Chii chinonzi Intussusception? Zviratidzo, Zvinokonzera, & Kurapa

Intussusception inoitika kana chikamu chimwe chechidumbu chako chikapinda mukati mechikamu chimwe, sekunge terekopu ichidzika mukati mayo. Izvi zvinoita kuti pave nechinhu chinodzivirira chikafu nemachira kuti zvisafambe zvakanaka mune yako digestive system.

Kunyangwe mamiriro ezvinhu aya achinzwa aitya, kunzwisisa kuti chii chinoitika kunogona kukubatsira kuziva zviratidzo uye kuwana kurapwa kwakakodzera nekukurumidza. Kazhinji kesi dzinowanikwa muvana vaduku nevana vaduku, kunyangwe vakuru vanogona kuzviwanawo nekuda kwezvikonzero zvakasiyana.

Intussusception chii?

Intussusception ndipo panenge chikamu chechidumbu chako chikapinda mukati mechikamu chiri pedyo nacho. Funga nezvazvo sekukanda chikamu chimwe chesoka mukati mechikamu chimwe - mudumbu zvinonyanya "kumedza" chacho.

Iyi folding inoita kuti pave nechinhu chinodzivirira mune yako digestive tract. Chikafu, mvura, uye digestive juices hazvigone kupfuura munzvimbo yakavharwa zvakanaka. Chidumbu chakapindawo chinomanikidzwa, izvo zvinogona kukamura ropa rayo kana risina kurapwa nekukurumidza.

Mamiriro ezvinhu kazhinji anokanganisa nzvimbo iyo yako small intestine inosangana ne yako large intestine. Zvisinei, inogona kuitika chero kupi zvako munzira yako yemudumbu, zvichienderana nezviri kukonzera.

Ndeapi zviratidzo zve intussusception?

Zviratidzo zvinogona kusiyana zvichienderana nezera rako, asi kurwadziwa kwakasimba kwemudumbu kazhinji ndicho chiratidzo chekutanga uye chakajeka. Muvana vaduku nevana vaduku, kurwadziwa kazhinji kunouya mafungu, zvichiita kuti varire zvakanyanya uye zvinoita sekunge zvakanaka pakati pemaitiro.

Heano zviratidzo zvikuru zvekuchengetedza:

• Kurwadziwa kwakapfupi, kwakasimba kwemudumbu kunouya uye kunopera
• Kurutsa, kunyanya kana kuri girini kana yero
• Ropa mumukaka, izvo zvinogona kutaridzika seredo jelly
• Chimiro chesausage-shaped chinogona kunzwa mudumbu
• Makumbo akakweverwa kumucheto wechifuva panguva yekurwadziwa
• Kusagadzikana kwakanyanya muvana
• Kusuruvara kana hope dzisingawanzo
• Kuramba kudya kana kunwa

Muvakuru, zviratidzo zvinogona kuve zvishoma nezvishoma uye zvinogona kusanganisira kurwadziwa kwenguva refu kwemudumbu, kusvotwa, uye kuchinja mumaitiro emukaka. Zviratidzo zvevakuru kazhinji hazvina simba sekune vana, izvo zvinogona kuita kuti kuongororwa kuve kwakaoma.

Chii chinokonzera intussusception?

Zvinokonzera zvinowanzosiyana pakati pevana nevakuru. Muvana nevana vaduku vane makore anopfuura maviri, kazhinji hapana chikonzero chakajeka - zvinongoitikawo sezvikamu zvekuvandudzika kwemwana.

