Kukakavadzana - vana

Kupokana ndiko kutsvedza kwechimwe chikamu chemuura kupinda mune chimwe.

Ichi chinyorwa chinotarisa mukufunga mukati mevana.

Intussusception inokonzerwa nechikamu chemuura chiri kudhonzwa mukati mukati mayo mukati.

Iko kumanikidza kunogadzirwa nemadziro ematumbo kutsikirira pamwechete kunokonzera:

• Kuderera kweropa
• Kushatirwa
• Kuzvimba

Intussusception inogona kudzivisa kupfuura kwechikafu kuburikidza nemukati. Kana kupihwa kweropa kukatemwa, chidimbu chemuura chakadhonzwa mukati chinogona kufa. Kubuda ropa kwakanyanya kunogona kuitika. Kana gomba rikatanga, hutachiona, kukatyamadzwa, uye kupera simba kwemvura kunogona kuitika nekukurumidza zvakanyanya.

Chikonzero chekufungisisa hachizivikanwe. Mamiriro ezvinhu anogona kutungamira kuchinetso anosanganisira:

• Utachiona hwehutachiona
• Yakawedzera lymph node mumatumbu
• Polyp kana bundu muura

Intussusception inogona kukanganisa vese vana nevakuru. Izvo zvinowanzoitika kune vakomana. Inowanzo bata vana vane makore mashanu kusvika pamakore matatu.

Chiratidzo chekutanga chekufungisisa kazhinji chinongoerekana chaitika, kuchema kukuru kunokonzerwa nekurwadziwa mudumbu. Iko kurwadziwa kuri colicky uye hakusi kuenderera (kwepakati), asi kunodzoka kazhinji. Marwadzo acho anowedzera kusimba uye anogara kwenguva yakareba nguva yega yega painodzoka.

Mucheche ane kurwadziwa kwakanyanya mudumbu anogona kukwevera mabvi pachipfuva achichema.

Zvimwe zviratidzo zvinosanganisira:

• Ropa, mamasi-senge ura kufamba, dzimwe nguva kunonzi "currant jelly" chigaro
• Kupindwa nechando
• Kuvhunduka (rakachenuruka ruvara, kuneta, kudikitira)
• Chitsvina chakasanganiswa neropa uye mamasi
• Kusvipa

Mutapi wako wezvehutano achaita bvunzo yakakwana, iyo inogona kuburitsa huwandu mudumbu. Panogona zvakare kuve nezviratidzo zvekushayikwa kwemvura kana kuvhunduka.

Miedzo inogona kusanganisira:

• Abdominal ultrasound
• Abdominal x-ray
• Mhepo kana kusiyanisa enema

Mwana anotanga kugadzikana. Chubhu inozopfuudzwa mudumbu kuburikidza nemhino (nasogastric tube). Mutsetse (IV) unoiswa mutsinga uchaiswa paruoko, uye zvinwiwa zvinopihwa kudzivirira kupera mvura mumuviri.

Mune zvimwe zviitiko, ura hwekuvhara hunogona kurapwa nemhepo kana musiyano enema. Izvi zvinoitwa ne radiologist ane hunyanzvi nemaitiro acho. Pane njodzi yekubvarura ura (kupera) nemaitiro aya.

Mwana anoda kuvhiyiwa kana izvi zvikasashanda. Iyo matumbu matumbu anogona kazhinji kuponeswa. Zvinyama zvakafa zvichabviswa.

Mishonga inorwisa mabhakitiriya inogona kudiwa kubata chero hutachiona.

Kudyisa uye mvura inoyerera inoenderera mberi kusvikira mwana ave nehutano hwese.

Mhedzisiro yacho yakanaka nekutanga kurapwa. Pane njodzi dambudziko iri richadzoka.

Kana gomba kana kubvarura ura zvikaitika, zvinofanirwa kurapwa ipapo ipapo. Kana ikasarapwa, intussusception inowanzo kuve inouraya kune vacheche nevana vadiki.

Intussusception ndeyekurapa kwekukurumidzira. Fonera 911 kana kuenda kuchimbichimbi mukamuri ipapo.

Kusuruvara kwepamuviri muvana - kushushikana

• Colonoscopy
• Intussusception - x-ray
• Digestive system nhengo

Hu YY, Jensen T, Finck C. Kuvhiya kweiyo dumbu ura muvacheche nevana. Mune: Yeo CJ, ed. Kuvhiya kwaShackelford kweAlimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: chitsuwa 83.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Ileus, adhesions, intussusception, uye kuvhara-loop kutadzisa. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chitsiko 359.

Maloney PJ. Matambudziko emimba. Mune: Masvingo RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Concepts uye Clinical Practice. 9th ed. Philadelphia, PA: Elsevier; 2018: chits. 171.