Ingabe amathumbu akho nawo athola ukugeleza kwegazi okunciphile? Lokhu kubizwa ngokuthi i-Mesenteric Ischemia!

Wake waba nobuhlungu besisu obungazelelwe, obungabekezeleleki? Noma uzizwa sengathi unesifo sesisu ngemva kokudla futhi kubonakala sengathi siya siba sibi kakhulu? Uma unezimpawu ezinjengalezi, kungenzeka ukuthi kungenxa yesimo esingavamile kodwa esingaba yingozi. Sizokhuluma ngesinye isimo esinjalo namuhla. Sibizwa ngokuthi i-Mesenteric Ischemia . Ungakhathazeki, sizokhuluma ngalokhu kalula nangendlela ongayiqonda.

Iyini le ischemia ye-mesenteric?

Kalula nje, i-mesenteric ischemia yilapho izingxenye zesimiso sakho sokugaya ukudla zingatholi igazi elanele . Kufana nalapho amanzi empompini yakho ehla. Lokhu kuvame ukubangelwa ukuvaleka kwemithambo yegazi enikeza igazi kulezo zingxenye.

Lesi simo sivame kakhulu kubantu asebekhulile, ikakhulukazi labo abanesifo senhliziyo noma izinkinga zokujiya kwegazi.

Cabanga ngakho, iseli ngalinye, zonke izicubu, nazo zonke izitho zomzimba wethu zidinga umoya-mpilo. Lo moya-mpilo uvela egazini. Ngakho-ke, lapho ukujikeleza kwegazi kuphazamiseka, lezo zitho nezicubu azinawo umoya-mpilo owanele futhi azikwazi ukusebenza kahle. Uma ukuvaleka kukubi kakhulu, lezo zitho nezicubu zingase ziqale nokufa . Lokhu kungaba yisimo esibulalayo. Ngakho-ke, kubaluleke kakhulu ukuxilonga nokwelapha lesi sifo ngokushesha okukhulu.

Asho ukuthini amagama athi "mesentery" kanye nelithi "ischemia"?

• I-Mesentery: Lesi isitho esifana ne-membrane ngaphakathi esiswini sethu. Yiso esibamba amathumbu ethu amancane, amathumbu amakhulu, kanye nezinye izitho eziningana endaweni yaso. Futhi, inethiwekhi yemithambo yegazi idlula kule mesentery enikeza igazi kulezo zitho.
• I-Ischemia: Lokhu kwenzeka lapho ingxenye yomzimba wethu ingatholi ukugeleza kwegazi okwanele.

I-Mesenteric ischemia isho ukuthi lokhu kwehla kokugeleza kwegazi kuthinta i-mesentery yakho kanye nezitho ezihambisana nayo.

Ingabe zikhona izinhlobo zalokhu?

Yebo, kunezinhlobo ezimbili ikakhulukazi ze-mesenteric ischemia:

1. I-Acute Mesenteric Ischemia

Njengokuhlaselwa yinhliziyo noma isifo sohlangothi, lesi yisimo esiphuthumayo. Sibangelwa ukuvaleka kwemithambo emikhulu, njengalesi. Sivame ukubangelwa ukuqhekeka kwegazi . Izimpawu zivele ngokuzumayo futhi zinzima kakhulu. Lesi yisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha .

2. I-Mesenteric Ischemia Engapheli (I-Mesenteric Ischemia Engapheli)

Lolu hlobo lukhula kancane kancane ngokuhamba kwesikhathi. Ngokuvamile lubangelwa ukuncipha kancane kancane kwemithambo yakho ye-mesenteric. Izimpawu zivame ukuba zimbi kakhulu ngokuhamba kwesikhathi.

Ubani onamathuba amaningi okuthuthukisa lokhu? (Izici eziyingozi)

I-Mesenteric ischemia ivame kakhulu ngokweminyaka. Iphinde ihlotshaniswe nesifo senhliziyo kanye nezifo zesimiso sokujikeleza kwegazi, ikakhulukazi izimo ezingabangela ukuqhekeka kwegazi.

Nazi ezinye zezinto eziyingozi:

• Ukuphazamiseka kwesigqi senhliziyo, isibonelo , i-atrial fibrillation .
• Isifo semithambo yegazi ye-coronary .
• Isifo Sikashukela (i-Diabetes Mellitus) .
• Ukwehluleka kwenhliziyo .
• Umfutho wegazi ophezulu (i-Hypertension) .
• Izinga eliphezulu le-cholesterol egazini (i-Hyperlipidemia) .
• Izinkinga ze-Hypercoagulation .
• Ukuhlinzwa kwakamuva.
• Izifo zemithambo yegazi ezithweni, isibonelo , isifo semithambo yegazi engaphandle .
• Ukusetshenziswa kukagwayi - kungakhathaliseki ukuthi wawusebenzisa esikhathini esidlule noma wawusebenzisa njengamanje.

