Chirwere che perforated chirwere chakakomba chemuviri uye duodenum ulcers, iyo inopisa upenyu. Inowanzotanga kune varume, kunyanya mumatumba kana munguva yemwaka, iyo inobatanidza nekuwedzera kwekuwedzera kwechirwere chepakati. Kuwedzerwa kwekuonekwa kwekunonoka kunobatanidzwawo nemafungiro nemafungiro evanhu: saka, munguva dzehondo kana matambudziko ezvoupfumi, vanachiremba vanotora chirwere ichi kakawanda kakawanda pane nguva dzese.
Vanhu vane chironda chechirwere chechirwere uye vasingateereri kudya vane pangozi yakawanda yekuwana chironda che perforated kusiyana nevarwere avo vanoomerera pakudya kwakakodzera uye vanocherechedza mupfungwa.
Zvinokonzera zvipembenene zve perforated
Kune zvikonzero zvakasiyana siyana zvinoita kuti kukurudzirwa kwezvinetso zvakadaro zvechirwere chepachirwere chirwere:
- kuwedzera kwekuvhiringidza kwenharaunda munzvimbo yakakanganiswa;
- kuwedzera mukati-mumimba kushushikana nekuda kwekuita muviri;
- kudya kudya kana kusateerera kwekudya;
- mupfungwa uye mupfungwa kunetseka;
- kunya kwe salicylic acid kana kurapwa ne glucocorticoids.
Perforated ulcer - zviratidzo
Zviratidzo zvelonda rinoputika rinogona kugoverwa muzvikamu zvitatu.
- Yokutanga inenge inenge maawa matanhatu, inonzi "chikwata chekutambudzika kunotyisa," nokuti munguva ino murwere anonzwa kurwadziwa kwakanyanya mumudumbu remuviri. Varwere vanozvifananidza nemhondi inoputika: inorwadza, yakasimba uye inopinza. Panguva ino, kurutsira kunogona kuitika, murwere anenge akaoma kumuka, ganda rake rinotonhora uye rinotonhora rinogona kuonekwa. Kuputika kunokurumidza uye kusinganzwisisiki, nekufuridzirwa kwakadzika, kurwadziwa kunomuka, kupisa kweropa kunoderedzwa, asi kupisa kunoramba kuri mukati memiganhu yezvigadzirwa: 73-80 kurova paminiti. Neziso rinoputika re duodenum, masimba emimba anenge akaoma, saka kunzwa kunonetsa.
- Muchikamu chechipiri, chinoitika mushure memaawa mashanu kusvika maawa matanhatu, murwere anoumba kuwedzera kwekufungidzira: kubwinya kwemarwadzo kunoderera, mimba yemimba inogumira kuoma, uye huwandu hwehutano hunoratidza kuti chirwere chacho chave chichiripo. Asi, avo vari pedo nemurwere, unofanirwa kubhadhara maitiro ake, tk. kuwedzera peritonitis kunogona kupa tachycardia, pfungwa yekufara, kukura kuri kukura uye kunonoka mune chigaro. Munguva iyi, leukocytosis inotanga kufambira mberi.
- Nhanho yechitatu inotangira maawa 10-12 uye chipatara chine chokuita nekuparadzanisa peritonitis. Panguva ino zvakaoma kuziva kuti chii chakakonzera mararamiro akadaro, saka zvakakosha kupfuurira kunechiremba ari kuenda kune zvimwe zvose zvezviratidzo zvinotangira.
Kurapa kwezvironda zve perforated
Kurapa kwezvipembenene zvemuviri zvinoputika kunotanga mubazi rekuvhiya. Kusvikira panguva iyo, chiremba anoongorora murwere: anonzwa dumbu rake, anomubvunzurudza, anorondedzera X-ray.
Mumamiriro ezvinhu akaoma, inhalation ye oksijeni inogadzirwa, kupirisa kwekodzero kunoitwa, analgesics (kwete-narcotic) inopindwa.
Panosimbisa chirwere chinonzi perforated, chirwere chinoshandiswa pamberi apo murwere anorohwa ane probe kuti achenese mudumbu uye chikwata chiri catheterized. Anesthetics inobva yajowa uye munda unoshanda unorapwa nemishonga inodhaka.
Kuchengeta ganda rinoputika rinowanikwa neparisonitis yakawanda (kazhinji kana kurapwa kwechiremba kusina kushandiswa kwemaawa anopfuura 6 kubva pakatanga kwekuvandudzwa kwesonda rinoputika).
Zvokudya pashure pezvipembenene zve perforated
Zvinokosha zvikuru mushure mekuvhiya kuchengetedza kudya kwakakosha kwemwedzi inoverengeka.
Nealformed percerated, carbohydrates echeka, munyu uye mvura haigoni kutorwa muhomwe yakawanda. Mazuva mashomanana mushure mekuvhiyiwa, murwere anokwanisa kupiwa maminari asina mvura yakasvibiswa, michero jelly uye tei. Ipapo unogona kupa maawa mashomanana akabikwa uye akachekwa pazuva, pamwe chete nechingwa chiduku, mbatata yakasvibiswa.
Mazuva gumi mushure mokuvhiyiwa, murwere anopiwa mbatata yakasvibiswa, pamwe chete nekapu yakabikwa uye karoti. Zvokudya zvose zvinofanira kuva zvinyorova, kwete zvinonhuwira, kwete marashi, kwete marashi. Chingwa chinotenderwa kuwedzerwa pamenyu chete mushure memwedzi.
Kubva pazvokudya usabvisa muffin uye ndiro kubva pachiropa, mapapu uye itsvo, pamwe chete nemiti yakasvuta, zvinokonzerwa nemafuta uye mahowa.