Ngaba umntwana wakho omncinci uqala ukukhala kakhulu ngequbuliso ngelixa edlala? Ngaba utsalela amadolo akhe esifubeni sakhe, abambe isisu sakhe, aze akhale engayeki? Ngaba ukukhala kuyayeka emva kwexesha elithile, kodwa emva kwemizuzu eli-15-20, uqala ukukhala njengexhego? Kusengqiqweni ukuba nawuphi na umama okanye utata oyike xa ebona into efana nale. Iimpawu ezinje ngamanye amaxesha zinokuba luphawu lwesifo esingaziva rhoqo, kodwa esifuna unyango olukhawulezileyo. Yiyo loo nto i-Intussusception iyiyo. Makhe sithethe ngale nto ngokweenkcukacha namhlanje.
Ngamafutshane, yintoni i-Intussusception?
I-Intussusception yimeko ebuhlungu nembi kakhulu eyenzeka emathunjini . Ngokukodwa, yenzeka xa inxalenye enye yamathumbu ityibilika kwenye inxalenye ephambi kwayo.
Cinga ngeteleskopu endala. Xa siyivula, elinye icandelo liphuma kwelinye. Xa siyivala kwakhona, la malungu abuyela ngaphakathi, akunjalo? Yiloo nto eyenzekayo kumathumbu ethu kule meko. Kodwa ngokungafaniyo neeteleskopu, amathumbu ethu ahlala evulekile.
Xa inxalenye yamathumbu ingena kwenye inxalenye ngale ndlela, ibangela ukuvaleka kwamathumbu. Oku kuthintela ukutya nokutya okucoliweyo ukuba kungahambi emathunjini. Okuyingozi ngakumbi kukuba ukuhanjiswa kwegazi kwinxalenye yamathumbu engene ngaphakathi kuyanqanyulwa. Xa ukuhanjiswa kwegazi kulahlekile, izicwili ezikuloo nxalenye ziqala ukufa. Oku kunokukhokelela kumngxuma emathunjini, usulelo ngaphakathi esiswini, kunye nokopha ngaphakathi. Ke ngoko , i-intussusception yingxamiseko yezonyango enokuba yingozi nakubomi.
Zithini izizathu kunye nezinto ezibangela le meko?
I-Intussusception yeyona ngxaki ixhaphakileyo kubantwana abangaphantsi kweminyaka emi-2 ubudala. Nangona kunjalo, inokwenzeka nakubantu abadala kunye nabantu abadala abancinci. Ayiqhelekanga nakubantu abadala. Xa isenzeka, idla ngokubangelwa yenye imeko yezonyango, efana nomhlaza kumathumbu amakhulu.
Kukho izinto ezininzi ezibangela umngcipheko wokuba nale meko phakathi kwabantwana abancinci.
| Into enobungozi | Inkcazo |
|---|---|
| Isini | Le meko ixhaphake kakhulu phakathi kwabafana kunamantombazana. |
| Iingxaki ukususela ekuzalweni | Abanye abantwana bazalwa beneemeko ezifana nokungalungi kwamathumbu. Aba bantwana basengozini enkulu. |
| Imbali yangaphambili | Umntwana okhe waba ne-intussusception ngaphambili unethuba elingcono lokuphinda ayifumane. |
| Imbali yosapho | Ukuba umntakwenu okanye udadewenu kusapho unale meko, nabanye abantwana banokuba semngciphekweni. |
Izizathu kubantu abadala
Ukuba umntu omdala unesifo esinjalo, unobangela usenokuba yenye yezi zilandelayo:
- I-polyp okanye ithumba emathunjini.
- Ukuncamathelisa okanye izicubu ezibomvu emathunjini otyando lwangaphambili.
- Iimeko ezibangela ukudumba kwamathumbu, njengesifo sikaCrohn .
- Utyando lokunciphisa umzimba olufana notyando lwesisu olubizwa ngokuba yi-gastric bypass.
Zithini kanye kanye iimpawu zoku?
Ukuba oku kwenzeka kumntwana omncinci ongekaqalisi ukuthetha, uya kubonisa intlungu yakhe ngokukhwaza ngequbuliso aze akhale kakhulu. Kwangaxeshanye, uya kufikelela esifubeni sakhe ngamadolo akhe.
Le ntlungu ifika ixesha elifutshane ekuqaleni. Iza ize iphele rhoqo emva kwemizuzu eli-15-20. Kodwa ngokuhamba kwexesha, intlungu iyanda rhoqo nangobude bayo.
