Kurutsa ropa mumbwa

Zvinogoneka zviratidzo

1. Kubuda ropa kutsva - kurutsa ropa dzvuku - kana imbwa iri kurutsa ropa rakatsvuka, zvino izvi zvinoshanda, zvakanyanya kubuda ropa kubva kumucheto wepamusoro wegumbo.

2. Kubuda ropa kwekare - marutsi matema mumbwa - ropa rakagayiwa, zviri mukati nemagwamba kubva kune dema kusvika kune yakatsvuka muvara mucherechedzo wekumira kubuda kweropa, kana kubuda ropa kunozviratidza mumatumbu.

3. Imbwa inorutsa ropa rine mitsetse, pink - kurutsa kwepiniki mudumbu hunhu husina simba kana kungotanga kubuda ropa chero kwakabva.

4. Imbwa inorutsa furo rine ropa - sekutonga, rudzi urwu rwekurutsa runoratidza kuvapo kwekukuvadzwa kumucheto wezasi wekufema, kurutsa kune furo, chiedza chitsvuku muvara.

Zvinokonzera kurutsa ropa mumbwa

Zvadaro, funga kuti nei imbwa ichirutsa ropa, uye zvikonzero zvipi zvingava shure kwayo.

Coagulation chirwere

Kukanganisa kukuru kwekuvhara ropa mumuviri kunoratidzwa munyaya iyi nekubuda ropa kwemadziro emudumbu. Shanduko dzakadaro hunhu hwe systemic tumor formations, chepfu nehupfu, nezvimwe.

Ulcerative process

Izvi zvinokonzerwa nekutyorwa kwekutendeseka kwemucous membrane yekumusoro gastrointestinal turakiti - esophagus, dumbu, ura hudiki (kazhinji - duodenum). Kazhinji chirwere ichi chinoonekwa nekupisa kwemakemikari, maitiro asingagumi ekuputika.

neoplasm

Panguva yekuora kwebundu, zvinyoro zvinyoro zvinotanga kubuda ropa (munyaya iyi, aya mamota, mapolyps epamusoro emudumbu), semugumisiro wekuti mhuka inorutsa ropa.

Mutumbi wekunze

Chinhu chinogadzirwa chine mativi anopinza uye spikes, chinodyiwa nemhuka, nekukweshana chinokuvadza madziro enhengo isina mhango (esophagus, dumbu, ura hudiki), zvichikonzera kubuda ropa uye kurutsa kweropa.

Mushonga wenguva refu

Kune mishonga, kushandiswa kwenguva refu iyo ine chechipiri chinokonzera pamadziro emudumbu. Semuenzaniso, steroid uye kwete-steroidal anti-inflammatory, antibacterial drugs. Nguva refu chemotherapy inogonawo kukonzera imbwa kurutsa ropa.

Kukuvara

Kubuda ropa kwekukuvara kunogona kuitika muhuro, esophagus, mhino, kana mhepo. Muchiitiko ichi, mhuka inomedza mavhoriyamu makuru eropa, ichisvipa mushure.

Kurutsa kwenguva refu (sechirwere chechipiri)

Muchiitiko ichi, kune catarrhal (inosanganiswa nekutsamwa kwemucous membranes) kuzvimba kwemadziro emudumbu nekuda kwekurutsa kwenguva refu chero chikonzero - chepfu, kusashivirira kwezvokudya, pancreatitis, kupindira kweparasitic, nezvimwe.

Concomitant zviratidzo

1. Lethargy, kusava nehanya, kushaya chido ndicho chikonzero chekuneta nechirwere uye kurwadziwa.

2. Iyo pallor ye mucous membranes ndiyo mhedzisiro yekurasikirwa kweropa, kudonha kweropa.

3. Kupera kwemvura mugumisiro wekurasikirwa kwemvura nguva dzose uye kushayikwa kwemvura itsva yekudya.

4. Manyoka kana tsvina nhema - Ropa rakagayiwa muura rinopa chituru ruvara rwayo. Kazhinji kazhinji ichi chiratidzo chekubuda ropa mudumbu kana kuratidza kutyorwa kwemukati wepamusoro.