Zvinokonzera zvakajairika muvana zvinosanganisira:

• Zvirwere zvehutachiona zvinokonzera kuzvimba mune intestinal tissues
• Enlarged lymph nodes mune intestinal wall
• Kuita kwemudumbu kwakajairika kunokanganisa
• Chirwere chachangopfuura chinokanganisa digestive system

Muvakuru, intussusception kazhinji ine chikonzero chinokonzera chinobatanidza se "lead point" - chimwe chinhu chinokwevera chikamu chimwe chechidumbu mukati mechikamu chimwe. Izvi zvinokonzera zvinosanganisira:

• Intestinal polyps (kukura duku)
• Tumors, zvose zvine cancer uye zvisina cancer
• Tishu dzekare kubva kumapereji ekare
• Inflammatory bowel disease
• Meckel's diverticulum (pouch duku mudumbu)

Dzimwe nguva mishonga, kunyanya iyo inokanganisa kufamba kwemudumbu, inogona kuita kuti intussusception iite muvanhu vanokanganisika.

Rini unofanira kuona chiremba nekuda kwe intussusception?

Unofanira kutsvaga rubatsiro rwekurapa nekukurumidza kana iwe kana mwana wako akaratidza zviratidzo zve intussusception. Iyi mamiriro ezvinhu ari dambudziko rekurapa rinoda kurapwa nekukurumidza kudzivirira matambudziko akakomba.

Dana 911 kana enda ku emergency room nekukurumidza kana ukaona kurwadziwa kwakasimba kwemudumbu kunouya mafungu, kunyanya kana kusanganiswa nekurutsa kana ropa mumukaka. Usamirire kuona kana zviratidzo zvichinzwa zviri nani zvega.

Muvana, tarisa maitiro ekurwadziwa kwakasimba apo vanokwevera makumbo avo kumucheto wechifuva, vachiteverwa nemakore apo vanoita sekaneta kana kunyarara zvisingawanzoitika. Iyi nzira, yakasanganiswa nekurutsa kana kuchinja mumaitiro emukaka, inoda kuongororwa nekukurumidza kwemishonga.

Kunyangwe usina chokwadi zvachose, zviri nani kuti uve nemunhu wehutano anoongorora zviratidzo zvinotyisa. Kurapwa kwakakurumidza kunotungamira kumigumisiro iri nani uye kunogona kudzivirira kudikanwa kwemaitiro anopinda zvakanyanya.

Ndeapi njodzi dze intussusception?

Zvinhu zvakati wandei zvinogona kuwedzera mukana wekuwana intussusception. Zera ndiro njodzi huru, nemazhinji emakisi achiitika muvana vane makore pakati pemakore matanhatu nemwedzi miviri.

Njodzi dzevana dzinosanganisira:

• Zera pakati pemwedzi mitanhatu nemakore maviri
• Kuve murume (vakomana vanokanganiswa kazhinji kupfuura vasikana)
• Chirwere chachangopfuura chehutachiona kana chirwere chemudumbu
• Kuve ne intussusception kare
• Zvimwe zvirwere zvemajini zvinokanganisa matumbo

Njodzi dzevakuru dzakasiyana uye dzinosanganisira:

• Kuve ne intestinal polyps kana tumors
• Kuita kwemudumbu kare kwakaita kuti pave ne tishu dzekare
• Inflammatory bowel disease senge Crohn's disease
• Kutora mishonga yakati ine simba inokanganisa kufamba kwemudumbu
• Kuve ne anatomical abnormalities yematumbo

Kuve neaya njodzi hazvirevi kuti iwe uchava ne intussusception, asi kuziva nezvayo kunogona kukubatsira kuziva zviratidzo nekukurumidza kana zvikaitika.

Ndeapi matambudziko anogona kuitika e intussusception?

Pasina kurapwa nekukurumidza, intussusception inogona kutungamira kumatambudziko akakomba anotyisidzira hutano hwako nehupenyu hwako. Nyaya inonyanya kunetseka ndeyekuti mudumbu wakapinda unogona kurasikirwa neropa rayo, zvichiita kuti tishu idye.

