Los ntshav sab hauv plab? (Hemoperitoneum) Cia peb tham txog qhov no!

Koj puas tau muaj mob plab uas tsis paub vim li cas, xav tias puv nkaus, thiab kiv taub hau tam sim ntawd? Tej zaum qhov no yog qhov xwm txheej ceev. Hnub no peb yuav tham txog hemoperitoneum, uas yog ntshav hauv plab. Qhov no tsis yog ib qho yooj yim ua, yog li nws yog ib qho tseem ceeb uas yuav tsum mloog zoo.

Hais yooj yim xwb, Hemoperitoneum yog cov ntshav uas sib sau ua ke hauv qhov chaw khoob hauv koj lub plab, qhov chaw peritoneal. 'Hemo' txhais tau tias ntshav, thiab 'peritoneum' txhais tau tias daim nyias nyias uas ua kab rau qhov chaw plab no. Yog li, kev los ntshav hauv lub cev zoo li no (peb kuj hu nws ua kev los ntshav sab hauv lossis kev los ntshav) yog qhov txaus ntshai heev thiab yuav tsum tau mus pw hauv tsev kho mob tam sim ntawd.

Vim li cas qhov no thiaj loj ua luaj?

Xav txog seb, yog tias cov ntshav hauv peb lub cev ntws tawm ntawm cov leeg ntshav thiab khaws cia rau lwm qhov chaw yuav ua li cas? Cov ntshav uas mus txog peb cov kab ke tseem ceeb thiab cov nqaij ntshiv yuav txo qis. Thaum cov ntshav ntws hauv lub cev, peb tsis pom tias cov ntshav ntws ntau npaum li cas thiab nws txav mus sai npaum li cas. Tshwj xeeb tshaj yog nyob rau hauv lub plab no, cov ntshav ntau tuaj yeem sib sau ua ke. Yog tias cov ntshav tsis raug tso tseg li no, muaj kev pheej hmoo ntawm kev poob ntshav txaus mus rau qhov uas nws tuaj yeem ua rau tuag taus. Yog vim li cas qhov no thiaj li loj heev.

Cov tsos mob yog dab tsi?

Cov tsos mob ntawm hemoperitoneum tuaj yeem sib txawv ntawm ib tus neeg mus rau ib tus neeg, nyob ntawm seb qhov ua rau.

• Tej zaum koj yuav mob plab heev lossis mob lub duav tam sim ntawd.
• Tiamsis vim qee qhov laj thawj, qhov mob yuav txo qis thaum koj tuaj.
• Koj lub plab yuav o thiab mob thaum kov .
• Yog tias qhov kev los ntshav tseem txuas ntxiv mus, cov tsos mob ntawm tus kab mob ntshav tsis txaus (anemia) yuav maj mam pib tshwm sim.
• Tej zaum koj yuav xav tias kiv taub hau, qaug zog, thiab xeev siab .
• Koj kuj tseem yuav hnov ​​​​​​tias koj lub plawv dhia nce ntxiv .

Yog tias koj muaj cov tsos mob no, koj yuav tsum nrhiav kev pab kho mob tam sim ntawd.

Tej zaum yuav muaj tej yam ua rau?

Muaj ntau yam ua rau mob hemoperitoneum, tab sis qee yam yog qhov feem ntau. Cov kws kho mob faib cov laj thawj no ua peb pawg:

1. Kev raug mob hnyav

2. Ua tsis tau npaj tseg

3. Ua ib qho kev phiv ntawm kev kho mob (Iatrogenic)

Ntawm cov no, kev raug mob vim yog xwm txheej thiab kev xeeb tub ectopic yog cov ua rau muaj hemoperitoneum.

1. Mob Hemoperitoneum Uas Ua Rau Mob Hlwb

Qhov no tshwm sim yog tias ib lub cev lossis cov hlab ntsha hauv koj lub plab raug mob. Cov chaw uas feem ntau raug mob yog lub siab thiab tus po.Ob lub cev no tuaj yeem los ntshav ntau heev. Nws tuaj yeem tshwm sim los ntawm kev raug mob hnyav (mob hnyav) lossis los ntawm qee yam tho qhov sab hauv (mob tob tob) thaum muaj xwm txheej.

