Izithintelo zezilwanyana ziyakhathazeka kodwa zingabangela ubomi
Isithintelo semfuyo yimeko eyenzekayo xa icandelo lesibilini (mhlawumbi esincinci okanye emathunjini amakhulu ) siphelelwa ngokupheleleyo okanye sinqatshelwe, ukuze i-stool ikwazi ukudlula kuyo. Ukuthintelwa kwezibilini kunokwenzeka malunga nantoni na, kodwa ziyinkxalabo eqhelekileyo kubantu abanesifo sikaCrohn.
Kwiimeko ezininzi, ukuphazamiseka kungaphathwa ngaphandle kokuhlinzwa.
Akunakuze kube njalo ukukhusela umqobo. Nangona kunjalo, abantu abaxhomekeke kubo kufuneka basebenze ne-gastroenterologist ukuba bafike kunye nesicwangciso sokuzama ukuwaphepha nokuthetha malunga nayiphi na unyango olwenziwe ekhaya ukuze lukhulule iimpawu.
Izisombululo zoMzimba
Ngomqobo wokhuseleko lomzimba, isitulo sivinjelwe ekuhambeni emathunjini, kufana nokucinywa kwamanzi okucinywa. Ukukhutshwa kungabangelwa ngu:
- Hernia
- Isiqwenga samathambo ( ukubambelela )
- Isitopu esithintekayo
- Gallstones
- Ukuxhamla
- Ukukhula kweethambo ezingaqhelekanga
- Intussusception (icandelo leesilonda kwiimpawu zesondo, zifana nexa i-telescope ivaliwe)
- I-twist okanye ikink emathunjini (volvulus)
- Ingangomzimba wangaphandle (ukugwinya into engeyiyo inyama)
Unyango
Isibandezelo sisimo esibi kwaye sinokufuneka siphathwe esibhedlele. Kwezinye iimeko, unyango luyichitha intlungu. Oku kufezekiswa ngokufaka ithubhu ye- nasogastric (NG) ngeempumlo ize iphinde isisu, eyanciphisa ukuvalelwa kwesisu nokuhlanza.
Ukuba ufaka i-tube ye-NG ayincedi ekunciphiseni ukukhutshwa, ukuhlinzwa kungenziwa isinyathelo esilandelayo. Ukuphanda kungaphinda kufuneke ukuba ezinye zezicubu ezintsheni zifile ngenxa yokucinywa.
Iingxaki
Ukuba ayengaphathwa, umqobo wokhuseleko ungakhokelela kwiingxaki ezinzulu, ezifana nokufa kwesinye isisu.
Ukuba inxalenye yesilwane isweleka, ingakhokelela ekubeni isifo okanye isifo sengqumbo. I- perforation (okanye umgodi) emathunjini yinto enye ingxaki enokuthi ingabikho. I-perforation yongxamiseko yonyango kwaye iya kufuna ukuhlinzwa ngokukhawuleza.
Iimpawu
Ukukhutshwa kungabangela ukungabikho ngokupheleleyo kwe-stool okanye i-gas (eyaziwa ngokuba yi-obstipation), kuba akukho sitoli sinokudlula emathunjini avinjelwe. Nangona kunjalo, ukuphazamiseka kungakhokelela kwimeko yoluhudo , kuba kuphela i-stool ye-liquol iya kukwazi ukudlulela ngaphaya kwendawo yokukhupha. Ezinye iimpawu zesithintelo zibuhlungu obukhulu kunye nokuqhaqhazela, ukuzaliswa kwesisu, kunye nokuqhaqha kwesisu .
Iimpawu zesithintelo semfuyo zi:
- Uvakalelo lokuzaliseka kwisisu
- Ukuphefumula
- Ukuvalwa (ukuvalelwa)
- Ukutyunjwa
- Uhudo
- Ubuhlungu kunye nokuqhawula
- Ukuvutha
Ukuxilongwa
Ukuxilongwa kwesithintelo sesilumkiso senziwa ngokubini kokuhlolwa komzimba kunye novavanyo lokuxilonga.
Izandi. Ngokuqhelekileyo isilonda senza izandi ezithile, ezifana nokugqithisa kunye nokuchofoza, ezinokuthi zivezwe ngezikhathi ezingaqhelekanga ngokusetyenziswa kwe-stethoscope ebekwe kwisisu. Ukuba kukho umqobo, umboneleli wezempilo unokuthi abeva izandi eziphakamileyo xa ephulaphule isisu.
Ukuba ukuphazamiseka kuye kwabakho ixesha elide, kunokubakho ukungabikho ngokupheleleyo kweso sandi.
I-X-Ray (i-radiograph esisisu) . Ngokuqhelekileyo uvavanyo lokuqala olusetyenziswa ukujonga ukuba kukho umqobo. Uvavanyo olungengenangxamnye olunokuthi lwenziwe ngokukhawuleza. I-radiologist okanye enye ingcali ingasebenzisa ifilimu ye-x-ray ukuchonga ukuba imimiselo yesithintelo somlenze ikhona.
Barium enema . Kwixesha elidlulileyo, i-enum ye-barium yayisetyenziselwa ukufumana indawo yokukhutshwa. Kodwa ke, le ndlela, ayisoloko isona sikhethi esingcono kakhulu sokubonisa ukuba ukuphazamiseka kubangelwa yinto exinzezela kwisilonda (njenge-tumor).
I-GI ephezulu kunye neesilwanyana ezincinci . Ngokufana ne- enum ye - barium , lo vavanyo lwasetyenziselwa ukuncedisa ukuphazamiseka, ingakumbi ukuba bekusegundini eliphezulu lesisu. Olu vavanyo alungaze lusetshenziselwe ukuxilonga kwakhona.
I-CT yesisu . Olu luvavanyo oluphambili olusetyenziselwa ukuxilonga umqobo wentsholongwane. Izicathulo ze-CT zenzeke ngokufana ne-x-ray, ngaphandle kokuba ngezinye izixa isisombululo esifanelekileyo sinikezelwe kwisigulane ngomlomo, enema, okanye kwi-IV. Iintlobo ze-CT scan ziyakunceda ukufumana indawo yokukhazamiseka kunye nokuba yintoni enokubangela ukucinywa.
Thintelo
Ezinye izizathu zokuthintela azikhuselekanga, njengalezo apho kungekho mzathu osebenzayo wokuthintela. Kwiimeko apho ukuphazamiseka kubangelwa enye imeko, njenge-tumor okanye i-hernia, ukunyanga ingxaki engundoqo kunokunceda ukukhusela ukuphuhliswa kwesithintelo.
Imithombo:
I-Katz DS, i-Baker ME, iPhalamende yaseRosen, iLalani T, iCarucci LR, i-Cash BD, i-Kim DH, iPrkokowski RJ, i-WC encinci, i-MP ye-Smith, i-Yaghmai V, i-Yee J, i-Panel yezobuchwephesha kwi-Gastrointestinal Imaging. "ICRR Appropriat Criteria® ekhunjulwayo imingcipheko encinci." [umpapasho we-intanethi]. Reston (VA): Ikholeji yaseMerika yaseRadioology (ACR); 2013. 4 Disemba 2015.
ADAM "Umngcipheko wamathumbu." ADAM, Inc 23 Julayi 2008. 30 Julayi 2009.