Megacolon enetyhefu

I-megacolon enetyhefu yenzeka xa ukudumba kunye nokudumba kunwenwela kumanqanaba anzulu ekholoni yakho. Ngenxa yoko, ikholoni iyeka ukusebenza kwaye yanda. Kwiimeko ezinzima, ikholoni inokuqhekeka.

Igama elithi "ityhefu" lithetha ukuba le ngxaki inobungozi kakhulu. I-megacolon enetyhefu inokwenzeka kubantu abane-colon evuthayo ngenxa:

• I-ulcerative colitis, okanye isifo seCrohn esingalawulwa kakuhle
• Usulelo lwekholoni njenge IClostridioides ezahlukeneyo
• Ischemic isifo samathumbu

Ezinye iifom ze-megacolon zibandakanya ukukhubazeka, i-ileus ye-colonic, okanye i-conicital colonic dilation. Le miqathango ayibandakanyi ikholoni enesifo okanye edlamkileyo.

Ukwandiswa ngokukhawuleza kwekholoni kunokubangela ukuba ezi mpawu zilandelayo zenzeke ngexesha elifutshane:

• Iintlungu, isisu esikhubazekileyo
• Umkhuhlane (sepsis)
• Urhudo (uhlala unegazi)

Umboneleli wezempilo uya kwenza uvavanyo lomzimba. Iziphumo zingabandakanya:

• Ukuthantamisa esiswini
• Ukunciphisa okanye ukungabikho kwamathumbu

Uviwo lunokubonisa iimpawu zothuko olunzulu, olufana:

• Ukunyuka kwentliziyo
• Ukutshintsha kwemeko yengqondo
• Inqanaba lentliziyo elikhawulezayo
• Uxinzelelo lwegazi oluphantsi

Umboneleli unoku-odola naluphi na olu vavanyo lulandelayo:

• I-x-ray yesisu, i-ultrasound, i-CT scan, okanye i-MRI scan
• Ii-electrolyte zegazi
• Gcwalisa ubalo lwegazi

Unyango lwesifo esakhokelela kwi-megacolon enetyhefu kubandakanya:

• I-Steroids kunye namanye amayeza acinezela amajoni omzimba
• Amayeza okubulala iintsholongwane

Ukuba wothukile, uya kungeniswa kwigumbi labagula kakhulu esibhedlele. Unyango lunokubandakanya:

• Umatshini wokuphefumla (umoya ongenisa umoya)
• I-Dialysis yokusilela kwezintso
• Iziyobisi ukunyanga uxinzelelo lwegazi oluphantsi, usulelo, okanye ukungalungelelani kwegazi
• Ulwelo olunikwa ngqo emthanjeni
• Ioksijini

Ukuba ukwandiswa ngokukhawuleza akuphathwa, ukuvula okanye ukuphuka kungenza ikholoni. Ukuba imeko ayiphuculanga ngonyango, kuya kufuneka utyando ukususa inxenye okanye yonke ikholoni.

Unokufumana i-antibiotics ukukhusela i-sepsis (isifo esibi).

Ukuba imeko ayiphucuki, inokubulala. Utyando lwekholoni luyafuneka rhoqo kwiimeko ezinjalo.

Iingxaki zinokubandakanya:

• Ukugqitywa kwekholoni
• Sepsis
• Umothuko
• Ukufa

Yiya kwigumbi likaxakeka okanye fowunela inombolo yongxamiseko yendawo (enje nge-911) ukuba ukhula kabuhlungu esiswini, ngakumbi ukuba unayo:

• Urhudo olunegazi
• Ifiva
• Urhudo rhoqo
• Inqanaba lentliziyo elikhawulezayo
• Ukuthantamisa xa isisu sicinezelwe
• Ukuqaqanjelwa sisisu

Ukunyanga izifo ezibangela i-megacolon enetyhefu, enjenge-ulcerative colitis okanye isifo se-Crohn, inokuthintela le meko.

Ukunciphisa ityhefu ikholoni; Megarectum; Isifo sokudumba esidumbisayo- ityhefu eyi-megacolon; Isifo seCrohn - megacolon enetyhefu; Isilonda sikabhobhosi - ityhefu enkulu megacolon

• Inkqubo yokwetyisa
• Megacolon enetyhefu
• Iindawo ezichaphazelekayo sisifo seCrohn
• Ukudumba okwenziwa sisilonda sikabhobhosi
• Inkqubo yokugaya ukutya

ILichtenstein GR. Ukudumba kwesifo. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 132.

INishtala MV, uBenlice C, uSteele SR. Ulawulo lwe-megacolon enetyhefu. Ku: ICameron AM, uCameron JL, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngowe-180-185.

UPeterson MA, uWu AW. Ukuphazamiseka kwamathumbu amakhulu. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 85.