Gano Alamu na canje-canje a ciki matsa lamba a marasa lafiya tare da na ciki da cututtuka

Dalilin da kara ciki-ciki matsa lamba (IAP) na iya zama wani iri-iri na cututtuka da kuma pathological yanayi a cikin peritoneal rami da retroperitoneal sarari. Lokacin da matsa lamba a kogon ciki yakan zuwa matakin shiga tsakanin zumunta na al'ada jini ya kwarara zuwa ciki gabobin, tasowa da ake kira ciki-ciki hauhawar jini ciwo (SI-AH), wanda aka nuna jikinta da sashin jiki gazawar.

Da littattafai na nazari sun 6 kungiyoyin na marasa lafiya da daban-daban m m cututtuka na kogon ciki. A lura da kungiyar kunshi marasa lafiya da suke ba su da m m Pathology. WBD matakin da ta kuzarin kawo cikas da aka kiyasta da aunawa da matsa lamba a cikin mutum mafitsara.

A lura da kungiyar na lura (n = 15 maza - 53%, mata - 47%) talakawan WBD sanya 2.4 ± 0.4 cm AQ. Art.

A talakawan darajar VBD a marasa lafiya tare da m cholecystitis (I kungiyar, n = 25, 17 - da aka sarrafa, 8 - bi conservatively) a m ya 5.8 ± 0.6 cm AQ. Art. A ba-sarrafa marasa lafiya domin 7-8 hours matakin IAP bai bambanta daga waɗanda suke a cikin iko kungiyar. A sarrafa marasa lafiya a farkon postoperative lokaci ne m da wani karfi Trend zuwa ƙãra rates na WBD.

IAP matakan a marasa lafiya tare da m pancreatitis (II kungiyar n = 25) bambanta dangane da tsananin cutar. Saboda haka, 11 marasa lafiya da m, da kuma 5 - da wani talakawan mataki na nauyi darajar WBD zauna kusan a cikin al'ada iyakoki (6,8 ± 1,1 cm v AQ ..). Y 3 unoperated marasa lafiya da tsanani m pancreatitis nayi digiri na ciki-na ciki hauhawar jini (IAH) (17,6 ± 0,5 cm AQ. V.). A 2 marasa lafiya, wanda aka sarrafa a kan enzymatic peritonitis, II na digiri na MSF an rajista kafin aiki. Bayan aiki WBD hankali rage. 4 marasa lafiya da pancreatic necrosis kafa, kuma ya kama da kuzarin kawo cikas WBD, da kuma 1 na su da ãyõyi sun Siaha wanda aka yi kawai bayan da aiki.

A matakin na IAP marasa lafiya da ileus (III kungiyar n = 25) aka canza kamar haka: kafin tiyata a 6 marasa lafiya WBD Manuniya zauna a cikin al'ada range, 14 - lura da digiri na, y ne 5 - II digiri MSF. A lokaci guda, marasa lafiya da mafi girma matakan da WBD da wata hujja X-ray hoto na hanji mai shãmakacẽwa. Bayan tiyata, WBD fihirisa zo zuwa al'ada.

A 6 marasa lafiya da hernia uschemlonnoy (IV kungiyar, n = 8), amma babu Gut necrosis a xabi'a da postoperative zamani, WBD zauna a cikin al'ada kewayo. 1 haƙuri da ciwon necrosis madauki preoperatively rubuce na digiri MSF. 1 haƙuri WBD rates ya karu bayan maras wata-wata reposition na ventral hernias.

V 9 marasa lafiya da m yaxuwa peritonitis daban-daban Farawa, xabi'a kuma postoperatively WBD matakin kusa da na al'ada dabi'u (7,8 ± 1,5 cm AQ. V.). 4 marasa lafiya da tiyata na digiri (15 ± 0,7 cm v AQ ..), A 2 - II digiri MSF. A 1 haƙuri tare da m postoperative bayyanar cututtuka na peritonitis, MSF ya karu zuwa wani matakin III matakin, tare da shakka akwai ayoyi na Siaha. Da zarar kafa relaparotomii WBD rage dan kadan, cardiopulmonary da na koda gazawar nace.

VI kungiyar hada 2 marasa lafiya da thrombosis mesenteric jijiyoyi.

Daya daga cikin su na digiri MSF da aka saukar, wanda aka warware kawai bayan da aiki. Na biyu haƙuri kafin aiki da aka shigar Grade II MSF, wanda ya ba kawai nace a cikin postoperative lokaci, amma da aka girma da ci gaban da jinsin na asibiti Siaha. WBD matakin ya ragu ne kawai bayan relaparotomy tare Game da daidaita ayyuka na kayan ciki.

Saboda haka, da gaggawa m cututtuka na iya haifar da kara WBD, har da ci gaban Siaha. Wannan na bukatar da hankali taka tsantsan da kuma iko da zumunta ci gaban wannan wahala, da likitoci da kuma likitoci a kan taƙawa.