Symptom cough kŰia. Ano o ka hoʻoholo 'ana o li nui i loko o ka abdominal

Ke ventral hernia hoike mai ai ia ia iho, protrusion a pau maloko hui, a me kekahi hapa o ia mea ma ka puka i loko o ka subcutaneous aina o ka mua paia o ke kumu a me ka hana eke. Ma ka hapalua o na nā loko o ka abdominal lua ke aupuni 'ka poʻe me ka parietal peritoneal lau e uhi ana i ka subcutaneous a puni i loko. A typical hoike ana o ka hernia mea he symptom o cough kŰia.

E kuhikuhi i ka pilina i kupu mai urgency i ka maʻi, i ka lima no ka protrusion kumumea a me kona hana ia me ka puʻu. Nō kāu, he pahu aku ai i ua manao, e hoike ana i ka olelo o ka anomalous kahua o ka peritoneum, i ka wa e kaawale aku o ka hoike ana o strangulated hernia. Protrusion o nā loko ia lŘlŘ ma ka hernial apo hookahi. Parietal peritoneum me ka hapa o ka naʻau liʻiliʻi, nā aʻalolo, tendons hoopio i auaiaea ho i ka hernial sac.

I ka mana o ka peritoneum

Hoʻopunipuni maoli no ka mea nui nā loko kōkua ma ke kaʻina hana o ka homeostasis, loli pānaʻi, kākoʻo i ka abdominal puʻe:

• Ua hanaʻia resorptive hana,ʻo ia a hiki i ka hoʻokemuʻana i ka hālāwai hope me nā huahana o nā polokina,'aʻaʻa necrosis, exudates, koʻohune;
• serous uhi i loko o kekahi wahi thinner a me ka duodenum hiki ke kālā līkaia no fibrin a me ka wai;
• aa o ke au, e lawelawe ana i kekahi ano o ke'ākeʻakeʻa mai i ka hoʻoʻino pulakaumaka o ka maʻiʻaʻai, e hoʻonele hoʻolako me mechanical maluhia o ke kelepona hele, a humoral ano.

Hernia abdomen a me kona complications

Inā i loko o ka papa o kaʻoki lāʻau lapaʻau 'uao mea insolvent hui, ua ole Ua hoʻokō i ka hoʻomanawanui loa me ke kauka mau kauoha, he mea he recurrent hernia, a lawelawe' ana me ka'īpuka no ka lahilahi wahi o ka me ka makaʻu no. Not e hana i ka hernia i ke kēia complications:

• ina na Aupuni i kakauiaʻi ma ka hernial sac, e infringed, laila, i nā hele mai lākou immobilization, i ka pilikia o ka li nui, a hooweliweli ona;
• Inā ka protrusion o ka naʻau liʻiliʻi ua ho ohana ana, alaila, o ka hooholo ia ana o ka ai nā paʻi hua a me ka paakiki maʻiʻo;
• hiki aku ai i ka hanana o peritonitis a me ka palena jamming sidewall naʻau liʻiliʻi, a hiki aku i ka necrosis o ka hapa pio;
• e hoʻomōhala ana i purulent kaʻina (abscess);
• Hernia keʻokeʻo laina maoli i ka, alahula nui, ua hiki aku i ka manawa ma hope o wehe nā loko na i loko o kaʻeke, mai pono i loko o ka abdominal lua.

