Ubuhlungu obujikeleze inkaba ye-80% yamatyala kwenzeka ngenxa yemonakalo kwisisu nase-duodenum, i-20% eseleyo: izilwanyana ezinobuncwane / i-helminthic, izifo zesisu esincinci nesincinane, i-pancreas, izintso. Xa ibuhlungu malunga nenkaba, imbangela yesifo ingaba yingozi kakhulu, ifuna ukungenelela okukhawulezileyo, ngoko-unyango olungavumelekanga. Xa kukho intlungu kwinamba, kungakhathaliseki ukuba yinyani, kufuneka uhlale udibana nogqirha-inceda ukuphepha ingozi kwimpilo kunye neengxaki zobomi.
Ubuhlungu obujikeleze intonga - udidi:
- intlungu yeparietal. Kubangelwa ukucaphukisa komnatha womthambo womnyazi, owenza uxhumano phakathi kwe-peritoneum kunye nenkqubo yesantya ephakathi, idibene kunye neentsholongwane ze-muscular zodonga lwesisu;
- intlungu. Ingumphumo wokungaphumeleli komsebenzi wezitho, izilonda zabo eziphilayo, ukuqonda okanye "ukugaya";
- Intlungu ebonakalayo. Ugxininisa kwindawo ekude kwenkqubo yokugula. Okuqhelekileyo kwizifo zomathumbu, i-pancreas, gallbladder, isisu;
- intlungu yengqondo. Indawo yangasese kwisigxina esiswini, ihlala inyanga / iminyaka emininzi ngokungabikho kwemigqaliselo yemigqaliselo yenguqu kwiingxenye ze-peritoneum. Ukufunyaniswa kubantu abanokukhubazeka kwengqondo, kuyalala ngokusesikweni kokuthatha iziyobisi ze-psychotropic.
Intlungu ejikeleze intonga - ingaba yintoni?
Iintlungu zesisu ezisemzimbeni zivutha kwaye zibuthathaka, ngokukhawuleza kwaye zihlala zihlala, zigxilwe kwindawo enye kwaye zifudukela ukuya ngasekunene / ezisekhohlo okanye phezulu / ezantsi-nangayiphi na imeko, awukwazi ukuyihoxisa. Eyona ndlela ikhethekileyo kukuhlalutya izibonakaliso zamanje (amandla okuvakalelwa, izinto zokulahla, umlinganiso, indawo) kwaye wenze ukuqeshwaniswa neengcali.
- Umbilical hernia. Ukwakhiwa kwengxowa ye-hernial kunye nokwandiswa kwendandatho yomlomo kubangele ubuhlungu obuhlungu malunga nomnxeba ngexesha lokuzivocavoca kwaye emva kokutya. I-hernia yinkqonkqo ejikeleziweyo kufuphi nenqanawa, xa iphulaphuka intlungu yesifo ikhula: iziqulatho zesikhwama se-hernial ziyacinywa, ukujikeleza kwegazi kuphulwa, i-necrosis yezicubu ziqala.
- Enteritis okanye i-colitis. Ukuvutha komathumbu omncinane okanye omkhulu. Ukongeza kwintlungu ebuhlungu phakathi kwesibeleko, le ntsholongwane ihlala ihamba ne-diarrhea. I-enteritis ibonakaliswa nenani elikhulu lokuhamba kwamanzi, kunye ne-colitis yezigqoko ezincinci, ngokuqhelekileyo kukho ukudibanisa kwamanzi kunye negazi.
- Appendicitis. Okokuqala, intlungu igxininise imvumba, ize iqhubekele ngakwesokudla nangezantsi. Ubungakanani boluvo olubuhlungu luyahlukahluka ngokuxhomekeka kwendawo yesithasiselo ngokumalunga ne-cecum, ukusuka kwinqanaba leprogram yokuvuvukala (engapheliyo / embi).
- Isithintelo esiswini. Ibonakaliswe "ukuqala" okukhawulezileyo nokungalindelekanga-ukuhlaselwa kwe-intestinal colic. Ubunzima bujolise kumbhobho, uthabatha ngokukhawuleza isicatshulwa esisodwa. Idibaniswe nokuhlanza okukhulu, isicupunu, ukuphulwa kwe-gas fuji, ukulibaziseka ukuxhatshazwa.
- Abondinal migraine. Ubuhlungu obujikelezileyo inkaba, luvela kwimvelaphi yamakhaza aphelileyo, isisongela, ukuhlanza, isifo sohudo, intloko.
- I-irritable bowel syndrome. Isifo apho intlungu yamathumbu ephuka khona, ukuphazamiseka, ukutyumza intlungu ejikeleza intonga, ukunciphisa emva kokuhamba kwesitishi kunye negesi.
