Ubuhlungu obuzungeza inkaba - kungaba njani?

Ubuhlungu obuzungeza inkaba engama-80% wamacala kwenzeka ngenxa yokulimala esiswini nase-duodenum, i-20% esele yilezi: izifo ezihlasela i-parasitic / helminthic, izifo zamathumbu amancane nezinambuzane, ama-pancreas, izinso. Uma ubuhlungu bezungeza inkaba, imbangela yalesi sifo ingaba yingozi kakhulu, okudinga ukungenelela okuphuthumayo, ngakho-ke imithi yokwelashwa ayamukeleki. Uma kukhona ubuhlungu ekwenzeni, kungakhathaliseki ukuqina kwabo, kufanele ngaso sonke isikhathi uxoxe nodokotela - kusiza ukugwema ingozi empilweni nempilo.

Ubuhlungu obuzungeza inkaba - ukuhlukaniswa:

• ubuhlungu be-parietal. Kubangelwa ukucasuka kwe-receptor ye-nerval cord's receptors, ehlinzeka ukuxhumana phakathi kwe-peritoneum nesistimu ye-central central, ehlangene nama-spasms we-muscular abdominal;
• ubuhlungu be-visceral. Kungumphumela wokuhluleka emsebenzini wezitho, izilonda zabo eziphilayo, ukubamba noma "ukugaya";
• Ubuhlungu obucatshangelwayo. Ugxila endaweni edelelekile kusuka enkambisweni ye-pathological. Okuvamile ngezifo zamathumbu, ama-pancreas, gallbladder, isisu;
• ubuhlungu be-psychogenic. Indawo yangasese emgodini wesisu, ihlala ezinyangeni / iminyaka eziningana ngokungabikho kwemigomo yemigomo yezinguquko ezithombeni ze-peritoneum. Kutholakala kubantu abanokukhubazeka kwengqondo, kuyanyamalala ngaphandle kwesizinda sokuthatha izidakamizwa ze-psychotropic.

Ubuhlungu obuzungeza inkaba - kungaba njani?

Ubuhlungu besisu esisendlini yenkaba buvutha futhi buthakathaka, ngokungazelelwe futhi njalo, ukugxila endaweni eyodwa nokufudukela ngakwesokudla / kwesobunxele noma phezulu / phansi - kunoma yikuphi, awukwazi ukuwukhathalela. Okukhethwa kukho ukuhlaziya izibalo zamanje (amandla ezinzwa, izici zokulahlwa, uhlamvu, indawo yangaphakathi) futhi wenze i-aphoyintimenti nomchwepheshe.

1. I-hernia yombilical. Ukwakhiwa kwe-sac hernial kanye nokwandiswa kwe-ring embilical kubangela ubuhlungu obuhlungu ngokuzungeze inkaba ngesikhathi sokuzivocavoca nangemva kokudla. I-hernia iyisigxobo esinesigubhu eduze nenkaba, uma iphula umthetho wesifo se-syndrome siyakhula: okuqukethwe kwesikhwama se-hernial kufakwa, ukusakaza kwegazi kuphulwa, i-necrosis yezicubu ziqala.
2. I-enteritis noma i-colitis. Ukuvuvukala emathunjini amancane noma amakhulu. Ngaphezu kobuhlungu obunzima phakathi kwesisu, lezi zifo zihlala zihambisana nohudo. I-enteritis ibhekene nenani elikhulu lokunyakaza kwamathumbu e-liquide, ne-colitis yezigqoko kancane, ngokuvamile kuvame ukuhlanganiswa kwe-mucus obukhulu negazi.

3. I-Appendicitis. Okokuqala, ubuhlungu bugxila nxazonke, bese buya kwesokudla nangaphansi. Ubukhulu bezinzwa ezibuhlungu buhluka kuye ngokuthi indawo yesithasiselo maqondana ne-cecum, kusukela esiteji senqubo yokuvuvukala (engapheli / enzima).
4. Ukuvimbela emathunjini. Kubonakala "ukuqala" okusheshayo nokungalindelekile - ukuhlaselwa kwe-colic emathunjini. Ubuhlungu bugxila emgodini, kancane kancane kuthatha uhlamvu olumnyama. Ihlanganiswe nokuhlanza okukhulu, ukuhlukumeza, ukuphulwa kwe-gas ukuvuza, ukubambezeleka ukuhlukunyezwa.
5. I-abdominal migraine. Ubuhlungu obuzungeza le nkabavu bukhulu, buya ngokumelene nesizinda semiphetho ebandayo, isicanucanu, ukuhlanza, isifo sohudo, ikhanda.
6. I-syndrome e-irritable syndrome. Isifo lapho i-motility yamathumbu ihlehla khona, i-flatulence, i-cramping ubuhlungu ezungeze inkaba, iyancipha ngemva kokuhamba kwezitshalo kanye negesi.

