Application of oils in case of constipation Acute intestinal obstruction...

Application of oils in case of constipation Acute intestinal obstruction: causes, symptoms and treatment Being acute digestive obstruction symptoms of this languid state develop as a result of a disruption in the movement of food in the usual direction through the stomach to the impartial gut. Such a deviation does not apply to an independent disease, as it develops for the background of other pathologies. All, causelessly through the prerequisites of one's own appearance, the given good has common clinical signs and ways of rendering urgent help.

Prerequisites of occurrence

To be an acute digestive obstruction the healing is done in the intensive care unit or special department. Then there is nothing threatening the life of the patient, the healer tries to remove the cause of the pathological symptomatology. Etiology is principally important for the prevention of the emergence of a repeated acute condition. Necrosis appears due to severe spasms due to acute pain or mechanical effects of such ailments: natural anomalies in the structure of the digestive system; worm infestation; dolichosigma (born and found); extraneous body; tumor processes (compression may result from outside and outside); push or bruise; foray of pancreatitis; renal colic; exacerbation of SCI; a sharp pleurisy; pneumothorax; surrender of the nervous system (infarction, spine trauma and traumatic brain injury); psychological differences; Vascular disease (thrombosis, vasculitis); peritonitis; surgical intervention; infectious diseases of the intestinal tract (dysentery).OCN often appears for a backdrop of a bowel turn or an invagination.

Pathogenesis of a disease

What does concern pathogenesis of acute digestive obstruction, then the impact of this or that factor a number of pathological processes: acid-base shift; intoxication of the body; lowering the level of proteins; digestive deficiency. In the patient, a large loss of water is observed due to repeated vomiting. In some cases, a person may be deprived of adequate treatment before 4 and more l. water because of 24 hours. This leads to tissue dehydration, thickening of blood, hypoxia of tissues due to deterioration of microcirculation. There is an excess of prerequisites for the sake of improper functioning of the kidneys, the number of filtered urine drops. There is a loss of potassium, its height in the blood drops, which leads to the development of intracellular acidosis and alkalosis outside the cells. In the forthcoming, the development of peritonitis changes, and there is hyperkalemia and metabolic acidosis. The decrease in protein in the blood (hypoalbuminemia) occurs as a result of its loss due to vomiting or lack of sufficient intake of it with food. Intoxication appears as a result of the decay of food masses and the attachment of pathogenic microflora, as well as the movement of certain types of microbes from the lower parts to the overlying ones. Toxins are intensively absorbed into the bloodstream through the wall of the intestinal tract, and endotoxicosis develops. In the pathogenesis of self-poisoning, occupation is also the gradual withering away of intestinal tract tissues and necrotic configurations. At the time there are dramatic changes in tissue metabolism and multiple organ failure in the background of blood infection. It is necessary to have this pathology of motor activity, secretion and resorption of the intestinal tract. This phenomenon is called the digestive deficiency. Before there is an increase in peristalsis, this way the device tries to remove the obstruction for the food path and push it in a suitable direction. Then the design of suppression and paralysis of the intestinal tract is cut.

Common manifestations

Uncaused through the etiological factor, there are common symptoms of acute digestive obstruction. They appear in the following way: Abdominal disease. It wears a pronounced, unbearable and cramping disposition. The on-duty raid is connected with an attempt of the intestinal tract to push through the food mass. To be such a peristaltic wave of unhealthy moans, yells, tries to accept an arrangement, which will be indulgence. There is a disease suddenly, between full well-being, and has no connection with the reception of food and time of day. Common signs of a shock state appear. A sticky sweat of perspiration is released, the skin becomes white, dispassionate and decrepit, the blood pressure soon falls. The pulse becomes weak and frequent, sometimes there is an arrhythmia. The usual sign of obstruction of large parts of the intestinal tract is the occurrence of vomiting. Predominantly, it is not uncommon to be afflicted with a narrow intestinal tract, there is abundant uncontrolled vomiting, which does not bring significant relief. Before, there is food, later - a mockery, and for the late stage there is excretion of feces. If the lower (full) part is affected, then vomiting may not exist, or it appears 1-2 times. Because of the loss of water and a decrease in pressure, urine filtrations in the kidneys are broken and oliguria is noted. A person with this syndrome has a stool and gas stop. The finger test of an impartial gut reveals its gaping and lack of stool. To be examined, the asymmetry of the tummy is visible, its rise due to swelling. Often visualized peristaltic waves.

Types of obstruction

For the convenience of diagnosing for the purpose of proper healing, the systematization of acute digestive obstruction, adopted in medical practice, has been developed. According to the morphology distinguished: Dynamic OKN (spastic and paralytic). Mechanical (strangulation, obturational, mixed). Vascular. To be acute digestive obstruction, the systematization is carried out and in accordance with the height of the lesion, hence thin and intestinal obstruction is allocated. According to the severity of the process, it can exist full or incomplete. The most risky is the strangulation variation of the pathology, since this obstruction is accompanied by a violation of blood flow and a rapid development of necrotic irreversible disorders for a certain area of ​​the intestinal tract. Being an obturation variant, a secondary disturbance of blood flow occurs as a result of stretching.

