Chiwindi chachikulu cholephera

Kulephera kwa chiwindi ndi chikhalidwe chomwe chimakhala chachikulu kwambiri cha maselo a chiwindi, chomwe chimayambitsa thupi kutaya mphamvu yake yochita bwino. Matendawa ndi ovuta kwambiri. Nthendayi imakhala chifukwa cha matenda aakulu, kupweteka kwa thupi ndi mapuloteni amtundu wa mankhwala, matenda a pakatikati a mitsempha. Ndipo ngati nthawi isayambe kulandira chithandizo, ndiye kuti matendawa angapangitse zotsatira zowononga.

Zomwe zimayambitsa chiwindi chachikulu cha chiwindi

Zimavomerezedwa kusiyanitsa mitundu yosiyanasiyana ya matendawa:

• engodennaya - kupambana mwachindunji kugonjetsedwa kwa parenchyma;
• zosavomerezeka - zotsatira za kusokonekera kwa magazi ndi kuyamwa kwa magazi ndi zinthu zambiri zovulaza mu dongosolo lonse la hemodynamic;
• zosakaniza.

Mitundu iliyonse ikhonza kukhala yofatsa, yocheperapo komanso yovuta.

Monga lamulo, perekani zovuta zovuta, zotupa zomwe zimayambitsa ulusi, dystrophic kapena necrotic zovuta. Kawirikawiri, matendawa amayamba kutsutsana ndi mavuto monga:

• chiwindi;
• chiwindi cha chiwindi chapachiyambi;
• hepatosis ;
• magazi;
• kuika magazi kwa gulu lina;
• chisokonezo chakuzungulira chifukwa choyaka;
• poizoni ndi poizoni kapena poizoni.

Zomwe zimatsimikizira kuoneka kwa zizindikiro za kuperewera kwapadera zimayambanso kukhala:

• kumwa mowa mwauchidakwa;
• kugwiritsa ntchito kwambiri mankhwala a hepatotoxic;
• chakudya chochuluka mu zakudya;
• anesthesia pa opaleshoni;
• Kutsegula m'mimba.

Anthu omwe ali ndi chiwindi cha matenda a chiwindi, nthawi zina amavutika ndi matenda, peritonitis, mitsempha ya thrombophlebitis.

Zizindikiro za Kulephera Kwambiri Kwachidziwitso

Pafupipafupi, matendawa amakula mofulumira - mkati mwa maola angapo kapena masiku angapo. Kuwonetseratu kwake kwakukulu kungalingalire kugona, kusakanikirana ndi chisangalalo ndi kuukira kufooka kwakukulu. Nthawi zambiri akatswiri amakumana ndi zodandaula za:

• chithunzi;
• kupuma;
• zizindikiro za hemorrhagic diathesis;
• malungo;
• ascites;
• kusowa tulo;
• chiwonetsero;
• kuchepetsa kulankhula;
• kunjenjemera kwakukulu;
• maonekedwe a fungo losasangalatsa kuchokera mkamwa;
• kuchedwa kwa kuganiza;
• kupweteka mu chiwindi;
• chisokonezo;
• kusanza mobwerezabwereza;
• chithandizo;
• kutuluka m'mphuno ;
• arrhythmia.

Kuzindikira ndi kuchiza chiwindi chachikulu cholephera

Akamapanga matendawa, akatswiri amaganizira za zizindikiro, zotsatira za kuphunzira magazi, mkodzo, mayeso a chiwindi, boma la asidi, electroencephalography.

Ndi katswiri yemwe ayenera kupereka thandizo lachangu mu chiwindi chachikulu cholephera. Kudzidziza kungachititse kuti ntchitoyi ikhale yovuta komanso zitha kusintha.

Chinthu chachikulu chimakhala chithandizo cha kulowetsedwa kwa crystalloids ndi colloids. Chifukwa cha izo, detoxification imachitika, magazi amatha kubwezeretsedwa ndi kuwongolera, kupanikizika kwa plasma kubwezeretsedwa.

Kuonjezerapo, njira yothetsera vuto lachiwindi ndi yolephera zikuphatikizapo zochitika zotere:

1. Gastric amataya sodium ndi hydrocarbonate.
2. Kugonjetsedwa kwa mankhwala omwe amathandiza ntchito ya maselo a chiwindi omwe ali ndi traciol, albumin, sorbitol, mannitol.
3. Ngati wodwala wakulakwira, amamuwonetsa mankhwala monga Sibazol, Oxibutyrate, Relanium.
4. Pazifukwa zovuta kwambiri, odwala ayenera kuvala ma maskiti nthawi zonse, atenge hemo-, lympho- kapena plasmosorption.