Zochita zachimbudzi

Kusokonekera kwazinyalala ndi chotupa chachikulu chowuma, cholimba chomwe chimakhala chokhazikika mu rectum. Nthawi zambiri zimawoneka mwa anthu omwe adzimbidwa kwa nthawi yayitali.

Kudzimbidwa ndi pamene simukudutsa chopondapo pafupipafupi kapena mosavuta monga mwachibadwa kwa inu. Mpando wanu umakhala wouma komanso wouma. Izi zimapangitsa kuti zikhale zovuta kudutsa.

Kusokonekera kwazinyalala kumachitika mwa anthu omwe akhala akudzimbidwa kwanthawi yayitali ndipo akhala akugwiritsa ntchito mankhwala otsegulitsa m'mimba. Vutoli limakulirakulira pamene mankhwala otsegulitsa m'mimba atayimitsidwa mwadzidzidzi. Minofu yamatumbo imayiwala momwe ingasunthire chopondapo kapena ndowe zokha.

Muli pachiwopsezo chachikulu chodzimbidwa kwanthawi yayitali komanso kukhudzidwa kwazinyalala ngati:

• Simumangoyenda mozungulira ndipo mumakhala nthawi yayitali pampando kapena pabedi.
• Muli ndi matenda amubongo kapena amanjenje omwe amawononga mitsempha yomwe imapita ku minofu yamatumbo.

Mankhwala ena amachepetsa kupondera m'matumbo:

• Anticholinergics, yomwe imakhudza kulumikizana pakati pa mitsempha ndi minofu yamatumbo
• Mankhwala omwe amachiza kutsekula m'mimba, akamamwa kwambiri
• Mankhwala opweteka a mankhwala osokoneza bongo, monga methadone, codeine, ndi oxycontin

Zizindikiro zodziwika ndizo:

• Kupunduka m'mimba ndi kuphulika
• Kutulutsa kwamadzi kapena kutsekula mwadzidzidzi kwa m'mimba mwa munthu amene ali ndi vuto lakudzimbidwa kwanthawi yayitali
• Kutuluka magazi
• Zing'onozing'ono, zopangidwa pang'ono
• Kukhazikika pamene mukuyesa kudutsa chimbudzi

Zizindikiro zina zotheka ndi izi:

• Chikhodzodzo kuthamanga kapena kutaya kwa chikhodzodzo
• Kuchepetsa kupweteka kwa msana
• Kugunda kwamtima mwachangu kapena kupepuka pamutu kuti musapanikizike kuti mupiteko

Wothandizira zaumoyo akuyang'ana m'mimba mwanu ndi m'matumbo. Kuyesa kwamiyeso kumawonetsa chopondapo cholimba mu rectum.

Mungafunike kukhala ndi colonoscopy ngati pakhala zosintha zaposachedwa pamatumbo anu. Izi zachitika kuti mufufuze khansa yam'matumbo kapena yamatumbo.

Chithandizo cha vutoli chimayamba ndikuchotsa chopondapo chomwe chakhudzidwa. Pambuyo pake, amatengedwa kuti ateteze zovuta zamtsogolo.

Enema wamafuta ofunda amafuta nthawi zambiri amagwiritsidwa ntchito pochepetsa ndi kupewetsa chopondapo. Komabe, enemas yokha siyokwanira kuchotsa vuto lalikulu, lolimba nthawi zambiri.

Unyinji ungafunikire kuthyoledwa ndi dzanja. Izi zimatchedwa kuchotsa pamanja:

• Wopereka chithandizo amafunika kuyika chala chimodzi kapena ziwiri mu rectum ndikuchepetsako pang'onopang'ono zidutswazo kuti zituluke.
• Izi ziyenera kuchitidwa pang'onopang'ono kuti zisavulaze rectum.
• Zowonjezera zomwe zimayikidwa mu rectum zitha kuperekedwa pakati poyesa kuthandiza kuchotsa chopondapo.

Kuchita maopareshoni sikofunikira kwenikweni kuti muchepetse vuto la chimbudzi. Colon yochulukirapo (megacolon) kapena kutsekeka kwathunthu kwa matumbo kungafune kuchotsedwa kwadzidzidzi kwa zomwe zachitikazo.

Anthu ambiri omwe adachita zonyansa amafunikira pulogalamu yobwezeretsa matumbo. Wopereka wanu ndi namwino wophunzitsidwa mwapadera adzachita izi:

• Tengani mbiri yakale yazakudya zanu, matumbo, kumwa mankhwala ofewetsa tuvi, mankhwala, ndi zovuta zamankhwala
• Akuyeseni mosamala.
• Limbikitsani kusintha kwa kadyedwe kanu, momwe mungagwiritsire ntchito mankhwala otulutsira thukuta ndi zofewetsera chopondapo, masewera olimbitsa thupi, kusintha kwa moyo, ndi njira zina zapadera zobwezeretsa matumbo anu.
• Tsatirani inu mosamalitsa kuti muwonetsetse kuti pulogalamuyi ikukuthandizani.

Ndi chithandizo, zotsatira zake ndi zabwino.

Zovuta zingaphatikizepo:

• Misozi (ulceration) ya minofu yammbali
• Imfa ya minofu (necrosis) kapena kuvulala kwaminyewa yamatenda

Uzani omwe amakupatsani ngati muli ndi matenda otsekula m'mimba kapena kusadziletsa patapita nthawi yayitali ndikudwala. Komanso uuzeni omwe akukuthandizani ngati muli ndi izi:

• Kupweteka m'mimba ndi kuphulika
• Magazi pansi
• Kudzimbidwa mwadzidzidzi ndi kukokana m'mimba, ndikulephera kupititsa mpweya kapena chopondapo. Poterepa, musamamwe mankhwala ofewetsa tuvi tolimba. Itanani omwe akukuthandizani nthawi yomweyo.
• Malo opyapyala kwambiri ngati mapensulo

Impaction ya matumbo; Kudzimbidwa - impaction; Matenda a Neurogenic - kusintha

• Kudzimbidwa - kudzisamalira

• Dongosolo m'mimba
• Zakudya zam'mimba ziwalo

Lembo AJ. Kudzimbidwa. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 10th ed. Philadelphia, PA: Elsevier Saunders; 2016: mutu 19.

Zainea GG. Kuwongolera zochitika zamatsenga. Mu: Fowler GC, mkonzi. Njira za Pfenninger ndi Fowler Zoyang'anira Poyamba. Wolemba 4. Philadelphia, PA: Elsevier; 2020: chap 208.