Lesi sifo asivamile kakhulu. Sivela cishe kumuntu oyedwa noma ababili kwabayi-1,000 abagula esibhedlela.

Lesi sifo sithinta kanjani umzimba? Kungani siyingozi?

Wonke amaseli, izicubu, kanye nezitho zomzimba wethu zidinga ukuhlinzekwa kwegazi nomoya-mpilo njalo. Uma lokho kunikezwa kulahleka, ziqala ukufa. Isizathu esiyinhloko sokuthi i-mesenteric ischemia iyingozi ukuthi ithinta amathumbu ethu. Kunezigidigidi zamabhaktheriya ngaphakathi kwamathumbu ethu.

Ngokuvamile, la magciwane asisiza kakhulu, asisize ekugayeni ukudla esikudlayo. Kodwa lapho amathumbu eqala ukufa, la magciwane angasakazeka ezindaweni okungafanele abe kuzo futhi abangele izifo eziyingozi . Lokhu kungaholela esimweni esisongela ukuphila esibizwa ngokuthi i-sepsis . I-Sepsis yilapho amasosha ethu omzimba esabela ngokweqile ekuthelelekeni, okubangela umonakalo emizimbeni yethu.

Yini ebangela lokhu?

Kunezimbangela ezahlukene zezinhlobo ezahlukene ze-mesenteric ischemia.

Izimbangela ze-Acute Mesenteric Ischemia:

Into efana ne-wax ebizwa ngokuthi i-plaque ingakheka ngaphakathi kwemithambo yethu, ibangele ukuthi iqine. Lokhu kubizwa ngokuthi i-atherosclerosis . Lokhu kuvame ukubonakala ngesifo senhliziyo. Uma enye yalezi plaque iqhuma, kungakheka ihlule legazi.

Izindlela amahlule egazi angabangela ngazo ukuvaleka:

• Ihlule legazi emthanjeni wakho we-mesenteric (15% - 25%): Ezinye izimo zezokwelapha zenza kube lula ukuthi kwakheke amahlule egazi emithanjeni yakho yegazi. Uma ihlule elinjalo lenzakala emthanjeni wakho we-mesenteric, lingabangela ischemia ebukhali ye-mesenteric.
• I-Mesenteric artery embolism (50%): Lokhu kwenzeka lapho ihlule legazi elakheke kwenye indawo emzimbeni liqhuma bese lihlala emthanjeni we-mesenteric. Igazi alikwazi ukugeleza lidlule ihlule.
• Amahlule egazi emithanjeni ye-mesenteric (5%):Lokhu kungenzeka kubantu abanezimo ezenza igazi liqhekeke kalula (njengezimo zofuzo). Lapho kwakheka ihlule emithanjeni ye-mesenteric, ukugeleza kwegazi kuyavaleka, bese igazi ligcwala ngemuva kwehlule. Lokhu kuvame kakhulu kubantu abasebasha.

Kukhona futhi uhlobo olubizwa ngokuthi i-non-occlusive mesenteric ischemia (NOMI) . Cishe ama-20% eziguli ezine-acute mesenteric ischemia awela kulesi sigaba. Lokhu kubangelwa ukucinana noma ukuqaqamba kwemithambo yegazi. Lokhu kungaba nezimbangela eziningana:

• Izidakamizwa: Eminye imithi yenhliziyo ingabangela ukuba imithambo yegazi inciphe, njengoba kunjalo nangezidakamizwa ezifana ne-cocaine.
• Izinqubo zezokwelapha: Izinto ezifana ne-dialysis kanye nokuhlinzwa zingabangela ukuthi imithambo yegazi ye-mesenteric inciphe.
• Izimo zempilo: Lesi simo singabangelwa izinto ezifana ne-sepsis, ukwehluleka kwenhliziyo, ukuphelelwa amanzi emzimbeni, ukusabela kokungezwani komzimba, njll. Umfutho wegazi ophansi nakho kungaba nomthelela kulokhu.

Lesi simo se-NOMI sithathe isikhathi ukuba sibe sibi kakhulu, kodwa sisayingozi.

Izimbangela ze-Chronic Mesenteric Ischemia:

Lokhu kuvame ukubangelwa yizifo zokujikeleza kwegazi ezincipha imithambo yegazi. Lokhu kuncipha, okubizwa nangokuthi i-stenosis , kunciphisa inani legazi eligeleza liye ku-mesentery ngokuhamba kwesikhathi.

