Ngaba wakha waziva ngolu hlobo? Kuvakala ngathi isisu sakho sigcwele, awukwazi ukukhupha igesi, awukwazi ukukhupha isisu sakho, uzive ngathi uza kuhlanza, kunzima kakhulu. Oku kunokwenzeka ngakumbi emva kotyando oluthile. Abantu abaninzi bacinga ukuba oku kuqhelekile kwaye kuya kuphela emva kokuphumla kancinci. Kodwa oku kunokuba luphawu lwemeko esiyibiza ngokuba yi-'Paralytic Ileus' kunyango. Musa ukoyika igama, eli lidla ngokuba yimeko yexeshana. Masithethe ngale nto ngokulula, ngendlela wonke umntu anokuyiqonda.
Kalula nje, yintoni iParalytic Ileus?
Ukuze sikuqonde oku, kufuneka siqale sazi kancinci ngendlela amathumbu ethu asebenza ngayo. Cinga ngamathumbu ethu njengetyhubhu ende. Ukutya esikutyayo kuhamba ngale tyhubhu, kuyagaywa, izondlo ezifunekayo ziyafunxwa, kwaye inkunkuma ikhutshwa njengendle.
Ngoko ke, ukuze oku kutya kuqhubeke phambili, iindonga zamathumbu zihlala zincipha kwaye zanda njengamaza. Kufana ne-caterpillar ehambayo. Oku sikubiza ngokwezonyango ngokuthi ``(Peristalsis)`` . Le ntshukumo yiyo ehambisa ukutya, ulwelo, kunye nomoya emathunjini.
Ngoku igama elithi `Paralytic Ileus` lithetha ukuba elo wave, loo ntshukumo ethi `(Peristalsis)` iyema okwethutyana, kwaye amathumbu abe 'ngokuyinxenye' okwethutyana. Igama elithi `Paralytic' lithetha ukukhubazeka. Oko kuthetha ukuba akukho kuvinjelwa koomatshini, njengethumba, emathunjini, kodwa ukushukuma kwamathumbu kuyekile. Le yingxaki yokusebenza.
Xa intshukumo yamathumbu iyeka ngale ndlela, ukutya, ulwelo, nomoya ziqala ukuqokelelana kwindawo enye. Kulapho siqala khona ukufumana iimpawu ezifana nokudumba, iintlungu zesisu, kunye nokuhlanza.
Into ebalulekileyo kukuba le yimeko yexeshana kwaye inganyangeka . Nje ukuba imbangela eyintloko ichongiwe kwaye inyangwe, ukusebenza kwamathumbu kuya kubuyela esiqhelweni.
Zithini iimpawu zale meko?
Umntu one-Paralytic Ileus unokufumana enye okanye ngaphezulu kwezi mpawu ngaxeshanye.
| Uphawu | Ingcaciso elula |
|---|---|
| Ukudumba kwesisu | Isisu sivakala sidumbile kwaye siqinile ngenxa yokuqokelelwa komoya kunye nolwelo esiswini. |
| Ukudumba kwesisu | Isisu esikhulu ngokubonakalayo ngenxa yokudumba. |
| Igesi | Ngenxa yokuba intshukumo yamathumbu iyekile, umoya awudluli ngendlela eqhelekileyo. |
| Ukuqhinwa | Ukungakwazi ukuphuma indle ngenxa yokungasebenzi kakuhle kwamathumbu. |
| Isicaphucaphu nokuhlanza | Ukuhlanza kunokwenzeka xa umxholo wamathumbu uphuma. Ngamanye amaxesha oku kuhlanza kunokuba luhlaza okanye kube mdaka ngombala. |
| Ukuphelelwa ngamanzi emzimbeni | Ukugabha nokungatyi okanye ukungaseli kunokubangela ukuphelelwa ngamanzi emzimbeni. |
Isilumkiso: Ukuba unezinye zezi mpawu zinzima , umzekelo, iintlungu zesisu ezinganyamezelekiyo okanye ukuhlanza okungapheliyo, cinga ukuba yingxamiseko kwaye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele ngoko nangoko.
