Cabanga ngengane yakho encane idlala kahle, bese ngokuzumayo izigoqa ibe yibhola, idonse amadolo ayo esiswini sayo, bese iqala ukukhala kakhulu. Kungakhathaliseki ukuthi uzama kangakanani ukuyiduduza, ukukhala ngeke kuphele. Kodwa ngemva kwemizuzu engaba ngu-15-20, ukukhala kuyaphela bese iqala ukudlala futhi, njengokungathi akwenzekanga lutho. Ungase ucabange ukuthi kubuhlungu besisu nje. Kodwa lokhu kungaba yisimo esibi kakhulu esibizwa ngokuthi i-Intussusception , esidinga ukunakekelwa kwezokwelapha ngokushesha. Kubalulekile ukuthi bonke abazali baqaphele lokhu, njengoba kuyisimo esiphuthumayo sezokwelapha.
Kalula nje, kuyini i-Intussusception?
Nakuba igama lingase lizwakale lingavamile, okwenzekayo kulula kakhulu. Ukungena ngaphakathi emzimbeni kwenzeka lapho ingxenye eyodwa yamathumbu ethu, njengethelesikopu, igwinya enye ingxenye yawo. Kufana nesokisi eligoqwa ngaphakathi kwalo. Lokhu kuvame ukwenzeka emathunjini amancane.
Uma lokhu kwenzeka, ukunyakaza kokudla emathunjini kucishe kumiswe ngokuphelele, okubangela ukuvaleka kwamathumbu . Ngaphezu kwalokho, imithambo yegazi ehambisa igazi kuleyo ngxenye yamathumbu iyacindezelwa, inqamule ukugeleza kwegazi. Uma ingelashwa ngokushesha, lokhu kuvaleka kungabangela ukuthi amathumbu avuvuke, avuvuke, futhi kubangele izinkinga ezinkulu ezingaba yingozi ngisho nokuphila.
Ukungena ngaphakathi kuyisimo esiphuthumayo sezokwelapha. Kodwa-ke, uma ufika esibhedlela ngokushesha, ungalulama ngokuphelele. Ngakho-ke ungesabi, kodwa ungalibali futhi.
Sivame kangakanani lesi simo?
Nakuba i-intussusception ingenzeka kunoma yimuphi ubudala, ivame kakhulu ezinganeni eziphakathi kwezinyanga ezi-3 neminyaka emi-3 . Eqinisweni, i-intussusception iyimbangela ehamba phambili yokuvaleka kwamathumbu ezinganeni ezingaphansi kweminyaka emi-3. Kulinganiselwa ukuthi cishe ingane eyodwa kwezingu-2,000 izoba nalesi simo phakathi nonyaka wayo wokuqala wokuphila.
Akuvamile kakhulu kubantu abadala. Ukungena ngaphakathi kubangela cishe i-1% yazo zonke izithiyo zamathumbu kubantu abadala.
Ungazibona kanjani izimpawu zokungena ngaphakathi?
Uma usola ukuthi ingane yakho inalesi simo, kubaluleke kakhulu ukunaka kakhulu lezi zimpawu.
Izimpawu ezinganeni ezincane
Izimpawu ezinganeni zihlukile kancane. Uphawu oluyinhloko ubuhlungu obukhulu besisu obunyamalala ngemva kwesikhashana.Uma kufika lobu buhlungu, izingane ezincane zicindezela amadolo azo esiswini bese zikhala kakhulu. Lobu buhlungu bungahlala cishe imizuzu eyi-15-20. Bese kuthi ngokuzumayo ubuhlungu buphele, bese umntwana eqala ukwenza ngendlela evamile futhi, aze adlale. Lesi sikhathi esingenabuhlungu singahlala cishe imizuzu engama-20-30. Bese ubuhlungu obukhulu buqala futhi.
Njengoba lo mjikelezo wobuhlungu uqhubeka, umntwana angase akhathale, alale, futhi aphelelwe amandla . Angase abe nomkhuhlane futhi, ezimweni ezimbi kakhulu, ashaqeke.