Kungabangelwa futhi ukwakheka kwehlule legazi emthanjeni wegazi we-mesenteric. Uma lokhu kwenzeka, ihlule lingakhula libe likhulu futhi izimpawu zingase zande phakathi nezinsuku noma amasonto.

Nakuba lesi simo esingamahlalakhona singasongeli impilo ngokushesha, cishe ama-40% eziguli ezine-acute mesenteric ischemia anezimpawu ezingamahlalakhona. Okusho ukuthi, izimpawu ezibangelwa imithambo yegazi emincane ziya ziba zimbi ngokuzumayo lapho leyo mithambo ivinjelwa yi-blood clot entsha.

Ziyini izimpawu zalokhu?

Izimpawu ze-mesenteric ischemia ziyahlukahluka kuye ngohlobo.

Izimpawu ze-Acute Mesenteric Ischemia:

Izimpawu zalesi simo zivele ngokuzumayo. Ziyi:

• Ubuhlungu obukhulu besisu: Lolu uphawu oluvame kakhulu (75% - 80% weziguli zinalo). Ngokuvamile luvela ngemva kokudla. Kunzima ukusho ngqo ukuthi lukuphi esiswini, kodwa ubuhlungu bungaba bukhulu kakhulu . Isiguli singase sithi uma udokotela ezwa isisu, sibuhlungu kakhulu kunalokho obekulindelekile. Lokhu kungaba uphawu olulodwa kuphela ku-NOMI.
• Ukuqunjelwa, isicanucanu, nokuhlanza: Lokhu kuvame ukuhambisana nobuhlungu besisu. Ukuhlanza nakho kuyenzeka kubantu abaningi (cishe ama-70%).
• Izinguquko ekuhambeni kwamathumbu: Lokhu kungabangelwa izinto ezifana nokuqunjelwa.
• Uhudo: Cishe ama-40% eziguli analo. Kodwa kungenzeka ukuthi aluqhubeki, kodwa lungase luvele ngezikhathi ezithile. Uhudo lungaba lubi kakhulu, lulandelwe ubuhlungu obukhulu. Esigabeni esibi kakhulu sesifoUhudo olunegazi luvamile.
• Ukwehla kwesisindo: Lokhu kungabonakala nasezimweni eziphuthumayo. Kungase kube ngenxa yokungathandi ukudla ngenxa yobuhlungu noma ezinye izimpawu ezandulela ukuqala kwesifo.
• Umkhuhlane: Lokhu kungaba uphawu lokutheleleka okuyingozi.

Ngokuvamile, izimpawu ze-ischemia ye-mesenteric engapheli (bheka ngezansi) zingase zandulele ukuqala kwalesi simo esibi kakhulu. Cishe ingxenye yeziguli ezibi kakhulu iba nezimpawu ezibi kakhulu kuqala.

Izimpawu ze-Chronic Mesenteric Ischemia:

Izimpawu zalesi simo zibonakala kancane futhi zanda ngokuhamba kwesikhathi.

• Ubuhlungu besisu: Lokhu kuvame kakhulu ngemva kwehora noma amabili ngemva kokudla. Kungase kuzwakale sengathi kukhona okucindezela isisu sakho (ama-cramps). Ubuhlungu buvame ukwenzeka esiswini esingaphezulu noma eduze kwenkinobho yesisu.
• Ukwesaba ukudla nokwehlisa isisindo: Njengoba lesi sifo siqhubeka, ubuhlungu buba bukhulu kakhulu. Lokhu kungaholela esimweni esibizwa ngokuthi "ukwesaba ukudla." Lokhu kusho ukugwema ukudla ngoba ucabanga ukuthi kuzobuhlungu ngemva kokudla. Lokhu ngokwemvelo kuholela ekwehleni kwesisindo .
• Ukushintsha kwemikhuba yokuya endlini yangasese: Ukudinga ukuya endlini yangasese cishe noma kancane kunangaphambili.
• Uhudo: Cishe ingxenye eyodwa kwezintathu yalaba bantu banesifo sohudo. Ngokuvamile sihlala isikhathi eside.

Odokotela bakuthola kanjani lokhu? (Ukuxilongwa)

Udokotela uxilonga i-mesenteric ischemia ngokuhlanganiswa kokuhlolwa ngokomzimba, ukuhlolwa kwelebhu, kanye nokuhlolwa kwezithombe. Ngeshwa, lesi simo kunzima ukusixilonga ezigabeni zaso zokuqala. Enye inselele ukuthi abantu abaningi abanalesi simo abakwazi ukukhuluma noma ukuphendula imibuzo kahle, ikakhulukazi uma besezinhlungwini ezinzima.

Hlobo luni lokuhlolwa okwenziwayo?

