Ukuvaleka kwamathumbu? Masithethe ngale nto!

Ngaba wakha wanesisu esibuhlungu kakhulu, waziva ugcwele, okanye waziva ugula? Ngaba uziva ngathi awukwazi ukutya, kwaye uziva ngathi uza kuhlanza? Ngamanye amaxesha ezi zinto zingaba luphawu lwento enzulu. Oko kukuvaleka kwamathumbu, okanye oko oogqirha bakubiza ngokuba kukuvaleka kwamathumbu . Ixesha libaluleke kakhulu kweli tyala. Ke namhlanje, masithethe ngale nto ngokweenkcukacha, kodwa ngokulula.

Yintoni ukuvaleka kwamathumbu?

Ngamafutshane, ukuvaleka kwamathumbu kukuvaleka kwamathumbu amancinci okanye amathumbu amakhulu , nokuba kuncinci okanye ngokupheleleyo. Uyazi, ukutya esikutyayo kuhamba ngamathumbu emva kwesisu, apho kufunxa khona izondlo ezifunekayo emzimbeni, kwaye ekugqibeleni inkunkuma isuswa njengendle. Ngoko ke, xa le ndlela yamathumbu ivalekile, ukutya kunye nenkunkuma kuyayeka ukuhamba kwaye kubambeke kwindawo enye.

Khawuthelekelele ukuba xa umbhobho wamanzi ubhajwe embindini, amanzi azala endaweni enye endaweni yokuba aphume. Oku kwenzeka nalapha.

Xa inkunkuma, umoya, kunye nejusi yokugaya ukutya zibambeka ngale ndlela, izicwili zamathumbu kuloo ndawo zinokonakala. Oku kunokuthintela ukusebenza okuqhelekileyo kwamathumbu kwaye kubangele neengxaki eziyingozi. Yiyo loo nto kubalulekile ukubona ugqirha ngokukhawuleza ukuba unezi mpawu.

Ziziphi iintlobo zokuvaleka kwamathumbu?

Oogqirha bahlula ezi ngxaki zamathumbu ngokusekwe kwindawo apho zikhoyo ezi ngxaki:

• Ukuvaleka kwamathumbu amancinci: Uninzi lwexesha, malunga ne-80% yokuvaleka kwenzeka emathunjini amancinci. Amathumbu amancinci yinxalenye edibanisa isisu kunye namathumbu amakhulu. Njengoko ukutya kudlula emathunjini amakhulu, kuyagaywa kwaye izondlo namanzi ziyafunxwa emzimbeni.
• Ukuvaleka Kwamathumbu Amakhulu: Amathumbu amakhulu aquka ikholoni yakho kunye ne -rectum . Ukufunxwa kwezondlo eziqala emathunjini amancinci kuyaqhubeka apha. Kukwaguqula ukutya namanzi kube yindle. Malunga nama-20% azo zonke izithintelo zenzeka emathunjini amakhulu.

Ingahlulwa ngokwendlela yokuvaleka:

• Ukuvaleka Okupheleleyo: Icandelo elichaphazelekayo lamathumbu livalekile ngokupheleleyo. Akukho nto inokudlula.
• Ukuvaleka Okuncinci: Yinxalenye yamathumbu kuphela evalekileyo okanye enciphileyo. Ezinye izinto zinokudlula.
• Ukuvaleka kwento engeyiyo: Oku kuyinto engaqhelekanga. Kubangela iimpawu zokuvaleka ngaphandle kokuba kube nayo. Izazinzulu zicinga ukuba kubangelwa kukungasebenzi kakuhle kwenkqubo yemithambo-luvo yamathumbu. Kodwa kufuneka uphando oluthe kratya ngale nto.

Zixhaphake kangakanani izithintelo zamathumbu?

