Zovuta - ana

Kulimbana ndi msana ndikutuluka kwa gawo limodzi la m'matumbo kupita kwina.

Nkhaniyi ikufotokoza za kusakhazikika kwa ana.

Kulimbana kumayambitsidwa ndi gawo la m'matumbo kukokedwa mkati mwake.

Kupsyinjika komwe kumapangidwa ndi khoma la matumbo kukanikiza pamodzi kumayambitsa:

• Kuchepetsa magazi
• Kukwiya
• Kutupa

Kulimbana kumatha kuletsa kudya kudutsa m'matumbo. Ngati magazi adulidwa, gawo lamatumbo lomwe limakokedwa mkati limatha kufa. Kutaya magazi kwambiri kumathanso kuchitika. Ngati dzenje likukula, matenda, mantha, ndi kuchepa kwa madzi m'thupi zimatha kuchitika mwachangu kwambiri.

Zomwe zimayambitsa kukhumudwa sizidziwika. Zomwe zingayambitse vutoli ndi monga:

• Matenda a kachilombo
• Kukulitsa ma lymph node m'matumbo
• Polyp kapena chotupa m'matumbo

Kulimbana kumatha kukhudza ana ndi akulu omwe. Amakonda kwambiri anyamata. Nthawi zambiri zimakhudza ana azaka zisanu mpaka zaka zitatu.

Chizindikiro choyamba chazovuta nthawi zambiri chimakhala mwadzidzidzi, kulira mokweza chifukwa cha kupweteka m'mimba. Kupweteka kumakhala kolimba osati kosalekeza (kwapakatikati), koma kumabweranso nthawi zambiri. Kupweteka kumakulirakulira ndipo kumakhala nthawi yayitali ikabwerera.

Mwana wakhanda yemwe ali ndi ululu wam'mimba kwambiri amatha kugwadira pachifuwa kwinaku akulira.

Zizindikiro zina ndizo:

• Magazi, ntchofu ngati matumbo kuyenda, nthawi zina amatchedwa "currant jelly" chopondapo
• Malungo
• Kugwedezeka (mtundu wotumbululuka, ulesi, thukuta)
• Mpando wothira magazi ndi ntchofu
• Kusanza

Wothandizira zaumoyo wanu adzakuyesani bwino, komwe kumatha kuwulula pamimba. Pakhoza kukhala zizindikiro zakusowa madzi m'thupi kapena mantha.

Mayeso atha kuphatikiza:

• M'mimba ultrasound
• X-ray m'mimba
• Enema kapena mpweya wosiyanitsa

Mwana ayamba kukhazikika. Phukusi limadutsa m'mimba kudzera m'mphuno (nasogastric chubu). Mzere wolowa mkati (IV) udzaikidwa m'manja, ndipo madzi adzaperekedwa kuti athetse kuchepa kwa madzi.

Nthawi zina, kutsekeka kwa matumbo kumatha kuchiritsidwa ndi mpweya kapena enema wosiyanitsa. Izi zimachitika ndi radiologist wodziwa njirayi. Pali chiopsezo chothira matumbo ndi njirayi.

Mwanayo adzafunika kuchitidwa opaleshoni ngati mankhwalawa sakugwira ntchito. Minofu yamatumbo imatha kupulumutsidwa nthawi zambiri. Minofu yakufa idzachotsedwa.

Maantibayotiki angafunikire kuchiza matenda aliwonse.

Kulowetsa m'mitsempha komanso madzi amadzimadzi adzapitilira mpaka mwanayo atayamba kuyenda bwino.

Zotsatira zake ndizabwino ndikuthandizidwa mwachangu. Pali chiopsezo vutoli lidzabweranso.

Pakabooka kapena kutuluka m'matumbo, imayenera kuthandizidwa nthawi yomweyo. Ngati sanalandire chithandizo, malingaliro nthawi zambiri amapha makanda ndi ana aang'ono.

Kulimbana ndi zovuta zachipatala. Itanani 911 kapena pitani kuchipinda chadzidzidzi nthawi yomweyo.

Kupweteka m'mimba mwa ana - malingaliro

• Zojambulajambula
• Kukangana - x-ray
• Zakudya zam'mimba ziwalo

Hu YY, Jensen T, Finck C. Opaleshoni m'matumbo ang'onoang'ono mwa ana ndi ana. Mu: Yeo CJ, mkonzi. Opaleshoni ya Shackelford ya Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: mutu 83.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Ileus, adhesions, intussusception, ndi zotchinga zotseka. Mu: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, olemba. Nelson Textbook of Pediatrics. Wolemba 21. Philadelphia, PA: Elsevier; 2020: chap 359.

Maloney PJ. Matenda am'mimba. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chap 171.