Ingaba amathumbu akho nawo afumana ukuhamba kwegazi okunciphileyo? Oku kubizwa ngokuba yiMesenteric Ischemia!

Ngaba wakha waba nesisu esibuhlungu ngequbuliso, esinganyamezelekiyo? Okanye uziva ngathi unesifo sesisu emva kokutya kwaye sibonakala sisiba mandundu? Ukuba uneempawu ezinje, kusenokwenzeka ukuba kungenxa yesimo esingaqhelekanga kodwa esinokuba yingozi. Siza kuthetha ngesinye sezifo ezinjalo namhlanje. Sibizwa ngokuba yiMesenteric Ischemia . Ungakhathazeki, siza kuthetha ngale nto ngokulula nangendlela onokuyiqonda.

Yintoni le mesenteric ischemia?

Ngamafutshane, i-mesenteric ischemia iyenzeka xa iindawo ezithile kwinkqubo yakho yokugaya ukutya zingafumani gazi laneleyo . Kufana naxa amanzi empompini yakho ehla. Oku kudla ngokubangelwa kukuvaleka kwemithambo yegazi ehambisa igazi kwezo ndawo.

Le meko ixhaphake kakhulu kubantu abadala, ingakumbi abo banesifo sentliziyo okanye iingxaki zokugabha igazi.

Cinga nje, yonke iseli, zonke izicwili, kunye nalo lonke ilungu lomzimba wethu lifuna ioksijini. Le oksijini ivela egazini. Ngoko ke, xa ukujikeleza kwegazi kuphazamiseka, ezo zicwili kunye nezicwili azinaoksijini eyaneleyo kwaye azikwazi ukusebenza kakuhle. Ukuba ukuvaleka kukhulu, ezo zicwili kunye nezicwili zinokuqala ukufa . Oku kunokuba yimeko ebulalayo. Ke ngoko, kubaluleke kakhulu ukufumanisa nokunyanga esi sifo ngokukhawuleza.

Athetha ukuthini amagama athi "mesentery" kunye nelithi "ischemia"?

• I-Mesentery: Eli lilungu elifana ne-membrane ngaphakathi esiswini sethu. Yilo elibamba amathumbu ethu amancinci, amathumbu amakhulu, kunye nezinye izitho ezininzi endaweni yalo. Kwakhona, uthungelwano lwemithambo yegazi ludlula kule mesentery olunika igazi kwezo zitho.
• I-Ischemia: Oku kwenzeka xa inxalenye yomzimba wethu ingafumani igazi elaneleyo.

I-Mesenteric ischemia ithetha ukuba oku kuncipha kokuhamba kwegazi kuchaphazela i-mesentery yakho kunye namalungu anxulumene nayo.

Ngaba kukho iintlobo zezi?

Ewe, kukho iintlobo ezimbini ze-mesenteric ischemia:

1. I-Acute Mesenteric Ischemia

Njengokuhlaselwa yintliziyo okanye isifo sohlangothi, le yimeko eyenzeka ngequbuliso. Ibangelwa kukuvaleka komthambo omkhulu, njengale. Idla ngokubangelwa kukuqhekeka kwegazi . Iimpawu zivela ngequbuliso kwaye zinzima kakhulu. Le yimeko engxamisekileyo yezonyango efuna unyango olukhawulezileyo .

2. I-Chronic Mesenteric Ischemia (I-Chronic Mesenteric Ischemia)

Olu hlobo lukhula kancinci ngokuhamba kwexesha. Ludla ngokubangelwa kukuncitshiswa kancinci kancinci kwemithambo yakho ye-mesenteric. Iimpawu zidla ngokuba mandundu ngokuhamba kwexesha.

Ngubani onokuba nethuba elikhulu lokuphuhlisa oku? (Izinto ezibangela umngcipheko)

I-Mesenteric ischemia ixhaphake kakhulu xa umntu ekhula. Ikwanxulunyaniswa nesifo sentliziyo kunye nezifo zenkqubo yokujikeleza kwegazi, ingakumbi iimeko ezinokubangela ukuqhekeka kwegazi.

Nazi ezinye izinto ezibangela umngcipheko:

• Ukuphazamiseka kwesingqisho sentliziyo, umzekelo , i-atrial fibrillation .
• Isifo semithambo yegazi ye-coronary .
• Isifo seswekile (iDiabetes Mellitus) .
• Ukumelwa yintliziyo .
• Uxinzelelo lwegazi oluphezulu (iHypertension) .
• I-cholesterol ephezulu egazini (i-Hyperlipidemia) .
• Iingxaki ze-hypercoagulation .
• Utyando lwakutshanje.
• Izifo zemithambo yegazi emalungeni, umzekelo , isifo semithambo yegazi engaphandle .
• Ukusebenzisa icuba - nokuba ubulisebenzisa ngaphambili okanye ngoku.

