Ukuqunjelwa Kwezinye Zitho Zomzimba: Izimpawu, Izimbangela, Nokwelashwa

Ukuqunjelwa kwezinye zitho zomzimba kwenzeka lapho ingxenye yomthambo wakho igqoka kwenye ingxenye, njengoba i-telescope iwa phezu kwayo. Lokhu kudala isikhungo esivimbela ukudla namanzi ukuba angadluli ngokujwayelekile ohlelweni lwakho lokugaya ukudla.

Nakuba lesi simo sizwakala sisoyikisa, ukuqonda ukuthi kwenzekani kungakusiza ukuthi uqaphele izimpawu futhi uthole ukunakekelwa okufanele ngokushesha. Izimo eziningi zenzeka ezinganeni ezincane nasezinganeni ezincane, nakuba abantu abadala bangakuthola futhi ngezizathu ezahlukene.

Iyini ukuqunjelwa kwezinye zitho zomzimba?

Ukuqunjelwa kwezinye zitho zomzimba kwenzeka lapho ingxenye yomthambo wakho igqoka kwenye ingxenye eceleni kwayo. Cabanga ngakho njengokucindezela ingxenye yesokisi ngaphakathi kwenye ingxenye - umthambo ngokuyisisekelo "uzigwinya".

Lokhu kuqunjelwa kudala isikhungo esibucayi endleleni yakho yokugaya ukudla. Ukudla, amanzi, namajusi okugaya ukudla awukwazi ukudlula endaweni evaliwe ngokujwayelekile. Umthambo oqunjeliwe ucindezelwa futhi, okungasika ukunikezwa kwegazi kwalo uma ungelashwa ngokushesha.

Lesi simo sivame ukubathinta abantu endaweni lapho umthambo wakho omncane uhlangana khona nomthambo wakho omkhulu. Noma kunjalo, kungenzeka noma kuphi endleleni yakho yomthambo, kuye ngokuthi yini eyibangela.

Ziyini izimpawu zokuqunjelwa kwezinye zitho zomzimba?

Izimpawu zingase zihluke kuye ngobudala bakho, kodwa ubuhlungu obukhulu besisu ngokuvamile iyisibonakaliso sokuqala nesicacile kunazo zonke. Ezinganeni ezincane nasezinganeni ezincane, ubuhlungu buvame ukufika ngamaza, kubenza bakhale kakhulu bese kubonakala sengathi baphilile phakathi kwama-episodes.

Nawa ama-symptom aphambili okumelwe uwabukele:

• Ubuhlungu besisu obukhulu obuzumayo obuza futhi buyaphuma
• Ukugabha, ikakhulu uma lukhulu noma oluhlaza okwesibhakabhaka
• Igazi emathunjini, elingase libukeke njengejeli ebomvu
• I-sausage-shaped lump ongayizwa esiswini
• Imilenze ehuduleke phezulu ebeleni ngesikhathi se-pain episodes
• Ukukhathazeka okukhulu ezinganeni ezincane
• Ukuvilapha noma ukulala okungavamile
• Ukwenqaba ukudla noma ukuphuza

Kubantu abadala, izimpawu zingase zithuthuke kancane futhi zingafaka ubuhlungu besisu obuqhubekayo, isicanucanu, nokushintsha ekuhambeni kwamathumbu. Izimpawu zabantu abadala zivame ukuba zingekho ngokucacile kunasezinganeni, okungenza ukuxilongwa kube nzima kakhulu.

Yini ebangela ukuqunjelwa kwezinye zitho zomzimba?

Izimbangela zihluke kakhulu phakathi kwezingane nabantu abadala. Ezinganeni ezincane nasezinganeni ezincane ezingaphansi kweminyaka emi-2, ngokuvamile ayikho imbangela ecacile - kwenzeka nje njengengxenye yentuthuko evamile.

Izimbangela ezivamile ezinganeni zifaka:

• Ukutheleleka okuyisifo esibulalayo okubangela ukukhula kwezicubu zomthambo
• Ama-lymph nodes akhulu odongeni lomthambo
• Ukuqina komthambo okujwayelekile okungahambi kahle
• Ukugula kwamuva okubathinta ohlelweni lokugaya ukudla

Kubantu abadala, ukuqunjelwa kwezinye zitho zomzimba cishe kuhlale kunombangela ophambene oqala njenge-“lead point” - okuthile okuhudula ingxenye yomthambo kwenye. Lezi zimbangela zifaka:

• Ama-Intestinal polyps (ukukhula okuncane)
• Ama-tumors, kokubili amakhanda kanye ne-non-cancerous
• I-scar tissue evela ekuhlinzweni kwangaphambili
• I-Inflammatory bowel disease
• I-Meckel's diverticulum (isikhwama esincane esiswini)

Ngezinye izikhathi imithi, ikakhulukazi leyo ethonya ukuhamba komthambo, ingase ibe nomthelela ekuthuthukiseni ukuqunjelwa kwezinye zitho zomzimba kubantu abathintekayo.

