Rozanov uphawu (uphawu "Roly-midi"): Incazelo, Izimbangela Nezingozi Sifo

imithi Russian ngcono ngenxa yemizamo ye ososayensi nodokotela. Ngakho, eSoviet Union ovelele usosayensi yezokwelapha Rozanovym Vladimirom Nikolaevichem, owazalelwa e-1872, saqanjwa efanayo ngezokwelapha - uphawu Rozanov.

Igama lesibili ukubonakaliswa esiyimbangela lesi sifo Uthole ezifana: uphawu "Roly-midi".

Yini lena

Uphawu Rozanov - kuyinto ibonakalisa accumulations yangaphakathi peritoneal igazi izicubu ubende ukudabuka iphutha. Zikhona izimpawu zalesi uphawu kuphela ukuhlinzwa.

Rozanov uphawu (uphawu "Roly-midi"): izimpawu

• ukuhamba umzimba - ushintsho njalo isikhundla.
• Yellowness nesikhumba okhanyayo. ukopha yanda, ukunqwabelana igazi e ngaphakathi komgodi ongaphakathi kwamathumbu ukunikeza ubuso umbala okhanyayo ophuzi, okubonisa ukulahlekelwa igazi.
• Isiguli ngokuvamile baphawula ukwanda izinga lokushisa esifundeni 37-38 degrees.
• Besisu ubuhlungu isikhungo, nokuzinikezela endaweni ubende.

Iziguli uxilongwe futhi ziphathwe, njalo igcina isikhundla esilandelayo: ngohlangothi bakhe, kwasala nge bezama esiswini ephansi ngezinyawo zombili. Lapho ezathathwa imizamo nesineke ukushintsha isikhundla ngemizuzwana futhi eqala isikhundla ngohlangothi lwesobunxele nge imilenze yayicindezele endaweni esiswini.

Okunye futhi ukubonakaliswa izimpawu ngawo ubizwa ngokuthi uphawu "Roly-midi" - kuyinto kobukhulu ukuphefumula. Ekuqaleni, isiguli nge kufushane okunzima umoya ezama ukuhlala phansi agxishiwe, ngezandla zakhe, isisu sakhe, kodwa diaphragm ecindezela kube nzima ukuphefumula. Isiguli uyasukuma futhi ezama ukuhamba. Kodwa lesi simo nayo ekuqaleni ukuletha ngokuphazamiseka.

Khona-ke uthatha evundlile, ngenxa yobuhlungu ku peritoneum, elele emhlane wakhe. Ezimweni ezinjalo, iphika, futhi Ufika iyakhula. Lezi zinguquko njalo endaweni umzimba, futhi lokhu kwaholela isihloko - uphawu Rozanov ( "Roly-midi").

Ngezinye ukunyakaza abukhali, ikakhulukazi uma isiguli sihlezi khona, bese uvuka, waqaphelisisa lightheadedness. Lesi ngesinye futhi isizathu esenza ukuthi liyaphi futhi. Ukukhetha ohlangothini lwesobunxele ngenxa indawo ubende e komgodi ongaphakathi kwamathumbu.

Rozanov uphawu (uphawu "Roly-midi"): Izimbangela

Njengoba kushiwo ngenhla, Rozanov uphawu - ngemiphumela ubende ezambiwa, kodwa kumele zezikhali futhi ngaphansi kwaziphi izimo kungenzeka sithi:

- Ukulimala okuholela kusuka zezimoto. Ngokucacile imoto izingozi uma umshayeli ishaya komgodi ongaphakathi kwamathumbu of amasondo ayo, kuqale kusukela angaphakathi, njll

- ukulimala Ezemidlalo. ukuzikhandla okukhulu ngokwenyama phakathi imisebenzi yezemidlalo kungaholela ukudabuka yezitho zangaphakathi.

- Ukuguga isisindo, imizamo ukuthi azihambelani imithombo omzimba futhi eziholela ukudabuka yezitho zangaphakathi

- hlaba futhi ukusika izilonda esiswini kungaholela ukudabuka we ubende.

Banikezwe ngokucacile wokulinyazwa, le izinsolo kokuqala libonakala emva izwi nesineke izimo kwenzekeni kuye. Ngaphezu kwalokho, ngaphansi kokuqondisa kukadokotela. Futhi, uma omunye ukulimala kwakungafanele, isiguli singase kudokotela kamuva kancane, isibonelo, a-gastroenterologist ngenxa yobuhlungu esiswini.