Esi sifo asixhaphakanga kangako. Sivela kwisigulana esinye okanye ezimbini kwi-1,000 esibhedlele.

Esi sifo siwuchaphazela njani umzimba? Kutheni siyingozi?

Zonke iiseli, izicwili, kunye namalungu omzimba wethu zifuna ukunikezelwa kwegazi kunye neoksijini rhoqo. Ukuba loo mveliso ilahlekile, ziqala ukufa. Isizathu esiphambili sokuba i-mesenteric ischemia ibe yingozi kukuba ichaphazela amathumbu ethu. Kukho iibhiliyoni zeebhaktheriya ngaphakathi kwamathumbu ethu.

Ngokwesiqhelo, ezi ntsholongwane zilungile kuthi, zisinceda ekugayeni ukutya esikutyayo. Kodwa xa amathumbu eqala ukufa, ezi ntsholongwane zinokusasazeka ziye kwiindawo ezingafanele zibe kuzo kwaye zibangele usulelo oluyingozi . Oku kunokukhokelela kwimeko esongela ubomi ebizwa ngokuba yi-sepsis . I-Sepsis kuxa inkqubo yethu yomzimba isabela ngokugqithisileyo kusulelo, nto leyo ebangela umonakalo emizimbeni yethu.

Yintoni ebangela oku?

Kukho izizathu ezahlukeneyo zeentlobo ezahlukeneyo ze-mesenteric ischemia.

Izizathu ze-Acute Mesenteric Ischemia:

Into efana newax ebizwa ngokuba yi-plaque inokwakheka ngaphakathi kwimithambo yethu, ibangele ukuba iqine. Oku kubizwa ngokuba yi-atherosclerosis . Oku kubonakala rhoqo kwisifo sentliziyo. Ukuba enye yezi plaque iyaqhekeka, igazi linokuqhekeka.

Iindlela amahlwili egazi anokubangela ngayo ukuvaleka:

• Ihlwili legazi kwimithambo yakho ye-mesenteric (15% - 25%): Ezinye iimeko zonyango zenza kube lula ukuba iihlwili zegazi zivele kwimithambo yakho yegazi. Ukuba ihlwili elinjalo lenzeka kwimithambo yakho ye-mesenteric, linokubangela ischemia ebukhali ye-mesenteric.
• I-Mesenteric artery embolism (50%): Oku kwenzeka xa ihlwili legazi elenziwe kwenye indawo emzimbeni liqhekeka lize lihlale kwi-mesenteric artery. Igazi alikwazi ukugqitha ihlwili.
• Amahlwili egazi kwimithambo ye-mesenteric (5%):Oku kunokwenzeka kubantu abaneemeko ezenza igazi liqhekeke lula (ezifana neemeko zofuzo). Xa ihlwili legazi lenzeka kwimithambo ye-mesenteric, ukuhamba kwegazi kuyavalwa, kwaye igazi lizalisa emva kwehlwili. Oku kuqheleke kakhulu kubantu abancinci.

Kukwakho nohlobo olubizwa ngokuba yi -non-occlusive mesenteric ischemia (NOMI) . Malunga nama-20% ezigulana ezine-acute mesenteric ischemia ziwela kolu didi. Oku kubangelwa kukuxinana okanye ukuxinana kwemithambo yegazi. Oku kunokuba nezizathu ezininzi:

• Amayeza: Amanye amayeza entliziyo anokubangela ukuba imithambo yegazi inciphe, njengoko kunjalo nangamayeza afana ne-cocaine.
• Iinkqubo zonyango: Izinto ezifana ne-dialysis kunye notyando zinokubangela ukuba imithambo yegazi ye-mesenteric inciphe.
• Iimeko zempilo: Le meko inokubangelwa zizinto ezifana ne-sepsis, ukungasebenzi kakuhle kwentliziyo, ukuphelelwa ngamanzi emzimbeni, ii-allergy reactions, njl. Uxinzelelo lwegazi oluphantsi nalo lunokubangela oku.

Le meko ye-NOMI ithathe ixesha ukuba ibe mandundu, kodwa iseyingozi.

Izizathu ze-Chronic Mesenteric Ischemia:

Oku kudla ngokubangelwa zizifo zokujikeleza kwegazi ezinciphisa imithambo yegazi. Oku kuncipha, okubizwa ngokuba yi-stenosis , kunciphisa inani legazi elihamba liye kwi-mesentery ngokuhamba kwexesha.

