Isithintelo sepseudo esiswini

Isithintelo sepseudo esiswini yimeko apho kukho iimpawu zokuvaleka kwamathumbu (amathumbu) ngaphandle kokuvaleka komzimba.

Ngaphakathi emathunjini-pseudo-obstruction, ithumbu alikwazi ukwenza isivumelwano kunye nokutyhala ukutya, isitulo kunye nomoya ngendlela yokugaya ukutya. Esi sifo sihlala sichaphazela amathumbu amancinci, kodwa sinokubakho nakwisisu esikhulu.

Imeko inokuqala ngokukhawuleza okanye ibe yingxaki engapheliyo okanye yexesha elide. Ixhaphake kakhulu ebantwaneni nasebantwini abadala. Unobangela wengxaki uhlala engaziwa.

Izinto zomngcipheko zibandakanya:

• I-Cerebral palsy okanye enye ingxaki yengqondo okanye ye-nervous system.
• Izintso ezingapheliyo, imiphunga, okanye isifo sentliziyo.
• Ukuhlala ebhedini ixesha elide (ebhedini).
• Ukuthatha iziyobisi ezithi zicothise ukuhamba kwamathumbu. Oku kubandakanya amayeza e-narcotic (iintlungu) kunye neziyobisi ezisetyenzisiweyo xa ungakwazi ukugcina umchamo ungaphumi.

Iimpawu zibandakanya:

• Intlungu zesisu
• Ukuqhawula
• Ukuqunjelwa
• Isicaphucaphu nokugabha
• Ukudumba kwesisu (isisu esiswini)
• Ukuhla ukusinda

Ngexesha lovavanyo lomzimba, umboneleli wezempilo uya kuhlala ebona isisu esiswini.

Uvavanyo lubandakanya:

• X-ray esiswini
• Imanometry engabalulekanga
• Ukugwinya kwe-Barium, ukulandelelana kwe-barium encinci, okanye i-enema ye-barium
• Uvavanyo lwegazi lokunqongophala kwesondlo okanye iivithamini
• Colonoscopy
• Ukuskena i-CT
• Imanometry yeAntroduodenal
• Isisu sokukhupha i-radionuclide scan
• Ukuskena kwangaphakathi i-radionuclide

Olu nyango lulandelayo lunokuzama:

• IColonoscopy inokusetyenziselwa ukususa umoya kumathumbu amakhulu.
• Ulwelo lunokunikwa ngomthambo ukuze kubuyiselwe ulwelo oluphulukene nokugabha okanye urhudo.
• Ukutsalwa kwe-Nasogastric kubandakanya ityhubhu ye-nasogastric (NG) ebekwe ngeempumlo kwisisu ingasetyenziselwa ukususa umoya emathunjini.
• I-Neostigmine inokusetyenziselwa ukunyanga isisu sokuthintela isisu esikwisilonda esikhulu kuphela (i-Ogilvie syndrome).
• Izidlo ezikhethekileyo zihlala zingasebenzi. Nangona kunjalo, ivithamini B12 kunye nezinye izongezo zevithamini kufuneka zisetyenziselwe abantu abanesiphene sevithamini.
• Ukuyeka amayeza anokubangela ingxaki (anje ngamachiza e-narcotic) anokunceda.

Kwiimeko ezinzima, utyando lunokufuneka.

Uninzi lweziganeko zokuthintela ukukrokra okungcono ziba ngcono kwiintsuku ezimbalwa ngonyango. Kwiindlela ezingapheliyo zesi sifo, iimpawu zinokubuya zibuye zisiba mbi kwisithuba seminyaka emininzi.

Iingxaki zinokubandakanya:

• Urhudo
• Ukuqhekeka (ukutyhoboza) emathunjini
• Ukusilela kweVitamin
• Ukuhla ukusinda

Fowunela umboneleli wakho ukuba uneentlungu esiswini ezingahambiyo okanye ezinye iimpawu zesi sifo.

Isisu-pseudo-sokuthintela ukuphazamiseka; Ileus ebukekayo; Colse pseudo-isithintelo; Idiopathic emathunjini pseudo-isithintelo; Isifo se-Ogilvie; Isisu esinganyangekiyo sepseudo-isithintelo; Ileus ekhubazekileyo- isithintelo-mbumbulu

• Inkqubo yokugaya ukutya

UCamilleri M. Ukuphazamiseka kwesisu esiswini. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 127.

URayner CK, uHughes PA. Injini encinci yamathumbu kunye nomsebenzi weemvakalelo kunye nokungasebenzi. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 99.