Khawuthelekelele umntwana wakho omncinci edlala kakuhle, aze ngequbuliso ajike abe yibhola, atsale amadolo akhe aye esiswini sakhe, aze aqalise ukukhala kakhulu. Nokuba uzama kangakanani ukumthomalalisa, ukukhala akupheli. Kodwa emva kwemizuzu eli-15-20, ukukhala kuyayeka aze aqale ukudlala kwakhona, ngokungathi akukho nto yenzekileyo. Unokucinga ukuba yintlungu yesisu nje. Kodwa le inokuba yimeko embi kakhulu ebizwa ngokuba yi-Intussusception , efuna unyango olukhawulezileyo. Kubalulekile ukuba bonke abazali baqaphele oku, njengoko kuyingxamiseko yezonyango.
Ngamafutshane, yintoni i-Intussusception?
Nangona eli gama lisenokuvakala lingaqhelekanga, okwenzekayo kulula kakhulu. Ukungena ngaphakathi kuxa elinye icandelo lamathumbu ethu, njengeteleskopu, liginya elinye icandelo lawo. Kufana nekawusi egoqwe ngaphakathi. Oku kudla ngokwenzeka emathunjini amancinci.
Xa oku kusenzeka, ukuhamba kokutya emathunjini kuyeka phantse ngokupheleleyo, nto leyo ebangela ukuvaleka kwamathumbu . Ukongeza, imithambo yegazi ehambisa igazi kuloo nxalenye yamathumbu iyaxinwa, nto leyo ethintela ukuhamba kwegazi. Ukuba ayinyangwa ngokukhawuleza, oku kungavalwa kunokubangela ukuba amathumbu adumbe, avuvuke, kwaye kubangele iingxaki ezinkulu ezinokuba yingozi kubomi.
Ukungena ngaphakathi emzimbeni yingxaki yezonyango. Nangona kunjalo, ukuba ufika esibhedlele ngokukhawuleza, ungaphila ngokupheleleyo. Ngoko ke ungoyiki, kodwa ungalibazisi.
Ixhaphake kangakanani le meko?
Nangona i-intussusception inokwenzeka nakweyiphi na iminyaka, ixhaphake kakhulu kubantwana abaphakathi kweenyanga ezi-3 kunye neminyaka emi-3 ubudala . Enyanisweni, i-intussusception yeyona nto iphambili ekuvalekeni kwamathumbu kubantwana abangaphantsi kweminyaka emi-3 ubudala. Kuqikelelwa ukuba malunga nomntwana omnye kwabangama-2,000 uya kuba nale meko kunyaka wakhe wokuqala wobomi.
Akuqhelekanga kakhulu kubantu abadala. I-Intussusception ibangela i-1% kuphela yazo zonke iingxaki zamathumbu kubantu abadala.
Ungaziqonda njani iimpawu ze-intussusception?
Ukuba ukrokrela ukuba umntwana wakho unale meko, kubaluleke kakhulu ukuba uqaphele ezi mpawu.
Iimpawu kubantwana abancinci
Iimpawu ebantwaneni zahlukile kancinci. Uphawu oluphambili yintlungu yesisu ebuhlungu kakhulu ephela emva kwexesha elithile.Xa kufika le ntlungu, abantwana abancinci bacinezela amadolo abo esiswini baze bakhale kakhulu. Le ntlungu inokuhlala malunga nemizuzu eli-15-20. Emva koko ngequbuliso intlungu iyaphela, kwaye umntwana uqala ukwenza izinto ngendlela eqhelekileyo kwakhona, aze adlale. Eli xesha lingenantlungu linokuhlala malunga nemizuzu engama-20-30. Emva koko intlungu embi iqala kwakhona.
Njengoko olu mjikelo wentlungu uqhubeka, umntwana unokudinwa, alale, aze aphelelwe ngamandla . Basenokuba nomkhuhlane, kwaye kwiimeko ezinzima, baqale ukothuka.