Kunezinhlobo eziningana zokuhlolwa ezingasiza ekuxilongeni lesi sifo:

Ukuhlolwa komzimba

Yilapho udokotela wakho ekubheka khona, ekuzwela, futhi ekulalela khona ukuze abone ukuthi kukhona yini izinkinga. Ku-mesenteric ischemia, odokotela bangathola izinto ezinjengalezi:

• Izimpawu ezibonakalayo: Ukuqunjelwa kungenye yezimpawu eziyinhloko. Abanye abantu bangase baqaphele ukwehla kwesisindo. Abantu abaningi bangase balale endaweni yombungu ngenxa yobuhlungu obukhulu.
• Izimpawu ongase uzizwe: Udokotela uzokushaya isisu. Abanye abantu bazizwa bethambile ezindaweni ezithile zesisu sabo. Abantu abaningi bazoqina lapho udokotela ezama ukuthinta isisu sabo (ukuqapha). Ngokuvamile, iziguli zithi kubuhlungu ngaphezu kokuthinta isisu sabo.
• Izimpawu ezizwakalayo: Udokotela wakho uzolalela imisindo yesistimu yakho yokugaya ukudla nge-stethoscope. Le misindo, ebizwa ngokuthi i-borborygmi , ayizwakali kakhulu kwi-mesenteric ischemia. Ezimweni ezimbi kakhulu, kungase kungabikho misindo nhlobo. Ngezinye izikhathi,Ungase uzwe nomsindo othi "bruit". Lona umsindo ozwakalayo onamahlule egazi.

Lokhu kuhlolwa ngokomzimba kungase kungaboni lutho olubalulekile kuze kube yilapho isifo sesiqhubeke kakhulu. Ngakho-ke kuthatha isikhathi eside ukuthola lesi sifo, okungenye yezizathu ezenza sibe yingozi kangaka.

Ukuhlolwa kwelebhu

Lezi zivivinyo zibheka izinguquko egazini, ikakhulukazi okuqukethwe yi-oxygen kanye nekhono lokujiya. Zibheka nokuthi amasosha omzimba asabela kanjani ekuthelelekeni. Ezinye izivivinyo zibheka amakhemikhali aqoqana egazini ngenxa yamaseli nezicubu ezonakele noma ezifayo.

Ukuthwebula Izithombe kanye ne-Endoscopy

Indlela engcono kakhulu yokuxilonga i-mesenteric ischemia ukubheka izindawo lapho ukugeleza kwegazi kunciphile noma kungekho khona. Ukuhlolwa okuningana kwezithombe kungasiza ngalokhu:

• I-Ultrasound: Lokhu kuhilela ukuthumela amaza omsindo avame kakhulu ngedivayisi ebekwe esikhumbeni sesisu sakho. Lawa maza omsindo asebenza ngendlela efanayo naleyo amalulwane “ayibonayo,” okudala isithombe esisiza odokotela ukuthola izindawo lapho ukugeleza kwegazi kuhamba kancane noma kungekho khona. Izinhlobo ezahlukene ze-ultrasound zingalinganisa nokuthi lingakanani igazi eligeleza ngemithambo yegazi ehlukene.
• I-Angiography: Lena yindlela engcono kakhulu nethembekile yokuxilonga i-mesenteric ischemia. Ku-angiography, idayi ebizwa ngokuthi i-contrast ifakwa emithanjeni yegazi emikhulu esiswini sakho. Imithambo yegazi ibe isibonakala ngokucacile ku-X-ray noma ku-CT scan . Ingabonisa futhi imithambo yegazi evalekile kancane noma ngokuphelele. Ngezinye izikhathi, i-catheter , idivayisi ende, efana ne-tube, ifakwa emithanjeni yegazi emikhulu futhi imithambo yegazi ethintekile ingabonakala ngaphakathi.
• I-Endoscopy: Kule nqubo, udokotela ufaka ithubhu elincane neliguquguqukayo elibizwa ngokuthi i-endoscope endleleni yakho yokugaya ukudla ukuze abheke izimpawu ze-ischemia. Uma inkinga iseduze nesisu, i-endoscope ifakwa ngomlomo wakho bese idluliselwa emathunjini amancane. Uma inkinga isemathunjini amakhulu noma engxenyeni engezansi yamathumbu amancane, i-endoscope ifakwa nge-rectum yakho (njengoba kunjalo nge-colonoscopy). I-anesthesia ivame ukusetshenziswa kulezi zinqubo. I-Endoscopy ivame ukwenziwa kubantu abangakwazi ukuthola umjovo wokuhlukanisa (isibonelo, labo abanezinkinga zokungezwani komzimba noma zezinso).

