Ukugonywa-Ukuvimbela Amathumbu Emathunjini

Ngomsebenzi Wokuvimbela Amanga, Akukho Isizathu Sokwenyama Ekukhunjweni

I-pseudo-obstruction yomzimba emathunjini yisimiso esingavamile lapho amathumbu aphethe khona zonke izimpawu zokuvinjelwa, kodwa akukhona okwamanje okuyisithiyo sokuvimbela. Ngokungafani nokuvinjelwa kwamathumba eqiniso, akukho ukuvimbela kwangempela emgodleni wamathumbu emathunjini. Yingakho ibiwa ngokuthi "ukuphazamisa" ukuvimbela: ukuguquka kusho ukuthi "ukufakelwa" noma "ukuhlekisa." Lokhu akusho ukuthi akuyona isimo sangempela, noma ukuthi into umuntu ayenzayo.

Kuyinkinga yangempela ngempela.

Isizathu asiqondakali , kodwa kunezici ezithile eziyingozi. Ngomkhuhlane ongathandabuzwayo, amathumbu amancane noma amancane awahambisani nokudla nezinto zokuchitha imfucuza njengoba benza lapho umuthi wesisu usuphilile.

Izimpawu Nezibonakaliso Zomkhuhlane Wamathumbu Emathunjini Amathumbu

Izimbonakaliso eziningi zezimpawu zokuziqhenya zifana nalabo okwenzeka nezinye izifo zokugaya. Kubalulekile ukubona udokotela uma kukhona izibonakaliso noma izimpawu ezilandelayo ezinzima, noma uma uthola ukuthi unesidakamizwa esikhathini esidlule.

Izimbangela Zengozi Yokuvimbela Amathumbu Emathunjini

Ukuvimbela ukungathandabuzi kuvame kakhulu kuncane nakancane kakhulu, kodwa kungenzeka kunoma ubani.

Uma kuziwa ngokuzumayo, kwaziwa ngokuthi " acute ," futhi uma kwenzeka kancane kancane noma ngokuphindaphindiwe, kubizwa ngokuthi "okungavamile." Kunezici ezimbalwa ezingozini ezibangelwa ingozi yokuzibamba:

Ukuthola Ukubamba Amathumbu Emathunjini

Okokuqala udokotela kumele akhiphe isizathu esivame ukuchaza izimpawu, njengokuvimbela ngokomzimba noma isisu. Ukuhlola kuzovame ukuqala ngokuhlolwa kwegazi futhi kungase kuqhubekele phambili ekufundweni kwe-ray ray, njenge- x-ray ethafeni noma i- computed tomography (CT) . Kuye ngezibonakaliso ezithile kanye nemiphumela, ukuhlolwa okungaphezulu kwalezi zikhathi ngezinye izikhathi kudingekile, kodwa njengoba igama layo libonisa, ukuvimbela ukungahambi kahle akuhlobene nezezizathu ezivamile zezibonakaliso.

Ukwelashwa Kwamathumbu Emathunjini Omzimba

Ukunakekelwa kwezokwelapha kokuvimbela ukufaka ingozi kungabandakanya izidakamizwa ezigqugquzela ikoloni ukuba ihambise izinto ezidakayo, njengama-antibiotics athile, abaphikisi be-dopamine, kanye nama-somatostatin analogues. Eminye imithi inganikezwa ukusiza ukukhulula izimpawu ezihambisanayo zokuhlanzeka, ukuhlanza nokuzwa ubuhlungu. Noma yikuphi ukukhubazeka okutholakala nge-vitamin kanye namaminerali okubangelwa ukuphazamiseka kwamanga kuyodinga ukwelashwa.

Kwezinye izimo, ukudla okunomsoco (izakhi ezinikezwa nge- nasogastric (NG) tube ) kungadingeka kuze isiguli singadla ukudla okuqinile futhi.

Ukunciphisa, ukuvumela umoya ovalelwe ngaphandle kwegciwane lomzimba noma nge- tube nasogastric (NG) noma i-colonoscopy, ingasetshenziswa njengokwelashwa. Uma ukuphazamiseka komzimba kungabangela imithi, ukuyeka ukuthi imithi izosiza ekutholeni amathumbu aphinde ahambe.

Ezimweni ezithile ezingavamile, ukuhlinzwa kungadingeka. Ukuhlinzwa kuzovame ukuhilela ukususa ingxenye yamathumbu. Lokhu kungase kungelapheki inkinga, ngoba ukuphazamiseka okungathintekiyo kuthinta wonke amathumbu amancane noma amancane. Yingakho ukuhlinzwa kungasetshenziswa ngokuvamile.

Izimo Ezihlobene: Ukuvimbela Amathumbu Amathumbu Emathunjini Omzimba, i-Ileus e-Aconic Acute, i-Colonic Pseudo-Obstructing, Idiopathic Intestinal-Ukuvimbela Ukuvimbela, Ogilvie's Syndrome

Umthombo:

Bharucha AE, ed. "Ukuvimbela Amathumbu Emathunjini." Isikhungo Sikazwelonke Sesifo Sikashukela kanye Nezifo Zokugula Nezinso (NIDDK). 26 Feb 2014. 1 Okthoba 2015.