Kwakhona qaphela ezi mpawu zilandelayo.
| Uphawu | Inkcazo |
|---|---|
| Ukudumba/ukudumba | Xa uchukumisa isisu sakho, sinokuvakala ngathi sidumbile kwaye siqinile. |
| Ukuhlanza | Nangona ukutya kunokuhlanzwa ekuqaleni, ulwelo olumthubi-luhlaza (inyongo) lunokuhlanzwa kamva. |
| Izitulo ezibomvu ezifana nejeli | Olu luphawu olubaluleke kakhulu. Indle ifana nejeli ebomvu ngenxa yegazi kunye ne-mucus ephuma emathunjini. Ayingabo bonke abantwana abanokubonisa olu phawu. |
Ngamanye amaxesha, ezi mpawu zinokuvela emva kweeveki ezimbalwa umntwana enesifo esifana nomkhuhlane wentsholongwane. Ngoko ke ukuba umntwana wakho ebegula kutshanje, nawe kufuneka ukrokre oku.
Eyona nto ibalulekileyo kukuba, ukuba umntwana wakho ubonakala ebuhlungu esiswini ngendlela engachazekiyo, mse kugqirha ngokukhawuleza ngaphandle kokucinga ngenye into.
Iimpawu kubantu abadala
Iimpawu ze-intussusception zahlukile kancinci kubantu abadala. Iintlungu zesisu zinokufika ziphele njengasebantwaneni, okanye zingahlala zihleli. Ukugabha, ukudumba, kunye nendle enegazi nazo ziqhelekile kubantu abadala. Nangona kunjalo, ngenxa yokuba ezi mpawu ziqhelekile kwezinye izifo ezininzi zamathumbu, abantu abaninzi bazama ukuzityeshela. Nangona kunjalo, i-intussusception iyingozi kakhulu.
Kutheni oku kusenzeka? Zithini izizathu?
Kudla ngokuba nzima ukufumana unobangela othile wokungena ngaphakathi emzimbeni, ingakumbi kubantwana abancinci.
Kodwa kufunyenwe ukuba kukho izinto ezithile ezinokuchaphazela oku.
- Kubantwana: Kubonakala ngathi kukho unxibelelwano phakathi kosulelo lwentsholongwane kunye nale meko. Uninzi lwabantwana luyikhula ngexesha lemozulu ebandayo, xa umkhuhlane kunye ne-viral gastroenteritis zixhaphakile. Ingabangelwa naziingxaki zokuzalwa zamathumbu, njengemeko ebizwa ngokuba yiMeckel's diverticulum okanye ukukhula okuncinci kwamathumbu (ii-polyps).
- Kwabantu abadala: Izizathu kubantu abadala zicacile ngakumbi. Ukungena ngaphakathi emzimbeni kudla ngokubangelwa zizinto ezifana neethumba ezinobungozi okanye ukukhula okungengobungozi kumathumbu amakhulu. Akuqhelekanga ukuba kubangelwe ziimeko zokudumba kwexesha elide kumathumbu amakhulu, njengesifo sikaCrohn.
Iingxaki eziyingozi ezinokwenzeka ukuba azinyangwa
Le yinto ekufuneka ithethwe rhoqo. Ukungena ngaphakathi emzimbeni kunokuba yingozi ebomini ukuba akunyangwa ngokukhawuleza.
- Ukugqobhoka kwamathumbu: Xa amathumbu evalekile, ukutya kunye neejusi zokugaya ukutya ziyaqokelelana emva kwawo, nto leyo enyusa uxinzelelo. Olu xinzelelo lunokubangela ukuba amathumbu adumbe aze ekugqibeleni aqhume, enze umngxuma.
- Usulelo olunzima (i-peritonitis): Xa amathumbu evuleke, umxholo wawo uvuza ungene kwisisu. Oku kunokubangela usulelo olunzima olusasazeka kwisisu, nto leyo ebangela imeko esongela ubomi ebizwa ngokuba yi-sepsis.
- I-Bowel necrosis: Xa igazi liphuma liye kwinxalenye yamathumbu, izicwili ezikuloo nxalenye ziqala ukufa ngaphandle kokufumana ioksijini. Ukuba oku kuyenzeka, loo nxalenye yamathumbu kusenokufuneka isuswe ngotyando.
Ezi ngxaki zinokwenzeka ngokukhawuleza. Yiyo loo nto kubalulekile ukukuphatha oku njengengxamiseko kwaye uye kwiSebe leeNgxamiseko lesibhedlele (ETU) ngoko nangoko .
Oogqirha bayixilonga baze bayinyange njani le nto?
Ngokwesiqhelo, ukuxilongwa kunye nonyango lwale meko kwenzeka ngaxeshanye. Xa umntwana eziswa esibhedlele enezi mpawu, into yokuqala eyenziwa ngoogqirha kukuhlolwa nge-ultrasound. Oku kunokuqinisekisa ngokuchanekileyo kwe-100% ukuba kukho i-intussusception okanye akunjalo.
