Wakambonzwa kuzara uye kubatwa nedumbu here? Zvinoita sekuti pane chinhu chakanamira mudumbu mako, asi hazvisizvo. Ndiyo mhando yechirwere chisinganzwisisike, chinogona kuva nengozi chatichataura nezvacho nhasi. Chinonzi Ogilvie Syndrome. Ngationei kuti chii, nei chichiitika, kuti tingachiziva sei, uye kuti tingachirapa sei.
Chii chinonzi Ogilvie Syndrome?
Muchidimbu, Ogilvie Syndrome inoitika apo colon yako inomira kushanda pasina chikonzero chakajeka. Vanachiremba vanoidaidzawo kuti acute colonic pseudo-obstruction (ACPO) . "Pseudo-obstruction" zvinoreva kuti colon yako inoita sekunge yavharwa nechimwe chinhu, asi muchokwadi , hapana chakavharwa panyama . Dambudziko riri musystem inodzora kufamba kwecolon. Kureva kuti, inomira kusundira chikafu nechinwiwa mberi nepakati pecolon. Zvadaro, zvinhu zvakaita sechikafu nemhepo zvinoungana mukati mecolon, zvichiita kuti madziro ecolon awedzere, kana kuti azvikurire. Funga nezvazvo semota dziri kuvharika, uko mota dzinomira kufamba uye mugwagwa unovharika.
Ogilvie Syndrome yakasiyana sei nedzimwe nzira dzekudzivirira mudumbu?
Ogilvy syndrome chirwere chinowanzoitika nekukurumidza . Izvi zvinoreva kuti chinoitika kamwe kamwe uye ndechenguva pfupi. Chinongokanganisa ura hwemukati chete . "Intestinal pseudo-obstruction" izwi rakajairika. Rinoreva chero kusashanda zvakanaka kunoitika pasina kuvharika kwemuviri muura. Vamwe vanhu vane chronic intestinal pseudo-obstructions, dzimwe nguva nekuda kwechimwe chirwere chenguva refu kana chirwere chekuzvarwa nacho.
Chii chakasiyana pakati peOgilvie Syndrome neParalytic Ileus?
Paralytic ileus chirwere chemudumbu chinonziwo acute intestinal obstruction. Zvisinei, chinowanzo kanganisa ura hudiki nehukuru. Dambudziko iri rinowanzoitika mushure mekuvhiyiwa kwedumbu . Izvi zvinoitika kana ura hukatanga kushanda zvishoma nezvishoma mushure mekuvhiyiwa. Hunowanzo pera hwega mukati memazuva mashoma.
Zvisinei, Ogilvy syndrome inonyanya kukanganisa ura hwemudumbu , uye kazhinji chikamu cheura hwemudumbu chinonzi cecum , kwachinotangira. Hachiwanzoitiki separalytic ileus, uye chinogona kuoma zvishoma.
Ndiani angangonyanya kubatwa neOgilvie Syndrome?
Kunyangwe izvi zvichigona kuitika kune chero munhu, zvinowanzoitika kuvanhu vakuru nevaya vane matambudziko ehutano anopfuura rimwe chete.Funga nezvemunhu akavhiyiwa zvakanyanya, tsaona, chirwere chemwoyo, kana hutachiona hwakanyanya. Zvinhu izvi zvinogona kukonzera Ogilvy syndrome. Zvakare, kusawirirana kwema electrolyte , zvirwere zvetsinga , uye kutora mishonga yakawanda panguva imwe chete zvinhu zvine njodzi. Zvese izvi zvinokanganisa sisitimu yedu yetsinga . Sisitimu iyoyo yetsinga ndiyo inoudza tsandanyama dziri muura hwedu kuti dzisundire chikafu mberi.
Izvi zvakajairika zvakadii?
Chirwere cheOgilvy chinonzi chinoitika mumunhu mumwe chete pavanhu chiuru vanopinda muchipatara. Avhareji yezera revanobatwa nacho imakore angangoita makumi matanhatu.
Ndezvipi zviratidzo zveOgilvie Syndrome?
Kana chikafu chisina kumedzwa nemhepo zvikatanga kuungana muura hwako hukuru, unogona kusangana nezvinhu zvakaita se:
- Kuzvimba kwedumbu: Kunzwa dumbu richizvimba uye richikura.
- Kurwadziwa kwemudumbu: Kurwadziwa kwakanyanya mudumbu kunogona kuitika.
- Kushaya chishuwo chekudya: Kurasikirwa nechishuwo chekudya.
- Kusvotwa nekurutsa: Kunzwa kurwara nekurutsa.
- Kuzvimba uye gasi: Kunzwa kuzara mudumbu.
- Kuzvimbirwa uye/kana manyoka: Vamwe vanhu vanogona kuva nedambudziko rekuzvimbirwa, nepo vamwe vanogona kuva nemanyoka.
