Ubhekene Nokuvinjelwa Kwamathumbu? Ake Sixoxe Ngakho - Nirogi Lanka

Wake wabhekana nobuhlungu obukhulu besisu obuhambisana nokuqunjelwa okukhulu kanye nomuzwa wokucanuzela? Uma ulahlekelwe yisifiso sokudla noma uzizwa ukhathele ngokuphelele futhi ubuthakathaka ngokomzimba, lokhu kungaba yizimpawu eziyisixwayiso zesimo esibi esibizwa ngokuthi i-Bowel Obstruction . Ezimweni ezinjalo, isikhathi sibalulekile. Ake sichaze lesi simo ngamagama alula, okulula ukuwaqonda.

Kuyini Ukuvinjelwa Kwamathumbu?

Kalula nje, ukuvaleka kwamathumbu kwenzeka lapho amathumbu akho amancane noma amathumbu amakhulu evalekile ngokwengxenye noma ngokuphelele. Ngokuvamile, ngemva kokuba ukudla kuphume esiswini sakho, kuhamba ngamathumbu akho lapho izakhamzimba zimuncwa khona, bese ekugcineni imfucuza ikhishwa emzimbeni. Uma le ndlela ivalekile, ukudla, uketshezi, kanye negesi akukwazi ukudlula, okubangela ukuthi kuqongelelane.

Cabanga ngakho njengepayipi lengadi elivalekile; amanzi awakwazi ukugeleza futhi aqala ukwakheka ngemuva kokuvaleka.

Lokhu kunqwabelana kungalimaza izicubu ezithambile zamathumbu futhi kumise ukusebenza okuvamile kokugaya ukudla, okungaholela ezinkingeni ezisongela impilo. Yingakho, uma ubona lezi zimpawu, kufanele ufune usizo lwezokwelapha ngokushesha emnyangweni wezimo eziphuthumayo.

Izinhlobo Zokuvinjelwa Kwamathumbu

Odokotela bahlukanisa ukuvinjelwa kwamathumbu ngokusekelwe lapho ukuvinjelwa kwenzeka khona:

• Ukuvinjelwa Kwamathumbu Amancane: Cishe u-80% wazo zonke izithiyo zenzeka lapha. Amathumbu amancane axhumanisa isisu namathumbu amakhulu, edlala indima eyinhloko ekugayweni kokudla kanye nokumuncwa kwezakhamzimba.
• Ukuvaleka Kwamathumbu Amakhulu: Lokhu kufaka phakathi ikholoni yakho kanye ne-rectum . Ngenkathi le ndawo iqhubeka nokumunca amanzi, umsebenzi wayo oyinhloko ukuguqula indle ibe yindle. Cishe ama-20% ezithiyo zenzeka lapha.

Izithiyo nazo zihlukaniswa ngokwemvelo yazo:

• Ukuvaleka Okuphelele: Amathumbu avalekile ngokuphelele, okuvimbela noma yini ukuthi idlule.
• Ukuvaleka Okuyingxenye: Amathumbu ancishisiwe noma avalwe kancane, okuvumela ukuthi kudlule ezinye izinto.
• Ukuvinjelwa mbumbulu: Lesi yisimo esiyingqayizivele lapho izimpawu zivela sengathi kukhona ukuvinjelwa ngokomzimba, kodwa azikho. Ososayensi bakholelwa ukuthi kungenzeka ukuthi kubangelwe inkinga yezinzwa , yize ucwaningo olwengeziwe luqhubeka.

Kuvame Kangakanani Ukuvinjelwa Kwamathumbu?

Ukuvaleka kwamathumbu amancane kuyimbangela evamile kakhulu yokuvakashela umnyango wezimo eziphuthumayo (ED).

Nakuba ukuvaleka kwamathumbu amakhulu kungavamile kubantu abaningi, kuvame kakhulu kulabo abanomdlavuza we-colon. Eqinisweni, cishe ama-40% eziguli ezinomdlavuza we-colon atholakala okokuqala lapho zifika egumbini lezimo eziphuthumayo zinezimpawu zokuvaleka kwamathumbu okubangelwa umdlavuza.

Izimpawu Zokuvinjelwa Kwamathumbu Amancane

Ungase uzwe ubuhlungu besisu obubukhali, obufana namagagasi obufika buphinde buphele, obungagcina buhlala njalo. Ungase uqaphele okukodwa noma ngaphezulu kwalokhu okulandelayo:

• Ubuhlungu besisu , izinhlungu, noma ukuqunjelwa .
• Isicanucanu nokuhlanza .
• Ukulahlekelwa yisifiso sokudla .
• Ubuthakathaka bomzimba ( iMalaise ) – umuzwa ojwayelekile wokungaphilile.
• Uhudo(ngokuvamile kuyisibonakaliso sokuvinjelwa okuyingxenye).
• Izimpawu zokuphelelwa ngamanzi emzimbeni, njengokushaya kwenhliziyo okusheshayo noma umchamo onombala omnyama.
• Ukuqunjelwa okukhulu (uma uvaleleke ngokuphelele, ngeke ukwazi ukuphuma igesi noma indle).

