Mwana wako mudiki anotanga kuchema zvinonzwika here achitamba? Anodhonza mabvi ake pachipfuva chake, obata dumbu rake, ochema asingamiri here? Kuchema kunomira here mushure mechinguva, asi mushure memaminitsi angangoita 15-20, otanga kuchema semurume mukuru? Zvine musoro kuti chero amai kana baba vatye pavanoona chimwe chinhu chakadai. Zviratidzo zvakaita seizvi dzimwe nguva zvinogona kuva chiratidzo chechirwere chatisati tanzwa kakawanda, asi chinoda kurapwa nekukurumidza. Ndizvo zvinoreva Intussusception. Ngatitaurei nezvazvo zvakadzama nhasi.
Zvichitaurwa zviri nyore, chii chinonzi Intussusception?
Kupinda mudumbu chirwere chinorwadza uye chakakomba chinoitika muura. Zvikuru sei, chinoitika kana chikamu chimwe cheura chikatsvedza chichipinda mune chimwe chikamu chiri pamberi pacho.
Funga nezveteresikopu yekare. Patinoivhura, chikamu chimwe chinobuda kubva kune chimwe. Patinoivhara zvakare, zvikamu zvinodzokera mukati, handiti? Ndizvo zvinoitika kumatumbu edu mumamiriro ezvinhu aya. Asi kusiyana nemateresikopu, matumbu edu anogara akavhurika.
Kana chikamu cheura chikafamba chichipinda mune chimwe chikamu nenzira iyi, chinokonzera kuvharika kweura. Izvi zvinodzivirira chikafu nechikafu chakagayiwa kuti chisafambe muura. Chinonyanya kuipa ndechekuti ropa rinoenda kuchikamu chakapindwa muura rinobviswa. Kana ropa rikashaikwa, nyama iri muchikamu ichocho inotanga kufa. Izvi zvinogona kukonzera buri muura, hutachiona mukati medumbu, uye kubuda ropa mukati. Saka , intussusception chirwere chekurapa chinogona kutoisa upenyu panjodzi.
Ndezvipi zvikonzero uye zvinhu zvinokonzera njodzi yechirwere ichi?
Kupinda kwepamuviri mudumbu (intussusception) ndiyo dambudziko rinowanzoitika kuvana vari pasi pemakore maviri. Zvisinei, rinogonawo kuitika kuvana vakuru nevadiki. Hazviwanzoitiki kuvanhu vakuru. Kana zvikaitika, zvinowanzokonzerwa nechimwe chirwere, chakadai sebundu muura.
Kune zvinhu zvakawanda zvinowedzera njodzi yechirwere ichi pakati pevana vadiki.
| Chinhu chine njodzi | Tsananguro |
|---|---|
| Murume kana Mukadzi | Dambudziko iri rinowanzoitika pakati pevakomana kupfuura vasikana. |
| Matambudziko kubva pakuzvarwa | Vamwe vana vanoberekwa vaine zvirwere zvakaita sekuora kwemudumbu. Vana ava vari panjodzi huru. |
| Nhoroondo yekare | Mwana akambova nepfungwa yekunzwa kusununguka (intussusception) ane mukana mukuru wekuzviwana zvakare. |
| Nhoroondo yemhuri | Kana mukoma kana hanzvadzi mumhuri ine chirwere ichi, vamwe vana vanogonawo kuva panjodzi. |
Zvikonzero muvanhu vakuru
Kana munhu mukuru akasangana nechirwere ichi, chikonzero chacho chingangove chimwe chezvinotevera:
- Chipembenene kana bundu muura.
- Mavanga kana kuti mavanga ari muura kubva pakuvhiyiwa kwakapfuura.
- Zvirwere zvinokonzera kuzvimba kwemudumbu, zvakaita sechirwere cheCrohn .
- Kuvhiyiwa kwekudzikisa huremu kwakadai sekuvhiyiwa kwemudumbu.
Ndezvipi chaizvo zviratidzo zveizvi?
Kana izvi zvikaitika kumwana mudiki asati atanga kutaura, acharatidza kurwadziwa kwake nekungoerekana achema nekuchema zvine ruzha. Panguva imwe chete, achakwevera mabvi ake pachipfuva chake.
Marwadzo aya anouya kwenguva pfupi pakutanga. Anouya opera mushure memaminitsi gumi nemashanu kusvika makumi maviri ega ega. Asi nekufamba kwenguva, marwadzo anowedzera kuwanda uye kwenguva yakareba.