Futhi qaphela izimpawu ezilandelayo.
| Isibonakaliso | Incazelo |
|---|---|
| Ukuqunjelwa/ukuvuvukala | Uma uthinta isisu sakho, singase sizwakale sivuvukile futhi siqinile. |
| Ukuhlanza | Nakuba ukudla kungase kuhlanzwe ekuqaleni, uketshezi oluphuzi-oluhlaza (i-bile) lungahlanzwa kamuva. |
| Izihlalo ezibomvu ezifana nejeli | Lolu uphawu olubaluleke kakhulu. Indle ibukeka njengejeli ebomvu ngenxa yegazi kanye ne-mucus ephuma emathunjini. Akuzona zonke izingane ezingabonisa lolu phawu. |
Ngezinye izikhathi, lezi zimpawu zingavela emavikini ambalwa ngemva kokuba ingane inesifo esifana nomkhuhlane wegciwane. Ngakho-ke uma ingane yakho isanda kugula, kufanele futhi usole ngalokhu.
Into ebaluleke kakhulu ukuthi, uma ingane yakho ibonakala ihlushwa yisisu ngendlela engachazeki, yiyise kudokotela ngokushesha ngaphandle kokucabanga nganoma yini enye.
Izimpawu kubantu abadala
Izimpawu ze-intussusception zihlukile kancane kubantu abadala. Ubuhlungu besisu bungafika budlule njengasezinganeni, noma bungaba njalo. Ukuhlanza, ukuqunjelwa, kanye nendle enegazi nakho kuvamile kubantu abadala. Kodwa-ke, ngenxa yokuthi lezi zimpawu zivamile kwezinye izifo eziningi zamathumbu, abantu abaningi bazama ukuzishaya indiva. Kodwa-ke, i-intussusception iyingozi kakhulu.
Kungani lokhu kwenzeka? Yiziphi izizathu?
Ngokuvamile, kunzima ukuthola imbangela ethile yokungena ngaphakathi, ikakhulukazi ezinganeni ezincane.
Kodwa kutholakale ukuthi ezinye izinto zingathinta lokhu.
- Ezinganeni: Kubonakala sengathi kukhona ukuxhumana phakathi kokutheleleka ngegciwane nalesi simo. Iningi lezingane liyakhula ngesikhathi sezulu esibandayo, lapho umkhuhlane kanye ne-gastroenteritis ebangelwa yigciwane kuvamile. Kungabangelwa futhi ukukhubazeka kwamathumbu okuzalwa, njengesimo esibizwa ngokuthi i-Meckel's diverticulum noma ukukhula okuncane emathunjini (ama-polyps).
- Kwabantu abadala: Izimbangela kubantu abadala zisobala kakhulu. Ukuvuvukala kwamathumbu kuvame ukubangelwa yinto efana nezimila eziyingozi noma ukukhula okungenangozi kumathumbu amakhulu. Akuvamile, kungabangelwa nezimo zokuvuvukala zesikhathi eside kumathumbu amakhulu, njengesifo sikaCrohn.
Izinkinga eziyingozi ezingaba khona uma zingelashwa
Lokhu kuyinto okudingeka ishiwo njalo. Ukungena ngaphakathi kungaba yingozi empilweni uma kungelashwa ngokushesha.
- Ukubhoboka kwamathumbu: Lapho amathumbu evalekile, ukudla kanye nojusi wokugaya ukudla kuyanqwabelana ngemuva kwawo, okwandisa ingcindezi. Lokhu kucindezela kungabangela ukuthi amathumbu avuvuke futhi ekugcineni aqhume, akhe imbobo.
- Ukutheleleka okukhulu (i-peritonitis): Uma amathumbu ebhobokile, okuqukethwe kwawo kuvuza emgodini wesisu. Lokhu kungabangela ukutheleleka okukhulu okusakazeka kuwo wonke umgodi wesisu, okubangela isimo esisongela ukuphila esibizwa ngokuthi i-sepsis.
- I-necrosis yamathumbu: Uma igazi ligeleza engxenyeni yamathumbu linqunywa, izicubu ezikuleyo ngxenye ziqala ukufa ngaphandle kokuthola umoya-mpilo. Uma lokhu kwenzeka, leyo ngxenye yamathumbu kungadingeka isuswe ngokuhlinzwa.
Lezi zinkinga zingavela ngokushesha okukhulu. Yingakho kubalulekile ukuphatha lokhu njengesimo esiphuthumayo bese uya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha .
Odokotela bakuthola kanjani lokhu futhi bakwelaphe kanjani?
Ngokuvamile, kokubili ukuxilongwa nokwelashwa kwalesi simo kwenzeka ngesikhathi esisodwa. Uma ingane ilethwa esibhedlela enalezi zimpawu, into yokuqala odokotela abayenzayo ukuskena nge-ultrasound. Lokhu kunganquma ngokunemba okungu-100% ukuthi kukhona yini i-intussusception noma cha.