- Umhlaza wesisu esincinci. Ixilongwa ngokuqhelekileyo yokukhubazeka kwemvelo, ebonakalisa izibonakaliso ezibini: i-anemia ye-anemia ne-tar stool. Intlungu ejikeleze umbilicus i-convex, kwi-80-85% yamatyala, idibene ne-diarrhea, i-rumbling of intestine, i-belching, i-nausea, kunye ne-heartburn.
- Iingcamango zekholoni:
- Isifo seHirschsprung. Ukwandiswa kwekoloni ngaphezu kobubanzi nobude, ukutywinwa kweendonga zayo. Iimpawu: ukuqhaqhazeka okungapheliyo, ubunzima bokukhupha, intlungu ejikeleza intonga, iingxaki zesikhumba (iminyango engakapheliyo, ukucatshiswa, iimbophu), ukuphendula okuthintekayo, i-neuroses. Ngokuhamba kwexesha, ukulala kweentlungu ezifakwe emathunjini amakhulu zitsholongwane kwaye zikhokelela ekuthandeni kwamathumbu emathunjini;
- ngokuphindwe kabini emathumbu. Umfanekiso weklinikhi uqhubeka ngokungaqhelekanga okanye ubonakalisa intlungu ebuhlungu ejikeleze inkaba ngenxa yokukhutshwa kwamathumbu emathunjini.
- Ukusabalalisa i-aneurysm yesigaba esiswini se-aorta:
- uhlobo lwexesha elifutshane leentlungu;
- ukuqala ngokukhawuleza kwenkqubo;
- ukubonakala kwentlungu ihambelana nokusebenza ngokomzimba / utshintsho kwisimo somzimba.
- "Ikhanda lomzimba." Ukugqithiswa kweemetinal (intestinal) ukusabalalisa kuvela kwiimpawu zesistim zeenqwelo ezithintekayo ezibonakalisa ukuhlaselwa okubuhlungu kunye noxinzelelo olujikelezileyo. I-syndrome ye-Pain ine-character stamping character, "leaves" emva kokuthatha nitroglycerin. Esi sifo sibangela ukuba isilonda singasebenzi, ukutyunjwa, ukuguqulwa kwesifo, isifo sohudo esingapheliyo.
- Ukuvuvukala kwe-jejunum (ijunjunitis). Ubuhlungu obujikelezileyo kwintonga ngumqondiso oqhelekileyo we-oynitis, ukuba inkqubo yokuvuvukala isasazeka emathunjini onke amancinci, kukungena kwi-enteritis engapheliyo.
Izinto eziququzelelayo:
- izifo zamathumbu emathunjini kumamnesis (i-salmonellosis, isifo samathambo);
- ukusetyenziswa kakubi kotywala;
- Ukuhluleka kwezintso, ukutya kokutya;
- i-immunodeficiency states, gout;
- izifo zesikhumba (eczema, psoriasis).
Ubuhlungu obujikeleze intonga yabasetyhini - izizathu ezinokwenzeka
Iintlungu zentlungu ejikelezayo kwintonga yinkxalabo eqhelekileyo kwi-clinical gynecology. Esi sibonakaliso asixhomekekanga, kuba sigxininiswe kwiindawo ezininzi zokuhlala, ezibangelwa ukuhlukana phakathi kobuthathaka kwi-CNS yentlungu echaphazelekayo ephuma kwii-pelvic. Xa ufumanisa intlungu ecaleni kwendlovu, umntu makangacinga ingqalelo kwintlungu yomntu onobuhlungu kunye neempawu ze-anamnesis: ukuqala kwesifo sesifo (ngokugqithiseleyo / esibi), ukuhlala kwendawo, izilwanyana ezinomsoco (ukuphuma kwegazi, ukuhlanza, ukukhupha, umkhuhlane), nokuba ukuxhwaba kusondele kwintambo kunye nokujikeleza kokuya esikhathini. khulelwa.
Ubuhlungu obuhlobene nokukhulelwa:
- ukukhulelwa kwe-ectopic. Iqanda le-Fetal ekukhulelweni kwe-ectopic lifakwe kwisigxina sesisu, ama-ovari, umlomo wesibeleko okanye uphondo lwe-uterus, i-fallopian tubes. Ubuhlungu kwisisu esisondele kwintonga kubonakala ngakwesinye icala, ngokungafanekiyo - kungenziwa ngokubanzi okanye ngokubanzi. Ikhula ngokukhawuleza, iyomeleza ngexesha lokuchasana, ukunyakaza. Ukuphuka kwebhubhu kubangela intlungu ebuhlungu kunye nxamnye;
- isongelo sokukhupha isisu. Ukubandezeleka phakathi kwesisu, ukubuyisela emanzini, ukuphawula kwindlela yokuzala;
- ukuchithwa kweplacental premature. Intlungu ebuhlungu kakhulu kwisisu esezantsi, ukuphuma kwegazi.