Nini okumelwe ubone udokotela ngokuqunjelwa kwezinye zitho zomzimba?

Kumelwe ufuna ukunakekelwa kwezokwelapha ngokushesha uma wena noma ingane yakho ibonisa izimpawu zokuqunjelwa kwezinye zitho zomzimba. Lesi simo siyimbandakanyo yezokwelapha edinga ukwelashwa ngokushesha ukuvimbela ukuphazamiseka okukhulu.

Shaya u-911 noma uye endlini yokwelapha ngokushesha uma uqaphela ubuhlungu besisu obukhulu obuza ngamaza, ikakhulukazi uma buhlangene nokugabha noma igazi emathunjini. Ungalindi ukubona uma izimpawu ziphucuka zodwa.

Ezinganeni ezincane, qaphela ama-episodes okukhala okukhulu lapho zihudula khona imilenze yazo ebeleni, kulandele isikhathi lapho zibonakala zikhathele noma zithule ngokungavamile. Lesi sibonakaliso, sihlangene nokugabha noma ukushintsha ekuhambeni kwamathumbu, sidinga ukuhlolwa kwezokwelapha ngokushesha.

Ngisho noma awuqiniseki ngokuphelele, kuhlale kungcono ukuba unikezwe udokotela ukuhlola izimpawu ezinkulu. Ukwelashwa kwasekuqaleni kuholela emiphumeleni emihle kakhulu futhi kungavimbela isidingo sezindlela ezinamandla kakhulu.

Ziyini izinto ezingase zikwenze ube sengozini yokuqunjelwa kwezinye zitho zomzimba?

Izinto eziningi zingase zikwenze ube sengozini yokuqunjelwa kwezinye zitho zomzimba. Ubudala yiyona nto ebaluleke kakhulu, ngezimo eziningi ezenzeka ezinganeni eziphakathi nezinyanga ezi-6 neminyaka emi-2.

Izinto ezingase zikwenze ube sengozini ezinganeni zifaka:

• Ubudala phakathi nezinyanga ezi-6 neminyaka emi-2
• Ukuba owesilisa (amadoda athinteka kakhulu kunabesifazane)
• Ukugula kwamuva okuyisifo esibulalayo noma isisu
• Ukuba uke waba nokuqunjelwa kwezinye zitho zomzimba ngaphambili
• Izimo ezithile ze-genetic ezithinta ama-intestines

Izinto ezingase zikwenze ube sengozini kubantu abadala zihlukile futhi zifaka:

• Ukuba nama-intestinal polyps noma ama-tumors
• Ukuhlinzwa kwesisu kwangaphambili okwenze i-scar tissue
• I-Inflammatory bowel disease njenge-Crohn's disease
• Ukuthatha imithi ethile ethonya ukuhamba komthambo
• Ukuba ne-anatomical abnormalities yama-intestines

Ukuba nalezi zinto ezingase zikwenze ube sengozini akusho ukuthi uzoba nokuqunjelwa kwezinye zitho zomzimba, kodwa ukwazi ngazo kungakusiza ukuthi uqaphele izimpawu ngokushesha uma zivele.

Ziyini izinkinga ezingase zenzeke ngokuqunjelwa kwezinye zitho zomzimba?

Ngaphandle kokwelashwa okusheshayo, ukuqunjelwa kwezinye zitho zomzimba kungase kube nezinkinga ezinkulu ezisongela impilo yakho nokuphila kwakho. Inkinga ekhathazayo kakhulu iwukuthi umthambo oqunjeliwe ungase ulahlekelwe ukunikezwa kwegazi, okubangela ukufa kwesicubu.

