I-megacolon enobuthi

I-megacolon enobuthi yenzeka lapho ukuvuvukala nokuvuvukala kusakazeka ezingxenyeni ezijulile zekholoni yakho. Ngenxa yalokho, ikholoni iyeka ukusebenza futhi ikhule. Ezimweni ezimbi kakhulu, ikholoni lingaphuka.

Igama "ubuthi" lisho ukuthi le nkinga iyingozi kakhulu. I-megacolon enobuthi ingenzeka kubantu abane-colon evuthayo ngenxa ye:

• I-ulcerative colitis, noma isifo seCrohn esingalawulwa kahle
• Ukutheleleka kwekholoni njenge I-Clostridioides engela
• Ischemic bowel disease

Ezinye izinhlobo ze-megacolon zifaka ukuvinjelwa kwamanga, i-acute colonic ileus, noma i-congenital colonic dilation. Lezi zimo azibandakanyi ikholoni elinegciwane noma elishayo.

Ukwanda okusheshayo kwekholoni kungadala ukuthi lezi zimpawu ezilandelayo zenzeke esikhathini esifushane:

• Isisu esibuhlungu, esiphazamisekile
• Umkhuhlane (sepsis)
• Uhudo (ngokuvamile olunegazi)

Umhlinzeki wezokunakekelwa kwempilo uzokwenza ukuhlolwa komzimba. Okutholakele kungafaka:

• Ubumnene esiswini
• Imisindo yamathumbu enciphile noma engekho

Isivivinyo singaveza izimpawu zokushaqeka okubucayi, njenge:

• Ukunyuka kwenhliziyo
• Izimo zengqondo ziyashintsha
• Ukushaya kwenhliziyo okusheshayo
• Umfutho wegazi ophansi

Umhlinzeki anga-oda noma yikuphi kwalokhu kuhlolwa okulandelayo:

• I-x-ray yesisu, i-ultrasound, i-CT scan, noma i-MRI scan
• Ama-electrolyte egazi
• Qedela ukubalwa kwegazi

Ukwelashwa kwesifo esiholele kwi-megacolon enobuthi kufaka phakathi:

• Ama-steroid neminye imithi ecindezela amasosha omzimba
• Imithi elwa namagciwane

Uma ushaqekile, uzolaliswa egumbini labagula kakhulu esibhedlela. Ukwelashwa kungafaka:

• Umshini wokuphefumula (ukungenisa umoya ngomshini)
• I-Dialysis yokwehluleka kwezinso
• Izidakamizwa zokwelapha umfutho wegazi ophansi, ukutheleleka, noma ukunqamuka kwegazi okungalungile
• Uketshezi olunikezwa ngqo emthanjeni
• Oxygen

Uma ukunwetshwa okusheshayo kungalashwa, ukuvuleka noma ukuqhekeka kungakha kukholoni. Uma isimo singathuthuki ngokwelashwa, kuzodingeka ukuhlinzwa ukuze kususwe ingxenye noma lonke ikholoni.

Ungathola ama-antibiotics ukuvimbela i-sepsis (ukutheleleka okunzima).

Uma isimo singathuthuki, singabulala. Ukuhlinzwa kwamakholoni kuvame ukudingeka ezimweni ezinjalo.

Izinkinga zingafaka:

• Ukugcwaliswa kwekholoni
• I-Sepsis
• Ukushaqeka
• Ukufa

Iya egumbini lezimo eziphuthumayo noma ushayele inombolo yendawo ephuthumayo (efana ne-911) uma uba nobuhlungu besisu, ikakhulukazi uma une:

• Uhudo olunegazi
• Imfiva
• Uhudo njalo
• Ukushaya kwenhliziyo okusheshayo
• Ubumnene lapho isisu sicindezelwe
• Ukuhlukaniswa kwesisu

Ukwelapha izifo ezidala i-megacolon enobuthi, njenge-ulcerative colitis noma isifo se-Crohn, kungasivimbela lesi simo.

Ukwehliswa okunobuthi kwekholoni; IMegarectum; Izifo ezivuthayo zamathumbu - i-megacolon enobuthi; Isifo se-Crohn - i-megacolon enobuthi; I-ulcerative colitis - i-megacolon enobuthi

• Uhlelo lokugaya ukudla
• I-megacolon enobuthi
• Izindawo ezithintekayo zesifo seCrohn
• I-ulcerative colitis
• Izitho zohlelo lokugaya ukudla

ILichtenstein GR. Isifo samathumbu esivuthayo. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 132.

UNishtala MV, uBenlice C, uSteele SR. Ukuphathwa kwe-megacolon enobuthi. Ku: UCameron AM, uCameron JL, ama-eds. Ukwelashwa Kwamanje. Umhlaka 13. IPhiladelphia, PA: Elsevier; 180-185.

UPeterson MA, Wu AW. Ukuphazamiseka kwamathumbu amakhulu. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 85.