Ilealy ekhubazekile: kuyini, izimpawu, izimbangela kanye nokwelashwa
-Delile
Ileus ekhubazekile yisimo lapho kukhona ukulahleka kwesikhashana kokuhamba kwamathumbu, okwenzeka ikakhulukazi ngemuva kokuhlinzwa esifundeni sesisu okubandakanya amathumbu, okuholela ekwakhiweni kwezinye zezimpawu ezifana nokuqunjelwa, ukungathandi ukudla, isicanucanu nokuhlanza, ngoba isibonelo.
Yize ivame ukuhlotshaniswa nokuhlinzwa kwesisu, ileus ekhubazekile nayo ingenzeka ngenxa yokuba khona kwama-inguinal hernias noma ukusetshenziswa kwemithi ethile, futhi kubalulekile ukuthi imbangela ikhonjwe ukuze ukwelashwa okufanele kakhulu kungaqalwa ukuvimbela ukuthuthukiswa izinkinga.
Izimbangela ezingaba khona
I-ileus ekhubazekile ivame ukuhlobene nokuhlinzwa kwesisu ngenxa yokwakheka kwezicubu ezinemicu, kepha ezinye izimo ezingavumela ukuthuthukiswa kwe-ileus ekhubazekile yilezi:
- Umdlavuza wamathumbu;
- Izifo ezivuthayo zamathumbu, njengesifo sikaCrohn;
- Diverticulitis;
- I-Colors torsion;
- Ama-inguinal hernias;
- Isifo sikaParkinson.
Ngaphezu kwalokho, i-ileus ekhubazekile ingenzeka njengomphumela wokusetshenziswa kweminye imishanguzo efana ne-narcotic, efana ne-hydromorphone, i-morphine noma i-oxycodone kanye ne-tricyclic antidepressants, njenge-amitriptyline ne-imipramine.
Kubalulekile ukuthi i-ileus ekhubazekile ibonakale futhi ukwelashwa kuqale ngokushesha ngemuva kwalokho, njengoba kungenzeka ukuvimbela izinkinga ezifana ne-sepsis, ehambelana nokutheleleka okujwayelekile okubangelwa amabhaktheriya emathumbu angakhishwanga kahle, noma ukuvinjelwa kwamathumbu, kuletha imiphumela eminingana empilweni. Bheka ukuthi yini imiphumela yokuvinjelwa kwamathumbu.
Izimpawu ze-ileus ekhubazekile
Izimpawu ze-ileus ekhubazekile zihlobene nokuncipha kokuhamba kwamathumbu, ubuhlungu besisu, ukulahlekelwa isifiso sokudla, ukuqunjelwa, ukuqunjelwa kwesisu, ukugcwala, isicanucanu nokuhlanza kungabonakala.
Ezimweni ezinzima kakhulu, izinkinga ezinjenge-cell necrosis yamathumbu zingenzeka ngenxa yokwehla kwegazi esizeni noma ukugcotshwa kwamathumbu, ezimweni ezingavamile kakhulu, ezingadala ukutheleleka okubizwa nge-peritonitis, okwenzeka ngenxa yokwanda okwandayo amabhaktheriya emathunjini futhi angakhuphula ubungozi bokutheleleka okwandile.
Yelashwa kanjani
Ukwelashwa kwe-ileus ekhubazekile kuhlose ukuphatha imbangela yokuphazamiseka futhi kuthuthukise ukukhululeka kwezimpawu. Kwezinye izimo, isimo singaxazululwa ngaphandle kokudingeka ukwelashwa, ukumane uzinzise umuntu ngokufaka uketshezi ngomthambo, ukufaka ithubhu le-nasogastric lokumunca umoya noketshezi, okuzosiza ukuqeda ukuvuvukala kwesisu. Kodwa-ke, uma kungekho ngcono, udokotela kufanele akhethe enye indlela yokwelashwa ukuze avimbele ukuvimbela kwamathumbu ukuthi kungenzeki.
Uma kungumuthi oyimbangela yenkinga, udokotela angamisa ukumiswa kwalowo muthi, noma anikeze umuthi ovusa ukuhamba kwamathumbu, njengoba kwenzeka nge-metoclopramide noma i-domperidone.
Endabeni yokuvinjelwa okuyingxenye, okusho ukuthi, uma okunye ukudla noketshezi kuqhubeka ukuhanjiswa ngomathumbu, kudingekile kuphela ukuzinzisa umuntu nokudla ukudla okune-fiber ephansi, futhi umuthi wokusheshisa ukuhamba kwamathumbu nawo ungabhalwa .
Ezimweni zokuvinjelwa okuphelele, noma uma ukwelashwa kokuvinjelwa okuyingxenye kungasebenzi, kungadingeka ukuthi ubhekane nokuhlinzwa ukuze unciphise lokhu kuvinjelwa, ususe ingxenye yamathumbu noma ususe lonke ithumbu. Ezimweni lapho kukhishwe wonke amathumbu, kuyadingeka ukuthi kube ne-ostomy, equkethe ukudala ishaneli elixhumanisa ithumbu nohlobo lwesikhwama, ngokuvula esiswini, lapho kukhishwa khona indle.
Kuyathakazelisa Esizeni
Ukushisa kwamakhemikhali noma ukusabela
