Dziwani m'matumbo (volvo): ndi chiyani, zizindikiro ndi chithandizo

Zamkati

• Zizindikiro zazikulu
• Zomwe zingayambitse kupotoza
• Momwe mungatsimikizire matendawa
• Momwe mankhwalawa amachitikira

Lamba m'matumbo, lotchedwa torsion, volvulus kapena volvulus, ndi vuto lalikulu pomwe pali kupotoza kwa matumbo, kuchititsa kutsekeka kwake ndikuletsa kudutsa kwa ndowe ndi magazi kulowa pamalopo, zomwe zitha kupha dera lomwe lakhudzidwa.

Kusintha uku kumatha kuchitika m'matumbo, ngakhale kumakhala kofala kwambiri kumapeto kwa m'matumbo akulu, ndipo nthawi zambiri kumayambitsa zizindikilo monga nseru, kusanza, kupweteka m'mimba, kudzimbidwa ndi kutupa m'mimba.

Matumbo a m'matumbo amapezeka makamaka mwa ana ndi okalamba, chifukwa cha zoyambitsa monga kusintha kobadwa m'matumbo, zotupa zam'mimba kapena zomata zomwe zimachitika pambuyo pochitidwa opaleshoni kapena kutupa, mwachitsanzo. Ngati vutoli likukayikiridwa, ndibwino kuti mupite kuchipatala mwachangu kuti mukayese zomwe zingadziwitse vutoli ndikuyamba chithandizo, chomwe nthawi zambiri chimachitika ndi opaleshoni.

Zizindikiro zazikulu

Zizindikiro zazikulu za m'matumbo volvulus zimakhudzana kwambiri ndi kutsekeka komwe kumayambitsidwa m'matumbo, ndikuphatikizanso:

• Kupweteka kwam'mimba m'mimba;
• Nseru ndi kusanza;
• Kulephera kuthetsa ndowe kapena mpweya;
• Kutupa kwa m'mimba;
• Chizungulire;
• Malungo.

Kukula ndi kuchuluka kwa zizindikilo zimadalira komwe kuli torsion ndi kukula kwa dera lomwe lakhudzidwa, ndikutupa kwam'mimba kwakukulu, komwe kumawonjezeka pakapita nthawi ndipo, ngati sikudziwika msanga ndikuchiritsidwa, kumatha kuyika moyo wa munthu pachiwopsezo.

Zomwe zingayambitse kupotoza

Sikuti nthawi zonse zimakhala zotheka kuzindikira chomwe chimayambitsa vutoli, komabe, omwe amapezeka kwambiri ndi awa:

• Kusintha kwa chibadwa m'matumbo;
• Kumatira m'matumbo komwe kumachitika chifukwa cha opaleshoni yam'mimba kapena matenda;
• Chotupa m'matumbo kapena china chomwe chimayambitsa kutsekeka ndi kuzungulira m'matumbo;
• Kudzimbidwa kosalekeza.

Kuphatikiza apo, anthu omwe ali ndi vuto la kusokonekera m'matumbo, kaya athamangitsidwa kapena achedwa, ali pachiwopsezo chachikulu chakusintha kumeneku. Chifukwa chake, njira zina zopewera kuwoneka ngati zopindika ndikuphatikizira kumwa madzi okwanira 2 litre patsiku, kukhala ndi chakudya chopatsa thanzi komanso kuchita masewera olimbitsa thupi pafupipafupi, chifukwa izi ndi njira zomwe zingakuthandizeni kuti muzisangalala.

Momwe mungatsimikizire matendawa

Matumbo a m'mimba amatha kutsimikizika kudzera pakuwunika kwamankhwala molumikizana ndi mayeso ena monga ma radiography am'mimba kapena computed tomography yam'mimba.

Kuphatikiza apo, adotolo amathanso kuyitanitsa ma enema opaque, omwe ndi mayeso ena omwe amagwiritsa ntchito kusiyanitsa momwe matumbo onse akuyendera ndikuzindikira zovuta zomwe zingachitike m'matumbo, monga momwe zilili. Mvetsetsani momwe mayeso awa amagwirira ntchito.

Momwe mankhwalawa amachitikira

Lamba la m'mimba ndi ladzidzidzi lachipatala, ndipo liyenera kuthandizidwa mwachangu kuchipatala. Njira yothandizira kwambiri ndi njira yochitira opaleshoni yotchedwa decompressive colonoscopy, yokhoza kuthetsa torsion ndikulola magazi ndi ndowe kudutsanso bwinobwino.

Komabe, pamavuto ovuta kwambiri, pomwe ma torsion ndi ovuta kuwachotsa kapena matumbo adadwala matenda amtima chifukwa chosowa magazi, adotolo angasankhe kuchita opareshoni yachikale ndi kudula pamimba kuti achotse gawo la chiwalo chomwe chikufa.

Zikatero, ngati gawo lomwe lachotsedwa lili lalikulu kwambiri, pangafunike kukhala ndi colostomy, yomwe imalumikiza matumbo pakhungu lam'mimba kuti ndowe zizithawa. Onani zomwe zili komanso momwe mungasamalire colostomy.