Xav txog tej yam zoo li no:

• Poob los saum toj no.
• Kev sib tsoo ntawm tsheb.
• Kev sib tsoo thaum ua si.
• Ib qho kev ntaus ncaj qha rau lub plab.
• Ib rab riam chob.
• Ib rab phom tua.

Yog tias koj mob plab thiab lwm yam tsos mob tom qab muaj xwm txheej loj heev zoo li no, qhov zoo tshaj plaws ua yog mus rau tsev kho mob tam sim ntawd.

2. Hemoperitoneum uas tshwm sim los ntawm nws tus kheej

Qhov no hu ua Kev Los Ntshav Uas Los Ntawm Tus Kheej Los Yog Tsis Yog Kev Raug Mob Hemoperitoneum. Qhov no yog kev los ntshav uas tshwm sim los ntawm tus kheej, tsis muaj kev phom sij. Nws tuaj yeem tshwm sim los ntawm ib qho kab mob lossis los ntawm lwm yam txheej txheem hauv lub cev. Qee zaum ib lub cev lossis cov hlab ntsha tuaj yeem tawg sab hauv, vim yog o los ntawm sab hauv, lossis vim yog kev raug mob yav dhau los. Cov nqaij ntshiv loj hlob tsis zoo (xws li qog nqaij hlav) kuj tuaj yeem tshwm sim hauv lub plab thiab los ntshav.

Cia peb saib ob peb qho laj thawj:

• Ib txoj hlab ntsha tawg (Ruptured Aneurysm).
• Kev tawg ntawm cov hlab ntsha arteriovenous malformation (AVM).
• Cov hlab ntsha tawg ntawm txoj hnyuv plab.
• Kev tawg ntawm cov ntshav hematoma.
• Cov qog nqaij hlav tawg.
• Ib lub cyst ovarian ruptured.
• Kev xeeb tub ectopic tawg - qhov no yog tshwj xeeb rau cov poj niam.
• Kev tawg ntawm lub qog ncauj tsev menyuam.
• Kev tho qhov plab los yog txoj hnyuv (Gastrointestinal Perforation).
• Lub qog ntawm lub zais zis perforated.
• Kab mob pancreatitis hemorrhagic.

3. Ua ib qho kev phiv los ntawm kev kho mob (Iatrogenic Hemoperitoneum)

Qhov no tshwm sim ua ib qho kev phiv los ntawm qee yam kev kho mob. Qhov no tsis tshua muaj, tab sis nws tuaj yeem tshwm sim. Qhov no tshwm sim yog tias lub cev lossis cov hlab ntsha raug puas tsuaj thaum lub sijhawm kho mob.

Piv txwv li:

• Kev phais mob plab, xws li laparoscopy, kev phais mob uas tshem tawm ib lub cev, lossis thaum yug me nyuam los ntawm kev phais cesarean.
• Kev kuaj mob los coj cov qauv nqaij (Biopsy), piv txwv li, los ntawm lub siab (Liver Biopsy) lossis lub raum (Kidney Biopsy).
• Cov txheej txheem ntawm kev ntxig ib lub raj (catheter) hla lub plab, uas yog, thaum ua PEG lossis Paracentesis.
• Kev kuaj mob endoscopy, piv txwv li, kev kuaj mob endoscopy sab saud lossis kev kuaj mob plab hnyuv.

Yog tias koj muaj cov tsos mob txawv txawv tom qab ib yam dab tsi zoo li no, nws yog ib qho tseem ceeb uas yuav tsum qhia rau tus kws kho mob uas kho koj txog qhov ntawd.

Nws cuam tshuam li cas rau cov poj niam?

Cov kab mob ntawm cov poj niam lub cev xeeb tub kuj nyob hauv lub plab no. Yog li, lawv kuj tuaj yeem los ntshav rau hauv lub plab li no. Piv txwv li, tej yam xws li cov cysts ovarian (ruptured ovaries) thiab ectopic cev xeeb tub tuaj yeem tshwm sim . Cov no yog cov xwm txheej ceev heev.