Kuthiwani ngezingane?

Izingane ziba nezimpawu ezifanayo, kodwa zingase zingakwazi ukuchaza ukuthi kubuhlungu kuphi. Izinsana zingase zidonsele imilenze yazo esiswini sazo ngenkathi zikhala. Ezinye izimpawu ezinganeni zifaka:

• Imfiva.
• Ukopha okubangelwa yi-rectum .
• Ukuhlanza okuluhlaza noma okuphuzi.
• Ukudinwa noma amazinga omsebenzi anciphile.
• Isisu esivulekile nesiqinile esibonakalayo.

Kuzwakala Kanjani Ukuvaleka Kwamathumbu?

Imizwa iyahlukahluka kuye ngokuthi indawo kanye nobunzima bokuvimbeka. Ngokuvamile, ukuvimbeka kwamathumbu kuzwakala njengokuqaqamba okukhulu kwesisu. Emathunjini amancane, ubuhlungu buvame ukufika ngamagagasi njalo ngemizuzu embalwa. Ubuhlungu bokuvimbeka kwamathumbu amakhulu bungase buzwakale buhlala njalo futhi busakazeke kuso sonke isisu.

Kungakhathaliseki ukuthi ukuphi, uma uzwa ubuhlungu obukhulu esiswini, ukuqunjelwa, noma ukuhlanza, sicela ufune iseluleko sochwepheshe bezokwelapha ngokushesha.

Ngingaphuma Yini Endle Ngine-Intestinal Valid?

Kungenzeka, kuye ngokuthi indawo kanye nobunzima bayo. Isibonelo, uma uvaleleke kancane, ungase usale uphuma indle naphezu kobunzima. Kodwa-ke, uma uvaleleke ngokuphelele, cishe ngeke ukwazi ukuphuma indle noma igesi.

Yini Ebangela Ukuvinjelwa Kwamathumbu?

Izimbangela eziyinhloko zifaka:

• Ukunamathela Kwesisu (Izicubu Zesilonda): Uma uke wahlinzwa esiswini noma e-pelvic, izicubu zesikhumba ezithambile zingakheka. Lezi zingasebenza njengezibopho ezihlanganisa izingxenye zamathumbu, okubangela ukuvaleka. Lena yimbangela evame kakhulu yokuvaleka kwamathumbu amancane.
• I-Hernias: Ingxenye yamathumbu akho ingadlula endaweni ebuthakathaka odongeni lwesisu. Uma lesi zicubu sibhajwa noma siklinywa, singabangela ukuvaleka.
• Amathumba Anomdlavuza: Amathumba angavela emathunjini noma asakazekele endaweni njengomdlavuza osakazekile . Lawa mathumba angavimba indlela ngokwengxenye noma ngokugcwele. Umdlavuza we-Colorectal uyimbangela ehamba phambili yokuvaleka kwamathumbu amakhulu.

Kukhona nezinye izimbangela.

• Isifo Samathumbu Esivuvukalayo (IBD): Izimo ezifana neSifo SikaCrohn zingabangela ukwakheka kwezicubu zesilonda ezindongeni zamathumbu akho. Ngokuhamba kwesikhathi, lezi zibazi ziyanqwabelana, okuholela ekuncipheni kwamathumbu, okwaziwa ngokuthi ama-strictures .
• I-Diverticulitis: Lokhu kwenzeka lapho izikhwama ezincane ku-colon yakho (i-diverticula) zivuvukala noma zitheleleka. Lokhu kuvuvukala, noma izicubu zesilonda ezibangelwa yilokhu, kunganciphisa kakhulu amathumbu.
• Ukungena ngaphakathi: Lokhu kuyimbangela eyinhloko yokuvaleka kwamathumbu ezinganeni ezingaphansi kweminyaka emi-3 ubudala. Kwenzeka lapho ingxenye eyodwa yamathumbu ishelela engxenyeni eseduze—njengesibonakude esiwayo—esivimba kokubili ukudlula kokuqukethwe kanye nokugeleza kwegazi.
• I-Volvulus: Abanye abantu bazalwa benesimo lapho amathumbu engaxhunywanga kahle (i-malrotation) , okungabangela ukuthi asonteke (i-volvulus) futhi abangele ukuvaleka. Nakuba kungavamile, lokhu kungenzeka nakubantu abadala.
• Ukwelashwa Ngemisebe: Uma uke welashwa ngemisebe yomdlavuza wesisu, we-pelvic, noma we-rectal, kungase kube nomphumela ongemuhle obizwa ngokuthi i-Radiation Enteritis . Ukwelashwa ngemisebe kungabangela izicubu ezinempilo ukuba zibe nezibazi, okuholela ekuncipheni nasekuvalekeni.
• Ukungenisa into yangaphandle:Uma ngephutha ugwinya into umzimba ongakwazi ukuyigaya noma ukuyidlulisa, ingahlala emathunjini, ibangele ukuvaleka.

