Enteroclysis

Enteroclysis ndiyeso yoyerekeza yamatumbo ang'onoang'ono. Kuyesaku kumayang'ana momwe madzi amatchedwa kusiyanasiyana amayenda m'matumbo ang'onoang'ono.

Kuyesaku kumachitika mu dipatimenti ya radiology. Kutengera kufunikira, x-ray, CT scan, kapena imaging ya MRI imagwiritsidwa ntchito.

Chiyesocho chimaphatikizapo izi:

• Wothandizira zaumoyo amalowetsa chubu pamphuno kapena mkamwa mwanu m'mimba mwanu komanso koyambirira kwa matumbo ang'onoang'ono.
• Zinthu zosiyanitsa ndi mpweya ukuyenda kudzera mu chubu, ndipo zithunzi zimatengedwa.

Wothandizirayo amatha kuwonera chowunikira pomwe kusiyanasiyana kumadutsa matumbo.

Cholinga cha phunziroli ndikuwona malupu onse amatumbo ang'onoang'ono. Mutha kufunsidwa kuti musinthe maudindo panthawi yamayeso. Kuyesaku kumatha kukhala maola ochepa, chifukwa zimatenga kanthawi kuti kusiyanako kudutse matumbo onse.

Tsatirani malangizo a omwe amakupatsani momwe mungakonzekerere mayeso, omwe atha kukhala:

• Kumwa zakumwa zoonekeratu kwa maola 24 musanayezedwe.
• Osadya kapena kumwa chilichonse kwa maola angapo mayeso asanayesedwe. Wothandizira anu azikuuzani maola angapo.
• Kutenga mankhwala otsegulitsa m'mimba kuti athetse matumbo.
• Osamwa mankhwala enaake. Wopereka wanu angakuuzeni omwe. Osasiya kumwa mankhwala aliwonse paokha. Funsani wothandizira wanu poyamba.

Ngati mukuda nkhawa ndi njirayi, mutha kupatsidwa mankhwala ogonetsa asanayambe. Mufunsidwa kuti muchotse zodzikongoletsera zonse ndi kuvala chovala chaku chipatala. Ndikofunika kusiya zodzikongoletsera ndi zinthu zina zamtengo wapatali kunyumba. Mudzafunsidwa kuti muchotse ntchito iliyonse yochotsa mano, monga zida zamagetsi, milatho, kapena zosunga.

Ngati muli, kapena mukuganiza kuti muli ndi pakati, uzani wothandizira asanayese.

Kuyika kwa chubu kungakhale kosasangalatsa. Zinthu zosiyanazi zimatha kudzaza m'mimba.

Kuyesaku kumachitika kuti aunike matumbo ang'onoang'ono. Imeneyi ndi njira imodzi yodziwira ngati matumbo aang'ono ndi abwinobwino.

Palibe zovuta zowoneka ndi kukula kapena mawonekedwe amatumbo ang'onoang'ono. Kusiyanitsa kumayenda m'matumbo pamlingo wabwinobwino popanda chizindikiro chilichonse chotseka.

Mavuto ambiri amatumbo ang'onoang'ono amapezeka ndi enteroclysis. Zina mwa izi ndi izi:

• Kutupa kwa matumbo ang'ono (monga matenda a Crohn)
• Matumbo aang'ono samamwa zakudya nthawi zambiri (malabsorption)
• Kupondereza kapena kusungunuka kwa m'matumbo
• Kutsekeka kwakanthawi kochepa
• Zotupa za m'mimba zing'onozing'ono

Kutulutsa kwa radiation kumatha kukhala kwakukulu ndimayesowa kuposa mitundu ina ya x-ray chifukwa cha kutalika kwa nthawi. Koma akatswiri ambiri amaganiza kuti chiwopsezo ndichochepa poyerekeza ndi maubwino.

Amayi apakati ndi ana amazindikira zowopsa za radiation. Zovuta zambiri zimaphatikizapo:

• Zomwe zimapangitsa kuti mankhwala asayesedwe (omwe akukupatsani angakuuzeni mankhwala)
• Zovulala zomwe zingachitike m'matumbo panthawi yophunzira

Barium angayambitse kudzimbidwa. Uzani wothandizira wanu ngati barium sinadutse m'dongosolo lanu masiku awiri kapena atatu mutayesedwa, kapena ngati mukumva kuti mwadzimbidwa.

Enema ya m'mimba yaying'ono; CT enteroclysis; Kutsata matumbo aang'ono; Barium enteroclysis; MBUYA enteroclysis

• Jekeseni yaying'ono yamatumbo

Al Sarraf AA, McLaughlin PD, Maher MM. Matumbo ang'onoang'ono, mesentery ndi peritoneal cavity. Mu: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, olemba. Grainger & Allison's Kuzindikira Mafilimu. Wachisanu ndi chiwiri. Philadelphia, PA: Elsevier; 2021: mutu 21.

Thomas AC. Kujambula matumbo ang'onoang'ono. Mu: Sahani DV, Samir AE, olemba. Kujambula M'mimba. Wachiwiri ed. Philadelphia, PA: Elsevier; 2017: mutu 24.