Nhamo dzakapoteredza chivako mu 80% yematambudziko anoitika nekuda kwekukuvara kumudumbu uye duodenum, 20% inosara ndeyo: mishonga / helminthic invasions, zvirwere zvemukati madiki uye maduku, pancreas, itsvo. Kana ikarwadza zvakapoteredza nhamba, chikonzero chechirwere chinogona kuva chakakomba zvikuru, chinoda kupindira kwekukurumidzira, saka kuzvipira kunogamuchirwa. Kana paine marwadzo muvanhizha, zvisinei nokuti yakasimba sei, iwe unogara uchitarirana nachiremba - inobatsira kudzivisa ngozi kune utano uye hupenyu hunooma.
Pain pedo nevel - classification:
- kurwadziwa kweparietal. Icho chinokonzerwa nekutsamwiswa kwemutsipa wepuropa yeropa rekugamuchira, iyo inopa kuwirirana pakati pe peritoneum uye nheyo yepamusoro yenheyo, inosanganiswa nemisipiresi yemasimba emadziro emimba;
- visceral pain. Icho chigumisiro chekukundikana mubasa renhengo, maitiro avo ehupenyu, kubata kana kuti "gnawing";
- Kuratidza kurwadziwa. Inotarisa kune imwe nzvimbo iri kure kure nehutachiona. Zviratidzo kune zvirwere zvemukati, pancreas, gallbladder, mudoma;
- kurwadziwa kwepfungwa. Inowanikwa mumakumbo emimba, inotora mwedzi yakawanda / makore mukusina kwezviratidzo zvinangwa zvekuchinja munhengo dze peritoneum. Kuonekwa kune vanhu vane hurema hwepfungwa, kunopera mushure mokutora psychotropic zvinodhaka.
Marwadzo akakomberedza nhava - chii chingave?
Uturu hwepamuviri kumativi ehuni huri kupisa uye husina simba, kamwe-kamwe uye nguva dzose, kuisa munzvimbo imwe uye kuenderera kune kurudyi / kuruboshwe kana kumusoro / pasi - chero zvakadaro, haugoni kuzvirega. Nzira yakanakisisa ndeyekuongorora zviratidzo zvemazuva ano (simba rekunzwa, kurasa zvinhu, unhu, hutano) uye kugadzirira musangano nemumwe nyanzvi.
- Umbilical hernia. Maumbirwo emakwenzi ayo uye kukwidziridzwa kwemakwenzi embilical kunokonzera kurwadziwa kunorwadza kumativi ose emvura panguva yekuvhima uye mushure mekudya. Hemeni ndiro chisimbiso chakakomberedzwa pedyo nejevha, kana ichikanganiswa chirwere chinorwadza chiri kukura: zviri mukati memudzimai wehainial zvakasimbiswa, kupararira kweropa kunoputsika, necrosis yematukisi inotanga.
- Enteritis kana colitis. Kuvhiringidzwa kwemukomana muduku kana mukuru. Mukuwedzera pakurwadziwa kwakakomba pakati pepamuviri, izvi zvinokonzera nguva dzose pamwe chete nehara. Initisiti inoratidzwa nehuwandu hwehutachiona hwemvura, uye chirwere chezvigumbuso zvishomanana, kazhinji pane kusanganiswa kwemajisi uye ropa.
- Appendicitis. Chokutanga, kurwadziwa kunogumira kumativi ose, uye kunofamba kuenda kurudyi uye pasi. Kuwedzera kwekunzwa kunorwadza kunowirirana zvichienderana nenzvimbo yezvimwe zvidimbu maererano neececum, kubva padanho rekuvhiringidza (chronic / acute).
- Kuvhiringidzika kwepamuviri. Iyo inozivikanwa ne "kutanga" nokukurumidza uye kusingatarisirwi - kurwisa kwepamukati colic. Urombo hunotarisa kumativi ose, uye zvishoma nezvishoma kutora unhu hunopararira. Inosanganiswa nekurutsa kwakanyanya, kuora mwoyo, kukanganisa kwegesi kuvhara, kunonoka kusagadzikana.
- Mimba migraine. Dambudziko rakapoteredza ruzivo rwakanyanya, ruka kupikisana nechekupedzisira kwemvura inotonhora, kusuruvara, kurutsira, chirwere chemahara, misoro.
