Volvulus - hudiki

Volvulus kumonyorora kwematumbo kunogona kuitika muhucheche. Izvo zvinokonzeresa kuvharika uko kunogona kudimbura kuyerera kweropa. Chikamu chemuura chinogona kukuvara semhedzisiro.

Kuremara kwekuberekwa kunodaidzwa kuti "intestinal malrotation" kunogona kuita kuti mucheche angangoita volvulus. Nekudaro, volvulus inogona kuitika pasina mamiriro aya aripo.

Volvulus nekuda kwekusagadzikana kunowanzoitika mugore rekutanga rehupenyu.

Zviratidzo zvakajairika zvevolvulus ndezvi:

• Ropa kana rakasviba zvituru zvituru
• Kuzvimbirwa kana kunetsekana kuburitsa zvituru
• Dumbu rakakanganisika
• Marwadzo kana unyoro mudumbu
• Kusvotwa kana kurutsa
• Shock
• Kusvipa zvakasvibirira zvinhu

Zviratidzo zvinowanzo kuve zvakanyanya. Mucheche mune dzakadai anoendeswa kuimba yekukurumidzira. Kurapa kwekutanga kunogona kukosha pakupona.

Wako wekuchengeta hutano anogona kuraira anotevera bvunzo kuti aongorore mamiriro acho:

• Barium enema
• Ropa bvunzo kutarisa maelectrolyte
• CT scan
• Stool guaiac (inoratidza ropa muchitsiko)
• Kumusoro GI dzakateedzana

Mune zvimwe zviitiko, colonoscopy inogona kushandiswa kugadzirisa dambudziko. Izvi zvinosanganisira kushandisa chubhu inochinjika ine mwenje kumagumo inopfuudzwa mukoloni (ura hukuru) kuburikidza nereke.

Kuvhiyiwa kwechimbichimbi kunowanzodiwa kugadzirisa volvulus. Kucheka kwekuvhiya kunoitwa mudumbu. Hura uhu hauna kusukwa uye ropa rinowedzerwa.

Kana chidimbu chidiki chemuviri chafa nekushaikwa kweropa kuyerera (necrotic), inobviswa. Iwo magumo emuura anobva asonwa pamwechete. Kana, ivo vanoshandiswa kugadzira kubatana kwematumbo nekunze kwemuviri (colostomy kana ileostomy). Zvirimo zvemukati zvinogona kubviswa kuburikidza nekuvhura uku.

Kazhinji yenguva, kukurumidza kuongororwa uye kurapwa kwevolvulus kunotungamira kune yakanaka mhedzisiro.

Kana ura hwafa, maonero haana kunaka. Mamiriro acho anogona kuve anouraya, zvichienderana nekuti ura hwakawanda zvakadii hwafa.

Zvinogona kuitika matambudziko e volvulus ndeaya:

• Sekondari peritonitis
• Ipfupi ura chirwere (mushure mekubviswa kwechikamu chikuru chemuviri mudiki)

Iyi ndiyo mamiriro ekukurumidzira. Zviratidzo zvehudiki volvulus zvinokurumidza uye mwana anozorwara zvakanyanya. Wana kurapwa pakarepo kana izvi zvikaitika.

Uduku volvulus; Dumbu kurwadziwa - volvulus

• Volvulus
• Volvulus - x-ray

Maqbool A, Liacouras CA. Zviratidzo zvikuru uye zviratidzo zvekunetseka kwepamuviri. Mune: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Chinyorwa chePediatrics. 21st ed. Philadelphia, PA: Elsevier; 2020: chits. 332.

Mokha J. Kusvipa uye kusvotwa. Mune: Wyllie R, Hyams JS, Kay M, eds. Chiremba Gastrointestinal uye Chirwere Chiropa. 6th ed. Philadelphia, PA: Elsevier; 2021: chits. 8.

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.

Turay F, Rudolph JA. Chikafu uye gastroenterology. Mune: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier; 2018: chits. 11.