Fungidzira Sekuru Nimal, vane makore makumi matanhatu nemashanu ekuberekwa, vane chirwere cheshuga, uye vane chirwere chemwoyo. Vakavhiyiwa chiuno. Mushure memazuva maviri kana matatu, dumbu ravo rakangoerekana razara uye vakaomerwa nekufema. Pavakabata dumbu ravo, rakaoma sedombo. Vakati vakanga vasina chido chekudya, uye vakatonzwa kuda kurutsa. Vanachiremba pavakavaongorora ndipo pavakazoona kuti raiva Ogilvy syndrome.
Chii chinokonzera Ogilvie Syndrome?
Chikonzero chaicho hachisati chanyatsonzwisiswa. Asi masayendisiti anotenda kuti zvinokonzerwa nekusashanda zvakanaka kwehurongwa hwedu hwetsinga dzinozvitonga . Hurongwa uhwu hwetsinga dzinozvitonga ndihwo chikamu chemuviri wedu chinodzora kufamba kwetsandanyama dzatisingazive. Hunodzorawo kufamba kwemafungu (peristalsis) kunosundira chikafu mberi muura hwedu. Sezvo ichi chiri chirwere chakakomba, chinokonzerwa nekushushikana kusingawanzoitiki pahurongwa hwetsinga dzinozvitonga dzinozvitonga. Zvisinei, zvimwe zvinhu zvehutano zvinogonawo kukonzera izvi.
Kune zvirwere zvakasiyana-siyana zvinogona kukonzera Ogilvy syndrome:
- Kumira kurova kwemoyo
- Kukundikana kwemoyo (kushaya simba kwetsandanyama dzemwoyo nekuda kwechirwere chemwoyo)
- Kukuvara kunorwadza
- Utachiona hwakanyanya (semuenzaniso pneumonia kana sepsis)
- Kuvhiyiwa kwedumbu rakavhurika
- Kuvhiyiwa kwemoyo kwakavhurika
- Kuvhiyiwa kwemapfupa (semuenzaniso kutsiva chiuno)
- Kuendeswa kweCaesarean / C-section
Zvinhu zvehutano zviripo kare zvinogona kukonzera Ogilvy syndrome:
- Kukundikana kweitsvo
- Kutadza kufema
- Chirwere chetsinga
- Chirwere chemwoyo
- Kenza
- Zvirwere zvemuviri
- Kusawirirana kwema electrolyte
- Kukwegura
- Kuva nekushaya simba mumuviri
- Kutora mishonga yakawanda panguva imwe chete
Mimwe mishonga inobatanidzwa neOgilvy syndrome:
- Mishonga yekurwisa pfungwa
- Amphetamines
- Corticosteroids
- Maopioid (mishonga inouraya marwadzo)
- Mishonga inodzvinyirira muviri
- Anesthesia yemusana
Ndezvipi zvinetso zvinogona kukonzera Ogilvie Syndrome?
Kazhinji, chirwere cheOgilvy chinopera chega kana nerubatsiro rwechinotsigirwa. Zvisinei, dzimwe nguva kupindira kunodiwa. Kana chikasaonekwa kwenguva yakareba, chinogona kukonzera matambudziko akakomba kana mamiriro acho akawedzera kuipa. Zvidzidzo zvinoratidza kuti matambudziko anowanzoitika kana ura hwakakura (hunopfuura masendimita gumi nemaviri). Upamhi hweura hwakajairika hunosvika masendimita masere.
Kana ura hukakura, njodzi yacho inowedzerawo. Njodzi Dzinogona Kuitika:
- Ischemia: Kumanikidzwa kwakanyanya pamadziro emudumbu kunogona kukonzera kuti ropa risashande zvakanaka . Izvi zvinogona kukonzera kuzvimba kwakanyanya, kunonzi ischemic colitis . Kana zvikasarapwa, kufa kwenyama (necrosis) kunogona kuitika. Funga nezvazvo sekudzvanya pombi yemvura zvakanyanya zvekuti mvura inomira kuyerera.
- Kuboorwa: Nzvimbo dzenyama dzinenge dzabuda dzinogona kubvaruka kana kuputika zviri nyore . Kana gomarara rikabuda, chepfu nemabhakitiriya zvinogona kupararira mudumbu, zvichikonzera hutachiona hwakakomba hunonzi peritonitis .
- Sepsis: Peritonitis inogona kupararira nyore nyore muropa (septicemia) . Iyi idambudziko rekukurumidza! Sepsis inguva apo hutachiona hunopararira mumuviri wese uyeChirwere chinonzi septic shock chinogona kuitika, izvo zvinogona kukonzera kutadza kushanda kwenhengo dzakawanda.
