Ingabe amathumbu engane yakho asengene shí? Ake sifunde nge-intussusception!

Ingabe ingane yakho encane ikhala njalo? Ingabe kuzwakala sengathi kubuhlungu esiswini? Ngezinye izikhathi, kuyinto evamile ngathi njengabazali ukukhathazeka uma sibona izinto ezinjengalezi. Kodwa-ke, kunezimpawu ezithile okufanele sizikhathaze kakhulu ngazo. Namuhla, sizokhuluma nge -intussusception, isimo esibi samathumbu esidinga ukwelashwa okuphuthumayo , ikakhulukazi ezinganeni ezincane. Ungakhathazeki, uma ukwazi lokhu, ungathatha isinyathelo ngokushesha futhi usindise ingane yakho.

Kuyini lokhu kuqonda?

Kalula nje, i-intussusception yilapho ingxenye eyodwa yamathumbu akho, njengezingxenye ze-telescope, igoqeka engxenyeni elandelayo yamathumbu akho. Cabanga ngakho njengesokisi eligoqeka ngaphakathi. Lokhu kubangela ukuvaleka kwamathumbu . Ngokuvamile, lesi simo sithinta amathumbu amancane .

Uma lokhu kwenzeka, ukudla nokuphuza kuyayeka ukuhamba emathunjini . Kuphinde kunciphisa ukugeleza kwegazi kuleyo ndawo. Uma kungelashwa, lokhu kuvinjelwa kungabangela ukuthi amathumbu avuvuke, alimale , futhi kubangele izinkinga ezinkulu ezingasongela ukuphila.

Ngakho-ke, i-intussusception iyisimo esiphuthumayo sezokwelapha. Kodwa-ke, ingelapheka uma itholakala futhi yelashwa ngokushesha.

Sivame kangakanani lesi simo?

Ukungena ngaphakathi kungenzeka kunoma ubani, ngisho nabantu abadala. Kodwa-ke, kuvame kakhulu ezinganeni ezincane eziphakathi kwezinyanga ezintathu neminyaka emithathu.

I-Intussusception ibangela cishe u-1% wazo zonke izinkinga zamathumbu kubantu abadala. Kodwa-ke, iyimbangela ehamba phambili yokuvaleka kwamathumbu ezinganeni ezingaphansi kweminyaka emi-3 ubudala. E-United States kuphela, cishe usana olulodwa kwezingu-2,000 luba nalesi simo phakathi nonyaka walo wokuqala wokuphila.

Ziyini izimpawu? Ungazibona kanjani?

Kubalulekile ukwazi ukuthi ingane yakho inesifo sokuvuvukala kwesisu . Futhi, uma kwenzeka uhlaselwa yilesi simo, kuwumqondo omuhle futhi ukuqaphela izimpawu zaso.

Izimpawu ezinganeni ezincane

Izinsana nezingane ezine- intussusception zizwa ubuhlungu obukhulu besisu obuhamba ngemva kwesikhashana bese buqala futhi. Lobuhlungu bungahlala imizuzu eyi-15-20 noma ngaphezulu. Izinsana ezingakwazi ukuveza ubuhlungu bazo zingase zikhale, zibambe amadolo azo esiswini.Ngemuva kwalokho, lapho ubuhlungu sebuphelile (cishe imizuzu engama-20-30), ungenza sengathi akwenzekanga lutho bese uqala ukudlala. Kodwa, ngemva kwesikhashana, ubuhlungu obukhulu buqala futhi.

Njengoba ubuhlungu buqhubeka, ingane ingase ikhathale, ilale, futhi iphelelwe amandla . Ingase futhi ibe nomkhuhlane futhi ishaqeke .

Ezinye izimpawu ezingase zivele yilezi:

• Ukuqunjelwa kwesisu.
• Isicanucanu nokuhlanza (ukuhlanza kungaba nombala ophuzi-oluhlaza okotshani).
• Indle ebomvu efana nejeli. Lokhu ukuphuma kwegazi endulwini , okungase kuhlanganiswe ne-mucus.

Ngokuvamile, lezi zimpawu zivela emavikini ambalwa ngemva kokuba ingane inesifo esifana nomkhuhlane wegciwane. Ngakho-ke, ukubonakala kwalezi zimpawu ngokuhamba kwesikhathi kungase kuphakamise ukusola kokungena ngaphakathi .

Kodwa-ke, kungaba nzima ukubona izimpawu zokungena kwengane esiswini, njengoba kungezona zonke izimpawu ezenzeka kuyo yonke ingane. Futhi, akwenzeki njalo uma ingane igula.

