Ukulungiswa kwamathumbu emathunjini

Ukulungiswa kwamathumbu emathunjini ukuhlinzwa ukuze kutholakale ukuvinjelwa kwamathumbu. Ukuvaleka kwamathumbu kwenzeka lapho okuqukethwe amathumbu kungeke kudlule kuphume umzimba. Isithiyo esiphelele yisimo esiphuthumayo sokuhlinzwa.

Ukulungiswa kwamathumbu emathunjini kwenziwa ngenkathi ungaphansi kwe-anesthesia ejwayelekile. Lokhu kusho ukuthi ulele futhi awuzwa buhlungu.

Udokotela ohlinzayo usika esiswini sakho ukubona amathumbu akho. Kwesinye isikhathi, ukuhlinzwa kungenziwa kusetshenziswa i-laparoscope, okusho ukuthi kusetshenziswa ukusikeka okuncane.

Udokotela ohlinzayo uthola indawo yamathumbu akho (amathumbu) evinjiwe futhi ayivule.

Noma yiziphi izingxenye ezilimele zamathumbu akho zizolungiswa noma zisuswe. Le nqubo ibizwa ngokuthi ukuthengiswa kwamathumbu. Uma isigaba sisusiwe, iziphetho ezinempilo zizoxhunywa kabusha ngezitishi noma ukudla okuyisisekelo. Kwesinye isikhathi, lapho ingxenye yamathumbu isusiwe, imikhawulo ayikwazi ukuxhunywa kabusha. Uma lokhu kwenzeka, udokotela ohlinzayo uzokhipha umkhawulo owodwa ngokuvula odongeni lwesisu. Lokhu kungenziwa kusetshenziswa i-colostomy noma ileostomy.

Le nqubo yenziwa ukunciphisa ukuvinjelwa emathunjini akho. Ukuvaleka okuhlala isikhathi eside kunganciphisa noma kuvimbe ukuhamba kwegazi endaweni. Lokhu kungadala ukuthi isisu sife.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini, izinkinga zokuphefumula
• Ukopha, amahlule egazi, ukutheleleka

Izingozi zale nqubo:

• Ukuvinjelwa kwamathumbu ngemuva kokuhlinzwa
• Ukulimala kwezitho zomzimba eziseduze
• Ukwakhiwa kwezicubu ezibomvu (ukunamathela)
• Izicubu ezibomvu ezingaphezulu ezakha esiswini sakho futhi zibangele ukuvimba kwamathumbu akho ngokuzayo
• Ukuvulwa kwemiphetho yamathumbu akho ahlanganiswe ndawonye (ukuvuza kwe-anastomotic), okungadala izinkinga ezisongela impilo
• Izinkinga nge-colostomy noma ileostomy
• Ukukhubazeka okwesikhashana (ukuqandisa phezulu) kwamathumbu (ileus ekhubazekile)

Kuthatha isikhathi esingakanani ukululama kuncike empilweni yakho yonke nohlobo lomsebenzi.

Umphumela uvame ukuba muhle uma ukuvinjelwa kwelashwa ngaphambi kokuthinteka kokugeleza kwegazi emathunjini.

Abantu asebeke bahlinzwa kakhulu esiswini bangakha izicubu ezibomvu. Banamathuba amaningi okuthi bavinjwe ngamathumbu ngokuzayo.

Ukulungiswa kwe-volvulus; I-volvulus yamathumbu - ukukhanda; Ukuvinjelwa kwamathumbu - ukukhanda

• Ukudla kweBland
• Ukushintsha isikhwama sakho se-ostomy
• Ileostomy nokudla kwakho
• Ileostomy - ukunakekela i-stoma yakho
• Ileostomy - ukushintsha isikhwama sakho
• Ileostomy - ukukhishwa
• Ileostomy - yini ongayibuza udokotela wakho
• Ukuvinjelwa kwamathumbu noma amathumbu - ukukhipha
• Ukudla okuphansi kwe-fiber
• Ukunakekelwa kwesilonda sokuhlinzwa - kuvulekile
• Izinhlobo ze-ileostomy
• Lapho unesicanucanu nokuhlanza

• Intussusception - x-ray
• Ngaphambi nangemva kwe-anastomosis yamathumbu amancane
• Ukuvinjelwa kwamathumbu (ezingane) - uchungechunge
• Ukulungiswa kwamathumbu emathunjini - uchungechunge

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Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Ikholoni ne-rectum. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuzijwayeza Kwamanje Kokuhlinzwa. 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. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 123.