- Irritable bowel syndrome. Chirwere umo maitiro emutsipa anoputsika, kufungidzira, kupwanya marwadzo kumativi echidziro, kuderera mushure mekubuda kwezvigaro nemagasi.
- Kanzira yemukati muduku. Inowanzoongororwa nezvehutachiona hwehutachiona, hunozviratidza nezviratidzo zviviri zvakafanana: kufambira mberi kweanemia uye tar. Uturu hwakapoteredza umbilicus hune huwandu, muna 80-85% yematambudziko, pamwe chete nemararamiro, kuputika kwemukumbo, kubvongodza, kushungurudza, uye kuora mwoyo.
- Kusagadzikana kwekoloni:
- Hirschsprung's disease. Kuwedzera kwekoloni pamusoro pehupamhi nekureba, kuvhara masvingo aro. Zviratidzo: kusagadzikana kusingaperi, kunetseka nekubvisa, kurwadziwa kumativi ose, zvinetso zveganda (kusvibiswa kwemazuva mashoma, kutsamwisa, mapfupa), zvinokonzerwa nemagetsi, neuroses. Nokufamba kwenguva, zvirwere zvinosangana mumatumbo makuru zvinotapukirwa uye zvinotungamirira kumakumbo ekubatanidza / kuputika;
- kuwirirana kwemukati. Chimiro chemakiriniki chinoramba chichida kana kuti chinoratidzira kurwadziwa kunorwadza kumativi echivako nekuda kwekudzivirira mumimba.
- Dissecting aneurysm yechikamu chemuviri che aorta:
- nguva pfupi yekurwadziwa;
- kamwe kamwe kwekutanga;
- kuonekwa kwemarwadzo kunobatanidza nekushingaira kwenyama / kuchinja mumuviri.
- "Mhou dzepamuviri." Kurwiswa kwemasenteric (intestinal) kupararira kunokonzerwa nemasikirwo emagetsi emidziyo yezvigadzirwa zvinoratidzirwa nekutaridzika kunorwadza nekumanikidzwa kwakapoteredza nhamba. Pain syndrome ine zvakajeka kuti inogadzirisa unhu, "mashizha" mushure mokutora nitroglycerin. Chirwere ichi chinoita kuti hutachiona huve nekushaya simba, kuvhara, kubata, kutora chirwere chisingaperi.
- Kuvhirwa kwejjunum (jejunitis). Nhamo dzakapoteredza ruzivo urwu chiratidzo chaiye chewaunitis, kana kupisa kwemukati kunopararira kumucheche wose wechipfuva, iyo inogara isingagumi.
Zvinokonzera zvinhu:
- utachiona hwepamuviri muam anamnesis (salmonellosis, dysentery);
- kunwisa doro;
- itsvo kusakona, zvokudya zvinokonzera;
- immunodeficiency states, gout;
- ganda zvirwere (eczema, psoriasis).
Dambudziko rakapoteredza ruzivo rwevakadzi - zvinokonzera zvinokonzera
Zvinorwadza zvinotarisana nevanhizha zvinowanzonyunyuta mumakiriniki ekurapa. Ichi chiratidzo chisina maturo, sezvo chakasimbiswa mune zvakawanda zvirwere, izvo zvinokonzerwa nekusawirirana kusimba muNCS yezvinorwadza zvinorwadza zvinobva kune nhengo dzepachiviri. Kana uchitarisa marwadzo pedyo nevanhizha, mumwe anofanirwa kufunga nezvehutachiona hwekunzwa kurwadziwa uye mararamiro echiamnesis: kutanga kwehutano syndrome (zvishoma nezvishoma), kugarisana, kuwirirana zviratidzo (kubuda ropa, kushambidzika, chills, fivhiri), kana kusuruvara kwaswedera pedyo nenjiva ine nguva yekuenda kumwedzi uye pamuviri.
Njodzi dzine chokuita nekuzvitakura:
- ectopic pregnancy. Fetal egg in ectopic pregnancy inowanikwa mudumbu remuviri, mavhavhai, chivharox kana runyanga rwechibereko, fallopian tubes. Urombo mudumbu rakapoteredza nhamba inooneka kune rumwe rutivi, kazhinji - inogona kuve yakawanda kana yega. Inokura zvishoma nezvishoma, inowedzera panguva yekudzivirira, kufamba. Kuputika kwehuputi kunokonzera kupinza uye kunetseka kamwe;
- kutya kwekubvisa pamuviri. Kusuruvara mukatikati memudumbu, kudzokera kuchiuno, kutarisa kubva pamagadzirirwo emagetsi;
- premature placental abruption. Kunyanya kurwadziwa kwakanyanya mumudumbu pasi, uterine kubuda ropa.
