Ukuvinjelwa kwamanga emathunjini

Ukuvinjelwa kwamanga emathunjini yisimo lapho kunezimpawu zokuvaleka kwamathumbu (amathumbu) ngaphandle kokuvinjelwa komzimba.

Ekuvinjelweni mbumbulu kwamathumbu, ithumbu alikwazi ukungena nokuhlohla ukudla, indle nomoya ngomgudu wokugaya ukudla. Lesi sifo sivame ukuthinta amathumbu amancane, kepha singenzeka futhi emathunjini amakhulu.

Isimo singaqala ngokuzumayo noma sibe yinkinga engapheli noma yesikhathi eside. Kuvame kakhulu ezinganeni nasebekhulile. Imbangela yenkinga ivame ukungaziwa.

Izici zobungozi zifaka:

• I-Cerebral palsy noma okunye ukuphazamiseka kobuchopho noma kwesistimu yezinzwa.
• Isifo esingapheliyo sezinso, samaphaphu noma senhliziyo.
• Ukuhlala embhedeni isikhathi eside (embhedeni).
• Ukuthatha izidakamizwa ezehlisa ukunyakaza kwamathumbu. Lokhu kufaka phakathi imishanguzo ye-narcotic (ubuhlungu) nemithi esetshenziswa lapho ungakwazi ukugcina umchamo ungaphumi.

Izimpawu zifaka:

• Ubuhlungu besisu
• Ukuqhakaza
• Ukuqunjelwa
• Isicanucanu nokuhlanza
• Isisu esivuvukile (isisu esiswini)
• Ukwehla kwesisindo

Ngesikhathi sokuhlolwa komzimba, umhlinzeki wezokunakekelwa kwempilo uvame ukubona ukuqunjelwa esiswini.

Izivivinyo zifaka:

• I-x-ray yesisu
• I-manometry ye-anorectal
• Ukugwinya kwe-Barium, ukulandela ngamathumbu amancane we-barium, noma i-barium enema
• Ukuhlolwa kwegazi ngokushoda kokudla okunomsoco noma kwamavithamini
• Colonoscopy
• Iskena se-CT
• I-antometodenal manometry
• Isisu sokukhipha i-radionuclide scan
• Ukuskena kwe-radionuclide emathunjini

Izindlela zokwelashwa ezilandelayo zingazama:

• I-Colonoscopy ingasetshenziselwa ukususa umoya emathunjini amakhulu.
• Uketshezi kunganikezwa ngomthambo ukuze kubuyiselwe uketshezi olulahlekelwe ukuhlanza noma isifo sohudo.
• Ukudonswa kwe-Nasogastric okubandakanya ishubhu le-nasogastric (NG) elibekwe ngamakhala esiswini kungasetshenziswa ukukhipha umoya emathunjini.
• INeostigmine ingasetshenziselwa ukwelapha ukuvimbela mbumbulu kwamathumbu okusemathunjini amakhulu kuphela (i-Ogilvie syndrome).
• Ukudla okukhethekile kaningi akusebenzi. Kodwa-ke, uvithamini B12 nezinye izithasiselo zamavithamini kufanele zisetshenziselwe abantu abanokushoda ngamavithamini.
• Ukumisa imithi okungenzeka ukuthi ibangele inkinga (njengemithi yezidakamizwa) kungasiza.

Ezimweni ezimbi kakhulu, ukuhlinzwa kungadingeka.

Izimo eziningi zokuvimbela i-pseudo-acute ziba ngcono ezinsukwini ezimbalwa ngokwelashwa. Ezinhlotsheni ezingapheli zesifo, izimpawu zingabuya futhi ziba zimbi kakhulu eminyakeni eminingi.

Izinkinga zingafaka:

• Uhudo
• Ukuqhekeka (ukugcotshwa) kwamathumbu
• Ukushoda kwamavithamini
• Ukwehla kwesisindo

Shayela umhlinzeki wakho uma unezinhlungu esiswini ezingapheli noma ezinye izimpawu zalesi sifo.

Ukuvinjelwa kwamanga kwamathumbu okuyisisekelo; Ileus yamakholoni enamandla; Ukuvinjelwa kwamanga kwe-Colonic; Idiopathic emathunjini mbumbulu-ukuvimba; Isifo se-Ogilvie; Ukulimala kwamathumbu okungamahlalakhona okungapheli; I-ileus ekhubazekile - ukuvimbela mbumbulu

• Izitho zohlelo lokugaya ukudla

UCamilleri M. Ukuphazamiseka kokuhamba kwamathumbu emathunjini. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 127.

URayner CK, uHughes PA. Umsebenzi omncane wezimoto zamathumbu nokusebenza kwezinzwa nokungasebenzi. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 99.