7. Igciwane lomathumbu omncane. Ukutholakala kwezinambuzane zemvelo, okuvezwa yizibonakaliso ezimbili ezijwayelekile: i-anemia ne-tar. Ubuhlungu obuzungeze umbilicus buxhumano, kuma-80-85% wamacala, kuhlangene nehudo, ukugubha kwamathumbu, ukugcoba, ukunxanxathela, nokususa inhliziyo.
8. Izincazelo zekholoni:
   • Isifo sikaHirschsprung. Ukwandiswa kwekhaloni ngaphezu kobubanzi nobude, ukumboza izindonga zalo. Izimpawu: ukuqunjelwa okungapheli, ubunzima bokuxosha, ubuhlungu obuseduze nenkaba, izinkinga zesikhumba (imibimbi engakafiki ngaphambi kwesikhathi, ukucasuka, ama-abscesses), ukusabela okweqile, izinzwa. Ngokuhamba kwesikhathi, ukulala okufakwe emathunjini amakhulu kuthathelwa igciwane futhi kuholele emathunjini emitholampilo;
   • ukuphinda kabili emathunjini. Isithombe sesitholampilo siqala ngokuzwakalayo noma sibonisa ubuhlungu obunzima obuzungeza inkaba ngenxa yokuvimbela emathunjini.
9. Ukusakaza i-aneurysm yegciwane lesigungu se-aorta:
   • ubuhlungu besikhathi esifushane;
   • ukuqala ngokuzumayo kwenqubo;
   • ukubukeka kobuhlungu kuhlotshaniswa nokuzikhandla ngokomzimba / ushintsho esimweni somzimba.
10. "Ikhanda lomzimba." Ukwephulwa komswakama we-mesenteric (emathunjini) kubangelwa izilonda zesistimu zezindwangu zokugqoka ezibonakala ngokuhlaselwa okubuhlungu nokuhlushwa okuzungeze inkaba. I-syndrome yezinhlungu ine-character cramping ecacile, "amaqabunga" ngemva kokuthatha i-nitroglycerin. Lesi sifo sibangela ukungasebenzi kwamathumba, ukuqothulwa, ukwehlisa isisu, isifo sohudo esingapheli.

11. Ukuvuvukala kwe-jejunum (jejunitis). Ubuhlungu obuzungeza inkaba yilezi zibonakaliso zesifo se-synitis, uma inqubo yokuvuvukala isakazeka kuwo wonke amathumbu amancane, kungena ukungena okungapheli.

Izici ezigqugquzelayo:

• Ukwelashwa kwamathumbu emanzini ase-anamnesis (i-salmonellosis, isisu);
• ukuphathwa kabi kotshwala;
• ukwehluleka kwezinso, ukungezwani kokudla;
• i-immunodeficiency ithi, i-gout;
• izifo zesikhumba (eczema, psoriasis).

Ubuhlungu obuzungeza inkaba kubesifazane - izimbangela ezingenzeka

Izinzwa zobuhlungu ezungeze inkaba iyisimangalo esivamile ekukhuleni komzimba. Lesi sibonakaliso asiyona into eqondile, ngoba inamathebhu amaningi, okubangelwa ukuhlukana okubuthakathaka ku-CNS yezimpikiswano ezibuhlungu ezivela ezigwini zensiza. Uma kutholakala ubuhlungu obuseduze nenkaba, umuntu kufanele acabangele umthamo ngamunye wokuzwela ubuhlungu kanye nezici ze-anamnesis: ukuqala kobuhlungu be-syndrome (kancane kancane / esiyinkimbinkimbi), indawo yangakini, izimpawu ezihambisanayo (ukuphuma kwegazi, ukuhlanza, ukushisa, umkhuhlane), noma ngabe ukukhathazeka kuseduze nenkaba nomjikelezo wokuya esikhathini ukukhulelwa.

Ubuhlungu obuhlobene nokukhulelwa:

• ukukhulelwa kwe-ectopic. Iqanda le-Fetal ekukhulelweni kwe-ectopic lifakwe emgodini wesisu, ama-ovari, umlomo wesibeletho noma uphondo lwesisu, ama-tublopian tubes. Ubuhlungu besisu esisendlini yenkabazana bubonakala ngakolunye uhlangothi, okungajwayelekile - kungenziwa jikelele noma ngokubambisana. Ikhula kancane, iqinisa ngesikhathi sokuhlunga, ukunyakaza. Ukuphuka kwebhubhu kubangela ubuhlungu obubukhali nokuzumayo;

• usongo lokukhipha isisu. Ukuzwa ubuhlungu phakathi kwesisu, ukubuyisela ezinkalweni, ukubonakala emaphethweni obulili;
• ukuphazamiseka kwe-placental ngaphambi kwesikhathi. Ubuhlungu obunzima emathunjini aphansi, ukuphuma kwegazi.