Ubuhlungu abuhlobene nokukhulelwa:
- ukukhubazeka kwama-ovari: izilwanyana ezinobungozi / ezinobungozi (izicubu, i-cysts); isifo se-ovarian hyperstimulation. Ivela kubasetyhini abanokuxilongwa "kokungabikho ntsholongwane" ngokuchasene ne-hormonal therapy. Ifom ebonakalayo ibonakaliswe ngentlungu encinci ejikeleze inamba, i-ascites enzima (ukuqokelela kwamanzi e-peritoneum) kunye nokuphefumula okufutshane;
- dysmenorrhea. Ukuhamba kwesisu, kuboniswe kwimijikelezo ye-ovulatory, ebonakaliswe ngolu hlobo: intlungu yokugubha / i-cramping intsimbi ejikeleze intambo kunye nasesiswini esiswini, isifo sohudo, isisu, isisu, isisu;
- Izifo ezivuthayo zamalungu omzimba we-pelvic, echukunyiswa ngama-microorganism ama-Mycoplasma hominis, iClamydia trachomatis, i-Neisseria gonorrhoeae;
- endometriosis. Ivela ngenxa yokukhula kwe-endometrium ngaphandle kwesigxina se-uterine, ibonakalisa njengentlungu ephindaphindiweyo malunga neenkiva / ngaphambi kokuya esikhathini;
- isifo sokubambelela. Ukuqhubela phambili emva kokuhlinzwa, kunye nokuvuvukala okungapheliyo kwezitho zokuzala.
Intlungu ejikeleze intonga yomntwana - ingaba yintoni na?
Iimbangela zentlungu ezungeze inamba ziyakwazi ukuhluke kakhulu: ukunyanzelisa, izibungu, i-appendicitis okanye i-ARVI. Okokuqala, kuyimfuneko ukufumana indawo kunye nesantya soxinzelelo lwe-syndrome, kuba abantwana abancinci abakwaziyo ukuchaza ngokucacileyo ukuba kuphi na into ebabangeleyo. Ngentlungu engenakulinganisela "intlungu" umntwana afuna ukuxoka, uphenduka ngobumnene, kunzima - le mpawu ayikwazi ukunyanzelwa, ingabonisa i-peritonitis kunye ne-appendicitis.
I-pathologies yesondlo sesisu:
- gastritis. Iimpawu zempawu: intlungu esiswini, isenzo, ukungabi nxilweni, ukuhlanza, isisulu, isisindo esiswini;
- nephritis. Ukongeza kwintlungu ejikeleze intonga, ukuvutha kweentso kubonakalisa njenge-edema phantsi kwamehlo, ukungcola okungaqhelekanga, ukugqithisa umchamo, ukushisa okungaqhelekanga;
- gastroduodenitis. Ukuvuvukala kwesisu esiswini kubangela intlungu ebuhlungu kwisisu emva kokutya, ibhendi "ebolile", ukuvakalelwa, ukugubha, ukuxhamla, isisindo sokuqhaqhazela;
- isilonda sesilonda. Ubuhlungu bubonakala kwisisu esingenalutho, emva kokutya. Umntwana ukhononda ngesicaphulo, igesi, ukumbomboza, ukunambitheka komsindo emlonyeni;
- ukuvuvukala kwephepha lebhiliary / gall gall bladder. Isi sifo siyaqhubeka ngokukhawuleza: umntwana uxhalabisayo ngamakhanda, intlungu ephazamisayo kwi-hypochondrium efanelekileyo kunye nomjikelezo, inzwa yokuma emlonyeni womlomo, isisongela, isifo sohudo / ukugcoba, ukungabikho kwesidlo;
- isifo sezilonda zesilonda. Iintlungu zi-spasmodic, zihamba ne-anemia, ukulahlekelwa kwesisindo, isisitfu esilahlayo ngegazi;
- pancreatitis. Iimpawu ze-symptomatology zifana nokuhlaselwa kwe-appendicitis, umntwana ukhononda ngentlungu kwi-epigastric zone kunye nomjikelezo wenqanawa, ukuxiliswa kumahlombe, emagxeni, ehamba kunye nokuhlanza, isicupunu, ukuphuza okwephuzi.