Ukuvaleka kwamathumbu amancinci sisizathu esiqhelekileyo sokuba abantu baye kumasebe angxamisekileyo (EDs). Ukuvaleka kwamathumbu amancinci akuqhelekanga kangako kuluntu ngokubanzi. Nangona kunjalo, kuqhelekile kubantu abanomhlaza wamathumbu amakhulu. Malunga nama-40% abantu abanomhlaza wamathumbu amakhulu bafunyanwa benaso esi sifo xa befika kwicandelo elingxamisekileyo beneempawu zokuvaleka kwamathumbu okubangelwa sisimila.

Zithini iimpawu zokuvaleka kwamathumbu amancinci?

Usenokuba neentlungu zesisu eziqatha ngequbuliso eziya kuphela zize zibuye (njengegagasi). Intlungu isenokuqhubeka okwethutyana. Usenokuba nenye okanye ngaphezulu kwezi mpawu:

• Intlungu yesisu , ukudumba, okanye ukuziva uzele .
• Isicaphucaphu nokuhlanza .
• Ukutya akunancasa .
• Ukugula okungapheliyo - Oku kuthetha ukuziva ugula ngokubanzi.
• Urhudo (oku kudla ngokuba luphawu lokuvaleka kwenxalenye ethile).
• Iimpawu zokuphelelwa ngamanzi emzimbeni, ezifana nokubetha kwentliziyo ngokukhawuleza kunye nomchamo omnyama.
• Ukuqhinwa okuqatha (xa kuvaliwe ngokupheleleyo, akukho ndlela yokungena komoya okanye isitulo).

Banjani abantwana abancinci?

Iintsana nabantwana baneempawu ezifanayo nezabantu abadala. Nangona kunjalo, akunakwenzeka ukufumanisa apho umntwana ebuhlungu khona. Basenokutsala imilenze yabo iye esiswini baze balile. Ukongeza, abantwana abancinci banokuba neempawu ezifana nezi:

• Ifiva.
• Ukopha okuphuma emqolo.
• Ukuhlanza okuluhlaza okwesibhakabhaka.
• Ukudinwa.
• Isisu sivakala sidumbile kwaye siqinile.

Kuvakala njani xa kuvaliwe amathumbu?

Indlela evakalelwa ngayo inokwahluka ngokuxhomekeke ekubeni ukuvaleka kungaphakathi kwamathumbu amancinci okanye amathumbu amakhulu, kunye nokuba kwenzeka ntoni ngaphakathi esiswini. Ngokubanzi, ukuvaleka kwamathumbu kuvakala njengentlungu ebukhali esiswini. Kwindawo encinci yokuvaleka kwamathumbu, intlungu ifika kancinci kancinci, rhoqo emva kwemizuzu embalwa. Intlungu inokuvakala nakwiindawo ezingaphezu kwenye. Kwindawo enkulu yokuvaleka kwamathumbu, intlungu inokuba iyaqhubeka. Intlungu isenokuvakala ngathi isasazeka esiswini sonke. Nangona kunjalo, ukuba unentlungu enkulu yesisu kunye neempawu ezifana nokudumba, isicaphucaphu, kunye nokuhlanza, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha ngoko nangoko.

Ngaba ungaphuma indle xa unesithukuthezi?

Ewe. Kuxhomekeke ekubeni ivalekile phi kwaye inzima kangakanani. Umzekelo, ukuvaleka okungaphelelanga kunokwenza kube nzima kancinci ukuphuma kwendle, kodwa ukuvaleka ngokupheleleyo kunokwenza kube nzima ukuphuma kwendle okanye ukuphuma komoya.

Zithini izizathu zokuvaleka kwamathumbu?