Nawa ama-complications aphambili angase athuthuke:

• Ukufa kwesicubu somthambo ngenxa yokuntuleka kokunikezwa kwegazi
• Ukuqhekeka komthambo (umgodi odongeni lomthambo)
• Ukuphelelwa amanzi okukhulu ngenxa yokugabha nokungakwazi ukudla
• Ukutheleleka esiswini
• Ukushoki ngenxa yokulahlekelwa amanzi nama-toxins
• I-Sepsis (ukutheleleka okubulalayo emzimbeni wonke)

Lezi zinkinga ngokuvamile zithuthuka phakathi kwamahora angu-24 kuya kwangu-72 uma ukuqunjelwa kwezinye zitho zomzimba kungalungiswa. Kungakho kubaluleke kakhulu ukuthola ukunakekelwa kwezokwelapha ngokushesha - ukwelashwa kwasekuqaleni kungavimbela zonke lezi zinkinga ezinkulu.

Ezimweni ezingavamile, ngisho nangemuva kokwelashwa okuphumelelayo, abanye abantu bangase babe nezinkinga zokugaya ukudla eziqhubekayo noma bathuthukise ama-adhesions (i-scar tissue) angase abangele izinkinga zomthambo zesikhathi esizayo.

Ukuqunjelwa kwezinye zitho zomzimba kuxilongwa kanjani?

Odokotela ngokuvamile baqala ngokuhlola ngokomzimba kanye nomlando wezokwelapha ukuqonda izimpawu zakho. Bazozwa ngobumnene isisu sakho ukuhlola i-sausage-shaped mass futhi balalele imisindo engavamile yamathumbu.

Ivivinyo elivamile kakhulu lokuthola i-diagnosis yi-ultrasound yesisu. Le test yokubuka izithombe engenakuthi ibuhlungu ingabonisa umthambo oqunjeliwe futhi iqinisekise i-diagnosis ezimweni eziningi, ikakhulukazi ezinganeni.

Ezinye izivivinyo udokotela angase azisebenzise zifaka:

• I-CT scan yezithombe eziningi zama-intestines
• Ama-X-rays ukubuka izimpawu zokuvimba
• I-Barium noma i-air enema, engase ngezinye izikhathi ilathe isimo ngesikhathi ilixilonga
• Izivivinyo zegazi ukuhlola ukutheleleka noma ukuphelelwa amanzi

Ezimweni ezithile, i-diagnostic test ngokwayo ingalungisa inkinga. I-air enema noma i-barium enema idala ukucindezela okungasusa umthambo oqunjeliwe ubuyele endaweni yawo evamile, ikakhulukazi ezinganeni.

Iyini ukwelashwa kokuqunjelwa kwezinye zitho zomzimba?

Ukwelashwa kuncike ezintweni eziningi ezifaka ubudala bakho, isikhathi eside uke waba nezimpawu, nokuthi ngabe kukhona izinkinga eziye zathuthuka. Umgomo ukukhulula umthambo futhi ubuyisele umsebenzi ojwayelekile ngokushesha ngangokunokwenzeka.

Ezinganeni, odokotela bavame ukuzama ukwelashwa okungekho ekuhlinzweni kuqala. I-air enema noma i-barium enema isebenzisa ukucindezela okulawulwayo ukuhudula umthambo oqunjeliwe ubuyele endaweni. Lokhu kusebenza kahle ezimeni ezingaba ngu-80% zezingane uma kwenziwa phakathi kwamahora angu-24 okuqala.

Ukwelashwa ngokuhlinzwa kungase kudingeke lapho:

• Izindlela ezingelona ukuhlinzwa azisebenzi
• Izimpawu ziye zaba khona ngaphezu kwamahora angu-24
• Kukhona izimpawu zomonakalo womthambo
• Umuntu uyindoda (ukuhlinzwa ngokuvamile kuyisinqumo sokuqala)
• Izinkinga njengokuqhekeka ziye zathuthuka

Phakathi nokuhlinzwa, udokotela uhlinzwa uhudula umthambo ubuyele endaweni yawo evamile. Uma kukhona isicubu somthambo esifile, leyo ngxenye ingase idingeke ukususwa futhi iziphetho eziphilile zihlanganiswe.

Ngemva kokwelashwa, abantu abaningi bayaphila ngokuphelele ngaphandle kwemiphumela ende. Ukulala esibhedlela ngokuvamile kufushane, kusuka ezinsukwini ezi-1 kuya kwezi-3 kuye ngendlela yokwelashwa esetshenzisiwe.

Indlela yokuphatha ukuphulukiswa ekhaya?

Ukukhathalela ukuphulukiswa kugxile ekubuyiseni ohlelweni lwakho lokugaya ukudla emsebenzini ojwayelekile nasekuvimbeleni izinkinga. Udokotela wakho uzokunika imiyalo ethile ngokususelwa ekuwelashweni olukufunayo.