Nakhu okufanele ukukhumbule: Uma ingane yakho noma ingane encane ibonakala ihlushwa yisisu ngaphandle kwesizathu esibonakalayo, bona udokotela ngokushesha.

Izimpawu kubantu abadala

Abantu abadala nabo bazwa ubuhlungu besisu uma benesifo sokuvuvukala kwesisu . Kodwa singafika sidlule, njengezingane, noma singaba njalo. Ukuhlanza, ukuqunjelwa, kanye nendle enegazi nakho kuvamile. Kodwa-ke, ngoba lezi zimpawu zivame ezimweni eziningi zesisu (GI) , abantu abaningi bayalinda. Kodwa uma kwenzeka isifo sokuvuvukala kwesisu, akuwona umqondo omuhle ukulinda. Lesi yisimo esidinga ukunakekelwa okuphuthumayo kwezokwelapha kokubili ezinganeni nakubantu abadala.

Kungani kwenzeka i-intussusception? Ziyini izimbangela?

Esikhathini esiningi, odokotela abakwazi ukuthola imbangela ethile yokungena ngaphakathi .

Izizathu zokukhulisa izingane

Ezinganeni, lesi simo sibonakala sihlotshaniswa nokutheleleka ngamagciwane . Iningi lezingane liba nokuvuvukala kwamathumbu ekwindla nasebusika, lapho i-gastroenteritis ebangelwa amagciwane ivame khona. Ngaphezu kwalokho, ezinye izingane zingase zibe nezakhiwo ezingavamile noma amaqhubu emathunjini azo, njenge -Michels diverticulum .Izinto ezifana ne -Meckel's diverticulum kanye nama-polyps nazo zingaba yizimbangela.

Izimbangela ze-acne yabantu abadala

Izizathu ezenza abantu abadala bakhule lokhu zisobala. Abantu abadala banamathuba amaningi okukhula kwe-intussusception uma benomdlavuza wamathumbu amakhulu ( izimila ezimbi ) noma ukukhula okungenabungozi emathunjini amakhulu . Ngaphezu kwalokho, akuvamile ukubangwa yizimo ezithathelwanayo zesikhathi eside njengesifo sikaCrohn .

Yiziphi izinto ezibangela ingozi? Ubani onamathuba amaningi okuba nayo?

Kunezici eziningana eziyingozi ezifaka isandla ekuthuthukisweni kwalesi simo:

• Ubudala: Iningi lezingane likhula lokhu phakathi kweminyaka engu-3 nengu-3.
• Ubulili: Abafana banamathuba aphindwe kathathu okuthola lesi simo kunamantombazane. Abacwaningi abakaqiniseki ukuthi kungani lokhu kwenzeka.
• Isikhathi: Iningi lezingane liba nalokhu ekwindla nasebusika, okuyilapho amagciwane esisu evame ukuba nomkhuhlane.

Ezinye izimo zezokwelapha zingase zandise ingozi yengane yakho:

• Ukuwohloka kwamathumbu
• I- diverticulum kaMeckel
• Ama-polyps noma ama-cysts ku-colon
• I-vasculitis ye-Immunoglobulin A (IgA)

Izimo ezandisa ingozi yakho njengomuntu omdala zifaka:

• Izimila zamathumbu amakhulu (ngokuvamile eziba umdlavuza, kodwa futhi zingaba ezingezona umdlavuza)
• Isifo samathumbu esivuvukalayo (IBD)
• I-Endometriosis
• Uma unepayipi lokuphakela .

Yiziphi izinkinga ezingaba khona uma zingelashwa?

Uma kwelashwa ngokushesha, i-intussusception ingabuyiselwa esimweni sayo esijwayelekile. Kodwa-ke, uma ingelashwa, i-intussusception ingaholela ezinkingeni ezinkulu nezisongela ukuphila, ngisho nokufa.

Izinkinga ezingaba khona:

• Ukubhoboka kwamathumbu : Lapho amathumbu evalekile ngenxa yokungena ngaphakathi , ukudla kanye nojusi wokugaya ukudla kungabuyela emuva ngemuva kwawo. Lokhu kungabangela ukuthi amathumbu akhule, avuvuke, futhi ekugcineni aqhume, akhe imbobo.
• Ukutheleleka okukhulu kanye nokuvuvukala (i-peritonitis) : Uma amathumbu evuvukala futhi ebhoboka ngale ndlela, okuqukethwe kwamathumbu kungavuza emgodini wesisu. Lokhu kungabangela ukutheleleka okukhulu, okusongela ukuphila okubizwa ngokuthi i-sepsis .
• I-necrosis yamathumbu : Ukulimala kwamathumbu kungabangela ukuthi izicubu ezikuleyo ndawo zife.

