Lub plab zom mov perforation

Perforation yog lub qhov uas nthuav dav los ntawm phab ntsa ntawm ib qho khoom nruab nrog cev. Qhov teeb meem no tuaj yeem tshwm sim hauv txoj hlab pas, plab, plab hnyuv, plab hnyuv loj, lub qhov quav, lossis lub tog raj.

Perforation ntawm ib qho khoom nruab nrog tuaj yeem tshwm sim los ntawm ntau yam. Cov no suav nrog:

• Ntxhaws
• Mob Cancer (txhua hom)
• Crohn kab mob
• Diverticulitis
• Gallbladder muaj tus kab mob
• Peptic rwj kab mob
• Kev mob caj dab
• Plab hlaub
• Kws siv tshuaj tua kab mob
• Ua kom muaj zog ntxiv nyob rau hauv txoj hlab pas vim muaj qhov ntuav siv zog
• Kev noj haus ntawm caustic tshuaj

Nws kuj tseem tuaj yeem yog kev phais mob hauv plab lossis txheej txheem xws li mob txoj hnyuv lossis sab hauv siab.

Kev cais tawm ntawm txoj hnyuv lossis lwm yam khoom hauv plab ua rau cov ntsiab lus nkag mus rau hauv lub plab. Qhov no ua rau tus mob hnyav hu ua peritonitis.

Cov tsos mob tuaj yeem suav nrog:

• Mob plab heev
• Ua daus no
• Ua npaws
• Xeev siab
• Ntuav
• Poob Siab

Xoo hluav taws xob ntawm lub hauv siab lossis lub plab tuaj yeem pom huab cua ua pa hauv plab. Nov hu ua huab cua dawb. Nws yog ib lub cim kua muag ntawm no. Yog tias txoj hlab pas perforated dawb huab cua tuaj yeem pom hauv mediastinum (ncig ntawm lub siab) thiab hauv siab.

Kev thaij duab CT ntawm lub plab feem ntau qhia tau hais tias qhov twg yog qhov nyob. Cov qe ntshav dawb feem ntau ntau dua li ib txwm.

Cov txheej txheem yuav pab nrhiav thaj chaw ntawm qhov perforation, xws li sab qaum endoscopy (EGD) lossis txoj hnyuv laus.

Kev kho mob feem ntau muaj kev phais thaum muaj xwm ceev los kho lub qhov.

• Qee zaum, ib feem me me ntawm txoj hnyuv yuav tsum tau muab tshem tawm. Ib qho kawg ntawm txoj hnyuv tuaj yeem nqa tawm los ntawm qhov qhib (stoma) uas ua rau hauv plab phab ntsa. Qhov no yog hu ua colostomy lossis ileostomy.
• Nqaij tawm hauv lub plab los yog lwm yam khoom hauv lub cev.

Tsawg tsawg zaus, tib neeg tuaj yeem kho nrog tshuaj tua kab mob ib leeg yog tias perforation tau kaw. Qhov no tuaj yeem pom tseeb los ntawm kev kuaj mob lub cev, kuaj ntshav, ntsuas CT, thiab x-ray.

Kev phais mob tiav tau zoo txhua lub sijhawm. Txawm li cas los xij, qhov tshwm sim yuav yog nyob ntawm seb tus mob perforation hnyav npaum li cas, thiab ntev npaum li cas nws muaj ua ntej kho. Lub xub ntiag ntawm lwm yam mob kuj tseem tuaj yeem cuam tshuam tus neeg yuav ua li cas tom qab kho tas.

Txawm hais tias tau phais los, kev kis tus mob yog cov kev mob tshwm sim tshaj plaws ntawm tus mob. Cov kab mob sib kis tau hauv ob lub plab (plab zom mov lossis mob peritonitis), lossis thoob plaws lub cev. Kev kis thoob lub cev yog hu ua sepsis. Sepsis tuaj yeem ua mob hnyav heev thiab tuaj yeem ua rau tuag taus.

Hu koj tus kws kho mob yog tias koj muaj:

• Cov ntshav hauv koj cov quav
• Pauv plab hnyuv
• Ua npaws
• Xeev siab
• Mob plab heev
• Ntuav
• Hu 911 tam sim ntawd yog tias koj lossis lwm tus neeg tau noj cov khoom tso rau hauv caustic.

Hu rau lub chaw saib xyuas tshuaj lom hauv ib cheeb tsam tus xov tooj xwm ceev ntawm 1-800-222-1222 yog hais tias ib tug neeg tau noj ib cov tshuaj caustic. Tus xov tooj no yuav cia koj tham nrog tus kws paub txog tshuaj lom.

TSIS TXHOB tos kom txog thaum tus neeg muaj mob ua ntej koj hu rau kev pab.

Cov neeg yuav feem ntau muaj ob peb hnub ntawm kev mob ua ntej ua haujlwm ntawm txoj hnyuv perforation tshwm sim. Yog tias koj muaj mob hauv plab, ntsib koj tus kws kho mob tam sim ntawd. Txoj kev kho yog yooj yim dua thiab muaj kev nyab xeeb dua thaum nws pib ua ntej perforation tshwm sim.

Lub plab hnyuv perforation; Kev txau ntawm cov hnyuv; Tsam plab; Txoj hlab nqos mov perforation

• Lub plab zom mov
• Digestive system plab hnyuv siab raum

Matthews JB, Turaga K. Kev phais mob peritonitis thiab lwm yam kab mob ntawm tus mob peritoneum, mesentery, omentum, thiab diaphragm. Hauv: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger thiab Fordtran's Gastrointestinal thiab Kab Mob SiabCov. 11th ed. Philadelphia, PA: Elsevier; 2021: chap 39.

Zais R, Carter SN, Postier RG. Mob plab. Hauv: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Phau Ntawv Txog Kev Kho MobCov. 20 tus ed. Philadelphia, PA: Elsevier; 2017: chap 45.

Wagner JP, Chen DC, Barie PS, Hiatt JR. Raug tus kab mob peritonitis thiab mob kis tus kabmob. Hauv: Vincent J-L, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Phau Ntawv Hais Txog Kev Khomob Uas Tseem CeebCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 99.