Ischemia encinci yamathumbu kunye ne-infarction

Ischemia yamathumbu kunye ne-infarction yenzeka xa kukho ukuhla okanye ukuvaleka kwesinye okanye nangaphezulu kwemithambo ebonelela ngamathumbu amancinci.

Zininzi izinto ezinokubangela amathumbu ischemia kunye ne-infarction.

• IHernia - Ukuba amathumbu ahamba aye kwindawo engafanelekanga okanye adideke, anokulunqamla ukopha.
• Ukubambelela - Amathumbu anokubanjiswa kwizihlunu ezibomvu (ukubambelela) kutyando lwangaphambili. Oku kunokukhokelela ekuphulukaneni nokuhamba kwegazi xa kunganyangwa.
• I-Embolus - Amahlwili egazi anokuthintela enye yeemithambo ezihambisa amathumbu. Abantu abaye bahlaselwa yintliziyo okanye abane-arrhythmias, ezifana ne-atrial fibrillation, basengozini kule ngxaki.
• Ukucuthwa kwemithambo -Imithambo ebonelela ngegazi emathunjini inokuthi icutheke okanye ivaleke kwi-cholesterol buildup. Xa oku kusenzeka kwimithambo yentliziyo, kubanga isifo sentliziyo. Xa isenzeka kwimithambo ukuya emathunjini, ibangela ischemia yamathumbu.
• Ukucuthwa kwemithambo-Imithambo ethwala igazi lisuka emathunjini inokuthi ivalwe ligazi. Oku kuthintela ukuhamba kwegazi emathunjini. Oku kuqheleke kakhulu kubantu abanesifo sesibindi, umhlaza, okanye ukuphazamiseka kwegazi.
• Uxinzelelo lwegazi olusezantsi -Uxinzelelo lwegazi oluphantsi kakhulu kubantu esele benesifo semithambo yamathumbu sisenokubangela nokulahleka kwegazi eliya emathunjini. Oku kuhlala kwenzeka ebantwini abanezinye iingxaki ezinzulu zonyango.

Uphawu oluphambili lwe-ischemia yamathumbu yintlungu esiswini. Iintlungu ziqine, nangona indawo ingekho kangako xa ichukumisiwe. Ezinye iimpawu zibandakanya:

• Urhudo
• Ifiva
• Ukuhlanza
• Igazi esitulweni

Iimvavanyo zaselebhu zingabonisa ubalo oluphezulu lweeseli ezimhlophe zegazi (i-WBC) (uphawu lwesifo). Kunokubakho ukopha kwiphecana le-GI.

Ezinye iimvavanyo zokufumanisa ubungakanani bomonakalo zibandakanya:

• Ukonyusa i-asidi egazini (i-lactic acidosis)
• I-Angiogram
• Ukuvavanywa kwe-CT kwesisu
• I-Doppler ultrasound yesisu

Olu vavanyo alusoloko lukufumanisa ingxaki. Ngamanye amaxesha, ekuphela kwendlela yokufumana ischemia yamathumbu kukuhlinzwa.

Kwiimeko ezininzi, imeko ifuna ukunyangwa ngotyando. Icandelo lamathumbu aswelekileyo liyasuswa. Iziphelo esempilweni zamathumbu ziphinde zaxhuma.

Ngamanye amaxesha, kufuneka icolostomy okanye ileostomy. Ukuvaleka kwemithambo ukuya emathunjini kuyalungiswa, ukuba kunokwenzeka.

Ukonakala okanye ukusweleka kwamathumbu yimeko embi. Oku kunokubangela ukusweleka ukuba akunyangwa kwangoko. Imbonakalo ixhomekeke kwisizathu. Unyango olukhawulezileyo lunokukhokelela kwisiphumo esihle.

Umonakalo okanye ukufa kwethambo lesisu kunokufuna icolostomy okanye ileostomy. Oku kunokuba kwexesha elifutshane okanye ngokusisigxina. I-Peritonitis iqhelekile kwezi meko. Abantu abanesifo esikhulu sokufa kwethishu emathunjini banokuba neengxaki zokufumana izondlo. Banokuxhomekeka ekufumaneni isondlo ngemithambo yabo.

Abanye abantu banokugula kakhulu ngenxa yomkhuhlane kunye nosulelo lwegazi (sepsis).

Fowunela umboneleli wakho wezempilo ukuba unayo nayiphi na intlungu yesisu.

Amanyathelo othintelo abandakanya:

• Ukulawula izinto ezinobungozi, ezinje ngokubetha kwentliziyo okungaqhelekanga, uxinzelelo lwegazi oluphezulu kunye ne-cholesterol ephezulu
• Akatshayi
• Ukutya ukutya okunesondlo
• Ukunyanga ngokukhawuleza i-hernias

Necrosis emathunjini; Ischemic bowel - ithumbu elincinci; Amathumbu afileyo - amathumbu amancinci; Amathumbu afileyo - amathumbu amancinci; Isisu esichaphazelekayo - amathumbu amancinci; I-atherosclerosis - amathumbu amancinci; Ukuqina kwemithambo - ithumbu elincinci

• Umthambo weMesenteric ischemia kunye ne-infarction
• Inkqubo yokwetyisa
• Ndibonise uthando

I-Holscher CM, iReifsnyder T. Acute mesenteric ischemia. Ku: UCameron JL, uCameron AM, ii-eds. Unyango lwangoku lonyango. Umhla we-13. IPhiladelphia, PA: Elsevier; Ngo-2020: 1057-1061.

IKahi CJ. Izifo zeVascular zephecana lesisu. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 134.

Uluhlu lwe-CE, Reardon RF. Ukuphazamiseka kwamathumbu amancinci. 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 82.