Wakambonzwa seizvi here? Zvinoita sekuti dumbu rako razara, haugone kuburitsa gasi, haugone kubvisa zvinhu mudumbu mako, unonzwa sekuti wava kuda kurutsa, zvakaoma chaizvo. Izvi zvinogona kuitika kunyanya mushure mekuvhiyiwa. Vanhu vazhinji vanofunga kuti izvi zvakajairika uye kuti zvichapera mushure mekuzorora zvishoma. Asi izvi zvinogonawo kuva chiratidzo chechirwere chatinodaidza kuti `Paralytic Ileus` mukurapa. Usatye nezita racho, ichi chinowanzoitika kwenguva pfupi. Ngatitaurei nezvazvo zviri nyore, nenzira iyo munhu wese anogona kunzwisisa.
Zvichitaurwa zviri nyore, chii chinonzi Paralytic Ileus?
Kuti tinzwisise izvi, tinofanira kutanga taziva zvishoma nezvekushanda kwematumbu edu. Funga nezvematumbu edu sechubhu refu. Chikafu chatinodya chinofamba nechubhu iyi, chinogayiwa, zvinovaka muviri zvinodiwa zvinonyudzwa, uye tsvina inoburitswa setsvina.
Saka, kuti chikafu ichi chienderere mberi, madziro eura anogara achikotama uye achikura semafungu. Zvakafanana negonye riri kufamba. Mukurapa tinozvidaidza kuti ``(Peristalsis)`` . Kufamba uku ndiko kunofambisa chikafu, mvura, uye mhepo muura.
Zvino `Paralytic Ileus` zvinoreva kuti mafungu iwayo, kufamba kwe`(Peristalsis)` kunomira kwechinguva, uye ura hunova 'hwakaganhurirwa' kwechinguva. `Paralytic` zvinoreva kuoma mitezo. Izvi zvinoreva kuti hapana kuvharika kwemuchina, sebundu, muura, asi kufamba kweura kwamira. Iri idambudziko rekushanda.
Kana kubuda kwedumbu kwamira nenzira iyi, chikafu, mvura, nemhepo zvinotanga kuungana panzvimbo imwe chete. Ndipo patinotanga kuona zviratidzo zvakaita sekuzvimba, kurwadziwa mudumbu, uye kurutsa.
Chinhu chakakosha ndechekuti chirwere ichi chinowanzova chenguva pfupi uye chinogona kurapwa . Kana chikonzero chacho chaonekwa uye charapwa, ura huchadzoka pahwakajairika.
Ndezvipi zviratidzo zvechirwere ichi?
Munhu ane Paralytic Ileus anogona kusangana nechimwe kana zvimwe zvezviratidzo izvi panguva imwe chete.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Kuzvimba mudumbu | Dumbu rinonzwa rakazvimba uye rakamanikana nekuda kwekuungana kwemhepo nemvura mudumbu. |
| Kuzvimba kwedumbu | Dumbu rakakura zvinoonekwa nekuda kwekuzvimba. |
| Gasi | Nekuti kufamba kwemudumbu kwamira, mweya haufambi zvakanaka. |
| Kuzvimba | Kutadza kubuda tsvina nekuda kwekusashanda zvakanaka kwemudumbu. |
| Kusvotwa nekurutsa | Kurutsa kunogona kuitika kana zviri mukati meura zvichibuda. Dzimwe nguva kurutsa uku kunogona kuva kwegirini kana kuti kweshava. |
| Kushaya mvura mumuviri | Kurutsa uye kusadya kana kunwa zvinogona kukonzera kupera mvura mumuviri. |
Yambiro: Kana uine chimwe chezviratidzo izvi zvakakomba , semuenzaniso, kurwadziwa mudumbu kusingatsungiririki kana kurutsa nguva dzose, funga kuti idambudziko uye enda kuchipatara cheEmergency Department (ETU) nekukasika.
Ndezvipi zvinokonzera Paralytic Ileus?
Hapana chikonzero chimwe chete cheizvi, asi zvinhu zvakawanda zvinogona kukonzera izvi. Ngatizvitarisei chimwe nechimwe.
1. Kuvhiyiwa
Chikonzero chikuru uye chinonyanya kukonzera izvi kuvhiyiwa. Dambudziko iri rinowanzo tarisirwa kuitika mushure mekuvhiyiwa mudumbu, kunyanya. Kuvhiyiwa kunotyisa muviri zvikuru. Nekuda kweizvozvo, ura hunomira kushanda kwenguva pfupi. Vanachiremba vanoziva izvi uye vakaronga kurapwa kwakakodzera.
2. Kuzvimba mudumbu
Kuzvimba kana hutachiona hunoitika mukati medumbu hunogona kukanganisa mashandiro eura. Fungidzira, kana paine chirwere chinonzi "kupisa" nekuda kwedambudziko riri mudumbu, chichakanganisa ura.
Mimwe mienzaniso:
- Appendicitis: Kuzvimba kweappendix.
- Pancreatitis: Kuzvimba kwepancreas.
- Peritonitis: Kuzvimba kwemukati medumbu.
- Diverticulitis: Kuzvimba kwenzvimbo diki dzakaita sehomwe muura hukuru.
- Cholecystitis: Kuzvimba kwenyongo.
- Sepsis: Utachiona hwakakomba hwakapararira mumuviri wese.
3. Mimwe mishonga
Mimwe mishonga yatinotora inogona kukonzera kusashanda zvakanaka kwemudumbu semhedzisiro.