Zithini izizathu zeParalytic Ileus?
Akukho sizathu sinye sale meko, kodwa kukho izinto ezininzi ezinokubangela loo nto. Masizijonge nganye nganye.
1. Utyando
Eyona nto iphambili neyona ixhaphakileyo yoku kukutyanda. Le meko idla ngokulindeleka ukuba yenzeke emva kotyando lwesisu, ingakumbi. Utyando lubangela umothuko omkhulu emzimbeni. Ngenxa yoko, amathumbu ayayeka ukusebenza okwethutyana. Oogqirha bayayazi le nto kwaye bacebe unyango olufanelekileyo lwayo.
2. Ukudumba esiswini
Nakuphi na ukudumba okanye usulelo oluvela ngaphakathi kwesisu lunokuphazamisa ukusebenza kwamathumbu. Khawuthelekelele, ukuba kukho imeko ebizwa ngokuba "kukutsha" ngenxa yengxaki ethile ngaphakathi esiswini, iya kuchaphazela amathumbu.
Eminye imizekelo:
- I-Appendicitis: Ukudumba kwe-appendix.
- I-Pancreatitis: Ukudumba kwepancreas.
- I-Peritonitis: Ukudumba kolwelo lwesisu.
- I-Diverticulitis: Ukudumba kweendawo ezincinci ezifana nengxowa emathunjini amakhulu.
- I-Cholecystitis: Ukudumba kwenyongo.
- I-Sepsis: Usulelo olunzima oluye lwasasazeka emzimbeni wonke.
3. Amanye amayeza
Amanye amayeza esiwasebenzisayo anokubangela ukuncipha kokuhamba kwamathumbu njengesiphumo esibi.
- Ii-Opioids: Iipilisi zokunciphisa iintlungu ezinamandla ezifana ne-morphine kunye ne-tramadol.
- I-Anticholinergics: Amayeza anikwa abantu abane-allergies ezithile kunye nezifo zengqondo.
- Ii-Tricyclic antidepressants: Amayeza asetyenziselwa ukunyanga iimeko ezithile zokudakumba.
4. Ukuphazamiseka kwe-electrolyte
Ukuze izihlunu zomzimba wethu, kuquka nezihlunu zamathumbu ethu, zisebenze kakuhle, kufuneka zibe namanqanaba afanelekileyo ee-electrolytes ezifana ne-potassium kunye ne-calcium. Xa ezi zinto zingalingani, amathumbu anokuyeka ukusebenza.
- I-Hypokalemia: Ukwehla kwamanqanaba e-potassium egazini.
- I-Hypercalcemia: Ukwanda kwamanqanaba e-calcium egazini.
- I-Hypomagnesemia: Ukwehla kwamanqanaba e-magnesium egazini.
5. Ezinye iimeko zonyango
Ngaphandle koku, ezinye izifo ezininzi zinokubangela i-'Paralytic Ileus'.
- Ukungasebenzi kakuhle kwezintso
- Izifo ezinzulu ezifana ne-pneumonia
- Ukulimala komqolo
- Ukuhlaselwa yintliziyo
- I-ketoacidosis enxulumene nesifo seswekile
- Izifo ze-thyroid
Ugqirha uyixilonga njani le nto?
Xa usiya esibhedlele, ugqirha uza kulandela amanyathelo aliqela ukuze afumanise esi sifo.
1. Imbali yezonyango kunye neempawu: Okokuqala, uza kubuzwa iinkcukacha ezininzi, ezifana nokuba luhlobo luni lokungakhululeki olufumanayo, ixesha elide kangakanani unalo, nokuba usandul’ utyando, kunye namayeza owasebenzisayo.