Kahua o ka peritonitis ma luna o ka lōʻihi like 'ole o ka maʻi

I ka huʻi hoʻoʻino keʻano o ka hanaʻana i loko o ka abdominal kahi koke kahea aku no ka ambulance, lohi ka pilikia i kanaka ola. Peritonitis loli aʻe piha paha ka hoohuoi ana i kekahi mau wahi. Aat i ua kena ae la ia e likeʻole laha 'o aerobic a me ka anaerobic koʻohune, moe loko o ka abdominal lua. Ano o ka hoʻoholo 'ana i kumumanaʻo L. S. Simonyana, ke kaumaha ma muli o ka loli pathological a me ka lōʻihi like' ole o ka maʻi, peritonitis distinguishes anu u:

• naoh manawa mau i ka lā mua, a me ka i kā mākou symptoms hoike;
• hoʻololi i kaʻawahia mua ua hana no ka 24 i ka 72 hola,ʻikeaʻana o kekahi mauʻelele intoxication a me kaʻapu kōheoheo meaola;
• hohonu, ma ka hapanui o na hihia, he irreversible palapala e hoʻomōhala ai ma hope o nā lāʻekolu, i ka maʻi me ka abrupt hoikeana o kūloko li nui.

Mea Maluna o ka maʻi ma ka ano o ka maʻiʻaʻai

Helu peritonitis mea pohihihi keia, helu mahina no ma kahi o 1% o ka hoʻoʻinoʻike manaʻo. Maʻiʻaʻai ia lŘlŘ ma hope o waiū o ka peritoneum microbes pahale ala hematogenous, lymphogenous iaoia ole mai o ka wahine reproductive nā loko o fallopian paipu.

diaphragm hernia a nā haumāna peritonitis ma hope oʻoki kino paha no i complications o peritoneal'aʻaʻa trauma. Ma keia hihia, ma laila nō ke kēia maʻiʻaʻai kumu:

• maʻiʻaʻai mai ka li nui;
• ruptured ala;
• ingress o microbes aie i ka hewa;
• postoperative complication.

ʻano likeʻole peritonitis kaumaha ma muli o nā aʻe

Subdivision o ka huʻi a me ka maʻi ke kahua me ua loko mai lapaʻau symptoms a me ka maʻi. Hana no ka hoomaopopo ana, e like me ka exudate hōʻike fibrinous, serous, purulent, fibropurulent, haemorrhagic hoʻoʻino ano.

Etiological mahele ano o ka peritonitis kauoha ae la ma kekahiʻano o ka laha 'ana o microflora a me koʻohune, ma o na la li nui. I ka papa kuhikuhiE pathogenic microbes i keia la ike like staphylococci, streptococci, anaerobes, Proteus, enterococci, E. coli. No ka poʻe kaua o ka koʻohune nā pneumococci, gonococci, hemolytic streptococcus a me ka 'ē aʻe? Ueo.

Ke etiological pūʻulu kaawale kaʻawale nonbacterial maʻi aseptic hihia, i ka wa a ka diaphragm hernia huikau ma muli o ka anal o ka peritoneal lua o ka mimi, ke koko, bile a gastric wai. Kēia mea he mea pepehi kumu, a peritonitis i loko o kekahi mau hola huli i loko o ka infectious, e like me ka mea permeable i koʻohune i nā pā pōhaku loa koke ma hope o ka hoouka kaua ana o li nui.

'Aʻe' ana i keʻano o ka hanaʻana metabolic

Hoʻohuikau o ka wai-electrolyte hiʻohiʻona i loko o ke kino a me ka kumuʻiʻo koena ua manao like me ka hoailona o ka hoʻokala i nā waho abdominal hernia. Panina Manaʻo nā polokina ua hōʻeleu i ma muli o ka hypermetabolism, emi o ka nui hale lako e ua lawe ia ma ka mimi, luai, exudate. Kāheaʻia gipoproteinomiya a me ka hoemi i ka nui o ke kumuʻiʻo e hōʻike 'ia nei ma ka nui lua kupapaʻu peritonitis.

A me ke kino fluids hookuu potasiuma, ka mea hele mai i ka intercellular kahua, no ka mea, o keia, nā mea maʻi i hypokalemia. Ma hope iho o ka hooulu ana o ka hoʻoʻino kaʻina kumu hiki a loa hoʻololi, e like me ka hoemiiaʻaʻa puʻuwai excretion o ka wai, he mea ka make ana o ka lawa helu o ke keena. E like me ka hopena o nā hoʻololi ulu hyperkalemia.