Kodwa ayingabo bonke abantwana abafanayo. Abanye abantwana basenokungabi nantlungu konke konke. Ngoko ke, lumka ngale mpawu zilandelayo.
| Uphawu | Ingcaciso elula |
|---|---|
| Izitulo ezifana ne "currant jelly" | Ukuchitha indle ebomvu emnyama efana nejeli exutywe negazi kunye ne-mucus (“ijeli yeCurrant”). Olu luphawu olubaluleke kakhulu. |
| Iqhuma okanye ukudumba esiswini | Ukubona iqhuma okanye ukudumba esiswini somntwana okunokuviwa ngesandla. |
| Ukuhlanza | Ukuhlanza ulwelo olumthubi-luhlaza, oko kuthetha inyongo. |
| Ezinye iimpawu | Umkhuhlane, isifo sohudo, kunye nokungabikho kwamandla emntwaneni. |
Kubantu abadala, le meko ingaqala njengentlungu yesisu nje. Ukuba intlungu yesisu , ehamba nesicaphucaphu nokuhlanza , iyafika ize iphele, kwaye intlungu iba mandundu rhoqo xa kuvela esi sifo, kufuneka ukhathazeke.
Ndifanele ndimbone nini ugqirha?
Le yingxamiseko yezonyango. Musa ukulibazisa. Ukuba unesikrokro sokuba umntwana wakho unale mpawu, fowunela ugqirha ngoko nangoko. Ukuba ugqirha akafumaneki ngelo xesha, mse ngqo kwiSebe leNgxamiseko (ETU) lesibhedlele esikufutshane.
Xa igazi liphuma lisiya kwinxalenye yamathumbu, izicwili ezikuloo nxalenye ziqala ukufa. Ukuba oku kuyenzeka, usulelo lunokusasazeka luye kwingqimba yesisu. Esi sisifo esiyingozi kakhulu nesisongela ubomi esibizwa ngokuba yiPeritonitis .
Ukuba ayinyangwanga, umntwana angangena kwingxaki. Iimpawu ziquka:
- Umntwana ubonisa ubuntu obungenazintloni.
- Isantya sentliziyo esingaqhelekanga (nokuba sicotha kakhulu okanye sikhawuleza kakhulu).
- Ukuphefumla okungaqhelekanga (nokuba kukufutshane kakhulu okanye ngokukhawuleza kakhulu).
- Ulusu luba lukhuni, lube mdaka, lube mthubi, okanye lube ngwevu.
- Imeko yomzimba engenabomi.
- Ukulahlekelwa yingqondo.
Yintoni omele uyenze ngaphambi kokuba uye kugqirha?
Ekubeni le yimeko engxamisekileyo, yonke into iza kwenzeka ngokukhawuleza xa ufika esibhedlele. Ngoko ke musa ukoyika. Eyona nto ibalulekileyo kukuba, ungamniki umntwana wakho into yokutya, yokusela, okanye yokusela nayiphi na imithi yokuthomalalisa iintlungu ethengiswa ngaphandle kwekhawuntara de ufike esibhedlele.
Ukuba unexesha, zikhumbule iimpendulo zemibuzo enokubuzwa ngugqirha. Emva koko unganika iinkcukacha ngokukhawuleza.
- Ziqale nini iimpawu ezifana neentlungu zesisu?
- Ingaba intlungu yayihlala ihleli okanye yafika yadlula?
- Ngaba ukhe waba nesicaphucaphu, wahlanza, okanye warhuda?
- Ngaba ukhe walibona igazi esitulweni sakho?
- Ngaba uqaphele ukudumba okanye iqhuma esiswini sakho?
Yenziwa njani le nto yokuxilonga?
Ugqirha wakho uza kubuza ngeempawu zomntwana wakho kunye nembali yakhe yezonyango. Emva koko uza kumhlola umntwana wakho. Banokukunika umgca we-IV ukulawula amanqanaba olwelo lomntwana wakho kwaye banokufaka ityhubhu ye-nasogastric ukunceda ekunciphiseni uxinzelelo emathunjini omntwana wakho.
Ukongeza, baza kuyalela iimvavanyo ezininzi ukuze bajonge ngaphakathi esiswini.
- I-X-ray yesisu: Oku kunceda ukubona ukuba kukho ukuvaleka kwamathumbu.
- I-Ultrasound: Olu vavanyo lusebenzisa amaza esandi ukuvelisa imifanekiso yezitho zangaphakathi zesisu. Olu luvavanyo olubaluleke kakhulu lokufumanisa i-intussusception.
