahlalakhona noma iziyaluyalu imisebenzi amanyikwe. Syndrome ngokuvamile eba ku isizinda isifo oyingozi noma ezingamahlalakhona we nezinso noma esinyeni. Ngo amantombazane asemancane lesi simo singenzeka ekusungulweni kwezikhungo nomjikelezo wokuya esikhathini. Phela, kulokhu ukubukeka ubuhlungu kungaba uphawu khona izinhlumba wesibeletho.

Ubunzima uphethwe ngo syndrome besisu ezinganeni

syndrome besisu ezinganeni kubangela ubunzima obuthile e sitholakele isifo, futhi yaba imbangela ubuhlungu. Lokhu kungenxa yokuthi umntwana ngokuvamile abakwazi ukuchaza ngokunembile imizwa yabo, indawo yabo, amandla kanye khona ngemisebe.

Phela, nodokotela bezingane bathi izingane ngokuvamile iyiphi ukucobeka kanye nokuhlukumezeka uchazwa ngokuthi ubuhlungu esiswini. Odokotela ebhekene nalo incazelo, ngisho nalapho ingane ngokucacile uhlangabezana isiyezi, ubuhlungu ezindlebeni, ikhanda, noma isicanucanu.

Ngezindlela zokubhekana besisu sifo ngo-izingane, njengoba abadala, kuncike isifo ecashile ukuthi kubangela ukubukeka kwaso, ngakho ochwepheshe batusa kakhulu ukuthi abazali benza izinqumo zabo siqu futhi ungazami ngaphandle kosizo onguchwepheshe ukuyeka yisisu umntwana usebenzisa antispasmodics noma analgesics izidakamizwa. Iqiniso lokuthi izenzo ezinjalo kungaba gcoba isithombe kwenzekani kumntwana, ukwenza ezinzima nzima nakakhulu kakade ukuhlola futhi ngaleyo ndlela zibangele nemiphumela emibi ngendlela efanayo.

Ngakho, nge ukubukeka izikhalazo yengane yakho ubuhlungu besisu nezinye izimpawu of besisu syndrome Kuyaphuthuma ukuba aye kudokotela. Kulokhu, kangcono ukuthatha isinyathelo ukuze uphephe!

Ukubonakaliswa sifo ne-SARS

Ngokuvamile odokotela bezingane uzigcine futhi SARS nge besisu syndrome. Ezinganeni, ke buhlobene futhi isici wokusabela umzimba sika ngezinto elimazayo.

Ezimweni ezinjalo, izimpawu kokujwayelekile igciwane lohlobo lwe - ububomvu emphinjeni, amakhala yisisu, ukukhwehlela, ubuthakathaka kanye imfiva - isiguli kancane singahlangana retching futhi ubuhlungu besisu. Kodwa ukubonakaliswa kungenziwa okuthiwa njengoba isici impendulo umzimba wengane ukuba ukutheleleka, futhi, ngokwesibonelo, isibonakaliso ngokumelene SARS yashubisa izifo we komgodi ongaphakathi kwamathumbu.

Ngakho-ke, sitholakele "sibi zokuphefumula igciwane lohlobo nge besisu syndrome" emibuthanweni yezokwelapha kubhekwa enganembile ovikelekile. Akasiniki incazelo eqondile kwenzekani emzimbeni wesiguli okwamanje, kanti isiguli enezimpawu okukhulunywa syndrome kudinga impoqo ukuhlola okungeziwe siqambe izimbangela kuhlinzwa ka ubuhlungu besisu.

Kangakanani besisu syndrome

Ngenxa yokuthi isimo echazwe akusona isifo ahlukene, kodwa kuphela uphawu umzabalazo eziyinkimbinkimbi nge besisu syndrome kufanele ekuqedeni, okokuqala kunakho konke, imbangela yokugula. indima ebalulekile kuleli ayefeze nokuqedwa motor iziyaluyalu e ipheshana wokugaya ukudla kanye ukuzinza we bezibona ubuhlungu esigulini.

Ukuqeda ukungakhululeki, uvele enkantolo ngemuva Tinkinga ipheshana wokugaya ukudla, ngokuvamile linqume antispasmodics myotropic. Ethandwa kakhulu phakathi kwabo Isidakamizwa "Drotaverinum" isenzo abakhethayo kakhulu; engenanzalo nomphumela ongemuhle isimiso sezinzwa futhi senhliziyo. Leli thuluzi has isinyathelo antispasmodic hhayi kuphela, kodwa futhi kukusiza ukuba kuncishiswe viscosity igazi, ingasetshenziswa hhayi kuphela e dyskinesia biliary, isilonda esiswini noma isilonda duodenal, kodwa futhi ischemic wamathumbu isifo.