Ingabe ikhona indlela yokwelapha lokhu? Ingabe ingelapheka?

Yebo, i-mesenteric ischemia ingelashwa futhi iguqulwe uma itholakala kusenesikhathi .

Into yokuqala okufanele uyenze ukubuyisela ukugeleza kwegazi ngokushesha okukhulu. Ngenxa yokuthi i-mesenteric ischemia iba yingozi ngokuhamba kwesikhathi, odokotela bangase batuse ukuhlinzwa ngokushesha.

Uma ukugeleza kwegazi sekubuyiselwe, isinyathelo esilandelayo ukuhlola noma yiziphi izicubu ezonakele noma ezifile. Uma izingxenye zamathumbu noma ikholoni zifile ngenxa yokuntuleka kwegazi, ukususa lezo zingxenye kuyindlela kuphela yokulungisa umonakalo nokuvimbela izinkinga ezisongela ukuphila.

Yimiphi imithi nezindlela zokwelapha ezinikezwayo?

Ukwelashwa kanye nokungenelela kuyahlukahluka kuye ngohlobo lwe-mesenteric ischemia kanye nendawo yembangela.

Ukwelashwa kwe-Acute Mesenteric Ischemia:

Ukwelashwa okuphumelela kakhulu kwalokhu ukuhlinzwa , njengoba udokotela ohlinzayo engasusa ngqo ihlule legazi, andise umthambo wegazi onciphile, noma afake i- stent , isakhiwo esifana nohlaka esigcina umthambo wegazi uvulekile.

Ezimweni lapho kungenakwenzeka ukubuyisela ukugeleza kwegazi ngqo, udokotela ohlinzayo angase athathe ucezu lomthambo wegazi kwenye ingxenye yomzimba wakho bese edala i-bypass . I-bypass idlula indawo evinjiwe futhi ibuyisele ukugeleza kwegazi.

Ngemva kokuba ukugeleza kwegazi sekubuyiselwe, udokotela ohlinzayo uzohlola izicubu ezizungezile ukuze abone izimpawu zomonakalo. Uma kukhona izindawo ezifile noma ezonakele, uzozisusa bese elungisa indawo ukuze isebenze kahle esikhathini esizayo. Lokhu kuvame ukudinga ukuhlinzwa kwesibili, njengoba kungathatha izinsuku ezimbili ukuthi ezinye zezicubu ezifile noma ezonakele zibonakale.

Imithi kanye nezinye izindlela zokwelapha ezisekelayo ngokuvamile zifaka:

• Uketshezi olufakwa emthanjeni (IV): Lokhu kungasiza uma umfutho wegazi ophansi noma ukuphelelwa amanzi emzimbeni kuyinkinga.
• Ukumpontshelwa igazi: Lokhu kubaluleke kakhulu uma kulahleke igazi eliningi.
• Umoya-mpilo: Lokhu kunciphisa umzamo umzimba wakho okufanele uwenze ukuze ujikeleze igazi.
• Ama-antibiotic: Lawa abalulekile ngokuhlinzwa kwamathumbu, njengoba ingozi yokutheleleka iphezulu ngenxa yamagciwane avame ukuhlala kulezo zitho zomzimba.
• Izinto zokunciphisa igazi: Le mithi ivimbela ukwakheka kwamahlule egazi. Lokhu akugcini nje ngokuvimbela i-mesenteric ischemia ukuthi iphindaphindeke, kodwa futhi kuvimbela nokuhlaselwa yinhliziyo, isifo sohlangothi, kanye ne-pulmonary embolisms. Kodwa-ke, izinto zokunciphisa igazi azinikezwa abantu abasengozini yokopha kakhulu.

Ukwelashwa kwe-Non-occlusive mesenteric ischemia (NOMI):

Nakuba lokhu kuyinhlobo ye-acute mesenteric ischemia, ukuhlinzwa akudingeki ngaso sonke isikhathi ukulungisa le nkinga (futhi kungase kungabi usizo kakhulu ekuqaleni), ngoba i-NOMI ivame ukuhilela ukuncishiswa kwemithambo yegazi ngaphandle kokuvaleka kwangempela.

Into ebaluleke kakhulu ku-NOMI ukuthola imbangela yokuncishiswa kwemithambo yegazi, ukuyilapha, nokuvimbela ukuthi ingaphinde yenzeke. Lokhu kusho ukuyeka imithi noma izidakamizwa ezibangele ukuncishiswa kwemithambo yegazi. Uma imbangela ye-NOMI ingenye isifo, njenge-sepsis, ukwelapha leso sifo kuzothuthukisa nokugeleza kwegazi kuya ku-mesentery.

