Kodi munayamba mwamvapo chonchi? Zimakhala ngati m'mimba mwanu mwadzaza, simungathe kutulutsa mpweya, simungathe kutulutsa m'mimba mwanu, mukumva ngati mukufuna kusanza, zimakhala zovuta kwambiri. Izi zitha kuchitika makamaka mutachitidwa opaleshoni yamtundu wina. Anthu ambiri amaganiza kuti izi ndi zachilendo ndipo zimatha mukapuma pang'ono. Koma izi zitha kukhalanso chizindikiro cha vuto lomwe timalitcha kuti 'Paralytic Ileus' mu zamankhwala. Musachite mantha ndi dzinali, nthawi zambiri izi ndi vuto lakanthawi kochepa. Tiyeni tikambirane za izi mosavuta, mwanjira yomwe aliyense angamvetse.
Mwachidule, kodi Paralytic Ileus ndi chiyani?
Kuti timvetse izi, choyamba tiyenera kudziwa pang'ono za momwe matumbo athu amagwirira ntchito. Taganizirani za matumbo athu ngati chubu chachitali. Chakudya chomwe timadya chimayenda m'chubuchi, chimagayidwa, michere yofunikira imayamwa, ndipo zinyalala zimatulutsidwa ngati ndowe.
Kotero, kuti chakudya ichi chipitirire patsogolo, makoma a matumbo nthawi zonse amachepa ndikukula ngati mafunde. Zili ngati mbozi yomwe ikuyenda. Mu mankhwala timatcha izi ``(Peristalsis)`` . Kuyenda kumeneku ndiko komwe kumasuntha chakudya, madzi, ndi mpweya m'matumbo.
Tsopano `Paralytic Ileus` amatanthauza kuti mafunde amenewo, kuyenda kwa `(Peristalsis)` kumayima kwakanthawi, ndipo matumbo amakhala 'pang'ono' kwakanthawi. `Paralytic` amatanthauza kupuwala. Izi zikutanthauza kuti palibe kutsekeka kwa makina, monga chotupa, m'matumbo, koma kuyenda kwa matumbo kwayima. Ili ndi vuto la ntchito.
Pamene matumbo asiya kuyenda motere, chakudya, madzi, ndi mpweya zimayamba kusonkhana pamalo amodzi. Pamenepo ndi pamene timayamba kuona zizindikiro monga kudzimbidwa, kupweteka m'mimba, ndi kusanza.
Chofunika ndichakuti nthawi zambiri vutoli limakhala la kanthawi kochepa komanso lotha kuchiritsidwa . Chimene chimayambitsa matendawa chikadziwika ndikuchiritsidwa, matumbo amabwerera mwakale.
Kodi zizindikiro za vutoli ndi ziti?
Munthu amene ali ndi Paralytic Ileus akhoza kukhala ndi chimodzi mwa zizindikiro izi nthawi imodzi.
| Chizindikiro | Kufotokozera kosavuta |
|---|---|
| Kutupa m'mimba | Mimba imamva kutupa kwambiri komanso kulimba chifukwa cha kuchulukana kwa mpweya ndi madzi m'mimba. |
| Kutupa kwa m'mimba | Mimba yokulirapo kwambiri chifukwa cha kutupa. |
| Gasi | Chifukwa chakuti matumbo asiya kuyenda, mpweya suyenda bwino. |
| Kudzimbidwa | Kulephera kutuluka ndowe chifukwa cha kusagwira bwino ntchito kwa m'mimba. |
| Kusanza ndi kusanza | Kusanza kumatha kuchitika pamene zinthu zomwe zili m'matumbo zikutuluka. Nthawi zina kusanza kumeneku kungakhale kobiriwira kapena kofiirira. |
| Kusowa madzi m'thupi | Kusanza ndi kusadya kapena kumwa kungayambitse kutaya madzi m'thupi. |
Chenjezo: Ngati muli ndi zizindikiro zazikulu monga kupweteka m'mimba kosalekeza kapena kusanza kosalekeza, onani kuti ndi zadzidzidzi ndipo pitani ku Dipatimenti Yothandiza Pachipatala (ETU) nthawi yomweyo.
Kodi zifukwa za Paralytic Ileus ndi ziti?
Palibe chifukwa chimodzi chokha chomwe chimayambitsa vutoli, koma pali zinthu zingapo zomwe zingayambitse vutoli. Tiyeni tiwone chimodzi ndi chimodzi.
1. Opaleshoni
Chifukwa chachikulu komanso chofala kwambiri cha izi ndi opaleshoni. Vutoli nthawi zambiri limayembekezeredwa kuchitika pambuyo pa opaleshoni ya m'mimba, makamaka. Opaleshoni ndi chinthu choopsa kwambiri m'thupi. Poyankha, matumbo amasiya kugwira ntchito kwakanthawi. Madokotala akudziwa izi ndipo akonza chithandizo choyenera cha vutoli.
2. Kutupa m'mimba
Kutupa kulikonse kapena matenda omwe amachitika mkati mwa mimba kungasokoneze magwiridwe antchito a matumbo. Tangoganizirani, ngati pali vuto lotchedwa "kutentha" chifukwa cha vuto linalake m'mimba, lidzakhudza matumbo.
Zitsanzo zina:
- Appendicitis: Kutupa kwa appendix.
- Pancreatitis: Kutupa kwa kapamba.
- Peritonitis: Kutupa kwa chigawo cha m'mimba.
- Diverticulitis: Kutupa kwa malo ang'onoang'ono ngati thumba m'matumbo akulu.
- Cholecystitis: Kutupa kwa ndulu.
- Sepsis: Matenda oopsa omwe afalikira m'thupi lonse.
