Inversion yamathumbu

Inversion yamathumbu yenye yeentlobo zokhuselo oluqatha, olwenzekayo xa indawo eqhelekileyo yamathambo emathumbu aphazamiseka: aphikisana phakathi kwabo okanye malunga ne-axis of mesentery. Ngolu hlobo, ukuhamba okukhululekile emathunjini okuqulethwe kuwo kuphazamiseka, kuphuma, kululeka, kutyhila kunye nokuxiliswa komzimba kwenzeka.

Ukuba ixesha lithathwa, ukukhulelwa kwamathumbu emathunjini, i-peritonitis, ukuvuvukala kwe-peritoneum, i-infarction yebilini ingenzeka.

Ngokuqhelekileyo kukho ukuphazamiseka kwamathumbu amancinci, kunye nokujika kwe-sigmoid kunye ne-cecum.

Iimbangela zokuvumba kwamathumbu

Ngokuqhelekileyo umntu unokuthi abe neemeko zengxumbo yamathumbu, ngenxa yempawu zobuntu. Ubilongwe luxhomekeke eludongeni lwe-peritoneal nge-mesentery, kwaye ukuba oko kude kuninzi okanye kuncitshiswe, ubunzima bokuthi umlenze we-intestine unokujikeleza. Esinye isizathu singabangela isifo esibangelwa ngumzimba, okwakusenziwa ngexesha elifanayo, okubangela ukuba izibilini ziguquke kwaye zenze izimo zokubonakala kwesikhumba. Kwiimeko ezinjalo, kunokubakho ukunyuka okukhawulezileyo, ubunzima obungokwemvelo, ukwenzela ukuba isilonda sijikeleze ngeenxa zonke.

Kodwa ukuphazamiseka kwenzeka ngokungabikho kwezi zinto zingentla.

Makhe sizame ukufumana ukuba isantya siyaphuma nini.

Ukubonakala kwesikhumba, kunele ukuphuphuma kwesinye seengxenyeni zamathumbu, esiza kuqala ukujikeleza iindawo zokuhamba ezikhululekile, kubangele ukuphazamiseka. Oku kuphuphuma kungenzeka ngenxa yokutya kokutya okutshatyalaliswayo, emva kokuzila ukutya ixesha elide, kunye nokuqhaqha rhoqo.

Kukholelwa ukuba izidalwa zityalo, abantu ekudleni kwiprotheni ephantsi, kunye namadoda angaphezu kwama-40 baxhomekeke kule ngxaki.

Iimpawu zovulo

Uphawu lokuqala kunye oluphambili lubangela intlungu kwisisu, esikhula ngokukhawuleza kwaye sibe sisigxina. Isibini isibonakaliso ukungabikho kwezihlalo kunye negesi. Kwezinye iimeko, iigesi ziyakwazi ukuphepha, kodwa akukho sitoli. Kwixesha elizayo kukho ukungonakaliswa ngokuqhelekileyo kwimeko, isicupunu kunye nokuhlanza, ukubhubhisa, kwaye kufumaneke isimo esifanayo. Izicwangciso okanye, ngokuchaseneyo, ukuthambisa okungaqhelekanga kwimihlaba nganye kungenzeka.

Ukuguquka kwamathumbu amancinci kunika iimpawu ezinzima kunye nobundlobongela. Ubuhlungu kwintonga inyuke ngokukhawuleza, ukukhupha, isisongela, ukuhlanza, ukuphazamiseka, ukunciphisa uxinzelelo lwegazi, i-tachycardia.

Ukukhukhuma kwe-Sigmoid kolon kudla ngokuphambene nokugqithwa okungapheliyo kunye neentlungu zentlungu (okubizwa ngokuba yi-twists ezingaphelelanga).

Inversion okanye intussusception yamathumbu?

Ukungena kwintsholongwane ngumntu ohlala ngezinye izipho ngokubhekiselele kwi-curvature yamathumbu, kuba kulo nyaka kukho ukuphulwa kwesimo sabo esifanelekileyo. Nangona kunjalo, iyeza liyahlukana ngendlela ehlukile yokukhutshwa komhlobo odibeneyo.

Xa i-intussusception, enye yamacandelo emathumbu ayifakwa kwi-lumen enye. Amathanga asegulini ngendlela ye-telescope, indlela yokuhamba kwezinto eziqulethwe ngayo kwaye kukho ukuphazamiseka neempawu ezifana nezo zityhubhu. Uninzi lwamaxesha amaninzi, ukungena ngemvume kubonakala kubantwana abaneminyaka engaphantsi konyaka omnye kwaye kufuna rhoqo ukuhlinzwa.

Unyango lwezantathu zamathumbu

Xa uguqula amathumbu omguli, kuyimfuneko ukuba ufikelele esibhedlele ngokukhawuleza ukuze uqinisekise ukuba yiyiphi inxalenye yesibindi kwenzeka, kunye nokungenelela okuyimfuneko. Unyango lwe-inversion ngokuqhelekileyo luqhutyelwa ngeendlela zokugqirha, kwaye ngaphambili umsebenzi uyenziwa, amathuba amaninzi okufumana isiphumo esihle. Ngenxa yesigxina, ukuphuka kwamathumbu kungase kwenzeke, i-peritonitis ikhula, kunye nokugqithiswa kwegazi kumathumbu kungabangela i-necrosis yayo, apho kususwa khona inxalenye yamathumbu. Ukuba kuthatyathwa amanyathelo angabonakaliyo, kukho umphumo wesiphumo esibulalayo, ngenxa ye-sepsis jikelele.

Iingqungquthela zegolon sigmoid ngamanye amaxesha zilungiswe ziindlela ezizimeleyo, ngoncedo lwe-enemas, kodwa isigqibo solu hlobo lwenziwa kuphela ngutitshala.