Wake wazizwa kanje? Kuzwakala sengathi isisu sakho sigcwele, awukwazi ukukhipha igesi, awukwazi ukukhipha isisu sakho, uzizwa sengathi usuzohlanza, kunzima kakhulu. Lokhu kungenzeka ikakhulukazi ngemva kokuhlinzwa okuthile. Abantu abaningi bacabanga ukuthi lokhu kuyinto evamile nokuthi kuzophela ngemva kokuphumula kancane. Kodwa lokhu kungaba uphawu lwesimo esisibiza ngokuthi 'i-Paralytic Ileus' kwezokwelapha. Ungesabi igama, lokhu kuvame ukuba yisimo sesikhashana. Ake sixoxe ngalokhu kalula, ngendlela wonke umuntu angayiqonda.
Kalula nje, iyini i-Paralytic Ileus?
Ukuze siqonde lokhu, sidinga ukwazi okuncane ngendlela amathumbu ethu asebenza ngayo. Cabanga ngamathumbu ethu njengepayipi elide. Ukudla esikudlayo kuhamba ngaleli payipi, kuyagaywa, izakhamzimba ezidingekayo ziyamuncwa, bese imfucuza ikhishwa njengendle.
Ngakho-ke, ukuze kuqhutshwe lokhu kudla phambili, izindonga zamathumbu zihlala zincipha futhi zikhula njengamagagasi. Kufana nesibungu esihambayo. Lokhu sikubiza ngokwezokwelapha ngokuthi ``(Peristalsis)`` . Lokhu kunyakaza yikho okuhambisa ukudla, uketshezi, nomoya emathunjini.
Manje i-'Paralytic Ileus' isho ukuthi lelo gagasi, ukuthi ukunyakaza kwe-'(Peristalsis)' kuyama okwesikhashana, futhi amathumbu aba 'ngokwengxenye' okwesikhashana. I-'Paralytic' isho ukukhubazeka. Lokho kusho ukuthi akukho ukuvinjelwa komshini, njengesimila, emathunjini, kodwa ukunyakaza kwamathumbu kuyekile. Lena inkinga yokusebenza.
Uma ukunyakaza kwamathumbu kuyeka ngale ndlela, ukudla, uketshezi, nomoya kuqala ukuqongelela endaweni eyodwa. Yilapho-ke siqala khona ukuzwa izimpawu ezifana nokuqunjelwa, ubuhlungu besisu, nokuhlanza.
Into ebalulekile ukuthi lesi simo ngokuvamile siyinto yesikhashana futhi engelapheka . Uma imbangela eyisisekelo isitholakele futhi yelashwa, ukusebenza kwamathumbu kuzobuyela esimweni esijwayelekile.
Ziyini izimpawu zalesi simo?
Umuntu one-Paralytic Ileus angase abe nesinye noma ngaphezulu salezi zimpawu ngesikhathi esisodwa.
| Isibonakaliso | Incazelo elula |
|---|---|
| Ukuqunjelwa kwesisu | Isisu sizizwa sikhukhumele kakhulu futhi siqinile ngenxa yokuqongelela komoya noketshezi esiswini. |
| Ukuvuvukala kwesisu | Isisu esikhulu ngokubonakalayo ngenxa yokuvuvuka. |
| Igesi | Ngenxa yokuthi ukunyakaza kwamathumbu kuyekile, umoya awudluli ngendlela evamile. |
| Ukuqunjelwa | Ukungakwazi ukuphuma indle ngenxa yokungasebenzi kahle kwamathumbu. |
| Isicanucanu nokuhlanza | Ukuhlanza kungenzeka njengoba okuqukethwe emathunjini kuphuma. Ngezinye izikhathi lokhu kuhlanza kungaba luhlaza noma kube nsundu ngombala. |
| Ukuphelelwa amanzi emzimbeni | Ukuhlanza nokungadli noma ukungaphuzi kungabangela ukuphelelwa amanzi emzimbeni. |
Isexwayiso: Uma unezinye zalezi zimpawu ezinzima , isibonelo, ubuhlungu besisu obungabekezeleleki noma ukuhlanza okuqhubekayo, bheka njengesimo esiphuthumayo bese uya eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
Yiziphi izimbangela ze-Paralytic Ileus?
