Kutulutsa m'mimba

Perforation ndi dzenje lomwe limakula kudzera pakhoma la thupi. Vutoli limatha kupezeka pammero, m'mimba, m'matumbo ang'ono, m'matumbo akulu, m'matumbo, kapena mu ndulu.

Kuwonongeka kwa chiwalo kumatha kubwera chifukwa cha zinthu zosiyanasiyana. Izi zikuphatikiza:

• Zowonjezera
• Khansa (mitundu yonse)
• Matenda a Crohn
• Zosintha
• Matenda a gallbladder
• Matenda a zilonda zam'mimba
• Zilonda zam'mimba
• Kutsekeka kwa matumbo
• Mankhwala a Chemotherapy
• Kuchulukitsa kupanikizika komwe kumayambitsa kusanza kwamphamvu
• Kuyamwa kwa zinthu zoyambitsa

Zingathenso kuyambitsidwa ndi opaleshoni m'mimba kapena njira monga colonoscopy kapena endoscopy yapamwamba.

Kuwonongeka kwa m'matumbo kapena ziwalo zina kumapangitsa zomwe zili mkati kutayikira m'mimba. Izi zimayambitsa matenda akulu otchedwa peritonitis.

Zizindikiro zimaphatikizapo:

• Kupweteka kwambiri m'mimba
• Kuzizira
• Malungo
• Nseru
• Kusanza
• Chodabwitsa

X-ray ya pachifuwa kapena pamimba imatha kuwonetsa mpweya m'mimba. Izi zimatchedwa mpweya waulere. Ndi chizindikiro cha misozi. Ngati pakhosi pamakhala mpweya waulere umatha kuwonedwa mu mediastinum (mozungulira mtima) komanso pachifuwa.

Kujambula pamimba pa CT nthawi zambiri kumawonetsa komwe dzenje limapezeka. Maselo oyera a magazi nthawi zambiri amakhala apamwamba kuposa abwinobwino.

Njira zitha kuthandizira kupezeka kwa zonunkhira, monga chapamwamba endoscopy (EGD) kapena colonoscopy.

Chithandizo nthawi zambiri chimaphatikizapo kuchitidwa mwadzidzidzi kukonza dzenje.

• Nthawi zina, kachigawo kakang'ono ka m'matumbo kamayenera kuchotsedwa. Mbali imodzi yamatumbo imatha kutulutsidwa kudzera pachitseko (stoma) chopangidwa kukhoma m'mimba. Izi zimatchedwa colostomy kapena ileostomy.
• Kutulutsa m'mimba kapena chiwalo china kungafunikirenso.

Nthawi zambiri, anthu amatha kuthandizidwa ndi maantibayotiki okha ngati mafutawo atsekedwa. Izi zitha kutsimikiziridwa ndi kuyezetsa thupi, kuyesa magazi, CT scan, ndi ma x-ray.

Opaleshoni imayenda bwino nthawi zambiri. Komabe, zotsatira zake zimatengera kukula kwake kwa mafutawo, komanso kwa nthawi yayitali bwanji asanalandire chithandizo. Kupezeka kwa matenda ena kumathandizanso kuti munthu azichita bwino atalandira chithandizo.

Ngakhale atachitidwa opareshoni, matenda ndizovuta kwambiri pamkhalidwewo. Matenda amatha kukhala m'mimba (abscess wam'mimba kapena peritonitis), kapena m'thupi lonse. Matenda a thupi lonse amatchedwa sepsis. Sepsis imatha kukhala yayikulu kwambiri ndipo imatha kubweretsa imfa.

Imbani wothandizira zaumoyo wanu ngati muli ndi:

• Magazi mu mpando wanu
• Zosintha m'matumbo
• Malungo
• Nseru
• Kupweteka kwambiri m'mimba
• Kusanza
• Itanani 911 nthawi yomweyo ngati inu kapena munthu wina mwamwa chinthu choopsa.

Itanani nambala yadzidzidzi yoyang'anira poyizoni ku 1-800-222-1222 ngati munthu adya chinthu chowopsa. Nambala yochezera iyi ikulolani kuti mulankhule ndi akatswiri pankhani yakupha.

Musadikire kuti munthuyo adziwe zizindikiro zanu musanapemphe thandizo.

Anthu nthawi zambiri amakhala ndi masiku ochepa akumva kupweteka kusanachitike. Ngati mukumva kuwawa m'mimba, onani omwe amakupatsani nthawi yomweyo. Chithandizo chake chimakhala chosavuta komanso chitetezo pamene chimayambitsidwa chisanachitike.

Kuphulika kwa m'mimba; Kuwonongeka kwa matumbo; Zotsekemera zam'mimba; Kutulutsa kwa Esophageal

• Dongosolo m'mimba
• Zakudya zam'mimba ziwalo

Matthews JB, Turaga K. Opaleshoni peritonitis ndi matenda ena a peritoneum, mesentery, omentum, ndi diaphragm. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Matenda a Mimba ndi a Fordtran Amatenda a Chiwindi. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 39.

Squires R, Carter SN, Postier RG. Mimba yam'mimba. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 45.

Wagner JP, Chen DC, Barie PS, Hiatt JR. Matenda a Peritonitis ndi intraabdominal. Mu: Vincent JL, Abraham E, Moore FA, Prime Minister wa Kochanek, MP wa Fink, eds. Buku Lopereka Chithandizo Chachikulu. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2017: mutu 99.