Matenda a m'mimba (mesentery infarction): ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira
• Ma sequelae am'matumbo infarction
• Zomwe zingayambitse matumbo m'mimba

Matenda ambiri am'mimba amachitika pomwe mtsempha wamagazi, womwe umanyamula magazi kupita nawo m'matumbo ang'ono kapena akulu, utatsekedwa ndi chotsekera ndikuletsa magazi kuti asadutse ndi mpweya kupita kumalo omwe atadutsa magazi, zomwe zimapangitsa kufa kwa gawo la m'matumbo ndikupanga zizindikiro monga kupweteka kwambiri m'mimba, kusanza ndi malungo, mwachitsanzo.

Kuphatikiza apo, matumbo amatha kupezeka mumtsinje mdera la mesentery, lomwe ndi nembanemba yomwe imagwira matumbo. Izi zikachitika, magazi sangathe kutuluka m'matumbo kupita ku chiwindi, chifukwa chake, magazi okhala ndi mpweya nawonso sangapitilize kuyenderera m'matumbo, zomwe zimabweretsa zotsatira zofananira ndi infarction ya mtsempha wamagazi.

Matenda a m'mimba amatha kuchiritsidwa, koma ndizovuta ndipo chifukwa chake, ngati pali kukayikirana, ndikofunikira kupita mwachangu kuchipatala, kukatsimikizira kuti ali ndi matendawa ndikuyamba chithandizo choyenera, kuti muteteze gawo lalikulu la matumbo amakhudzidwa.

Zizindikiro zazikulu

Zizindikiro zofala kwambiri pamatenda a m'mimba ndi monga:

• Kupweteka kwambiri m'mimba, komwe kumawonjezeka pakapita nthawi;
• Kumva kumimba m'mimba;
• Nseru ndi kusanza;
• Malungo pamwamba 38ºC;
• Kutsekula m'mimba ndi magazi mu chopondapo.

Zizindikirozi zimatha kuwoneka modzidzimutsa kapena kukula pang'onopang'ono masiku angapo, kutengera kukula kwa dera lomwe lakhudzidwa ndi ischemia komanso kuuma kwa kutsekeka.

Chifukwa chake, ngati pamakhala kupweteka kwambiri m'mimba kapena komwe sikusintha pambuyo pamaola atatu ndikofunikira kupita kuchipatala kuti mukazindikire vutoli ndikuyamba chithandizo choyenera, popeza kungakhale kutsekula m'mimba.

Momwe mungatsimikizire matendawa

Kuti adziwe kuti m'mimba muli infarction, adokotala amatha kuyitanitsa mayesero osiyanasiyana monga angiographic magnetic resonance, angiography, m'mimba computed tomography, ultrasound, X-ray, kuyesa magazi komanso endoscopy kapena colonoscopy, kuti atsimikizire kuti zizindikirazo sizikuyambitsidwa ndi mavuto ena am'mimba, monga zilonda zam'mimba kapena appendicitis, mwachitsanzo.

Momwe mankhwalawa amachitikira

Chithandizo cha infarction cham'mimba chimatha kuyamba ndi kupindika kwa magazi mwachisawawa komanso kukhazikika kwa hemodynamic, kapena kuchitidwa opaleshoni kuchotsa chovalacho ndikukhazikitsanso magazi mumtsuko womwe wakhudzidwa, kuphatikiza kuchotsa matumbo onse omwe achotsedwa.

Asanachite opareshoni, adokotala amatha kusiya kugwiritsa ntchito mankhwala omwe angalepheretse mitsempha yamagazi, monga mankhwala a migraine, kuchiza matenda amtima komanso mitundu ina ya mahomoni.

Nthawi zina, zimakhala zofunikira kumwa maantibayotiki musanachitike komanso mutatha opaleshoni kuti mupewe kukula kwa matenda m'matumbo omwe akhudzidwa.

Ma sequelae am'matumbo infarction

Chimodzi mwazomwe zimafala kwambiri ischemia m'matumbo ndikufunika kokhala ndi ostomy. Izi ndichifukwa choti, kutengera kuchuluka kwa matumbo omwe adachotsedwa, dokotalayo sangathenso kulumikizanso matumbo ndi anus, chifukwa chake, ndikofunikira kulumikizana molunjika ndi khungu la m'mimba, kulola kuti chopondapo chithawire mkati thumba laling'ono.

Kuphatikiza apo, ndikachotsa matumbo, munthuyo amakhalanso ndi matenda am'mimba amfupi omwe, kutengera gawo lomwe lachotsedwa, zimabweretsa zovuta pakumwa mavitamini ndi michere, ndipo ndikofunikira kusintha mavutowo. Onani zambiri zamatendawa komanso momwe zakudya zimayenera kukhalira.

Zomwe zingayambitse matumbo m'mimba

Ngakhale infarction yamatumbo ndizosowa kwambiri, pali chiopsezo chowonjezeka mwa anthu:

• Oposa zaka 60;
• Ndi mafuta ambiri;
• Ndi ulcerative colitis, matenda a Crohn kapena diverticulitis;
• Mwamuna;
• Ndi zotupa;
• Ndani achita maopaleshoni m'mimba;
• Ndi khansa m'mimba.

Kuphatikiza apo, azimayi omwe amagwiritsa ntchito mapiritsi olerera kapena omwe ali ndi pakati amakhalanso ndi chiopsezo chowundana chifukwa cha kusintha kwa mahomoni, kuti athe kukhala ndi vuto m'mimba.