Ruzha rwemudumbu

Ruzha rwemudumbu ndirwo ruzha rwunoitwa nematumbu.

Abdominal kurira (ura kurira) kunoitwa nekufamba kwematumbo sezvavanosundira chikafu kuburikidza. Ura uhwo husina basa, saka ura hunonzwika mudumbu zvakanyanya senge ruzha runonzwika kubva pombi dzemvura.

Mazhinji matumbu anonzwika. Zvinongoreva kuti dumbu remudumbu riri kushanda. Anopa hutano anotarisa matumbu emimba nekuteerera padumbu ne stethoscope (auscultation).

Mazhinji matumbu mhere haakuvadzi. Nekudaro, pane zvimwe zviitiko umo maruzha asina kujairika anogona kuratidza dambudziko.

Ileus mamiriro mune kushomeka kwematumbo. Mamiriro mazhinji ekurapa anogona kutungamira kune ileus. Dambudziko iri rinogona kukonzeresa gasi, zvinwiwa, uye zvirimo mumatumbu kuvaka nekupaza (kupaza) ura hwemadziro. Iye mupi anogona kunge asingakwanise kunzwa chero huturu hwekunzwa kana uchiteerera padumbu.

Yakaderedzwa (hypoactive) ura mutsindo unosanganisira kudzikisira kune ruzha, toni, kana kujairika kwemisindo. Iwo mucherechedzo wekuti mudumbu chiitiko chakadzikira.

Hypoactive bowel kurira kwakajairika panguva yekurara. Izvo zvinowanzoitikawo kwenguva pfupi mushure mekushandisa kwemimwe mishonga uye mushure mekuvhiyiwa mudumbu. Kupera kana kusavapo kwehururu manzwi anowanzo kuratidza kupatira.

Yakawedzera (hyperactive) ura mhere dzimwe nguva inogona kunzwika kunyangwe isina stethoscope. Hyperactive bowel kurira kunoreva kuti kune kuwedzera kwemukati wemukati chiitiko. Izvi zvinogona kuitika nemanyoka kana mushure mekudya.

Manzwi edumbu anogara achiongororwa pamwe nezviratidzo zvakaita se:

• Gasi
• Nausea
• Kuvapo kana kusavapo kwematumbu
• Kusvipa

Kana ura marira ari hypoactive kana hyperactive uye paine zvimwe zvisina kujairika zviratidzo, iwe unofanirwa kuenderera nekutevera-pamwe nemupi wako.

Semuenzaniso, hapana ura hunonzwika mushure menguva yekusagadzikana kwehururu manzwi anogona kureva kuti pane kuputika kwematumbo, kana kudzipwa kwetumbo nerufu (necrosis) yematumbo.

Yakanyanya-yakadzika matumbu mhere inogona kunge iri chiratidzo chekutanga kutapukira.

Mazhinji eruzha iwe rwaunonzwa mudumbu uye matumbo anokonzerwa nekujairika kugaya. Ivo havasi chikonzero chekufunganya. Mamiriro ezvinhu mazhinji anogona kukonzeresa kurira kwemoyo kana kwehunyengeri. Zvizhinji hazvikuvadzi uye hazvidi kurapwa.

Izvi zvinotevera runyorwa rweakakomba mamiriro anogona kukonzeresa ura kurira.

Hyperactive, hypoactive, kana kushaya ura mhere inogona kukonzerwa ne:

• Midziyo yeropa yakavharidzirwa inodzivirira ura kubva mukuwana kuyerera kwakakodzera kweropa. Semuenzaniso, kugwamba kweropa kunogona kukonzera mesenteric arteri kuvhara.
• Mechanical bowel kuvharirwa kunokonzerwa nehernia, bundu, kunamatira, kana zvimwe zvakafanana mamiriro anogona kuvharira ura.
• Akaoma mitezo ileus idambudziko nemitsipa kune ura.

Zvimwe zvikonzero zve hypoactive bowel kurira zvinosanganisira:

• Zvinodhaka zvinononoka kufamba mumatumbo senge maopiates (anosanganisira codeine), anticholinergics, uye phenothiazines
• General kutindivadza
• Radiation kune dumbu
• Spinal anesthesia
• Kuvhiya mudumbu

Zvimwe zvikonzero zvehutachiona husingaite marira anosanganisira:

• Chirwere cheCrohn
• Manyoka
• Zvokudya zvinopesana
• GI kubuda ropa
• Inotapukira enteritis
• Ulcerative colitis

Fonera mupiki wako kana iwe uine chero zviratidzo zvakaita se:

• Kubuda ropa kubva pane yako rectum
• Nausea
• Dhairrhea kana kuvimbiswa kunoenderera
• Kusvipa

Iye mupi anozokuongorora uye obvunza iwe mibvunzo nezve yako nhoroondo yezvokurapa uye zviratidzo. Unogona kubvunzwa:

• Ndezvipi zvimwe zviratidzo zvaunazvo?
• Une kurwadziwa nemudumbu here?
• Iwe unemanyoka kana kupatirwa?
• Iwe une dumbu rekushushikana here?
• Une gasi rakawandisa kana risipo (flatus)?
• Wati wamboona chero kubuda kweropa kubva kune rectum kana nhema zvituru?

Ungangoda bvunzo dzinotevera:

• Abdominal CT scan
• Abdominal x-ray
• Kuongororwa kweropa
• Endoscopy

Kana paine zviratidzo zvekukurumidzira, unozoendeswa kuchipatara. Chubhu inozoiswa kuburikidza nemhino kana muromo wako mudumbu kana ura. Izvi zvinodurura ura hwako. Muzviitiko zvakawanda, hauzobvumidzwa kudya kana kunwa chero chinhu kuitira kuti ura hwako hugogona kuzorora. Iwe unozopihwa zvinwiwa kuburikidza netsinga (intravenously).

Iwe unogona kupihwa mushonga wekudzora zviratidzo uye kurapa zvakakonzera dambudziko. Rudzi rwemushonga runoenderana nechakonzera dambudziko. Vamwe vanhu vangangoda kuvhiyiwa ipapo ipapo.

Uturu hunonzwika

• Akajairika mudumbu anatomy

Bhora JW, Dhayi JE, Flynn JA, Solomon BS, Stewart RW. Dumbu. Mune: Bhora JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, eds. Nhungamiro yaSeidel kuPhysical Examination. 9th ed. St Louis, MO: Elsevier; 2019: chits. 18.

Landmann A, Mabhondi M, Postier R. Dumbu rakanyanya. Mu: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Chinyorwa Chekuvhiya. 21st ed. St Louis, MO: Elsevier; 2022: chitsauko 46.

McQuaid KR. Kusvika kune murwere ane chirwere chemudumbu. Mune: Goldman L, Schafer AI, eds. Goldman-Cecil Mushonga. 26th ed. Philadelphia, PA: Elsevier; 2020: chap 123.