I-Gut Hlola: Izinto Zangaphandle Eziseqenjini
Faka ukudla, hhayi izinto. Uma sigwinya izinto esingafanele sizisebenzise, njengeglasi, izinhlamvu zemali, amabhethri, ubucwebe, ama-marbles, futhi kuhle kakhulu kuncane okwanele ukungena emlonyeni, kungabangela zonke izinhlobo zezinkinga. Futhi bangadlulela phambili ngaphandle kokubangela izinkinga nhlobo. Kuxhomeke kulokho owagwinyile nokuthi ngabe ubambelele endleleni.
Amaqembu angaphandle ase-Esophageal
Indawo evamile kakhulu emathunjini akho angaphandle okumele ubambelele ku-esophagus yakho. I-Gut iyinkulumo yezokwelapha emaphethelweni omzimba, okuphuma emlonyeni wakho, ngesifo sakho, esiswini, emathunjini amancane, emathunjini amakhulu, nangaphandle kwe-rectum. Izinto zangaphandle, okunye okunye okunye okungekho kokudla, kungenzeka ukuthi zinamathele emgodleni ngoba ithambile futhi encane, futhi inciphisa ngisho nakakhulu ezindaweni eziningi.
I-esophagus ekuqaleni kwendlela yakho yokumathunjwa. Uma umzimba wesinye isizwe wenza ukuthi udlulele isisindo sakho, unethuba elihle lokwenza konke kufike ekugcineni. Azikho iziqinisekiso, kodwa yingakho singaboni izidumbu eziningi zangaphandle esiswini noma emathunjini.
I-esophagus inezindonga ezincane, ezinamapulangwe ezingabamba kalula futhi zibophe izinto ezinzima ezizama ukudlula. Izindonga ze-esophagus ziphepheka kakhulu kangangokuthi uma kungekho ukudla noma izinto ngaphakathi, ziwela phansi cishe, njenge-hose yomlilo engenamanzi kuyo.
Ukususa ama-Esophageal Foreign Groups
Ukukhipha izinto ngaphandle kwe-esophagus akulula uma benamathele lapho. Ezimweni eziningi, odokotela kufanele bafinyelele emgodini ngedivayisi ebizwa ngokuthi i- endoscope ukubona umzimba wangaphandle bese uwuthatha. I-endoscope iyitayipi enokukhanya, ikhamera, nokunye uhlobo lokubamba into.
I-endoscope ingaba eqinile noma iguquguquke. Ama-endoscopes amancane angcono ekukhipheni izinto, ngoba izindonga ezinzima ze-endoscope zivikela izindonga ezintekenteke ze-esophagus.
I-endoscope eguquguqukayo kufanele idonsele into ngaphandle kwendawo, ekhombisa izindonga ezincane ukuba zilimale uma into enemiphetho ebukhali. Ngakolunye uhlangothi, i-endoscopes eziguquguqukayo zingasetshenziswa ngaphandle kwe-anesthesia ejwayelekile (ukushaya isiguli futhi ukuphefumula). Ama-endoscopes ajwayelekile angasetshenziswa ngaphandle kwe-anesthesia ejwayelekile.
Esikhathini esiningi, udokotela uzothatha i-x-ray ukuze abone ukuthi angabona yini umzimba wangaphandle ngaphambi kokungena ngemva kwayo nge-endoscope. Kungakhathaliseki ukuthi into ingabonwa ku-x-ray incike kulokho okwenziwe ngakho. I-denser into, ingcono. Izinhlamvu zemithini, isibonelo, zibonise kahle emfanekisweni we-x-ray. Izinkinobho zasePlastiki, ngakolunye uhlangothi, zingabonakali ngokuphelele naphezu kokufana nosayizi kuya kwesinhlamvu.
Ngubukhulu bento kuphela ebeka ukuthi izobonakala yini kwi-x ray. Kuthiwani uma ugwinya ingilazi, isibonelo? Kubonakala kakhulu kwi-x-ray naphezu kokuthi kungenzeka ukuthi kube lula kakhulu ukubona ne-endoscope (noma iso elimele).
Izimpawu Nezibonakaliso Zamalungu Ezingaphandle Ezilinganiselwe
Akekho oqiniseka ukuthi izinto eziningi ezingaphandle zigwinya njalo ngonyaka ngabantu abadala noma izingane.
Ngaphandle kokuthi waziwa futhi abikwe, umzimba ongeziwe wangaphandle ngeke ubonakale kuzibalo. Kucatshangwa ukuthi endaweni ethile phakathi kwamaphesenti angu-40 kuya kwangu-50 kuwo wonke amacala wokungenisa abikwayo adlula ngaphandle kwempawu. Ubani owazi ukuthi zingaki ezingabonakali ngokuphelele?
Kunezibonakaliso nezimpawu ezicacile okufanele zikunakekele, ikakhulukazi uma usola ukuthi kukhona okugwinyiwe okungeke kube khona. Uma kukhona okulandelayo okubonakalayo noma okuzwayo, shayela u-911 ngokushesha :
- ukugubha
- ukuhluleka ukugwinya noma ukugcoba
- ukuphelelwa umoya
- ukuhlanza
- isiteji (umsindo oomsindo omkhulu lapho ukuphefumula okukukhumbuza ngeDarth Vader)
- igazi lokukhwehlela
Konke okubalwe ngenhla kubonisa ukuthi umzimba wangaphandle unamathele eduze kwesigcawu. Lokhu kungaholela ezintweni ukungena ku-trachea (umoya ohamba emoyeni) futhi uma into enkulu ngokwanele, ingakwazi ukusunduza emthonjeni ngemuva, okwenza kube khona ukuvimbela ukuhamba kwe-air.
