Kukoma mtima - pamimba

Kukoma mtima kwa m'mimba ndikumva komwe mumamva mukapanikizika gawo lina la mimba (pamimba).

Mimba ndi gawo la thupi lomwe othandizira azaumoyo amatha kuwunika mosavuta. Wothandizirayo amatha kumva zophuka ndi ziwalo m'mimba ndikupeza komwe mukumva kuwawa.

Chikondi cha m'mimba chimatha kukhala chofewa kwambiri. Chikondi chobwereranso chimachitika pomwe minofu yomwe imayendetsa m'mimba (peritoneum) imakwiyitsidwa, yotupa, kapena kutenga kachilombo. Izi zimatchedwa peritonitis.

Zoyambitsa zimaphatikizapo:

• Kutupa m'mimba
• Zowonjezera
• Mitundu ina ya hernias
• Meckel diverticulum
• Thupi lamchiberekero (chubu chopotoka)

Pezani chithandizo chadzidzidzi nthawi yomweyo ngati muli ndi vuto la m'mimba.

Wothandizira anu amakuyang'anirani ndikukankhira pang'onopang'ono pamimba panu. Anthu omwe ali ndi peritonitis nthawi zambiri amalimbitsa minofu yam'mimba pomwe malowo akhudzidwa. Izi zimatchedwa kulondera.

Woperekayo adzawona mfundo iliyonse yachikondi.Malo achikondi amatha kuwonetsa vuto lomwe likuyambitsa. Mwachitsanzo, ngati muli ndi appendicitis, mudzakhala achifundo malo ena akakhudzidwa. Malowa amatchedwa McBurney point.

Woperekayo adzafunsanso mafunso okhudzana ndi zizindikilo zanu komanso mbiri yazachipatala. Izi zingaphatikizepo:

• Zizindikiro zidayamba liti?
• Kodi aka ndi koyamba kuti musakhale ndi nkhawa yotere?
• Ngati sichoncho, kusokonezeka kumayamba liti?
• Kodi muli ndi zizindikiro zina, monga kudzimbidwa, kutsegula m'mimba, kukomoka, kusanza, kapena kutentha thupi?

Mungafunike kukhala ndi mayeso otsatirawa:

• X-ray m'mimba
• Mimba ya CT scan (nthawi zina)
• Ntchito yamagazi, monga kuchuluka kwathunthu kwa magazi

Nthawi zina, mungafunike kuchitidwa opaleshoni nthawi yomweyo. Izi zitha kuphatikizira kuwunika kwa laparotomy kapena appendectomy yadzidzidzi.

Kukonda m'mimba

• Zizindikiro zanyengo wamkulu - kuwonera kutsogolo
• Zowonjezera

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.