Diagnosis Location

How is the diagnosis of acute digestive obstruction performed? In addition to researching clinical symptoms of the disease, collecting anamnesis and examination, as well as percussion and palpation, additional methods of investigation are prescribed to the unhealthy patient. Often visually defined bulge in the affected area of ​​the intestinal tract. To be feeling, the disease manifests itself preferably in the interval of the attack, and outside of it in most cases is absent. In the time of percussion, there is a drop in sound and "noise of splashing".X-ray diagnostics is used as a rather informative way, and the opposite is used for the appearance of difficulties. Stopping the induction of the ingested barium suspension allows expressing the presence of obstruction. It is not recommended to live such a diagnosis to be suspicious for the strangulation form of the disease, which can not take time to wait for the result, and resuscitation should live. To be afflicted by the thick intestinal tract, a clear diagnosis allows you to put the irrigoscopy. For the sake of colonoscopy, there are certain contraindications, because to be this study is a high possibility of perforation of the intestinal tract. Now the essential meaning is the conduct of enterography. This technique with the introduction of a rigid probe through the disease and 12 duodenum helps to pump out the contents of the narrow intestinal tract and introduce directly into it a contrasting suspension. Later, observation is carried out in dynamics. It is necessary to differentiate OKN with conditions that have similar clinical signs. Similarly proceeds: A sharp appendicitis. It also develops a disease, the excretion of feces is disrupted. All the pain syndrome of being an appendix inflammation builds up evenly and does not achieve that level. The increase in peristaltic movements and auscultatory symptoms are not characteristic for him. Perforation of the ulcer. For her peculiar soreness, a sharp appearance, a stool stop. For the sake of improving the condition of the unhealthy perceives a certain coerced disposition, and to be impassable, he shows fear and can not find a pose that brings indulgence. For the sake of aggravation of peptic ulcer is not typical development of vomiting, but the efforts of the abdominal wall are noted. Sharp cholecystitis. The pains of being such pathologies differ in all constancy and are not cramping. The patient often has an increase in temperature. Being an acute pancreatitis for the 1st room leaves a powerful and intolerable illness. All, her reward is that she wears a girdling temper. There are no signs of pronounced peristalsis. In the urine, diastasis increases. Very capable of such a good for infarction of the intestinal tract. However, soreness is not cramping, peristalsis is not visible, often arrhythmia develops, and the number of leukocytes increases. Similarly, renal colic occurs. However, to be her illness concentrates in the lower back, gives to the genitals, in the urine find the corresponding differences. The percussion of the waist region is painful, concrements are often found for ultrasound. Myocardial infarction is often accompanied by pain in the upper half of the tummy. However, to be his belly symmetrical, there is no increased peristalsis. The diagnosis can be confirmed by ECG.

Modern methods of healing

Being OKN healing is carried out only through surgery. For the sake of this at a later time, the preparatory diagnosis of the patient is placed in a hospital. Pre-hospitalization should not be done in housekeeping and pain relief through the introduction of analgesics. It is also forbidden to evaluate enemas and take laxatives. At the current time, the obstruction of the intestinal tract is stopped with the help of an active strategy. To be given a diagnosis of the sick operate on the preparatory preparation. If there is a strangulation obstruction, the patient is delivered to the operating room at once, and the preparation should not be more than 2 hours. It can exist quite a bit longer, at about 3 o'clock, for other types of OKH. The indications for urgent operations are: development of peritonitis; without signs of dehydration and intoxication; strangulation variation of pathology. For the sake of preparatory preparation to be such a diagnosis, such as obstruction of the intestinal tract, paranephalic war is used for the sake of influence for vegetative innervation, decompression by sucking the contents of the intestinal tract with a probe or enema. Correction of the water-electrolyte balance and digestive deficiency is applied in an indissoluble order. To be intolerable spasmodic pains are used spasmolytics (Papaverin, Platifillin, No-shpa), and in the case of paresis, Prozerin is used. The effect of being an obstruction of the intestinal tract is carried out in this sequence: establishing the prerequisite for pathology and the level of obstruction; carrying out the Novocain blockade; to be peritonitis. elimination of the premise; verdict of the consistency of the intestinal tract in the area of ​​injury; clarification of the boundaries of excision of the intestinal tract and action; drainage; To be affected by the narrow intestinal tract, excision is performed with the following anastomosing (enteroenteroanastomosis or enterocoloanastomosis is applied). As necessary, deinvagination is performed, excision of adhesions. If the prerequisite for obstruction is a tumor effect in the thick intestine, the patient becomes hemiculonectomy and a temporary colostomy is indicated. It is knowing that the resulting obstruction may not be in one place, but can be viewed for different levels. And consequently, the painstaking test of the intestine for its entire length can provide success and a good result. In the postoperative interval, the healing goes in this direction: replenishment of the blood volume and the renewal of the balance of electrolytes and protein; stopping intoxication in the body, in the book number with the introduction of drugs; renewal of all kinds of functions of the gastrointestinal tract and intestinal tract and elimination of its deficiency. The major part of the complications of the subsequent surgical intervention to be this pathology is the attachment of the infection with the development of pneumonia or peritonitis. Now there are no ways to heal acute obstruction by traditional means. Good is acute and requires only surgical ways to solve the problem. If the lumen of the intestinal tract is occluded, then the predictions depend through the prerequisites causing the known pathological effect, as well as the speed of the care. The earlier the healing is sufficiently carried out, the higher it is to be able to restore the functions of the digestive tract and restore the patient's life state. Stopping the patient's hospitalization leads to the highest likelihood of a fatal outcome.