Ukuxhatshazwa kwesisu

Iimpembelelo zokuqhuma umbane, ukuqhuma, ukuwa kwiindawo eziphakamileyo kunye nokucima i-trunk kubangelwa isilumko esisisu esisisigxina esingathintela izitho zangaphakathi. Umlinganiselo womonakalo kuxhomekeke kwiimpawu zengcinezelo engaphezulu okanye amandla okuchaphazela.

Iimpawu zoxinzelelo lwesisu esiswini

Ngomngcipheko omncinci, isigulane sinokwenza isifo esikhumbeni, ngentlungu, kunye nokuxhatshazwa kwemisipha ye-peritoneum. Xa kwenzeka ezinye iimpawu, isiphelo senziwe malunga nomonakalo wequmrhu:

1. I-Edema, intlungu, eyenza ngakumbi xa ikhohlela kunye nokutshintsha isikhundla somzimba, unokuthetha ngokutyumla kwindonga ye-peritoneal.
2. Intlungu ebuhlungu kakhulu ibonisa ukuphuka kwemisipha.
3. Ukugxila ngaphantsi kombhobho ongakwesokudla, intlungu eqhutyelwa kwindawo engaphezu kwe-clavicle, ukuhla kweengcinezelo, ukuncipha kwesikhumba kubonisa ukuba ukulimala kwesisu kusenokubangela ukulimala kwesibindi, okusoloko kukhokelela ekuphumeni kwegazi kwangaphakathi .
4. Ukuvuthwa kwe-perineum, intlungu, ukuhoxisa umchamo kunye nokuxutywa kwegazi kukubonakalisa ukuphuka kwesibhanzana.
5. Ukulimala emathunjini amancinci kubonakala ngokuhlanza, ukubethelwa kunye nokutshatyalaliswa. Ukutshatyalaliswa kwamathumbu amakhulu kuninzi kubonakaliswe ngothuka.

Uncedo lokuqala lokuxhatshazwa kwesisu

Kubalulekile ukuba isiguli siqinisekise ukufikelela okukhululekileyo emoyeni, uze ubize i-ambulensi. Xa kunesifo esichukumisayo esiswini, unonophelo lwengxamiseko olunokuthi luyenze ukwenza amanyathelo okuphucula okuphefumulayo. Ukulinda oogqirha, kubalulekile:

1. Musa ukuhambisa isigulane.
2. Musa ukuphi na iziyobisi, iziphuzo kunye nokutya.

Ekubeni kubakho, ungabaphatha kwaye usebenzise i-bandage kwaye usebenzise i-compress ngamanzi abandayo.

Unyango lwexinzelelo lomzimba

Indlela yokwelapha ekhuselekileyo yintlungu kwaye imisipha iphuka. Isigulane sinqunywe ukunyanzeliswa okubandayo, ukuphumla kombhede kunye ne-physiotherapy. Ukuba zikhoyo iihemomas ezibalulekileyo zokuqhuba amanzi.

Izikhelo kwizitho zangaphakathi, apho ukuphuma kwegazi kunokwenzeka, kufuna ukungenelelo ngoncedo. Isigulane esiphuthumayo phantsi kwe-anesthesia jikelele sinikwa i-laparotomy, emva koko ugqirha usetyenziswa ngala macandelo alandelayo:

1. Iyeka ukuphuma kwamanzi.
2. Uhlolisisa imeko yee-peritoneum.
3. Ukuphelisa umonakalo okhoyo.
4. Ukukhuphaza isisu esiswini.

Ukuthintela ukuphuhliswa kweengxaki, isigulane simiselwe amalungiselelo eeprotheni, i-glucose, kwakunye nokunyuswa kwe-plasma kunye negazi. Ukuthintela ukuphuhliswa kwe-peritonitis, isigulane sinikezelwa ngamayeza.