Masumbu emimba

Dumbu remuviri riri kuzvimba mune chimwe chikamu chedumbu nzvimbo (dumbu).

Huru hwepamuviri hunowanzo kuwanikwa panguva yekujaidzwa kwepanyama. Kazhinji yenguva, iyo hure inokura zvishoma nezvishoma. Unogona kusakwanisa kunzwa kuwanda.

Kuwana kurwadziwa kunobatsira wako mupi wekuchengetedza hutano kuti aongorore. Semuenzaniso, dumbu rinogona kukamurwa munzvimbo ina:

• Kurudyi-yepamusoro quadrant
• Kuruboshwe-kumusoro quadrant
• Kurudyi-pasi quadrant
• Kuruboshwe-kwakadzika quadrant

Mamwe mazwi anoshandiswa kutsvaga nzvimbo yemarwadzo emimba kana masasi anosanganisira:

• Epigastric - pakati pemimba pazasi pembabvu chete
• Periumbilical - nzvimbo yakatenderedza dumbu bhatani

Iyo nzvimbo yehuremu uye kuomarara kwayo, magadzirirwo, uye humwe hunhu hunogona kupa zviitiso kuchikonzero chayo.

Mamiriro ezvinhu akati wandei anogona kukonzera dumbu uremu:

• Abdominal aortic aneurysm inogona kukonzeresa kurovera kwakakomberedza guvhu.
• Bladder distension (weti dundira pamusoro-izere nehunyoro) inogona kukonzera kusimba kwakasimba pakati pezasi kwedumbu pamusoro pemabhonzo epamuviri. Muzviitiko zvakanyanya, inogona kusvika kumusoro kumusoro seguvhu.
• Cholecystitis inogona kukonzera iyo nyoro nyoro iyo inonzwika pazasi pechiropa mune kurudyi-kumusoro quadrant (pano neapo).
• Kenza yekoloni inogona kukonzera kuwanda chero kupi zvako mudumbu.
• Chirwere cheCrohn kana hutachiona hunokonzeresa hunogona kukonzeresa manyoro, massage-akaumbwa masasi chero mudumbu.
• Diverticulitis inogona kukonzera kuwanda kunowanzo kuve kuruboshwe-wezasi quadrant.
• Gallbladder bundu rinogona kukonzera nyoro, isina kuumbwa zvakaenzana mune kurudyi-kumusoro quadrant.
• Hydronephrosis (itsvo yakazadzwa nemvura) inogona kukonzeresa, kupfava-kunzwa huremu mune rimwe kana mativi ese kana kuenda kumashure (kumucheto kwenzvimbo).
• Kenza yeitsvo dzimwe nguva inogona kukonzera kuwanda mudumbu.
• Gomarara rechiropa rinogona kukonzera yakasimba, ine tumarara mune yekurudyi yepamusoro quadrant.
• Kuwedzera kwechiropa (hepatomegaly) kunogona kukonzera yakasimba, isina kujairika uremu pazasi pembambo yekurudyi, kana kuruboshwe mudumbu nzvimbo.
• Neuroblastoma, bundu rekenza rinowanzo kuwanikwa mudumbu rezasi rinogona kukonzera kuwanda (kenza iyi inowanzoitika kuvana nevacheche).
• Ovarian cyst inogona kukonzeresa, yakatenderera, yerabha yakawanda pamusoro pechiuno mudumbu rezasi.
• Pancreatic abscess inogona kukonzera kuwanda mudumbu repamusoro munzvimbo yepigastric.
• Pancreatic pseudocyst inogona kukonzeresa bundu mudumbu repamusoro munzvimbo yepigastric.
• Renal cell carcinoma inogona kukonzera kutsetseka, kusimba, asi kwete hunyoro hure padyo neitsvo (kazhinji zvinongobata itsvo imwe).
• Kuwedzera kwepleen (splenomegaly) dzimwe nguva kunogona kunzwika kuruboshwe-kumusoro quadrant.
• Gomarara redumbu rinogona kukonzera kuwanda mune yekuruboshwe-kumusoro dumbu mudumbu nzvimbo (epigastric) kana kenza iri hombe.
• Uterine leiomyoma (fibroids) inogona kukonzera kutenderera, bundu rakareba pamusoro pechiuno mudumbu rezasi (dzimwe nguva inogona kunzwika kana iyo fibroids iri hombe).
• Volvulus inogona kukonzera kuwanda chero mudumbu.
• Ureteropelvic junction kuvharidzira kunogona kukonzera kuwanda mudumbu rezasi.

Masumbu ese emudumbu anofanirwa kuongororwa nekukurumidza sezvinobvira nemupi.

Kuchinja chinzvimbo chako chemuviri kunogona kubatsira kudzikamisa marwadzo nekuda kwemuviri wepamuviri.

Wana rubatsiro rwechiremba ipapo ipapo kana uine bundu rinopomba mudumbu rako pamwe nekurwadziwa kwakanyanya kwemudumbu. Ichi chingave chiratidzo cheakakororwa aortic aneurysm, inova mamiriro ekukurumidzira.

Bata mupi wako kana iwe ukaona chero mhando yemimba dumbu.

Mune zvisingaite emergency mamiriro, wako mupi achaita bvunzo dzepanyama uye obvunza mibvunzo nezve ako zviratidzo uye nhoroondo yekurapa.

Mumamiriro ekukurumidzira, iwe unozotanga kugadzikana. Ipapo, mupi wako anoongorora dumbu rako uye obvunza mibvunzo nezve ako zviratidzo uye nhoroondo yekurapa, senge:

• Misa iri kupi?
• Wakaona rini riya?
• Inouya ichienda here?
• Massa akachinja muhukuru kana chinzvimbo? Izvo zvave zvakanyanya kana zvishoma kurwadza?
• Ndezvipi zvimwe zviratidzo zvaunazvo?

Kuongorora kwepilvic kana rectal kunogona kudikanwa mune dzimwe nguva. Miedzo inogona kuitwa kutsvaga chikonzero chedumbu uremu inosanganisira:

• Abdominal CT scan
• Abdominal ultrasound
• Abdominal x-ray
• Angiography
• Barium enema
• Ropa bvunzo senge CBC uye ropa kemisitiri
• Colonoscopy
• EGD
• Isotope kudzidza
• Sigmoidoscopy

Misa mudumbu

• Anatomical mamaki emunhu mukuru - pamberi pekutarisa
• Kugaya chirongwa
• Matumbu eFibroid
• Aortic aneurysm

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.