Volvulus - ubwana

Volvulus ndikupotoza kwa m'matumbo komwe kumatha kuchitika ali mwana. Zimayambitsa kutseka komwe kumatha kudula magazi. Gawo lina la m'matumbo limawonongeka chifukwa chake.

Kulephera kubadwa komwe kumatchedwa kutsekula m'mimba kumatha kupangitsa khanda kukhala ndi volvulus. Komabe, volvulus imatha kuchitika popanda vutoli.

Volvulus chifukwa cha kutsekemera kumachitika nthawi zambiri mchaka choyamba cha moyo.

Zizindikiro zodziwika za volvulus ndi izi:

• Malo ogulitsira magazi ofiira kapena amdima
• Kudzimbidwa kapena kuvutika kutulutsa chimbudzi
• Mimba yosokonekera
• Ululu kapena kukoma m'mimba
• Nseru kapena kusanza
• Chodabwitsa
• Kusanza zobiriwira

Zizindikiro zimakhala zovuta kwambiri. Khanda pamavuto ngati awa amapita naye kuchipinda chadzidzidzi. Chithandizo choyambirira chingakhale chofunikira kuti mupulumuke.

Wothandizira zaumoyo wanu akhoza kuyitanitsa mayeso otsatirawa kuti adziwe vutoli:

• Enema wa Barium
• Kuyesa magazi kuti muwone maelekitirodi
• Kujambula kwa CT
• Chopondapo guaiac (chikuwonetsa magazi pansi)
• Mndandanda wapamwamba wa GI

Nthawi zina, colonoscopy itha kugwiritsidwa ntchito kukonza vutoli. Izi zimaphatikizapo kugwiritsa ntchito chubu chosinthasintha chokhala ndi kuwala kumapeto komwe kumadutsa m'matumbo (matumbo akulu) kudzera mumatumbo.

Kuchita opaleshoni mwadzidzidzi kumafunika kukonza volvulus. Kudula opareshoni kumapangidwa m'mimba. Matumbo samasulidwa ndipo magazi amabwezeretsedwanso.

Ngati kagawo kakang'ono ka matumbo kakufa chifukwa chosowa magazi (necrotic), amachotsedwa. Mapeto a matumbo amaphatikizidwa. Kapena, amagwiritsidwa ntchito kupangira matumbo kulumikizana ndi kunja kwa thupi (colostomy kapena ileostomy). Zomwe zili m'matumbo zitha kuchotsedwa potsegulira izi.

Nthawi zambiri, kudziwa mwachangu ndi kuchiza volvulus kumabweretsa zotsatira zabwino.

Ngati matumbo afa, mawonekedwe ake ndiabwino. Vutoli litha kukhala lowopsa, kutengera kuchuluka kwa matumbo omwe adafa.

Mavuto omwe angakhalepo a volvulus ndi awa:

• Peritonitis yachiwiri
• Matenda amfupi (atachotsa gawo lalikulu la matumbo ang'onoang'ono)

Izi ndizovuta. Zizindikiro zaubwana wa volvulus zimakula mwachangu ndipo mwana amadwala kwambiri. Pitani kuchipatala nthawi yomweyo izi zikachitika.

Volvulus yaubwana; Kupweteka m'mimba - volvulus

• Volvulus
• Volvulus - x-ray

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Mokha J. Kusanza ndi nseru. Mu: Wyllie R, Hyams JS, Kay M, olemba., Eds. Matenda a m'mimba ndi Matenda a Chiwindi. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2021: mutu 8.

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.

[Adasankhidwa] Turay F, Rudolph JA. Zakudya zopatsa thanzi komanso gastroenterology. Mu: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ndi Davis ’Atlas of Pediatric Physical Diagnosis. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2018: mutu 11.