Ukunyanzeliswa kwengqondo - abantwana

Ukungena ngaphakathi kukutyibilika kwenxalenye enye yamathumbu kwenye.

Eli nqaku ligxile ekucingeni okungaphakathi kubantwana.

Ukungena ngaphakathi kubangelwa yinxalenye yamathumbu etsalwa ingene ngaphakathi kuyo.

Uxinzelelo olwenziwe ziindonga zamathumbu ngokucinezela kunye kubangela:

• Ukuncipha kwegazi
• Ukucaphuka
• Ukudumba

Ukungena kwengqondo kunokuthintela ukutya kudlule emathunjini. Ukuba unikezelo lwegazi luyanqunyulwa, icandelo lamathumbu litsalwe ngaphakathi linokufa. Ukopha ngamandla kusenokwenzeka. Ukuba umngxunya uyakhula, usulelo, ukothuka, kunye nokuphelelwa ngamanzi emzimbeni kungenzeka ngokukhawuleza okukhulu.

Unobangela wokungena ngaphakathi akwaziwa. Imiqathango enokubangela ingxaki ibandakanya:

• Usulelo lwentsholongwane
• Ukwandiswa kwe-lymph node emathunjini
• Polyp okanye ithumba emathunjini

Ukungena kwengqondo kunokuchaphazela abantwana kunye nabantu abadala. Ixhaphake kakhulu kubafana. Ihlala ichaphazela abantwana abaneminyaka emi-5 ukuya kwiminyaka emi-3.

Umqondiso wokuqala we-intussusception uhlala ngesiquphe, ukukhala kakhulu okubangelwa zintlungu zesisu. Intlungu i-colicky kwaye ayiqhubeki (iphakathi), kodwa ibuya rhoqo. Intlungu iya komelela kwaye ihlale ixesha elide ngalo lonke ixesha ibuya.

Usana olunentlungu ebuhlungu esiswini lunokutsalela amadolo esifubeni ngelixa lilila.

Ezinye iimpawu zibandakanya:

• Igazi, intshukumo efana nesisu, ngamanye amaxesha ibizwa ngokuba yi "currant jelly" stool
• Ifiva
• Umothuko (umbala omdaka, ukudinwa, ukubila)
• Ilindle exutywe negazi kunye neencindi
• Ukuhlanza

Umboneleli wakho wezempilo uya kwenza uvavanyo olucokisekileyo, olunokuthi lubonakalise ubunzima esiswini. Kusenokubakho iimpawu zokuphelelwa ngamanzi emzimbeni okanye ukothuka.

Uvavanyo lunokubandakanya:

• I-ultrasound yesisu
• X-ray esiswini
• Umoya okanye umahluko enema

Umntwana uya kuqala azinze. Umbhobho uya kudluliselwa esiswini ngempumlo (ityhubhu ye-nasogastric). Kuya kufakwa umgca we-intravenous (IV) engalweni, kwaye kuya kunikwa ulwelo ukunqanda ukomisa.

Ngamanye amaxesha, ukuvaleka kwamathumbu kunokunyangwa ngumoya okanye i-enema eyahlukileyo. Oku kwenziwa ngu-radiologist onesakhono kule nkqubo. Kukho umngcipheko wokuqhekeka kwamathumbu (ukugqobhoza) ngale nkqubo.

Umntwana uya kufuna utyando ukuba ngaba olu nyango alusebenzi. Izicubu zamathumbu zihlala zigcinwa. Izicubu ezifileyo ziya kususwa.

Amayeza okubulala iintsholongwane anokufuneka ukunyanga naluphi na usulelo.

Ukungenisa ngaphakathi kunye nokuhambisa amanzi kuya kuqhubeka de umntwana abe nokuhamba kwamathumbu okuqhelekileyo.

Iziphumo zilungile ngonyango lwakwangoko. Kukho umngcipheko le ngxaki izakubuya.

Xa umngxunya okanye ukrazuka emathunjini kwenzeka, kufuneka unyangwe kwangoko. Ukuba ayinyangwa, i-intussusception ihlala ibulala abantwana neentsana.

Ukunyanzeliswa yingxakeko yezonyango. Tsalela umnxeba kwi-911 okanye uye kwigumbi likaxakeka ngoko nangoko.

Iintlungu zesisu ebantwaneni-ngaphakathi kwengqondo

• Colonoscopy
• Ukungena ngaphakathi kwi-X-ray
• Inkqubo yokugaya ukutya

Hu YY, Jensen T, Finck C. Iimeko zotyando lwamathumbu amancinci kwiintsana nasebantwaneni. Ku: Ewe CJ, ed. Utyando lwe-Shackelford lwe-Alimentary Tract. Ngomhla we-8. IPhiladelphia, PA: Elsevier; I-2019: isahluko 83.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, uWilson KM. Ileus, adhesions, intussusception, kunye ne-loop-loop obstructions. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, ii-eds. Incwadi kaNelson yeNcwadi yePediatrics. Umhla wama-21. IPhiladelphia, PA: Elsevier; 2020: isahluko 359.

UMaloney PJ. Iingxaki zesisu. 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 171.