Intussusception - izingane

Ukungena ngaphakathi kungukushibilika kwengxenye eyodwa yamathumbu iye kwenye.

Lo mbhalo ubheka ukugxila ezinganeni.

I-intussusception ibangelwa yingxenye yamathumbu edonswa ngaphakathi ngaphakathi kuyo.

Ingcindezi eyenziwe yizindonga zamathumbu zicindezela ndawonye kubangela:

• Ukwehla kwegazi
• Ukuthukuthela
• Ukuvuvukala

I-Intussusception ingavimba ukudlula kokudla kudlule emathunjini. Uma ukunikezwa kwegazi kunqunyiwe, ingxenye yamathumbu edonswe ngaphakathi ingafa. Ukopha kakhulu nakho kungenzeka. Uma kuvela imbobo, ukutheleleka, ukushaqeka nokoma emzimbeni kungenzeka ngokushesha okukhulu.

Isizathu se-intussusception asaziwa. Izimo ezingaholela enkingeni zifaka:

• Ukutheleleka ngegciwane
• I-lymph node ekhulisiwe emathunjini
• I-polyp noma isimila emathunjini

I-Intussusception ingathinta zombili izingane nabantu abadala. Kuvame kakhulu kubafana. Imvamisa kuthinta izingane ezineminyaka emihlanu kuya eminyakeni emithathu.

Uphawu lokuqala lwe-intussusception luvame ukukhala okungazelelwe, okukhulu okubangelwa ubuhlungu besisu. Ubuhlungu buyi-colicky futhi abuqhubeki (ngezikhathi ezithile), kepha buyabuya kaningi. Ubuhlungu buzoqina futhi buhlale isikhathi eside njalo lapho bubuya.

Ingane enobuhlungu obukhulu besisu ingadonsela amadolo esifubeni ngenkathi ikhala.

Ezinye izimpawu zifaka:

• Ukunyakaza kwamathumbu okunegazi, okufana nefinyila, kwesinye isikhathi kubizwa ngokuthi isitulo "currant jelly"
• Imfiva
• Ukushaqeka (umbala okhanyayo, ukukhathala, ukujuluka)
• Indle exutshwe negazi namafinyila
• Ukuhlanza

Umhlinzeki wakho wezokunakekelwa kwempilo uzokwenza ukuhlolwa okuphelele, okungaveza ubuningi esiswini. Kungabuye kube nezimpawu zokwehla kwamanzi emzimbeni noma ukwethuka.

Ukuhlolwa kungafaka:

• I-ultrasound yesisu
• I-x-ray yesisu
• I-enema yomoya noma yokuqhathanisa

Ingane izoqala izinzile. Ishubhu lizodluliselwa esiswini ngamakhala (i-nasogastric tube). Kuzobekwa ulayini (IV) engalweni, bese kunikezwa uketshezi ukuvimbela ukuphelelwa amandla kwamanzi.

Kwezinye izimo, ukuvinjelwa kwamathumbu kungelashwa nge-enema yomoya noma yokuqhathanisa. Lokhu kwenziwa i-radiologist enekhono ngenqubo. Kukhona ingozi yokudabuka kwamathumbu (i-perforation) ngale nqubo.

Ingane izodinga ukuhlinzwa uma lezi zindlela zokwelapha zingasebenzi. Izicubu zamathumbu zivame ukusindiswa. Izicubu ezifile zizosuswa.

Ama-antibiotic angadingeka ukwelapha noma yikuphi ukutheleleka.

Ukudla okunezigaxa kanye noketshezi kuzoqhubeka kuze kube yilapho ingane iba nokuhamba kwamathumbu okujwayelekile.

Umphumela muhle ngokwelashwa ngaphambi kwesikhathi. Kukhona ubungozi le nkinga izobuya.

Lapho kwenzeka imbobo noma ukudabuka emathunjini, kufanele kulashwe ngokushesha. Uma ingalashwa, i-intussusception cishe ibulala njalo izinsana nezingane ezisencane.

Intussusception yisimo esiphuthumayo sezokwelapha. Shayela ku-911 noma uye egumbini lezimo eziphuthumayo khona manjalo.

Ubuhlungu besisu ezinganeni - ukuqina kwengqondo

• Colonoscopy
• Intussusception - x-ray
• Izitho zohlelo lokugaya ukudla

U-Hu YY, uJensen T, uFinck C. Izimo zokuhlinzwa zamathumbu amancane ezinganeni nasezinganeni. Ku: Yeo CJ, ed. Ukuhlinzwa kukaShackelford kwe-Alimentary Tract. Umhlaka 8. IPhiladelphia, PA: Elsevier; 2019: isahluko 83.

IKliegman RM, iSt. Geme JW, iBlum NJ, i-Shah SS, iTasker RC, iWilson KM. Ileus, ukunamathela, ukuvinjelwa kwengqondo, nokuvinjelwa kwe-loop evaliwe. Ku: Kliegman RM, St Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Incwadi kaNelson Yezingane. Umhlaka 21. IPhiladelphia, PA: Elsevier; 2020: isahluko 359.

UMaloney PJ. Ukuphazamiseka kwamathumbu. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 171.