Ubuhlungu abuhlobene nokukhulelwa:

• I-pathology yama-ovari: izimo ezimbi / ezinobunzima (izicubu, ama-cysts); i-syndrome ye-ovarian hyperstimulation. Ivela kubafazi abanesifo sokuthi "ukungabi nabantwana" ngokumelene nokwelashwa kwama-hormonal. Ifomu elimnene liboniswa ubuhlungu obuncane obuseduze nenkaba, izindleko ezisindayo (ukuqoqa oketshezi ku-peritoneum) nokuphefumula;
• dysmenorrhea. Ukuya esikhathini esibuhlungu, kubhekwe emijikelezweni ye-ovulatory, ekhonjiswe ngukuthi: izinhlungu zokugulisa / ukuchoboza izibungu ezungeze inkaba kanye nasesiswini esingaphansi, isisu, isisu, ukukhathala, ikhanda;

• izifo ezivuthayo ezithombeni zomzimba, ezikhungethwe izinambuzane ze-pathogenic i-Mycoplasma hominis, i-Chlamydia trachomatis, i-Neisseria gonorrhoeae;
• i-endometriosis. Kutholakala ngenxa yokukhula kwe-endometrium ngaphandle kwesikhumba se-uterine, kubonakala sengathi ubuhlungu besikhathi esizungeze inkaba / ngaphambi kokuya esikhathini;
• isifo sokunamathisela. Iqhubekela phambili ngemuva kokuhlinzwa, ngokuvuvukala okungapheli kwezitho zokuzala.

Ubuhlungu obuseduze nenkaba enganeni - kungaba yini?

Izimbangela zobuhlungu ezungeze inkaba ingahluka kakhulu: indigestion, izimpethu, i-appendicitis noma i-ARVI. Okokuqala, kudingekile ukuthola ukuthi indawo yendawo kanye nesimo sobuhlungu besifo se-syndrome, ngoba izingane ezincane azikwazi ukuchaza ngokucacile ukuthi kuphi nokuthi yini ebabuhlungu. Ngezinhlungu ezingenakulinganiswa "zobuhlungu" ingane ethanda ukuyiqamba amanga, ijika ngobumnene, kunzima - lesi simpawu asikwazi ukunakwa, singabonisa i-peritonitis kanye ne-appendicitis enzima.

I-pathologies yepheshana lezinsi:

• i-gastritis. Izimpawu zesimo: ubuhlungu esiswini, ukukhubazeka, ukungabi nesifiso sokudla, ukuhlanza, ukunxanxathela, ubunzima esiswini;
• i-nephritis. Ngaphezu kobuhlungu obuseduze nenkaba, ukuvuvukala kwezinso kubonakala sengathi i-edema ngaphansi kwamehlo, ukuvuthwa okungavamile, ukumnyama komchamo, ukushisa okungavamile;
• gastroduodenitis. Ukuvuvukala kwe-mucosa isisu kubangela ubuhlungu obuhlungu emathunjini ngemuva kokudla, ibhande elibolile, umuzwa wokuqhuma, ukushaya isisu, isisindo sokuqhaqhazela, ukuqotshwa okuqhubekayo;
• isilonda se-peptic. Ubuhlungu bubonakala esiswini esingenalutho, ngemuva kokudla. Umntanakho ukhononda ngesiphithiphithi, igesi, ukuqotshwa, ukunambitheka okubaba emlonyeni;
• ukuvuvukala kwe-biliary tract / gall isambiso. Lesi sifo siqhubeka kancane kancane: ingane ikhathazeka yizinsizwa, ubuhlungu obunzima ku-hypochondrium enhle nendawo ezungeze inkaba, ukuzwa komile emlonyeni womlomo, isicashu, ukuhuda / ukuqedwa, ukungabi nesifiso sokudla;

• i-ulcerative colitis. Izinhlungu ziyi-spasmodic, ihambisana ne-anemia, ukulahlekelwa isisindo, isisindo esivulekile ngegazi;
• i-pancreatitis enzima. I-symptomatology ifana nokuhlaselwa kwe-appendicitis, ingane ikhononda ngezinhlungu endaweni ye-epigastric futhi ijikeleze inkaba, igxuma emahlombe, emahlombe, ehambisana nokuhlanza, i-nausea, i-yellowing yesikhumba.