Elua-hapakolu elua o nā mea maʻi i loko o ke koko alkalosis e hoʻomōhala ai, i kekahi manawa i loko o nā'aʻaʻa hōʻike i ka 'oni iki i acidosis mai ana circulatory haunaele, hoʻohuikau o metabolic keʻano o ka hanaʻana a me ka hypoxia, i kēia kaʻina alalai mai i ka wehe' ana o ka hernia.

Ke koe o ka maʻi wā me oliguria ulu hematopoietic'ōnaehana hoʻomaka e hana ma ka? Iecaianoaaiiie oʻakika metabolic huahana e like me makanekiuma, naikokene, potasiuma a me ka phosphorus. Aia He He naeaeaa o ke koko kiko'î a ma ka ÷ naehana hanu a me ka metabolic acidosis. Ho'āʻo no ka huʻi peritonitis e hoʻololi hoʻomaka koke, no laila, ua paipai ikaika aku ka mālamaʻana i ke koko, mimi a me nā kino fluids.

symptomatology peritonitis

Aia nō i ka helu o ka hae hiʻona ana a makou i ike pehea e ho oholo i ka hernia a me ka li nui o ka peritoneum:

• ikaika unbearableʻeha i loko o ka peritoneum;
• kuni;
• 'ōpū e pehu ae, i paakiki;
• i ka manao o ka nawaliwali ma ke kino a pau;
• retching a me ka nausea;
• 'aʻe' ana o ka gastrointestinal'āpana, constipation, flatulence.

Cough maʻi pale kākoʻo

Ua hoike aku i ka huʻi a me ka maʻi maʻi o ka abdominal lua. ʻike, no ka coughs mohai aku G. G. Karavanovym, a i ho'ākāka 'ia ma ka au mamuli IM Siomashem. Ua nui nā keʻena lāʻau lapaʻauʻoki kino ua hookama keia symptom no ka ka mua manao paa o na hoailona o ka li nui o ka abdomen.

Nā Papahana O Ka hoʻohana

Manamana lima iki lena i ka lāʻau a me ka mea pepehi 'he mea e kaomi ma luna o ka mahele. Kekahi manawa ma hope o kēia hana i ole lawe i ka eha, mai puʻe emi. Ma hope o ia, ke ahonui ua hoao no symptom cough kŰia. He mohai e pāʻani i ka cough, inā ma hope o ka kaʻina hana, he meaʻeha i loko o ka wahi o ka puʻe, e Hōʻike li nui i loko o ka peritoneum.

rula o ka hana

Uaʻoi ka ho'ēmiʻana i ka puʻu spasm peritoneal paia, a me ka diaphragm? Aaeaao i pahu aku ai i i ka ili honua aia ma lalo o ka akepaʻa a me nā loko. Piha, a malalo iho i ka hana o ka naʻau liʻiliʻi, a? Aaeaao noi ia. Lumia o kaʻeha ia lŘlŘ ka wā i ke noi 'ole i ka maʻi kino akamai i ka māhele' āina ikaika loa o Paulo i kona lima. Inā ka hoʻoʻino kaʻina komo ai i ka peritoneum, ka waiʻona ma o ka eha ua hoikeia aku ai e lulu i ka pahale, ahu iho, ai ka ke kūʻai '-abdominal, pauma.

Study mea kākau A. Cheremskoy cough maʻi pale iienuaaaony i ka hana ma ka manao o ka appendicitis maʻi. I ka puʻu hoomanawanui i loko o ka hihia o ka li nui o ka i paiiaʻi na ua mau manaʻoʻeha i loko o ka iliac māhele 'āina. Kēia like me ia mea iki okoa mai ka cough, a me ka hernia i loko o peritonitis.

