Volvulus - ebuntwaneni

IVolvulus ukusonteka kwamathumbu okungenzeka ebuntwaneni. Kubangela ukuvimba okunganqamula ukuhamba kwegazi. Ingxenye yamathumbu ingalimala ngenxa yalokho.

Ukukhubazeka kokuzalwa okubizwa ngokuthi ukungasebenzi kahle kwamathumbu emathunjini kungenza usana lube sethubeni lokuthola i-volvulus. Noma kunjalo, i-volvulus ingenzeka ngaphandle kwalesi simo.

IVolvulus ngenxa yokungondleki kwenzeka kaningi onyakeni wokuqala wokuphila.

Izimpawu ezivamile ze-volvulus yilezi:

• Izitulo ezibomvu ezinegazi noma ezimnyama
• Ukuqunjelwa noma ubunzima bokukhipha indle
• Isisu esichithekile
• Ubuhlungu noma isisa esiswini
• Isicanucanu noma ukuhlanza
• Ukushaqeka
• Ukuhlanza impahla eluhlaza

Izimpawu zivame ukuba nzima kakhulu. Usana ezimweni ezinjalo luyiswa egumbini labezimo eziphuthumayo. Ukwelashwa kusenesikhathi kungabalulekile ekusindeni.

Umhlinzeki wakho wezokunakekelwa kwempilo anga-oda lezi zivivinyo ezilandelayo ukuthola ukuthi unalesi simo:

• I-Barium enema
• Ukuhlolwa kwegazi ukuhlola ama-electrolyte
• Iskena se-CT
• I-stool guaiac (ikhombisa igazi esitokisini)
• Uchungechunge oluphezulu lwe-GI

Kwezinye izimo, i-colonoscopy ingasetshenziselwa ukulungisa inkinga. Lokhu kufaka ukusetshenziswa kweshubhu eliguquguqukayo elinokukhanya ekugcineni okudluliselwa kukholoni (amathumbu amakhulu) nge-rectum.

Ukuhlinzwa okuphuthumayo kuvame ukudingeka ukulungisa i-volvulus. Ukusikwa kokuhlinzwa kwenziwa esiswini. Amathumbu awavulwanga nokunikezwa kwegazi kuyabuyiselwa.

Uma ingxenye encane yamathumbu ifile ngenxa yokushoda kwegazi (necrotic), iyasuswa. Imiphetho yamathumbu ibese ithungwa ndawonye. Noma, zisetshenziselwa ukwakha ukuxhumana kwamathumbu ngaphandle komzimba (i-colostomy noma ileostomy). Okuqukethwe kwamathumbu kungasuswa ngalokhu kuvulwa.

Isikhathi esiningi, ukuxilongwa ngokushesha nokwelashwa kwe-volvulus kuholela kumphumela omuhle.

Uma isisu sifile, umbono awukho kahle. Isimo singase sibulale, kuya ngokuthi kungakanani isisu esifile.

Izinkinga ezingenzeka ze-volvulus yilezi:

• I-peritonitis yesibili
• Isifo samathumbu esifushane (ngemuva kokususwa kwengxenye enkulu yamathumbu amancane)

Lesi yisimo esiphuthumayo. Izimpawu ze-volvulus yobuntwana zikhula ngokushesha futhi ingane izogula kakhulu. Thola usizo lwezempilo ngokushesha uma lokhu kwenzeka.

I-volvulus yobuntwana; Ubuhlungu besisu - i-volvulus

• IVolvulus
• IVolvulus - i-x-ray

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