Akukho sizathu esisodwa salesi simo, kodwa kunezici eziningana ezingaba nomthelela kuso. Ake sizibheke ngasinye ngasinye.
1. Ukuhlinzwa
Imbangela eyinhloko nevame kakhulu yalokhu ukuhlinzwa. Lesi simo sivame ukulindeleka ukuthi senzeke ngemva kokuhlinzwa kwesisu, ikakhulukazi. Ukuhlinzwa kuwukushaqeka okukhulu emzimbeni. Ngenxa yalokho, amathumbu ayayeka ukusebenza okwesikhashana. Odokotela bayazi ngalokhu futhi bahlele ukwelashwa okufanele ngakho.
2. Ukuvuvukala esiswini
Noma yikuphi ukuvuvukala noma ukutheleleka okwenzeka ngaphakathi kwesisu kungaphazamisa ukusebenza kwamathumbu. Cabanga nje, uma kukhona isimo esibizwa ngokuthi "ukusha" ngenxa yenkinga ethile ngaphakathi esiswini, kuzothinta amathumbu.
Ezinye izibonelo:
- I-Appendicitis: Ukuvuvukala kwe-appendix.
- I-Pancreatitis: Ukuvuvukala kwe-pancreas.
- I-Peritonitis: Ukuvuvukala kolwelwesi lwesisu.
- I-Diverticulitis: Ukuvuvukala kwezindawo ezincane ezifana nesikhwama emathunjini amakhulu.
- I-Cholecystitis: Ukuvuvukala kwenyongo.
- I-Sepsis: Ukutheleleka okukhulu okusakazeke kuwo wonke umzimba.
3. Eminye imithi
Eminye imithi esiyithathayo ingabangela ukwehla kokuhamba kwamathumbu njengomphumela ongemuhle.
- Ama-opioid: Ama-painkiller anamandla njenge-morphine ne-tramadol.
- Imithi Yokulwa Nezinso: Imithi enikezwayo yezifo ezithile zokungezwani komzimba kanye nezifo zengqondo.
- Ama-antidepressant e-Tricyclic: Imithi esetshenziselwa ukwelapha izimo ezithile zokucindezeleka.
4. Ukuphazamiseka kwe-Electrolyte
Ukuze imisipha emzimbeni wethu, okuhlanganisa nemisipha emathunjini ethu, isebenze kahle, kudingeka ibe namazinga afanele ama-electrolyte njenge-potassium ne-calcium. Uma lokhu kungalingani, amathumbu angayeka ukusebenza.
- I-Hypokalemia: Ukwehla kwamazinga e-potassium egazini.
- I-Hypercalcemia: Amazinga e-calcium akhuphukile egazini.
- I-Hypomagnesemia: Ukwehla kwamazinga e-magnesium egazini.
5. Ezinye izimo zezokwelapha
Ngaphandle kwalokhu, ezinye izifo eziningana zingabangela i-'Paralytic Ileus'.
- Ukwehluleka kwezinso
- Izifo ezinzima njenge-pneumonia
- Ukulimala komgogodla
- Isifo senhliziyo
- I-ketoacidosis ehlobene nesifo sikashukela
- Izifo ze-thyroid
Udokotela uhlonza kanjani lokhu?
Uma uya esibhedlela, udokotela uzolandela izinyathelo eziningana ukuze ahlole lesi simo.
1. Umlando wezokwelapha kanye nezimpawu: Okokuqala, uzobuzwa imininingwane eminingi, njengokuthi hlobo luni lokungakhululeki oluzwayo, isikhathi esingakanani ositholile, ukuthi usanda kuhlinzwa yini, nokuthi yimiphi imithi oyiphuzayo.
