Megakoloni woopsa
Megacolon woopsa amapezeka pamene kutupa ndi kutupa kumafalikira m'malo ozama a colon yanu. Zotsatira zake, colon imasiya kugwira ntchito ndikufutukuka. Pazovuta zazikulu, kholalo limatha kuphulika.
Mawu oti "poizoni" amatanthauza kuti vutoli ndi lowopsa. Megacolon woopsa amatha kupezeka mwa anthu omwe ali ndi kholoni yotupa chifukwa cha:
- Ulcerative colitis, kapena matenda a Crohn omwe samayendetsedwa bwino
- Matenda am'matumbo monga Clostridioides difficile
- Matenda a Ischemic
Mitundu ina ya megacolon imaphatikizapo kutsekeka kwachinyengo, ileus yamtundu wambiri, kapena kuchepa kwamatenda obadwa nako. Izi sizimaphatikizira kachilombo komwe kali ndi kachilombo kapena kotupa.
Kukula kwakanthawi kwamatenda kumatha kuyambitsa zizindikilo izi kwakanthawi kochepa:
- Zowawa, zopindika pamimba
- Malungo (sepsis)
- Kutsekula m'mimba (nthawi zambiri wamagazi)
Wothandizira zaumoyo adzayesa. Zotsatira zitha kuphatikizira:
- Chikondi m'mimba
- Kuchepetsa kapena kulibe matumbo
Mayesowa atha kuwonetsa zizindikilo zakusokonekera, monga:
- Kuchuluka kwa kugunda kwa mtima
- Maganizo amasintha
- Kuthamanga kwa mtima mwachangu
- Kuthamanga kwa magazi
Wothandizirayo atha kuyitanitsa mayeso aliwonse awa:
- Mimba x-ray, ultrasound, CT scan, kapena MRI scan
- Ma electrolyte amwazi
- Kuwerengera kwathunthu kwa magazi
Chithandizo cha matenda omwe adayambitsa megacolon wa poizoni ndi awa:
- Steroids ndi mankhwala ena omwe amapondereza chitetezo cha mthupi
- Maantibayotiki
Ngati mwadodometsedwa, mudzagonekedwa kuchipatala cha odwala. Chithandizo chingaphatikizepo:
- Kupuma makina (makina mpweya)
- Dialysis ya impso kulephera
- Mankhwala ochepetsa kuthamanga kwa magazi, matenda, kapena kutseka magazi
- Madzi operekedwa mwachindunji mumtsempha
- Mpweya
Ngati kufalikira msanga sikuchiritsidwa, kutseguka kapena kuphulika kumatha kupangika. Ngati vutoli silikuyenda bwino ndi chithandizo chamankhwala, opareshoni adzafunika kuchotsa gawo kapena coloni yonse.
Mutha kulandira maantibayotiki kuti muteteze sepsis (matenda akulu).
Ngati vutoli silikuyenda bwino, limatha kupha. Kuchita opaleshoni yamatenda nthawi zambiri kumafunika pazochitika zotere.
Zovuta zingaphatikizepo:
- Kuwonongeka kwa colon
- Sepsis
- Chodabwitsa
- Imfa
Pitani kuchipinda chodzidzimutsa kapena itanani nambala yadzidzidzi yakomweko (monga 911) ngati mukumva kupweteka m'mimba, makamaka ngati muli ndi:
- Kutsekula m'mimba
- Malungo
- Kutsekula m'mimba pafupipafupi
- Kuthamanga kwa mtima mwachangu
- Chikondi pamene m'mimba mwapanikizika
- Kutsegula m'mimba
Kuchiza matenda omwe amayambitsa megacolon ya poizoni, monga ulcerative colitis kapena matenda a Crohn, kumatha kupewa izi.
Kutulutsa kwa poizoni m'matumbo; Megarectum; Matenda opatsirana otupa - megacolon owopsa; Matenda a Crohn - megacolon woopsa; Ulcerative colitis - megacolon yoopsa
- Dongosolo m'mimba
- Megakoloni woopsa
- Matenda a Crohn - madera omwe akhudzidwa
- Zilonda zam'mimba
- Zakudya zam'mimba ziwalo
Lichtenstein GR. Matenda otupa. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 132.
Nishtala MV, Benlice C, Steele SR. Kuwongolera megacolon wa poizoni. Mu: Cameron AM, Cameron JL, olemba., Eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 180-185.
Peterson MA, Wu AW. Kusokonezeka kwa m'matumbo akulu. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 85.