Asi havasi vana vese vakafanana. Vamwe vana vanogona kunge vasina kurwadziwa zvachose. Saka, chenjerera zviratidzo zvinotevera.
| Chiratidzo | Tsananguro iri nyore |
|---|---|
| Zvituru zvakafanana ne "currant jelly" | Kubuda tsvina yakatsvuka yakaita sejeli yakasanganiswa neropa netsvina (“jeli yeCurrant”). Ichi chiratidzo chakakosha zvikuru. |
| Bundu kana kuzvimba mudumbu | Kuona bundu kana kuzvimba mudumbu remwana izvo zvinogona kunzwikwa neruoko. |
| Kurutsa | Kurutsa mvura yero-girini, zvinoreva nyongo. |
| Zvimwe zvinhu | Fivha, manyoka, uye kushaya simba mumwana. |
Kune vakuru, chirwere ichi chinogona kutanga sekurwadziwa kwemudumbu. Kana kurwadziwa kwemudumbu , pamwe chete nekurutsa nekurutsa , kuchiuya kwozopera, uye kurwadziwa kukawedzera pese panoitika, unofanira kunetseka.
Ndinofanira kuona chiremba rini?
Iyi inyaya yekurapwa. Usanonoka. Kana uine fungidziro yekuti mwana wako ane zviratidzo izvi, fonera chiremba nekukasika. Kana chiremba asipo panguva iyoyo, muendese zvakananga kuEmergency Department (ETU) yechipatara chiri pedyo.
Kana ropa richienda kuchikamu cheura rachekwa, nyama iri muchikamu ichocho inotanga kufa. Kana izvi zvikaitika, hutachiona hunogona kupararira kusvika mudumbu. Ichi chirwere chine njodzi zvikuru, chinouraya chinonzi Peritonitis .
Kana mwana akasarapwa, anogona kuvhunduka. Zviratidzo zvinosanganisira:
- Mwana anoratidza hunhu hwekusagadzikana.
- Kufamba kwemwoyo zvisina kujairika (kungave kunonoka kana kukurumidza).
- Kufema zvisina kujairika (kungave kwakadzika zvakanyanya kana kuti nekukurumidza zvakanyanya).
- Ganda rinotonhora, rinoita serakapfava, rakachenuruka, kana kuti grey.
- Kusava nehupenyu kwemuviri.
- Kurasikirwa nepfungwa.
Unofanira kuitei usati waenda kunoona chiremba?
Sezvo izvi zviri zvekukurumidzira, zvese zvichaitika nekukurumidza kana masvika kuchipatara. Saka musavhunduka. Chinhu chakakosha ndechekuti, musape mwana wenyu chekudya, chekunwa, kana kunwa chero mishonga inonyaradza marwadzo inotengwa kunze kwechitoro kusvika masvika kuchipatara.
Kana uine nguva, yeuka mhinduro dzemibvunzo iyo chiremba angangobvunza. Zvadaro unogona kupa ruzivo nekukurumidza.
- Zviratidzo zvakaita sekurwadziwa mudumbu zvakatanga rini?
- Marwadzo acho airamba aripo here kana kuti aingouya oenda?
- Wakambonzwa kuda kurutsa, kurutsa, kana manyoka here?
- Wakaona ropa mutsvina yako here?
- Waona kuzvimba kana kuti bundu mudumbu mako here?
Kuongororwa kwechirwere kunoitwa sei?
Chiremba wenyu achabvunza nezvezviratidzo zvemwana wenyu uye nhoroondo yezvekurapa kwake. Zvadaro vachaongorora mwana wenyu. Vanogonawo kukupai IV line yekudzora huwandu hwemvura yemwana wenyu uye vanogona kuisa nasogastric tube kubatsira kuderedza kumanikidzwa muura hwemwana wenyu.
Pamusoro pezvo, vacharaira bvunzo dzinoverengeka kuti vaongorore mukati medumbu.
- X-ray yedumbu: Izvi zvinobatsira kuona kana paine kuvharika muura.
- Ultrasound: Kuongororwa uku kunoshandisa mafungu eruzha kugadzira mifananidzo yenhengo dzemukati medumbu. Uku kuongorora kwakakosha zvikuru pakuongorora intussusception.