Heano matambudziko makuru anogona kuitika:

• Kufa kwetishu dzemudumbu nekuda kwekurasikirwa neropa
• Intestinal perforation (gomba mune intestinal wall)
• Kuora mwero kwakanyanya nekuda kwekurutsa uye kusakwanisa kudya
• Utachiona mune abdominal cavity
• Shock nekuda kwekurasikirwa nemvura uye zvinhu zvinokuvadza
• Sepsis (utachiona hwakakomba hwakapararira mumuviri)

Aya matambudziko kazhinji anoitika mukati memaawa makumi maviri nemana kusvika makumi manomwe nembiri kana intussusception isina kugadziriswa. Ndosaka kuwana kurapwa nekukurumidza kwakakosha - kurapwa kwakakurumidza kunogona kudzivirira aya matambudziko ese akakomba.

Muitiro usina kujairika, kunyange mushure mekurapwa kwakabudirira, vamwe vanhu vanogona kuwana matambudziko emudumbu anoramba aripo kana kuumba adhesions (tishu dzekare) izvo zvinogona kukonzera matambudziko emudumbu mune ramangwana.

Intussusception inoziviswa sei?

Vachiremba vanowanzo tanga nekuongorora kwemuviri uye nhoroondo yekurapa kunzwisisa zviratidzo zvako. Vachabata zvinyoro nyoro mudumbu rako kuongorora chimiro chesausage-shaped uye kuteerera kurira kwemudumbu kwasingawanzoitika.

Kuongororwa kwakajairika ndiko ultrasound yemudumbu. Iyi kuongorora kwemifananidzo isina kurwadza kunogona kuratidza mudumbu wakapinda uye kusimbisa kuongororwa mune mazhinji emakisi, kunyanya muvana.

Mimwe miedzo yechiremba wako inogona kushandisa inosanganisira:

• CT scan ye mifananidzo yakadzama yematumbo
• X-rays kutsvaga zviratidzo zvechinhu chinodzivirira
• Barium kana air enema, izvo zvinogona kurapa mamiriro ezvinhu panguva yekuongorora
• Miedzo yeropa kuongorora utachiona kana kuora mwero

Muitiro usina kujairika, kuongororwa kwacho kunogona kugadzirisa dambudziko. Air enema kana barium enema inoita kuti pave nechinhu chinomanikidza chinogona kukanda mudumbu wakapinda kudzokera munzvimbo yake yakajairika, kunyanya muvana.

Kurapa kwe intussusception chii?

Kurapa kunotsamira pazvinhu zvakati wandei kusanganisira zera rako, kwenguva yakareba sei wava nezviratidzo, uye kana matambudziko akaitika. Chinangwa ndechekudzorera mudumbu uye kudzorera basa rakajairika nekukurumidza sezvinobvira.

Kune vana, vanachiremba vanowanzo edza kurapwa kusina kuvhiya kutanga. Air enema kana barium enema inoshandisa kumanikidza kwakadzoreka kukanda mudumbu wakapinda kudzokera munzvimbo.

Kurapwa kuvhiya kunogona kudikanwa kana:

• Nzira dzisingashandisi kuvhiya dzisingashande
• Zviratidzo zvavepo kwemaawa anopfuura makumi maviri nemana
• Kune zviratidzo zvekukuvara kwemudumbu
• Murwere ari mukuru (kuvhiya kazhinji ndicho chisarudzo chekutanga)
• Matambudziko senge perforation akaitika

Panguva yekuvhiya, chiremba anokanda mudumbu kudzokera munzvimbo yake yakajairika. Kana chero tishu dzemudumbu dzakafa, chikamu ichocho chingada kubviswa uye magumo ane hutano akabatana zvakare.

Mushure mekurapwa, vanhu vazhinji vanodzoka zvakazara pasina migumisiro yakareba. Kugara muchipatara kazhinji kunenge kwenguva pfupi, kubva pazuva rimwe kusvika matatu zvichienderana nenzira yekurapa yakashandiswa.

Nzira yekutarisira kupora kumba?

Kutarisira kupora kunotarisa pakudzorera yako digestive system kudzokera kune basa rakajairika uye kudzivirira matambudziko. Chiremba wako achakupa mirairo chaiyo zvichienderana ne kurapwa kwawakagamuchira.