Udokotela ubuza nesineke ukubandakanya lokuqala imisipha besisu ke uphumule. Uma kukhona Rozanov (uphawu "Roly-midi") uphawu, okuhlangenwe nakho nesineke ahlekise ngenxa yemiphumela esiswini.

izindlela eziyisisekelo uphethwe

I uphawu "Roly-midi" sitholakale kanje:

• inhlolovo isiguli.
• Visual wokuhlola, palpation zangaphandle esiswini.
• luhlolo Rectal futhi lwesitho sangasese sowesifazane.
• ultrasound besisu.
• Ukuhlola igazi.
• Ucwaningo ukuhlolwa laboratory.

Imithetho eyisisekelo ngoba udokotela ekunqumeni Rozanov izimpawu

Ungabuzi imibuzo eqondile, ukucacisa izimpawu. Ngokwesibonelo, cabanga ngalo mbuzo: "Ingabe ubuhlungu obuhlabayo kule aphansi nokuzwakala esiswini?" Kungcono ukubuza, "Ngabe uzizwa manje?" Kubalulekile ukuzwa kusuka incazelo lesiguli enemininingwane wabo emizweni abanolwazi.

Palpation esiswini njalo kubuhlungu kulezi zimo. Ngakho-ke, kungcono ukuqala endaweni ezungezile iphuzu ubuhlungu, kancane lisondela wakhe.

On luhlolo esiswini kuyadingeka ukuze sicindezele ku lonke ipherimitha yayo ukuhlola obuhlukile futhi elingenhla kuya aphansi odongeni kwamathumbu.

Emuva kokuhlolwa, Ihlahlubo uphawu Rozanov ( "Roly-midi"), kube yikwembulwa eyinhloko zisusiwe imithi analgesic. Eyesibili esiteji - ukuhlinzwa kwamathumbu.

amaphuzu Ezihlobene

I uphawu "Roly-midi" kuyisici sobuntu ukopha naphakathi-besisu ngenxa ubende ezambiwa. Ngokuvamile, ngoba izifo ezengeziwe Rozanov uphawu ngokwawo ukudabuka splenic kunzima ukunquma. Ngesikhathi ubende kungaba ukudabuka kwamangqamuzana nezicubu kutholakala ukuthi uphethwe yini ezinye izinhlaka endaweni besisu. Ngokwesibonelo, ukulimala kwesibindi, ikholoni, esiswini, kanye nabanye.

Lezi ukulimala ingadala ukopha, ukunqwabelana igazi endaweni besisu. Ukuze ususe ezinye izifo olwenziwa ukuhlola okunzulu ihlanganiswe.

survey Sibekezele inani odokotela:

• Ukwelapha - izikhombisi-ndlela eziningi nezinye Ochwepheshe.
• Wabesifazane - ukubekela eceleni ukudabuka wesibeletho, okungaba futhi ukopha besisu
• Proctologist - ukubekela eceleni isifo samathumbu kanye nezimpawu kuhlinzwa: emathunjini, ingemuva.
• Urologist - ukuze ugweme umonakalo ohlelweni genitourinary.
• Gastroenterologist ukukhipha iqiniso lokuthi ukopha kakhulu esiswini.

Isiguli uya ngokusebenzisa uchungechunge survey esimisiwe udokotela, bese yena wanithwesa izincomo ukuhlinzwa uma kutholakala ukuthi uphethwe yini uphawu omuhle 'Roly-midi ".

Ekuqaleni, ngesikhathi luhlolo esebenzisa ultrasound sitholakele ekuqongeleleni emikhulu yegazi ku viscera besisu kabi ibukeke, okuyinto inkimbinkimbi inqubo yokuhlola. Mayelana lezi zenzo ku inqubo ukuqedwa eliphelele bese ibheka isitho ngayinye.

Siyabonga laboratory kanye nokuhlolwa kwegazi emitholampilo ukucacisa ukuvuvukala emzimbeni.

iposi ukuhlinzwa

Ngemva eyohlinzwa ekwelapheni uphawu ubende ezambiwa Rozanov hhayi ukuzibonakalisa. Isiguli is abanazo lezi emizweni, okwaphoqa ukuba ashintshe njalo isikhundla.

Ngemva kokuhlinzwa isiguli ezinqunyiwe imithi. Nikeza inombolo kwamaphilisi kanye nemithi ukuthi ukwandisa ezingeni amasosha omzimba. amaphilisi ezinhlungu Nonsteroidal njengoba beyalelwe. Nikeza izeluleko ngokudla okunempilo ngoba kusobala ukuthi uhlobo oluthile lokudla.