Ingabangelwa nakukuqhekeka kwegazi okwenziwa kwimithambo yegazi emithanjeni yegazi. Ukuba oku kuyenzeka, ihlwili linokukhuliswa kwaye iimpawu zinokwanda ngokuhamba kweentsuku okanye iiveki.

Nangona le meko ingapheliyo ingasongeli ubomi ngoko nangoko, malunga nama-40% ezigulana ezine-acute mesenteric ischemia zineempawu ezingapheliyo esele zikhona. Oko kukuthi, iimpawu ezibangelwa yimithambo yegazi emincinci ziyanda ngequbuliso xa loo mithambo yegazi ivalwe lihlwili legazi elitsha.

Zithini iimpawu zoku?

Iimpawu ze-mesenteric ischemia ziyahluka ngokuxhomekeke kuhlobo.

Iimpawu ze-Acute Mesenteric Ischemia:

Iimpawu zale meko zibonakala ngequbuliso. Nazi:

• Intlungu ebuhlungu esiswini: Olu lolona phawu luqhelekileyo (75% - 80% yezigulana zinalo). Ihlala isenzeka emva kokutya. Kunzima ukufumanisa ukuba iphi kanye kanye esiswini, kodwa intlungu inokuba nkulu kakhulu . Isigulana sinokuthi xa ugqirha esiva isisu, sibuhlungu kakhulu kunokuba bekulindelwe. Olu lusenokuba lolona phawu kuphela kwi-NOMI.
• Ukudumba, isicaphucaphu, kunye nokuhlanza: Oku kudla ngokuhamba neentlungu zesisu. Ukugabha kukwafunyanwa ngabantu abaninzi (malunga nama-70%).
• Utshintsho kwindlela yokuphuma kwamathumbu: Oku kunokubangelwa zizinto ezifana nokuqhinwa.
• Urhudo: Malunga nama-40% ezigulane zinalo. Kodwa lusenokungabi luqhubeke, kodwa lunokuvela ngamanye amaxesha. Urhudo lunokuba qatha kakhulu, lulandelwe yintlungu enzima. Kwinqanaba elinzima lesi sifoUrhudo olunegazi luqhelekile.
• Ukwehla kobunzima: Oku kunokubonwa nakwiimeko ezibukhali. Kusenokuba ngenxa yokungathandi ukutya ngenxa yeentlungu okanye ezinye iimpawu ezingaphambi kokuqala kwesi sifo.
• Umkhuhlane: Oku kungaba luphawu losulelo oluyingozi.

Amaxesha amaninzi, iimpawu ze-mesenteric ischemia engapheliyo (jonga ngezantsi) zingandulela ukuqala kwesi simo siqatha. Malunga nesiqingatha sezigulane eziqatha ziba neempawu ezingapheliyo kuqala.

Iimpawu ze-Chronic Mesenteric Ischemia:

Iimpawu zale meko zibonakala kancinci kwaye ziyanda ngokuhamba kwexesha.

• Intlungu yesisu: Oku kuqheleke kakhulu emva kweyure okanye ezimbini emva kokutya. Kungavakala ngathi kukho into ecinezela isisu sakho (ii-cramps). Intlungu idla ngokuvela esiswini esingaphezulu okanye esijikeleze i-belly button.
• Ukoyika ukutya kunye nokunciphisa umzimba: Njengoko isifo siqhubeka, iintlungu ziya ziba nzima ngakumbi. Oku kunokukhokelela kwimeko ebizwa ngokuba "kukoyika ukutya." Oku kuthetha ukuphepha ukutya kuba ucinga ukuba kuya kuba buhlungu emva kokutya. Oku ngokwemvelo kukhokelela ekunciphiseni umzimba .
• Utshintsho kwimikhwa yendlu yangasese: Kufuneka uye kwindlu yangasese uninzi okanye kancinci kunangaphambili.
• Urhudo: Oku kwenzeka kwisinye kwisithathu sezigulane. Ngokuqhelekileyo lurhudo olungapheliyo.

Oogqirha bayixilonga njani le nto? (Ukuxilongwa)

Ugqirha uxilonga i-mesenteric ischemia ngokudibanisa uvavanyo lomzimba, iimvavanyo zelebhu, kunye novavanyo lwemifanekiso. Ngelishwa, le meko kunzima ukuyixilonga kwasekuqaleni. Omnye umceli mngeni kukuba abantu abaninzi abanale meko abakwazi ukuthetha okanye ukuphendula imibuzo ngokufanelekileyo, ingakumbi xa bebuhlungu kakhulu.

Luhlobo luni lovavanyo oluqhutywayo?