Ngokulinganayo abaphumelelayo amalungiselelo walandisa muscarinic yokwamukela blocker (bewakha nemibandela muscle futhi ukhulula spasm) noma sokukhohlwa nonselective holinoblokatoram ( "Gastrotsepin", "Platifillin", "Metacin" futhi m. P.).

Kuyini angina emathunjini

Kusukela ezichazwe ngenhla ahlukahlukene ubuhlungu besisu imithi kuthathwe ukuhlukanisa sifo ka ezingamahlalakhona ischemia besisu. Kuyinto ivela ngokuhamba kwesikhathi enganele liningi igazi ahlukahlukene aorta besisu ngenxa:

• iziyaluyalu ezinzima zenhliziyo;
• arteritis;
• vasculitis;
• kombungu futhi kokucindezelwa semithambo;
• kanye ukubukeka isibanda stenosis ngemva ukulimala kanye nokusebenza.

Lesi simo sibizwa kubabangele befa off (necrosis) ezindaweni semithambo noma izitho, ezingalotshwanga enikeziwe umoya-mpilo, noqhekeko imikhiqizo eyanele ababoniswa.

Ngokuthakazelisayo, angina emathunjini uvame ezitholakala amadoda aneminyaka engaphezu kwengu-45. Futhi kubonakala sengathi, njengoba umthetho, a triad izimpawu - ukucindezela, bezwe izinhlungu, ngokuvamile, episodic ubuhlungu besisu, wamathumbu ukungasebenzi kwekhono, futhi lesichubekako kwesisindo.

Indlela yokubhekana besisu syndrome ischemic

Ubuhlungu ngokuvamile kwenzeka ngemva cishe isigamu sehora ngemva kokudla, futhi kungathatha amahora amane. Ngezinye izikhathi akhanye ngemuva noma ngakwesokunxele esifubeni kuhambisana ukuvuvukala, ukubhodla, ukucanuzela kwenhliziyo, ukuhlanza, kungakhathaliseki ukuthi izinga ukudla udle.

Avuse it can hhayi kuphela ukudla, kodwa futhi uhlobo ngokomzimba noma usheshe futhi wakhululeka ubuhlungu ezinye wedwa, kuyiqiniso, ngezinye izikhathi kuyadingeka ukuze ngaphezu kwalokho thatha nitroglycerin noma (esimweni okusezingeni ngamandla) analgesics.

Lapho uphethwe ukwelashwa "besisu ischemic syndrome", njengoba kwezinye izimo, sibhekiswe sifo ecashile. Isiguli ezinqunyiwe antispasmodics, izidakamizwa ukuthi ngcono kwegazi inqubo, anticoagulants, futhi esimweni dysbiosis emathunjini - indlela yokuthuthukisa microflora ayo.

Iziguli ngokuvamile Kunconywa ukuhlukanisa ukudla izingxenyana ezincane kwasinda indawo futhi imikhiqizo ohlabayo. Kodwa e isifo olunzima ngempela, kungase kuboniswe ukuhlinzwa ukubuyisela igazi flow amagatsha le-aorta besisu.

gumbi syndrome

Uma isiguli ngenxa yobunzima obabangelwa ukulimala noma ukuhlinzwa, waqinisa naphakathi-besisu, isimo esinjalo okwatholakala besisu gumbi syndrome. Kuyingozi ngempela futhi libuye ephelezelwa ubuhlungu besisu of obuhlukahlukene amandla futhi kwasendaweni, okuyinto incike ukuphakama embundwini ubuhlungu esiguli, futhi isimo sakhe jikelele.

Phela, lo izimpawu ezithile ngasocansini nomfutho wegazi ophezulu naphakathi-besisu, kukhona ngakho wabiza ekwakhiweni indlela uphethwe yini luhlolo anele angokomzimba esiswini noma ukutadisha jikelele isithombe emitholampilo ye isifo. Indlela olunembile kakhulu ukunquma nomfutho wegazi ophakeme Kulokhu, ngokusho kongoti, iwukuba ulinganise kwengcindezi kwesinye, futhi elingasebenza njengesibuko yekucala kuya Derivatives uya khona ukwelashwa okufanele.

Njengoba sekushiwo, syndrome gumbi - isimo esiyingozi. Ngaphandle kokwelashwa kungaholela hhayi kuphela nokwephula imisebenzi kwezitho besisu, ngisho nokufa. Ngokuvamile, indlela engcono kakhulu ukuba ukulwa wathi syndrome ukuhlinzwa kwamathumbu - okuthiwa decompression, okuholela yehlise amazinga ingcindezi naphakathi-besisu futhi kunyatheliswa kubuyiselwa endaweni besisu.