3. Mankhwala ena
Mankhwala ena omwe timamwa angayambitse kuchepa kwa matumbo ngati zotsatira zoyipa.
- Opioids: Mankhwala amphamvu ochepetsa ululu monga morphine ndi tramadol.
- Mankhwala Oletsa Kutupa: Mankhwala operekedwa pa ziwengo zina ndi matenda amisala.
- Mankhwala oletsa kuvutika maganizo otchedwa Tricyclic: Mankhwala omwe amagwiritsidwa ntchito pochiza matenda enaake ovutika maganizo.
4. Kusokonezeka kwa ma electrolyte
Kuti minofu m'thupi lathu, kuphatikizapo minofu m'matumbo athu, igwire ntchito bwino, iyenera kukhala ndi ma electrolyte oyenera monga potaziyamu ndi calcium. Izi zikasokonekera, matumbo amatha kusiya kugwira ntchito.
- Hypokalemia: Kuchepa kwa potaziyamu m'magazi.
- Hypercalcemia: Kuchuluka kwa calcium m'magazi.
- Hypomagnesemia: Kuchepa kwa magnesium m'magazi.
5. Matenda ena
Kupatula izi, matenda ena ambiri angayambitse 'Paralytic Ileus'.
- Kulephera kwa impso
- Matenda oopsa monga chibayo
- Kuvulala kwa msana
- Matenda amtima
- Ketoacidosis yokhudzana ndi matenda a shuga
- Matenda a chithokomiro
Kodi dokotala amazindikira bwanji izi?
Mukapita kuchipatala, dokotala adzatsatira njira zingapo kuti adziwe vutoli.
1. Mbiri ya matenda ndi zizindikiro zake: Choyamba, mudzafunsidwa zambiri, monga mtundu wa vuto lomwe mukukumana nalo, nthawi yomwe mwakhala nalo, ngati mwangochitidwa opaleshoni posachedwapa, komanso mankhwala omwe mukumwa.
2. Kuyezetsa Thupi: Kenako, dokotala adzakuyezetsani mimba yanu. Ngati simungamve mawu abwinobwino a m'mimba mukamvetsera mimba yanu pogwiritsa ntchito stethoscope, ichi ndi chizindikiro chachikulu cha vuto lotchedwa `Paralytic Ileus`.
3. X-ray kapena Ultrasound Scan: Kujambula kwa X-ray kapena ultrasound pamimba kumachitika kuti adziwe ngati matumbo adzaza ndi mpweya komanso kutupa. Kungatsimikizirenso kuti palibe vuto lina la matumbo lomwe latsekeka.
4. Kuyezetsa magazi: Kuyezetsa magazi kumachitika kuti muwone kuchuluka kwa ma electrolyte ndi mchere m'magazi anu.
Kodi mankhwala ochizira izi ndi otani?
Pali zolinga ziwiri zazikulu pochiza matendawa. Choyamba ndi kuchiza chomwe chimayambitsa vutoli, ndipo china ndi kupatsa thupi chithandizo chofunikira mpaka matumbo ayambe kugwira ntchito.
| Njira yochizira | Kufotokozera |
|---|---|
| Kupuma m'mimba | Kumwa kumayimitsidwa kwathunthu mpaka matumbo atabwerera mwakale. Izi zimapangitsa matumbo kukhala omasuka. |
| Zakudya za parenteral | Popeza simukudya ndi pakamwa, muyenera kupatsa thupi lanu zakudya, madzi, ndi ma electrolyte omwe amafunikira kudzera mu IV (saline). Izi ndizofunikira kuti mupewe kutaya madzi m'thupi. |
| Kuyika chubu cha nasogastric | Nthawi zina zoopsa kwambiri, chubu chaching'ono chimalowetsedwa m'mimba kudzera m'mphuno kuti chichotse mpweya ndi madzi omwe asonkhana m'mimba ndikuchepetsa kusanza ndi kusasangalala m'mimba. |
| Mankhwala (Prokinetics) | Nthawi zina mankhwala amaperekedwa kuti athandize kuyambitsanso matumbo. |
Kodi chimachitika ndi chiyani mukalandira chithandizo?
Nthawi zambiri, vutoli limakhala bwino pakatha masiku awiri kapena atatu . Matumbo anu akayambanso kugwira ntchito, mudzayamba kutulutsa mpweya. Ichi ndi chizindikiro chabwino kwambiri. Kenako, motsatira upangiri wa dokotala wanu, pang'onopang'ono mutha kuyamba kudya zakumwa, kenako zinthu monga supu, kenako chakudya chokhazikika.
Ngati zitenga nthawi yoposa masiku asanu, dokotala adzafufuza zambiri kuti aone ngati pali chifukwa china.
Uthenga Wopita Nawo Kunyumba
- Ileus ya Paralytic si vuto la matumbo, koma vuto la kuletsa kuyenda kwa matumbo kwakanthawi.
- Chomwe chimayambitsa vutoli nthawi zambiri ndi opaleshoni, koma chingayambitsidwenso ndi matenda opatsirana, mankhwala ena, ndi matenda ena.
- Zizindikiro zazikulu ndi kudzimbidwa, mpweya, kudzimbidwa, ndi kusanza. Ngati izi zili zovuta, muyenera kupita kuchipatala nthawi yomweyo.
- Uwu ndi vuto la kanthawi kochepa lomwe nthawi zambiri limatha mkati mwa masiku ochepa. Chithandizo cha kuchipatala chimapatsa thupi thandizo lofunikira.
- Ngati muli ndi zizindikiro ngati izi, musangozinyalanyaza ndi kunena kuti, "Izi zitha kukhala nkhani chabe," koma pitani kwa dokotala wanu kuti akupatseni upangiri.
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