نسخوږی

د ويکيپېډيا لخوا
ورټوپ کړه: گرځښت, پلټل

نسخوږی (يا نس دردي) د يوې يا څو وژونکو او يا هم د يوې عادي ناروغې نښه کېدای شي. د نسخوږي څرګنده پېژندنه او تشخيص يو ګران کار کېدای شي، دا ځکه چې ډېرې داسې ناروغۍ شته چې د نسخوږي سبب ګرځي. په اکثرو ناروغيو کې نسخوږی د عادي او محدوده رنځونو سره راولاړېږي، خو ډېرې داسې خطرناکې ناروغۍ هم شته چې جراحي درملنې ته اړتيا پکې پېښېږي او پداسې وخت کې بايد د ناروغ د درملنې په پروسه کې چټک ګام پورته شي.

ژباړه۱.gif
همدا مخ د ژباړلو لپاره نومول شوی
ددې ليکنې په ژباړلو کې د پښتو ويکيپېډيا سره ستاسو مرستې ته اړ يو. يواځې هغه کارونکي چې په همدې ژبې لاسبری لري، کولای شي دا مخ پښتو ته واړوي. که چېرته تاسو د دغه مخ د ژباړې اړونده لارښوونې او يا هم کوم وړانديزونه لری، نو مهرباني وکړی د همدې مخ د خبرو اترو په برخه کې خپلې څرگندونې وليکی.

د ژباړې لپاره نومېدلي، نور مخونو دلته وگورۍ.

توپيري پېژندنه يا تشخيص

Acute abdominal pain

Acute abdomen can be defined as severe, persistent abdominal pain of sudden onset that is likely to require surgical intervention to treat its cause. The pain may frequently be associated with nausea and vomiting, abdominal distention, fever and signs of shock. One of the most common conditions associated with acute abdominal pain is acute appendicitis.

Selected causes of acute abdomen

Recurrent abdominal pain

Recurrent abdominal pain (RAP) occurs in 5–15% of children 6–19 years old. In a community-based study of middle and high school students, 13–17% had weekly abdominal pain. Using criteria for irritable bowel syndrome (IBS), 14% of high school students and 6% of middle school students fit the criteria for adult IBS. As with other difficult to diagnose chronic medical problems, patients with RAP account for a very large number of office visits and medical resources in proportion to their actual numbers. Most patients with RAP benefit from reassurance and techniques to manage anxiety and stress, which are frequently associated with episodes.

Diagnostic approach

When a physician assesses a patient to determine the etiology and subsequent treatment for abdominal pain the patient's history of the presenting complaint and physical examination should derive a diagnosis in over 90% of cases.

It is important also for a physician to remember that abdominal pain can be caused by problems outside the abdomen, especially heart attacks and pneumonias which can occasionally present as abdominal pain.

Investigations that would aid diagnosis include

If diagnosis remains unclear after history, examination and basic investigations as above then more advanced investigations may reveal a diagnosis. These as such would include

Management

Butylscopolamine (Buscopan) is used to treat crampy abdominal pain with some success.[1]

References

  1. Tytgat GN (2007). "Hyoscine butylbromide: a review of its use in the treatment of abdominal cramping and pain". Drugs 67 (9): 1343–57. PMID 17547475. 
  • Apley J, Naish N: Recurrent abdominal pains: A field survey of 1,000 school children. Arch Dis Child 1958;33:165 - 170.
  • Chronic Pelvic Pain and Recurrent Abdominal Pain in Female Adolescents
  • Boyle JT, Hamel-Lambert J: Biopsychosocial issues in functional abdominal pain. Pediatr Ann 2001;30:1.
  • [1] Stomach ache or abdominal pain can be misdiagnosed.Consult a Gastroenterologist rather than ER doctor if Pain persists more than a day.
  • [2] Stomach Pain and Conditions.