- Opioids: Mishonga inonyaradza marwadzo yakasimba yakaita semorphine netramadol.
- Mishonga yeAnticholinergics: Mishonga inopiwa kune zvimwe zvirwere zvepfungwa uye zvimwe zvirwere zvepfungwa.
- Mishonga yeTricyclic antidepressants: Mishonga inoshandiswa kurapa mamwe mamiriro ekushungurudzika.
4. Kukanganiswa kweElectrolyte
Kuti tsandanyama dziri mumuviri wedu, kusanganisira tsandanyama dziri muura hwedu, dzishande zvakanaka, dzinofanira kuva nemazinga akakodzera e electrolytes akadai se potassium ne calcium. Kana izvi zvisina kurongeka, ura hunogona kumira kushanda.
- Hypokalemia: Kuderera kwehuwandu hwe potassium muropa.
- Hypercalcemia: Kuwedzera kwecalcium muropa.
- Hypomagnesemia: Kuderera kwehuwandu hwemagnesium muropa.
5. Zvimwe zvirwere
Kunze kweizvi, zvimwe zvirwere zvakawanda zvinogona kukonzera 'Paralytic Ileus'.
- Kukundikana kweitsvo
- Utachiona hwakakomba hwakadai sepneumonia
- Kukuvara kwemusana
- Kumira kurova kwemoyo
- Ketoacidosis inokonzerwa nechirwere cheshuga
- Zvirwere zve thyroid
Chiremba anoongorora sei izvi?
Kana ukaenda kuchipatara, chiremba achatevera matanho akati wandei kuti aongorore chirwere ichi.
1. Nhoroondo yezvekurapa nezviratidzo: Kutanga, uchabvunzwa zvakawanda, zvakaita sekuti rudzii rwekusagadzikana kwauri kusangana nako, kuti wava nenguva yakareba sei uchirwara, kana wachangobva kuvhiyiwa, uye mishonga yauri kutora.
2. Kuongororwa Kwemuviri: Tevere, chiremba achaongorora dumbu rako. Kana usinganzwe ruzha rwemudumbu paunenge uchiteerera dumbu rako uchishandisa stethoscope, ichi chiratidzo chikuru chechirwere chinonzi `Paralytic Ileus`.
3. X-ray kana Ultrasound Scan: Kuongororwa kwedumbu neX-ray kana ultrasound kunoitwa kuti zvionekwe kana ura hwazara negasi uye hwakazvimba. Izvi zvinogonawo kusimbisa kuti hapana kumwe kuvharika kwemudumbu.
4. Kuongororwa kweropa: Kuongororwa kweropa kunoitwa kuti kuonekwe huwandu hwema electrolytes nemaminerari muropa rako.
Ndezvipi zvinorapwa izvi?
Pane zvinangwa zvikuru zviviri pakurapa. Chimwe ndechekurapa chinokonzera chirwere ichi, uye chimwe ndechekupa muviri rutsigiro rwakakodzera kusvika ura hwatanga kushanda zvakare.
| Nzira yekurapa | Tsananguro |
|---|---|
| Zororo rematumbu | Kudyisa mwana kunomiswa zvachose kusvika ura hwadzoka pahunhu hwahwo. Izvi zvinoita kuti ura huzorore. |
| Kudya kwevabereki | Sezvo usingadyi nemuromo, unofanira kupa muviri wako zvinovaka muviri, mvura, uye electrolytes zvaunoda kuburikidza nekuiswa munyu. Izvi zvakakosha kudzivirira kupera mvura mumuviri. |
| Kuiswa kwechubhu yeNasogastric | Mune zvimwe zviitiko zvakakomba, chubhu diki inopinzwa nemhino mudumbu kuti ibvise mweya nemvura inenge yaungana mudumbu uye kuderedza kurutsa uye kusagadzikana kwemudumbu. |
| Mishonga (Prokinetics) | Dzimwe nguva mishonga inopiwa kubatsira kutangazve kuita zvemukati. |
Chii chinoitika mushure mekurapwa?
Kazhinji, chirwere ichi chinova nani mukati memazuva maviri kusvika matatu . Kana ura hwako hwatanga kushanda zvakare, unotanga kubuda gasi. Ndiyo chiratidzo chakanakisa. Zvadaro, sezvakataurwa nachiremba wako, unogona kutanga kudya zvinwiwa zvishoma nezvishoma, wozotanga kudya zvinhu zvakaita sesupu, wozotanga kudya nguva dzose.
Kana zvikatora nguva inopfuura mazuva mashanu, chiremba achaongorora zvakanyanya kuti aone kana paine chimwe chikonzero.
Mharidzo Yekuenda Nayo Kumba
- Paralytic Ileus haisi dambudziko rematumbu, asi kumisa kufamba kwemudumbu kwenguva pfupi.
- Chikonzero chikuru chechirwere ichi kuvhiyiwa, asi chinogonawo kukonzerwa nehutachiona, mimwe mishonga, nezvimwe zvirwere.
- Zviratidzo zvikuru kuzvimba, gasi, kuvimbiwa, uye kurutsa. Kana izvi zvakanyanya, unofanira kuenda kuchipatara nekukasika.
- Ichi chirwere chenguva pfupi chinowanzopera mukati memazuva mashoma. Kurapwa kuchipatara kunopa muviri rutsigiro rwakakodzera.
- Kana uine zviratidzo zvakaita seizvi, usangozvifuratira woti, "Izvi zvingangova zvimwe zvinhu," asi taura nachiremba wako kuti akupe mazano.
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