Inyathelo elilandelayo nelibaluleke kakhulu yinkqubo ebizwa ngokuba yi -Air Enema okanye i-Contrast Enema .
Luluphi olu nyango lwe-Enema?
Le ayiyonkqubo yotyando. Kule nkqubo, kufakwa umbhobho omncinci nge-rectum yomntwana, kwaye umoya (i-Air Enema) okanye ulwelo olukhethekileyo olufana ne-`(barium)` (i-Contrast Enema) ludluliselwa ngayo emathunjini. Uxinzelelo oludalwa yile moya okanye ulwelo lutyhala inxalenye yamathumbu etshone ngaphakathi, lulungisa amathumbu. Ugqirha ubukela yonke le nkqubo ngevidiyo ye-X-ray.
Okumangalisayo kukuba, le nkqubo ayifumanisi nje kuphela esi sifo, kodwa ikwaphilisa nabantwana abamalunga nama-85%. Ayifuni ne-anesthesia.
Utyando
Ukungena ngaphakathi kwabantu abadala kudla ngokufuna utyando. Kwakhona, abanye abantwana banokufuna utyando. Oku kungenxa yezi zinto zilandelayo:
- Ukuba unyango lwe-enema aluphumelelanga.
- Ukuba ingxaki efana nokugqobhoka kwamathumbu sele yenzekile.
Olu tyando lungenziwa ngokwesiko, ngomngxunya omnye omkhulu esiswini (utyando oluvulekileyo), okanye ngenkqubo ebizwa ngokuba yi-laparoscopy, ngomngxunya omncinci oliqela esiswini nangoncedo lwekhamera. Ngexesha lotyando, ugqirha uza kuzama ukulungisa inxalenye yamathumbu etyibilikileyo. Ukuba oku akunakwenzeka, okanye ukuba inxalenye yonakele, inxalenye iyasikwa kwaye iindawo ezimbini eziseleyo eziphilileyo zidibene.
Ngexesha lotyando, ingcali yokubulala iintlungu zabantwana iza kumnyamekela umntwana ukuze angabi nantlungu. Ngoko ke akukho mfuneko yokukhathazeka ngayo.
Umntwana uza kuziva njani emva konyango?
Emva konyango lwe-enema, umntwana unokuziva evuvukile kangangeeyure ezimbalwa. Amayeza anjenge-paracetamol anokunikwa ukulawula iintlungu kunye nomkhuhlane.
Emva kotyando, umntwana wakho uya kufuna amayeza entlungu. Baza kunikwa ulwelo lwe-IV kangangeentsuku ezimbalwa de amathumbu abo aphole. Banokuphinda baqale ukutya kwakhona kwiintsuku ezi-1 ukuya kwezi-3. Kungathatha iiveki ezimbalwa ukuba umntwana wakho abuyele kwimisebenzi yakhe yesiqhelo.
Ukuba le meko inyangwa ngokukhawuleza, izinga lokuchacha ebantwaneni liphezulu kakhulu. Nangona kunjalo, kukho ithuba eliphakathi kwe-10% - 20% lokuba oku kuphinde kwenzeke. Ke ngoko, ngaphambi kokuba uphume esibhedlele, buza ugqirha wakho ngononophelo malunga neempawu oza kuzijonga ukuba le meko iphinda ivele na.
Umyalezo Wokuya Ekhaya
- Ukungena ngaphakathi emzimbeni yimeko eqhelekileyo kodwa eyingozi kakhulu phakathi kwabantwana abancinci efuna unyango olungxamisekileyo.
- Uphawu oluphambili kukuqala ngequbuliso kwentlungu eqatha esiswini, ephela emva kwexesha elifutshane ize iqale kwakhona. Ngeli xesha, umntwana uya kukhala kakhulu, amadolo akhe egobile esiswini sakhe.
- "Izitulo ezibomvu ezifana nejeli"Olu luphawu olukhulu lwesilumkiso sesi sifo.
- Ukuba ubona ezi mpawu, musa ukuhlala ekhaya ucinga ukuba, "Oku kubuhlungu nje kwesisu." Yisa umntwana wakho kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele esikufutshane ngaphandle kokulibazisa.
- Okukhona ukhawuleza ukwenza okuthile, kokukhona umntwana wakho enokuthi aphile ngokupheleleyo ngaphandle kweengxaki.
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