Maʻi pale eiei? Huʻi peritonitis a me ka maʻi ke kahua o ka maʻi i kekahi mau ka waiʻona ma ke wā me ka puʻu. Maʻi i paiiaʻi na mākou ke pane pokole o ka hanu, me he mea me ka hoʻomanawanui e ho'āʻo ana e hookaulua i ka eha. Ka huʻi ke kahua Ua wehewehe aku ma intolerable eha. Symptom cough hawewe i loko o naʻano likeʻole hōʻike mai i ke kahua o ka peritonitis.

Kaawale mai peritonitis, appendicitis a me ka hernia, keia symptom hoike mai ai ia ia iho i ka huʻi a me ka maʻi maʻi o nā abdominal nā loko. Pain, mai ke anakahi uila ma cough akaka ma ka hihia o ka li nui o ka gallbladder, gastric ulcers a me intestinal iaʻi, Ke'ī mai, cough kŰia symptom ÿokoÿa mai nā haʻawina i hōʻike he nui helu o ka maʻi i loko o ka loiloi mua ke kahua.

Hernia a me kona Lolina

Protrusions ma kānaka hiki ke loaa a me congenital. Ka lua o koho He keiki keiki. Kēia 'aʻe' ia lŘlŘ no ka mea, o ka PilikiaʻAʻole i hoʻonohonoho pono peritoneum ma fetal ulu. Lilo protrusion o na nā loko ikeia oiai ke ahonui o ka ola, a ua puunaueia i ekolu hoailona ia mea:

• ma ka hoʻonāwaliwali nāʻiʻo o ka abdominal paia;
• aie i ka haʻuki nui a me ka hana e haawe;
• posttraumatic i kupu mai ma muli o ka 'aʻe ana i ka pono o ka peritoneum, ina he mea he mua ana; kukuna i ka lanakila maluna iho oʻike mauʻoki lāʻau lapaʻau mea hana i loko o ia o ka hihia.

Kūloko hernia aia i loko o ka thoracic lua a me ka abdominal wahi. Waho protrusion kino aia i loko o ka kēia wahi:

• i loko o ka groin;
• ma luna o ke ki kala a me kaʻaoʻao ma loko a ma waho;
• lumbar sacrum;
• ma o ka wahi o ka wahi o ka perineum a me pelvis;
• ma kaʻaoʻao o ka torso (epigastrocele) mua;
• ma kekahi wahi o ke kino ma ka me ka makaʻu no, mai keʻoki kino.

Kanaka Hernia hoʻolaha i loko o recurrent, huikau paha i huikau (me ka akau). Keʻano mua ka loaʻa o ka protrusion, mau recurs ma hope oʻoki kino.

Symptoms herniation

Ka loiloi mua ke kahua nani ia lŘlŘ like me ka hoʻopoepoe ÿano a loaʻa he palupalu hana mau, a me ka hoʻomanawanui hiki kū kaʻawale flatten ia me ka malamalama puʻe. Ma hope o ka ka ho'ēmiʻana i loko o ka peritoneal ili ma keia wahi e palpated komo puka pā, huina i loko o ka palapala o ke kau a me hoʻopoepoe abdominal pā kina.

Nui like 'ole lauwili mai ka hoailona iho la i ka paʻa o ka ekolu millimeters i kekahi mau kakini kenimika. Inā ka hernial sac hoopio hapa o ka intestinal paia a me kona kino, ano palpation audible ua pohā kani e hooholo ia ka maʻiʻo. Symptoms o sluggish hoike ana 'ku ia ia iho hernia nā constipation, nausea, heartburn, bloating, ehaeha, kue o ka urination.

Hernia ua paipaiʻia ma ka hihia o kaʻaihue o ka diverticulum, a ua wehewehe aku ma ka kēia symptoms:

• he mea pinepine he ulia oi eha ma hope o ke kaupaonaʻana punohu, hoʻokō ', defecation hoʻopilikia kākaʻikahi hana noʻaʻohe kumu;
• ma kekahi wahi o ka hoomanawanui e hiki ole, e like me ma mua, i laumania sila, e lilo ia paakiki a ola;
• a me ka mea mua symptoms i retching, hāʻule pohō wale o ka noho.

