Gut Hlola: Izinto ezingaphandle kwamanye amazwe
Ukutya ukutya, kungekhona izinto. Xa sigxininisa izinto asifanele sitshise, njengeglasi, iibheyili, iibhetri, iigrafu, iiblue, kunye nantoni na into encinane ngokwaneleyo ukungena emlonyeni, inokubangela zonke iintlobo zeengxaki. Banokudlulela phambili ngaphandle kokubangela iingxaki. Kuxhomekeke kwizinto ozityhileyo nokuba ngaba unamathela endleleni.
Amaqumrhu angaphandle ase-Esophageal
Indawo eqhelekileyo emanzini akho kwizinto zangaphandle ukuze unamathele kwi-oophagus yakho. Gut is ligama lesigqirha segciwane lesisu, esivela emlonyeni wakho, ngesisu sakho, esiswini, emathunjini amancinci, emathunjini amakhulu, nakwi-rectum. Izinto zangaphandle, eziphi na ezinye izinto ngaphandle kokutya, ziyakwazi ukunamathela kwi-esophagus kuba ithambile kwaye incinci, kwaye iyancipha ngakumbi kwiindawo ezimbalwa.
I-esophagus ikuqala kwiphepha lakho lesisu. Ukuba umzimba wasemzini ukwenza ukuba udlule i-oophagus yakho, unethuba elihle lokwenza konke ukufikelela kwindawo yokugqibela. Akukho ziqinisekiso, kodwa yeso sizathu singaboni ezininzi izidumbu zangaphandle kwisisu okanye emathunjini.
I-esophagus inezintambo ezincinci, ezinokuthi zikwazi ukumbamba kwaye zibophe izinto ezinzima ezizama ukudlula. Iindonga ze-esophag ziyaxolisa kangangokuba xa kungekho nto yokutya okanye ikhona ngaphakathi kwayo, iyanqabana phantse, njenge-hose yomlilo engenamanzi kuyo.
Ukususa amaBhunga angaphandle kuma-Esophageal
Ukufumana izinto ngaphandle kwesiqulatho akulula ukuba bahlala apho. Kwiimeko ezininzi, oogqirha kufuneka bafike kwi-esophagus ngecebo elibizwa ngokuba yi- endoscope ukubona umzimba wangaphandle kwaye uyibambe. I-endoscope yiphubhu enokukhanya, ikhamera, kunye nendlela enokubamba into.
I-endoscope ingaba nzima okanye iguquguquke. Iipososcopes ezinamandla zilungele ukususa izinto, kuba iindonga ezinzima ze-endoscope zikhusela iindonga ezintle zesigxu.
I-endoscope eguquguqukayo kufuneka idonsa into ngaphandle kwendawo, ebonisa ukuba izindonga ezincinci ziwonakalisa ukuba into inokwakheka. Ngakolunye uhlangothi, i-endoscopes eziguquguqukayo zingasetyenziswa ngaphandle kwe-anesthesia jikelele (ukubetha isigulane nokuphefumla). Iipososcopes ezinamandla azikwazi ukusetyenziswa ngaphandle kwe-anesthesia jikelele.
Uninzi lwexesha, ugqirha uya kuthatha i-x-ray ukuze abone ukuba unokubona umzimba wangaphandle ngaphambi kokungena emva kwayo nge-endoscope. Ukuba ingaba into ingabonwa kwi x-ray incike kwinto eyenziwe ngayo. Into ebaluleke kakhulu into, ingcono. Iimali zemali, umzekelo, zibonakalisa kakuhle kakuhle kwi-x-ray umfanekiso. Ngakolunye uhlangothi, amaqhosha ePlastiki, angabonakali ngokupheleleyo nangona efana nobukhulu becala.
Yiyo kuphela ubunzima bento enquma ukuba iya kubonwa kwi-ray-ray. Kuthekani ukuba uthe wagwinya iglasi, umzekelo? Kubonakala kakhulu kwi-x-ray nangona kungenokuba lula kakhulu ukubona ne-endoscope (okanye iso iso).
Iimpawu kunye neMpawu zoMbutho wamazwe angaphandle
Akukho mntu uyazi ukuba zininzi izinto zangaphandle eziginywa minyaka yonke ngabantu abadala okanye abantwana.
Ngaphandle kokuba iyaziwa kwaye ixelwe, umzimba ongaphandle wangaphandle awuyi kubonakalisa kwiinkcukacha. Kucingelwa ukuba kwindawo ethile phakathi kwama-40 ukuya kuma-50 ekhulwini kuwo onke amatyala angeniswayo angena ngaphandle kwempawu. Ngubani owaziyo ukuba mangaphi amaninzi angabonakaliyo?
Kukho iimpawu ezicacileyo kunye neempawu ezifanele ukukwenza ukuba unake ingqalelo, ingakumbi ukuba unokukrokreka into ethile egxininiswe engafanele ibe yinto. Ukuba kukho nayiphi na le ndelayo ibonwa okanye ivakalelwa, biza 911 ngokukhawuleza :
- ukugubha
- ukukwazi ukugwinya okanye ukuhlahlela
- ukuqhawukelwa ngumphefumlo
- ukuhlanza
- isiteji (isandi esikhulu somsindo xa ukuphefumla okukukhumbuza ngeDarth Vader)
- igazi lokukhwehlela
Zonke ezi ngasentla zibonisa ukuba umzimba wasemzini unamathele kufuphi nomphezulu wesigxina. Oku kungakhokelela ezintweni ukungena kwi-trachea (i-airway) kwaye ukuba into enkulu ngokwaneleyo, inokuyitshintshela kwi-trachea ngasemva, ibangele ingcipheko ekuphumeni komoya.
