Ib qho mob plab yog qhov mob uas yuav tsum tau muaj kev phais mob hauv feem ntau. Cia peb xav txog dab tsi cov cim qhia txog tus kab mob thiab muaj dab tsi pub rau nws paub txog lub sij hawm.
Cov tsos mob ntawm tus mob plab
Nyob ntawm qhov ua rau, cov tsos mob ntawm tus mob plab yuav txawv. Cov tsos mob tseem ceeb yog:
- Mob hauv lub qhov mob plab. Feem ntau feem ntau nws muaj mob khaus qhov mob. Tab sis, piv txwv li, nrog mob hnyuv tws, qhov mob yuav ua rau yus rub tawm.
- Mob plab, mob plab. Ib qho qauv zoo sib xws nrog qhov qhia tau hais tias mob siab ntawm qhov peritoneum, tshwj xeeb tshaj yog thaum siv txoj hlab ntsha. Nyob rau hauv thawj theem ntawm tus kab mob, nyob rau hauv tsis tooj, muaj feem ntau ib tug relaxation ntawm nqaij cov nqaij thiab retraction ntawm lub plab.
- Ua kom sov dua. Raws li txoj cai, nws yog txoj cai yog hais tias tus kab mob no yog nyuab los ntawm peritonitis.
- Ua pa nyuaj. Kev sib sib zog nqus pa yuav ua rau muaj kev sib ntau ntawm qhov mob hnyav uas muaj mob plab. Yog li ntawd, tus neeg mob breathes superficially, tiv thaiv cov peritoneum.
- Hloov lub plawv dhia. Ntawm theem pib muaj qhov txo qis ntawm lub plawv dhia. Raws li kev mob ntawm pathology nce mus rau kev qaug cawv, uas ua rau yus lub plawv dhia ceev ceev.
- Ntuav. Nws muaj ib tus cwj pwm txawv ntawm cov kab mob pathology. Feem ntau txiav txim siab qhov tswv yim ntawm txoj kev kho mob. Thaum ntuav tshwm sim tom qab pib qhov mob, kev kho mob feem ntau yuav tsum tau kho. Txwv tsis pub, kev siv cov txheej txheem sib luag.
Outwardly, ib tug neeg txom nyem los ntawm ib tug mob plab mog zoo li emaciated - ob lub qhov muag poob, lub ntsej muag nta ua aggravated.
Ua rau muaj mob plab
Muaj ntau ntau yam tseem ceeb uas yuav ua tau kom mob plab acute:
- tus mob appendicitis;
- plab hnyuv txhuam;
- mob plab hnyuv tws;
- thrombosis ntawm lub chaw hlav ntsha;
- mob pyelonephritis;
- torsion ntawm lub hlwv;
- o ntawm lub zes qe menyuam;
- urolithiasis.
Hauv cov hauv paus ntsiab lus, tus yam ntxwv symptomatology yog ib yam kab mob, nrog rau cov txheej txheem sib kis, kev pleev ntawm plab me me.
Kev kuaj mob ntawm ib qho mob plab
Vim tias muaj cov yam ntxwv uas ua rau muaj tus kab mob pathology ntau, nws tseem ceeb heev kom paub tseeb tias yog mob. Cov hauv qab no yog siv rau qhov no:
- Palpation - tso cai rau koj kom pom tseeb qhov chaw ntawm qhov mob thiab txawm - qhov chaw ntawm pathology.
- Auscultation - yog siv los xav tias tsam tawg ntawm tus po, cov neoplasm ntawm daim siab los yog aortic aneurysm. Yuav pab ntsuam xyuas plab hnyuv txhaws, pancreatitis.
- Biochemical ntshav kuaj - qhia txog qib ntawm electrolytes, ntshiab amylase kev ua si, overestimation ntawm bilirubin concentration.
- Kev ntsuas ntawm cov zis - pom zoo rau xav tias tsam urolithiasis lossis mob pyelonephritis.
- ECG - yog ua rau thaj chaw dav dav kom paub cov kab mob ntawm cov leeg mob.
Nyob ntawm seb vim li cas, qhov kev kuaj mob tuaj yeem txuas ntxiv. Piv txwv li, yog qhov tshwm sim ntawm cov pa roj carbon dioxide nyob rau hauv lub diaphragm lossis thaum muaj teeb meem ntawm aneurysmal dissection, siv xoo hluav taws xob hauv siab. Kev kuaj mob ntawm pancreatitis los yog plab hnyuv voos ua rau ua rau laparocentesis.
Kev kho mob ntawm ib tug mob plab
Cov kev kho tus mob no yog tsim los ntawm tus kheej tom qab paub tseeb thiab paub txog qhov ua rau. Cov kev ntsuas ntawm kev kho muaj xws li:
- tso kua dej tawm;
- tshaib plab;
- tejzaum nws, gastric lavage ;
- tas li xyuas cov qib ntawm cov roj ntsha electrolytes.
Yog tias txhawj tsam mob plab, mob yuav tsum tau pab ceev. Kev ncua kev kho mob thiab kev ywj pheej ywj siab tshem tawm qhov mob yuav ua rau tuag taus, tshwm sim los ntawm hnyav ntshav, sepsis, cov ntaub so ntswg necrosis.