Ngaphandle kokusongela okusheshayo, nganoma yisiphi isikhathi uma usola ukuthi kukhona okugwilwe futhi kungenziwa uzizwe (ngomuntu ogwinya) emphinjeni noma ejulile esifubeni, bheka udokotela ngokushesha. Sonke sine-chip ehla ngendlela engafanele futhi singayinaki, kodwa into engeyona ukudla iyingozi kakhulu. Uma ucabanga ukuthi ungumzimba wangaphandle futhi ungazizwa, yisikhathi sokubona i-doc.
Izinto eziyingozi kakhulu
Izingane zigwinya izinto eziningi ezingezona ukudla kunabantu abadala nezinto eziyintandokazi kwimenyu yizinhlamvu zemali. Abafana bayagwinya ngaphezu kwamantombazane (ngisho nabantu abadala). Ngemuva kwemali, izintandokazi zihlanganisa ukudla okukhulu kakhulu okugwinya, amathoyizi (noma izingxenye zamathoyizi), nokuhlobisa.
Isimo esibucayi kakhulu sigxila into ebukhali, njengeglasi noma insimbi, noma ugwinye amabhethri (bheka ngezansi). Izinto ezihlabayo zingaphakamisa izindonga ezincane zomzimba, okuholela ekuguleni noma ukutheleleka emkhatsini we-mediastinum (emkhatsini wesifuba, phakathi kwamaphaphu).
Amabhethri ebhethri (eyaziwa nangokuthi amabhethri e-disk) amabhethri amancane, flat, ayindilinga atholakala kumawashi nakwamanye ama-electronics. Bakha amaphesenti amancane kuphela emizimbeni yonke engaphandle, kodwa ngokuqinisekile ukuthi iyingozi kakhulu.
Amabhethri amabhontshisi anezindleko zikagesi eziqhutshwa yizicubu zesifo. Ukushayela kagesi kwebhethri yenkinobho kudala ukushisa okwanele ukushisa izicubu ze-esophagus, kubangele izilonda futhi kungase kuphazamise izindonga zesiguli kufana nezinto ezibukhali. Ukushisa kwamabhethri kungabangela izicubu ezinzima kanye nezinkinga zesikhathi eside.
Amabhethri ebhokisini aqoshiwe agcwele ngokuphelele ezindongeni zesigameko kungakapheli amahora ayisithupha emva kokungenisa. Ngisho nangemva kokususa amabhethri, i-alkali yokusala ebhethri ingabangela umonakalo owengeziwe izinsuku noma amasonto.
Ngamabhethri ebhathini, izinto zamasayizi. Imiphumela emibi kakhulu (amaphesenti angu-94) avela ngamabhethri angaba ngu-20mm ububanzi. Ukwelashwa okungcono kakhulu ukuvimbela uma kuziwa ngamabhethri enkinobho, ngakho-ke thatha ukunakekelwa okwedlulele okwengeziwe ukuze uzigcine kude nezingane, ikakhulukazi ezincane. Uma usola ukuthi ibhethri inkinobho idliwe, yiya emnyangweni ophuthumayo ngokushesha.
Amaqembu angaphandle ase-Esophageal kubantu abadala
Izingane zigwinya izinto ngoba zifuna ukwazi. Abantu abadala bagwinya izinto ezingezona ukudla ngenxa yokuthi bafika ngengozi (ukudla, amathambo, amadwala, amazinyo, njll) noma ngenxa yezifo ezithile zezokwelapha noma zokuziphatha. Ngokuyinhloko, phatha ukungenisa kwamagciwane angaphandle kwamanye amazwe ngendlela efanayo nabantwana bakho-iya kudokotela.
Esikhathini esiningi, abantu abadala bangabonwa ukuze babone ukuthi ngabe umzimba wangaphandle uzodlula yini. Odokotela basencane amathuba okuthatha lolu qhinga ngezingane. Kungenxa yokuthi into ingadlula, ayisho ukuthi izokwenza , futhi kubaluleke kakhulu ukuzama lokhu kuphela ngaphansi kokunakekelwa udokotela. Udokotela uzoqapha isiguli, ngokuvamile ngokusizwa imishini yokucabanga njenge-x-rays noma i-CT, bese uqinisekisa ukuthi into iphuma ngaphandle kokudala umonakalo omkhulu.
> Imithombo:
> Ambe P, Weber SA, uSchauer M, uKnoefel WT. (2012). Amalungu Ezizwe Ezixhunyiwe Kwabantu Abadala. I-Deutsches Ärzteblatt International , 109 (50), 869. Ibuyisiwe ngomhla ka-25 Okthoba 2016.
> Disk Battery Ingestion: Ingemuva, i-Pathophysiology, i-Epidemiology . (2016). Emedicine.medscape.com . Ibuyiselwe ngo-25 Okthoba 2016.
> Ukuphathwa kwamagatsha angaphandle angenayo nokudla kokungenelela. I-National Guideline Clearinghouse. (2016). Isiqondiso se-Guideline.gov . Ibuyiselwe ngo-25 Okthoba 2016.
> Rybojad, B., Niedzielska, G., Niedzielski, A., Rudnicka-Drozak, E., & Rybojad, P. (2012). Amalungu Okungaphandle Okungalingani Kwamanye Amaphesenti Eziguli Ezinganeni: Isifundo Sokubuyela Eminyakeni Eyishumi Nesithathu. I-Scientific World Journal , 2012 , 1-6. i-doi: 10.1100 / 2012/102642
> UUmuramura, M. (2016). Ukungena komzimba wangaphandle kwezingane - uMdokotela waseMelika waseMelika . Aafp.org . Ibuyiselwe ngomhla ka-25 Okthoba 2016, kusuka ku-http: //www.aafp.org/afp/2005/0715/p287.html