Intshukumo yamathumbu emathunjini (mesentery infarction): yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani
• Uluhlu lwe-infarction yamathumbu
• Unobangela onokubangela amathumbu emathunjini

Uninzi lwama-infarction olwenzeka emathunjini lwenzeka xa umthambo, ophethe igazi ulisiya emathunjini amancinci okanye amakhulu, uvaleke ngengubo kwaye uthintele igazi ukuba lingadluli ngeoksijini kwiindawo eziza emva kwengqele, zikhokelela ekufeni kwaloo ndawo yamathumbu kunye nokwenza iimpawu ezinje ngesisu esibuhlungu, ukugabha kunye nomkhuhlane, umzekelo.

Ukongeza, isisu sinokuvela kumthambo kwingingqi ye-mesentery, eyimbumba ebambe amathumbu. Xa oku kusenzeka, igazi alinakuphuma emathunjini liye esibindini kwaye, ke, igazi elineoksijini nalo alinakuqhubeka nokujikeleza emathunjini, nto leyo ikhokelela kwiziphumo ezifanayo nomthambo.

Ukuphulukana namathumbu kuyanyangeka, kodwa yimeko engxamisekileyo kwaye, ke ngoko, ukuba kukho urhano, kubaluleke kakhulu ukuya kwigumbi likaxakeka, ukuya kuqinisekisa isifo kwaye uqalise unyango olufanelekileyo, ukuthintela isahlulo esikhulu se amathumbu achaphazeleka.

Iimpawu eziphambili

Ezona mpawu zixhaphake kwimeko yamathumbu zibandakanya:

• Iintlungu ezinzima zesisu, eziba mandundu ngokuhamba kwexesha;
• Ukuziva uziva esiswini;
• Isicaphucaphu nokugabha;
• Umkhuhlane ongaphezu kwama-38ºC;
• Urhudo olunegazi esitulweni.

Ezi mpawu zinokuvela ngesiquphe okanye ziphuhle kancinci kwiintsuku ezininzi, kuxhomekeke kubungakanani bommandla ochaphazelekayo yi-ischemia kunye nobunzima besithintelo.

Ke, ukuba kukho iintlungu zesisu okanye ezingaphuculiyo emva kweeyure ezi-3 kubaluleke kakhulu ukuba uye esibhedlele uyokuchonga ingxaki kwaye uqale unyango olufanelekileyo, kuba inokuba sisifo samathumbu.

Indlela yokuqinisekisa ukuxilongwa

Ukwenza ukuxilongwa kwe-infarction yamathumbu, ugqirha unokuyalela iimvavanyo ezahlukeneyo ezinje nge-angiographic magnetic resonance, i-angiography, isisu esenziwe ngekhompyuter, i-ultrasound, i-X-ray, uvavanyo lwegazi kunye ne-endoscopy okanye i-colonoscopy, ukuqinisekisa ukuba iimpawu azibangelwa ezinye iingxaki zokugaya ukutya, ezinje ngezilonda okanye i-appendicitis, umzekelo.

Unyango lwenziwa njani

Unyango lwe-infarction yamathumbu ingaqala ngo-catheterization ojikeleze umzimba kunye nokuzinziswa kwe-hemodynamic, okanye ngoqhaqho ukususa i-clot kunye nokubuyisela ukujikeleza kwegazi kwisitya esichaphazelekayo, ukongeza ekususeni lonke icandelo lamathumbu elisusiweyo.

Phambi kotyando, ugqirha unokuyeka ukusebenzisa amayeza anokuthi athintele imithambo yegazi, enje ngamachiza e-migraine, ukunyanga isifo sentliziyo kunye nezinye iintlobo zehomoni.

Kwezinye iimeko, kusenokuba yimfuneko ukuthatha amayeza okubulala iintsholongwane ngaphambi nasemva kotyando ukunqanda ukukhula kwezifo emathunjini achaphazelekayo.

Uluhlu lwe-infarction yamathumbu

Olunye lolona hlobo luqhelekileyo lwe-ischemia emathunjini yimfuno yokuba ne-ostomy. Kungenxa yokuba, kuxhomekeke kubungakanani bamathumbu asusiweyo, ugqirha usenokungakwazi ukudibanisa amathumbu kwi-anus kwaye, ke ngoko, kubalulekile ukwenza unxibelelwano ngqo kulusu lwesisu, ukuvumela isitulo ukuba sibalekele ingxowa encinci.

Ukongeza, ngokususwa kwamathumbu, umntu unesifo esifutshane samathumbu, esixhomekeke kwinxalenye esusiweyo, sibangela ubunzima ekufunxeni iivithamini kunye neeminerali, kwaye kubalulekile ukulungisa ukutya. Bona ngakumbi ngale syndrome kunye nokuba ukutya kufanele ukuba njani.

Unobangela onokubangela amathumbu emathunjini

Nangona i-infarction yamathumbu iyimeko enqabileyo, kukho umngcipheko owandayo ebantwini:

• Ngaphezulu kweminyaka engama-60 ubudala;
• Ngamanqanaba aphezulu e-cholesterol;
• Xa ulcerative colitis, isifo Crohn okanye diverticulitis;
• Indoda;
• Kunye Neoplasms;
• Ngubani owenze utyando esiswini;
• Ngomhlaza kwinkqubo yokwetyisa.

Ukongeza, abasetyhini abasebenzisa ipilisi yolawulo lokuzalwa okanye abakhulelweyo banomngcipheko okhulayo wamahlwili ngenxa yotshintsho lwehomoni, ukuze baphuhlise imeko yokuqaqanjelwa ngamathumbu.