5. Diarrhea kana zvigaro zvitsvuku zvinoratidza kubuda ropa kutsva mumatumbo ezasi, ropa panguva yekubuda harisati rave nenguva yekuvhara uye kuchinja ruvara.

Diagnostics

1. Kuongororwa kwakajairika kwembwa iri kurutsa ropa kunosanganisira:

   • General kliniki kuongororwa kweropa - kutonga kwehuwandu hweropa rakatsvuka, kutonga kwekurasikirwa kweropa.

   • Ultrasound of the gastrointestinal turakiti uye A-kutsanya - ongororo yekuongorora ultrasound yenhengo dzemimba yekuwedzera kurasikirwa kweropa.

   • Coagulogram - kutonga kwemhando yekubuda ropa, kuona kukanganisa.

   • Endoscopic kuongorora kwemudumbu, dumbu duku kana guru, zvichienderana neanamnesis (nhoroondo yezvokurapa inosanganiswa kubva pamashoko emuridzi) uye migumisiro yekuongorora.

2. Muchiitiko chekuonekwa kwezviratidzo zvekuvapo kwedzidzo, zvinodikanwa kuwedzera kuita:

   • Kusarudzwa kwebundu zvinhu zve endoscopic, yakanaka-tsono aspiration kuongorora, diagnostic laparotomy. Izvo zvakasarudzwa (zvichienderana nechimiro chazvo) zvinofanirwawo kutumirwa kune cytological kana histological kuongororwa.

3. Mukuvapo kwefuro rine ropa, kukurumidza, kuongororwa kwechimbichimbi kunodiwa:

   • X-ray yechipfuva uye chepamusoro chekufema turakiti - mhino, trachea.

   • Chifuva ultrasound.

   • Chest CT scan (kana zvichidikanwa kune rumwe ruzivo).

Ndepapi paunoda rubatsiro rwechipfuyo nekukasika?

Iyo pachayo, kuratidzwa kwehematemesis kunoda kupindira kwekukurumidzira uye rubatsiro rwechiremba wemhuka, saka pakarepo pakuona kwechiratidzo ichi, unofanira kuenda kuna chiremba. Kudana nyanzvi uye kuongorora chipfuwo pamba munyaya iyi zvichange zvisingabatsiri nekuda kwekushayikwa kwekukosha kwekuongorora.

Pakugadzwa, muridzi anofanira kupa chiremba ruzivo rwakawanda sezvinobvira maererano nemamiriro ezvinhu anogona kukonzera hematemesis mumbwa - zvirwere zvisingaperi, chokwadi chekudya zvinhu zvine chepfu, mahara pasina kutarisirwa, mapfupa mukudya, kurasikirwa kwematoyi ayo mhuka inogona kudya, nezvimwewo.

mabatiro

Therapy ichave yakanangana nekubvisa acute zviratidzo uye kudzikamisa mamiriro emhuka:

• Antiemetic therapy

  Kuiswa kwemishonga yakasiyana-siyana mukugadzirisa kwekuita uye kuita basa rekumisa kurutsa. Iyi mishonga inoshandiswa nekuchenjerera uye inosarudzwa maererano nechikonzero chechirwere - kuputika kwemudumbu, chepfu, tumor process.

• Kuwedzerwa ropa

  Zvichienderana neropa parameters mukuongorora, chiremba anosarudza kana nzira iyi yakakosha. Kubata uku kunokosha kana paine kurasika kweropa rakawanda, mukutyora kugwamba kweropa, tumor process, trauma.

• Regedza kubuda ropa

  Muchiitiko ichi, mishonga inomisa kubuda ropa inoshandiswa. Mhando yemishonga inonyatsosarudzwa uye inoshandiswa, sekutonga, intravenously kukurumidza kushanda pamuviri wemhuka. Kurapa uku kunodiwa kuitira kugadzirisa kumwe kurasikirwa kweropa.