Ukungavumi kolwazi
Ukunciphisa okufunyenweyo / okwenziwe ngokwemveliso ye-lactase (i-enzyme ephula isishukela yobisi) ingafihlakeleka okanye ibonakaliswe, abaninzi abazali abaqapheli ukuba umntwana wabo unesifo sokulahleka kwe-lactase. Ubunzima bokubonakaliswa kwekliniki kunye nokunyanzeliswa kwe-lactose kuthatha ukuguquka, okubangelwa yohlukwano kwi-intestinal biocenosis, amanqanaba ahlukeneyo okunciphisa i-enzyme, iimpawu zomzimba womntwana. Ukubonakaliswa okuqhelekileyo: urhudo (ukuvumba) emva kokutya iimveliso zobisi, i-foamy stool, iintlungu ezithatyathwe ngokukhawuleza ezijikelezayo.
Ukutya okungekho
Ukuxilongwa "kokutya kokutya" kufakwa kumntwana phambi kobudlelwane obucacileyo phakathi kokutya kokutya kunye nokubonakaliswa kweempawu zekliniki zokungaboni. Ubuninzi beentlobo zokutya ziyahlukahluka phakathi kwe-1-50%, lujongwa okokuqala ngqa ebuntwaneni. Izinto zokubonelela ekuvelweni kokutya kokutya: ukondla komama ngexesha lokukhulelwa / ukuncelisa, ukutshatyalaliswa kwangaphambili kwintsana kumxube wokufakelwa, ukuphazamiseka kokutya, ezibonakaliswa ukungalingani phakathi komlinganiselo wokudla / ubunzima bomntwana, ukuguquka kwezilwanyana ze-bile neduct kunye nesibindi. Ukubonakaliswa kwesi sifo kuyahluka ngokwemiqathango, ubuqili, indawo yokuhlala, ifom. Kwimiqathango yesiginci sesisu: ukutyunjwa, ukuhlanza, isifo sohudo, intlungu yesisu. I-Coloniform sensation kufuphi neveliti yenzeke emva kweeyure ezingama-3-4 emva kokungeniswa, iintlungu zihluke ngokunyaniseka, ukuhambelana, kunye neengxaki zesifo se-dyspeptic. Izindlela zokonyango kokutya kwezilwanyana kubantwana - ukucinywa (ngaphandle) ukusuka ekudleni kokutya kwe-allergen kunye nonyango olulodwa lwe-allergen.
Usuleleke kumathambo emathumbu emathumbu
Kubantwana, kukho iintlobo ezili-15 ze-helminths, eziqhelekileyo zi-ascarids (10%) kunye neepinworms (90%). Ama-parasites akhupha ukuphazamiseka kwendlela yokuxhamla isisu, ukuphendulwa komzimba, ukuxhatshazwa, ukunciphisa ukuphendula komzimba womzimba.
Izibonakaliso zekliniki zokuhlasela kwe-helminthic:
- i-diathesis, i-skin rashes, i-neurodermatitis, i-dermatitis;
- isitolongo esingaqinisekiyo, ukunyanzeliswa ekuqhenqeni, imifino kwisitulo;
- ukuguquka, ukuhlambalaza, ukuhlanza, isisulu;
- "Intlungu" engxenyeni yesisu, kwindawo ejikelezileyo;
- ukuphulwa kwesondlo, i-bruxism (ukuququda kwamazinyo);
- ukulala, iingxaki zokulala;
- ubomvu / ukubetha kwi-anus;
- imbonakalo ebuhlungu, ukunyameka kwengqondo, i-asthenic syndrome.
Iintlungu zengqondo ezungeze inkaba
Ziyabonakala kubantwana abanengqondo engaqinisekiyo ngokumalunga nomdla wokuzixhalabisa ngokweqile, kubangelwa ukuxabana kunye noontanga okanye ngabazali, ubuninzi beemvakalelo. Umntwana onjalo ubonakaliswa ngumnqweno wobunkokeli, ukunyamezela, ukunyamezela. Iimpawu: i-colic / ubuhlungu kwisisu, ukuhlanza, isisongela, ukumbumba / isifo sohudo, ukutshatyalaliswa komzimba, ukuxhamla, ukuguqulwa komzimba, ukukhubazeka okubonakalayo, ukuhlaziywa kwengxelo. Phakathi kokuthintela umntwana uziva eqhelekileyo. Kule meko kungcono ukukhuseleka - ukubonisana nodokotela wezilwanyana kunye nomntwana wengqondo yengqondo.
Intlungu ejikeleze intonga yingozi ebonakalisa ingozi. Ukuba kukho i-spasms, ubunzima, ubuhlungu obukhulu okanye obunzima kummandla we-mesogastric, kubalulekile ukuba uqhagamshelane neengcali ezizodwa - uphando, isifo se-gastroenterologist, ugqirha wezilwanyana, ugqirha wezilwanyana, ukuba uphumelele uvavanyo olupheleleyo kwaye, ukuba kuyimfuneko, inkqubo yokonyango.