Kukho iimvavanyo ezininzi ezinokunceda ekuxilongeni esi sifo:

Uvavanyo lomzimba

Kulapho ugqirha wakho akujonga khona, akuve, aze akuphulaphule khona ukuze abone ukuba kukho naziphi na iingxaki. Kwi-mesenteric ischemia, oogqirha banokufumana izinto ezinje:

• Iimpawu ezibonakalayo: Ukudumba yenye yezona mpawu ziphambili. Abanye abantu banokubona ukwehla kobunzima. Abantu abaninzi banokulala kwindawo yosana ngenxa yentlungu eqatha.
• Iimpawu onokuziva: Ugqirha uza kukuchukumisa isisu. Abanye abantu bafumana ukuthamba kwiindawo ezithile zesisu sabo. Abantu abaninzi bayaxhalaba xa ugqirha ezama ukuchukumisa isisu sabo (ukusilinda). Rhoqo, izigulana zithi kubuhlungu ngaphezu kokuchukumisa isisu sabo.
• Iimpawu ezivakalayo: Ugqirha wakho uza kumamela izandi zenkqubo yakho yokugaya ukutya nge-stethoscope. Ezi zandi, ezibizwa ngokuba yi -borborygmi , azivakali kakhulu kwi-mesenteric ischemia. Kwiimeko ezinzima, kusenokungabikho zandi konke konke. Ngamanye amaxesha,Usenokuva nesandi esithi "bruit". Esi sisandi esivakalayo kunye namahlwili egazi.

Olu vavanyo lomzimba lusenokungafumani nto ibalulekileyo de isifo sibe sihambele phambili kakhulu. Ngoko ke kuthatha ixesha elide ukufumanisa esi sifo, nto leyo yenye yezizathu zokuba sibe yingozi kangaka.

Uvavanyo lwelebhu

Olu vavanyo lujonga utshintsho egazini, ingakumbi umxholo weoksijini kunye nokukwazi kwalo ukujiya. Lujonga nendlela amasosha omzimba asabela ngayo kwisifo. Olunye uvavanyo lujonga iikhemikhali eziqokelelana egazini ngenxa yeeseli kunye nezicubu ezonakeleyo okanye ezifayo.

Ukuthatha imifanekiso kunye ne-Endoscopy

Eyona ndlela ilungileyo yokufumanisa i-mesenteric ischemia kukujonga iindawo apho igazi lihamba khona okanye apho lingekho khona. Uvavanyo oluninzi lwemifanekiso lunokunceda koku:

• I-Ultrasound: Oku kuquka ukuthumela amaza esandi asebenza rhoqo ngesixhobo esibekwe eluswini lwesisu sakho. La maza esandi asebenza ngendlela efanayo naleyo amalulwane "ayibonayo," edala umfanekiso onceda oogqirha bafumane iindawo apho ukuhamba kwegazi kuhamba kancinci okanye kungekho khona. Iindidi ezahlukeneyo ze-ultrasound zinokulinganisa ukuba lingakanani igazi elihamba ngemithambo yegazi eyahlukeneyo.
• I-Angiography: Le yeyona ndlela ilungileyo nethembekileyo yokufumanisa i-mesenteric ischemia. Kwi-angiography, idayi ebizwa ngokuba yi-contrast ifakwa kwimithambo yegazi emikhulu esiswini sakho. Emva koko imithambo yegazi ibonakala ngokucacileyo kwi-X-ray okanye kwi-CT scan . Ingabonisa nemithambo yegazi evalekileyo okanye evalekileyo ngokupheleleyo. Ngamanye amaxesha, i-catheter , isixhobo eside, esifana netyhubhu, ifakwa kwimithambo yegazi emikhulu kwaye umthambo wegazi ochaphazelekayo unokubonwa ngaphakathi.
• I-Endoscopy: Kule nkqubo, ugqirha ufaka ityhubhu encinci, eguquguqukayo ebizwa ngokuba yi-endoscope kwindlela yakho yokugaya ukutya ukuze ajonge iimpawu ze-ischemia. Ukuba ingxaki ikufutshane nesisu, i-endoscope ifakwa ngomlomo wakho ize idluliselwe emathunjini amancinci. Ukuba ingxaki ikwithumbu elikhulu okanye inxalenye esezantsi yamathumbu amancinci, i-endoscope ifakwa nge-rectum yakho (ngokufana ne-colonoscopy). I-anesthesia idla ngokusetyenziswa kwezi nkqubo. I-Endoscopy inokwenzeka kakhulu kubantu abangenakufumana inaliti yokwahlulahlula (umzekelo, abo bane-allergies okanye iingxaki zezintso).

Ngaba ikhona indlela yokunyanga oku? Ngaba inganyangeka?

