Kumveka kwa m'mimba

Phokoso lam'mimba ndimaphokoso opangidwa ndi matumbo.

Phokoso lam'mimba (matumbo) limapangidwa ndimayendedwe amatumbo akamakankha chakudya. Matumbo ndi opanda pake, motero matumbo amamveka m'mimba mofanana ndimamvekedwe akumapaipi amadzi.

Nyimbo zambiri zamatumbo ndizabwinobwino. Amangotanthauza kuti thirakiti la m'mimba likugwira ntchito. Wothandizira zaumoyo amatha kuwunika m'mimba ndikumvera pamimba ndi stethoscope (auscultation).

Kumveka kwamatumbo ambiri kulibe vuto lililonse. Komabe, pali zochitika zina momwe kumamveka kosazolowereka kumatha kuwonetsa vuto.

Ileus ndi vuto lomwe limasowa m'matumbo. Matenda ambiri atha kubweretsa leus. Vutoli limatha kuyambitsa gasi, madzi, komanso zomwe zili m'matumbo kuti zimange ndikuphwanya khoma. Wothandizirayo samatha kumva matumbo aliwonse akamamvetsera pamimba.

Kuchepetsa (kutengeka) kwa matumbo kumachepetsa kuchepa kwa mawu, kamvekedwe, kapena kuchepa kwa mawu. Ndiwo chizindikiro chakuti ntchito yamatumbo yachepa.

Matenda osakondera amakhala abwinobwino panthawi yogona. Zimakhalanso zachizolowezi kwakanthawi kochepa mutagwiritsa ntchito mankhwala ena komanso mutachita opaleshoni m'mimba. Kuchepetsa kapena kusapezeka kwa matumbo nthawi zambiri kumawonetsa kudzimbidwa.

Zowonjezera (zosafunikira) matumbo nthawi zina amatha kumveka ngakhale opanda stethoscope. Matenda osakhudzidwa amatanthauza kuti pali kuwonjezeka kwamatumbo. Izi zikhoza kuchitika ndi kutsegula m'mimba kapena mutatha kudya.

Phokoso lam'mimba limayesedwa nthawi zonse pamodzi ndi zizindikiro monga:

• Gasi
• Nseru
• Kukhalapo kapena kusapezeka kwa matumbo
• Kusanza

Ngati matumbo akumva ndi osakondera kapena osakhazikika ndipo pali zina zosafunikira, muyenera kupitiliza kutsatira omwe akukuthandizani.

Mwachitsanzo, palibe matumbo omwe amamveka pakapita nthawi pakumva matumbo osatanthawuza komwe kungatanthauze kuti kuphulika kwa matumbo, kapena kupunduka kwa matumbo ndi kufa (necrosis) kwamatumbo.

Phokoso lam'matumbo okwera kwambiri litha kukhala chizindikiro cha kutsekeka kwa matumbo koyambirira.

Nyimbo zambiri zomwe mumamva m'mimba mwanu ndi m'matumbo zimachitika chifukwa chimbudzi. Sali chifukwa chodandaulira. Zinthu zambiri zimatha kupangitsa kuti matumbo asamayende bwino. Ambiri alibe vuto lililonse ndipo safunika kuthandizidwa.

Otsatirawa ndi mndandanda wazovuta zazikulu zomwe zingayambitse matumbo achilendo.

Kusamveka bwino, kutapira, kapena kusowa kwa matumbo kumatha kubwera chifukwa cha:

• Mitsempha yamagazi yotsekedwa imalepheretsa matumbo kutuluka bwino magazi. Mwachitsanzo, kuundana kwamagazi kumatha kubweretsa kutsekeka kwamitsempha yama mesenteric.
• Kutsekeka kwa matumbo kumayambitsidwa ndi chophukacho, chotupa, zomata, kapena zinthu zofananira zomwe zingatseke matumbo.
• Lileous wodwala manjenje ndi vuto lamitsempha yamatumbo.

Zina mwazomwe zimayambitsa matumbo osakondera ndi monga:

• Mankhwala omwe amachepetsa kuyenda m'matumbo monga ma opiates (kuphatikiza codeine), anticholinergics, ndi phenothiazines
• Anesthesia wamba
• Cheza pamimba
• Anesthesia yamtsempha
• Kuchita opaleshoni m'mimba

Zina mwazomwe zimayambitsa matumbo osakondera ndi monga:

• Matenda a Crohn
• Kutsekula m'mimba
• Zakudya zovuta
• Kutuluka kwa GI
• Opatsirana opatsirana
• Zilonda zam'mimba

Itanani omwe akukuthandizani ngati muli ndi zizindikiro monga:

• Kutuluka magazi kuchokera ku rectum yanu
• Nseru
• Kutsekula m'mimba kapena kudzimbidwa komwe kukupitilira
• Kusanza

Wothandizira adzakufunsani ndikukufunsani mafunso okhudzana ndi mbiri yanu yamankhwala komanso zomwe ali nazo. Mutha kufunsidwa:

• Ndi zisonyezo zina ziti zomwe muli nazo?
• Kodi muli ndi ululu m'mimba?
• Kodi mukutsekula m'mimba kapena kudzimbidwa?
• Kodi muli ndi zotupa m'mimba?
• Kodi muli ndi mpweya wochuluka kapena wopanda mafuta (flatus)?
• Kodi mwawonapo magazi aliwonse amachokera m'matumbo kapena m'malo akuda?

Mungafunike mayeso otsatirawa:

• M'mimba mwa CT scan
• X-ray m'mimba
• Kuyesa magazi
• Endoscopy

Ngati pali zizindikiro zadzidzidzi, mudzatumizidwa kuchipatala. Chubu chidzaikidwa kupyola mphuno kapena pakamwa m'mimba kapena m'matumbo. Izi zimatulutsa matumbo anu. Nthawi zambiri, simudzaloledwa kudya kapena kumwa chilichonse kuti matumbo anu athe kupumula. Mudzapatsidwa madzi kudzera mumitsempha (kudzera m'mitsempha).

Mutha kupatsidwa mankhwala kuti muchepetse zizindikilo ndikuthandizira zomwe zayambitsa vutoli. Mtundu wa mankhwala umadalira chifukwa cha vutoli. Anthu ena angafunike kuchitidwa opaleshoni nthawi yomweyo.

Ziwombankhanga zikumveka

• Thupi labwinobwino la m'mimba

Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW. Mimba. Mu: Mpira JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Upangiri wa Seidel ku Kuyesa Thupi. 9th ed. St Louis, MO: Elsevier; 2019: mutu 18.

Landmann A, Bonds M, Postier R. Mimba yam'mimba. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni. Wolemba 21. St Louis, MO: Elsevier; 2022: chaputala 46.

McQuaid KR. Yandikirani kwa wodwalayo ali ndi matenda am'mimba. Mu: Goldman L, Schafer AI, olemba. Mankhwala a Goldman-Cecil. 26 wa. Philadelphia, PA: Elsevier; 2020: chap 123.