Isinyathelo esilandelayo nesibaluleke kakhulu inqubo ebizwa ngokuthi i-Air Enema noma i-Contrast Enema .
Iyini le ndlela yokwelapha nge-enema?
Lena akuyona inqubo yokuhlinzwa. Kule nqubo, kufakwa ipayipi elincane nge-rectum yengane, bese kudluliselwa umoya (i-Air Enema) noma uketshezi olukhethekile njenge-`(barium)` (i-Contrast Enema) ngayo emathunjini. Ingcindezi edalwa yilo moya noma uketshezi isunduza ingxenye yamathumbu ecwile ngaphakathi emuva, iqondise amathumbu. Udokotela ubuka yonke le nqubo ngevidiyo ye-X-ray.
Ngokumangalisayo, le nqubo ayigcini nje ngokubona lesi sifo, kodwa futhi iyaselapha ezinganeni ezingaba ngu-85%. Ayidingi ngisho nokuhlinzwa kwe-anesthesia.
Ukuhlinzwa
Ukungena ngaphakathi kubantu abadala ngokuvamile kudinga ukuhlinzwa. Futhi, ezinye izingane zingadinga ukuhlinzwa. Lokhu kungenxa yalokhu:
- Uma ukwelashwa nge-enema kungaphumeleli.
- Uma inkinga efana nokubhoboka kwamathumbu isivele yenzekile.
Ukuhlinzwa kungenziwa ngokwesiko, ngokusikwa okukodwa okukhulu esiswini (ukuhlinzwa okuvulekile), noma ngenqubo ebizwa ngokuthi i-laparoscopy, ngokusikwa okuningana okuncane esiswini nangosizo lwekhamera. Ngesikhathi sokuhlinzwa, udokotela uzozama ukuqondisa ingxenye yamathumbu eshelele. Uma lokhu kungenzeki, noma uma ingxenye yonakele, ingxenye iyasikwa bese izingxenye ezimbili ezisele eziphilile zixhunywa ndawonye.
Ngesikhathi sokuhlinzwa, udokotela wezingane obulala izinzwa uzonakekela ingane ukuze ingazizwa ubuhlungu. Ngakho-ke asikho isidingo sokukhathazeka ngakho.
Umntwana uzozizwa kanjani ngemva kokwelashwa?
Ngemva kokwelashwa nge-enema, ingane ingase izizwe ivuvukele amahora ambalwa. Imithi efana ne-paracetamol inganikezwa ukulawula ubuhlungu nomkhuhlane.
Ngemva kokuhlinzwa, ingane yakho izodinga imithi yobuhlungu. Izonikezwa uketshezi lwe-IV izinsuku ezimbalwa kuze kube yilapho amathumbu ayo ephola. Ngokuvamile ingaqala ukudla futhi zingakapheli izinsuku ezintathu. Kungathatha amasonto ambalwa ukuthi ingane yakho ibuyele emisebenzini yayo evamile.
Uma lesi simo selashwa ngokushesha, izinga lokululama kwezingane liphezulu kakhulu. Kodwa-ke, kunethuba elingu-10% - 20% lokuthi lokhu kuzophinde kwenzeke. Ngakho-ke, ngaphambi kokuphuma esibhedlela, buza udokotela wakho ngokucophelela ngezimpawu okufanele uziqaphele uma lesi simo siphinde sivele.
Umlayezo Wokuya Nawe Ekhaya
- Ukungena ngaphakathi kuyisimo esivamile kodwa esiyingozi kakhulu phakathi kwezingane ezincane esidinga ukwelashwa okuphuthumayo.
- Isibonakaliso esiyinhloko ukuqala ngokuzumayo kobuhlungu obukhulu besisu, obuya buphele ngemva kwesikhashana bese buqala futhi. Ngalesi sikhathi, ingane izokhala kakhulu, amadolo ayo agobile esiswini sayo.
- "Izihlalo ezibomvu ezifana nejeli"Lesi yisibonakaliso esikhulu esiyisixwayiso salesi sifo.
- Uma ubona lezi zimpawu, ungahlali ekhaya ucabanga ukuthi, "Lokhu kumane kuyisisu esibuhlungu." Thatha ingane yakho uye e-Emergency Treatment Unit (ETU) yesibhedlela esiseduze ngokushesha.
- Uma ushesha ukuthatha isinyathelo, kulapho kungenzeka khona ukuthi ingane yakho izolulama ngokuphelele ngaphandle kwezinkinga.
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