2. Uvavanyo Lomzimba: Okulandelayo, ugqirha uza kuhlola isisu sakho. Ukuba awukwazi ukuva izandi eziqhelekileyo zamathumbu xa umamele isisu sakho nge-stethoscope, olu luphawu olukhulu lwemeko ebizwa ngokuba yi-'Paralytic Ileus'.
3. I-X-ray okanye i-Ultrasound Scan: I-X-ray okanye i-ultrasound scan yesisu iyenziwa ukuze kuqinisekiswe ukuba amathumbu azaliswe yigesi kwaye avuvukile na. Ingaqinisekisa nokuba akukho lunye uvalelo lwe-mechanical emathunjini.
4. Uvavanyo lwegazi: Uvavanyo lwegazi lwenziwa ukujonga amanqanaba ee-electrolytes kunye neeminerali egazini lakho.
Zithini iindlela zonyango zoku?
Kukho iinjongo ezimbini eziphambili zonyango. Enye kukunyangela unobangela wengxaki, enye kukubonelela umzimba ngenkxaso efunekayo de amathumbu asebenze kwakhona.
| Indlela yonyango | Inkcazo |
|---|---|
| Ukuphumla kwamathumbu | Ukuncancisa ngomlomo kuyekiswa ngokupheleleyo de umsebenzi wamathumbu ubuyele esiqhelweni. Oku kunika amathumbu ukuphumla. |
| Isondlo sabazali | Ekubeni ungatyi ngomlomo, kuya kufuneka unike umzimba wakho izondlo, ulwelo kunye nee-electrolytes ozidingayo ngokufakwa kwe-IV (saline). Oku kubalulekile ukuthintela ukuphelelwa ngamanzi emzimbeni. |
| Ukubekwa kwetyhubhu ye-nasogastric | Kwezinye iimeko ezinzima kakhulu, kufakwa umbhobho omncinci ngempumlo esiswini ukuze kususwe umoya kunye nolwelo oluqokelelene esiswini kwaye kuncitshiswe ukuhlanza kunye nokungakhululeki esiswini. |
| Amayeza (iiProkinetics) | Ngamanye amaxesha kunikwa amayeza okunceda ukuqalisa kwakhona ukuhamba kwamathumbu. |
Kwenzeka ntoni emva konyango?
Ixesha elininzi, le meko iba ngcono kwiintsuku ezimbini ukuya kwezintathu . Xa amathumbu akho eqala ukusebenza kwakhona, uya kuqala ukukhupha igesi. Elo liphawu elihle. Emva koko, ngokwengcebiso kagqirha wakho, ungaqala kancinci kancinci ukutya izinto ezilulwelo, uze emva koko utye izinto ezifana nesuphu, uze emva koko utye ukutya okuqhelekileyo.
Ukuba ihlala ixesha elingaphezu kweentsuku ezintlanu, ugqirha uza kuphanda ngakumbi ukuze abone ukuba kukho esinye isizathu.
Umyalezo Wokuya Ekhaya
- I-Paralytic Ileus ayikokuvinjwa kwamathumbu, kodwa kukuyekiswa okwethutyana kokunyakaza kwamathumbu.
- Eyona nto ixhaphakileyo ebangela le meko kukuhlinzwa, kodwa inokubangelwa zizifo, amayeza athile, kunye nezinye iimeko zonyango.
- Iimpawu eziphambili kukudumba , igesi, ukuqhina kwesisu, kunye nokuhlanza. Ukuba ezi zinto zinzima, kufuneka uye esibhedlele ngoko nangoko.
- Le yimeko yexeshana edla ngokuphela kwiintsuku ezimbalwa. Unyango lwasesibhedlele lunika umzimba inkxaso efunekayo.
- Ukuba uneempawu ezinje, musa ukuzityeshela nje uthi, "Oku kusenokuba yinto nje," kodwa qiniseka ukuba ubona ugqirha wakho ukuze akunike icebiso.
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