Izenzo esolwa Rozanov uphawu ekhaya

Kubalulekile ukukhumbula ukuthi uphawu "Roly-midi" kuyisici sobuntu umonakalo ubende. Uma isiguli ungakhululekile, njalo liyaphuma futhi uwela, ahlangabezana ubuhlungu endaweni lesisu, izinyathelo ezilandelayo kufanele kuthathwe:

- Kala lokushisa isiguli kanye ukukulungisa.

- Ukuqinisekisa induduzo isiguli yindawo evundlile.

- Musa zinike umuthi wezinhlungu.

- Emergency ucingo i-ambulensi noma ukuthatha isiguli egunjini labadinga usizo oluphuthumayo lwezempilo eliseduze luhlobo.

Isiguli kufanele utshele udokotela ngokuningiliziwe izimo ngaphansi olwaqala ukuzwa ubuhlungu, esingakanani izinga lokushisa kugcinwa futhi yini athole emizweni, njll

izinyathelo zokuqapha

Ningaphakamisi engaphezu kuka-15 kg bebodwa. Izibilini ebucayi kakhulu, nokunyakaza elibukhali inqubo nokuphakamisa izinsimbi ezisindayo kungabangela ukuba ukudabuka. Kungcono ukulinda isikhathi futhi sidonsele abantu eyengeziwe njengoba bagweme ukubanjwa.

Lapho umuntu itholwa nge lokugwazwa e ahlabayo indawo esiswini isilonda ukusebenzisa ibhandishi oyinyumba ngoba igazi ukubambezeleka ngokushesha ukuqinisekisa zokuthutha yayo ngoba ukwelashwa. Uma kuziwa izisulu yemoto wathola abanye abashayeli endleleni, ngokushesha abike abomthetho mayelana nokuba khona isiguli.

Ukusiza

Njengoba Rozanova uphawu (uphawu "Roly-midi") - ngemvume intraperitoneal ukopha ukudabuka splenic, kubalulekile ukuba sicabangele ukuthi ukopha intraabdominal kuzibonakalisa ngokushesha. Isiguli eseqala ukuzwa ubuhlungu kancane ke umuzwa ukuvuvukala esiswini. Esiswini kuba eqinile esindayo.

Khona-ke baqala ukuvela ubuhlungu kuqala ngokucindezela, ngesikhathi ukunyakaza abukhali on esiswini umthwalo ukwanda. Kukhona indawo ngeminjunju endaweni ubende, asinikeze yonke indawo esiswini. Ngokulandelayo, izinga lokushisa liqala ukuphakama. Gcina njalo lokushisa esifundeni 37-38 degrees.

Isikhumba isiguli ukuthatha umbala aphuzi-bluish ngenxa ukulahlekelwa eqinile kwegazi. Unomuzwa ubuthakathaka, ubuhlungu bemisipha, isicanucanu nesiyezi. Ungalahlekelwa kafushane ukwazi. Ihamba nobunzima, behlisa ukunyakaza, ubuhlungu iyanda inyuka oda.

Kuyadingeka ezimweni ezinjalo ngokushesha isicelo usizo lwezokwelapha. Uma kungenjalo, kungenzeka nemiphumela awushintsheki, kuhlanganise nokufa. Ngo ezijulile ukuvuvukala besisu futhi ukutheleleka usungaqala, okuholela ukwakhiwa kwezinye izifo. Lesi simo kungaba eziyinkimbinkimbi, futhi kudaleke umonakalo ukuhlinzwa.

Kule ndaba, ukuvuma kweziguli esolwa ukopha zangaphakathi, odokotela ukuqhuba ukuxilongwa ngokushesha futhi uphethwe. Ngezinye izikhathi imizuzu kungaba ebalulekile. Udaba lokuhlolwa kwesifo ukwelashwa yilapho acute njengoba ukuhlola. Uma ziphikelela Rozanov ukuxilongwa kanye nokwelashwa kungathatha indawo esimweni esiphuthumayo ngosuku olufanayo.

Iqhaza imithi

Umnikelo Rozanov nososayensi bezokwelapha emkhakheni wezokwelapha inkulu. Vula kubo futhi uphawu inhlolovo indlela osebenza umuthi ezinsukwini zethu.

Ukuhlonza kanye ukuhlonza ubende ezambiwa, kanye okwalandela ukopha intraperitoneal usebenzisa isethi ezithile izimpawu. I uphawu "Roly-midi" kuchazwa emabhukutifundvo abafundi kwamakolishi wezokwelapha kanye nezikhungo. Lena banikela ngendlela ebalulekile isayensi Russian futhi imithi yasekhaya, nokuba value okwamanje.