Lezi zinkinga zingavela ngokushesha njengoba isimo sengane yakho siba sibi kakhulu. Yingakho kubaluleke kakhulu ukufuna usizo oluphuthumayo ngokushesha uma usola ukuthi kukhona okungahambi kahle.

Uyithola kanjani ngokunembile lesi sifo? (Ukuxilongwa)

Esikhathini esiningi, ukuxilongwa kwenziwa ngesikhathi sokunakekelwa kwezokwelapha okuphuthumayo. Ukuhlolwa okusetshenziselwa ukuqinisekisa ukuxilongwa yi -ultrasound (yezingane) kanye ne-CT scan ( yabantu abadala). I-Ultrasound ingathola i-intussusception ngokunemba okungu-100%. Lolu ukuhlolwa kokuqala okwenziwa odokotela ukuhlola i -intussusception ezinganeni.

Udokotela wengane yakho angase futhi a-ode i-enema yomoya noma yokuqhathanisa . Kulolu vivinyo, udokotela ufaka uketshezi oluqukethe umoya noma into ephephile ebizwa ngokuthi i-barium e-rectum yengane yakho. Ukucindezela okuvela emoyeni noma uketshezi kubangela ukuthi ikholoni ikhule, okwenza ingxenye eyodwa yayo inyamalale ngaphakathi kwenye. Le nqubo iqoshwa ngevidiyo kusetshenziswa umshini we -X-ray .

Le ndlela ayigcini nje ngokuqinisekisa ukuxilongwa, kodwa ezimweni eziningi ingalapha nokuvuvukala kwamathumbu ezinganeni.

Iphathwa kanjani? (Ukwelashwa)

Ukwelashwa kuhilela ukusebenzisa i -enema yomoya noma yokuqhathanisa efanayo eyasetshenziswa ukuxilonga isimo ukuze kulungiswe ukuvaleka kwekholoni yengane yakho. Lena inqubo ye -radiologic (njenge-scan), hhayi inqubo yokuhlinzwa. Ngakho-ke ingane yakho ngeke idinge i-anesthesia .

Kodwa-ke, le ndlela ayisebenzi kubantu abadala abane- intussusception . Ngokuvamile kudingeka bahlinzwe.

Ukuhlinzwa

Abantu abadala abane -intussusception bazodinga ukuhlinzwa. Futhi, akuvamile, ezinye izingane zizodinga ukuhlinzwa. Isibonelo, uma indlela ye-enema ingasebenzi, noma uma ingane inezinkinga ezithile (njengomgodi emathunjini, ukutheleleka), izodinga ukuhlinzwa.

Lokhu kuhlinzwa kungaba ukuhlinzwa "okuvulekile" kwendabuko, okusho ukuthi kwenziwa ngokusikwa okukhulu esiswini. Noma, udokotela ohlinzayo angase asebenzise inqubo engangenisi kakhulu ebizwa ngokuthi i-laparoscopy .

I-LaparoscopyNgesikhathi sokuhlinzwa, udokotela ohlinzayo wenza izicucu ezimbili noma ezintathu ezincane esiswini sengane yakho. Ngalezi zicucu, udokotela ohlinzayo angafinyelela emathunjini adonswe ngaphakathi futhi awabuyisele endaweni yawo yokuqala. Uma lokho kungenzeki, uzosusa ingxenye yamathumbu eyonakele bese ethunga izingxenye ezisele (ezingaxhumene) ndawonye.

Phakathi nalokhu kuhlinzwa, udokotela wezingane obulala izinzwa (udokotela ogxile ekuqedeni ubuhlungu ezinganeni) uzolalisa ingane yakho. Ngakho ingane ngeke izwe ubuhlungu noma iqaphele okwenzekayo.

Umntwana uzozizwa kanjani ngemva kokwelashwa? Kuzothatha isikhathi esingakanani ukululama?

Ngemva kwe-enema, ingane yakho ingase izizwe ivuvukele amahora ambalwa. Kungase kudingeke ukuthi unikeze i-acetaminophen (isib. i-paracetamol) ukuze unciphise ubuhlungu nomkhuhlane.

Ngemva kokuhlinzwa, ingane yakho kuzodingeka inikwe imithi yobuhlungu ukuze ihlale ikhululekile. Kuzodingeka inikwe ukudla ngemithambo yegazi (i-IV fluids) izinsuku ezimbalwa kuze kube yilapho amathumbu ayo ephola. Ngokuvamile ingaqala ukudla futhi zingakapheli izinsuku ezintathu. Kungathatha amasonto ambalwa ukubuyela emisebenzini yayo evamile.

Ingabe ikhona indlela yokuvimbela ukungena ngaphakathi?