Uma i-NOMI ihambisana nokuncishiswa kwemithambo yegazi, i-balloon angioplastyInqubo ebizwa ngokuthi i-catheterization ingasiza. Kule nqubo, i-catheter ifakwa emthanjeni wegazi omkhulu bese iqondiswa endaweni ethintekile. Lapho, ibhaluni ekugcineni kwe-catheter liyavuvukala, okwenza umthambo wegazi othintekile wande.

Ezinye izindlela zokwelapha:

• Ama-Vasodilator: Le mithi yandisa imithambo yegazi yakho, ivumela igazi ukuthi ligeleze kalula.
• Ama-antibiotic: Lawa abalulekile ngisho noma ungahlinzwanga, ngoba noma nini lapho kukhona umonakalo emathunjini, kunengozi yokutheleleka.
• I-oksijini: Yehlisa umzamo umzimba okufanele uwufake egazini elijikelezayo.

Ukwelashwa kwe-Chronic Mesenteric Ischemia:

Ukwelashwa kwalokhu kungahluka kancane kuye ngembangela, kodwa ukwelashwa okuningi kufana nokwelashwa kwe-acute mesenteric ischemia.

Ukuhlinzwa kuvamile kulokhu, ikakhulukazi uma kukhona ihlule legazi elikhula kancane noma umthambo wegazi oncishisiwe kakhulu. Ukuhlinzwa kungenzeka kakhulu uma kukhona ukopha kwangaphakathi, ukutheleleka, i-sepsis, noma ezinye izinkinga ezinkulu. Ukuhlinzwa kwe-bypass nakho kungenziwa uma ezinye izindlela zingakwazi ukubuyisela ukugeleza kwegazi.

I-balloon angioplasty kanye nezinye izinqubo ezisekelwe ku-catheter nazo ziyacatshangelwa ngalesi simo. Ezimweni eziningi, odokotela batusa izinqubo ezisekelwe ku-catheter kunokuhlinzwa noma nini lapho kungenzeka. Ngenxa yokuthi ukuhlinzwa akungeneli kakhulu, kulula ukululama ezinqubweni ezisekelwe ku-catheter.

Imithi enikezwa lokhu ifana kakhulu naleyo enikezwa ezimweni eziphuthumayo. Kuvamile futhi ukunikeza imithi yokunciphisa igazi lapho amahlule egazi ebangela ukuvaleka ngaphandle kokuwashukumisa.

Yiziphi izinkinga zalesi sifo kanye nokwelashwa kwaso?

Izinkinga kanye nemiphumela emibi yale nqubo kuyahlukahluka kuye ngokwelashwa okutholayo. Udokotela wakho angachaza kangcono imiphumela emibi ethile kanye nezinkinga ongase ubhekane nazo.

Ngokuvamile, lezi zinkinga zingase zenzeke nge-mesenteric ischemia:

• I-Sepsis: Lokhu ukutheleleka okusabalele okubangela ukuthi amasosha omzimba wakho asabele ngokweqile futhi abangele umonakalo osongela impilo emzimbeni wakho.
• Amathumbu akho noma ikholoni yakho iyaqhuma noma iqhume: Lokhu kungenzeka lapho izingxenye zesitho ezifile noma ezifayo ziqala ukuwohloka.
• Ukwehla kwesisindo: Lokhu kungenzeka kakhulu ekushayweni kwe-mesenteric ischemia okungapheli, kodwa kungenzeka nasezimweni eziphuthumayo (ikakhulukazi kumuntu owayenezimpawu ezingapheli ngaphambi kokubhebhetheka okungazelelwe).

Izinkinga ezingaba khona zokuhlinzwa kwe-mesenteric ischemia:

• Izinkinga zokugaya ukudla ngemva kokuhlinzwa.
• Ukuqunjelwa noma uhudo.
• Ukopha.
• Izifo.
• Ukwehluleka kwezinso .
• Ukuhlaselwa yinhliziyo noma isifo sohlangothi (ezinyangeni ezimbalwa ngemva kokuhlinzwa).

Izinkinga zokudla okunempilo ngemva kokususwa kwezingxenye zamathumbu amancaneKungenzeka. Uma izingxenye zamathumbu amancane zingekho, kunzima ukumunca izakhamzimba ekudleni. Abantu abaningi abanale nkinga, ebizwa ngokuthi i-short bowel syndrome, badinga izindlela ezikhethekile zokudla, njengepayipi lokuphakela.

Ngingazinakekela kanjani futhi ngiphathe izimpawu zami?

Uma une-mesenteric ischemia, udinga usizo lwezokwelapha ngokushesha (ikakhulukazi uma kungokuzumayo, uhlobo oluphuthumayo). Uma une-mesenteric ischemia engapheli, kufanele welaphe lesi simo njengoba kuqondiswe udokotela wakho. Ungazami ukuzelapha wena , njengoba lokhu kungaba yisimo esiphuthumayo esisongela impilo.