Ezinsukwini ezimbalwa zokuqala ngemva kokwelashwa, cishe uzoqala ngamanzi acacile bese uqhubekela ekudleni okujwayelekile njengoba ama-intestines aqala ukusebenza ngokujwayelekile futhi. Lokhu kungafaka i-broth, amanzi, kanye ne-electrolyte solutions ngaphambi kokuya ekudleni okuthambile.

Izinyathelo ezibalulekile zokunakekelwa ekhaya zifaka:

• Ukulandela imiyalo yodokotela yakho yokudla ngokucophelela
• Ukubuka izimpawu zokubuyela kwezimpawu
• Ukuthatha imithi eyalwe njengoba kuqondiswe
• Ukuhlanza nokumsusa izikhala zokuhlinzwa uma uke wahlinzwa
• Ukuhlala unamanzi ngamanzi avunyelwe
• Ukuphumula okuningi ukuze usekele ukuphulukiswa

Xhumana nodokotela wakho ngokushesha uma uqaphela ubuhlungu besisu obuphindaphindayo, ukugabha, ukufiphaza, noma noma yiziphi izimpawu ezibonisa ukuthi ukuqunjelwa kwezinye zitho zomzimba kuye kwabuyela. Abantu abaningi bazizwa bebuyele ekujwayelekile ngaphakathi kweviki noma ezimbili.

Kumelwe ulungiselele kanjani i-appointment yakho nodokotela?

Uma ucindezela ukuqunjelwa kwezinye zitho zomzimba, lokhu ngokuvamile kuyisimo esiphuthumayo esidinga ukunakekelwa kwezokwelapha ngokushesha kunokuba kube yi-appointment ehleliwe. Noma kunjalo, ukulungiselela kungasiza abasebenzi bezokwelapha ukunikeza ukunakekelwa okuhle ngokushesha.

Bhala phansi noma ukhumbule ulwazi oluyisisekelo mayelana nezimpawu, kufaka phakathi ukuthi zaqala nini, zingakanani, nokuthi yini eyenza zibe ngcono noma zimbi. Qaphela noma yikuphi ukugula kwamuva, imithi, noma ukushintsha ekuzilweni.

Letha ulwazi oluqakathekile nawe:

• Uhlu lwemithi yamanje kanye ne-dosages
• Umlando wezokwelapha, ikakhulukazi ukuhlinzwa kwesisu kwangaphambili
• Ulwazi lwe-insurance kanye nokuhlonza
• Ulwazi loxhumana nodokotela wakho ojwayelekile
• Imininingwane mayelana nokuthi izimpawu zaqala nini kanye nesibonakaliso sazo

Uma lokhu kwenzeka kwingane yakho, zama ukuhlala uzolile futhi ududuze. Letha izinto zokunethezeka njengomdlalo oyintandokazi noma iblanketi uma kungenzeka. Ukuba nomuntu omdala ongaxhumana nawe kungasiza ekusekeleni nasekusizeni ukuxhumana nabasebenzi bezokwelapha.

Iyini into ebaluleke kakhulu mayelana nokuqunjelwa kwezinye zitho zomzimba?

Ukuqunjelwa kwezinye zitho zomzimba kuyisimo esibucayi kodwa esingelashwa lapho ingxenye yomthambo igqoka khona, idala isikhungo. Ukuqaphela nokwelashwa okusheshayo kubalulekile emiphumeleni emihle nasekuvimbeleni izinkinga.

Into ebaluleke kakhulu okumelwe uyikhumbule iwukuthi ubuhlungu besisu obukhulu obuza ngamaza, ikakhulukazi ngokugabha noma igazi emathunjini, sidinga ukunakekelwa kwezokwelapha ngokushesha. Ungalindi ukubona uma izimpawu ziphucuka - ukwelashwa kwasekuqaleni kusebenza kakhulu futhi akunamandla.

Nakuba ukuqunjelwa kwezinye zitho zomzimba kuzwakala kuyoyikisa, abantu abaningi abamukela ukwelashwa okusheshayo bayaphila ngokuphelele ngaphandle kwemiphumela ende. I-key iwukuqaphela izimpawu nokuthola ukunakekelwa kwezokwelapha ngokushesha.

Themba izimvo zakho njengomzali noma uma uhlola izimpawu zakho. Uma kukhona okuzwakala kubi kakhulu nge-abdominal pain, kuhlale kungcono ukufuna ukuhlolwa kwezokwelapha kunokulinda ubona.

