I-infarction yamathumbu (i-mesentery infarction): kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani
• I-Sequelae ye-infarction yamathumbu
• Izimbangela ezingenzeka ze-infarction yamathumbu

Ukuqubuka kwamathumbu amaningi kwenzeka lapho umthambo, ophethe igazi ulise emathunjini amancane noma amakhulu, uvinjwe yihlule futhi uvimbele igazi ukuba lingadluli nge-oxygen ezindaweni ezingemva kwegazi, okuholela ekufeni kwaleyo ngxenye yamathumbu kanye nokwenza izimpawu ezifana nobuhlungu besisu obukhulu, ukuhlanza nomkhuhlane, isibonelo.

Ngaphezu kwalokho, i-infarction yamathumbu nayo ingenzeka emthanjeni osesifundeni semesentery, okuyilwelwesi olubambe amathumbu. Uma lokhu kwenzeka, igazi alikwazi ukuphuma emathunjini liye esibindini, ngakho-ke, igazi elinomoya-mpilo nalo alikwazi ukuqhubeka nokujikeleza emathunjini, okuholela emiphumeleni efanayo ne-infarction ye-artery.

Ukuphefumula kwamathumbu kuyelapheka, kepha kuyisimo esiphuthumayo, ngakho-ke, uma kukhona ukusola, kubaluleke kakhulu ukuya ngokushesha egumbini labezimo eziphuthumayo, ukuyoqinisekisa ukuxilongwa bese uqala ukwelashwa okufanele, ukuvimbela ingxenye enkulu amathumbu ayathinteka.

Izimpawu eziyinhloko

Izimpawu ezivame kakhulu esimweni sokuphathwa kwamathumbu zifaka:

• Ubuhlungu obukhulu besisu, obukhula ngokuhamba kwesikhathi;
• Ukuzwa okuvinjelwe esiswini;
• Isicanucanu nokuhlanza;
• Imfiva engaphezu kuka-38ºC;
• Uhudo olunegazi esitokisini.

Lezi zimpawu zingavela ngokuzumayo noma zikhule kancane ezinsukwini ezimbalwa, kuya ngosayizi wesifunda esithintwe yi-ischemia nobukhulu besithintelo.

Ngakho-ke, uma kukhona ubuhlungu besisu obubi kakhulu noma obungathuthuki ngemuva kwamahora ama-3 kubaluleke kakhulu ukuya esibhedlela ukuyokhomba inkinga bese uqala ukwelashwa okufanele, ngoba kungaba ukuphathwa kwamathumbu emathunjini.

Ungakuqinisekisa kanjani ukuxilongwa

Ukwenza ukuxilongwa kwe-infarction yamathumbu, udokotela anga-oda izivivinyo ezahlukahlukene njenge-angiographic magnetic resonance, i-angiography, i-computed tomography yesisu, i-ultrasound, i-X-ray, ukuhlolwa kwegazi kanye ne-endoscopy noma i-colonoscopy, ukuqinisekisa ukuthi izimpawu azibangelwa ezinye izinkinga zomgudu wokugaya ukudla, njengezilonda noma i-appendicitis, ngokwesibonelo.

Yelashwa kanjani

Ukwelashwa kwe-infarction yamathumbu kungaqala nge-percutaneous arterial catheterization kanye ne-hemodynamic stabilization, noma ngokuhlinzwa ukususa i-clot futhi kuvuselele ukujikeleza kwegazi esitsheni esithintekile, ngaphezu kokususa yonke ingxenye yamathumbu esusiwe.

Ngaphambi kokuhlinzwa, udokotela angayeka ukusebenzisa imishanguzo engavimba imithambo yegazi, njengezidakamizwa ze-migraine, ukwelapha isifo senhliziyo ngisho nezinhlobo ezithile zamahomoni.

Kwezinye izimo, kusengadingeka ukuthatha ama-antibiotic ngaphambi nangemva kokuhlinzwa ukuvimbela ukukhula kwezifo emathunjini athintekile.

I-Sequelae ye-infarction yamathumbu

Enye ye-sequelae ejwayelekile kakhulu ye-ischemia emathunjini isidingo sokuthola i-ostomy. Lokhu kungenxa yokuthi, ngokuya ngenani lamathumbu akhishiwe, udokotela ohlinzayo kungenzeka angakwazi ukuxhuma kabusha amathumbu endunu futhi, ngakho-ke, kuyadingeka ukwenza ukuxhumana ngqo esikhunjeni sesisu, kuvumele isitulo ukuba sibalekele isikhwama esincane.

Ngaphezu kwalokho, ngokususwa kwamathumbu, lo muntu ubuye abe nesifo samathumbu esifushane okuthi, kuye ngengxenye esusiwe, kubangele ubunzima ekumungeni kwamavithamini namaminerali athile, futhi kubalulekile ukuvumelanisa nokudla. Bona okuningi ngalesi sifo nokuthi ukudla kufanele kube kanjani.

Izimbangela ezingenzeka ze-infarction yamathumbu

Yize i-infarction yamathumbu iyisimo esingajwayelekile kakhulu, kunengozi eyengeziwe kubantu:

• Ngaphezu kweminyaka engama-60;
• Ngamazinga aphezulu e-cholesterol;
• Nge-ulcerative colitis, isifo sikaCrohn noma i-diverticulitis;
• Owesilisa;
• Ngama-Neoplasms;
• Obani abenze ukuhlinzwa esiswini;
• Ngomdlavuza ohlelweni lokugaya ukudla.

Ngaphezu kwalokho, abesifazane abasebenzisa iphilisi lokulawula ukubeletha noma abakhulelwe nabo banengozi eyengeziwe yamahlule ngenxa yokushintsha kwamahomoni, ngakho-ke bangakhula necala lokuhlaselwa yisisu emathunjini.