Kuvhiringidzika kwematumbo uye Ileus

Kuvhiringidzika kwematumbo idiki kana izere yekuvhara ura. Zviri mukati medumbu hazvigone kupfuura napo.

Kuvharirwa kwematumbo kungave kuri nekuda kwe:

• Chikonzero chinogadzirwa, zvinoreva kuti chimwe chinhu chiri munzira
• Ileus, mamiriro ayo ura husingashande nemazvo, asi hapana dambudziko rehurongwa hunoukonzera

Akaoma mitezo ileus, inonziwo pseudo-kuvharidzira, ndicho chimwe chezvikonzero zvikuru zvekudzivirira kwematumbo muvacheche nevana. Zvinokonzera ileus yakafa mitezo inogona kusanganisira:

• Hutachiona kana hutachiona hunokonzera hutachiona hutachiona (gastroenteritis)
• Kemikari, electrolyte, kana kusaenzana kwemamineral (senge yakaderera potassium level)
• Kuvhiyiwa kwemimba
• Yakadzikira kupa ropa kune ura
• Zvirwere mukati medumbu, senge appendicitis
• Itsvo kana chirwere chemapapu
• Kushandiswa kwemimwe mishonga, kunyanya zvinodhaka

Mechanical zvikonzero zvekudzivirira kwemukati zvinogona kusanganisira:

• Adhesions kana zvinyama zvinyoro zvinoumba mushure mekuvhiyiwa
• Mitumbi yekune dzimwe nyika (zvinhu zvinomedzwa uye zvinodzivirira ura)
• Matombo (zvisingawanzoitiki)
• Hernias
• Yakagadziriswa chigaro
• Intussusception (telescoping yechimwe chikamu chemuviri kupinda chimwe)
• Mamota anovhara ura
• Volvulus (ura hwakakombama)

Zviratidzo zvinogona kusanganisira:

• Abdominal kuzvimba (distension)
• Kuzara kwemukati, gasi
• Kutambudzika kwepamuviri uye kupwanya
• Kufema kunhuwa
• Kuzvimbirwa
• Manyoka
• Kusakwanisa kupfuudza gasi
• Kusvipa

Munguva yekuongorora kwepanyama, mutapi wezvehutano anogona kuwana kuputika, unyoro, kana hernias mudumbu.

Miedzo inoratidza kuvharirwa inosanganisira:

• Abdominal CT scan
• Abdominal x-ray
• Barium enema
• Kumusoro GI uye mudiki ura akateedzana

Kurapa kunosanganisira kuisa chubhu kuburikidza nemhino mudumbu kana ura. Uku kubatsira kubvisa kuzvimba kwepamuviri (distension) uye kurutsa. Volvulus yemuhomba hombe inogona kurapwa nekupfuudza chubhu mukati meiyo rectum.

Kuvhiya kungangodikanwa kudzikamisa iyo yekuvhiringidza kana iyo tube ikasabvisa zviratidzo. Inogona zvakare kudikanwa kana paine zviratidzo zvekufa kwetishu.

Mhedzisiro inoenderana nechikonzero chekuvhara. Kazhinji yenguva, iyo chikonzero inorapwa zvinobudirira.

Matambudziko anogona kusanganisira kana kutungamira ku:

• Electrolyte (ropa kemikari nemakemikari) kusaenzana
• Kupera mvura mumuviri
• Hole (perforation) muura
• Utachiona
• Jaundice (yero yeganda nemeso)

Kana iko kutadzisa kuchidzivirira kuendesa kweropa muura, kunogona kukonzera hutachiona uye kufa kwetishu (gonda). Njodzi dzekufa kwetishu dzakabatana nechikonzero chekuvharika uye kuti yave yakareba sei. Hernias, volvulus, uye intussusception zvinotakura njodzi yepamusoro.

Mune achangozvarwa, ileus yakafa mitezo inoparadza ura madziro (necrotizing enterocolitis) mamiriro anotyisidzira hupenyu. Inogona kutungamira kuropa uye hutachiona hutachiona.

Fonera mupiki wako kana iwe:

• Haikwanisi kupfuura chigaro kana gasi
• Iva nedumbu rakazvimba (distension) risingapere
• Ramba uchirutsa
• Iva nekurwadziwa kwepamuviri kusingatsanangurike kusingaendi

Kudzivirira kunoenderana nechikonzero. Kurapa mamiriro, akadai semamota uye hernias ayo anogona kutungamira mukuvharika, anogona kudzikisa njodzi yako.

Zvimwe zvezvikonzero zvekudzivirira hazvigone kudzivirirwa.

Wakaremara ileus; Utumbo volvulus; Kuvhiringidza ura; Ileus; Pseudo-kuvhiringidza - ura; Colonic ileus; Diki ura kutadzisa

• Bvisa mvura yekudya
• Chizere chemvura chikafu
• Yakakura ura resection - kubuda
• Diki ura resection - kubuda
• Yese colectomy kana proctocolectomy - kubuda

• Kugaya chirongwa
• Ileus - x-ray yeakakanganiswa ura uye mudumbu
• Ileus - x-ray yemudumbu kutenderera
• Intussusception - x-ray
• Volvulus - x-ray
• Diki ura kutadzisa - x-ray
• Diki ura resection - akateedzana

Harris JW, Evers BM. Utumbo hudiki. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 49.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon uye rectum. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 20th ed. Philadelphia, PA: Elsevier; 2017: chits. 51.

Unofanira WC, Turnage RH. Kuvhiringidzika kwematumbo. Muna: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger uye Fordtran's Gastrointestinal uye Chirwere Chiropa. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 123.