Yiziphi izinkinga zokuvaleka kwamathumbu?

Uma kungelashwa, ukuvaleka kwamathumbu kungaba yisimo esiphuthumayo esisongela ukuphila .

• Ukubhoboka kanye Nokutheleleka: Ukuqongelela kwegesi, uketshezi, kanye nojusi wokugaya ukudla kungandisa ingcindezi kuze kube yilapho udonga lwamathumbu ludabula noma lubhoboza. Lokhu kungavuza okuqukethwe kwamathumbu esiswini sakho, okuholela ku- peritonitis (ukutheleleka okukhulu kwesisu) kanye ne-sepsis , ukutheleleka komzimba okusongela impilo.
• Ukuklinywa (Ukufa Kwezicubu): Uma ukuvaleka kuvimbela ukugeleza kwegazi engxenyeni yamathumbu, leso zicubu singafa (i-gangrene) . Lokhu kuholela ekuthelelekeni okubi kakhulu futhi kungaba yingozi uma kungalungiswa ngokushesha.

Kuhlonzwa kanjani ukuvaleka kwamathumbu?

Ngenxa yokuthi ukuvaleka kwamathumbu kuyisimo esiphuthumayo sezokwelapha, ukuxilongwa kuqala futhi kuyashesha, ngokuvamile kwenzeka ngesikhathi esisodwa nokwelashwa kokuqala. Ithimba lakho lokunakekela lingenza okulandelayo:

• Umlando Wezokwelapha: Udokotela wakho uzobuza imibuzo eningiliziwe mayelana nempilo yakho, okuhlanganisa nanoma yikuphi ukuhlinzwa kwesisu kwangaphambilini.
• Ukuhlolwa Komzimba: Udokotela wakho uzohlola ukuvuvukala kwesisu noma ukuqaqamba kwaso. Bangase basebenzise i-stethoscope ukulalela imisindo yamathumbu engavamile ekhombisa ukuvaleka.
• Ukuhlolwa Kwegazi: Lokhu kusiza ekuhloleni isimo sakho sempilo. I- Complete Blood Count (CBC) ingathola izimpawu zokutheleleka, kanti i-Electrolyte Analysis inquma ukuthi uphelelwe amanzi emzimbeni kakhulu, okudinga uketshezi olusheshayo lwe-IV .

Izinqubo zokuthwebula izithombe zivumela udokotela wakho ukuthi abone ngeso lengqondo ukuvinjelwa futhi ahlole izinkinga:

• Ama-X-ray esisu: Lokhu kungakhomba ukuthi ukuvaleka kukuphi futhi kubonise ukuthi kukhona umoya ovaleleke esiswini noma ku-diaphragm—uphawu lokufa kwamathumbu noma ukubhoboka kwawo.
• I-Computed Tomography (i-CT scan): I-CT scan inikeza izithombe ezinemininingwane eminingi, ezivame ukudingeka ukuqinisekisa ukuxilongwa, ukukhomba indawo eqondile, nokunquma imbangela eyisisekelo yokuvaleka.
• I-X-ray ye-Barium Enema: Ithuluzi lokuxilonga ikholoni lapho udokotela efaka khona i-catheter encane e-rectum yakho ukuze agcwalise amathumbu ngoketshezi oluhlukile. Lokhu kwenza ikholoni ibonakale ngokucacile ezithombeni ze-X-ray njengoba uketshezi luhamba kulo.

Njengoba lezi zinqubo zihilela imisebe, udokotela wakho uzobeka phambili ukuphepha. Kwabesifazane abakhulelwe noma izingane, ezinye izindlela ezingenayo imisebe njenge -Ultrasound noma i-MRI zingasetshenziswa.

Yiziphi izindlela zokwelapha ukuvimba kwamathumbu?

Iningi leziguli ezivalekile emathunjini zidinga ukunakekelwa esibhedlela ngokushesha. Ukuvalwa okuphelele kuvame ukudinga ukuhlinzwa okuphuthumayo. Uma kuvimbekile kancane, ithimba lakho lingase liqale lisebenzele ukuzinzisa isimo sakho ngokungenelela okungekona ukuhlinzwa, njengokuphumula emathunjini. Inqubo yesenzo incike ngokuphelele ebunzimeni becala lakho.