Matambudziko aya ane njodzi huru, ndosaka zvichikosha kutsvaga rubatsiro rwechiremba kana wangoona zviratidzo zveOgilvy syndrome.
Ogilvie Syndrome inoonekwa sei?
Kuongororwa kwechirwere kunoenderana nezvinhu zvinotevera:
- Kuongororwa kweX-ray kunosimbisa kuti ura hwakakura uye kuti hapana kuvharika kwemuviri.
- Kuongororwa kwakakosha kuti uzive zvimwe zvirwere zvinogona kukonzera chirwere chako.
Ndedzipi mhando dzekuongorora kweX-ray dzinogona kuona izvi?
Kuti vanyatsoongorora zviri mukati meura wako, vanachiremba vanoshandisa nzira inonzi internal contrast agent pamwe chete neradiology. Izvi zvinoonekwa mukati meura wako uye zvinoonekwa zvakajeka pamifananidzo yeX-ray. Izvi zvinogona kupihwa kuti unwe, se enema, kana semvura inoiswa mutsinga (IV). Contrast CT scan uye contrast fluoroscopy inzira mbiri dzinoshandiswa pakuita izvi.
Pane bvunzo inonzi gastrografin enema , iyo dzimwe nguva inogona kushandiswa sekurapa. Izvi zvinosanganisira kuisa mushonga unonyunguduka mumvura unonzi gastrografin muura hwako kuburikidza nerectum, uye kutora fluoroscopic X-rays. (Fluoroscopy yakafanana nevhidhiyo X-ray inogona kuona mafambiro emushonga.) Semhedzisiro, gastrografin inogonawo kushanda semushonga wekunyaradza muura, ichibatsira ura hwako kufamba zvakare.
Ogilvie Syndrome inorapwa sei?
Kurapwa kunoenderana nekuti ura hwako hwakakura sei uye kana uri panjodzi yematambudziko. Kana zvichibvira, vanachiremba vanoedza kurirapa nerutsigiro rwekutsigira uye nekutarisa kwakanyatsojeka . Izvi zvinoreva kubatsira muviri kuti upore wega pasina kupindira kwakawanda. Asi kana zvichidikanwa, vanoshandisa mishonga kana nzira dzekudzikisa huremu hwemudumbu nekuderedza njodzi yematambudziko. Kana matambudziko akaitika, vanoda kurapwa nekukurumidza.
Kurapa kwekuchengetedza kunogona kusanganisira:
- Kurapa zvirwere zviri pasi pechirwere ichi.
- Kurega kushandisa mishonga kunogona kukonzera chirwere ichi.
- Kurara kwedumbu: Kuderedza kumanikidzwa kwemuviri nekusadya nemuromo.
- Mvura inopinzwa mutsinga (IV fluids):Kuchengetedza mvura mumuviri uye kugadzirisa kusawirirana kwema electrolyte nekuisa zvinhu zvakaita se saline mutsinga.
- Kurudzira kufamba kwetsvina nekufamba kana kuchinja nzvimbo.
- Chubhu yeNasogastric: Kubvisa mweya wakawandisa nemvura kubva mudumbu.
- Tubhu remudumbu: Catheter inopinzwa nemudumbu kuti ibvise mweya nemvura uchishandisa simba regiravhiti.
- Kutarisa mamiriro acho ezvinhu kuburikidza nekutora mifananidzo nguva dzose uye kuongororwa ropa.
Izvi zvinowanzoonekwa kwemazuva maviri kusvika matatu (anenge maawa makumi manomwe nemaviri). Zvisinei, kana ura hwakatokura kupfuura masendimita gumi nemaviri, kana pasina kuvandudzika mushure mekurapwa uku kwakachengetedzwa, chiremba anogona kusarudza kupindira kuti aderedze kumanikidzwa kweura.
Kupindira kunosanganisira:
- Kubvisa kumanikidzwa kweColonoscopy: Colonoscopy inzira yekuongorora nekurapa. Inosanganisira kuisa kamera diki pamucheto wechubhu refu inonzi colonoscope muura hukuru kuburikidza nepaburi. Chinangwa che colonoscopy yekusunungura kumanikidzwa kwemhepo ndechekuburitsa mweya wakawandisa muura hukuru kuburikidza nechubhu wobva waisa enema kuburikidza nechubhu. Maitiro aya anogona kuderedza kuvharika kwenhema kana mushonga ukakundikana kana kuti usina kuchengetedzeka kwauri. Zvisinei, vanachiremba vanoishandisa nekungwarira nekuti zvakaoma kuita uye ine njodzi diki yematambudziko. Mune zvimwe zviitiko, colonoscope inogona kukonzera buri muura (kuboorwa kwedumbu).