Kukho izizathu ezininzi eziphambili zokuvaleka kwamathumbu:

• Ukuncamathelisa isisu: Ukuba ukhe watyandwa isisu okanye i-pelvic ngaphambili, usenokuba nezicwili ngaphakathi kwesisu sakho emva kotyando. Ezi zinokusebenza njengeteyiphu enamathelayo kwaye zincamathisele iindawo zamathumbu akho kunye, nto leyo ebangela ukuvaleka. Le yeyona nto iphambili ebangela ukuvaleka kwamathumbu amancinci kumazwe afana ne-United States.
• I-Hernias: Inxalenye yamathumbu ingaphuma kwindawo ebuthathaka eludongeni lwesisu. Ukuba inxalenye yamathumbu ephumayo iyanamathela, okanye ukuba iqina kakhulu, inokubangela ukuvaleka kwamathumbu. I-Hernias yeyona nto yesibini ebangela ukuvaleka kwamathumbu amancinci.
• Iithumba Ezinomhlaza: Iithumba ezinomhlaza zinokukhula kwikholoni ngokwayo, okanye umhlaza ovela kwenye indawo ungasasazeka uye kwikholoni (umhlaza osasazekayo) . Ezi thumba zinokubangela ukuvaleka kwekholoni kancinci okanye ngokupheleleyo. Eyona nto ibangela ukuvaleka kwekholoni ngumhlaza wekholoni.

Kukho nezinye izizathu:

• Isifo samathumbu esivuthayo (IBD): Iimeko ze-IBD, ezifana neSifo sikaCrohn, zinokubangela ukuba kubekho izicubu ezibomvu eludongeni lwamathumbu. Ezi zicubu zibomvu zinokuqokelelana kwaye zinciphise amathumbu (ii-strictures) .
• I-Diverticulitis: Kulapho ke iingxowa ezincinci (i-diverticula) kwikholoni zikhula khona zize zivuvuke. Oku kudumba kunokubangela ukuba ikholoni inciphe. Njengakwi-IBD, amanxeba anokubakho, nto leyo enciphisa ikholoni.
• Ukungena ngaphakathi: Le yeyona nto iphambili ekuvalekeni kwamathumbu kubantwana abangaphantsi kweminyaka emi-3 ubudala. Oku kwenzeka xa inxalenye ethile yamathumbu ivaleleka kwenye, njengeteleskopu ejikeleziswa ngaphakathi. Oku kunokubangela ukuba amathumbu avaleke kwaye ukuhamba kwegazi kungavaleki.
• I-Volvulus: Abanye abantwana bazalwa benesifo sokuwohloka kwamathumbu. Oku kunokubangela ukuba amathumbu abo ajijeke (i-volvulus) , nto leyo enokubangela ukuvaleka. Abantu abadala nabo banokuba nokugoba kwamathumbu, kodwa kunqabile kakhulu.
• Unyango ngemitha esiswini, entlafunweni, okanye emqolo: I-radiation enteritis inokwenzeka njengesiphumo esingesihle sonyango ngemitha. Kulapho imitha ibangela amanxeba kwizicubu eziphilileyo. Olu xinzelelo lunokubangela ukuba amathumbu anciphe aze avaleke.
• Ukuginya into engaqhelekanga: Ukuba uginya into engenakugaywa ngumzimba kwaye engeyoyenzelwe ukutya, inokubhajwa emathunjini.

Zithini iingxaki zokuvaleka kwamathumbu?

Ukuba akunyangelwa ngokukhawuleza, iingxaki ezibangelwa kukuvaleka kwamathumbu zinokuba yingozi ebomini .

• Ukugqobhoka Kwamathumbu Nokusuleleka: Ukuqokelelwa kolwelo, umoya, kunye neejusi zokugaya ukutya ngenxa yokuvaleka kunokubangela uxinzelelo oluphezulu ngaphakathi kwamathumbu, okubangela ukuba amathumbu aqhume okanye aqhekeke . Oku kunokubangela ukuba umxholo wamathumbu uvuzele kwisisu, okubangela usulelo lwesisu olubizwa ngokuba yi -peritonitis , okanye usulelo olusongela ubomi olubizwa ngokuba yi-sepsis oluchaphazela umzimba wonke.
• Ukukrwitshwa - ukufa kwezicubu: Ukukrwitshwa kubangela ukuba iindawo zamathumbu zilahlekelwe ligazi. Ezi zicubu ziqala ukufa (Gangrene) . Oku kunokukhokelela kwiintsholongwane ezinzima kwanokufa.