Ukwelashwa kungafaka:

• Uketshezi olufakwa emthanjeni (IV): Ukulungisa ukuphelelwa amanzi emzimbeni nokubuyisela ibhalansi yakho ye-electrolyte.
• Ipayipi Lokungena Ebusweni: Ipayipi elincane neliguquguqukayo lidlula ekhaleni lakho liye esiswini noma emathunjini ukuze lisuse uketshezi oluvalelekile kanye negesi, linciphise ukucindezeleka.
• Imithi: Unganikezwa imithi yokulwa nokugabha ukuze ulawule isicanucanu nokuhlanza, kanye nokulawula ubuhlungu.
• Ukuphumula Kwamathumbu: Ukuze uvumele ukuvaleka kuxazululeke noma amathumbu anciphe abe sezingeni lawo elijwayelekile, ungase uvinjelwe ukudla noma ukuphuza, noma unikezwe ukudla okunomsoco okukhethekile.
• Ukuhlinzwa:Uma amathumbu evalekile ngokuphelele, ukuhlinzwa kuvame ukuba yimpoqo. Udokotela ohlinzayo angasusa izicubu ezibomvu noma izingcezu ezibangela ukuvaleka. Ezimweni ezingavamile, izicubu ezonakele kungadingeka zisuswe. Ngezinye izikhathi, i -stent (ithubhu ene-mesh) ingafakwa ukuze ibambe amathumbu evulekile, kungaba njengesixazululo esiqinisekile noma njengebhuloho lesikhashana lokuzinzisa ukuze uthole ukuhlinzwa okuphephile kamuva.

Iyini inhloso yesiguli esinenkinga yokuvaleka kwamathumbu?

Iziguli eziningi ziyalulama kahle ngokungenelela kwezokwelapha ngesikhathi esifanele. Izimpawu zokuthuthuka zifaka phakathi ukudlula kwegesi, ukwehla kokuqunjelwa, kanye nekhono lokunyakaza kwamathumbu.

Ngakolunye uhlangothi, uma kuvela ukubhoboka kwamathumbu, isimo singaba yingozi empilweni ngokushesha okukhulu. Ukufuna usizo lwezokwelapha lapho kuqala izimpawu kubalulekile ekuvimbeleni izinkinga ezinkulu.

Kufanele ngifune nini usizo oluphuthumayo?

Sicela ufune izinsizakalo eziphuthumayo ngokushesha (shayela u-911 noma uvakashele isibhedlela esiseduze nawe) uma uhlangabezana nalokhu:

• Imfiva.
• Ukuhlanza okuqhubekayo noma okungalawuleki.
• Ubuhlungu obukhulu besisu obuhamba buphinde buphele.
• Izimpawu zokuphelelwa ngamanzi emzimbeni.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Zizwe ukhululekile ukubuza umhlinzeki wakho wezempilo waseNirogi Lanka okulandelayo:

• Yini eyabangela ukuvaleka kwamathumbu ami?
• Yiluphi uhlelo lokwelashwa oluqondile oluncomayo?
• Ingabe ngisengozini yokuphazamiseka esikhathini esizayo?
• Yiziphi izingozi noma izinkinga ezihlobene nokwelashwa kwami?
• Ngingalungisa kanjani ukudla kwami ​​kanye namazinga omsebenzi wami ngesikhathi ngilulama?

Okokugcina, khumbula iphuzu elibaluleke kakhulu

Uma uzwa izimpawu zokuvaleka kwamathumbu, thatha isinyathelo ngokushesha bese ucela iseluleko sochwepheshe bezokwelapha. Abantu abaningi bavame ukubekezelela ubuhlungu besisu, becabanga ukuthi abukhulu ngokwanele ukuthi kudingeke ukuvakashelwa udokotela. Kodwa-ke, uma kukhulunywa ngokuvaleka kwamathumbu, "ukulinda" akukaze kube yisinqumo esifanele. Ungabunaki ubuhlungu besisu, ikakhulukazi uma uke wahlinzwa ngaphambilini noma unezimo eziyisisekelo ezifana ne-IBD ezandisa ingozi yakho. Ukuvaleka kwamathumbu yisimo esingelashwa ngempumelelo ngokunakekelwa kwezokwelapha okusheshayo. Ungalibali.

Amagama angukhiye: Ukuvaleka kwamathumbu, ubuhlungu besisu, ukuqunjelwa, ukuhlanza, izifo zamathumbu, ukuhlinzwa