Ewe, i-mesenteric ischemia inokunyangeka kwaye iguqulwe ukuba ifunyenwe kwangethuba .

Into yokuqala ekufuneka yenziwe kukubuyisela ukuhamba kwegazi ngokukhawuleza. Ngenxa yokuba i-mesenteric ischemia iba yingozi ngokuhamba kwexesha, oogqirha banokucebisa utyando ngoko nangoko.

Nje ukuba igazi libuyele esiqhelweni, inyathelo elilandelayo kukujonga naziphi na izicwili ezonakeleyo okanye ezifileyo. Ukuba iindawo zamathumbu okanye ikholoni zifile ngenxa yokunqongophala kwegazi, ukususa ezo ndawo yindlela ekuphela kwayo yokulungisa umonakalo nokuthintela iingxaki ezisongela ubomi.

Zeziphi iindlela zonyango kunye namayeza anikwayo?

Unyango kunye neendlela zokungenelela ziyahluka ngokuxhomekeke kuhlobo lwe-mesenteric ischemia kunye nendawo yesizathu.

Unyango lwe-Acute Mesenteric Ischemia:

Unyango olusebenzayo koku lutyando , njengoko ugqirha angasusa ngqo ihlwili legazi, awandise umthambo wegazi onciphileyo, okanye afake i- stent , isakhiwo esifana nesakhelo esigcina umthambo wegazi uvulekile.

Kwimeko apho kungenakwenzeka ukubuyisela ukuhamba kwegazi ngokuthe ngqo, ugqirha otyandayo unokuthatha iqhekeza legazi kwelinye ilungu lomzimba wakho aze enze i-bypass . I-bypass iyadlula kwindawo evalekileyo ize ibuyisele ukuhamba kwegazi.

Emva kokuba igazi libuyiselwe, ugqirha uza kujonga izicwili ezijikelezileyo ukuze abone ukuba kukho iimpawu zomonakalo. Ukuba kukho iindawo ezifileyo okanye ezonakeleyo, uza kuzisusa aze alungise indawo ukuze isebenze kakuhle kwixesha elizayo. Oku kudla ngokufuna utyando lwesibini, njengoko kungathatha ukuya kuthi ga kwiintsuku ezimbini ukuba ezinye zezicwili ezifileyo okanye ezonakeleyo zibonakale.

Amayeza kunye nezinye iindlela zonyango ezixhasayo ziquka:

• Ulwelo olufakwa kwimithambo yegazi (IV): Olu lwelo lunokunceda ukuba uxinzelelo lwegazi oluphantsi okanye ukuphelelwa ngamanzi emzimbeni kuyingxaki.
• Utofelo-gazi: Oku kubaluleke kakhulu ukuba kulahleke igazi elininzi.
• Ioksijini: Oku kunciphisa umgudu umzimba wakho omele uwenze ukuze ujikeleze igazi.
• Ii-antibiotics: Ezi zibalulekile xa kutyandwa amathumbu, njengoko umngcipheko wokosuleleka uphezulu ngenxa yeebhaktheriya ezihlala kuloo malungu omzimba.
• Izithibi zegazi: La mayeza athintela ukwakheka kwamahlwili egazi. Oku akuthinteli nje kuphela i-mesenteric ischemia ukuba ingaphindi ivele, kodwa kukwathintela nokuhlaselwa yintliziyo, isifo sohlangothi, kunye ne-pulmonary embolisms. Nangona kunjalo, izithibi zegazi azinikwa abantu abasengozini yokopha kakhulu.

Unyango lwe-Non-occlusive mesenteric ischemia (NOMI):

Nangona olu luhlobo lwe-acute mesenteric ischemia, utyando alusoloko luyimfuneko ukulungisa le ngxaki (kwaye lusenokungabi luncedo kangako ekuqaleni), kuba i-NOMI idla ngokubandakanya ukucuthwa kwemithambo yegazi ngaphandle kokuvaleka kwangempela.

Eyona nto ibalulekileyo kwi-NOMI kukufumana unobangela wokuncitshiswa kwemithambo yegazi, ukuyinyanga, kunye nokuthintela ukuba ingenzeki kwakhona. Oku kuthetha ukuyeka amayeza okanye amayeza abangele ukuncitshiswa kwemithambo yegazi. Ukuba unobangela we-NOMI sisifo esinye, esifana ne-sepsis, ukunyanga eso sifo kuya kuphucula ukuhamba kwegazi ukuya kwi-mesentery.

Ukuba i-NOMI ihamba nokuncitshiswa kwemithambo yegazi, i-balloon angioplastyInkqubo ebizwa ngokuba yi-catheterization inokunceda. Kule nkqubo, i-catheter ifakwa kumthambo wegazi omkhulu ize ikhokelwe kwindawo echaphazelekayo. Apho, ibhaluni ekupheleni kwe-catheter iyavuthelwa, nto leyo eyandisa umthambo wegazi ochaphazelekayo.