Njodzi isingabatanidzi pamuviri:
- hutachiona hwemavha mavari: maitiro akaipa (bundu, cysts); syndrome of ovarian hyperstimulation. Inowedzera kuvakadzi vane chirwere che "infertility" nehormonal therapy. Chimiro chinoratidzika chinoratidzwa nekurwadziwa zviduku kunotenderera muvhenekeri, nzara-ascites (kuunganidza kwemvura mukati me peritoneum) nekufema kwekufema;
- dysmenorrhea. Kuenda kumwedzi kunorwadza, kwakaratidzwa muhutachiona, yakaratidzwa ne: kukumbura / kurwadza marwadzo kumativi ose emumvuri uye mudumbu rezasi, chirwere, kuchema, kuneta, kuora musoro;
- zvirwere zvinoputika zvezvipembenene, zvinokonzerwa nemakorikari epathogenic Mycoplasma hominis, Chlamydia trachomatis, Neisseria gonorrhoeae;
- endometriosis. Inoitika semugumisiro wekukura kweropomberrium kunze kwehutachi uterine, inoratidzika semarwadzo epanguva inenge yakakomberedza muvheji pa / asati asvika kumwedzi;
- adhesive disease. Kufambira mberi mushure mekuvhiyiwa, uye kusagadzikana kusingaperi kwezvikamu zvinobereka.
Uturu hwakapoteredza marara mumwana - chii chingave?
Zvinokonzera kurwadziwa zvakapoteredza nhava zvinogona kunge zvakasiyana kwazvo: indigestion, minye, maitiro anonzi appendicitis kana ARVI. Chokutanga pane zvose, zvakafanira kuziva nzvimbo yekugara uye chirwere chemarwadzo ekurwadziwa, sezvo vana vaduku havagoni kutsanangura nguva dzose uye chii chinokuvadza. Nekusava nehanya "nhokwe" inorwadzisa mwana anoda kureva nhema, anotendeuka zvinyoro, nekuoma - chiratidzo ichi hachigoni kuregererwa, chinogona kuratidza peritonitis uye yakaoma appendicitis.
Chirwere chetachiona chemuviri:
- gastritis. Unhu hunoita zviratidzo: kurwadziwa mukati mudumbu, kukanganisa, kusava nenzara, kurutsa, kushungurudza, kusuruvara mudumbu;
- nephritis Mukuwedzera kune marwadzo akakomberedza ruvhuro, kuputika kwetsvo kunozviratidza seodema pasi pemaziso, kazhinji kusvina, kusviba kwemuti, kusina kutonhora;
- gastroduodenitis. Kusuruvara kwemukati mucosa kunokonzera marwadzo anorwadza mudumbu mushure mekudya, "bhanhire" rakaora, kunzwa kunoputika, kuora mwoyo, kushungurudzika, kusagadzikana kwekudzivirira;
- peptic ulcer. Marwadzo anooneka musina chinhu chisina chinhu, mushure mokudya. Mwana wacho anonyunyuta nezvekutsvaira, gasi, kuvimbiswa, kunwa kunorwadza mumuromo;
- kuvhiringidza kwebazi rebiliary / gall chikafu. Chirwere chacho chinopfuurira zvishoma nezvishoma: mwana anotambudzika nemusoro, marwadzo anorwadza mu hypopondrium yakanaka uye akapoteredza ruzivo, manzwiro ekuoma mumuromo mutsva, kushungurudzika, kurarisa / kuvhara, kusava nenzara;
- ulcerative colitis. Marwadzo anonzi spasmodic, aine anemia, kuora kurasikirwa, chigaro chisina kuchena neropa;
- pancreatitis yakaoma. Zviratidzo zvinofanana nekurwiswa kwekuwedzera, mwana anonyunyutira marwadzo mune epigastric zone uye akapoteredza maruva, anogadzirisa kumapfudzi, mapepa epafudzi, anoshamwaridzana nekurutsira, kushungurudza, kuchenesa kweganda.
