Yintoni iHemoperitoneum kwaye inyangwa njani?

Umxholo

• Ushwankathelo
• Unyango lwe-hemoperitoneum lonyango njani?
• Zeziphi iingxaki ezinokuvela kwi-hemoperitoneum?
• Ziintoni iimpawu zehemoperitoneum?
• Yintoni ebangela hemoperitoneum?
• Ufumanisa njani i-hemoperitoneum?
• Imbonakalo

Ushwankathelo

IHemoperitoneum luhlobo lokopha ngaphakathi. Xa unale meko, igazi liyaqokelelwa kwisisu sakho se-peritoneal.

Umda we-peritoneal yindawo encinci yesithuba esiphakathi kwamalungu akho esiswini angaphakathi kunye nodonga lwangaphakathi lwesisu. Igazi kweli candelo lomzimba wakho linokubonakala ngenxa yoxinzelelo lomzimba, isikhumba segazi esaphukileyo okanye ilungu, okanye ngenxa yokukhulelwa kwe-ectopic.

IHemoperitoneum inokuba yimeko engxamisekileyo kwezonyango. Ukuba uyaziqonda naziphi na iimpawu zale meko, kuya kufuneka ufune ugqirha ngaphandle kokulibazisa.

Unyango lwe-hemoperitoneum lonyango njani?

Unyango lwe-hemoperitoneum luxhomekeke kwisizathu. Unyango lwakho luya kuqala ngovavanyo lokuqonda ukuba yintoni kanye kanye ebangela ukopha ngaphakathi. Inkqubo yokuqonda isifo iya kwenzeka kwigumbi likaxakeka.

Ukuba kukho isizathu sokukholelwa ukuba unegazi eliqokelelweyo kwi-peritoneal cavity, utyando olungxamisekileyo lunokwenziwa ukususa igazi kunye nokufumana apho livela khona.

Umthambo wegazi ophukileyo uya kubotshelelwa ukuthintela ukulahleka kwegazi okungakumbi. Ukuba unethambo eligqabhukileyo, liya kususwa. Ukuba isibindi sakho siyopha, ukuhamba kwegazi kuya kulawulwa kusetyenziswa iziyobisi zokuvala igazi okanye ezinye iindlela.

Kuxhomekeke ekubeni uphume ixesha elingakanani, unokufuna ukufakelwa igazi.

Xa i-hemoperitoneum ibangelwa kukukhulelwa kwe-ectopic, indlela yakho yonyango inokwahluka ngokwendlela igazi eliqokelela ngokukhawuleza kunye nezinye izinto. Kuya kufuneka uhlolisiswe esibhedlele ukuze uqaphele ukuba nje ukukhulelwa kwe-ectopic kufunyenwe. olu hlobo lwe-hemoperitoneum lungalawulwa ngokufanelekileyo ngamachiza afana ne-methotrexate. Kwiimeko ezininzi, utyando lwe-laparoscopic okanye i-laparotomy yokuvala ityhubhu yakho iya kuba yimfuneko.

Zeziphi iingxaki ezinokuvela kwi-hemoperitoneum?

Xa unganyangwa ngokukhawuleza, iingxaki ezinzulu zinokuvela ukuba une-hemoperitoneum. Umqala we-peritoneal wahlukile kuba unokubamba phantse lonke igazi elijikelezayo lomthamo womntu ophakathi. Kuyenzeka ukuba igazi liqokeleleke emqolombeni ngokukhawuleza okukhulu. Oku kunokubangela ukuba wothuke ngenxa yokuphulukana negazi, ungaphenduli, kwaye ude ukhokelele ekufeni.

Ziintoni iimpawu zehemoperitoneum?

Iimpawu zokopha ngaphakathi kunokuba nzima ukuzibamba ngaphandle kokuba kukho umothuko okanye ingozi ebangela utyelelo esibhedlele. Olunye uphononongo lubonise ukuba kwaneempawu ezibalulekileyo, ezinjengezinga lokubetha kwentliziyo kunye noxinzelelo lwegazi, zinokwahluka kakhulu kwimeko ngeemeko.