• Mushonga (antidote)

  Zvichienderana nenhoroondo yekurapa kwembwa, yakaunganidzwa kubva mumashoko emuridzi, uye kuvapo kwechepfu, mushonga unosarudzwa unovhara kana kutsiva zvinhu zvakaparadzwa zveropa zvinokonzera kubuda ropa. Ndiko kuti, mushonga wekudzivirira unotarwa unomisa kushanda kwechepfu pamuviri wembwa.

• kudonhedza

  Intravenous droppers ine saline solutions inoshandiswa kugadzirisa kusagadzikana kwemvura-munyu mumuviri - kupera simba. Kunyengedza uku kunoitwa mukiriniki yezvipfuyo zvichitariswa navanachiremba. Basa rayo nderekuzadza mvura yakarasika panguva yekurutsa.

• Gastroprotectors uye antiulcer drugs

  Aya maajenti anovhara kuburitswa kweasidhi yemudumbu. Vamwe vavo vanogadzira firimu rekudzivirira pamadziro emudumbu. Mishonga yakadaro inobvumira mucous membrane kupora isati yasangana zvakare nemigumisiro yejusi yekudya uye enzymes. Mushonga uyu unoshandiswa kune ulcerative process, gastritis, munguva yekuvhiya mushure mekubviswa kwemuviri wekunze kana kuvhiyiwa.

• Mishonga inorwisa mabhakitiriya inorayirwa chete kana zvakakosha kubvisa chechipiri chebhakitiriya microflora - maitiro makuru ekuputika, zvirwere zvebhakitiriya.

• Kupindira kwekuvhiya kuchashandiswa kana zvichidikanwa kubvisa kuumbwa kwebundu, kururamisa, kuputika kwemadziro emudumbu, kubviswa kwemuviri wekunze, nezvimwe.

dhayeti

Chirwere munyaya iyi chinokanganisa gastrointestinal turakiti, saka hwaro hwekurapa ndeyekudya kwakanyatsosarudzwa. Zvokudya zvinogona kushandiswa zvose zvakasikwa uye zvekutengesa (zvakaoma kana kunyorova). Pasinei nechikonzero chekubuda ropa mudumbu, chikafu chinosarudzwa zvichienderana nezvikumbiro zvinotevera:

• zvakaderera zvemukati, digestibility yakakwira uye mapuroteni emhando

• mafuta ane mwero (kusvika 15%)

• zvakakosha kuti udzivise nguva yenzara yemangwanani, uye kumbomira kudya kwekupedzisira kwemanheru kusvika kune ichangoburwa zuva

• Mubvunzo wekudya kwenzara unoramba uri pakati pegastroenterologists ichiri kuvhurika. Dzimwe nyanzvi dzinokurudzira nguva yekuwedzera kuramba kudya, asi kwete kwenguva refu - maawa 12-36. Mabhenefiti ekutsanya uye kusavapo kwemhedzisiro yekurwara hakuna kuratidzwa, saka vazhinji veterinarians vari kusiya chikafu chakadaro. Mhuka hairegi kudya, kunyange panguva yekuwedzera. Chinhu chikuru mumamiriro ezvinhu aya ndechokuwana chikonzero chechirwere uye kurega kurutsa nokukurumidza. Kudya nenzara kumisa kubuda kwegastric kunogoneka, asi chete pasi pekutariswa kwechiremba wemhuka.

• kazhinji kudya kwechikamu - zvichienderana nemhando yechirwere, zvinokurudzirwa kuunza kudya nguva dzose muzvikamu zviduku kusvikira mamiriro acho agadzikana uye kurutsa kwamira. Imbwa inofanira kudyiswa kamwe chete maawa 1-4, zvichienderana nekukura, makore emhuka uye mavambo echirwere.

Pet care

1. Chinhu chekutanga chekuita apo imbwa inorutsa ropa ndeyokumuisa munzvimbo yakasununguka yekufema uye kurutsa - parutivi rwake kana padumbu rake nemusoro. Iwe unogona kuisa piro duku pasi pemusoro wako.

