Ischemia yaying'ono yam'mimba ndi infarction

Matenda am'mimba ischemia ndi infarction zimachitika pakamachepetsa kapena kutsekeka kwa imodzi kapena zingapo za mitsempha yomwe imapereka matumbo ang'onoang'ono.

Pali zifukwa zingapo zomwe zimayambitsa matumbo ischemia ndi infarction.

• Hernia - Ngati matumbo asunthira kumalo olakwika kapena atakhazikika, amatha kudula magazi.
• Adhesions - Matumbo amatha kutsekedwa ndi zilonda zam'miyendo (zomatira) zochitidwa opaleshoni yapitayi. Izi zitha kupangitsa kuti magazi asatuluke ngati sanalandire chithandizo.
• Embolus - Magazi am'magazi amatha kutseka umodzi mwamitsempha yomwe imatumiza m'matumbo. Anthu omwe adadwala mtima kapena omwe ali ndi arrhythmias, monga atrial fibrillation, ali pachiwopsezo cha vutoli.
• Kupindika kwa mitsempha - Mitsempha yomwe imapereka magazi m'matumbo imatha kuchepa kapena kutsekedwa pakukhazikika kwa cholesterol. Izi zikachitika m'mitsempha yamtima, zimayambitsa matenda amtima. Zikachitika m'mitsempha mpaka m'matumbo, zimayambitsa matumbo ischemia.
• Kupindika kwa mitsempha - Mitsempha yonyamula magazi kuchokera m'matumbo imatha kutsekedwa ndi magazi. Izi zimatseka magazi kutuluka m'matumbo. Izi ndizofala kwambiri kwa anthu omwe ali ndi matenda a chiwindi, khansa, kapena matenda osokoneza magazi.
• Kuthamanga kwa magazi - Kuthamanga kwambiri kwa magazi kwa anthu omwe ali ndi mitsempha yocheperako m'mimba kumayambitsanso magazi kutuluka m'matumbo. Izi zimachitika nthawi zambiri kwa anthu omwe ali ndi mavuto ena azachipatala.

Chizindikiro chachikulu cham'mimba ischemia ndikumva kupweteka m'mimba. Kupweteka kumakhala kwakukulu, ngakhale kuti malowo sakhala ofewa akagwidwa. Zizindikiro zina ndizo:

• Kutsekula m'mimba
• Malungo
• Kusanza
• Magazi pansi

Kuyezetsa magazi kumatha kuwonetsa kuchuluka kwa maselo oyera a magazi (WBC). Pakhoza kukhala kutuluka magazi mu thirakiti la GI.

Mayeso ena kuti azindikire kuwonongeka ndi awa:

• Kuchuluka kwa asidi m'magazi (lactic acidosis)
• Angiogram
• CT scan pamimba
• Doppler ultrasound ya pamimba

Mayeserowa sazindikira vuto nthawi zonse. Nthawi zina, njira yokhayo yodziwira matumbo ischemia ndi njira yochitira opareshoni.

Nthawi zambiri, vutoli limayenera kuchitidwa opaleshoni. Gawo lamatumbo lomwe lamwalira limachotsedwa. Mapeto otsala a matumbo amalumikizidwanso.

Nthawi zina, pamafunika colostomy kapena ileostomy. Kutsekeka kwamitsempha m'matumbo kumakonzedwa, ngati kuli kotheka.

Kuwonongeka kapena kufa kwa matumbo ndi vuto lalikulu. Izi zitha kubweretsa imfa ngati sichichiritsidwa nthawi yomweyo. Maganizo amadalira choyambitsa. Chithandizo chofulumira chimatha kubweretsa zotsatira zabwino.

Kuwonongeka kapena kufa kwa matumbo kumafunikira colostomy kapena ileostomy. Izi zitha kukhala zazifupi kapena zosatha. Peritonitis siachilendo milandu imeneyi. Anthu omwe ali ndi minofu yambiri yakufa m'matumbo amatha kukhala ndi mavuto akumwa zakudya. Amatha kudalira kupeza zakudya kudzera m'mitsempha yawo.

Anthu ena amatha kudwala kwambiri malungo ndi matenda am'magazi (sepsis).

Itanani yemwe akukuthandizani ngati muli ndi ululu m'mimba.

Njira zodzitetezera zikuphatikiza:

• Kulimbana ndi zoopsa, monga kugunda kwa mtima, kuthamanga kwa magazi, ndi cholesterol
• Osasuta
• Kudya chakudya chopatsa thanzi
• Kuchiza msanga msanga

M'mimba necrosis; Matumbo Ischemic - matumbo aang'ono; Matumbo akufa - matumbo aang'ono; Matumbo akufa - matumbo aang'ono; Matumbo otupa - matumbo ang'ono; Atherosclerosis - m'mimba; Kuumitsa mitsempha - matumbo ang'onoang'ono

• Mitsempha ya Mesenteric ischemia ndi infarction
• Dongosolo m'mimba
• Matumbo aang'ono

Holscher CM, Reifsnyder T. Acute mesenteric ischemia. Mu: Cameron JL, Cameron AM, olemba, eds. Chithandizo Chamakono Cha Opaleshoni. Wolemba 13. Philadelphia, PA: Elsevier; 2020: 1057-1061.

Kahi CJ. Matenda a m'mimba a mundawo m'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 134.

Roline CE, Reardon RF. Kusokonezeka kwa matumbo ang'onoang'ono. Mu: Makoma RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts and Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: mutu 82.