Ngizolulama ngokushesha kangakanani ngemva kokwelashwa?

Uma lesi sifo sitholakala futhi selashwa kusenesikhathi, abantu abaningi bazoqala ukululama uma ukugeleza kwegazi endaweni ethintekile sekuthuthukile. Abanye bangase baqale ukululama ezinsukwini noma emavikini ambalwa.

Kulabo abake bahlinzwa, kuthatha isikhathi ukululama. Ngenxa yokuthi ukuhlinzwa kuyinto engathi sína, kuthatha isikhathi ukululama.

Ngingayinciphisa kanjani ingozi yokuthi lokhu kwenzeke?

Kunezinto eziningana ongazenza ukuze unciphise ingozi yakho yokuthola i-mesenteric ischemia. Eziningi zalezi zihlanganisa ukuvimbela noma ukugwema izimo ezandisa ingozi yokuthola i-mesenteric ischemia.

Izinto ongazenza:

• Thola ukuhlolwa kwaminyaka yonke: Lokhu kungasiza udokotela wakho ukuthi athole izimpawu zokuqala zezinto ezifana nesifo senhliziyo, umfutho wegazi ophakeme, kanye ne-cholesterol ephezulu. Ukuzithola lezi zimpawu ngaphambi kokuba zivele kungenza umehluko omkhulu ekuvimbeleni izinkinga ezinkulu njenge-mesenteric ischemia.
• Yeka ukubhema: Lokhu kuhlanganisa ukuvapha ugwayi nokuhlafuna ugwayi. Uma ungawusebenzisi ugwayi, ungaqali. Ukusebenzisa ugwayi kungalimaza imithambo yegazi yakho futhi kwandise kakhulu ingozi yakho yokuthola izinkinga ezifana ne-mesenteric ischemia.
• Phuza imithi yakho ngendlela efanele: Uma une-high blood pressure, i-cholesterol ephezulu, noma isifo sikashukela, ukuthatha imithi yakho ngendlela efanele kungasiza ekuvimbeleni umonakalo ongaholela ku-mesenteric ischemia.
• Yidla ukudla okunempilo nokulinganiselayo: Izinkinga eziningi ezingaholela ku-mesenteric ischemia zihlobene nesisindo sakho kanye nokudla kwakho. Ukudla okunamafutha amaningi noma i-sodium kungandisa i-cholesterol yakho kanye nomfutho wegazi, kokubili okuyizinto eziyingozi ze-mesenteric ischemia.
• Hlala umatasa: Ukuzivocavoca umzimba kubalulekile empilweni yenhliziyo yakho kanye nohlelo lokujikeleza kwegazi, kanye nokugcina isisindo esinempilo.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Izinyathelo eziningi ezingasiza ekuvimbeleni ischemia ye-mesenteric zifana nalezo ezinganciphisa ingozi. Kodwa-ke, ngeshwa, kwezinye izimo - ikakhulukazi uma unokulimala noma isimo esenza igazi lakho liqhekeke kalula - ukuvimbela akunakwenzeka.

Kwenzekani uma uhlaselwa yilesi sifo? Yini ongayilindela esikhathini esizayo?

Ngeshwa, i-mesenteric ischemia, kungakhathaliseki uhlobo lwayo, iyisifo esinzima ukusithola. Ukulinda ukuxilongwa kungabambezela ukwelashwa. Uma ukwelashwa kungatholakali ngokushesha, i-acute mesenteric ischemia ivame ukubulala. Izinga lokufa kwesimo esibi salesi sifo liphakathi kuka-50% no-80% , ikakhulukazi uma ukwelashwa kubambezeleka. Uma ukwelashwa kutholwa zingakapheli amahora ayi-12 kusukela ekuqaleni kokuvaleka, izinga lokufa lingaba ngaphansi kuka-14%. I-mesenteric ischemia engapheli ingaba nemiphumela emibi yesikhathi eside, kungaba ngenxa yengozi yezinkinga zokugeleza kwegazi noma ukuntuleka kokudla okunempilo.

Abantu abane-mesenteric ischemia nabo basengozini enkulu yokuthola ezinye izimo ezihlobene ne-ischemia, njengokuhlaselwa yinhliziyo, isifo sohlangothi, kanye ne-pulmonary embolism. Ukuvakashelwa njalo nodokotela wakho kubalulekile ukuvimbela izinkinga zesikhathi eside nokunciphisa ingozi yokuthola ezinye izimo ezisongela ukuphila.

Lesi simo sizohlala isikhathi esingakanani?

