Kutsekeka kwa m'matumbo

Kutsekeka kwa m'matumbo ndikumakhala komwe kuli zizindikiro zakutseka kwamatumbo (matumbo) popanda kutchinga kulikonse.

M'matumbo-kutsekeka kwa m'matumbo, matumbo amalephera kugundana ndikukankhira chakudya, chopondapo, ndi mpweya kudzera m'mimba. Matendawa nthawi zambiri amakhudza matumbo ang'onoang'ono, koma amathanso kupezeka m'matumbo akulu.

Vutoli limatha kuyamba mwadzidzidzi kapena kukhala vuto lalitali kapena lalitali. Amakonda kwambiri ana komanso achikulire. Zomwe zimayambitsa vutoli nthawi zambiri sizidziwika.

Zowopsa ndi izi:

• Cerebral palsy kapena zovuta zina zama ubongo kapena zamanjenje.
• Matenda a impso, mapapo, kapena mtima.
• Kukhala pabedi kwa nthawi yayitali (osagona pabedi).
• Kumwa mankhwala omwe amachepetsa m'mimba kuyenda. Izi zimaphatikizapo mankhwala ozunguza bongo (kupweteka) ndi mankhwala omwe amagwiritsidwa ntchito ngati simungathe kuti mkodzo usatuluke.

Zizindikiro zake ndi izi:

• Kupweteka m'mimba
• Kuphulika
• Kudzimbidwa
• Nseru ndi kusanza
• Kutupa pamimba (kutsekemera m'mimba)
• Kuchepetsa thupi

Mukayezetsa thupi, wothandizira zaumoyo nthawi zambiri amawona m'mimba m'mimba.

Mayeso ndi awa:

• X-ray m'mimba
• Anorectal manometry
• Kumeza kwa Barium, kutsatira kwa barium, kapena enema ya barium
• Kuyesa magazi pamavuto azakudya kapena mavitamini
• Zojambulajambula
• Kujambula kwa CT
• Matenda a antroduodenal
• Kutulutsa m'mimba kutulutsa kwa radionuclide
• Kutsegula m'mimba mwa radionuclide

Mankhwala otsatirawa atha kuyesedwa:

• Colonoscopy itha kugwiritsidwa ntchito kuchotsa mpweya m'matumbo akulu.
• Zamadzimadzi amatha kuperekedwa kudzera mumitsempha m'malo mwa madzi amadzi otayika kusanza kapena kutsegula m'mimba.
• Kukoka kwa nasogastric komwe kumakhudza chubu cha nasogastric (NG) chomwe chimayikidwa pamphuno m'mimba chitha kugwiritsidwa ntchito kuchotsa mpweya m'matumbo.
• Neostigmine itha kugwiritsidwa ntchito pochizira kutsekeka kwa m'matumbo komwe kumangokhala m'matumbo akulu (Ogilvie syndrome).
• Zakudya zapadera nthawi zambiri sizigwira ntchito. Komabe, vitamini B12 ndi mavitamini ena oyenera ayenera kugwiritsidwa ntchito kwa anthu omwe alibe mavitamini.
• Kuyimitsa mankhwala omwe atha kubweretsa vuto (monga mankhwala osokoneza bongo) kungathandize.

Zikakhala zovuta, opaleshoni imafunika.

Milandu yambiri yodzitetezera pachabe imayamba kukhala bwino m'masiku ochepa ndi chithandizo. M'mitundu yayitali yamatendawa, zizindikilo zimatha kubweranso ndikuipiraipira pazaka zambiri.

Zovuta zingaphatikizepo:

• Kutsekula m'mimba
• Kung'ambika (perforation) ya m'matumbo
• Kuperewera kwa Vitamini
• Kuchepetsa thupi

Itanani omwe akukuthandizani ngati muli ndi ululu m'mimba womwe sutha kapena zizindikilo zina za matendawa.

Kutsekula kwam'mimba koyambirira kwamatumbo; Ileus yamatenda amtundu; Colonic pseudo-kutsekeka; Idiopathic m'matumbo zabodza-kutsekeka; Matenda a Ogilvie; Matenda abodza-kutsekeka; Wopuwala ileus - chinyengo-kutsekeka

• Zakudya zam'mimba ziwalo

Camilleri M. Zovuta zam'mimba motility. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 127.

Rayner CK, Hughes PA. Ntchito yaying'ono yamatumbo yam'mimba komanso yamphamvu komanso kukanika. 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: mutu 99.