Kutsekeka kwa m'mimba ndi Ileus

Kutsekeka m'matumbo ndikutsekera pang'ono kapena kwathunthu kwa matumbo. Zomwe zili m'matumbo sizingadutsemo.

Kutsekedwa kwa matumbo kumatha kukhala chifukwa cha:

• Choyambitsa, chomwe chimatanthauza kuti china chake chili panjira
• Ileus, vuto lomwe matumbo samagwira bwino ntchito, koma palibe vuto lomwe limayambitsa

Lileous wakufa ziwalo, yemwe amatchedwanso kutsekeka kwachinyengo, ndichimodzi mwazomwe zimayambitsa m'matumbo mwa ana ndi ana. Zomwe zimayambitsa leus wodwala amatha kuphatikiza:

• Bacteria kapena ma virus omwe amayambitsa matenda am'mimba (gastroenteritis)
• Kusagwirizana kwa mankhwala, electrolyte, kapena mchere (monga kuchepa kwa potaziyamu)
• Opaleshoni m'mimba
• Kuchepetsa magazi m'matumbo
• Matenda mkati mwa mimba, monga appendicitis
• Impso kapena matenda am'mapapo
• Kugwiritsa ntchito mankhwala ena, makamaka mankhwala osokoneza bongo

Zomwe zimayambitsa kutsekula m'matumbo zimatha kuphatikiza:

• Adhesions kapena scar scar omwe amapangidwa pambuyo pa opareshoni
• Matupi akunja (zinthu zomwe zimamezedwa ndikuletsa matumbo)
• Miyala yamiyala (yosowa)
• Hernias
• Mpando wokhudzidwa
• Kuthamangitsana (telescoping gawo limodzi la matumbo kulowa linzake)
• Zotupa zotchinga matumbo
• Volvulus (matumbo opotoka)

Zizindikiro zimaphatikizapo:

• Kutupa m'mimba (kutalika)
• Kukhuta m'mimba, mpweya
• Kupweteka m'mimba ndi cramping
• Fungo la mpweya
• Kudzimbidwa
• Kutsekula m'mimba
• Kulephera kupititsa mafuta
• Kusanza

Pakati pa kuyezetsa thupi, wothandizira zaumoyo amatha kupeza kuphulika, kukoma mtima, kapena hernias pamimba.

Mayeso omwe akuwonetsa kutsekeka ndi awa:

• M'mimba mwa CT scan
• X-ray m'mimba
• Enema wa Barium
• Upper GI ndi matumbo ang'onoang'ono

Kuchiza kumaphatikizapo kuyika chubu kudzera m'mphuno m'mimba kapena m'matumbo. Izi ndikuthandizira kuthetsa kutupa kwa m'mimba (kutsekemera) ndi kusanza. Volvulus wa matumbo akulu atha kuchiritsidwa podutsa chubu mu rectum.

Kuchita opaleshoni kungafunike kuti muchepetse kutsekereza ngati chubu sichithetsa zizindikilo. Zitha kufunikanso ngati pali zizindikiro zakufa kwa mnofu.

Zotsatira zimadalira chifukwa cha kutsekeka. Nthawi zambiri, vutoli limathandizidwa bwino.

Zovuta zitha kuphatikizira kapena zitha kubweretsa ku:

• Electrolyte (magazi mankhwala ndi mchere) kusamvana
• Kutaya madzi m'thupi
• Dzenje (perforation) m'matumbo
• Matenda
• Jaundice (chikasu chachikopa ndi maso)

Ngati kutsekeka kumatseketsa magazi m'matumbo, atha kuyambitsa matenda komanso kufa kwa minofu. Zowopsa zakufa kwa minofu ndizokhudzana ndi zomwe zimayambitsa kutsekeka komanso kuti kwakhala kwakutali bwanji. Hernias, volvulus, ndi intussusception zili pachiwopsezo chachikulu cha chilonda.

Mu khanda lobadwa kumene, lomwe limafa lomwe limawononga khoma la m'mimba (necrotizing enterocolitis) limakhala loopsa. Zingayambitse matenda a magazi ndi m'mapapo.

Itanani omwe akukuthandizani ngati:

• Simungadutse chopondapo kapena mpweya
• Khalani ndi mimba yotupa (distension) yomwe sichitha
• Pitirizani kusanza
• Khalani ndi ululu wam'mimba wosadziwika womwe sukutha

Kupewa kumadalira choyambitsa. Kuchiza zinthu, monga zotupa ndi hernias zomwe zingayambitse kutsekeka, kumachepetsa chiopsezo chanu.

Zina mwazifukwa zotsekereza sizingapewe.

Manjenje ileus; M'matumbo volvulus; Kutsekeka kwa matumbo; Ileus; Kutsekeka kwachinyengo - matumbo; Zilembo zamtundu wachikoloni; Kutsekeka kwa matumbo ang'onoang'ono

• Chotsani zakudya zamadzi
• Zakudya zamadzi zonse
• Kutulutsa matumbo akulu - kutulutsa
• Kutulutsa pang'ono matumbo - kutulutsa
• Colectomy yathunthu kapena proctocolectomy - kutulutsa

• Dongosolo m'mimba
• Ileus - x-ray yamatumbo osokonezeka ndi m'mimba
• Ileus - x-ray ya kutalika kwa matumbo
• Kukangana - x-ray
• Volvulus - x-ray
• Kutsekeka kwamatumbo kakang'ono - x-ray
• Kubwezeretsa matumbo ang'ono - mndandanda

Harris JW, Evers BM. Matumbo aang'ono. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 49.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon ndi rectum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: mutu 51.

Muyenera WC, Turnage RH. Kutsekula m'mimba. 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 123.