Mumazuva mashomanana ekutanga mushure mekurapwa, iwe uchagara uchitanga nemvura yakajeka uye zvishoma nezvishoma uchienda kuchiwiri chikafu sezvo matumbo ako achitanga kushanda zvakajairika zvakare. Izvi zvinogona kusanganisira broth, mvura, uye electrolyte solutions usati wafambira kuchiwiri chikafu.

Matanho ekutarisira kumba anosanganisira:

• Kutevera mirairo yechiremba wako yekudyisa zvakanyatsonaka
• Kutarisa zviratidzo zvekurwara zvakare
• Kutora mishonga yakanyorwa sezvakarayirwa
• Kuchengeta kucheka kuvhiya kwakachena uye kuoma kana uine kuvhiya
• Kuchengetedza mvura yakakwana nemvura yakabvumirwa
• Kuwanisa zororo rakakwana kuti ubatsire kupora

Taura nechiremba wako nekukurumidza kana ukaona kurwadziwa kwemudumbu kunodzokazve, kurutsa, fivha, kana chero zviratidzo zvinoratidza kuti intussusception yakadzoka. Vanhu vazhinji vanonzwa vakadzoka munzvimbo mukati mevhiki kana mbiri.

Ungagadzirira sei kuenda kuchiremba?

Kana uchifunga kuti intussusception, iyi kazhinji iri mamiriro ekukurumidza anoda rubatsiro rwekurapa nekukurumidza panzvimbo yekuenda kuchiremba. Zvisinei, kugadzirira kunogona kubatsira vashandi vezvokurapa kupa rubatsiro rwakanaka nekukurumidza.

Nyora kana yeuka ruzivo rwakakosha nezvezviratidzo, kusanganisira pavakatanga, kuti zvakanyanya sei, uye chii chinoita kuti zvive nani kana zvakanyanya kuipa. Cherechedza chero zvirwere zvachangopfuura, mishonga, kana kuchinja mumaitiro ekudya.

Uye uunze ruzivo rwakakosha newe:

• Ruzivo rwemishonga iripo uye dosages
• Nhoroondo yekurapa, kunyanya kuvhiya kwemudumbu kare
• Ruzivo rweinshurensi uye zvinhu zvekutsanangura
• Ruzivo rwekutaurirana nechiremba wako wekare
• Zivo nezvekuti zviratidzo zvakatangira riini uye nzira yacho

Kana izvi zviri kuitika kumwana wako, edza kugara wakadzikama uye unofadza. Uye uunze zvinhu zvinofadza senge toy kana bhanketi kana zvichibvira. Kuve nemunhu mukuru newe kunogona kubatsira pakutsigira uye kubatsira kutaura nevashandi vezvokurapa.

Chii chinonyanya kukosha nezve intussusception?

Intussusception iri mamiriro akakomba asi anorapika apo chikamu chechidumbu chinopinda mukati mayo, zvichiita kuti pave nechinhu chinodzivirira. Kuziva nekukurumidza uye kurapwa zvakakosha kwazvo kuti uve nemhedzisiro yakanaka uye kudzivirira matambudziko.

Chinhu chakakosha chokuyeuka ndechekuti kurwadziwa kwakasimba kwemudumbu kunouya mafungu, kunyanya nekurutsa kana ropa mumukaka, kunoda rubatsiro rwekurapa nekukurumidza. Usamirire kuona kana zviratidzo zvichinzwa zviri nani - kurapwa kwakakurumidza kunonyanya kushanda uye kusina kuvhunduka.

Kunyangwe intussusception ichinzwa ichitya, vanhu vazhinji vanowana kurapwa nekukurumidza vanodzoka zvakazara pasina migumisiro yakareba. Chinhu chikuru ndechekuziva zviratidzo uye kuwana rubatsiro rwekurapa nekukurumidza.

