Umlobi: Peter Berry
Usuku Lokudalwa: 11 Ujulayi 2021
Ukuvuselela Usuku: 19 Unovemba 2024
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Ukubuka konke

IHemoperitoneum wuhlobo lokopha ngaphakathi. Uma unalesi simo, igazi liyaqoqana emgodini wakho we-peritoneal.

Umgodi we-peritoneal uyindawo encane yesikhala etholakala phakathi kwezitho zakho zangaphakathi zesisu nodonga lwangaphakathi lwesisu. Igazi kule ngxenye yomzimba wakho lingavela ngenxa yokuhlukumezeka ngokomzimba, umthambo wegazi odabukile noma isitho, noma ngenxa yokukhulelwa kwe-ectopic.

IHemoperitoneum ingaba yisimo esiphuthumayo kwezokwelapha. Uma ubona noma yiziphi izimpawu zalesi simo, kufanele ufune ukunakwa kudokotela ngaphandle kokulibala.

Uphathwa kanjani i-hemoperitoneum?

Ukwelashwa kwe-hemoperitoneum kuya ngesizathu. Ukwelashwa kwakho kuzoqala ngokuhlola ukuxilonga ukuze kuhlolwe ukuthi yini ngempela ebangela ukopha ngaphakathi. Inqubo yokuxilonga kungenzeka yenzeke egumbini lezimo eziphuthumayo.

Uma kunesizathu sokukholelwa ukuthi unegazi eliqoqeka emgodini we-peritoneal, kungenziwa ukuhlinzwa okuphuthumayo ukukhipha igazi nokuthola lapho livela khona.


Kuzoboshwa umthambo wegazi oqhekekile ukuvimbela ukulahleka kwegazi okwengeziwe. Uma une-spleen eqhekekile, izosuswa. Uma isibindi sakho sopha, ukugeleza kwegazi kuzolawulwa kusetshenziswa izidakamizwa eziqeda igazi noma ezinye izindlela.

Ngokuya kwesikhathi eside ukopha, ungadinga ukumpontshelwa igazi.

Lapho i-hemoperitoneum ibangelwa ukukhulelwa kwe-ectopic, indlela yakho yokwelashwa ingahluka ngokuya ngokuthi igazi lihlangana kanjani ngokushesha nezinye izinto. Ungadinga ukuhlolwa esibhedlela ukuze ubhekwe lapho kutholakala ukukhulelwa kwe-ectopic. lolu hlobo lwe-hemoperitoneum lungaphathwa ngendlela efanele ngemithi efana ne-methotrexate. Ezimweni eziningi, ukuhlinzeka nge-laparoscopic noma i-laparotomy ukuvala ishubhu lakho le-fallopian kuzodingeka.

Yiziphi izinkinga ezingavela ku-hemoperitoneum?

Uma ungelashwa ngokushesha, kungavela izinkinga ezinkulu uma une-hemoperitoneum. Umgodi we-peritoneal uhlukile ngoba ungabamba cishe wonke umthamo wegazi ojikelezayo womuntu ojwayelekile. Kungenzeka ukuthi igazi liqoqane emgodini ngokushesha okukhulu. Lokhu kungadala ukuthi uthuke ngenxa yokwehla kwegazi, ungasabeli, uze uholele nasekufeni.


Ziyini izimpawu ze-hemoperitoneum?

Izimpawu zokopha kwangaphakathi kungaba nzima ukuzibamba ngaphandle kokuthi kube nokuhlukumezeka okungathi shu noma ingozi eyenza ukuba uvakashele esibhedlela. Olunye ucwaningo lukhombisile ukuthi nezimpawu ezibalulekile, njengokushaya kwenhliziyo nomfutho wegazi, zingahluka kakhulu kuye ngecala.

Izimpawu zokopha kwangaphakathi endaweni ethangeni noma esiswini zingakhuphuka futhi zibe yizimpawu zokwethuka. Ezinye izimpawu ze-hemoperitoneum zifaka:

  • ubumnene esizeni sesisu sakho
  • ubuhlungu obubukhali noma bokugwaza endaweni yakho ye-pelvic
  • isiyezi noma ukudideka
  • isicanucanu noma ukuhlanza
  • kubanda, isikhumba se-clammy

Yini ebangela i-hemoperitoneum?

Izingozi zezimoto kanye nokulimala kwezemidlalo kubangela amanye amacala e-hemoperitoneum. Ukuhlukumezeka okulimazayo noma ukulimala ebuchosheni bakho, isibindi, amathumbu, noma amanyikwe konke kungalimaza izitho zakho futhi kubangele lolu hlobo lokopha ngaphakathi.

Isizathu esivamile se-hemoperitoneum ukukhulelwa kwe-ectopic. Lapho iqanda elikhulelisiwe linamathela kushubhu lakho le-fallopian noma ngaphakathi kwesisu sakho esiswini esikhundleni sesibeletho sakho, kwenzeka ukukhulelwa kwe-ectopic.


Lokhu kwenzeka ekukhulelweni okukodwa kokungu-50. Njengoba ingane ingeke ikhule noma ikuphi ngaphandle kwesibeletho sakho, lolu hlobo lokukhulelwa alunakuguqeka (alikwazi ukukhula noma ukukhula). I-Endometriosis kanye nokusetshenziswa kwemithi yokwelapha ukukhulelwa kukubeka engcupheni enkulu yokuba ne-ectopic pregnancy.

Ezinye izimbangela ze-hemoperitoneum zifaka:

  • ukuqhekeka kwemithambo yegazi emikhulu
  • ukuqhekeka kwe-cyst ovarian
  • ukugcotshwa kwesilonda
  • ukuqhuma kwesisindo somdlavuza esiswini sakho

Ihlonza kanjani i-hemoperitoneum?

I-Hemoperitoneum itholakala ngokusebenzisa izindlela eziningana. Uma udokotela esola ukuthi wopha ngaphakathi, lezi zivivinyo zizokwenzeka ngokushesha ukuhlola uhlelo lokunakekelwa kwakho. Ukuhlolwa ngokomzimba kwendawo yakho yasesiswini nasesiswini, lapho udokotela wakho ethola khona mathupha umthombo wobuhlungu bakho, kungaba isinyathelo sokuqala sokuthola isimo sakho.

Esimeni esiphuthumayo, ukuhlolwa okubizwa nge-Focused Assessment ne-Sonography for Trauma (FAST) kungadingeka. Le sonogram ithola igazi elingase lakheke esiswini sakho esiswini.

I-paracentesis ingahle iqhutshwe ukuze kubonwe ukuthi hlobo luni loketshezi olwakhayo esiswini sakho esiswini. Lokhu kuhlolwa kwenziwa kusetshenziswa inaliti ende ekhipha uketshezi esiswini sakho. Kube sekuhlolwa uketshezi.

I-CT scan nayo ingasetshenziselwa ukuthola i-hemoperitoneum.

I-Outlook

Umbono wokwenza ukululama okugcwele kwi-hemoperitoneum muhle, kepha kuphela uma uthola ukwelashwa. Lesi akusona isimo lapho kufanele "ulinde ubone" uma izimpawu zakho noma ubuhlungu buzixazululela bodwa.

Uma unesizathu sokusola ukopha kwangaphakathi esiswini sakho, ungalindi ukufuna ukwelashwa. Shayela udokotela wakho noma ucingo olusiza ngokushesha ukuze uthole usizo.

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