Qhov kev pheej hmoo ntawm hemoperitoneum thaum cev xeeb tub tuaj yeem nce ntxiv ntau txoj kev. Qee hom qog nqaij hlav hauv siab tuaj yeem loj hlob sai thiab tawg thaum cev xeeb tub. Tsis tas li ntawd, kev los ntshav tuaj yeem tshwm sim thaum yug menyuam, txawm tias yog nws tus kheej lossis vim yog kev kho mob.

Puas yog nws muaj kev pheej hmoo tshwj xeeb thaum cev xeeb tub? (Spontaneous Hemoperitoneum in Pregnancy - SHiP)

Kab mob Hemoperitoneum uas tshwm sim thaum cev xeeb tub (SHiP) yog ib qho mob tsis tshua muaj uas tshwm sim thaum cev xeeb tub. Feem ntau nws tshwm sim rau lub hlis thib ob lossis thib peb. Tsis paub meej tias yog vim li cas. Feem ntau, nws yog cov hlab ntsha tawg. Tab sis cov kws kho mob tseem tsis paub meej tias yog vim li cas nws tshwm sim. Qee cov pov thawj qhia tias nws yuav muaj feem cuam tshuam nrog endometriosis uas twb muaj lawm lossis kev siv tshuaj chiv menyuam hauv vitro (IVF) .

Puas muaj lwm yam uas ua rau muaj kev pheej hmoo?

Yog lawm, qee yam ntxiv tuaj yeem ua rau qhov kev pheej hmoo no nce ntxiv.

• Yog tias koj muaj teeb meem los ntshav lossis tsis muaj ntshav khov txaus, feem ntau koj yuav los ntshav ntau dua. Qhov no suav nrog kev los ntshav yam tsis tau npaj tseg lossis los ntshav hnyav vim raug mob me. Koj kuj tseem yuav los ntshav ntau dua li lwm tus.
• Rau cov neeg uas muaj tej yam kab mob ntev, yog tias tus kab mob hnyav zuj zus thiab lub cev tawg, lawv tuaj yeem los ntshav rau hauv plab yam tsis tau npaj tseg. Txawm li cas los xij, qhov no tsis tshua muaj.

Tej yam teeb meem uas yuav tshwm sim yog dab tsi?

Kev los ntshav hauv plab yog qhov hnyav heev vim nws yog ib yam dab tsi uas tshwm sim hauv lub cev thiab tuaj yeem loj heev thaum koj paub txog nws. Cov teeb meem tshwm sim yog tias koj poob ntshav ntau sai sai. Koj los ntshav ntau npaum li cas thiab nws tshwm sim sai npaum li cas nyob ntawm qhov ua rau pib (raug mob lossis muaj mob), koj feem ntau los ntshav ntau npaum li cas, thiab koj tau txais kev kho mob sai npaum li cas.

Yog tias qhov kev los ntshav hnyav heev, nws tuaj yeem ua rau muaj mob hu ua Hypovolemic Shock. Tshaj li ntawd, cov kab mob tsis ua haujlwm thiab txawm tias tuag tau. Yog li ntawd, qhov no yog qhov xwm txheej ceev heev, thiab tsis txhob nkim ib pliag.

Koj nrhiav tau qhov no li cas? (Kev kuaj mob)

Yog koj muaj kev los ntshav sab hauv, nws yog ib qho tseem ceeb kom kuaj mob sai sai. Thaum cov kws kho mob xav tau sai sai pom dab tsi tshwm sim hauv koj lub cev, feem ntau lawv pib nrog kev kuaj duab sai.

• Nws yog hais tias ultrasound.Ib yam dab tsi zoo li CT scan.
• FAST Ultrasound yog kev kuaj mob ntawm lub txaj uas tsim tshwj xeeb los xyuas seb puas muaj ntshav hauv koj lub plab. FAST yog ib lo lus luv rau Focused Assessment with Sonography for Trauma.

Feem ntau, cov kws kho mob siv tau cov kev kuaj duab no los saib seb koj puas muaj hemoperitoneum thiab cov ntshav los qhov twg. Tab sis qee zaum, cov duab tsis meej. Lawv yuav tsum tau siv koob lossis lub raj los kuaj cov kua dej hauv koj lub plab (paracentesis). Yog tias koj mob hnyav heev, lawv yuav tsum coj koj mus rau qhov kev phais mob tshawb nrhiav, uas yog kev phais mob kom nrhiav tau qhov teeb meem thiab kho nws tam sim ntawd.

