Utumbo hwemukati (mesentery infarction): chii zvazviri, zviratidzo uye kurapwa

Zvemukati

• Zviratidzo zvikuru
• Maitiro ekusimbisa kuongororwa
• Kurapwa kunoitwa sei
• Sequelae yemukumbo infarction
• Possible zvikonzero zvemuviri infarction

Mazhinji matumbu infarction anoitika kana tsinga, inotakura ropa kuenda mudumbu kana guru ura, yakavharwa nejira uye inodzivirira ropa kuti risapfuure neoksijeni kunzvimbo dziri mushure meganda, zvichitungamira kurufu rwechikamu ichocho chemuura uye kugadzira zviratidzo zvakadai sekurwadziwa zvakanyanya kwedumbu, kurutsa uye fivha, semuenzaniso.

Uye zvakare, ura infarction inogona kuitikawo mutsinga munzvimbo yemesentery, inova iyo membrane inobata ura. Kana izvi zvikaitika, ropa harigone kubuda mumatumbo kuenda kuchiropa uye, nekudaro, ropa rine okisijeni zvakare harigone kuenderera richitenderera mumatumbu, zvichizoguma nemhedzisiro imwechete seyeriar infarction.

Utumbo hwemukati hunorapika, asi iri mamiriro ekukurumidzira uye, nekudaro, kana paine fungidziro, zvakakosha kuti ukurumidze kuenda kuchimbichimbi kamuri, kunosimbisa kuongororwa uye kutanga kurapwa kwakakodzera, kuitira kudzivirira chikamu chikuru che ura hunobatwa.

Zviratidzo zvikuru

Zviratidzo zvakajairika mune nyaya yehutachiona infarction zvinosanganisira:

• Kurwadziwa kwakanyanya mudumbu, uko kunowedzera mukufamba kwenguva;
• Kuzvimba kunzwa mudumbu;
• Kusvotwa uye kurutsa;
• Fivha iri pamusoro pe 38ºC;
• Dhairrhea ine ropa muzvigaro.

Zviratidzo izvi zvinogona kuerekana zvaitika kana kukura zvishoma nezvishoma kwemazuva akati wandei, zvichienderana nehukuru hwenzvimbo inobatwa neschemia uye kuomarara kwekudzivirira.

Nekudaro, kana paine kurwadziwa kwakanyanya mudumbu kana kusingagadzirike mushure memaawa matatu zvakakosha kuti uende kuchipatara kunoona dambudziko uye kutanga kurapwa kwakakodzera, nekuti zvinogona kunge zviri mudumbu.

Maitiro ekusimbisa kuongororwa

Kugadzira kuongororwa kwemukati wemukati, chiremba anogona kuraira bvunzo dzakasiyana senge angiographic magnetic resonance, angiography, mudumbu computed tomography, ultrasound, X-ray, kuongororwa kweropa uye kunyange endoscopy kana colonoscopy, kuona kuti zviratidzo hazvisi kukonzerwa ne mamwe matambudziko ekugaya, akadai semaronda kana appendicitis, semuenzaniso.

Kurapwa kunoitwa sei

Kurapa kwehutachiona infarction kunogona kutanga neaccutter arterial catheterization uye hemodynamic kugadzikana, kana nekuvhiya kubvisa iyo clot uye kumutsidzira kutenderera kweropa mumudziyo wakakuvara, mukuwedzera kubvisa iro rese remukati ura iro rakabviswa.

Asati avhiyiwa, chiremba anogona kurega kushandisa mishonga inogona kuvharira tsinga dzeropa, senge migraine zvinodhaka, kurapa chirwere chemwoyo uye kunyangwe mamwe marudzi ehormone.

Mune zvimwe zviitiko, zvingave zvichiri kudikanwa kutora mishonga inorwisa mabhakitiriya usati uye mushure mekuvhiyiwa kudzivirira kukura kwehutachiona muhutachiona hwakabatwa.

Sequelae yemukumbo infarction

Imwe yeakajairika sequelae yeischemia mumatumbo ndiko kudiwa kwekuve neostomy. Izvi zvinodaro nekuti, zvinoenderana neuwandu hwemukati hwakabviswa, chiremba anovhiya anogona kutadza kubatanidza ura ku anus uye, nekudaro, zvinofanirwa kuita kubatana zvakananga paganda redumbu, zvichibvumira cheya kuti itizire mukati homwe diki.

Pamusoro pezvo, nekubvisa ura, munhu wacho zvakare ane ura hupfupi uhwo, zvinoenderana nechikamu chakabviswa, chinokonzeresa kunwiswa kwemamwe mavitamini nemaminerari, uye zvakakosha kuchinjisa chikafu. Ona zvimwe nezve ichi chirwere uye kuti chikafu chinofanira kunge chiri sei.

Possible zvikonzero zvemuviri infarction

Kunyangwe hosha yemukati ichiitika zvisingawanzoitika, pane njodzi yakawedzera muvanhu:

• Anopfuura makore makumi matanhatu ekuberekwa;
• Nemazinga epamusoro echolesterol;
• Uine ulcerative colitis, chirwere cheCrohn kana diverticulitis;
• Murume;
• Ne Neoplasms;
• Ndivanaani vakavhiya mudumbu;
• Nekenza mune yekugaya system.

Pamusoro pezvo, vakadzi vanoshandisa piritsi rekudzivirira kuberekwa kana vane nhumbu vanewo mukana wekuwedzera wekugwamba nekuda kwekuchinja kwehomoni, saka vanogona kuvandudza chirwere mukati meura.