Tenda pfungwa dzako semubereki kana paunenge uchiongorora zviratidzo zvako. Kana chimwe chinhu chichiita sekusina kunaka nekurwadziwa kwemudumbu, zviri nani kuti utsvake kuongororwa kwemishonga pane kumirira uye kuona.

Mibvunzo inobvunzwa kazhinji nezve intussusception

Intussusception inogona kuitika kakawanda here?

Hungu, intussusception inogona kudzokazve, kunyangwe isingawanzoitika. Anenge 5-10% yevanhu vakambova ne intussusception vanogona kuzviwana zvakare, kazhinji mukati memwedzi mishoma mushure mekutanga. Izvi zvinonyanya kuitika kana paine mamiriro ezvinhu akakonzera kutanga. Kana wakambova ne intussusception kare, zvakakosha kuziva zviratidzo uye kutsvaga rubatsiro rwekurapa nekukurumidza kana zvikadzoka.

Intussusception inorwadza here kune vana vasina kukwanisa kukuudza kuti chii chiri kukanganisa?

Hungu, intussusception inokonzera kurwadziwa kwakanyanya muvana, uye vachakuratidza izvi kuburikidza nemaitiro avo. Tarisa maitiro ekurwadziwa kwakasimba apo mwana anokwevera makumbo ake kumucheto wechifuva, vachiteverwa nemakore apo vanoita sekaneta kana kunyarara zvisingawanzoitika. Mwana anogona kuramba kudya, kurutsa, kana kuita sekunetsa kana uka bata mudumbu ravo. Aya maitiro ekushanduka ndiwo nzira yemwana yekutaura kuti chimwe chinhu chakakomba chiri kukanganisa.

Intussusception inoda kurapwa nekukurumidza sei?

Intussusception inofanira kurapwa nekukurumidza sezvinobvira, zviri nani mukati memaawa makumi maviri nemana ekutanga kwezviratidzo. Kurapwa kwakakurumidza kunotanga, mukana wakakura wekuti nzira dzisingashandisi kuvhiya dzichashanda uye njodzi shoma yematambudziko. Mushure memaawa makumi maviri nemana kusvika makumi mana nemasere, njodzi yekukuvara kwetishu dzemudumbu inowedzera zvakanyanya, uye kuvhiya kunonyanya kudikanwa. Ndosaka ichifungwa sedambudziko rekukurumidza.

Unogona kudzivirira intussusception here kuti irege kuitika?

Mumazhinji emakisi, kunyanya muvana vaduku, intussusception haigone kudzivirirwa nekuti kazhinji hapana chikonzero chinogona kuzivikanwa. Zvisinei, unogona kuderedza njodzi dzakati wandei nekugara uchitevera kurapwa kwemishonga, kurapa mamiriro ezvinhu akakomba senge inflammatory bowel disease, uye kutsvaga kurapwa nekukurumidza kwezviratidzo zvakakomba zvemudumbu. Muvakuru, kutarisira mamiriro ezvinhu anogona kutungamira ku intussusception, senge polyps kana tumors, kunogona kubatsira kuderedza njodzi.

Chii chiri musiyano pakati pe intussusception nezvimwe zvinokonzera kurwadziwa kwemudumbu?

Intussusception kazhinji inokonzera kurwadziwa kwakasimba kunouya mafungu, kazhinji kusanganiswa nekurutsa uye dzimwe nguva ropa mumukaka. Maitiro ekurwadziwa kazhinji anenge akanyanya uye anogona kuita kuti mwana arire asingagumi, wobva aita sekunge ari nani pakati pemaitiro. Zvimwe zvinokonzera kurwadziwa kwemudumbu, senge gastroenteritis kana appendicitis, zvine maitiro akasiyana - gastroenteritis kazhinji inosanganisira manyoka uye kusvotwa kwakawanda, nepo appendicitis kazhinji inokonzera kurwadziwa kwakanyanya kunowedzera nekufamba kwenguva uye kazhinji kutanga kumativi emudumbu usati wafambira kurudyi.