2. Zvakakosha kuchengetedza kupisa kwemuviri wemhuka nekuiputira mugumbeze kana jira.

3. Panguva yekurutsa, musoro unofanirwa kuchengetwa panzvimbo yakarurama kuitira kuti ruzhinji ruyerere zvakasununguka kunze. Hazvina mhosva iwe unofanirwa kusimudza musoro wako kumusoro kana kusiya mhuka isina kutarisirwa kuti udzivise inhalation yemarutsi.

4. Usapa mhuka kunwa mvura, kuti urege kumutsa kurutsa kutsva. Izvi zvinongoita kuti mamiriro acho awedzere.

5. Hazvina mhosva iwe unofanirwa kuita zvisarudzo zvakasununguka mukurapwa kwemhuka, unofanira kukurumidza kuitakura kuenda kukiriniki.

Imbwa dzichirutsa ropa

Iyo idiki mhuka, inokurumidza maitiro ese ari mumuviri wayo, akanaka neakaipa, anoenderera. Nokudaro, kana mwana achiratidza zviratidzo zvekurutsa, uyewo neropa, unofanira kukurumidza kuonana nekliniki yemhuka. Zvikonzero zvekuitika zvinogona kunge zvakasiyana - muviri wekune imwe nyika, chepfu, congenital anomalies (hernia, trauma, nevamwe).

dziviriro

1. Kutsvaga chipfuwo pasi pekutariswa kwemuridzi wekufamba.

2. Izvo zvinodikanwa kubvisa zvese zvine njodzi zvinhu uye zvinhu zvemumba mumba kubva pakuwana mhuka dzinovaraidza - makemikari, pamusoro pekurapa mhinduro, nezvimwe.

3. Kuongororwa kwechiremba kwegore negore - kuongorora nguva dzose kuchakubvumira kuti uone chirwere muchipfuwo muchikamu chekutanga, apo zvichange zviri nyore kuimisa.

4. Kutevedzera mitemo yekuchengetedza, kugadzirisa uye kudyisa mhuka kunodzivirira zvirwere zvakawanda zvinokanganisa chirwere chemimba.

5. Izvo zvinodikanwa kugadzirisa ese matoyi echipfuyo uye kusabvisa zviri nyore kutsenga uye kudyiwa zvinhu kubva pakuwana.

6. Zvirwere zvisingaperi zvinoda kuongororwa nguva dzose uye kutungamirira bvunzo.

Imbwa inorutsa ropa - pfupiso

1. Kurutsa ropa ndicho chikonzero chekuti muridzi wacho akurumidze kuonana nekiriniki kuitira kuti awane chikonzero uye anyore kurapwa nokukurumidza kwechipfuwo.

2. Imbwa inogona kupfira marudzi eropa akasiyana-siyana, kubva paruvara rutsvuku (kubuda ropa kutsva) kusvika kune shava kana dema (kubuda ropa kwekare, ropa rakagayiwa) uye kunyange nefuro (kubuda ropa mumapapu).

3. Pane zvikonzero zvakasiyana-siyana zvinokonzera hematemesis: zvirwere zveparasitic, chepfu, kusashivirira kwezvokudya, zvirwere zve autoimmune, kenza, zvirwere zvekubuda ropa, nezvimwe.

4. Chirongwa chekuongorora chemhuka ine hematemesis chinosanganisira: kukwana kweropa, kuongororwa kweropa, kuongororwa kwe ultrasound, endoscopic kuongorora kwegumbo remudumbu, X-ray kuongorora nezvimwe.

5. Kurapa nekudzivirira kwekuwedzera kwechirwere kunoenderana zvakananga nechikonzero chekuitika kwayo, uye zvinorayirwa zvichienderana nemamiriro emhuka. Izvi zvingava kuvhiyiwa, kudya, kurapwa kwemishonga nezvimwe.

Mhinduro kumibvunzo inowanzo bvunzwa