Intussusception

Intussusception (in-tuh-suh-SEP-shun) chirwere chakakomba umo chikamu chechidumbu chinopinda mukati mechikamu chechidumbu chiri pedyo. Iyi nzira yekupinda mukati inowanzomisa chikafu kana mvura kuti ipfuure. Intussusception inodzimawo ropa rinopinda muchikamu chechidumbu chakabatwa. Izvi zvinogona kukonzera hutachiona, kufa kwezvinyama zvechidumbu kana kuparara kwechidumbu, kunonzi perforation.

Vana

Chiratidzo chekutanga cheintussusception mumwana ane hutano zvachose chingave kurira kwenguva pfupi, kwakasimba kunokonzerwa nekurwadziwa kwemudumbu. Vacheche vane kurwadziwa kwemudumbu vanogona kukwevera magaro avo kumabvi avo pavanochema.

Kurwadziwa kweintussusception kunouya nekunoenda, kazhinji ose maminitsi 15 kusvika ku20 pakutanga. Aya matambudziko anorwadza anogara kwenguva refu uye anoitika kazhinji sezvo nguva ichifamba.

Zvimwe zviratidzo zveintussusception zvinosanganisira:

• Matumbu akasanganiswa neropa nemafuta — dzimwe nguva anonzi matumbu e jelly currant nekuda kwekutaridzika kwaro.
• Kuita manyoka.
• Bvudzi mudumbu.
• Kushaya simba kana kushayikwa kwesimba.
• Manyoka.

Havasi vose vane zviratidzo zvose. Vamwe vacheche havaoneke kurwadziwa. Vamwe vana havafambisi ropa kana kuva nebvudzi mudumbu. Uye vamwe vana vakura vane kurwadziwa asi pasina zvimwe zviratidzo.

Intussusception inoda kutarisirwa kwekukurumidza kwemishonga. Kana iwe kana mwana wako akawana zviratidzo zvakanyorwa pamusoro apa, tsvaka rubatsiro rwekurapa nekukurumidza.

Muvana vaduku, kukwevera magaro kuenda pachipfuva nekukuvara kazhinji zviratidzo zvekukuvadzwa kwemudumbu.

Intestine yako ine chimiro se chubhu refu. Mukukuwa kweintussusception, chikamu chimwe chezamu rako - kazhinji ura duku - chinopinda mukati mechikamu chiri pedyo. Izvi dzimwe nguva zvinonzi telescoping nekuti zvakafanana nekuti telescope inopinda mukati.

Muimwe mimwe nguva muvakuru, telescoping inokonzerwa nekukura kwemukati meura, sekunge polyp kana tumor, inonzi lead point. Kuita kwenguva dzose kwemukati meura kunobata lead point iyi uye kunoidhonza pamwe ne lining yeura mukati meura riri pamberi payo. Zvisinei, muzviitiko zvizhinji, hapana chikonzero chinogona kuwanikwa cheintussusception.

Zvinokonzera ngozi yeintussusception zvinosanganisira:

• Age. Vana — kunyanya vana vaduku — vane mukana mukuru wekuwana intussusception kupfuura vakuru. Iyo ndiyo inonyanya kukonzera bowel obstruction muvana vane makore kubva pamwedzi mitanhatu kusvika ku3.
• Sex. Intussusception inowanzokanganisa vakomana.
• Kuumbwa kwematumbu kwakasiyana pakuumbwa. Intestinal malrotation chirwere umo ura harukure kana kutenderera zvakanaka. Izvi zvinoita kuti mukana weintussusception uwedzere.
• Zvimwe zvirwere. Zvimwe zvirwere zvinogona kuwedzera mukana weintussusception, kusanganisira:
  • Cystic fibrosis.
  • Henoch-Schonlein purpura, inozivikanwawo seIgA vasculitis.
  • Crohn's disease.
  • Celiac disease.

Intussusception inogona kukochekera ropa kunzvimbo yakabatwa yematumbu. Kana ikasarapirwa, kushayikwa kweropa kunokonzera kuti tishu dzemadziro etumbo dzife. Kufa kwetishu kunogona kukonzera kuchema padziro yematumbu, kunonzi perforation. Izvi zvinogona kukonzera hutachiona hwe lining yemukati mechidumbu, inozivikanwa se peritonitis.

Peritonitis chirwere chinotyisa hupenyu chinodiridza kurapwa nekukurumidza. Zviratidzo zve peritonitis zvinosanganisira:

• Kurwadziwa kwemudumbu.
• Kuchema munzvimbo yemudumbu.
• Fivha.
• Kuita manyoka.

Peritonitis inogona kukonzera mwana wako kupinda mukati mekuvhunduka. Zviratidzo zvekuvhunduka zvinosanganisira:

• ganda rinotonhora, rinonamira rinogona kunge rakasviba kana rakacheneruka.
• Ropa rinorema uye rinokurumidza.
• Kufema kunogona kunge kuri kurerutsa uye kwakadzika kana kukurumidza kwazvo.
• Kunetseka kana kusagadzikana.
• Kushaya simba kwazvo.

Mwana ari pangozi anogona kuva akabatwa nepfungwa kana asina. Kana iwe uchifunga kuti mwana wako ari pangozi, tsvaga rubatsiro rwekurapa nekukurumidza.

Chiremba wenyu kana wemwana wenyu anotanga nekutora nhoroondo yezviratidzo zvedambudziko racho. Chiremba angakwanisa kunzwa bofu rakangoita sedanda mudumbu. Kusimbisa chirwere ichi, chiremba wenyu angarayira:

• Ultrasound kana mamwe maekisi-rei edumbu. Ultrasound, X-ray kana computerized tomography (CT) scan inogona kuratidza kuvhara kwematumbu kunokonzerwa ne intussusception. Kuongorora kwemifananidzo kunowanzo ratidza "bull's-eye," ichimiririra ura hwakapoteredzwa mukati memuta. Kuongorora kwemifananidzo yedumbu kunogonawo kuratidza kana ura rakaputsika (perforated).