Ukuvinjelwa kwamathumbu kanye no-Ileus

Ukuvinjelwa kwamathumbu ukuvinjelwa okuncane noma okuphelele kwamathumbu. Okuqukethwe kwamathumbu akukwazi ukudlula kuwo.

Ukuvinjelwa kwamathumbu kungaba ngenxa:

• Imbangela yemishini, okusho ukuthi kukhona okusendleleni
• Ileus, isimo lapho amathumbu engasebenzi kahle, kepha akukho nkinga yokwakheka eyibangelayo

I-ileus ekhubazekile, ebizwa nangokuthi ukuvimbela kwamanga, ingenye yezimbangela ezinkulu zokuvinjelwa kwamathumbu ezinganeni nasezinganeni. Izimbangela ze-ileus ekhubazekile zingafaka:

• Amagciwane noma amagciwane abangela ukutheleleka kwamathumbu (i-gastroenteritis)
• Ukungalingani kwamakhemikhali, i-electrolyte, noma amaminerali (njengokuncipha kwezinga le-potassium)
• Ukuhlinzwa kwesisu
• Ukwehla kokutholakala kwegazi emathunjini
• Ukutheleleka ngaphakathi esiswini, njenge-appendicitis
• Isifo sezinso noma samaphaphu
• Ukusetshenziswa kwemithi ethile, ikakhulukazi izidakamizwa

Izimbangela zemishini yokuvinjelwa kwamathumbu zingafaka:

• Ukunamathela noma izicubu ezibomvu ezakha ngemuva kokuhlinzwa
• Imizimba yangaphandle (izinto ezigwinywayo futhi zivimbe amathumbu)
• Amatshe amatshe (akuvamile)
• UHernias
• Indle ethintekile
• I-Intussusception (isibonakude sengxenye eyodwa yamathumbu iye kwesinye)
• Izimila zivimba amathumbu
• I-Volvulus (amathumbu asontekile)

Izimpawu zingafaka:

• Ukuvuvukala kwesisu (distension)
• Ukugcwala kwesisu, igesi
• Ubuhlungu besisu nokuqaqamba
• Iphunga lokuphefumula
• Ukuqunjelwa
• Uhudo
• Ukungakwazi ukwedlulisa igesi
• Ukuhlanza

Ngesikhathi sokuhlolwa komzimba, umhlinzeki wezokunakekelwa kwempilo angathola ukuqunjelwa, ubumnene, noma i-hernias esiswini.

Ukuhlolwa okukhombisa ukuvinjelwa kufaka phakathi:

• Iskena se-CT esiswini
• I-x-ray yesisu
• I-Barium enema
• I-Upper GI nochungechunge lwamathumbu amancane

Ukwelashwa kubandakanya ukufaka ishubhu ngamakhala esiswini noma emathunjini. Lokhu ukusiza ukukhulula ukuvuvukala kwesisu (ukuhlukaniswa) nokuhlanza. I-Volvulus yamathumbu amakhulu ingalashwa ngokudlulisa ithubhu ku-rectum.

Ukuhlinzwa kungadingeka ukudambisa ukuvinjelwa uma ithubhu ingazinciphisi izimpawu. Kungadingeka futhi uma kunezimpawu zokufa kwezicubu.

Umphumela uncike embangela yokuvinjelwa. Isikhathi esiningi, imbangela iphathwa ngempumelelo.

Izinkinga zingafaka noma zingaholela ku:

• Ukungalingani kwe-Electrolyte (amakhemikhali egazi namaminerali)
• Ukuphela kwamanzi emzimbeni
• Hole (perforation) emathunjini
• Ukutheleleka
• I-jaundice (ukuphuzi kwesikhumba namehlo)

Uma ukuvinjelwa kuvimbela ukunikezwa kwegazi emathunjini, kungadala ukutheleleka nokufa kwezicubu (isilonda esibucayi). Izingozi zokufa kwezicubu zihlobene nembangela yokuvaleka nokuthi ibinesikhathi esingakanani ikhona. I-Hernias, i-volvulus, ne-intussusception zinengozi ephezulu yokulimala.

Emntwaneni osanda kuzalwa, ileus ekhubazekile echitha udonga lwamathumbu (necrotizing enterocolitis) yisimo esisongela impilo. Kungaholela ekuthelelekeni kwegazi namaphaphu.

Shayela umhlinzeki wakho uma:

• Ayikwazi ukudlulisa indle noma igesi
• Yiba nesisu esivuvukile (distension) esingapheli
• Qhubeka nokuhlanza
• Yiba nobuhlungu besisu obungachazeki obungapheli

Ukuvimbela kuncike embangela. Ukwelapha izimo, njengezicubu nama-hernias okungaholela ekuvinjelweni, kunganciphisa ubungozi bakho.

Ezinye izimbangela zokuvinjelwa azikwazi ukuvinjelwa.

Ileus ekhubazekile; I-volvulus yamathumbu; Ukuvinjelwa kwamathumbu; Ileus; Ukuvimbela mbumbulu - amathumbu; Ileus Colonic; Ukuvinjelwa kwamathumbu amancane

• Sula ukudla oketshezi
• Ukudla okugcwele ketshezi
• Ukukhishwa kwamathumbu amakhulu - ukukhishwa
• Ukukhishwa kwamathumbu amancane - ukukhishwa
• Ukukhishwa okuphelele kwe-colectomy noma i-proctocolectomy

• Uhlelo lokugaya ukudla
• Ileus - x-ray yamathumbu asesiswini nesisu
• Ileus - x-ray yokuhlukaniswa kwamathumbu
• Intussusception - x-ray
• IVolvulus - i-x-ray
• Ukuvinjelwa kwamathumbu amancane - i-x-ray
• Ukuthengiswa kwamathumbu amancane - uchungechunge

UHarris JW, i-Evers BM. Amathumbu amancane. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 49.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Ikholoni ne-rectum. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 51.

Kumele i-WC, i-Turnage RH. Ukuvinjelwa kwamathumbu. 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 123.