Ngaphandle kokusongela ubomi obusondeleyo, naliphina ixesha ucinga ukuba kukho into egxinyiweyo kwaye inokuvakalelwa (ngomntu oginyile) emqaleni okanye enzulu esifubeni, ubone udokotela ngokukhawuleza. Sonke sine-chip ehla ngendlela engafanelekanga kwaye siyayihoxisa, kodwa into engeyiyo yokutya iyingozi kakhulu. Ukuba ucinga ukuba ungumzimba wasemzini kwaye uvakalelwa kukuba, lixesha lokubona i-doc.
Izinto ezikhethekileyo ezinobungozi
Izingane ziginya izinto ezingezizo ukutya kunabantu abadala kunye nezinto ezizithandayo kwimenyu zineemali. Abafana bayagwinya ngaphezu kwamantombazana (nangabantu abadala). Emva kwemali-mali, iintandokazi ziquka ukutya okuninzi kakhulu ukugwinya, ii-toys (okanye iinxalenye zamathoyizi), kunye neengubo.
Isimo esibi kunazo zonke sigxina into ebukhali, njengeglasi okanye isinyithi, okanye uginye amabhetri (jonga ngezantsi). Izinto ezinokuthi zikwazi ukugqithisa iindonga ezincinci zesisu, ezikhokelela ekuphumeni okanye ukusuleleka kwi-mediastinum (umda phakathi kwesifuba, phakathi kwemiphunga).
Iibhetri zamathambo (ezikwaziwa nangokuthi iibhetri ze disk) zincinci, iiplatile, zetyhula ezifunyenwe kumawashi kunye nezinye i-electronics. Benza kuphela ipesenteji encinane yazo zonke izidumbu ezingaphandle, kodwa ngokuqinisekileyo ziyingozi kakhulu.
Iibhetri zombhobho zineentlawulo zombane eziqhutyelwa zizicubu ze-esophagus. Intlawulo yombane yebhetri ibinzela ukushisa okwaneleyo ukutshisa izicubu zesisu, kubangele izilonda kunye nokuba ziphazamise iindonga zesigxu kufana nezinto ezibukhali. Ukutshisa kwiibhetri kunokukhokelela kwiisisindo ezinobungozi kunye neengxaki zexesha elide.
Iibhetri zombhobho ziye zabhalwa ngokutsha ngokutshatyalaliswa ngokupheleleyo kwiindonga zesigxina ezincinane emva kweeyure ezintandathu emva kokungena. Nangemva kokususa iibhetri, i-alkali yokususwa kwiibhetri ingabangela umonakalo owongezelelweyo iintsuku okanye iiveki.
Kwiibhentri zeqhosha, imiba yesayizi. Iziphumo ezimbi kakhulu (ama-94 ekhulwini) zivela kwiibhetri ezingama-20mm ububanzi. Ukunyanga okusemgangathweni kukukhusela xa kuziwa kwiibhetri zeqhosha, ngoko thabatha unonophelo olukhethekileyo ukuba uzigcine kude nabantwana, ikakhulukazi abaselula. Ukuba ukrokrela ukuba ibhetri iqakityiwe, iya kwisebe eliphuthumayo ngokukhawuleza.
Amaqela angaphandle ase-Esophageal kuBantu abadala
Izingane ziginya izinto kuba zifuna ukwazi. Abantu abadala banqamla izinto ezingekho ukutya ngenxa yokuba bafike ngengozi kunye nokutya (amathambo, imikhosi, amatye, amazinyo, njl.) Okanye ngenxa yoluhlobo lwesifo sezempilo okanye ukuziphatha. Okubaluleke kakhulu, phatha ukungena kwamalungu angaphandle kumazwe angabantu ngokufanayo njengokuba uza kubantwana-uya kudokotela.
Uninzi lwexesha, abantu abadala bayagcinwa ukuba babone ukuba umzimba ongaphandle uya kudlula. Oogqirha abanamathuba amaninzi okuthabatha ingqiqo kunye nezingane. Kungenxa yokuba into ingadlula, ayithethi ukuba iya kuba , kwaye kubaluleke kakhulu ukuzama oku kuphela phantsi kwengqalelo yonyango. Ugqirha uya kubeka isigulane isigulane, rhoqo ngokuncedisa izixhobo zokucinga ezifana ne-ray-ray okanye i-CT, kwaye qinisekisa ukuba into iyavela ngaphandle kokwenza umonakalo omkhulu.
> Imithombo:
> Ambe P, Weber SA, uSchauer M, uKnoefel WT. (2012). AmaBhunga angaphandle aThengiswe kwiZizwe eziMveli. I-Deutsches Ärzteblatt International , 109 (50), 869. Ibuyiswe ngomhla we-25 Oktobha 2016.
> Disk Battery Ingestion: Imvelaphi, i-Pathophysiology, Epidemiology . (2016). Emedicine.medscape.com . Ibuyiswe ngomhla we-25 Oktobha 2016.
> Ukulawulwa kwamaqela angaphandle angenayo kunye nokudla kokutya. I-Guideline Clearinghouse kaZwelonke. (2016). Isikhokelo.gov . Ibuyiswe ngomhla we-25 Oktobha 2016.
> Rybojad, B., Niedzielska, G., Niedzielski, A., Rudnicka-Drozak, E., & Rybojad, P. (2012). Amalungu angaphandle angama-Esophageal kwizigulana zezilwanyana: Isifundo se-Retrospective Year-Year. I-World World Journal , 2012 , 1-6. i-doi: 10.1100 / 2012/102642
> UUmuramura, M. (2016). IQumrhu Lwamanye amazwe Ukungeniswa Kwezingane-I-American Family Physician . Aafp.org . Ukufunyanwa ngomhla we-25 Oktobha 2016, ukusuka http://www.aafp.org/afp/2005/0715/p287.html