Izandi zesisu

Izandi zesisu yingxolo eyenziwe ngamathumbu.

Izandi zesisu (izandi zamathumbu) zenziwa kukuhamba kwamathumbu njengoko etyhala ukutya. Amathumbu awanamngxunya, ngoko ke amathumbu avakala esiswini ngokungathi zizandi ezivakala kwimibhobho yamanzi.

Uninzi lwezandi zamathumbu ziqhelekile. Bathetha nje ukuba iphecana lesisu liyasebenza. Umboneleli wezempilo unokujonga izandi zesisu ngokumamela isisu nge-stethoscope (auscultation).

Uninzi lwezandi zamathumbu azinabungozi. Nangona kunjalo, kukho iimeko ezithile apho izandi ezingaqhelekanga zinokubonisa ingxaki.

Ileus yimeko apho kukho ukungabikho kwemisebenzi yamathumbu. Iimeko ezininzi zonyango zingakhokelela kwi-ileus. Le ngxaki inokubangela igesi, ulwelo, kunye nemixholo yamathumbu yokwakha kunye nokuqhekeka (ukuqhekeka) kodonga lwamathumbu. Umboneleli akanakho ukuva naziphi na izandi zamathumbu xa emamele isisu.

Ukunciphisa (ukungazenzisi) izandi zamathumbu kubandakanya ukunciphisa isandi, ithoni, okanye ukuhlala rhoqo kwezandi. Ziluphawu lokuba umsebenzi wamathumbu uye wehla.

Izandi zamathumbu ezingasebenziyo ziqhelekile xa ulele. Zenzeka ngesiqhelo okwexeshana elifutshane emva kokusetyenziswa kwamayeza athile nasemva kotyando esiswini. Ukwehla okanye ukungabikho kwamathumbu kumathumbu kudla ngokubonisa ukuqhina.

Ukunyusa (hyperactive) izibilini zamathumbu ngamanye amaxesha zinokuviwa nangaphandle kwe-stethoscope. Izandi zamathumbu ezingasebenziyo zithetha ukuba kukho ukwanda kwimisebenzi yamathumbu. Oku kunokwenzeka ngesifo sohudo okanye emva kokutya.

Izandi zesisu zihlala zivavanywa kunye neempawu ezinje:

• Irhasi
• Isicaphucaphu
• Ubukho okanye ukungabikho kokuhamba kwamathumbu
• Ukuhlanza

Ukuba izandi zamathumbu zine-hypoactive okanye zi-hyperactive kwaye kukho ezinye iimpawu ezingaqhelekanga, kuya kufuneka uqhubeke nokulandela umboneleli wakho.

Umzekelo, akukho sandi samathumbu emva kwexesha lesandi esingasebenziyo esinokuthetha ukuba kukho ukugqabhuka kwamathumbu, okanye ukukrwitshwa kwamathumbu kunye nokufa (necrosis) kwethambo.

Izandi zamathumbu aphezulu kakhulu zinokuba luphawu lokuthintela amathumbu kwangoko.

Uninzi lwezandi ozivayo esiswini sakho nasemathumbu zibangelwa kukugaya ukutya okuqhelekileyo. Ayisosizathu sokukhathazeka. Iimeko ezininzi zinokubangela ukuvakala kwesibindi okanye uvakalelo. Uninzi alunabungozi kwaye akukho mfuneko yokuba lunyangwe.

Oku kulandelayo luluhlu lweemeko ezinobuzaza ezinokubangela izandi ezingaqhelekanga zamathumbu.

Ukungaxakeki, ukungakhathali, okanye ukungabikho kwamathumbu kunokubangelwa ngu:

• Imithambo yegazi ethintelweyo ithintela amathumbu ekufumaneni ukuhamba kwegazi okufanelekileyo. Umzekelo, amahlwili egazi anokubangela ukuvaleka kwemithambo ye-mesenteric.
• Ukuvalwa kwamathumbu oomatshini kubangelwa yi-hernia, ithumba, ukubambelela, okanye iimeko ezifanayo ezinokubamba amathumbu.
• Ileus ekhubazekileyo yingxaki yemithambo-luvo emathunjini.

Ezinye izinto ezibangela ukuqaqanjelwa kwamathumbu zibandakanya:

• Iziyobisi ezithi zicothise ukuhamba emathunjini anje nge-opiates (kubandakanya ikhowudi, i-anticholinergics, kunye ne-phenothiazines
• I-anesthesia ngokubanzi
• Imitha esiswini
• I-anesthesia yomqolo
• Utyando esiswini

Ezinye izinto ezibangela ukuqaqanjelwa kwamathumbu kubandakanya:

• Isifo seCrohn
• Urhudo
• Ukutya kokutya
• Ukopha kwe-GI
• I-enteritis eyosulelayo
• Ukudumba okwenziwa sisilonda sikabhobhosi

Fowunela umboneleli wakho ukuba unayo nayiphi na imiqondiso efana nale:

• Ukopha kwi-rectum yakho
• Isicaphucaphu
• Urhudo okanye ukuqhina okuqhubekayo
• Ukuhlanza

Umboneleli uya kukuvavanya kwaye akubuze imibuzo malunga nembali yakho yonyango kunye neempawu. Usenokubuzwa:

• Zeziphi ezinye iimpawu onazo?
• Ngaba unentlungu esiswini?
• Unarhudo okanye ukuqhina?
• Ngaba unesisu esiswini?
• Ngaba unayo irhasi egqithisileyo okanye engekhoyo (flatus)?
• Ngaba ukhe wakuphawula nakuphi na ukopha kwi-rectum okanye ilindle elimnyama?

Unokufuna ezi mvavanyo zilandelayo:

• Ukuskena kwe-CT esiswini
• X-ray esiswini
• Uvavanyo lwegazi
• Endoscopy

Ukuba kukho iimpawu zongxamiseko, uya kuthunyelwa esibhedlele. Umbhobho uza kufakwa ngempumlo okanye emlonyeni kwisisu okanye emathunjini. Oku kukhupha amathumbu akho. Kwiimeko ezininzi, awuyi kuvunyelwa ukuba utye okanye usele nantoni na ukuze amathumbu akho aphumle. Uya kunikwa ulwelo ngomthambo (ngemithambo).

Unokunikwa iyeza lokunciphisa iimpawu kunye nokunyanga unobangela wengxaki. Uhlobo lwamayeza luya kuxhomekeka kwisizathu sengxaki. Abanye abantu banokufuna utyando ngoko nangoko.

Izandi zamathumbu

• I-anatomy yesiqhelo yesisu

Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW. Isisu. Ku: Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW, ii-eds. Isikhokelo sikaSeidel kuViwo loMzimba. Umhla we-9. ISt Louis, MO: Elsevier; I-2019: isahl. 18.

ILandmann A, iiBond M, iPostier R. Isisu esibuhlungu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla wama-21. ISt Louis, MO: Elsevier; 2022: isahluko 46.

McQuaid KR. Sondela kwisigulana ngesifo samathumbu. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 123.