Ib tug perforated ulcer yog ib tug loj daim ntawv ntawm cov nyom ntawm lub plab thiab duodenum ulcers, uas yog lub neej-tuag taus. Nws feem ntau tshwm sim rau cov txiv neej, tshwj xeeb tshaj yog nyob rau lub caij nplooj zeeg los yog caij nplooj ntoo hlav, uas yog txuam nrog lub caij nyoog ntxiv dag zog ntawm tus kab mob lwm tus. Kev mob ntawm kev pleev xim feem ntau kuj raug cuam tshuam los ntawm lub hlwb thiab lub siab lub ntsws ntawm cov neeg: yog li, thaum muaj kev tsov kev rog los yog kev puas tsuaj nyiaj txiag, cov kws kho mob sau npe tus kab mob no 2 zaug ntau dua li ntawm cov sij hawm.
Cov neeg uas muaj tus kab mob peptic ulcer thiab leej twg tsis ua raws li kev noj haus yog qhov muaj kev pheej hmoo ntawm qhov tau txais cov kab mob perforated tsis zoo li cov neeg mob uas ua raws li qhov kev noj haus thiab soj ntsuam ntawm lub hlwb.
Qhov ua rau perforated ulcers
Muaj ntau ntau yam uas tuaj yeem pab txhawb txoj kev loj hlob ntawm tej teeb meem ntawm tus kab mob peptic:
- exacerbation ntawm inflammatory txheej txheem nyob rau hauv lub cheeb tsam cuam tshuam;
- ua rau muaj zog ntawm lub hauv siab vim mob lub cev;
- overeating lossis tsis ua raws kev noj haus;
- kev ntxhov siab thiab kev ntxhov siab;
- noj tshuaj salicylic acid lossis kev kho mob nrog glucocorticoids.
Perforated ulcer - cov tsos mob
Cov tsos mob ntawm ib tug perforated ulcer yuav muab faib ua peb theem.
- Thawj zaug txog li 6 teev, nws yog hu ua "theem mob ntawm kev hnov mob," vim hais tias thaum lub sijhawm no tus neeg mob xav tias mob hnyav hauv thaj chaw plab. Cov neeg mob piv rau lub tshuab dagger: nws yog qhov ntse, mob hnyav thiab ntse. Lub sij hawm no, ntuav tau, tus neeg mob tsis yooj yim rau sawv tsees, nws cov tawv nqaij yog daj ntseg thiab txias hws tuaj yeem tshwm sim. Kev nqus pa yog ceev thiab tsis muaj zog, nrog kev tshoov siab, kev mob tshwm sim, ntshav siab qis dua, tab sis cov mem tes tseem nyob hauv cov kev txwv: 73-80 neeg ntaus ib feeb. Nrog perforated ulcer ntawm duodenum, cov nqaij ntshiv yog strained, yog li qhov kev xav tsis yooj yim.
- Hauv ob theem, uas tshwm sim tom qab 5-6 teev, tus neeg mob tsim kev xav txog kev xav: qhov tseeb ntawm qhov mob, qhov mob plab yuav tsum tsis ua hauj lwm, thiab lub xeev txoj kev noj qab haus huv pom zoo tias tus kab mob tau rov qab. Tab sis, cov neeg uas nyob ze ntawm tus neeg mob, koj yuav tsum tau mloog zoo rau nws tus cwj pwm, tk. tsim cov mob peritonitis tuaj yeem muab tachycardia, ua siab zoo siab, tsam loj hlob thiab qeeb hauv cov quav. Hauv lub sijhawm no, leukocytosis pib ua haujlwm.
- Qhov theem thib peb pib hauv 10-12 xuab moos thiab daim duab saib mob sib raug rau diffuse peritonitis. Lub sijhawm no nws tsis yooj yim los txiav txim seb ua li cas rau lub xeev kev noj qab haus huv, yog li ntawd nws yog ib qho tseem ceeb kom dhau mus rau tus kws kho mob tag nrho cov ntsiab lus ntawm cov kev mob tshwm sim.
Kev kho mob ntawm perforated ulcers
Kev kho ntawm perforated plab ulcers pib hauv chav phais mob. Txog thaum ntawd, tus kws kho mob tshuaj xyuas tus neeg mob: nws xav tias nws lub plab, interrogates nws, sau tus X-ray.
Nyob rau hauv cov mob nyhav, kev nqus pa ntawm cov pa yog ua tiav, kev kho infusion yog ua tiav, kev quav tshuaj ntsuab (non-narcotic).
Thaum lees paub lub pob txha nqaj hlau, kev ua haujlwm yog ua rau pem hauv ntej uas tus neeg mob tau txhaj tshuaj nrog txoj kev sojntsuam rau lub plab thiab lub zais zis yog catheterized. Cov tshuaj loog no tom qab txhaj tshuaj thiab kev ua haujlwm yog kho nrog cov tshuaj tua kab mob.
Kev xaws xoo tshuab xaws hluavtaws yog siv nrog diffuse peritonitis (feem ntau yog tias tsis siv rau kev kho mob rau ntau tshaj 6 teev txij thaum pib ntawm txoj hlab ntsha perforated).
Noj haus tom qab perforated ulcers
Nws tseem ceeb heev tom qab kev khiav hauj lwm mus soj ntsuam ib qho kev noj haus tshwj xeeb rau ob peb lub hlis.
Nrog rau lub plab hlwv dej, cov kab yooj yim carbohydrates, ntsev thiab kua tsis tuaj yeem coj tus nqi ntau. Ob peb hnub tom qab ua haujlwm, tus neeg mob tuaj yeem tau txais cov ntxhia tsis-carbon cov dej, txiv hmab txiv ntoo jelly thiab tshuaj yej. Tom qab ntawd koj muaj peev xwm muab ob peb boiled thiab tws qe ib hnub, raws li tau zoo raws li ib me ntsis zaub kua zaub, mashed qos yaj ywm.
10 hnub tom qab ua haujlwm, tus neeg mob tau muab ib lub qos yaj ywm tom qab, nrog rau taub thiab taub ntsev thiab taub ntsev. Tag nrho cov zaub mov yuav tsum yog mos, tsis ntsim, tsis qab ntsev, tsis muaj roj ntsha. Kev pub mov pub rau ntxiv rau cov zaub mov tom qab ib hlis.
Los ntawm kev noj haus tsis suav cov muffins thiab lauj kaub tais diav los ntawm daim siab, ntsws thiab lub raum, thiab cov khoom haus luam yeeb, ntsim seasonings thiab nceb.