- Jekiseni reNeostigmine: Mushonga uyu unopihwa kuburikidza neIV. Inoshanda mukusimbisa tsandanyama. Unowanzo shandiswa kubatsira tsandanyama kuzorora mushure mekunzwa kurwadza. Zvakaratidzwa kuti unoshanda "mukumutsa" tsandanyama dziri muura uye kutangazve peristalsis muvanhu vane Ogilvy syndrome. Zvisinei, nekuti mushonga une simba guru , unongopihwa chete kana wakatariswa muchikamu chevarwere vakanyanya (ICU) . Vanachiremba vachatarisa moyo wako kuti vave nechokwadi chekuti kurova kwemoyo wako hakunyanyi kuderera paunenge uchigamuchira neostigmine.
- Kuvhiyiwa kweColostomy / Colostomy: Kana ura hwako hukaramba huchikura pasinei nekupindira uku, kana kana matambudziko akadai sekuboorwa kana necrosis akaitika, ungangoda kuvhiyiwa kubvisa chikamu chakakanganiswa cheura hwako . Iyi inzira yekupedzisira . Nekuvhiyiwa kweColostomy, unogona kuvhiyiwa kwenguva pfupi kana kuti zvachose.Zvingave zvakakoshawo kuita chimwe chinhu. Kureva kuti, kugadzira mukana wakasiyana wekuti tsvina ipinde nepairi. Dzimwe nguva, colostomy inogona kuchinjwa mushure mekunge kuvhiyiwa kwapera.
Ko Ogilvie Syndrome inogona kuuraya here?
Ehe, matambudziko anogona kuuraya . Nematambudziko akadai sekuboorwa kana ischemia, huwandu hwerufu hunogona kusvika pa40%. Zvisinei, matambudziko aya anoitika muvanhu vasingasviki 15%. Pasina matambudziko, huwandu hwerufu rweOgilvy syndrome hunosvika pa15%. Nhamba iyi ingasave yeOgilvy syndrome chete. Nekuti vanhu vazhinji vanowana Ogilvy syndrome vane mamwe matambudziko ehutano anokanganisa kufa kwavo.
Kuvharika kwemudumbu kwakanyanya chiitiko chisingatarisirwi chinogona kuunza matambudziko matsva kuvanhu vari kutotambura nedzimwe zvirwere. Hapana anotarisira Ogilvy syndrome, asi munhu wese anofanira kuziva zviratidzo . Kuzivikanwa nekukurumidza ndiyo kiyi yekudzivirira matambudziko akakomba eOgilvy syndrome. Kana pasina matambudziko, kupora kunogona kuitwa nekurapwa kwakarongeka.
Zvinhu zvakakosha zvatinofanira kurangarira (Mharidzo Yekuenda Kumba)
Saka, Ogilvie Syndrome chirwere chinogona kuva chakakomba kupfuura zvaunofunga. Asi hapana chekunetseka nacho, uye kuziva kunogona kudzivirira matambudziko akawanda.
- Kuongorora chirwere: Kana ukaona zviratidzo zvakaita sekunge kuzvimba kamwe kamwe, kurwadziwa mudumbu zvakanyanya, kushaya chido chekudya, kuda kurutsa, kana kurutsa, iva nechokwadi chekuona chiremba, kunyanya kana wakwegura, uine zvimwe zvirwere, kana kuti wakambovhiyiwa.
- Zvikonzero: Izvi zvinogona kukonzerwa nechirwere chimwe, kuvhiyiwa, kana mishonga. Saka zvakakosha kuudza chiremba wako nhoroondo yako yese yezvekurapa.
- Matambudziko: Kana zvikasarapwa nekukasika, kuderera kweropa rinoenda muura kunogona kukonzera kufa kwenyama, kubooka kweura, uye hutachiona hwakakomba. Izvi zvinogona kuisa upenyu panjodzi.
- Kurapa: Zviitiko zvakawanda zvinopera nerubatsiro rwerutsigiro, asi dzimwe nguva colonoscopy, mishonga, kana kuvhiyiwa zvinogona kudiwa kuderedza kumanikidzwa.
- Kuonekwa kwechirwere ichi nekukurumidza kunoponesa hupenyu: Usaregeredza zviratidzo izvi chero chikonzero chipi zvacho. Chinhu chakakosha ndechekuzviziva nekukurumidza uye kutanga kurapwa.
Kana iwe kana mumwe munhu waunoziva aine chimwe chezviratidzo izvi, usazeza kutsvaga rubatsiro rwechiremba. Ramba uine hutano hwakanaka!
Ogilvie Syndrome, acute colonic pseudo-obstruction, colon, kutadza kushanda zvakanaka kwemudumbu, kuzvimba, kurwadziwa kwemudumbu, pseudo-obstruction
💬 Comments (0)
Hapana zvakataurwa parizvino. Isa mhinduro yako pano kekutanga.
Wedzera zvaunofunga