Ukukhubazeka ileum: yintoni, iimpawu, oonobangela kunye nonyango

Umxholo

• Izizathu ezinokubangela
• Iimpawu zeileus ekhubazekileyo
• Unyango lwenziwa njani

Ileus ekhubazekileyo yimeko apho kukho ilahleko yethutyana yokuhamba kwamathumbu, eyenzeka ikakhulu emva kotyando kwingingqi yesisu ebandakanyeke emathunjini, okukhokelela kuphuhliso lweempawu ezithile ezinjengokuqunjelwa, ukuphelelwa ngumdla, isicaphucaphu nokugabha, umzekelo.

Ngaphandle kokuba kunxulunyaniswa rhoqo notyando lwesisu, ileus ekhubazekileyo inokwenzeka ngenxa yobukho be-hernias ye-inguinal okanye ukusetyenziswa kwamayeza athile, kwaye kubalulekile ukuba unobangela uchongwe ukuze olona nyango lufanelekileyo luqaliswe ukuthintela ukukhula iingxaki.

Izizathu ezinokubangela

Ileus ekhubazekileyo idla ngokunxulunyaniswa notyando lwesisu ngenxa yokwenziwa kwethambo elinemicu, kodwa ke ezinye iimeko ezinokuthi zithande ukuphuhliswa kweeleus ekhubazekileyo zezi:

• Umhlaza wamathumbu;
• Izifo ezivuthayo, ezifana nesifo sikaCrohn;
• Diverticulitis;
• I-Colonic torsion;
• Hernias Inguinal;
• Isifo sikaParkinson.

Ukongeza, ileus ekhubazekileyo inokwenzeka ngenxa yokusetyenziswa kwamachiza anjengee-narcotic, ezinje nge-hydromorphone, i-morphine okanye i-oxycodone kunye ne-tricyclic antidepressants, njenge-amitriptyline kunye ne-imipramine.

Kubalulekile ukuba i-ileus ekhubazekileyo ichongwe kwaye unyango luqale kwangoko emva koko, njengoko kunokwenzeka ukuthintela iingxaki ezinje nge-sepsis, ehambelana nosulelo oluqhelekileyo olubangelwa ziintsholongwane zamathumbu ezingakhange zisuswe kakuhle, okanye isithintelo samathumbu, kuzisa iziphumo ezininzi empilweni. Jonga ukuba zeziphi iziphumo zokuphazamiseka kwamathumbu.

Iimpawu zeileus ekhubazekileyo

Iimpawu ze-ileus ekhubazekileyo zinxulumene nokuhla kwesisu, iintlungu zesisu, ukuphelelwa ngumdla, ukuqhina, ukudumba kwesisu, ukugcwala, isicaphucaphu kunye nokugabha kunokubonwa.

Kwiimeko ezinzima kakhulu, iingxaki ezinje nge-cell necrosis yamathumbu zinokwenzeka ngenxa yokwehla kwegazi kwindawo okanye ukugcwala kwamathumbu, kwiimeko ezinqabileyo ezinokubangela usulelo olubizwa ngokuba yi-peritonitis, olwenzeka ngenxa yokwanda okwandayo yebhaktiriya yamathumbu kwaye enokunyusa umngcipheko wosulelo olubanzi.

Unyango lwenziwa njani

Unyango lwe-ileus ekhubazekileyo ijolise ekunyangeni unobangela wesifo kunye nokukhuthaza ukukhululeka kwempawu. Ngamanye amaxesha, imeko inokusonjululwa ngaphandle konyango olufunwayo, ukuzinzisa umntu ngokufaka ulwelo emthanjeni, ukufaka ityhubhu ye-nasogastric yokufunxa umoya kunye nolwelo, oluya kunceda ukukhupha ukudumba kwesisu. Nangona kunjalo, ukuba akukho phuculo, ugqirha kufuneka akhethe olunye unyango ukuze kuthintelwe ukuphazamiseka kwamathumbu kungenzeki.

Ukuba lunyango olungumthombo wengxaki, ugqirha unokumisa ukuselwa kweleyeza, okanye anike amayeza avuselela amathumbu, njengoko kunjalo nge-metoclopramide okanye i-domperidone.

Kwimeko yokuphazamiseka ngokuyinxenye, oko kukuthi, ukuba ukutya kunye neencindi ziyaqhubeka ukuhanjiswa ngethumbu, kufuneka kuphela ukuzinzisa umntu kwaye utye ukutya okuncinci kwefayibha, kwaye amayeza okukhawulezisa ukuhamba kwamathumbu anokumiselwa .

Kwiimeko zokuthintela ngokupheleleyo, okanye ukuba unyango lokuthintelwa ngokuyinxenye alusebenzi, kunokuba yimfuneko ukubhenela kuqhaqho ukukhulula olu thintelo, susa inxenye yamathumbu okanye ususe lonke amathumbu. Kwiimeko apho ususwe onke amathumbu, kuyafuneka ukuba kubekho i-ostomy, equka umjelo odibanisa amathumbu nohlobo lwengxowa, ngokuvula esiswini, okuphuma khona ilindle.