I-Enteroclysis

I-Enteroclysis ukuvivinya isithombe kwamathumbu amancane. Ukuhlolwa kubheka ukuthi uketshezi olubizwa ngokungafani nalutho luhamba kanjani emathunjini amancane.

Lokhu kuhlolwa kwenziwa emnyangweni we-radiology. Ngokuya ngesidingo, kusetshenziswa i-x-ray, i-CT scan, noma i-MRI imaging.

Isivivinyo sifaka okulandelayo:

• Umhlinzeki wezokunakekelwa kwempilo ufaka ishubhu ngamakhala akho noma ngomlomo wakho esiswini sakho nasekuqaleni kwamathumbu amancane.
• Izinto zokuqhathanisa nomoya kugeleza ngeshubhu, futhi kuthathwa izithombe.

Umhlinzeki angabuka kumonitha njengoba umehluko uhamba emathunjini.

Inhloso yocwaningo ukubuka zonke izihibe zamathumbu amancane. Ungacelwa ukuthi ushintshe izikhundla ngesikhathi sokuhlolwa. Isivivinyo singahlala amahora ambalwa, ngoba kuthatha isikhashana ukuthi umehluko uqhamuke kuwo wonke amathumbu amancane.

Landela imiyalo yomhlinzeki wakho yokuthi ungasilungiselela kanjani isivivinyo, esingafaka phakathi:

• Ukuphuza iziphuzo ezicacile okungenani amahora angama-24 ngaphambi kokuhlolwa.
• Ukungadli noma ukuphuza noma yini amahora ambalwa ngaphambi kokuhlolwa. Umhlinzeki wakho uzokutshela kahle ukuthi mangaki amahora.
• Ukuthatha ama-laxatives ukusula amathumbu.
• Ukungathathi imithi ethile. Umhlinzeki wakho uzokutshela ukuthi iziphi. UNGAYEKI ukuthatha noma imiphi imithi uwedwa. Buza umhlinzeki wakho kuqala.

Uma ukhathazekile ngenqubo, unganikezwa isidambisi ngaphambi kokuba siqale. Uzocelwa ukuthi ususe bonke ubucwebe futhi ugqoke ingubo yasesibhedlela. Kuhle ukushiya ubucwebe nezinye izinto eziyigugu ekhaya. Uzocelwa ukuthi ususe noma yimuphi umsebenzi wamazinyo osusekayo, ofana nezinto zikagesi, amabhuloho, noma okugcina.

Uma ukhulelwe, noma ucabanga ukuthi ukhulelwe, tshela umhlinzeki ngaphambi kokuhlolwa.

Ukubekwa kweshubhu kungahle kungakhululeki. Izinto ezihlukile zingadala umuzwa wokugcwala kwesisu.

Lokhu kuhlolwa kwenziwa ukuze kuhlolwe amathumbu amancane. Kuyindlela eyodwa yokutshela ukuthi ngabe amathumbu amancane ajwayelekile.

Azikho izinkinga ezibonwayo ngosayizi noma ukuma kwethumbu elincane. Umehluko uhamba emathunjini ngesilinganiso esejwayelekile ngaphandle kophawu lokuvinjelwa.

Izinkinga eziningi zamathumbu amancane zingatholakala nge-enteroclysis. Ezinye zazo zifaka:

• Ukuvuvukala kwamathumbu amancane (njengesifo seCrohn)
• Amathumbu amancane awamunci izakhi ngokwejwayelekile (malabsorption)
• Ukuncipha noma ukuqina kwamathumbu
• Ukuvaleka kwamathumbu amancane
• Izimila zamathumbu amancane

Ukuvezwa kwemisebe kungaba kukhulu ngalesi sivivinyo kunezinye izinhlobo zama-x-ray ngenxa yobude besikhathi. Kepha ochwepheshe abaningi banomuzwa wokuthi ubungozi buphansi uma kuqhathaniswa nezinzuzo.

Abesifazane abakhulelwe nezingane bazwela kakhulu ezingozini zemisebe ye-x-ray. Izinkinga ezijwayelekile zifaka:

• Ukungezwani komzimba nemithi ebekelwe ukuhlolwa (umhlinzeki wakho angakutshela ukuthi imiphi imithi)
• Ukulimala okungenzeka ezakhiweni zamathumbu ngesikhathi kufundwa

I-Barium ingadala ukuqunjelwa. Tshela umhlinzeki wakho uma i-barium ingadlulanga kusistimu yakho ngezinsuku ezi-2 noma ezi-3 ngemuva kokuhlolwa, noma uma uzizwa uqunjelwe.

I-enema yamathumbu amancane; I-CT enteroclysis; Ukulandelwa kwamathumbu amancane; I-Barium enteroclysis; UMnu enteroclysis

• Umjovo omncane wokuqhathanisa amathumbu

I-Al Sarraf AA, iMcLaughlin PD, iMaher MM. Amathumbu amancane, i-mesentery kanye ne-peritoneal cavity. Ku: Adam A, Dixon AK, Gillard JH, Schaefer-Prokop CM, ama-eds. I-Grainger & Allison's Diagnostic Radiology. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2021: isahluko 21.

UThomas AC. Ukucabanga ngamathumbu amancane. Ku: Sahani DV, Samir AE, ama-eds. Ukucabanga Kwesisu. Okwesibili. IPhiladelphia, PA: Elsevier; 2017: isahluko 24.