Imibuzo evamile ebuzwa mayelana nokuqunjelwa kwezinye zitho zomzimba

Ingabe ukuqunjelwa kwezinye zitho zomzimba kungenzeka ngaphezu kwesikhathi esisodwa?

Yebo, ukuqunjelwa kwezinye zitho zomzimba kungaphinde kwenzeke, nakuba kungavamile. Cishe u-5-10% wabantu abake baba nokuqunjelwa kwezinye zitho zomzimba bangase bakuthole futhi, ngokuvamile phakathi nezinyanga ezimbalwa zokuqala ngemva kwesigameko sokuqala. Lokhu kungenzeka kakhulu uma kukhona isimo esiphambene esibangele isigameko sokuqala. Uma uke waba nokuqunjelwa kwezinye zitho zomzimba ngaphambili, kubalulekile ukwazi izimpawu nokuthola ukunakekelwa kwezokwelapha ngokushesha uma zibuyela.

Ingabe ukuqunjelwa kwezinye zitho zomzimba kubangela ubuhlungu ezinganeni ezincane ezingakwazi ukukutshela ukuthi yini engalungile?

Yebo, ukuqunjelwa kwezinye zitho zomzimba kubangela ubuhlungu obukhulu ezinganeni ezincane, futhi zizobonisa lokhu ngokuziphatha kwazo. Bheka ama-episodes okukhala okukhulu ngokuzumayo lapho ingane ihudula khona imilenze yayo ebeleni, kulandele isikhathi lapho zibonakala zikhathele noma zithule ngokungavamile. Ingane ingase yenqabe ukudla, igabhe, noma ibonakale ingakhululekile uma uyithinta isisu. Lezi zinguquko zokuziphatha yindlela yengane yokuxhumana ngokuthi kukhona okuphosakele kakhulu.

Ukuqunjelwa kwezinye zitho zomzimba kudinga ukwelashwa ngokushesha kangakanani?

Ukuqunjelwa kwezinye zitho zomzimba kumelwe kulashwe ngokushesha ngangokunokwenzeka, ngokukhethekile phakathi kwamahora angu-24 okuqala kwezimpawu. Ukwelashwa kuqala ngokushesha, kungenzeka kakhulu izindlela ezingelona ukuhlinzwa zizosebenza futhi ingozi yezinkinga iphansi. Ngemva kwamahora angu-24-48, ingozi yomonakalo wesicubu somthambo iyakhula kakhulu, futhi ukuhlinzwa kuba ngokuvamile kudingeke. Kungakho kubhekwa njengembandakanyo yezokwelapha.

Ungavimbela kanjani ukuqunjelwa kwezinye zitho zomzimba ukuba kwenzeke?

Ezimeni eziningi, ikakhulukazi ezinganeni ezincane, ukuqunjelwa kwezinye zitho zomzimba akunakuvimbeka ngoba ngokuvamile ayikho imbangela ecacile. Noma kunjalo, unganciphisa ezinye izinto ezingase zikwenze ube sengozini ngokulandela ukunakekelwa kwezokwelapha okujwayelekile, ukwelapha izimo eziphambene njenge-inflammatory bowel disease, nokufuna ukwelashwa okusheshayo kwezimpawu ezinkulu zesisu. Kubantu abadala, ukuphatha izimo ezingase ziholele ekuqunjelweni kwezinye zitho zomzimba, njenge-polyps noma ama-tumors, kungasiza ekuqedeni ingozi.

Uyini umehluko phakathi kokuqunjelwa kwezinye zitho zomzimba nezinye izimbangela zobuhlungu besisu?

Ukuqunjelwa kwezinye zitho zomzimba ngokuvamile kubangela ubuhlungu obukhulu obuza ngamaza, ngokuvamile buhambisana nokugabha futhi ngezinye izikhathi igazi emathunjini. Ama-pain episodes ngokuvamile ayaba khulu kakhulu futhi angase enze ingane ikhale ngokungapheli, bese ibonakala ilungile phakathi kwama-episodes. Ezinye izimbangela zobuhlungu besisu, njenge-gastroenteritis noma i-appendicitis, zivame ukuba nezibonakaliso ezihlukile - i-gastroenteritis ngokuvamile ifaka i-diarrhea kanye ne-nausea eqhubekayo, kuyilapho i-appendicitis ngokuvamile ibangela ubuhlungu obuqhubekayo obukhulu ngokuhamba kwesikhathi futhi ngokuvamile luqala eduze kwesibindi ngaphambi kokuya ngakwesokudla.