I-Perwelation ye-Bowel ihlala ihleli ne-IBD-Kodwa ibuhlungu
Ukuguqulwa kwesisu esincinci okanye intumbu enkulu yinkxalabo enzulu kwaye inokuba yingozi yokugula kwesibindi (IBD) . Isilonda esisisigxina sisiphumo esiphuthumayo kwaye sifuna unyango olukhawulezileyo ukukhusela iingxaki ezinje ezifana nokusuleleka okanye nokufa. Isilonda esisisigxina ngumgodi eludongeni lwesisu esisenokuza kwenzeka ngezizathu ezahlukeneyo.
Akuqhelekanga, kodwa ngenxa yimeko engxamisekileyo, ukwazi impawu kunye neempawu kubalulekile, ngakumbi kubantu abane-IBD.
Nabani na ochaphazelekayo ukuba baneempawu zesilonda sokuxhamla kufuneka adibanise nodokotela ngokukhawuleza. Kwimeko yeempawu ezinzima ezifana nokuphuma kwamanzi (ukusuka kwi-rectum) kunye nobuhlungu obukhulu besisu, jonga ingqalelo kwiSebe lezengxamiseko zengingqi okanye ubize i-ambulensi (fowuni 911).
Ziyinto Eqhelekileyo Ngayo Ubunzima?
Isibilini esisisigxina ngenxa ye-IBD siyabulela umcimbi onqabileyo. Umngcipheko wokugqithisa kubantu abanesifo sikaCrohn kuqikelelwa ukuba phakathi kwe-1 ne-3 kweepesenti ngaphezu kwesi sifo. Iimeko eziqhelekileyo ziqhelekile, nangona kunjalo, ngexesha lokuqala kokugqithisa kwesilonda esiswini. Umngcipheko ukwandiswa ngokukodwa xa okokuqala ukuphazamiseka kwimeko enzima kakhulu. I-perforation iyakwenzeka kwakhona xa izifo ezimileyo (ezinjengemva kweminyaka eyi-8 ukuya kwe-10 emva kokuxilongwa) zenza udonga lwamathumbu lube buthathaka kakhulu ngenxa yesilonda esisinyulu.
Iindonga ezibuthakathaka zamathumbu ziyakwazi ukuhlakulela umngxuma okanye ukulila.
Iimpawu zePhenstation of Intestinal
Iimpawu zokugqithwa zingabandakanya:
- Ubuhlungu besisu esiswini
- Fever
- IChills
- I sizathu
- Ukuphuma kwegazi , ngamanye amaxesha kunzima
- Ukuvutha
Ukuchonga i-Bowel Perforation
Ukuxilongwa kwezilwanyana kudla ukuxilongwa ngokusekelwe kwimbali kunye nokuhlolwa komzimba wesigulane.
Ukuba nempawu ezininzi ezingentla zingakhokelela ugqirha ukuba akrokre i-perforation, ingakumbi kulabo abanesifo sikaCrohn, okanye ukuvuvuka kwexesha elide kwi-IBD.
Ezinye zeemvavanyo ezenzelwe ukuxilonga nokufumana i-perforation ziquka iimvavanyo ze-radiology ezifana ne- CT scan okanye i- x-ray yesisu. Kwezinye iimeko, i-perforation iyangqatshulwa, kodwa indawo yangempela ayinakufunyanwa ukuba kuqhutywe unyango lomzimba lokuhlola. I-x-ray ingabonisa ukungaqhelekanga kwisisu, njengomoya ophantsi kwesiqhekeza, esiyiphumo sobunzima. I-CT scan ingenziwa ngenxa yokuba ingabonisa indawo eyona yendawo yokwenza i-perforation, eya kunceda ekuqulunqweni isicwangciso sonyango. Ukuba isisu sisisigxina (sivalelwa ngugqirha) ngexesha lovavanyo lomzimba, kunokuziva kunzima.
Indlela yokuPhuzulwa kuHlonjiwe
Kwezinye iimeko, i-perforation iyakwazi ukuphathwa ngamachiza e-antibiotics ukulwa naluphi na ukusuleleka kwintsholongwane, ukubekwa kwe- tube nasogastric , kunye nokuphumla kwesilwanyana (akukho nto yokutya okanye yokusela). Olu lulawulo oluxhasayo lwe-perforation kwaye aluqhelekanga.
Ngokuqhelekileyo, utyando luyadingeka ukuze ulungise i-perforation kwaye ususe nayiphi na into engcolileyo eye yaphuma emathunjini ukuya kwisisu esiswini . Ukuba iziqulatho zezibilini (okukulo ukutya okutshitshiweyo kunye nejisi ye-bile) zingene kwisisu esiswini, iibhaktheriya ezikhoyo kwi- fecal ibangela ukuba zihambe emzimbeni kwaye zibangele usuleleko olukhulu kwaye lunokubulala (peritonitis).
Uhlobo kunye nobukhulu bokuhlinzwa obufunekayo buya kuxhomekeka kubunzima be-perforation kunye nemeko yesigulane. Kwezinye iimeko inxalenye yomathumbu iyakufuneka isuswe. Kwakhona kuyafuneka ukuba i- ileostomy yesikhashana okanye i-colostomy ifuneke ukuvumela intathuba ukuba iphelise.
Inqaku esuka
Ubunzima bezinto eziqhelekileyo aziqhelekanga, nakubantu abane-IBD. Ukuba ne-IBD enamandla ngokuvuvukala okubangele izilonda ezinzulu emathunjini yinto ebangela umngcipheko wokugqithisa. Iimpawu kunye neempawu zentsholongwane, ezinjengeentlungu ezinkulu zesisu, umkhuhlane kunye nokuphuma kwamanzi, zidinga ukunakekelwa kwidokotela ngokukhawuleza, kwaye kunokuthi ube nesizathu sokubiza i-ambulensi.
Ukuhlinzwa kungadinga kodwa kubalulekile ukulungisa iinyembezi ngokukhawuleza ukukhusela isiphumo esibi.
Imithombo:
I-Langell JT, i-Mulvihill SJ. "Ukunyuka kwesisu kunye nesisu esisisigxina." Med Clin Clin North Meyi 2008; 92: 599-625, viii-ix.
ISharhar DB, i-Walfish AE. "Ulcerative colitis." I-Merck Manual Dec 2012.
UTomaszczyk M, uZwemer DA. "Ukukhangela ngokukhawuleza kwamahhala e-distal ileum kwisifo sikaCrohn: ukufundiswa kwimeko." Int Surg 2005 Jul-Aug; 90 (3 Suppl): S45-S47.
Werbin N, Haddad R, iGreenberg R, uKarin E, Skornick Y. "Ukugqithiswa kwamahhala kwisifo sikaCrohn." Isr Med Assoc J 2003 Mar; 5: 175-177.