Kugadziriswa kwematumbo kugadzirisa

Kugadziriswa kwemukati wemukati kuvhiya kunovhiringidza ura. Kuvhiringidza ura kunoitika kana zvirimo mumatumbu zvisingakwanise kupfuura nekubuda mumuviri. Kuvhiringidzika kwakazara chiitiko chekuvhiya.

Kugadziriswa kwemukati wemukati kunoitwa iwe uri pasi peanesthesia. Izvi zvinoreva kuti wakarara uye haunzwi kurwadziwa.

Chiremba anovhiya anocheka mudumbu rako kuti aone ura hwako. Dzimwe nguva, kuvhiyiwa kunogona kuitwa uchishandisa laparoscope, zvinoreva kuti zvidimbu zvidiki zvinoshandiswa.

Chiremba anovhenekera nzvimbo yemukati mako (ura) yakavharwa uye kuizarura.

Chero zvikamu zvakakanganiswa zvemuviri wako zvichagadziriswa kana kubviswa. Iyi nzira inonzi hutumbu resection. Kana chikamu chikabviswa, magumo ane hutano anozobatanidzwazve nesiteki kana sadza. Dzimwe nguva, kana chikamu chemuura chikabviswa, magumo haakwanise kubatanidzwazve. Kana izvi zvikaitika, chiremba anovhiya anounza mugumo mumwe kuburikidza nekuvhura mudumbu remadziro. Izvi zvinogona kuitwa uchishandisa colostomy kana ileostomy.

Maitiro aya anoitwa kurerutsa kuvhara mudumbu rako. Kuvharika kunogara kwenguva yakareba kunogona kudzora kana kuvhara kuyerera kweropa kunzvimbo. Izvi zvinogona kukonzera ura kufa.

Ngozi dzeanesthesia uye kuvhiyiwa kazhinji zvinosanganisira:

• Reaction kumishonga, matambudziko ekufema
• Kubuda ropa, kugwamba kweropa, hutachiona

Ngozi dzeiyi nzira:

• Kuvhiringidzika kwemuviri mushure mekuvhiyiwa
• Kukuvadza kunhengo dziri pedyo mumuviri
• Kuumbwa kwemavara matsvuku (adhesions)
• Zvimwe zvinyama zvinyoro zvinogadzira mudumbu rako uye zvichikonzera kuvharika kwematumbo ako mune ramangwana
• Kuvhura kwemakona ematumbu ako akasonerwa pamwechete (anastomotic leak), izvo zvinogona kukonzera matambudziko anotyisidzira hupenyu
• Matambudziko neiyo colostomy kana ileostomy
• Kwepanguva yekuoma mitezo (kutonhora kumusoro) kwechirwere (akaoma mitezo ileus)

Zvinotora nguva yakareba sei kuti uwanezve zvinoenderana nehutano hwako hwese uye nemhando yekushanda.

Mhedzisiro yacho inowanzo kuve yakanaka kana iko kuvharirwa kuchirapwa maronda oyerera asati abatwa.

Vanhu vakave nekuvhiyiwa kwakawanda mudumbu vanogona kugadzira zvinyama zvitsvuku. Ivo vanowanzo kuve nechavhiringidza ura mune ramangwana.

Kugadziriswa kwe volvulus; Dumbu volvulus - kugadzirisa; Kuvhiringidza ura - kugadzirisa

• Bland kudya
• Kuchinja homwe yako yeostomy
• Ileostomy uye kudya kwako
• Ileostomy - kutarisira stoma yako
• Ileostomy - kuchinja homwe yako
• Ileostomy - kubuda
• Ileostomy - chii chekubvunza chiremba wako
• Utumbo kana hutumbo - kuturika
• Chikafu chakaderera-fiber
• Kuchengeta ronda rekuvhiya - rakavhurika
• Mhando dze ileostomy
• Paunenge uine kusvotwa uye kurutsa

• Intussusception - x-ray
• Asati uye mushure madiki ura anastomosis
• Utachiona hwekudzivirira (wevana) - akateedzana
• Kugadziriswa kwemukati wemukati - akateedzana

Gearhart SL, Kelley MP. Manejimendi yekudzivirira kukuru kwehosha. Mune: Cameron AM, Cameron JL, eds. Parizvino Kuvhiya Therapy. 13 ed. Philadelphia, PA: Elsevier; 2020: 202-207.

Mahmoud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Colon uye rectum. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya: Iyo Biological Hwaro hweMazuva Ano Kuvhiya Maitiro. 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 Chirwere: Pathophysiology / Diagnosis / Management. 11th ed. Philadelphia, PA: Elsevier; 2021: chitsiko 123.