tugma pilorostenoz

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Updated Dec 2025

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slayd 1 buxoro tibbiyot instituti «bolalar xirurgiyasi» kursi buxoro davlat tibbiyot instituti «bolalar xirurgiyasi» kursi tuzuvchi:t.f.n., dots. f.s.raupov pilorostenoz – geneticheski obuslovlennaya gipertrofiya tsirkulyarnogo mishechnogo sloya privratnika. yavlyaetsya odnoy iz naibolee chastix prichin visokoy chastichnoy vrojdennoy kishechnoy neproxodimosti u detey pervix nedel jizni. vstrechaetsya s chastotoy 4 bolnix na 1000 rojdeniy. opredelenie – pilorostenoz eto geneticheski obuslovlennaya gipertrofiya tsirkulyarnix mishechnix volokon privratnika. vpervie opisal datskiy pediatr g.girsshprung v 1887 g. okonchatelnaya priroda zabolevaniya ustanovlena rabotami nikiforova (1911), skvortsova (1923), frede (1907), vebera (1909), ramshtedta (1912), krasnobaeva (1922), langovogo (1927), rozanovoy (1960) i t.d. schitaetsya, chto v osnove zabolevaniya lejit porok razvitiya tselogo segmenta jeludka, vsex ego sloev i struktur i virajaetsya izbitochnim razvitiem soedinitelnoy tkani, predstavlennoy moshnimi tyajami, pronizivayushimi vsyu tolshu mishechnogo sloya. klinika: nachalo na 2 –4 nedele – poyavlenie srigivaniya i zatem rvoti na rasstoyanii (fontanom), poyavlyayutsya zapori, redkie mocheispuskaniya. ochen bistro na fone rvoti narastaet gipotrofiya (umenshenie …

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burno - v techenie nedeli. preobladayut simptomi ostroy degidratatsii ii - iii stepeni i dekompensirovannogo metabolicheskogo alkaloza. pri podostroy forme simptomi razvivayutsya postepenno: srigivaniya, odno- ili dvukratnaya rvota, kotoraya, uchashayas, privodit k gipotrofii. eta forma ne soprovojdaetsya grubimi vodno-elektrolitnimi narusheniyami. peristaltika jeludka v vide "pesochnix chasov" pri pilorostenoze rentgendiagnostika – uvelichenie jeludka natoshak, glubokaya segmentiruyushaya peristaltika jeludka, zamedlenie pervichnoy evakuatsii kontrasta do 3-5 chasov, simptomi: «klyuva», «usika», «figurnoy skobki», umenshenie soderjaniya gaza v kishechnike, zaderjka kontrasta v jeludke *-24 chasa differentsialniy diagnoz – pilorospazm, reflyuks – ezofagit, psevdopilorostenoz. stenoz dvenadtsatiperstnoy kishki vishe bolshogo sosochka obzornaya rentgenografiya bryushnoy polosti. rentgenokontrastnoe issledovanie v pryamoy i bokovoy proektsiyax. fibrogastroskopiya pilorostenoz. fibroezofagoskopiya normalno raskritiy privratnik pri endoskopii fibrozno-gemorragicheskiy ezofagit pri pilorostenoze, endoskopiya bioximicheskoe issledovanie krovi – giponatriemiya, gipokaliemiya, gipoxloremiya, povishenie gemoglobina, gematokrita. klassifikatsiya: po stepeni gipotrofii (tyajesti) 1 stepen – kompensirovannaya (10 –15 % poteri vesa) 2 stepen – subkompensirovannaya (20 –25 %) 3 …

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i pri pilorostenoze operatsiya vneslizistoy piloromiotomii pri pilorostenoze operatsiya vneslizistoy piloromiotomii pri pilorostenoze cherez 3 - 6 ch posle operatsii rebenka nachinayut poit 5 % rastvorom glyukozi, zatem molokom po 5 - 10 ml cherez 2 ch. v posleduyushie sutki kolichestvo moloka ejednevno uvelichivayut na 100 ml (10 ml na odno kormlenie). k 6-m sutkam uvelichivayut ob'em kormleniya do 60 - 70 ml s intervalom 3 ch, posle chego rebenka perevodyat na obichnoe kormlenie. v pervie dni posle operatsii defitsit jidkosti, elektrolitov, belka i drugix ingredientov vospolnyaetsya za schet infuzionnoy terapii i vspomogatelnogo parenteralnogo pitaniya, a takje naznacheniem mikroklizm (5 % rastvor glyukozi i rastvor ringera - lokka v ravnix kolichestvax po 30 ml, 4 raza v den v teplom vide). prognoz blagopriyatniy. deti trebuyut dispansernogo nablyudeniya s tselyu dalneyshego lecheniya gipotrofii, anemii, gipovitaminoza e'tiboringiz uchun rahmat !!! spasibo za vnimanie !!!

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slayd 1 buxoro tibbiyot instituti «bolalar xirurgiyasi» kursi buxoro davlat tibbiyot instituti «bolalar xirurgiyasi» kursi tuzuvchi:t.f.n., dots. f.s.raupov pilorostenoz – geneticheski obuslovlennaya gipertrofiya tsirkulyarnogo mishechnogo sloya privratnika. yavlyaetsya odnoy iz naibolee chastix prichin visokoy chastichnoy vrojdennoy kishechnoy neproxodimosti u detey pervix nedel jizni. vstrechaetsya s chastotoy 4 bolnix na 1000 rojdeniy. opredelenie – pilorostenoz eto geneticheski obuslovlennaya gipertrofiya tsirkulyarnix mishechnix volokon privratnika. vpervie opisal datskiy pediatr g.girsshprung v 1887 g. okonchatelnaya priroda zabolevaniya ustanovlena rabotami nikiforova (1911), skvortsova (1923), frede (1907), vebera (1909), ramshtedta (1912), krasnobaeva (1922), langovogo (1927), roz...

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