Dumbu remukaka

Perforation iburi rinobuda kuburikidza nemadziro enhengo yemuviri. Dambudziko iri rinogona kuitika mudumbu, mudumbu, ura hudiki, ura hukuru, rectum, kana nduru.

Kukanganiswa kwenhengo kunogona kukonzerwa nezvakasiyana zvinhu. Izvi zvinosanganisira:

• Appendicitis
• Gomarara (mhando dzese)
• Chirwere cheCrohn
• Diverticulitis
• Gallbladder chirwere
• Peptic ulcer chirwere
• Ulcerative colitis
• Kuvhara ura
• Chemotherapy vamiririri
• Kuwedzera kumanikidza mudumbu kunokonzerwa nekurutsa zvine simba
• Kuiswa kwezvinhu zvinokonzeresa

Inogona zvakare kukonzerwa nekuvhiyiwa mudumbu kana maitiro senge colonoscopy kana yepamusoro endoscopy.

Kukanganiswa kwemukati kana zvimwe nhengo kunokonzeresa kuti zvirimo zvinyurire mudumbu. Izvi zvinokonzera chirwere chakakomba chinonzi peritonitis.

Zviratidzo zvinogona kusanganisira:

• Kutambudzika kwakanyanya kwepamuviri
• Kutonhora
• Kupindwa nechando
• Nausea
• Kusvipa
• Shock

X-ray dzechifuva kana dumbu dzinogona kuratidza mweya mudumbu. Iyi inonzi mweya wakasununguka. Icho chiratidzo chekuchema. Kana iyo yegurokuro yakakwenenzverwa yemahara mweya inogona kuonekwa mune mediastinum (yakatenderedza moyo) uye muchipfuva.

CT scan yedumbu inowanzo kuratidza panowanikwa gomba. Iyo chena masero eropa kuverenga inowanzo kuve yakakwira kupfuura zvakajairwa.

Maitiro anogona kubatsira kuwana iyo nzvimbo yeiyo perforation, senge yepamusoro endoscopy (EGD) kana colonoscopy.

Kurapa kazhinji kunosanganisira kuvhiyiwa kwechimbichimbi kugadzirisa gomba.

• Dzimwe nguva, chikamu chidiki chemukati chinofanira kubviswa. Kumwe kuguma kwetumbu kunogona kuburitswa kuburikidza nekuvhura (stoma) kunoitwa mudumbu remudumbu. Izvi zvinonzi colostomy kana ileostomy.
• Iyo yekudonha kubva mudumbu kana imwe nhengo inogona zvakare kudikanwa.

Muzviitiko zvisingawanzoitika, vanhu vanogona kurapwa nemishonga inorwisa mabhakitiriya chete kana iyo perforation yakavharwa. Izvi zvinogona kusimbiswa nekuongororwa kwemuviri, kuongororwa kweropa, CT scan, uye x-ray.

Kuvhiya kuri kubudirira nguva zhinji. Nekudaro, mhedzisiro yacho inoenderana nekuti kukomba kwacho kwakanyanya sei, uye nekureba kwenguva yaivepo usati warapwa. Kuvapo kwezvimwewo zvirwere kunokanganisa mashandiro anoita munhu mushure mekurapwa.

Kunyangwe nekuvhiyiwa, hutachiona ndicho chinonyanya kunetsa mamiriro acho. Hutachiona hunogona kunge huri mukati medumbu (dumbu rebundu kana peritonitis), kana mukati memuviri wese. Hutachiona hwemuviri hwese hunonzi sepsis. Sepsis inogona kuve yakakomba uye inogona kutungamira kurufu.

Fonera wako mupi wezvehutano kana iwe uine:

• Ropa muzvigaro zvako
• Shanduko mutsika
• Kupindwa nechando
• Nausea
• Kutambudzika kwakanyanya kwepamuviri
• Kusvipa
• Fonera 911 ipapo ipapo kana iwe kana mumwe munhu akanwa chinhu chinokonzera.

Fonera yemunharaunda chepfu kudzora centre emergency emergency panhamba 1-800-222-1222 kana munhu akanwa chinhu chinokonzera. Iyi hotline nhamba inokurega iwe utaure nenyanzvi mune chepfu.

Usamirire kusvikira munhu ave nezviratidzo usati wadana rubatsiro.

Vanhu vanowanzo kuve nemazuva mashoma ekurwadziwa pamberi pematumbo kupera. Kana iwe uchirwadziwa mudumbu, ona wako mupi ipapo ipapo. Kurapa kuri nyore uye kwakachengeteka kana kwatanga pasati paitika kuora.

Utumbo kupora; Kukanganiswa kwematumbo; Gastric kuputika; Esophageal kupera

• Kugaya chirongwa
• Digestive system nhengo

Matthews JB, Turaga K. Kuvhiya peritonitis uye zvimwe zvirwere zveparitoneum, mesentery, omentum, uye diaphragm. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 39.

Squires R, Carter SN, Postier RG. Dumbu rakaoma. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chitsamba 45.

Wagner JP, Chen DC, Barie PS, Hiatt JR. Peritonitis uye hutachiona hwemukati. Mune: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, eds. Chinyorwa cheCritical Care. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 99.