- Enema yemhepo kana kuti contrast: Muizvi, chubhu yakapfava inopinzwa nepaburi remudumbu uye mvura yakakosha, senge mhepo kana barium, inopinzwa muura. Izvi zvinoita kuti kuvharika kuonekwe zvakajeka paX-ray. Dzimwe nguva, kumanikidzwa kubva kune enema kunogona kubatsira hura kudzokera panzvimbo yahwo. Kana izvozvo zvikaitika, zvinogonawo kuva mushonga.
Ndezvipi zvingasarudzwa pakurapa?
Dzimwe nyaya dzinongoitika kwenguva pfupi uye dzinogona kupera pasina kurapwa, asi dzakawanda dzinoda kurapwa.
Sezvambotaurwa, kana enema ikasarapa chirwere chacho, danho rinotevera kuvhiyiwa. Usatya kuvhiyiwa, vanachiremba vachaita zvese zvavanogona kuti mwana asarwadziwe.
Izvi ndizvo zvinoitika panguva yekuvhiyiwa:
- Chiremba wevana anorara zvakanaka (nyanzvi yekupa vana anesthesia) acharara zvakanaka.
- Kana kuvhiyiwa kwacho kuchiitwa ne laparoscopically, zvinoreva kuti "keyhole surgery," chiremba anoita mavanga madiki akawanda mudumbu uye anoisa kamera nemidziyo midiki kuburikidza nazvo kuti avhiyiwe.
- Zvikasadaro, kucheka kudiki kunoitwa kurudyi kwedumbu, uye chikamu cheura chakaiswa chinobviswa nemaoko chodzoserwa panzvimbo yacho.
- Kana chikamu cheura chakakuvara neimwe nzira uye chisingagoni kugadziriswa, chiremba achabvisa chikamu cheura chakakuvara obatanidzazve zvikamu zviviri zvine hutano.
Chii chinoitika mushure mekurapwa?
Mwana mumwe chete pavana gumi vanorapwa achadzokazve mukati memaawa makumi manomwe nemaviri. Saka, kungave kurapwa kwacho kuri kwe enema kana kuvhiyiwa, mwana achachengetwa muchipatara kwezuva rimwe chete kuti aonekwe.
- Kana wakaporeswa ne enema:
- Mhepo ichaburitswa mumuviri wemwana mumaawa mashoma anotevera.
- Paracetamol (Acetaminophen) inogona kupiwa kana paine fivha.
- Hapana chikafu kana chinwiwa chinopihwa mumaawa gumi nemaviri ekutanga. Mushure meizvozvo, mvura yakachena inotanga yapihwa, uye zvekudya zvakasimba zvinozoiswa.
- Kana wakavhiyiwa:
- Mushure mekuvhiyiwa, mwana anochengetwa muimba yekupona kwemaawa mashoma ozoendeswa kuchipatara.
- Mishonga inouraya marwadzo ichapihwa kuburikidza neIV yekurwadziwa.
- Kana ganda rakachekwa rakavharwa nebhandeji regauze, rinogona kubviswa mumazuva mashoma. Kana rakafukidzwa nechinhu chakaita seDermabond, rinonyungudika roga.
- Kana vakapihwa mvura yekutanga uye vasingarutsi, vanotanga kuvapa chikafu chakasimba.
- Kana mwana atanga kudya nekunwa zvakanaka uye achinzwa zviri nani, anogona kudzokera kumba.
- Munogona kugeza mwana wenyu mazuva maviri mushure mekuvhiyiwa, asi musamurege kumhanya, kusvetuka, uye kuita zvimwe zvinhu zvemuviri kusvika maona chiremba zvakare (kazhinji mukati memavhiki maviri kusvika matatu).
Mharidzo Yekuenda Nayo Kumba
- Kupinda mudumbu chirwere chakakomba, chekukurumidzira chinogona kuitika kuvana vadiki.
- Zviratidzo zvikuru kurwadziwa kwemudumbu kamwe kamwe, kunouya kwozopera, mabvi anokweverwa kusvika pachipfuva, uye tsvina yakaita sejelly ine ropa.
- Kana mukaona zviratidzo izvi, endai nemwana kuchipatara cheEmergency Treatment Unit (ETU) nekukasika.
- Dzivisa kupa mwana wako chikafu, chinwiwa, kana chero mushonga usati waenda kuna chiremba.
- Kana chirwere ichi chikaonekwa uye chikarapwa nekukurumidza, chinogona kurapwa zvachose.
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