Ukungavumelani kwe-Lactose

Ukunciphisa okutholakala / okuvela emisebenzini ye-lactase (i-enzyme ephula ishukela lobisi) ingafihlwa noma ibonakaliswe, abazali abaningi abaqapheli ngisho nokuthi ingane yabo ibhekene nokuntuleka kwe-lactase. Ubukhulu bemibonakaliso yemitholampilo ne-lactose ukungabekezelelani kuvame ukushintshashintsha, okubangelwa ukungalingani kwe-biocenosis yamathumbu, amazinga ahlukene ekunciphiseni kwe-enzyme, izici eziqondene nomzimba wengane. Ukubonakaliswa okuvamile: uhudo (ukuvutshelwa) emva kokudla imikhiqizo yobisi, isikhumba se-foamy, ubuhlungu obulinganiselayo nxazonke.

Ukungezwani kokudla

Ukuxilongwa "kokungezwani kokudla" kufakwa kumntwana phambi kobuhlobo obusobala phakathi kokudla kokudla kanye nokubonakaliswa kwempawu zokwelashwa kokungabekezelelani. Ukusabalalisa kokudla kokudla kuhlukahluka phakathi kuka-1-50%, kulungiswa okokuqala ebuntwaneni. Izindlela zokuhlinzekwa ekubunjweni kwemithi yokudla: Ukudla komama ngesikhathi sokukhulelwa / ukuncelisa, ukudluliselwa kwengane ekuqaleni kokuhlanganiswa okufakelwayo, ukuphazamiseka kokudla, okuboniswa ukungalingani phakathi komthamo wokudla / isisindo sokudla kwengane, ukuhlukunyezwa kwe-bile ne-fover. Ukubonakaliswa kwalesi sifo kuyahlukahluka ngokusho kokubikezela, ubunzima, indawo yangasese, ifomu. Ezingxenyeni zomuthi wamathunjini: ukuqotshwa, ukuhlanza, isifo sohudo, ubuhlungu besisu. I-coloniform ukuzwa eduze kwendabuko kwenzeka 3-4 amahora emva kokungenwa, izinhlungu zihluka ngokuqina, ukuvumelana, kuhlangene nokuphazamiseka kwe-dyspeptic (ukuncipha kwesifiso, ukukhwabanisa kwezihlalo). Izindlela zokwelashwa kokudla kokudla ezinganeni - ukuqedwa (okuhlukile) ekudleni kokudla kwe-allergen kanye nokwelashwa okwenziwe yi-allergen.

Ukwelashwa ngamaphilisi emathumbu

Ezinganeni, kunezinhlobo ezingu-15 ze-helminths, ezivame kakhulu njenge-ascarids (10%) ne-pinworms (90%). Ama-parasites akhuthaza ukuphazanyiswa komgudu wamathumbu, ukusabela okweqile, ukudakwa, ukuncipha amandla omzimba omzimba.

Ukubonakaliswa kwemitholampilo yokuhlasela kwe-helminthic:

• i-diathesis, izimpande zesikhumba, i-neurodermatitis, i-dermatitis;
• isitokisi esingazinzile, umthamo wokuqothulwa, imifino esitokisini;
• ukuqhuma, ukwehlisa, ukuhlanza, ukucwenga;
• "Ubuhlungu" obubuhlungu endaweni yangasese, okutholakala eduze nenkaba;
• ukwephulwa kwesifiso, i-bruxism (ukuququda kwamazinyo);
• ukulala, izinkinga zokulala;
• ukubomvu / ukushaywa kwe-anus;
• ukubukeka okubuhlungu, ikhono lomzwelo, i-asthenic syndrome.

Ubuhlungu be-Psychogenic ezungeze inkaba

Ziyabonakala ezinganeni ezinengqondo engaqiniseki ngokumelene nesizinda sokwethaba ngokweqile, okubangelwa ukuphikisana noontanga noma abazali, ngokweqile kwemizwelo. Ingane enjalo ibhekene nesifiso sobuholi, ukukhathazeka, ukubekezela. Izimpawu: colic / soreness esiswini, ukuhlanza, ukunxanxathela, ukuqothulwa / isifo sohudo, ukuqhuma ebusweni, ukugwinya, isimo se-febrile, ukukhubazeka okubukwayo, ukucubungula okucatshangelwayo. Phakathi kwengcindezi umntwana uzizwa ejwayelekile. Kulesi simo kungcono ukuba uphephe - ukubonana nodokotela wezingane kanye nengqondo yezingane.

Ubuhlungu obuseduze nenkaba yilezi ziyingozi ezingenakunakwa. Uma kunezinhlayiya, ubunzima, ubuhlungu obukhulu noma obukhulu esifundeni se-mesogastric, kuyadingeka ukuthi uxhumane nochwepheshe abakhethekile - ochwepheshe, udokotela wezifo zengqondo, udokotela wezifo zengqondo, udokotela wezingane, ukuhlolwa okuphelele futhi, uma kunesidingo, inkambo yokwelashwa.