Iimpawu zokopha ngaphakathi kwi-pelvic okanye kwindawo yesisu zinokunyuka kwaye zibe ziimpawu zokothuka. Ezinye iimpawu ze-hemoperitoneum zibandakanya:

• Ukuthantamisa kwindawo yesisu sakho
• iintlungu ezibukhali okanye ezihlaba kwindawo yakho ye-pelvic
• isiyezi okanye ukudideka
• isicaphucaphu okanye ukugabha
• Kuyabanda, ulusu olunombala

Yintoni ebangela hemoperitoneum?

Iingozi zeemoto kunye ne-akhawunti yokulimala kwezemidlalo kwezinye iimeko ze-hemoperitoneum. Ukuqaqanjelwa ngamanxeba okanye ukwenzakala kwispeni sakho, isibindi, amathumbu, okanye ipancreas kunokwenzakalisa amalungu akho kwaye kubangele olu hlobo lokopha ngaphakathi.

Isizathu esiqhelekileyo se-hemoperitoneum kukukhulelwa kwe-ectopic. Xa iqanda elichumileyo linamathela kumbhobho wakho we-fallopian okanye ngaphakathi kwisisu sakho esiswini endaweni yesibeleko sakho, ukukhulelwa kwe-ectopic kwenzeka.

Oku kwenzeka kumntwana omnye kwabangama-50 abakhulelweyo. Kuba usana alunakukhula naphina ngaphandle kwesibeleko sakho, olu hlobo lokukhulelwa alunakuphepheka (alunakho ukukhula okanye ukukhula). I-Endometriosis kunye nokusetyenziswa kwonyango lokuchuma ukukhulelwa kukubeka emngciphekweni omkhulu wokuba ne-ectopic pregnancy.

Ezinye izizathu ze-hemoperitoneum zibandakanya:

• Ukuqhekeka kwemithambo yegazi emikhulu
• Ukuqhekeka kwe-ovary cyst
• Ukugqitywa kwesilonda
• Ukuqhekeka kobunzima bomhlaza esiswini sakho

Ufumanisa njani i-hemoperitoneum?

IHemoperitoneum ifunyaniswa kusetyenziswa iindlela ezininzi. Ukuba ugqirha ukrokrela ukuba wopha ngaphakathi, olu vavanyo luya kwenzeka ngokukhawuleza ukuvavanya isicwangciso sokhathalelo lwakho. Uvavanyo lomzimba lwendawo yakho yesisu kunye nesisu, apho ugqirha wakho afumana khona imvelaphi yentlungu yakho, inokuba linyathelo lokuqala lokufumanisa imeko yakho.

Kwixesha likaxakeka, uvavanyo olubizwa ngokuba luVavanyo oluGxile kwi-Sonography yeTrauma (FAST) lunokuba yimfuneko. Le sonogram ibona igazi elinokwakha kwisisu sakho.

I-paracentesis inokwenziwa ukuba ibone ukuba loluphi uhlobo lwamanzi olwakhayo kwisisu sakho esiswini. Olu vavanyo lwenziwa kusetyenziswa inaliti ende ekhupha ulwelo ngaphandle kwesisu sakho. Emva koko kuvavanywa ulwelo.

Iskena se-CT sinokusetyenziselwa ukufumanisa i-hemoperitoneum.

Imbonakalo

Imbonakalo yokwenza ngokupheleleyo ukuchacha kwi-hemoperitoneum ilungile, kodwa kuphela ukuba ufumana unyango. Oku akusiyo imeko apho kufuneka "ulinde uze ubone" ukuba iimpawu zakho okanye iintlungu zisombulula ngokwazo.

Ukuba unesizathu sokukrokrela ukopha ngaphakathi esiswini sakho, sukulinda xa ufuna unyango. Tsalela umnxeba ugqirha wakho okanye umnxeba woncedo olungxamisekileyo kwangoko ukuze ufumane uncedo.