Cov kev kho mob yog dab tsi?

Thaum tus kws kho mob kuaj pom tias muaj hemoperitoneum, lawv yuav saib seb qhov ntshav los qhov twg thiab seb nws puas tseem los. Yog tias tseem muaj ntshav, yuav tsum tau nres tam sim ntawd. Yuav ua li cas thiaj li ua tau raws li koj tus mob.

• Thaum muaj xwm txheej ceev, tej zaum koj yuav tau phais mob ceev kom kho qhov txhab lossis kaw cov hlab ntsha.
• Yog koj tus mob ruaj khov, koj yuav ua tsis tau dab tsi loj thiab tsuas yog tswj nws kom zoo xwb.

Cov kev kho mob yuav muaj xws li:

• Kev Tswj Qhov Mob.
• Kev hloov ntshav.
• Kev Tshem Tawm/Kev Tso Dej Tawm.
• Kho qhov mob hauv qab.
• Embolization yog ib txoj kev kho mob uas thaiv cov hlab ntsha.
• Cov txheej txheem endoscopy los kaw qhov txhab.
• Laparoscopy yog ib txoj kev phais mob los kuaj xyuas qhov teeb meem thiab/lossis kho qhov txhab siv tib txoj kev.
• Tshawb nrhiav laparotomy kom pom qhov teeb meem thiab/lossis kho qhov txhab los ntawm kev phais plab.

Kev cia siab tias yuav rov zoo li cas?

Koj txoj kev rov zoo yuav nyob ntawm seb koj tau txais kev kho mob sai npaum li cas thiab koj cov ntshav ntws zoo npaum li cas. Yog tias koj muaj teeb meem ntshav txhaws lossis lwm yam mob ntev uas cuam tshuam rau koj txoj kev noj qab haus huv, koj tus mob yuav hnyav dua. Kev kho mob sai li sai tau tuaj yeem pab tiv thaiv cov teeb meem los ntawm kev poob ntshav hnyav. Yog tias koj tuaj yeem tiv thaiv cov teeb meem ntawd, koj muaj lub sijhawm zoo dua los rov zoo tag nrho.

Hemoperitoneum yog ib qho xwm txheej ceev uas tshwm sim sai sai thiab tsis tau xav txog. Yog tias koj tau raug xwm txheej, tej zaum koj twb tau txais kev kho mob lawm. Tab sis yog tsis yog li ntawd, koj yuav tsis paub tias muaj dab tsi tshwm sim thaum cov tsos mob tshwm sim.Qhov tseem ceeb tshaj plaws yog tsis txhob tso tseg koj cov tsos mob thiab nrhiav kev pab kho mob ua ntej lawv hnyav zuj zus. Yog tias koj kis tau tus kab mob thaum ntxov thiab tau txais kev kho mob, koj yuav muaj feem zoo rov zoo.

Thaum kawg, tej yam koj yuav tsum nco ntsoov

Hemoperitoneum yog ib qho mob ceev uas txaus ntshai rau lub neej uas los ntshav hauv plab.

• Yog koj muaj cov tsos mob xws li mob plab sai sai, o, kiv taub hau, lossis xav tias tsis muaj zog , tsis txhob xav tias qhov no yooj yim.
• Qhov no tuaj yeem tshwm sim los ntawm kev raug mob, qee yam kab mob, teeb meem ntsig txog kev cev xeeb tub, thiab kev kho mob.
• Qhov tseem ceeb tshaj plaws yog kuaj mob thiab kho tus kab mob sai sai. Yog koj ua li ntawd, koj tuaj yeem tiv thaiv tau cov teeb meem loj thiab rov zoo tag nrho.
• Yog koj muaj cov tsos mob no, mus ntsib kws kho mob tam sim ntawd lossis mus rau tsev kho mob ze tshaj plaws. Lub sijhawm yog qhov tseem ceeb ntawm no. Tsis txhob txhawj, tab sis ua sai sai.

` Hemoperitoneum, los ntshav hauv plab, los ntshav sab hauv, ntshav hauv plab, mob plab, phais, kev kho mob thaum muaj xwm ceev