2. Ukuhlolwa Komzimba: Okulandelayo, udokotela uzohlola isisu sakho. Uma ungakwazi ukuzwa imisindo evamile yamathumbu lapho ulalele isisu sakho nge-stethoscope, lokhu kuyisibonakaliso esikhulu sesimo esibizwa ngokuthi 'i-Paralytic Ileus'.
3. I-X-ray noma i-Ultrasound Scan: I-X-ray noma i-ultrasound scan yesisu iyenziwa ukuze kutholakale ukuthi amathumbu agcwele igesi futhi avuvukele yini. Kungaqinisekisa nokuthi akukho okunye ukuvaleka kwamathumbu.
4. Ukuhlolwa kwegazi: Kuhlolwa igazi ukuhlola amazinga ama-electrolyte namaminerali egazini lakho.
Yiziphi izindlela zokwelapha lokhu?
Kunemigomo emibili eyinhloko ekwelashweni. Eyokuqala ukwelapha imbangela eyisisekelo yalesi simo, kanti enye ukunikeza umzimba ukwesekwa okudingekayo kuze kube yilapho amathumbu esesebenza futhi.
| Indlela yokwelapha | Incazelo |
|---|---|
| Ukuphumula kwamathumbu | Ukuncelisa ngomlomo kuyamiswa ngokuphelele kuze kube yilapho ukusebenza kwamathumbu kubuyela esimweni esijwayelekile. Lokhu kunikeza amathumbu ukuphumula. |
| Ukudla okunempilo kwabazali | Njengoba ungadli ngomlomo, kuzodingeka unikeze umzimba wakho izakhamzimba, uketshezi kanye nama-electrolyte owadingayo ngokufaka i-IV (saline). Lokhu kubalulekile ukuvimbela ukuphelelwa amanzi emzimbeni. |
| Ukubekwa kwepayipi le-nasogastric | Kwezinye izimo ezinzima kakhulu, kufakwa ipayipi elincane ngekhala liye esiswini ukuze kukhishwe umoya noketshezi oluqongeleleke esiswini futhi kuncishiswe ukuhlanza nokungakhululeki esiswini. |
| Imithi (Prokinetics) | Ngezinye izikhathi imithi inikezwa ukusiza ukuqala kabusha ukuhamba kwamathumbu. |
Kwenzekani ngemva kokwelashwa?
Esikhathini esiningi, lesi simo siba ngcono zingakapheli izinsuku ezimbili kuya kwezintathu . Lapho amathumbu akho eqala ukusebenza futhi, uzoqala ukukhipha igesi. Leso yisibonakaliso esihle kakhulu. Ngemuva kwalokho, ngokweseluleko sikadokotela wakho, ungaqala kancane kancane ukudla uketshezi, bese kuba izinto ezifana nesobho, bese kuba ukudla okuvamile.
Uma kuthatha isikhathi esingaphezu kwezinsuku ezinhlanu, udokotela uzophenya kabanzi ukuze abone ukuthi kukhona yini esinye isizathu.
Umlayezo Wokuya Nawe Ekhaya
- I-Paralytic Ileus akuyona into evimba amathumbu, kodwa ukumiswa okwesikhashana kokunyakaza kwamathumbu.
- Imbangela evame kakhulu yalesi simo ukuhlinzwa, kodwa futhi ingabangelwa izifo, imithi ethile, kanye nezinye izimo zezokwelapha.
- Izimpawu eziyinhloko ukuqunjelwa , igesi, ukuqunjelwa, nokuhlanza. Uma lokhu kukubi kakhulu, kufanele uye esibhedlela ngokushesha.
- Lesi yisimo sesikhashana esivame ukuxazululeka zingakapheli izinsuku ezimbalwa. Ukwelashwa esibhedlela kunikeza umzimba ukwesekwa okudingekayo.
- Uma unezimpawu ezinjengalezi, ungazinaki nje uthi, "Kungase kube yinto ethile," kodwa qiniseka ukuthi ubona udokotela wakho ukuze akunike iseluleko.
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