У нас вы можете посмотреть бесплатно Ileus или скачать в максимальном доступном качестве, видео которое было загружено на ютуб. Для загрузки выберите вариант из формы ниже:
Если кнопки скачивания не
загрузились
НАЖМИТЕ ЗДЕСЬ или обновите страницу
Если возникают проблемы со скачиванием видео, пожалуйста напишите в поддержку по адресу внизу
страницы.
Спасибо за использование сервиса ClipSaver.ru
Ileus is a medical condition characterized by the obstruction of the intestines. It occurs when there is a lack of movement in the muscles of the intestines, leading to a buildup of contents and gas. This can result in symptoms such as abdominal pain, bloating, vomiting, and constipation. Ileus can be caused by various factors, including: 1. **Surgery**: After abdominal surgery, the intestines may temporarily stop working properly. 2. **Infections**: Certain infections, such as peritonitis or gastroenteritis, can lead to ileus. 3. **Medications**: Some drugs, especially opioids used for pain relief, can slow down bowel motility. 4. **Electrolyte imbalances**: Abnormal levels of potassium, calcium, or other electrolytes can affect intestinal function. 5. **Trauma**: Injuries to the abdomen or pelvis can result in ileus. 6. **Hernias**: A hernia can cause a blockage in the intestines. 7. **Tumors**: Benign or malignant growths can obstruct the intestines. 8. **Other medical conditions**: Conditions like Crohn's disease, diverticulitis, or volvulus can lead to ileus. Ileus can be categorized into different types based on its underlying cause or location. Some common types include: 1. **Postoperative Ileus**: Occurs after abdominal surgery due to handling of the intestines during the procedure. 2. **Paralytic Ileus**: Results from a lack of intestinal muscle movement, often due to factors like surgery, infection, or medications. 3. **Mechanical Ileus**: Caused by a physical obstruction in the intestine, such as a tumor, hernia, or adhesions (bands of scar tissue). 4. **Functional Ileus**: Not caused by a physical obstruction but by a disturbance in the normal propulsive movements of the intestines. This can be due to electrolyte imbalances, medications, or other medical conditions. 5. **Neonatal Ileus**: A condition seen in newborns, often associated with conditions like cystic fibrosis or Hirschsprung's disease, where there's a lack of nerve cells in parts of the intestine. Ileus can present with a variety of signs and symptoms, which may include: 1. **Abdominal Pain**: Often described as cramping or a constant dull ache. 2. **Abdominal Distension**: Swelling or bloating of the abdomen due to the buildup of gas and fluids. 3. **Vomiting**: Nausea and vomiting may occur as the intestine becomes distended. 4. **Constipation**: Difficulty passing stool or a complete absence of bowel movements. 5. **Lack of Bowel Sounds**: On auscultation, there may be reduced or absent bowel sounds due to decreased intestinal activity. 6. **Nausea**: A feeling of queasiness or the urge to vomit. 7. **Loss of Appetite**: A decreased desire to eat or drink. 8. **Tenderness**: The abdomen may be tender to touch in certain areas. Diagnosing ileus typically involves a combination of clinical evaluation and diagnostic tests. Here are some common diagnostic approaches: 1.Medical History and Physical Examination 2.Abdominal X-ray: This imaging test can help visualize any blockages or air-fluid levels in the intestines, which can be indicative of ileus. 3.CT Scan 4.Blood Tests 5.Barium Enema or Upper GI Series 6.Colonoscopy or Endoscopy Surgical techniques for ileus aim to address the underlying cause of the obstruction or dysfunction in the intestines. Here are some common surgical approaches and techniques used: 1.Laparotomy: This is a traditional open surgery where a large incision is made in the abdomen to access and address the intestines directly. 2.Laparoscopic Surgery: Also known as minimally invasive surgery, this technique involves making several small incisions through which specialized instruments and a camera are inserted. The surgeon views the inside of the abdomen on a monitor and performs the necessary interventions, which may include removing adhesions, resecting a segment of the intestine, or performing anastomosis. 3.Adhesiolysis: In cases where adhesions are causing the obstruction, the surgeon carefully separates or removes the scar tissue to free up the intestines and restore normal function. 4.Bowel Resection and Anastomosis: If a portion of the intestine is damaged or necrotic, it may be surgically removed (resected). The healthy ends of the intestine are then rejoined (anastomosed) to restore continuity and function. 5.Stoma Creation: In situations where the intestine cannot be reconnected or when a temporary diversion is needed, a stoma (an opening) may be created on the abdominal wall. Types of stomas include colostomy (connecting the colon to the abdominal wall) or ileostomy (connecting the ileum). 6.Bowel Decompression: In cases of severe distension, a surgical procedure may be performed to insert a tube into the intestine to relieve pressure and remove gas or fluids. 7.Lysis of Volvulus: If ileus is caused by a volvulus (twisting of the intestine), the surgeon may perform a procedure to untwist the affected segment and secure it to prevent recurrence. #surgicalexcellence #surgeryday #subscribe