Inversion yamathumbu

Ukuguqulwa kwamathumbu kungenye yezinhlobo zokuvimbela okukhulu, okwenzeka lapho isimo esivamile se-loops emathunjini siphazamiseka: ziphikisana phakathi kwazo noma ezizungeze i-axis of the mesentery. Ngalokhu kuphazamiseka, ukuhamba okukhululekile emathunjini okuqukethwe kwawo kuphazanyiswa, kufaka, kufaka, ukuphelelwa amandla kwamanzi nokudakwa komzimba kwenzeka.

Uma isikhathi singasetshenzisiwe, ukukhulelwa kwamathumbu, i-peritonitis, ukuvuvukala kwe-peritoneum, i-influction yamathumbu kungenzeka.

Ngokuvamile kunesifo samathumbu amancane, kanye nokuphenduka kwe-sigmoid ne-cecum.

Izimbangela zokuvinjelwa kwamathumbu

Ngokuvamile umuntu angase abe nesimo esinqunyiwe samathumbu, ngenxa yezici ze-anatomy. Isibilini sinamathele eludongeni lwe-peritoneal nge-mesentery, futhi uma lokho kuyinde kakhulu noma kuncane, amathuba okuthi isisindo somathumbu singakwazi ukuyijikeleza sikhulu kakhulu. Esinye imbangela singase sibe isifo sokuvuvukala somzimba, okwenziwa ngesikhathi esifanayo, okwenza izingxenye zamathumbu ziguqulwe futhi zidale izimo zokubukeka kwamathumbu. Ezimweni ezinjalo, kungase kube nokunyakaza okwanele, ukwelashwa ngokweqile, ukuze isilonda sibheke emasendeni.

Kodwa ukuvinjelwa kungenzeke ngokungabikho kwezizathu ezingenhla.

Ake sizame ukuthola ukuthi amantombazane asukaphi.

Ukuze kubonakale ukuvinjelwa, kwanele ukuchichima enye yamalokhi emathumbu, okuzoqala ukuzungeza izingodo zamahhala, okubangela ukuvinjelwa. Lokhu kuphuphuma kungenzeka ngenxa yokusetshenziswa kokudla okutshaliwe, emva kokuzila okude isikhathi eside, nokuqotshwa njalo.

Kukholelwa ukuthi izitshalo zemifino, abantu abadla ukudla okuncane, namadoda angaphezu kuka-40 abhekene nale nkinga ngaphezulu.

Izimpawu zesibindi sokuvula

Isibonakaliso sokuqala nesisemqoka siphuca ubuhlungu esiswini, okuyinto ekhula kancane kancane futhi sihlale sinomphela. Isibonakaliso sesibili ukungabi khona kwezitshalo namagesi. Kwezinye izimo, amagesi angabalekela, kodwa ayikho isikhala. Esikhathini esizayo kukhona ukuwohloka okuvamile kwesimo, isicanucanu nokuhlanza, ukubhubhisa, futhi kutholakala nesimo sokungafani. Izimpawu noma, ngokuphambene nalokho, ukuthambekela okungavamile kwezindawo ngabanye kungase kwenzeke.

Ukuguquka kwamathumbu amancane kunika izimpawu ezinzima kakhulu nobudlova. Ubuhlungu enkabayeni bukhula ngokushesha, ukubhubhisa, ukucwenga, ukuhlanza, ukuphazamisa, ukuncipha kwengcindezi yegazi, i-tachycardia.

Ukuzivuvukala kwe-Sigmoid colon ngokuvamile kulandelwa ukuqwashisa okungapheli kanye nobuhlungu obukhulu (okuthiwa yiziphetho ezingaphelele).

Ukuguquka noma ukuhlaselwa kwamathumbu?

Ukungena emathunjini yilowo ohlalayo ngezinye izikhathi ukhuluma ngokuphambene nokuvuthwa kwamathumbu, ngoba kulokhu kukhona nokuphulwa kwesimo sabo esivamile. Noma kunjalo, imithi ihlukanisa ngendlela ehlukile yokuvimbela uhlobo oluxubile.

Uma i-intussusception, esinye sezigaba zamathumbu sifakwa ngaphakathi kwe-lumen yenye. Amapulangwe emithambo ngendlela ye-telescope, indlela yokuhamba kwezinto ezigqamile futhi ivinjelwa izimpawu ezifana nalabo abane-gut flap. Ngokuvamile, ukungena ngemvume kwenzeka ezinganeni ezingaphansi kweminyaka eyodwa futhi kudinga ukuhlinzwa.

Ukwelashwa kokuvinjelwa kwamathumbu

Uma uguqula amathumbu omuthi, kuyadingeka ukuba usheshe ufike esibhedlela ukuze unqume ukuthi ingabe ingxenye yezinambuzane kwenzeka, futhi ukungenelela okudingekile. Ukwelashwa kwe-inversion kuvame ukuqhutshwa ngezindlela zokuhlinzeka, futhi ekuqaleni ukusebenza kwenziwa, amathuba okuba nomphumela omuhle. Ngenxa yokuguquka, ukuphuka kwamathumbu kungase kwenzeke, i-peritonitis ithuthuke, futhi ukugqokwa kwegazi emathunjini kungabangela i-necrosis yayo, lapho kususwa khona ingxenye yamathumbu. Uma kuthathwa izinyathelo ezingapheli, kungenzeka ukuthi umphumela obulalayo, ngenxa ye-sepsis jikelele.

Amapulangwe we-colon sigmoid ngezinye izikhathi angaqondiswa ngezindlela eziqaphayo, ngosizo lwe-enemas, kodwa isinqumo sokwelashwa okunjalo singenziwa kuphela ngososayensi.