Ezinye iindlela zonyango:

• IiVasodilators: La mayeza andisa imithambo yegazi yakho, evumela igazi ukuba lihambe lula.
• Ii-antibiotics: Ezi zibalulekile nokuba awutyandwanga, kuba nanini na xa kukho umonakalo emathunjini, kukho umngcipheko wokosuleleka.
• Ioksijini: Inciphisa umgudu umzimba omele uwusebenzise ekujikelezeni kwegazi.

Unyango lwe-Chronic Mesenteric Ischemia:

Unyango loku lunokwahluka kancinci ngokuxhomekeke kwisizathu, kodwa uninzi lonyango lufana nolo lwe-acute mesenteric ischemia.

Utyando luqhelekile koku, ingakumbi ukuba kukho ihlwili legazi elikhula kancinci okanye umthambo wegazi oxineneyo kakhulu. Utyando lunokwenzeka ngakumbi ukuba kukho ukopha ngaphakathi, usulelo, i-sepsis, okanye ezinye iingxaki ezinzulu. Utyando lwe-bypass lunokwenziwa ukuba ezinye iindlela azikwazi ukubuyisela ukuhamba kwegazi.

I-balloon angioplasty kunye nezinye iinkqubo ezisekelwe kwi-catheter nazo ziyaqwalaselwa kule meko. Kwiimeko ezininzi, oogqirha bacebisa iinkqubo ezisekelwe kwi-catheter kunotyando nanini na xa kunokwenzeka. Ngenxa yokuba utyando alungeni kakhulu, kulula ukuphinda uphile emva kweenkqubo ezisekelwe kwi-catheter.

Amayeza anikwa oku ayafana kakhulu nalawo anikwa abantu abakwimeko ezibukhali. Kuqhelekile ukunika amayeza okunciphisa igazi xa amahlwili egazi ebangela ukuvaleka ngaphandle kokuwashukumisa.

Zithini iingxaki zesi sifo kunye nonyango lwaso?

Iingxaki kunye nemiphumo emibi yale nkqubo iyahluka ngokuxhomekeke kunyango olufumanayo. Ugqirha wakho unokuchaza ngcono iziphumo ezithile kunye neengxaki onokuthi uzifumane.

Ngokubanzi, ezi ngxaki zinokwenzeka nge-mesenteric ischemia:

• I-Sepsis: Olu luhlobo losulelo olusasazekayo olubangela ukuba amasosha omzimba wakho asabele ngokugqithisileyo aze abangele umonakalo osongela ubomi emzimbeni wakho.
• Amathumbu akho okanye ikholoni yakho iyaqhekeka okanye iqhume: Oku kunokwenzeka xa iindawo zelungu ezifileyo okanye ezifayo ziqala ukuqhekeka.
• Ukwehla kobunzima: Oku kunokwenzeka kakhulu kwi-ischemia engapheliyo ye-mesenteric, kodwa kunokwenzeka nakwiimeko ezibukhali (ingakumbi kumntu owayeneempawu ezingapheliyo ngaphambi kokuba kwenzeke ngokukhawuleza).

Iingxaki ezinokubakho zotyando lwe-mesenteric ischemia:

• Iingxaki zokugaya ukutya emva kotyando.
• Ukuqhinwa okanye urhudo.
• Ukopha.
• Iintsholongwane.
• Ukungasebenzi kakuhle kwezintso .
• Ukuhlaselwa yintliziyo okanye isifo sohlangothi (kwiinyanga ezimbalwa emva kotyando).

Iingxaki zesondlo emva kokususwa kwamalungu amathumbu amancinciInokwenzeka. Xa iindawo zamathumbu amancinci zingekho, kunzima ukufunxa izondlo ekutyeni. Abantu abaninzi abanale ngxaki, ebizwa ngokuba yi- short bowel syndrome, bafuna iindlela ezikhethekileyo zokutya, ezifana netyhubhu yokondla.

Ndingazinyamekela njani kwaye ndilawule iimpawu zam?

Ukuba une-mesenteric ischemia, udinga uncedo lwezonyango ngokukhawuleza (ingakumbi ukuba luhlobo olukhawulezileyo nolukhawulezileyo). Ukuba une-mesenteric ischemia engapheliyo, kufuneka unyange imeko njengoko ugqirha wakho ekuyalele. Musa ukuzama ukuyinyanga ngokwakho , kuba oku kunokuba yingxamiseko esongela ubomi.

