Uketshezi emathunjini (i-volvo): kuyini, izimpawu nokwelashwa

-Delile

• Izimpawu eziyinhloko
• Yini engabangela ukusonteka
• Ungakuqinisekisa kanjani ukuxilongwa
• Yelashwa kanjani

Ifindo elisemathunjini, elaziwa ngokuthi i-torsion, volvulus noma i-volvulus, liyinkinga enkulu lapho kukhona ukusonteka kwengxenye yamathumbu, okudala ukuvaleka kwayo nokuvimbela ukudlula kwendle nokugeleza kwegazi kuye endaweni, okungadala ukufa isifunda esithintekile.

Lolu shintsho lungenzeka noma kuphi emathunjini, yize luvame kakhulu engxenyeni yokugcina yamathumbu amakhulu, futhi luvame ukudala izimpawu ezifana nesicanucanu, ukuhlanza, ubuhlungu esiswini, ukuqunjelwa nokuvuvukala kwesisu.

I-volvulus yamathumbu ivela ikakhulu ezinganeni nasebekhulile, ngenxa yezimbangela ezinjengoshintsho lokuzalwa esimweni samathumbu, izicubu zamathumbu noma ukunamathela okudalwe ngemuva kokuhlinzwa noma ukuvuvukala, isibonelo. Uma kusolwa le nkinga, kungakuhle ukuthi uye esibhedlela ngokushesha ukuze uhlolwe okungakhomba inkinga bese uqala ukwelashwa, okuvame ukwenziwa ngokuhlinzwa.

Izimpawu eziyinhloko

Izimpawu eziyinhloko ze-volvulus yamathumbu ikakhulukazi zihlobene nokuvinjelwa okubangelwa amathumbu, futhi kufaka:

• Ubuhlungu besisu obuhlobo lwe-Colic;
• Isicanucanu nokuhlanza;
• Ukwehluleka ukuqeda indle noma amagesi;
• Ukuvuvukala kwesisu;
• Isiyezi;
• Imfiva.

Ukuqina nobuningi bezimpawu kuncike lapho kutholakala khona ukuhlukunyezwa nobukhulu besifunda esithintekile, ngokuvuvukala okukhulu kwesisu, okuya ngokuya kukhula ngokuhamba kwesikhathi futhi, uma kungakhonjwa ngokushesha nokwelashwa, kungabeka impilo yomuntu engcupheni.

Yini engabangela ukusonteka

Akunakwenzeka njalo ukukhomba imbangela yale nkinga, kepha okuvame kakhulu yile:

• Izinguquko zofuzo ekubunjweni kwamathumbu;
• Ukunamathela emathunjini okubangelwa ukuhlinzwa esiswini noma ukutheleleka;
• Isimila emathunjini noma okuthile okubangela ukuvimba nokujikeleza emathunjini;
• Ukuqunjelwa okungapheli.

Ngaphezu kwalokho, abantu abahlushwa ukungasebenzi kahle kokuhamba kwamathumbu, noma ngabe kuyashesha noma kwehlisiwe, basengozini enkulu yokuthuthukisa lolu shintsho. Ngakho-ke, ezinye izindlela zokugwema ukubonakala kokujija kufaka ukuphuza cishe amalitha amabili amanzi ngosuku, ukugcina ukudla okunempilo nokuzivocavoca njalo, ngoba lezi izindlela zokugcina umkhuba wakho wamathumbu ujwayelekile.

Ungakuqinisekisa kanjani ukuxilongwa

I-volvulus yamathumbu ingaqinisekiswa ngokuhlolwa kwezokwelapha ngokuhlangana nezinye izivivinyo ezifana ne-radiography yesisu noma i-computed yesisu esiswini.

Ngaphezu kwalokho, udokotela futhi anga-oda i-opaque enema, okuyisivivinyo esithile esisebenzisa ukungafani ukubona yonke inkambo yamathumbu nokukhomba izinkinga ezingaba khona endleleni yamathumbu, njengakulezi zimo. Qonda ukuthi lokhu kuhlolwa kusebenza kanjani.

Yelashwa kanjani

Ifindo lamathumbu yisimo esiphuthumayo sezokwelapha, futhi kufanele welashwe ngokushesha esibhedlela. Indlela yokwelashwa esetshenziswa kakhulu inqubo yokuhlinza ebizwa ngokuthi i-decompressive colonoscopy, ekwazi ukuqeda ukuqubuka nokuvumela igazi nendle kudlule ngokujwayelekile futhi.

Kodwa-ke, ezimweni ezinzima kakhulu, lapho ukuhlukunyezwa kunzima ukukuqeda noma amathumbu ahlaselwe yisifo senhliziyo ngenxa yokuntuleka kwegazi, udokotela angakhetha ukuhlinzwa okujwayelekile ngokunqunywa esiswini ukuze kususwe ingxenye isitho esigulayo.

Kulezi zimo, uma ingxenye ekhishiwe inkulu kakhulu, kungadingeka ukuthi ube ne-colostomy, equkethe ukuxhumana okuhlala njalo kwamathumbu esikhumbeni sesisu ukuvumela indle ukuba iphume. Bona ukuthi kuyini nokuthi unganakekela kanjani i-colostomy.