Ukuphulukiswa kwe-Bowel Kuhlale Kukhona ne-IBD - Kodwa Kubukhulu
Ukuguqulwa kwamathumbu amancane noma emathunjini amakhulu kuyinkinga engathà sina futhi engaba yingozi yokugula kwesibindi (IBD) . Isibilini esisodwa siyisimo esibucayi esiphuthumayo futhi sidinga ukwelapha okusheshayo ukuvimbela izinkinga ezengeziwe ezifana nokutheleleka noma ukufa. Ibhuloho elibhekene ne-perforated ngumgodi odongeni lwamathumbu okungenzeka ngezizathu ezihlukahlukene.
Akuvamile, kodwa ngoba isimo esiphuthumayo, ukwazi izibonakaliso nezimpawu kubalulekile, ikakhulukazi kubantu abane-IBD.
Noma ubani okhathazekile ukuthi unezibonakaliso ze-poforation yamathumbu kufanele axhumane nodokotela ngokushesha. Endabeni yezibonakaliso ezinzima ezifana nokuphuma okunzima (kusuka e-rectum) kanye nobuhlungu obukhulu besisu, funa ukunakwa emnyangweni ophuthumayo wendawo noma ubize i-ambulensi (shayela u-911).
Ukuvuthwa Kwamathumba Kuvamile Kanjani?
Isibilini esine-perforated ngenxa ye-IBD sibonga isenzakalo esingavamile. Ingozi yokuguqulwa kwezifo kubantu abanesifo sikaCrohn kubalwa ukuthi iphakathi kwamaphesenti angu-1 no-3 ngaphezu kwesifo. Ukuguqulwa kuyinto evamile, noma kunjalo, ngesikhathi sokuqala kokushaywa kwesifo sofuba. Ingozi iyakhula ngokukhethekile uma lokho kokuqala kokuvukela kunzima ngokwemvelo. I-perforation ingase futhi ivele lapho izifo ezimile isikhathi eside (njengokuthi ngemva kweminyaka engu-8 kuya kwengu-10 emva kokuxilongwa) zidala udonga lwamathumbu ukuba buthakathaka kakhulu ngenxa yezilonda ezijulile.
Izindonga ezibuthakathaka emathunjini ziyakwazi ukuthuthukisa imbobo noma izinyembezi.
Izimpawu Zokwenziwa Kwe-Intestinal
Izimpawu ze-perforation zingabandakanya:
- Ubuhlungu obukhulu besisu
- Fever
- Ama-Chills
- I-nausea
- Ukuphuma kwegazi , ngezinye izikhathi kunzima
- Ukuvota
Ukuthola ukukhishwa kwe-Bowel
I-perforation yamathumbu ivame ukutholakala ngokusekelwe emlandweni nokuhlolwa komzimba wesiguli.
Ukuba nezimpawu eziningi ezingenhla kungadala udokotela ukusola ukuthi i-perforation, ikakhulukazi kulabo abanesifo sikaCrohn, noma ukuvuvukala isikhathi eside ku-IBD.
Ezinye izivivinyo ezenzelwe ukuxilonga nokuthola i-perforation zihlanganisa ukuhlolwa kwe-radiology njenge- CT scan noma i- x-ray yesisu. Kwezinye izimo, kusolakala ukuthi i-perforation, kodwa isayithi langempela lingatholakali kuze kube yilapho sekuhlinzwa ukuhlinzwa kwesisu. I-x-ray ingabonisa okungavamile esiswini, njengomoya ophethwe yi-diaphragm, okuwumphumela we-perforation. I-scan ye-CT ingenziwa ngenxa yokuthi ingabonisa indawo yangempela ye-perforation, ezosiza ekwenzeni uhlelo lwezokwelapha. Uma isisu sitholakale (sizwa udokotela) ngesikhathi sokuhlolwa komzimba, kungase kube nomuzwa oqinile.
Yeka ukuthi i-Perforation ithathwa kanjani
Kwezinye izimo, i-perforation ingase iphathwe ngama-antibiotic ukulwa nanoma yikuphi ukutheleleka okungenzeka, ukubekwa kwe- tube nasogastric , nokuphumula komzimba (okungadli noma ukuphuza). Lokhu kungukuphathwa kokuziqhenya kwe-perforation futhi akuvamile ukwenza.
Ngokuvamile, ukuhlinzwa kuyadingeka ukuze kulungiswe i-perforation futhi kususe noma yikuphi ukwaziswa okungcolile okuye kwaphuma emathunjini kuya emgodini wesisu . Uma okuqukethwe kwimbilini (okuyinto ukudla okugcozwayo kanye nama-bile bhisikidi) kungene emgodini wesisu, amabhaktheriya avela enkingeni angase ahambe emzimbeni futhi abangele ukutheleleka okukhulu futhi okungaba yingozi (peritonitis).
Uhlobo kanye nobukhulu bokuhlinzekwa okudingekayo luzoxhomeka ekuqinikeni kwe-perforation nesimo sesiguli. Kwezinye izimo ingxenye yomathumbu iyodingeka isuswe. Kungenzeka ukuthi i- ileostomy yesikhashana noma i-colostomy iyadingeka ukuze kuvunyelwe ukuthi amathumbu aphuluke.
Inothi Kusuka
Ama-perforation we-bowel awavamile, ngisho nabantu abane-IBD. Ukuba ne-IBD enesifo sokuvuvukala okubangele izilonda ezijulile emathunjini kuyisici esiyingozi engozini ye-poforation. Izimpawu ze-perforation, ezifana nobuhlungu obukhulu besisu, umkhuhlane, nokuphuma kwegazi, kudinga ukunakekelwa kudokotela ngokushesha, futhi kungaba yisizathu sokubiza i-ambulensi.
Ukuhlinzwa kungahle kudingeke kodwa kubalulekile ukulungisa izinyembezi ngokushesha ukuvimbela umphumela obi kakhulu.
Imithombo:
I-Langell JT, i-Mulvihill SJ. "I-perforation yamathumbu kanye nesisu esiswini." I-Med Clin North Meyi 2008; 92: 599-625, i-viii-ix.
I-Sachar DB, i-Walfish AE. "I-ulcerative colitis." I-Merck Manual Dec 2012.
UTomaszczyk M, i-DA yeZwemer. "I-perforation mahhala yamahhala e-distal ileum yesifo sikaCrohn: isifundo secala." Int Surg 2005 Jul-Aug; 90 (3 Suppl): S45-S47.
Werbin N, Haddad R, Greenberg R, Karin E, Skornick Y. "Ukukhishwa kwamahhala kwesifo sikaCrohn." Isr Med Assoc J 2003 Mar; 5: 175-177.