Inothi emathunjini (volvo): yintoni, iimpawu kunye nonyango

Umxholo

• Iimpawu eziphambili
• Yintoni enokubangela ukujija
• Indlela yokuqinisekisa ukuxilongwa
• Unyango lwenziwa njani

Iqhina emathunjini, elaziwa ngokuba yi-torsion, volvulus okanye volvulus, yingxaki enkulu apho kukho ukujijwa kwenxalenye yamathumbu, kubangele ukuphazamiseka nokuthintela ukudlula kwelindle nokuhamba kwegazi liye kwindawo leyo, enokubangela ukufa ummandla ochaphazelekayo.

Olu tshintsho lunokwenzeka naphina emathunjini, nangona ixhaphake kakhulu kwinxalenye yokugqibela yamathumbu amakhulu, kwaye ihlala ibangela iimpawu ezinjengokugabha, ukugabha, iintlungu esiswini, ukuqhina kunye nokudumba kwesisu.

I-volvulus yamathumbu ibonakala ikakhulu ebantwaneni nakubantu abadala, ngenxa yezizathu ezinje ngotshintsho lokuzalwa kwimilo yamathumbu, amathumbu emathumbu okanye ukubambelela okubangelwa emva kotyando okanye ukudumba, umzekelo. Ukuba le ngxaki ikrokrelwa, kuyacetyiswa ukuba uye kwangoko esibhedlele kuvavanyo olunokuchonga ingxaki kwaye uqalise ngonyango, oluqhele ukwenziwa ngotyando.

Iimpawu eziphambili

Iimpawu eziphambili ze-volvulus yamathumbu zixhomekeke ikakhulu kuthintelo olubangelwa ngamathumbu, kwaye zibandakanya:

• Intlungu yesisu esiswini;
• Isicaphucaphu nokugabha;
• Ukungakwazi ukuphelisa ilindle okanye iigesi;
• Ukudumba kwesisu;
• Isiyezi;
• Ifiva.

Ukuqina kunye nobungakanani beempawu zixhomekeka kwindawo ekuyo i-torsion kunye nobukhulu bommandla ochaphazelekayo, kunye nokudumba okukhulu esiswini, okuya kusiba mandundu ngokuhamba kwexesha kwaye, ukuba ayichongwanga ngokukhawuleza kwaye inyangwe, inokubeka ubomi bomntu emngciphekweni.

Yintoni enokubangela ukujija

Akusoloko kunokwenzeka ukuchonga unobangela wale ngxaki, nangona kunjalo, ezona zixhaphakileyo zezi:

• Utshintsho kwimilo yemathumbu;
• Ukubambelela emathunjini okubangelwa luqhaqho lwesisu okanye usulelo;
• Ithumba emathunjini okanye into ebangela ukuphazamiseka nokujikeleza emathunjini;
• Ukuqhina okungapheliyo.

Ukongeza, abantu abanengxaki yokungasebenzi kakuhle emathunjini, nokuba bayakhawuleza okanye bayacothiswa, basemngciphekweni omkhulu wokukhula kolu tshintsho. Ke, ezinye iindlela zokuphepha ukubonakala kokujija kubandakanya ukusela malunga neelitha ezimbini zamanzi ngosuku, ukugcina ukutya okunempilo kunye nokuzilolonga rhoqo, njengoko ezi zindlela zokugcina umkhwa wakho uqhelekile.

Indlela yokuqinisekisa ukuxilongwa

I-volvulus yamathumbu inokuthi iqinisekiswe kuvavanyo lwezonyango ngokudibeneyo kunye neemvavanyo ezithile ezinje nge-radiology esiswini okanye isisu esenziwe ngekhompyuter.

Ukongeza, ugqirha unokuyalela i-enema ye-opaque, eluvavanyo oluthile olusebenzisa umahluko ukugcina ikhosi yonke yamathumbu kunye nokuchonga iingxaki ezinokubakho emathunjini, njengakule meko. Qonda ukuba olu vavanyo lusebenza njani.

Unyango lwenziwa njani

Iqhina lamathumbu yimeko engxamisekileyo yezonyango, kwaye kufuneka inyangwe ngokukhawuleza esibhedlele. Olona hlobo lusetyenzisiweyo lonyango yinkqubo yotyando ebizwa ngokuba yi-decompressive colonoscopy, ekwaziyo ukulungisa ukubola kunye nokuvumela igazi kunye nelindle ukuba lidlule ngokwesiqhelo.

Nangona kunjalo, kwezona meko zinzima, apho ukudumba kunzima ukukhulula okanye amathumbu ahlaselwe sisifo sentliziyo ngenxa yokunqongophala kwegazi, ugqirha unokukhetha ukwenza utyando oluqhelekileyo ngokusikwa esiswini ukuze kususwe inxenye Ilungu eliswelekayo.

Kule meko, ukuba isahlulo esisusiweyo sikhulu kakhulu, kunokuba yimfuneko ukuba ube ne-colostomy, equlathe unxibelelwano olusisigxina lwamathumbu kulusu lwesisu ukuvumela ukuba kuphume ilindle. Jonga ukuba yintoni kwaye uyinyamekele njani i-colostomy.