Ndingaphila ngokukhawuleza kangakanani emva konyango?

Ukuba esi sifo sifunyenwe kwaye sinyangwa kwangethuba, uninzi lwabantu luya kuqala ukuchacha xa ukuhamba kwegazi kwindawo echaphazelekayo kuphucukile. Abanye basenokuqala ukuchacha kwiintsuku okanye kwiiveki ezimbalwa.

Kwabo batyandiweyo, kuthatha ixesha ukuba baphile. Ngenxa yokuba utyando luyinto enzulu, kuthatha ixesha ukuba baphile.

Ndingayinciphisa njani ingozi yokuba oku kwenzeke?

Zininzi izinto onokuzenza ukunciphisa umngcipheko wakho wokuba ne-mesenteric ischemia. Uninzi lwazo luquka ukuthintela okanye ukuphepha iimeko ezandisa umngcipheko wokuba ne-mesenteric ischemia.

Izinto onokuzenza:

• Fumana uhlolo lonyaka: Oku kunokunceda ugqirha wakho ukuba afumane iimpawu zokuqala zezinto ezifana nesifo sentliziyo, uxinzelelo lwegazi oluphezulu, kunye ne-cholesterol ephezulu. Ukuzifumana ezi zinto ngaphambi kokuba zibonakale iimpawu kunokwenza umahluko omkhulu ekuthinteleni iingxaki ezinzulu ezifana ne-mesenteric ischemia.
• Yeka ukutshaya: Oku kuquka ukutshaya icuba nge-vaping kunye nokuhlafuna icuba. Ukuba awusebenzisi icuba, musa ukuqala. Ukusebenzisa icuba kungonakalisa imithambo yegazi yakho kwaye kwandise kakhulu umngcipheko wakho wokuba neengxaki ezifana ne-mesenteric ischemia.
• Sela amayeza akho ngokuchanekileyo: Ukuba une-high blood pressure, i-cholesterol ephezulu, okanye isifo seswekile, ukuthatha amayeza akho ngokuchanekileyo kunokunceda ukuthintela umonakalo onokukhokelela kwi-mesenteric ischemia.
• Yitya ukutya okunempilo nokunokulinganisela: Iingxaki ezininzi ezinokubangela i-mesenteric ischemia zinxulumene nobunzima bakho kunye nokutya kwakho. Ukutya okunamafutha amaninzi okanye i-sodium kunokunyusa i-cholesterol yakho kunye noxinzelelo lwegazi, zombini ezi zinto zingumngcipheko we-mesenteric ischemia.
• Hlala ukhuthele: Ukuzilolonga kubalulekile kwimpilo yentliziyo yakho kunye nenkqubo yokujikeleza kwegazi, kunye nokugcina ubunzima obusempilweni.

Ngaba oku kungathintelwa ukuba kwenzeke?

Uninzi lweendlela ezinokunceda ukuthintela ischemia ye-mesenteric ziyafana nezo zinokunciphisa umngcipheko. Nangona kunjalo, ngelishwa, kwezinye iimeko - ingakumbi ukuba unokwenzakala okanye imeko eyenza igazi lakho liqhekeke lula - ukuthintela akunakwenzeka.

Kuza kwenzeka ntoni ukuba unesifo esi? Ungalindela ntoni kwixesha elizayo?

Ngelishwa, i-mesenteric ischemia, nokuba iluhlobo luni na, sisifo esinzima ukusifumanisa. Ukulinda ukuxilongwa kunokulibazisa unyango. Ukuba unyango alufumaneki ngokukhawuleza, i-acute mesenteric ischemia idla ngokuba yingozi. Izinga lokufa kwifomu yesifo esikhawulezileyo liphakathi kwe-50% kunye ne-80% , ingakumbi ukuba unyango lulibazisekile. Ukuba unyango lufunyenwe kwiiyure ezili-12 emva kokuqala kokuvaleka, izinga lokufa linokuba liphantsi njenge-14%. I-acute mesenteric ischemia inokuba nemiphumo emibi yexesha elide, nokuba kungenxa yomngcipheko weengxaki zokuhamba kwegazi okanye ukunqongophala kokutya.

Abantu abane-mesenteric ischemia nabo basengozini enkulu yokuhlaselwa zezinye iimeko ezinxulumene ne-ischemia, ezifana nokuhlaselwa yintliziyo, isifo sohlangothi, kunye ne-pulmonary embolism. Ukutyelela rhoqo ugqirha wakho kubalulekile ukuthintela iingxaki zexesha elide kunye nokunciphisa umngcipheko wokuhlaselwa zezinye iimeko ezisongela ubomi.

Le meko iza kuhlala ixesha elingakanani?

