Wopunduka ileum: ndi chiyani, zizindikiro, zomwe zimayambitsa ndi chithandizo

Zamkati

• Zomwe zingayambitse
• Zizindikiro za ileus wodwala manjenje
• Momwe mankhwalawa amachitikira

Kulema kwa ziwalo ndi vuto lomwe limatha kuchepa kwamatumbo kwakanthawi, komwe kumachitika makamaka pambuyo poti maopareshoni am'mimba omwe adakhudza matumbo, zomwe zimapangitsa kuti pakhale zizindikilo zina monga kudzimbidwa, kusowa kwa njala, nseru ndi kusanza, chifukwa Mwachitsanzo.

Ngakhale kuti nthawi zambiri amagwirizanitsidwa ndi maopaleshoni am'mimba, leus wodwala amatha kuchitika chifukwa cha kupezeka kwa ma hernias a inguinal kapena kugwiritsa ntchito mankhwala ena, ndipo ndikofunikira kuti chifukwa chake chidziwike kuti chithandizo choyenera kwambiri chitha kuyambika kuteteza chitukuko cha zovuta.

Zomwe zingayambitse

Lileus wodwala manjenje nthawi zambiri imakhudzana ndi kuchitidwa opaleshoni m'mimba chifukwa chopanga minofu yolimba, koma zina zomwe zitha kupangitsa kuti leus wodwala ziwalo izi ndi izi:

• Khansara ya m'matumbo;
• Matenda otupa, monga matenda a Crohn;
• Diverticulitis;
• Colonic torsion;
• Zitsamba zamkati;
• Matenda a Parkinson.

Kuphatikiza apo, ileus yolumala imatha kuchitika chifukwa chogwiritsa ntchito mankhwala ena monga ma narcotic, monga hydromorphone, morphine kapena oxycodone kapena tricyclic antidepressants, monga amitriptyline ndi imipramine.

Ndikofunika kuti leus wodwala azindikiridwe ndipo mankhwalawa adayamba posachedwa pambuyo pake, chifukwa ndizotheka kupewa zovuta monga sepsis, yomwe imafanana ndi matenda wamba omwe amayambitsidwa ndi mabakiteriya am'mimba omwe sanathetsedwe bwino, kapena kutsekeka kwamatumbo, kubweretsa zotsatira zingapo ku thanzi. Onani zomwe zimabweretsa kusokonekera kwamatumbo.

Zizindikiro za ileus wodwala manjenje

Zizindikiro za leus wodwala ndizokhudzana ndi kuchepa kwa matumbo, kupweteka m'mimba, kusowa kwa njala, kudzimbidwa, kuphulika kwa m'mimba, chidzalo, nseru ndi kusanza zitha kudziwika.

Pazovuta kwambiri, zovuta monga cell necrosis yamatumbo zimatha kuchitika chifukwa cha kuchepa kwa magazi pamalowo kapena kutuluka kwa m'matumbo, nthawi zambiri, zomwe zimatha kuyambitsa matenda otchedwa peritonitis, omwe amapezeka chifukwa cha kuchuluka kwakuchuluka a mabakiteriya am'mimba ndipo omwe atha kuwonjezera chiopsezo chotenga matenda.

Momwe mankhwalawa amachitikira

Chithandizo cha leus wodwala chimafunikira kuthana ndi zomwe zimayambitsa matendawa ndikulimbikitsa kupumula kwa zizindikilo. Nthawi zina, izi zitha kuthetsedwa popanda chithandizo chilichonse, kungolimbitsa munthuyo pomupatsa madzi kudzera mumitsempha, kuyika chubu cha nasogastric choyamwa mlengalenga ndi madzi, zomwe zingathandize kuthetsa kutupa m'mimba. Komabe, ngati palibe kusintha, adotolo ayenera kusankha chithandizo china kuti ateteze m'matumbo kuti zisachitike.

Ngati ndi mankhwala omwe amayambitsa vutoli, adokotala amatha kuyimitsa kumwa mankhwalawo, kapena kupatsa mankhwala omwe amalimbikitsa kuyenda m'mimba, monganso metoclopramide kapena domperidone.

Pankhani yolepheretsa pang'ono, ndiye kuti, ngati chakudya ndi madzi ena akupitilizabe kupyola m'matumbo, ndikofunikira kuti munthuyo akhazikike ndikudya zakudya zochepa, komanso mankhwala othamangitsa matumbo amathanso kuperekedwa .

Pakakhala kutsekeka kwathunthu, kapena ngati chithandizo chakuletsa pang'ono sichikugwira ntchito, pangafunike kupita kuchipatala kuti muchepetse kutsekereza, kuchotsa gawo la m'matumbo kapenanso kuchotsa matumbo onse. Pomwe matumbo onse amachotsedwa, pamafunika kukhala ndi ostomy, yomwe imapanga njira yolumikizira matumbo ndi mtundu wamatumba, kudzera potsegula m'mimba, momwe zimachotsera ndowe.