Uyibona njani into yokuvaleka kwamathumbu?

Ngenxa yokuba ukuvaleka kwamathumbu yingxaki yezonyango, ukuxilongwa kudla ngokufumaneka ngokukhawuleza. Ngamanye amaxesha, ukuxilongwa kwenziwa ngexesha lonyango kuba akukho xesha lokuchitha. Ukuxilongwa kungabandakanya:

• Imbali Yezonyango: Ugqirha wakho uza kukubuza ngezinto ezifana notyando lwangaphambili.
• Uvavanyo lomzimba: Ugqirha uza kujonga isisu sakho ukuba asinazo iindumba, amaqhuma, okanye ezinye iimpawu zosulelo. Basenokusebenzisa i-stethoscope ukumamela izandi ezibonisa ukuvaleka kwamathumbu.
• Uvavanyo lweGazi: Kuza kwenziwa ubalo lwegazi olupheleleyo kunye nohlalutyo lwe-electrolyte . Uvavanyo lwegazi luza kukhangela iimpawu zosulelo. Amanqanaba e-electrolyte anokubonisa ukuba uphelelwe ngamanzi emzimbeni kakhulu. Ukuba kunjalo, kuya kufuneka unikwe i-saline (IV fluids) ngoko nangoko.

Iinkqubo zokuthatha imifanekiso zinganceda ugqirha abone ukuvaleka kwaye ajonge iingxaki. Ezi ziquka:

• Ii-X-reyi zesisu: Ii-X-reyi zinokubonisa apho kuvaliwe khona. Zingabonisa nokuba kukho umoya ojikeleze amathumbu okanye i-diaphragm (umsipha owahlula isisu nesifuba). Umoya kwezi ndawo ungathetha ukuba inxalenye yamathumbu ifile okanye igqobhokile.
• I-CT scan (i-Computed Tomography - i-CT scan): I-CT scan inokuvelisa imifanekiso eneenkcukacha ezingaphezulu kune-X-ray. Oku kunokuba yimfuneko ukuqinisekisa ukuxilongwa kwakho kunye nokufumana ulwazi oluchanekileyo malunga nokuba iphi i-blockage kunye nokuba yintoni ebangela oko.
• I-X-reyi ye-Barium Enema: Le yi-X-reyi yekholoni. Ngelixa uphantsi kwe-anesthesia, ugqirha ufaka ityhubhu encinci (i-catheter) nge-rectum yakho.Le tube ifakwa kwikholoni yakho ize izaliswe lulwelo olukhuselekileyo. Imifanekiso ye-X-reyi ithathwa njengoko olu lwelo ludlula kwikholoni yakho. Olu lwelo lwenza ukuba ikholoni yakho ibonakale ngokucacileyo kwimifanekiso ye-X-reyi.

Ezi ndlela zokuthatha imifanekiso zisebenzisa imitha. Ukuba kukho umngcipheko wokuvezwa kwimitha (nokuba kukwizinga elikhuselekileyo), ungafuna ezinye iindlela endaweni yezi ndlela. Abafazi abakhulelweyo kunye nabantwana abancinci banokukwazi ukwenza ii-ultrasound okanye ii-MRI scans, ezingasebenzisi imitha.

Luluphi unyango lokuvaleka kwamathumbu?

Uninzi lwabantu abaneengxaki zamathumbu bafuna unyango olukhawulezileyo esibhedlele. Ukuphazamiseka okupheleleyo kudla ngokufuna utyando olukhawulezileyo. Ukuphazamiseka okuncinci kunokunyangelwa ukuzinzisa imeko yakho, kulandele izisombululo ezingezizo ezotyando (ezifana nokuphumza amathumbu). Konke oku kuxhomekeke ekubeni ukuvalwa kukhulu kangakanani. Unyango lungabandakanya:

• Ulwelo olufakwa kwimithambo yegazi (IV): Uza kunikwa ulwelo oluphuma kwimithambo yegazi kunye nee-electrolytes ukunyanga ukuphelelwa ngamanzi emzimbeni.
• Umbhobho weNasogastric: Kusenokufuneka ufake lo mbhobho ukuze kususwe ulwelo nomoya oqokelelene ngenxa yokuvaleka. Lo mbhobho mide, mncinci ofakwa ngempumlo yakho uze ufakwe esiswini okanye emathunjini akho.
• Amayeza: Amayeza okulwa nokugabha anganikwa ukuthintela isicaphucaphu nokuhlanza, kwaye amayeza okudambisa iintlungu anganikwa ukunciphisa iintlungu.
• Ukuphumla kwamathumbu: Ukuze uvumele ixesha lokuba ukuvaleka kuphele kwaye amathumbu anciphe abe makhulu ngendlela eqhelekileyo, kunokufuneka uyeke ukutya okanye ukusela. Okanye, unokunikwa ulwelo olukhethekileyo lokusela oluqulethe izondlo ezivela ekutyeni.
• Utyando: Ukuba amathumbu akho avalekile ngokupheleleyo, utyando ludla ngokuba yimfuneko. Ugqirha wakho angasusa naziphi na izicwili okanye iithumba ezibangela ukuvaleka. Amaxesha amaninzi, banokususa nezicwili ezigulayo. Ngamanye amaxesha, ugqirha wakho angabeka i -stent ( njengetyhubhu ye-mesh) ukuze agcine ukuvaleka kuvulekile, asombulule ukuvaleka ngaphandle kotyando olongezelelweyo. Okanye, i-stent ingabekwa njengesisombululo sexeshana de ube uphilile ngokwaneleyo ukuba wenze utyando lokulungisa ukuvaleka.

Yintoni onokuyilindela ukuba unesithintelo samathumbu?

Abantu abaninzi bayachacha emva konyango. Iimpawu zokuba ukuvaleka kuyaphola ziquka ukuqunjelwa, ukuncipha kokudumba, kunye nokukwazi ukuhamba kwamathumbu. Kwelinye icala, ukuba ukuvaleka kubangela ukugqobhoka kwamathumbu, imeko inokuba yingozi ebomini. Ke ngoko, kubalulekile ukufuna unyango ngaphambi kokuba kubekho iingxaki kwaye ufune iingcebiso zonyango ngokukhawuleza xa kuvela iimpawu.

Ndifanele ndimbone nini ugqirha?

Bona ugqirha ukuba unayo nayiphi na kwezi:

• Ifiva.
• Ukuhlanza okungapheliyo.
• Intlungu ebukhali yesisu okanye ukuqaqamba okuza kuphinde kudlule okanye okuhlala kuhleli.
• Iimpawu zokuphelelwa ngamanzi emzimbeni.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ungabuza imibuzo efana nale:

• Kutheni ndibe nomvandedwa wamathumbu?
• Luhlobo luni lonyango endiludingayo?
• Ngaba ndisemngciphekweni wokuba ndivaleke amathumbu kwixesha elizayo?
• Zeziphi iingxaki ekufuneka ndizazi xa ndifumana unyango?
• Ndingatshintsha njani indlela enditya ngayo kunye namanqanaba omsebenzi wam ngelixa ndisaphila?

Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule

Ukuba uneempawu zokuvaleka kwamathumbu, khawuleza ufune uncedo lwezonyango. Abantu abaninzi badla ngokulibazisa ukuya kugqirha xa beva iintlungu, becinga ukuba akukho nto imbi kangako. Kodwa xa kufikwa ekuvalekeni kwamathumbu, "ukulinda ukuba aphele" akulona ukhetho lulungileyo. Musa ukuyityeshela intlungu yesisu , ingakumbi ukuba ukhe watyandwa ngaphambili okanye unento enobungozi efana ne-IBD. Ukuvaleka kwamathumbu yimeko enokunyangwa. Musa ukulibazisa.

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Ukuvaleka kwamathumbu , iintlungu zesisu, ukuqhina, ukuhlanza, izifo zamathumbu, utyando