Volvulus - ebuntwaneni

IVolvulus kukujija kwamathumbu okunokwenzeka ebuntwaneni. Kubangela ukuvaleka okunokuthi kunqumle ukuhamba kwegazi. Inxalenye yamathumbu inokonzakala ngenxa yoko.

Isiphene sokuzalwa esibizwa ngokuba kukungondleki kwamathumbu singenza umntwana ukuba abe nethuba lokuphuhlisa i-volvulus. Nangona kunjalo, i-volvulus inokwenzeka ngaphandle kwale meko ikhoyo.

I-Volvulus ngenxa yokungondleki kwenzeka rhoqo kunyaka wokuqala wobomi.

Iimpawu eziqhelekileyo zevolvulus zezi:

• Izitulo ezibomvu ezinegazi okanye ezimnyama
• Ukuqunjelwa okanye ubunzima bokukhupha ilindle
• Isisu esikhubazekileyo
• Intlungu okanye ukuthamba kwisisu
• Isihlunu okanye ukugabha
• Umothuko
• Ukuphalaza izinto eziluhlaza

Iimpawu zihlala zibi kakhulu. Usana kwiimeko ezinjalo lusiwa kwigumbi likaxakeka. Unyango lwakwangoko lubaluleke kakhulu ekusindeni.

Umboneleli wakho wezempilo unokuyalela ezi mvavanyo zilandelayo ukufumanisa imeko:

• I-enema yeBarium
• Uvavanyo lwegazi ukukhangela ii-electrolyte
• Ukuskena i-CT
• I-stool guaiac (ibonisa igazi esitulweni)
• Uthotho oluphezulu lwe-GI

Ngamanye amaxesha, icolonoscopy inokusetyenziselwa ukulungisa ingxaki. Oku kubandakanya ukusetyenziswa kwetyhubhu eguqukayo kunye nokukhanya esiphelweni okudluliselwe kwikholoni (enkulu yamathumbu) ngerektamu.

Utyando olungxamisekileyo luyimfuneko rhoqo ukulungisa i-volvulus. Ukusikwa kotyando kwenziwa esiswini. Izibilini azifakwanga kwaye ukubuyiselwa kwegazi kuya kubuyiselwa.

Ukuba icandelo elincinci lamathumbu lifile ngenxa yokungabikho kwegazi (necrotic), liyasuswa. Iiphelo zamathumbu zithunyelwa kunye. Okanye, zisetyenziselwa ukwenza unxibelelwano lwamathumbu ngaphandle komzimba (icolostomy okanye ileostomy). Umxholo wamathumbu ungasuswa ngokuvula.

Uninzi lwexesha, ukuxilongwa ngokukhawuleza kunye nokunyangwa kwe-volvulus kukhokelela kwisiphumo esihle.

Ukuba isisu sifile, umbono awukho kakuhle. Le meko inokubulala, kuxhomekeke kubungakanani bamathumbu afileyo.

Iingxaki ezinokwenzeka zevolvulus zezi:

• I-peritonitis yesibini
• Isifo esifutshane samathumbu (emva kokususwa kwenxalenye enkulu yamathumbu amancinci)

Le yimeko engxamisekileyo. Iimpawu ze-volvulus zobuntwana zikhula ngokukhawuleza kwaye umntwana uya kugula kakhulu. Fumana unyango ngokukhawuleza ukuba oko kwenzeka.

Volvulus yobuntwana; Intlungu yesisu - volvulus

• IVolvulus
• IVolvulus - i-x-reyi

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