Ayikho indlela eqinisekile yokuvimbela ukucasuka kwengane , kodwa ungavimbela imiphumela emibi kakhulu ngokuthola ukwelashwa okuphuthumayo kwengane yakho ngokushesha .

Yini okufanele ngiyilindele uma ingane yami ithola lesi simo? Ingabe singelapheka?

Ukwelashwa kusenesikhathi kungathuthukisa imiphumela ezinganeni. I-Intussusception ivame ukwelashwa nge-enema yomoya noma yokuqhathanisa. Kodwa-ke, ingaphinde ivele ezinganeni eziyi-10% kuya kwezingama-20%. Izimpawu zingabuya zingakapheli amahora angu-48 okuqala ngemva kokuhlinzwa (lokhu akuvamile) noma ngemva kwamasonto noma izinyanga (lokhu kuvame kakhulu).

Uma i-intussusception iphinda ivele, udokotela wengane yakho uzokwenza izinto ezifanayo nalezo ayezenza ngaphambili ukuze ayixilonge futhi ayiphathe. Lokhu kungafaka phakathi ukunikeza enye i-enema .

Ngaphambi kokuphuma esibhedlela, buza udokotela ukuthi yini ongayilindela uma lokhu kwenzeka futhi, nokuthi yiziphi izimpawu zokuphinda kwenzeke.

Yimaphi amathuba okusindisa impilo yengane ene-intussusception?

Ezibhedlela ezinodokotela abanolwazi abaphatha i-intussusception , i-barium noma i-air enema iphumelela ezinganeni ezingafika ku-85%. Uma uyisa ingane yakho kudokotela ngokushesha nje lapho ubona izimpawu, uthola ukuxilongwa, bese uqala ukwelashwa, unethuba elingcono kakhulu lokusindisa impilo yengane yakho ngaphandle kwezinkinga.

Ingabe ukungenelela kwengqondo kuhlale kuyinto ephuthumayo?

Yebo. Ukungena ngaphakathi kuhlale kuyisimo esiphuthumayo sezokwelapha. Isikhathi sibaluleke kakhulu. Uma ingane yakho ibonisa izimpawu zokungena ngaphakathi , yiyise esibhedlela ngokushesha okukhulu, ngalolo suku.

Kufanele ngimbone nini udokotela?

Uma ingane yakho inobuhlungu besisu obungachazeki , shayela udokotela wezingane ngokushesha bese uyihlola. Uma ungakwazi ukuyibona ngalolo suku, yiyise ekamelweni lezimo eziphuthumayo (ETU) .

Ngemva kokwelashwa, kuvamile ukuthi ingane yakho ibe nokuvuvukala endaweni yokuhlinzwa. Kodwa-ke, shayela udokotela wakho uma ingane yakho inanoma yikuphi kwalokhu okulandelayo:

• Ukuvuvukala okukhulu, ukubomvu, ukufudumala, noma ukuphuma kwamanzi okuvela esikhaleni.
• Umkhuhlane (ngaphezu kwama-Fahrenheit angu-101 / ama-Celsius angu-38).
• Isicanucanu nokuhlanza.
• Izimpawu zokubuyela emuva (njengobuhlungu obuhlala bukhona, indle efana nejeli).

Yimiphi imibuzo ebalulekile okufanele uyibuze udokotela?

Ungabuza imibuzo efana nale:

• Yini ebangela ukuvaleka kwamathumbu engane yami?
• Kuzomthatha isikhathi esingakanani ukuthi alulame?
• Ingabe ngidinga ukwenza izinguquko endleleni yokuphila ukuze ngisize ingane yami ibe ngcono?
• Yiziphi izimpawu okufanele ngiziqaphele zokuthi lokhu kungase kwenzeke futhi?
• Ingabe kufanele ngikushayele ucingo uma ngibona izimpawu zokubuyela kwesifo, noma ngiye ngqo eMnyangweni Wezimo Eziphuthumayo (ETU) ?

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

Uma ubona izimpawu zokungena esiswini enganeni yakho noma enganeni encane, ungacabangi kabili. Akujwayelekile ukuba nobuhlungu besisu obufika budlule. Lokhu kungaba uphawu lwesimo esibucayi njenge -intussusception . Uma ingane yakho isheshe ithole ukwelashwa, kulapho amathuba okusinda ngaphandle kwezinkinga aba maningi khona. Ungalibali. Myise kudokotela noma ekamelweni eliphuthumayo. Isinyathelo sakho esisheshayo singasiza ekusindiseni impilo yengane yakho.

Ukungena ngaphakathi, ukuvaleka kwamathumbu, ubuhlungu besisu ezinganeni, indle yejeli, ukuvaleka kwamathumbu, ukwelashwa okuphuthumayo, i-enema