Kumu o ka hernia

All kumu e māheleʻia i loko o conditional ai ala a me ka jog. Ka mua pūʻulu ninoieo o nā kumu:

• Congenital mā a me'āno'ē kūpono 'ana o ka abdominal paia;
• no kekahi kumu, ke anoe o ka mea maoli nawaliwali'ōpū mau wahi (femoral a me ka inguinal apo, piko);
• ka ho'ēmiʻana o ka'aʻaʻa tensile ikaika no i kūnewa loli paha depletion o ke kino;
• mua i loko o ka'ōpū posttraumatic nawaliwali wahi a ina ua ka hana, ke kukuna produces ka loa palekana i loko o keia manao incisions.

I kekahi pūʻulu pili e jog paha triggering kumumea o ke kumu o ka hoʻoulu i ka puʻe i loko o ka abdominal lua:

• hana a me ka mana haʻuki;
• pinepine constipation;
• cough, maʻi ke ano maoli;
• kūloko ma abdominal nani ma muli o ke kūpono functioning o ka meaola;
• flatulence.

Pehea e hoʻoholo i ka hernia

Ke surgeon ascertains ia herniation mahope o keia hookolokolo ana o ka hoʻomanawanui, a hooholo i ke alo ma ka ola o ka hoʻomanawanui e hoʻoholo i ka mea ma luna aʻe, a kēia. Lālau aʻela ia i loko o ka mooolelo o ka I Aloha Hawaii,ʻoki kino a me ke kino nā palapū. I mea e loaʻa mai i ku una nā loko i loaʻa ma loko o ka hernial sac, ke kauka alakaʻi i ke ana me ke kōkua o nā mea a me na mea paahana.

Ultrasound o ka abdomen, a o na protrusions e leie aku mākou, e noonoo i ka pā maʻiʻo a me ka hana differentiationʻike, a me nā maʻi. X-Ray iaoiaeii ua hoʻohana 'ia no ka contrasting kiʻi o ka eke, a me ka puka hernia.

Lapaʻau o kaʻina hana a me kaʻoki kino

O ka papa kuhikuhi hana o ka lapaʻau meaʻoki lāʻau lapaʻau kōkua. Hoʻokomo i ka hope koo aku ua häʻawi mai i ka poe e hoomanawanui i ka poe i contraindications nui eʻoki kino, e like me kona mau makahiki-pili loli a ilihune koko clotting. Wehe i ka protrusion ua paa e like me ka manao, ina i ke ahonui e hoomakaukau ana no ka hana, a me ka loa hoopii,ʻoki kino ua lawe mai urgently. An kumu o ia ka unplanned hanana ua strangulated hernia me ka unbearableʻeha a physical ileus.

Ke hana ninoieo i ka weheʻana o ka hernia sac a me ka ninaninau maʻiʻo. Inā ka mea na nā loko mea i poino, e emi ka, ua sutured he eke, a me ka puka i ka impassable nui like 'ole. Lula o ka puka pā i hana hoʻohana'aʻaʻa mai ka hoomanawanui a me ka hoʻohana 'ana i ka hou hanauna o kemikala mea. He OAXA kaʻaeʻana i nā lāʻau kū-operative ao o ke kauka e emi i ka pilikia o recurrent herniation.

Ma ka hopena, ka mea pono e olelo mai la ia ma ka hoailona mua o ka protrusion i loko o ka pahu a me abdominal pa e koke nīnau aku i ke kauka. ʻoki kino no ka hernia mea,ʻaʻole he luna 'ana, ua nui aku kona paakiki, e pale i ka complications o ka holo protrusion, a me ka eha pili me ia.