Megokoni ine chepfu

Inotyisa megacolon inoitika kana kuzvimba uye kuzvimba kuchipararira munzvimbo dzakadzika dzekoloni yako. Nekuda kweizvozvo, colon inorega kushanda uye kuwedzera. Muzviitiko zvakakomba, colon inogona kuputika.

Izwi rekuti "chepfu" rinoreva kuti dambudziko iri rine njodzi huru. Megacolon ine chepfu inogona kuitika muvanhu vane colon inopisa nekuda kwe:

• Ulcerative colitis, kana chirwere cheCrohn chisina kunyatsodzorwa
• Zvirwere zvekoloni senge Clostridioides difficile
• Ischemic bowel chirwere

Mamwe mafomu megacolon anosanganisira pseudo-obstruction, acute colonic ileus, kana congenital colonic dilation. Aya mamiriro haabatanidze ane hutachiona kana anopisa colon.

Kuwedzera nekukurumidza kwekoloni kunogona kukonzera kuti zviratidzo zvinotevera zviitike kwenguva pfupi.

• Inorwadza, yakatsemurwa dumbu
• Fivha (sepsis)
• Manyoka (kazhinji ane ropa)

Anopa hutano anoita bvunzo dzepanyama. Zviwanikwa zvinogona kusanganisira:

• Unyoro mudumbu
• Yakaderedzwa kana isipo matumbu mhere

Bvunzo dzinogona kuratidza zviratidzo zvekuvhunduka, senge:

• Yakawedzera kurova kwemoyo
• Mamiriro epfungwa anochinja
• Kukurumidza kurova kwemoyo
• Kuderera kweropa

Iye mupi anogona kuraira chero eanotevera bvunzo:

• Abdominal x-ray, ultrasound, CT scan, kana MRI scan
• Ropa electrolyte
• Yakazara kuverenga ropa

Kurapa kwechirwere chakatungamira kune chepfu megacolon inosanganisira:

• Steroid nemimwe mishonga inodzvinyirira immune system
• Mishonga inorwisa mabhakitiriya

Kana iwe uine septic kuvhunduka, iwe unozopinzwa muchipatara chevanonyanya kutarisirwa muchipatara. Kurapa kunogona kusanganisira:

• Kufema muchina (mechina kufefetedza)
• Dialysis yeitsvo kutadza
• Mishonga yekurapa yakaderera BP, hutachiona, kana kushomeka kweropa
• Mvura inopihwa yakananga mutsinga
• Okisijeni

Kana kukurumidza kukurumidza kusarapwa, kuvhura kana kuputika kunogona kuumba mukoloni. Kana mamiriro acho akasavandudzika nekurapwa, kuvhiya kuchazodiwa kubvisa chikamu kana chekoloni rese.

Iwe unogona kugamuchira maantibayoti kudzivirira sepsis (chirwere chakakomba).

Kana mamiriro acho akasavandudzika, anogona kuuraya. Kuvhiya kwekoloni kunowanzo kudikanwa mumamiriro ezvinhu akadaro.

Zvinetso zvinogona kusanganisira:

• Kukanganiswa kwekoloni
• Sepsis
• Shock
• Rufu

Enda kuimba yekukurumidzira kana kufonera iyo yemuno emergency emergency (yakadai se911) kana iwe ukava nekurwadziwa kwakanyanya mudumbu, kunyanya kana iwe zvakare uine:

• Manyoka eropa
• Kupindwa nechando
• Kakawanda manyoka
• Kukurumidza kurova kwemoyo
• Unyoro apo dumbu rakatsikirirwa
• Kusununguka kwemukati

Kurapa zvirwere zvinokonzeresa zvine chepfu megacolon, senge ulcerative colitis kana chirwere cheCrohn, zvinogona kudzivirira mamiriro aya.

Kusvibiswa kwechefu kwekoloni; Megarectum; Chirwere chinoputira chirwere - megacolon ine chepfu; Chirwere cheCrohn - chepfu megacolon; Ulcerative colitis - chepfu megacolon

• Kugaya chirongwa
• Megokoni ine chepfu
• Chirwere cheCrohn - nzvimbo dzakakanganiswa
• Ulcerative colitis
• Digestive system nhengo

Lichtenstein GR. Chirwere chekuputira ura. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chitsiko 132.

Nishtala MV, Benlice C, Steele SR. Manejimendi ine chepfu megacolon. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 180-185.

Peterson MA, Wu AW. Kushungurudzika kweura hukuru. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 85.