Lactose kusawirirana
Iyo inowanikwa / inherent inopera muitiro we lactase (iyo enzyme inoputsa shuga yemukaka) inogona kuvanzwa kana kuratidzirwa, saka vabereki vazhinji havazivi kuti mwana wavo ane chirwere chakakosha. Kuoma kwemakiriniki ekuratidzwa ne lactose kusagadzikana kunowanzochinja, izvo zvinokonzerwa nekusiyana mumatumbo emuviri, kukwana kwakasiyana kwekunyora kweenzyme, maitiro ehumwe hwemuviri wemwana. Zviratidzo zvinoratidzika: kurora (kuvirisa) mushure mekudya michero yemishonga, foamy chigaro, marwadzo anononoka akapoteredza nhamba.
Zvokudya zvinokonzera
Kuonekwa kwe "chirwere chokurara" kunoiswa kumwana pamberi pehukama huri pachena pakati pekudya kwekudya uye kuratidzwa kwechipatara zviratidzo zvekusagadzikana. Kuwanda kwezvokudya zvekudya kunosiyana pakati pe1-50%, yakagadzirirwa kwekutanga panguva yehuduku. Kugadzirisa zvinhu pakuumbwa kwezvokudya zvekudya: Kuberekwa kwevana pamuviri panguva yekuzvitakura / kunwisa vana, kutanga kutumiswa kwecheche kune mishonga yakasangana, zvinetso zvekudya, izvo zvinoratidzirwa mukuparadzanisa pakati pehuwandu hwezvokudya / kurema kwemwana, kuwirirana kwehutano hwebate duct uye chiropa. Zviratidzo zvechirwere zvakasiyana-siyana maererano nehuwandu, hutsinye, nzvimbo, fomu. Pane chikamu chemuviri wepamuviri: kuvimbiswa, kurutsira, chirwere chemashure, chirwere chepamuviri.Cononormorm sensations pedyo nejevha inoitika maawa 3-4 mushure mekudya, marwadzo anosiyana mumusimba, kusagadzikana, pamwe chete nedyspeptic disorders (kuderera kwechido, mucus muzvigaro). Nzira dzekurapa kwekudya kwezvokudya muvana - kubviswa (zvisingaiti) kubva mukudya kwezvokudya zvekudya uye zvechirwere-chero-chaiyo.
Kutapukirwa nemakumbo emukaka
Mune vana, kune 15 marudzi e helminths, zvakanyanya seascarid (10%) uye pinworms (90%). Zvirwere zvinokonzera kuvhiringidza kwepamuviri yepamuviri, kushandiswa kwezvimwe zvirwere, kudhakwa, kunowedzera simba rekudzivirirwa mumuviri mumuviri.
Clinical manifestations helminthic invasion:
- diathesis, skin rashes, neurodermatitis, dermatitis;
- simbi isina kugadzikana, zvinokonzera kuzvidzivirira, magedhi mumubhedha;
- kukanganisa, kunyarara, kurutsa, kushungurudza;
- "Inononoka" marwadzo munharaunda yepamuviri, inowanikwa pedo nevel;
- kupesana kwechido, bruxism (gnashing meno);
- kusuruvara, matambudziko nekuwira hope;
- redness / itching in the anus;
- kutaridzika kunorwadza, kunyora kwepfungwa, asthenic syndrome.
Utano hwepfungwa nepamusoro pevheji
Izvo zvinoratidzwa mune vana vane pfungwa isina kugadzikana inopesana nemamiriro ekufarikana kukuru, zvichikonzerwa nekukakavara nevezera kana vabereki, kuwedzerwa kwemanzwiro. Mwana akadaro anozivikanwa nechishuvo cheutungamiri, kushushikana, kutsungirira. Zviratidzo: colic / kusuruvara mumimba, kurutsira, kushungurudza, kuvimbiswa / kurwara, kurwara kwemaziso, kufema, kufara, chimiro chekuona, kutadza kuonekwa. Pakati pemagunha mwana wacho anonzwa zvakajeka. Munyaya iyi zviri nani kuva wakachengeteka - kutsvaga chiremba wevana uye mwana wechirwere chepfungwa.
Uturu hwakapoteredza ruvhudzi chiratidzo chinotyisa chisingagoni kuchengetwa. Kana pane mararamiro, kusuruvara, kurwadziwa kwakanyanya kana kurwadza kwakanyanya munzvimbo inonzi mesogastric, zvinokosha kuti tibatane nevanoongorora nyanzvi - mutapi, gastroenterologist, chiremba, chiremba wevana, gynecologist, kuti aongorore zvakakwana uye, kana zvichidiwa, nzira yekurapa.