Izindlela zokuvimbela izifo ziyakwelashwa kepha zingaba impilo
Isivimbelo sezinyosi yisimo esenzeka lapho ingxenye yesiguli (mhlawumbe emathunjini amancane noma emathunjini amakhulu ) ivinjiwe ngokuphelele noma ingxenye, ngakho-ke isobho asikwazi ukudlula kuso. Ukuvimbela izifo kungenzeka kunoma ubani, kodwa kuyinkinga evamile kubantu abanesifo sikaCrohn.
Ezimweni eziningi, ukuvimbela kungaphathwa ngaphandle kokuhlinzwa.
Kungase kungabi njalo ukugwema ukuvimbela. Kodwa-ke, abantu abathandekayo kufanele basebenze ne-gastroenterologist ukuba bahlele uhlelo lokuzama ukuwagwema futhi bakhulume nganoma yiziphi izindlela zokwelashwa ezingenziwa ekhaya ukukhulula izimpawu.
Izivimbelo Ze-Mechanical Bowel
Emkhakheni wezinyosi wamakhamzimba, isitokisi sivinjelwe ngokomzimba ekudluleleni emathunjini, kufana nemiphanda yamakhaya ingavinjelwa. Ukuvinjwa kungahle kubangelwe ngu:
- Hernia
- Izicubu ze-Scar ( ukunamathela )
- Isitoreji esithintekile
- Ama-gallstones
- I-Tumor
- Ukukhula okungavamile kwezicubu
- I-intussusception (isigaba se-isilonda sesilayidi kuye, efana nokuthi i-telescope ivaliwe)
- Ukuphumula noma ukukhipha emathunjini (volvulus)
- Ukufakwa komzimba wangaphandle (ukugwinya into engeyona inzuzo)
Ukwelapha
Isivimbela yisimo esibi futhi kungadingeka ukuthi siphathwe esibhedlela. Kwezinye izimo, ukwelashwa kudambisa intumbu. Lokhu kufezwa ngokufaka ithubhu ye- nasogastric (NG) ngekhala bese phansi ngaphakathi esiswini, okunciphisa ukuvalelwa kwesisu nokuhlanza.
Uma ufaka i-tube ye-NG akusizi ekunciphiseni ukuvinjelwa, ukuhlinzwa kungase kube isinyathelo esilandelayo. Ukuhlinzwa kungase kudingeke uma ezinye izicubu emathunjini sezifile ngenxa yokuvinjelwa.
Izinkinga
Uma kungelashwa, isithiyo somzimba singabangela izinkinga ezingathà sina, njengokufa kwezinye izicubu.
Uma ingxenye yesilwane ifa, ingabangela ukutheleleka noma isifo esibuhlungu. I- perforation (noma imbobo) emathunjini ingenye inkinga engaba khona yokuvimbela isisu. I-perforation yisimo esiphuthumayo sezokwelapha futhi sidinga ukuhlinzwa okusheshayo.
Izimpawu
Ukuvimbela kungabangela ukungabikho okuphelele kwe-stool noma igesi (eyaziwa ngokuthi ukugcoba), ngoba akukho sitolo esingadlula emathunjini avinjelwe. Kodwa-ke, ukuvinjelwa kungabangela nesibalo sohudo , ngoba kuphela isitokisi samanzi esiyokwazi ukudlulela ngaphesheya kwendawo yokuvimbela. Ezinye izibonakaliso zesithiyo kukhona ubuhlungu obukhulu nobuhlungu obukhulu, ukugcwala kwesisu, nokubhuqa kwesisu .
Izimpawu zesithiyo sokuvimbela imithi:
- Umzwa wokugcwala esiswini
- Umoya omubi
- Ukuvimbela (ukuboshwa)
- Ukuqokwa
- Uhudo
- Ubuhlungu nokugubha
- Ukuvota
Ukuxilongwa
Ukuxilongwa kwesithiyo sokuvimbela isisu kwenziwa kokubili ukuhlola ngokomzimba kanye nokuhlolwa kokuhlola.
Imisindo yomzimba. Ngokuvamile isifuba senza imisindo ethile, njengokugundiza nokuchofoza, okungazwiwa ngezikhathi ezingavamile ngokusebenzisa ukusetshenziswa kwe-stethoscope esesiswini. Uma kukhona ukuvinjelwa, umhlinzeki wezempilo angase azwe imisindo ephakeme lapho elalela isisu.
Uma ukuvinjelwa sekukhona isikhathi esithile, kungase kube khona ukungabi khona kwanoma iyiphi imisindo yemilenze.
I-X-ray (i-radiograph yesisu) . Lokhu kuvame ukuhlolwa kokuqala okusetshenziselwa ukunquma ukuthi kukhona yini ukuvimbela. Kuyinto yokuhlolwa okungavumelekile okungenziwa ngokusheshisa. I-radiologist noma enye ingcweti ingasebenzisa i-ray ray-ray ukucacisa ukuthi kukhona yini izimpawu zokuvimbela isisu.
Barium enema . Esikhathini esidlule, i-enam barium yasetshenziselwa ukuthola indawo yokuvimbela. Kodwa-ke, le ndlela ayiyona indlela engcono kakhulu yokukhetha ukuthi ngabe ukuvimbela kubangelwe yini into ecindezela emathunjini (njenge-tumor).
I-GI ephezulu enezinhlayizi ezincane zamathumbu . Ngokufana ne- enum ye - barium , lokhu kuvivinywa kwasetshenziselwa ukusiza ukukhomba ukuvinjelwa, ikakhulukazi uma bekusegundeni eliphezulu lesisu. Lokhu kuhlolwa akukaze kusetshenziselwe ukuxilongwa.
I-CT yesisu ye-Abdominal . Lona ukuhlolwa okuyisisekelo okusetshenziselwa ukuxilonga ukuvimbela isisu. Ukuhlolwa kwe-CT emzimbeni kwenziwa kakhulu njenge-x-ray, ngaphandle kokuthi isixazululo ngezinye izikhathi kufanele sinikezwe isiguli ngomlomo, enema, noma nge-IV. Izinzuzo ze-CT scan ukuthi zingasiza ukuthola indawo yokuvimbela kanye nokuthi yini engase ibangele ukuvinjelwa.
Ukuvimbela
Ezinye izimbangela zokuvinjelwa azivimbeli, njengalapho kungekho khona isizathu sokuvimbela. Ezimweni lapho ukuvinjelwa kubangelwa esinye isimo, njengesisu noma i-hernia, ukuphatha inkinga ebalulekile kungasiza ekuvimbeleni ukuthuthukiswa kwesithiyo.
Imithombo:
I-Katz DS, Baker ME, i-MP MP, uLalani T, i-Carucci LR, i-Cash BD, i-Kim DH, i-Piorkowski RJ, i-WC encane, iPhalamende lika-Smith, i-Yaghmai V, i-Yee J, i-Expert Panel on Imaging Gastrointestinal. "I-ACR Appropriateness Criteria® ecatshangelwa ukuthi iyincithakalo encane." [okushicilelwe kwikhompyutha]. Reston (VA): I-American College of Radiology (ACR); 2013. 4 Dec 2015.
ADAM "Ukuvimbela emathunjini." ADAM, Inc 23 Jul 2008. 30 Jul 2009.