Imisindo yesisu

Imisindo yesisu yimisindo eyenziwe amathumbu.

Imisindo yesisu (imisindo yamathumbu) yenziwa ukuhamba kwamathumbu njengoba ehlohla ukudla. Amathumbu ayize, ngakho imisindo yamathumbu inanela esiswini kakhulu njengemisindo ezwakala emapayipini amanzi.

Imisindo eminingi yamathumbu ijwayelekile. Zimane zisho ukuthi umgudu wamathumbu uyasebenza. Umhlinzeki wezokunakekelwa kwempilo angabheka imisindo yesisu ngokulalela isisu nge-stethoscope (auscultation).

Imisindo eminingi yamathumbu ayinangozi. Kodwa-ke, kunezimo ezithile lapho imisindo engavamile ingakhombisa inkinga.

Ileus yisimo lapho kunokuntuleka kokusebenza kwamathumbu. Izimo eziningi zezokwelapha zingaholela ku-ileus. Le nkinga ingadala igesi, uketshezi, nokuqukethwe ngamathumbu ukwakha nokugqashuka (kuqhekeke) kodonga lwamathumbu. Umhlinzeki angahluleka ukuzwa noma imiphi imisindo yamathumbu lapho elalele isisu.

Imisindo yamathumbu encishisiwe (engacabangi) ifaka phakathi ukuncipha komsindo, ithoni, noma imisindo evamile. Ziwuphawu lokuthi umsebenzi wamathumbu wehlile.

Imisindo yamathumbu ye-Hypoactive ijwayelekile ngesikhathi sokulala. Zibuye zivele ngokujwayelekile isikhashana ngemuva kokusetshenziswa kwemithi ethile nangemva kokuhlinzwa kwesisu. Ukwehla noma ukungabikho kwemisindo yamathumbu kuvame ukukhombisa ukuqunjelwa.

Imisindo yamathumbu eyandisiwe (engasebenzi kahle) kwesinye isikhathi ingazwakala ngaphandle kwe-stethoscope. Imisindo yamathumbu engasebenzi kusho ukuthi kukhona ukwanda kokusebenza kwamathumbu. Lokhu kungenzeka ngohudo noma ngemuva kokudla.

Imisindo yesisu ihlala ihlolwe kanye nezimpawu ezinjenge:

• Igesi
• Isicanucanu
• Ubukhona noma ukungabi khona kokuhamba kwamathumbu
• Ukuhlanza

Uma imisindo yamathumbu ingasebenzi noma ingasebenzi futhi kunezinye izimpawu ezingavamile, kufanele uqhubeke nokulandela umhlinzeki wakho.

Isibonelo, ayikho imisindo yamathumbu ngemuva kwesikhathi semisindo yamathumbu engasebenzi engasho ukuthi kukhona ukuqhuma kwamathumbu, noma ukuklinywa kwamathumbu nokufa (necrosis) kwezicubu zamathumbu.

Imisindo yamathumbu ephezulu kakhulu ingaba uphawu lokuvinjelwa kwamathumbu kusenesikhathi.

Iningi lemisindo oyizwayo esiswini nasemathunjini akho ngenxa yokugayeka kokujwayelekile. Azisona isizathu sokukhathazeka. Izimo eziningi zingadala imisindo yamathumbu ye-hyperactive noma ye-hypoactive. Iningi alinabungozi futhi alidingi ukwelashwa.

Okulandelayo uhlu lwezimo ezibucayi ezingadala imisindo yamathumbu engajwayelekile.

Imisindo yamathumbu engasebenzi kahle, engacabangi noma elahlekile ingabangelwa:

• Imithambo yegazi evinjiwe ivimbela amathumbu ekutholeni ukuhamba kwegazi okufanele. Isibonelo, amahlule egazi angadala ukuvalwa komthambo we-mesenteric.
• Ukuvinjelwa kwamathumbu kwemishini kubangelwa i-hernia, isimila, ukunamathela, noma izimo ezifanayo ezingavimba amathumbu.
• Ileus ekhubazekile iyinkinga ngezinzwa eziya emathunjini.

Ezinye izimbangela zemisindo yamathumbu engazenzisi zifaka:

• Izidakamizwa ezehlisa ukunyakaza emathunjini afana nama-opiates (kufaka phakathi i-codeine), i-anticholinergics, ne-phenothiazines
• I-anesthesia ejwayelekile
• Imisebe eya esiswini
• I-Spinal anesthesia
• Ukuhlinzwa esiswini

Ezinye izimbangela zemisindo yamathumbu engasebenzi zifaka:

• Isifo seCrohn
• Uhudo
• Ukungezwani kokudla
• Ukopha kwe-GI
• I-enteritis ethathelwanayo
• I-ulcerative colitis

Shayela umhlinzeki wakho uma unezimpawu ezifana nalezi:

• Ukopha kusuka engxenyeni yakho
• Isicanucanu
• Uhudo noma ukuqunjelwa okuqhubekayo
• Ukuhlanza

Umhlinzeki uzokuhlola futhi akubuze imibuzo ngomlando wakho wezokwelapha nezimpawu. Ungabuzwa:

• Yiziphi ezinye izimpawu onazo?
• Ingabe unezinhlungu esiswini?
• Ngabe unesifo sohudo noma ukuqunjelwa?
• Ingabe unesisu esiswini?
• Unayo igesi (flatus) eyeqile noma engekho?
• Ingabe ukubonile ukuphuma kwegazi okuvela engxenyeni engaphezulu noma emnyama?

Ungadinga izivivinyo ezilandelayo:

• Iskena se-CT esiswini
• I-x-ray yesisu
• Ukuhlolwa kwegazi
• I-Endoscopy

Uma kunezimpawu zesimo esiphuthumayo, uzothunyelwa esibhedlela. Kuzofakwa ishubhu ngamakhala noma ngomlomo wakho esiswini noma emathunjini. Lokhu kuthulula amathumbu akho. Ezimweni eziningi, ngeke uvunyelwe ukudla noma ukuphuza noma yini ukuze amathumbu akho aphumule. Uzonikezwa uketshezi ngomthambo (ngemithambo yegazi).

Unganikezwa umuthi wokwehlisa izimpawu nokwelapha imbangela yenkinga. Uhlobo lomuthi luzoya ngesizathu senkinga. Abanye abantu bangadinga ukuhlinzwa ngokushesha.

Imisindo yamathumbu

• I-anatomy ejwayelekile yesisu

I-Ball JW, i-Dains JE, i-Flynn JA, i-Solomon BS, i-Stewart RW. Isisu. Ku: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, ama-eds. Umhlahlandlela kaSeidel Wokuhlolwa Komzimba. Umhlaka 9. ISt Louis, MO: Elsevier; 2019: isahluko 18.

ILandmann A, iBond M, iPostier R. Isisu esibuhlungu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhlaka 21. ISt Louis, MO: Elsevier; 2022: isahluko 46.

McQuaid KR. Sondela esigulini ngesifo samathumbu. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 123.