- I-enema yomoya okanye yomahluko: Kule nto, kufakwa ityhubhu ethambileyo nge-anus kwaye ulwelo olukhethekileyo, njengomoya okanye i-barium, ludluliselwa kwi-colon. Oku kuvumela ukuba ukuvaleka kubonakale ngokucacileyo kwi-X-ray. Ngamanye amaxesha, uxinzelelo oluvela kwi-enema lunokunceda i-colon ibuyele endaweni yayo. Ukuba oko kuyenzeka, inokuba lunyango.
Ziziphi iindlela zonyango?
Ezinye iimeko zingokwethutyana kwaye zinokuphela ngaphandle konyango, kodwa uninzi lweemeko zifuna unyango.
Njengoko bekutshiwo ngaphambili, ukuba i-enema ayinyangeki imeko, inyathelo elilandelayo lutyando. Musa ukoyika utyando, oogqirha baya kwenza konke okusemandleni abo ukuqinisekisa ukuba umntwana akaziva ntlungu.
Nantsi into eyenzekayo ngexesha lotyando:
- Ingcali yokubulala iintlungu zabantwana (ingcali ekunikezeni abantwana i-anesthesia) iya kumenza umntwana alale ngokupheleleyo.
- Ukuba utyando lwenziwa nge-laparoscopically, oko kuthetha "utyando lwe-keyhole," ugqirha wenza imingxunya embalwa esiswini aze afake ikhamera kunye nezixhobo ezincinci kuzo ukuze enze utyando.
- Ngaphandle koko, kwenziwa umsikelo omncinci kwicala lasekunene lesisu, kwaye inxalenye yamathumbu efakwe ngesandla isuswa kwaye ibuyiselwe endaweni yayo.
- Ukuba icandelo lamathumbu lonakele ngandlela thile kwaye alinakulungiseka, ugqirha uza kususa icandelo lamathumbu elonakeleyo aze aphinde adibanise la malungu mabini aphilileyo.
Kwenzeka ntoni emva konyango?
Malunga nomnye kubantwana abali-10 abanyangwayo baya kuphinda babuye kwisithuba seeyure ezingama-72. Ke ngoko, nokuba unyango luyi-enema okanye lutyando, umntwana uya kugcinwa esibhedlele malunga nosuku ukuze ajongwe.
- Ukuba unyangiwe nge-enema:
- Umoya uza kukhutshwa emzimbeni wosana kwiiyure ezimbalwa ezizayo.
- I-Paracetamol (i-Acetaminophen) inganikwa xa kukho umkhuhlane.
- Akunikelwa kutya okanye siselo kwiiyure ezili-12 zokuqala. Emva koko, kuqala kunikwa ulwelo olucacileyo, emva koko kufakwa ukutya okuqinileyo.
- Ukuba wenze utyando:
- Emva kotyando, umntwana ugcinwa kwigumbi lokuchacha iiyure ezimbalwa aze emva koko adluliselwe kwigumbi lonyango.
- Iipilisi zokubulala iintlungu ziya kunikwa nge-IV ukuze kuncedwe iintlungu.
- Ukuba inxeba ligqunywe ngebhandishi ye-gauze, lingasuswa kwiintsuku ezimbalwa. Ukuba ligqunywe ngento efana neDermabond, liza kunyibilika lodwa.
- Ukuba banikwa ulwelo kuqala baze bangahlanzi, baza kuqala ukubanika ukutya okuqinileyo.
- Xa umntwana eqala ukutya nokusela kakuhle aze azive ngcono, angabuyela ekhaya.
- Ungamhlamba umntwana wakho emva kweentsuku ezimbini emva kotyando, kodwa mgcine kude nokubaleka, ukutsiba, neminye imisebenzi yomzimba de ubone ugqirha kwakhona (ngesiqhelo kwiiveki ezi-2-3).
Umyalezo Wokuya Ekhaya
- I-Intussusception yimeko yezonyango engxamisekileyo neyingozi enokwenzeka kubantwana abancinci.
- Iimpawu eziphambili ziintlungu zesisu ezikhawulezileyo neziqatha ezifika zize zidlule, amadolo atsalwe esifubeni, kunye nendle efana nejeli enegazi.
- Ukuba ubona ezi mpawu, mthathe umntwana umse kwiYunithi yoNyango oluNgxamisekileyo (ETU) yesibhedlele ngoko nangoko ngaphandle kokulibazisa.
- Musa ukunika umntwana wakho ukutya, isiselo, okanye naluphi na unyango ngaphambi kokuba aye kugqirha.
- Ukuba ifunyenwe kwaye yanyangwa kwangethuba, le meko inokuphiliswa ngokupheleleyo.
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