I-acute mesenteric ischemia yisimo sesikhashana, njengoba ngokuvamile sibulala (uma singelashwa). I-acute mesenteric ischemia ingathatha izinsuku noma amasonto ukuba ikhule. Kodwa-ke, ukwelashwa kwalesi simo - ikakhulukazi ukwelashwa kwasekuqaleni - ​​kuvame ukuguqula lesi simo zingakapheli amahora ambalwa.

Ngingabuyela nini emsebenzini/esikoleni?

Udokotela wakho angakutshela kangcono ngesimiso sakho sokululama. Kuye ngokuthi isimo sakho sibucayi kangakanani kanye nokwelashwa okutholayo, abantu abaningi bangabuyela emisebenzini evamile zingakapheli izinsuku noma amasonto ambalwa. Ezimweni ezimbi kakhulu, ikakhulukazi ngemva kokuhlinzwa, kungathatha isikhathi eside.

Ngizinakekela kanjani (ngemva kokululama)?

Ngemva kokuba une-mesenteric ischemia, kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho. Ungumuntu ongcono kakhulu ukukuqondisa ukuthi ungazinakekela kanjani futhi uvimbele ezinye izinkinga.

Ngokuvamile, kufanele wenze lezi zinto ezilandelayo:

• Bona udokotela wakho njengoba kunconywa: Ukuvakasha okulandelayo kungenza umehluko omkhulu ekubambeni izinkinga noma ezinye izinkinga ezihlobene nalesi sifo.
• Phuza imithi yakho njengoba nje kuyalelwe: Lokhu kuyiqiniso ikakhulukazi ngemithi ehlobene nenhliziyo yakho, uhlelo lokujikeleza kwegazi, isifo sikashukela, i-cholesterol, noma ikhono lakho lokujiya kwegazi.
• Yeka ukubhema, noma ungaqali: Ukubhema kuyisici esiyinhloko esiyingozi se-mesenteric ischemia ngoba kulimaza imithambo yegazi yakho. Kwenza kube lula futhi ukuthi kwakheke amahlule egazi, okungavimba imithambo yegazi ebalulekile.
• Landela iseluleko sikadokotela wakho mayelana nokudla kanye nomsebenzi: Lezi zincomo zizosiza ekuthuthukiseni impilo yakho iyonke, kanye nokunciphisa ingozi yokuphindaphinda kwe-mesenteric ischemia.

Kufanele ngimbone nini udokotela?

Uma izimpawu ze-mesenteric ischemia zibuya, zishintsha, noma ziba zimbi kakhulu, kufanele ubone udokotela wakho. Futhi, mbuze nganoma yiziphi izimpawu noma izimpawu ezikhethekile zokuxwayisa okufanele uzishayele ehhovisi lakhe, noma ufune usizo lwezokwelapha.

Kufanele ngiye nini esibhedlela ngokuphuthumayo? (Izimo eziphuthumayo)

Kufanele ufune usizo lwezokwelapha ngokushesha uma izimpawu zakho ezingamahlalakhona zishintsha ngokuzumayo noma ziba zimbi kakhulu, noma uma unezimpawu ze-acute mesenteric ischemia.

Izimpawu ezibukhali yilezi:

• Ubuhlungu besisu (ikakhulukazi uma buqala ngokuzumayo).
• Ukuqunjelwa kwesisu, isicanucanu, nokuhlanza.
• Izinguquko emikhubeni yokuya endlini yangasese (uvame ukuya kangaki).
• Uhudo olunzima noma oluvame ukwenzeka.
• Ukwehla kwesisindo ngokuzumayo.

Okokugcina, izinto okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

I-Mesenteric ischemia ingaba yisimo esesabekayo, ikakhulukazi uma ifika ngokuzumayo. Ngenhlanhla, ezokwelapha zanamuhla zenze intuthuko enkulu ekuxilongweni nasekulashweni kusenesikhathi. Kukhona nezinyathelo ongazithatha ukunciphisa ingozi yakho yokuthola lesi simo futhi uvimbele ukuthi singaphinde sivele uma usululame. Into engcono kakhulu ongayenza ukwazi izingozi zakho nokuzilawula. Udokotela wakho angakusiza ngazo zombili lezi zinhloso. Angakusiza ukuthi ululame kulesi simo noma usivimbele ngokuphelele.

Ungalokothi ululaze ubuhlungu obukhulu besisu. Uma ungabaza, funa iseluleko sezokwelapha ngokushesha.

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I- Mesenteric ischemia, ubuhlungu besisu, ukwehla kokugeleza kwegazi, izifo zamathumbu, i-ischemia ebukhali, i-ischemia engapheli, ukuvaleka kwemithambo yegazi