Amalungu angaphakathi ahlanganiswe ngumbumba we-serous memous. Ngenxa yeenkqubo ezahlukeneyo zentsholongwane, iyakwazi ukuxhamla kunye nokutshintshwa kwimizimba enesisombululo. Omnye umzekelo ubambelele emathunjini - iimpawu zalo mqathango zibonakaliswa, njengommiselo, emva kokumonakalisa umonakalo, ukungenelela kokuhlinzwa okanye emva kokubuya kwesifo esingapheliyo.
Iimbangela zokubambelela emathunjini
Indlela yokubonakala kweentlobo zidibene nenyaniso yokuba ingqibelelo ye-epithelium ye-peritoneum ayikho. Kwiindawo zokulimala, ukuqhaqhaqeka kuqala ngethambo ezixhamlayo ezithengelelanisa iiselfelesi ze-membrane.
Iinjongo eziphambili ezibangela inkqubo echaziweyo:
- Izifo ezithathelanayo nezifo ezithintekayo, ngokukodwa i- peritonitis kwifom ekhangayo kwaye engapheliyo;
- i-appendicitis kunye nokukhishwa okulandelayo kwesithasiselo;
- ukulimala okuvulekileyo nokuvaliweyo kwesigxina esiswini;
- isilonda se duodenum kunye ne-perforation (ngokusebenzisa udonga);
- ukuvuvukala kwama-ovari kunye nezixhobo ezithathwa ngabasetyhini, ixesha elide lingekho phantsi kwonyango;
- ukuveliswa kwemvelo kunye nokuveliswa kwemveliso ye-enzyme ejongene nokukhula kwezicubu ezinxibelelwano;
- nayiphi na ingenelelo yokuphaphaza kwindawo ephantsi kwengqalelo.
Kufuneka kuqatshelwe ukuba ukuxhamla emathunjini emva kokuhlinzwa kungabonakali ngokukhawuleza, kodwa emva kwexesha elide: ukusuka kwiinyanga ezi-2 ukuya kwezi-6. Ngoko ke, oogqirha bahlala becebise ukuba baqhubeke bejongwa ngutitshala kwisithuba seenyanga ezintandathu emva kokuphathwa.
Indlela yokuchonga ukubambelela kumathumbu?
Ngenxa yokuba inkqubo yokubambelela iyinde, ngamanye amaxesha ithatha iminyaka eyi-3-4, ukubonakaliswa kweklinikhi kubonakala kuphela kubakho bunzima, okwenza kube nzima ukuxilonga nokubeka unyango oluyimfuneko.
Iimpawu kunye neempawu zokubambelela emathunjini:
- dyspepsia;
- zixakeke kwiindawo ezisemaphandleni kunye nasentendelezweni;
- isifo sesifo, esanda emva kokuzivocavoca, kunye nokutya "ukutya okunzima";
- ukuphazamiseka kokugaya ngesimo sokuqhawulwa;
- ukucima;
- unciphise intliziyo ye-intestinal, ukungabikho kwesigxina kwiintsuku ezili-3.
Ngokuqhelekileyo, ngenxa yokungahambi kakuhle kwegulane, iziphumo ezinzima ziphuhliswa, umzekelo, intlungu ebudeni ngexesha lokubambelela emathunjini ngenxa yokuphazamiseka okukhulu kwe-lumen yayo. Zivela kwimvelaphi ye-fusion multiple of tisous tissue kunye nokutshatyalaliswa kwamathumbu emathunjini, okuthintela inqaku eliqhelekileyo lama-fecal masses.
Enye inkathazo, esele isetyenziselwa udokotela ophandwayo, yi-necrosis yesayithi yelungu. Le meko iyenzeka kuba kukho ukungabikho kokujikeleza kwegazi kwezinye iindawo zomathumbu (izivumelwano zentsimbi). Akunakwenzeka ukuphilisa le pathology, unyango luhlinzeka ngokususwa (resection) kwingxenye efile yomathumbu.
Ukuxilongwa kwamathambo emathunjini
Ukuchonga ngokuchanekileyo izizathu zeempawu ezichazwe ngasentla, ezi ndlela zilandelayo zisetyenziswa:
- Ukuhlolwa kwe-Ultrasound yesisu esiswini esingenalutho ukukhusela amathuba okubonakala kwegesi kwi-lumen yamathumbu.
- Uhlalutyo olongezelelweyo lwezonyango lwegazi, ukuvumela ukuchonga iinkqubo ezivuthayo emzimbeni.
- I-radiography okanye i-imagination magnetic resonance kunye nomxube we-barium njenge-arhente eyahlukileyo.
- I-Laparoscopy ngenjongo yokuxilonga. Lo msebenzi wenziwa phantsi kwe-anesthesia. Ngethuba lokungenelela, kukho ukufakwa okukodwa apho kukho ityhubhu encomekayo enekhamera yevidiyo enefowuni. Esi siganeko sinceda ukuchonga ngokuchanekileyo ubukho okanye ukungabikho kwenkqubo yokubambelela, ubukhulu kunye nenani lokubanjwa, inqanaba lokutshatyalaliswa kwezicubu zamathumbu, ngoko ke kuthathwa njengolwazi oluchanekileyo.