Iphunga lesigqabha - isakhiwo se-purulent, esabonakala ngaphansi kwesifingqo. Ngokuvamile kuvame ukuvela ngenxa yezimo ezinkingeni ezivuthayo ezikhulayo zezingxenye ze-peritoneal, kuhlanganise ne-peritonitis, i-appendicitis ejulile ne-cholecystitis. Ukugula kuqhubeka. Ngokuyinhloko itholakale ngaphakathi-kwesisu, kaningi kakhulu - ngemuva kwalolu daba. Kuye ngokuthi indawo ye-neoplasm, ukugula kuhlukaniswe ngakwesokudla, ngakwesokunxele nangokwesokudla. Ngokuvamile inhlobo yokuqala yesifo kwenzeka.
Izimpawu zesikhumba esincane se-subdiaphragmatic
Ukuthuthukiswa kwesifo kuhambisana nalezi zimpawu:
- ubuhlungu endaweni engaphansi kwesokudla noma kwesobunxele;
- ukuzwa okungathandeki esifubeni;
- ukuxhuma ;
- isicasuli;
- ukushisa okuphakeme;
- ukuthuthumela;
- ukwanda kwentando yenhliziyo;
- ukuphefumula.
Lapho kuvela izinombolo eziningana noma zonke lezi zibonakaliso, kubonisa ukugula okuphuthumayo kwesiguli.
Ukuxilongwa kwe-abscess subdiaphragmatic
Ukunquma isifo ngokusebenzisa izindlela ezahlukene:
- isifuba kanye ne-x-ray yesisu;
- ukuhlolwa kwegazi;
- I-Ultrasound yesisu;
- i-tomography ehlanganisiwe ;
- uma uthola i-abscess, kuthathwa isilingo sokuhlolwa.
Izimbangela ze-abscess subdiaphragmatic
Kunezimbangela eziningi eziyinhloko zesifo:
- i-peritonitis e-postoperative, evele ngemva kokuthengiswa kwesisu, izilonda zesisu, i-gastrectomy;
- ukulimala kokuvuthwa komzimba (kuvunywe, ukulimazwa, ukulimala), ukulimala;
- ukuvuvukala kwezitho zangaphakathi - isilwane, isibindi, isithasiselo;
- izinqubo ze-purulent emaphashini nasempilweni.
Ukwelashwa kwesikhumba esincane se-subdiaphragmatic
Ukwelashwa okunamandla kunamaphilisi amaningana ayisisekelo:
- i-antibacterial;
- ukuqinisa jikelele;
- uphawu lwesimiso;
- ukuxoshwa.
Ngesikhathi esifanayo, indlela esetshenzisiwe kakhulu yokwelapha lesi sifo iwukuhlukaniswa kwe-abscess and absination. Ukusebenza kwenziwa ngezindlela ezimbili - i-transthoracic noma i-transabdominal. Ukukhetha indlela ngokuqondile kuxhomeke esiteji sokuthuthukiswa nendawo yesifo.
Ukusebenza nokufakwa kwamanzi okulandelayo kulandela ukudala zonke izimo ezidingekayo zokuphuma kwepus. Ngokuvamile, kanye nokucubungula okuyinhloko, enye eyengeziwe yenziwa. Lokhu kwenza sikwazi ukuhlanza kancane kancane umcibisholo bese uqhuba ukubuyekezwa kwawo. Ngaphezu kwalokho, okuqukethwe kuboniswa ngenaliti enkulu. Emva kwalokhu, igumbi elingenalutho lihlanjululwa ngama-antibiotics kanye nezinselele.