Ukuphazamiseka kwamathumbu kunye ne-Ileus

Ukuthintelwa kwamathumbu kukuthintela ngokupheleleyo okanye okupheleleyo kwesisu. Umxholo wamathumbu awunakudlula kuwo.

Ukuthintelwa kwesisu kunokuba ngenxa:

• Unobangela woomatshini, oko kuthetha ukuba kukho into esendleleni
• Ileus, imeko apho amathumbu angasebenzi ngokuchanekileyo, kodwa akukho ngxaki yakwenza nayo

Ileus ekhubazekileyo, ekwabizwa ngokuba kukuthintelwa kwengqondo, sesinye sezizathu eziphambili zokuthintela amathumbu kwiintsana nasebantwaneni. Izizathu ze-ileus ekhubazekile inokubandakanya:

• Ibhaktheriya okanye iintsholongwane ezibangela ukusuleleka kwamathumbu emathunjini (i-gastroenteritis)
• Imichiza, i-electrolyte, okanye ukungalingani kwemaminerali (njengokuncipha kwenqanaba le potassium)
• Utyando lwesisu
• Ukuncipha kwegazi emathunjini
• Usulelo ngaphakathi esiswini, njenge-appendicitis
• Isifo sezintso okanye semiphunga
• Ukusetyenziswa kwamayeza athile, ngakumbi iziyobisi

Izinto ezibangela umqobo wamathumbu zingabandakanya:

• Ukubambelela okanye izicwili ezibomvu ezenzeka emva kotyando
• Amalungu angaphandle (izinto eziginywayo kwaye zivimbele amathumbu)
• Iigallstones (ezinqabileyo)
• UHernias
• Isitulo esichaphazelekayo
• I-Intussusception (i-telescoping yecandelo elinye lamathumbu kwelinye)
• Izidumba zivimba amathumbu
• IVolvulus (amathumbu agqwethiweyo)

Iimpawu zingabandakanya:

• Ukudumba kwamathumbu (isisu)
• Ukugcwala kwesisu, igesi
• Iintlungu zesisu kunye necramping
• Iphunga lempumlo
• Ukuqunjelwa
• Urhudo
• Ukungakwazi ukudlulisa igesi
• Ukuhlanza

Ngexesha lovavanyo lomzimba, umboneleli wezempilo unokufumana ukuqunjelwa, ukuthamba, okanye i-hernias esiswini.

Uvavanyo olubonisa ukuphazamiseka lubandakanya:

• Ukuskena kwe-CT esiswini
• X-ray esiswini
• I-enema yeBarium
• I-GI ephezulu kunye namathumbu amancinci amancinci

Unyango lubandakanya ukubeka ityhubhu ngeempumlo esiswini okanye emathunjini. Oku kukunceda ukukhulula ukudumba kwesisu (ukubamba) kunye nokugabha. I-Volvulus yamathumbu amakhulu inokunyangwa ngokudlulisa ityhubhu kwi-rectum.

Utyando lunokufuneka ukukhupha isithintelo ukuba ityhubhu ayizikhuphi iimpawu. Inokufuneka kwakhona ukuba kukho iimpawu zokufa kwethishu.

Iziphumo zixhomekeke kwisizathu sokucinywa. Uninzi lwexesha, unobangela uphathwa ngempumelelo.

Iingxaki zinokubandakanya okanye zingakhokelela ku:

• I-Electrolyte (imichiza yegazi kunye nezimbiwa) ukungalingani
• Ukuphelelwa ngamanzi emzimbeni
• Umngxunya (ukubola) emathunjini
• Usulelo
• IJaundice (tyheli kolusu namehlo)

Ukuba isithintelo sithintela ukuhanjiswa kwegazi emathunjini, kunokubangela usulelo kunye nokufa kwethishu (ukubola). Umngcipheko wokufa kweethishu unxulumene nonobangela wokuvaleka kwaye ubukho ixesha elide kangakanani. I-Hernias, i-volvulus, kunye ne-intussusception zithatha umngcipheko ophezulu wokulimala.

Kumntwana osandul 'ukuzalwa, ileus ekhubazekileyo etshabalalisa udonga lwamathumbu (i-necrotizing enterocolitis) yimeko esongela ubomi. Ingakhokelela kusulelo lwegazi kunye nemiphunga.

Fowunela umnikezeli wakho ukuba:

• Ayikwazi ukudlula isitulo okanye igesi
• Yiba nesisu esidumbileyo (isisu) esingahambiyo
• Qhubeka ugabhe
• Unentlungu engachazwanga yesisu engapheliyo

Ukuthintela kuxhomekeke kwisizathu. Ukunyanga iimeko, ezinje ngamathumba kunye nehernias ezinokukhokelela ekuvaleni, kunokunciphisa umngcipheko.

Ezinye izizathu zokuthintela azinakuthintelwa.

Ileus ekhubazekileyo; I-volvulus yamathumbu; Ukuthintela amathumbu; Ileus; Pseudo-isithintelo - isisu; Ileus yeColonic; Ukuphazamiseka kwamathumbu amancinci

• Sula ukutya okungamanzi
• Ukutya okungamanzi okugcweleyo
• Ukuthengiswa kwakhona okukhulu kwamathumbu - ukukhutshwa
• Ukuthengiswa kwamathumbu amancinci amancinci - ukukhutshwa
• Iyonke i-colectomy okanye iproctocolectomy-ukukhutshwa

• Inkqubo yokwetyisa
• Ileus-x-reyi yamathumbu asisiswini kunye nesisu
• Ileus-x-reyi yokuhamba kwamathumbu
• Ukungena ngaphakathi kwi-X-ray
• IVolvulus - i-x-reyi
• Ukuphazamiseka kwamathumbu amancinci-i-x-ray
• Ukuthengiswa kwamathumbu amancinci kancinci - uthotho

IHarris JW, i-Evers BM. Ndibonise uthando. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 49.

UMahmoud NN, uBleier JIS, uAarons CB, uPaulson EC, uShanmugan S, uFry RD. Ikholoni kunye ne-rectum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 51.

Kuya kufuneka i-WC, ukujika kweRH. Ukuphazamiseka kwamathumbu emathunjini. 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 123.