I-acute mesenteric ischemia yimeko yexesha elifutshane, njengoko idla ngokubulala (ukuba ayinyangwa). I-acute mesenteric ischemia ingathatha iintsuku okanye iiveki ukuba ivele. Nangona kunjalo, unyango lwale meko - ingakumbi unyango lwasekuqaleni - lunokubuyisela imeko kwimeko yayo kwiiyure ezimbalwa.

Ndingabuyela nini emsebenzini/esikolweni?

Ugqirha wakho angakuxelela ngcono ngeshedyuli yakho yokuchacha. Ngokuxhomekeke kubukhali bemeko yakho kunye nonyango olufumanayo, uninzi lwabantu lunokubuyela kwimisebenzi eqhelekileyo kwiintsuku okanye kwiiveki ezimbalwa. Kwiimeko ezinzima, ingakumbi emva kotyando, kunokuthatha ixesha elide.

Ndingazinyamekela njani (emva kokuchacha)?

Emva kokuba une-mesenteric ischemia, kubaluleke kakhulu ukulandela imiyalelo kagqirha wakho. Nguye umntu ongcono ukukukhokela kwindlela yokuzinyamekela nokuthintela ezinye iingxaki.

Ngokwesiqhelo, kufuneka wenze ezi zinto zilandelayo:

• Bona ugqirha wakho njengoko kucetyiswayo: Ukutyelela ugqirha emva konyango kunokwenza umahluko omkhulu ekufumaneni iingxaki okanye ezinye iingxaki ezinxulumene nesi sifo.
• Sela amayeza akho njengoko uyalelwe: Oku kuyinyani ngakumbi kumayeza anxulumene nentliziyo yakho, inkqubo yokujikeleza kwegazi, isifo seswekile, i-cholesterol, okanye amandla akho okujiya kwegazi.
• Yeka ukutshaya, okanye ungaqalisi: Ukutshaya yeyona nto ibangela i-mesenteric ischemia kuba yonakalisa imithambo yegazi yakho. Kwakhona kwenza kube lula ukuba kubekho amahlwili egazi, anokuthintela imithambo yegazi ebalulekileyo.
• Landela iingcebiso zikagqirha wakho malunga nokutya kunye nomsebenzi: Ezi ngcebiso ziya kunceda ukuphucula impilo yakho iyonke, kunye nokunciphisa umngcipheko wokuphindaphinda kwe-mesenteric ischemia.

Ndifanele ndimbone nini ugqirha?

Ukuba iimpawu ze-mesenteric ischemia zibuya, zitshintsha, okanye ziba nzima, kufuneka ubone ugqirha wakho. Kwakhona, mbuze ngazo naziphi na iimpawu okanye isilumkiso omele utsalele umnxeba eofisini yakhe, okanye ufune unyango.

Ndifanele ndiye nini esibhedlele ngokukhawuleza? (Iimeko ezingxamisekileyo)

Ufanele ufune uncedo lwezonyango ngokukhawuleza ukuba iimpawu zakho ezingapheliyo zitshintsha ngequbuliso okanye ziba mandundu, okanye ukuba uneempawu ze-acute mesenteric ischemia.

Iimpawu ezibukhali zezi:

• Intlungu yesisu (ingakumbi ukuba iqala ngequbuliso).
• Ukudumba kwesisu, isicaphucaphu, kunye nokuhlanza.
• Utshintsho kwimikhwa yendlu yangasese (ukuba uya kangaphi).
• Urhudo oluqatha okanye oluhlala lusenzeka.
• Ukwehla kobunzima ngequbuliso.

Okokugqibela, izinto ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Mesenteric ischemia inokuba yimeko eyoyikisayo, ingakumbi xa ifika ngequbuliso. Ngethamsanqa, amayeza anamhlanje enze inkqubela enkulu ekuxilongweni nasekunyangweni kwangethuba. Kukwakho namanyathelo onokuwathatha ukunciphisa umngcipheko wokuba nale meko kwaye uyithintele ukuba ingaphindi ivele xa sele uphilile. Eyona nto ingcono onokuyenza kukwazi iingozi zakho kwaye uzilawule. Ugqirha wakho unokukunceda ngazo zombini ezi njongo. Angakunceda uphile kwimeko leyo okanye ayithintele ngokupheleleyo.

Ungaze uyithathe lula intlungu yesisu esibuhlungu. Ukuba unamathandabuzo, funa ingcebiso kagqirha ngokukhawuleza.

I- Mesenteric ischemia, iintlungu zesisu, ukuncipha kokuhamba kwegazi, izifo zamathumbu, i-ischemia ebukhali, i-ischemia engapheliyo, ukuvaleka kwemithambo yegazi