Zomwe Zidzatha Kuchitidwa Zitha Kuchiritsidwa Koma Zingakhale Zoopsa
Choletsa chitetezo ndi chikhalidwe chomwe chimapezeka pamene gawo la matumbo (kaya laling'ono kapena lalikulu m'matumbo ) limatha kwathunthu kapena pang'ono, kotero kuti chotupa sichidutsa. Zovuta zowonongeka zimatha kuchitika kwa aliyense, koma ndizovuta kwa anthu omwe ali ndi matenda a Crohn.
Kawirikawiri, kusokoneza kungaperekedwe popanda opaleshoni.
Sizingakhale zotheka nthawi zonse kupeŵa kusokoneza. Komabe, anthu omwe amawakonda amafunika kugwira ntchito ndi gastroenterologist kuti abwere ndi ndondomeko yoti ayese ndi kuwapewa ndi kukambirana za mankhwala aliwonse omwe angapangidwe kunyumba kuti athetse zizindikirozo.
Mitundu Yopangira Mitundu
Muzitsulo zamagetsi, sitima imatsekedwa kuti isadutse m'mimba, monga momwe mabomba a nyumba angatsekere. Kuzimitsa kungayambitsidwe ndi:
- Hernia
- Sakani minofu ( zomatira )
- Zomwe zakhudzidwa
- Miyala
- Kutupa
- Kukula kwa minofu yosasintha
- Kutengera (gawo la zojambulajambula, lofanana ndi pamene telescope yatsekedwa)
- Kupweteka kapena kink m'matumbo (volvulus)
- Thupi lachilendo lachinyengo (kuyimitsa chinthu chopanda zakudya)
Chithandizo
Kulepheretsa ndi vuto lalikulu ndipo kungafunikire kuchipatala kuchipatala. Nthawi zina, mankhwalawa amachititsa kuti matumbo asokonezeke. Izi zimachitidwa mwa kuika chubu la nasogastric (NG) kudzera m'mphuno mpaka mmimba, zomwe zimachepetsa kusamvana m'mimba ndi kusanza.
Ngati kuika tube ya NG sikuthandiza kuthetsa kutseka, opaleshoni ikhoza kukhala sitepe yotsatira. Kuchita opaleshoni kungafunikirenso ngati matupi ena m'matumbo afa chifukwa cha kutseka.
Mavuto
Ngati sichikuchiritsidwa, chitetezo cha m'mimba chingayambitse mavuto aakulu, monga imfa ya matumbo.
Ngati gawo la matumbo lifa, likhoza kuchititsa matenda kapena chifuwa chachikulu. Mphuno (kapena dzenje) m'matumbo ndilo vuto lina lomwe lingathetsere vutoli. A perforation ndidzidzidzi mwachipatala ndipo adzafuna opaleshoni yomweyo.
Zizindikiro
Kulepheretsa kungachititse kuti munthu asakhale ndi mpweya kapena mafuta (chifukwa chodziwidwa), chifukwa palibe thumba lomwe limatha kudutsa m'mimba yotsekedwa. Komabe, kubwezeretsa kungayambitsenso vuto la kutsekula m'mimba , chifukwa chokha chimbudzi chokha chimatha kudutsa pamapeto pake. Zizindikilo zina zotsutsa ndikumva ululu ndi kupweteka, kumimba kwa m'mimba, ndi kumimba mimba .
Zisonyezero za kutchinga pamimba ndi izi:
- Kumverera kwodzaza m'mimba
- Mpweya woipa
- Kumanga (kusungidwa)
- Kutsekedwa
- Kutsekula m'mimba
- Ululu ndi kupondaponda
- Kuthamanga
Kudziwa
Kutulukira kwa chithandizo cha matumbo kumapangidwira kupyolera muyeso yowunika komanso kuyeza.
Zozizwitsa. Matumbowa amamveka phokoso, monga kumangirira ndi kudumpha, zomwe zimamveka panthawi yosawerengeka pogwiritsa ntchito stethoscope yomwe imaikidwa pamimba. Ngati chitetezo chiripo, wothandizira zaumoyo akhoza kumvetsera zomveka bwino pamene akumvetsera pamimba.
Ngati kusokoneza kwakhala kwanthawi yayitali, pangakhale kusakhala kwathunthu kwa zizindikiro.
X-ray (m'mimba mwadzidzidzi) . Izi ndizoyeso yoyamba yomwe amagwiritsidwa ntchito pofuna kudziwa ngati pali chopinga. Ndiyeso yosasokoneza yomwe ingatheke mwamsanga. Katswiri wa zamagetsi kapena katswiri wina akhoza kugwiritsa ntchito filimu ya x-ray kuti adziwe ngati zizindikiro za chitetezo cha m'mimba zilipo.
Barium enema . M'mbuyomu, barium enema ankagwiritsidwa ntchito kupeza malo olepheretsa. Njirayi, komabe si nthawi zonse yabwino kusankha kuti zitsimikizidwe zikhoza kuchitika chifukwa cha chinachake chimene chimapweteka pamimba (monga chotupa).
Pakati pa GI ndi zochepa zazing'ono . Mofanana ndi enema ya barium , mayeserowa anagwiritsidwa ntchito kuthandiza kuthana ndi vutoli, makamaka ngati linali pamtunda wam'mimba. Mayesowa sagwiritsidwa ntchito nthawi zonse kuti apeze matenda.
Matenda a m'mimba a CT . Izi ndizoyeso zazikulu zomwe zimagwiritsidwa ntchito kuti zitsimikizidwe kutsekedwa kwa m'mimba. Matenda a m'mimba a CT amachitidwa ngati ma-ray, kupatulapo nthawi zina njira yothetsera vutoli imayenera kuperekedwa kwa wodwalayo ndi pakamwa, enema, kapena IV. Mapindu a CT scan ndi omwe angathandize kupeza malo oletsedwa komanso zomwe zingayambitse kutseka.
Kupewa
Zina zomwe zimayambitsa zolepheretsa sizizitetezedwa, monga zomwe palibe chifukwa chodziletsa. Nthawi zina chitetezo chimayambitsidwa ndi vuto linalake, monga chotupa kapena nthendayi, kuthana ndi vutoli kungathandize kupewa chitukuko.
Zotsatira:
Katz DS, Baker ME, Rosen MP, Lalani T, Carucci LR, Cash BD, Kim DH, Piorkowski RJ, Small WC, Smith MP, Yaghmai V, Yee J, Gulu la Akatswiri la Zogonana M'mimba. "ACR Appropriateness Criteria® akudzidzimutsa kuti chidziwitso chaching'ono chimakhala chochepa." [zofalitsa pamasamba]. Reston (VA): American College of Radiology (ACR); 2013. 4 Dec 2015.
ADAM "Kutsekera m'mimba." ADAM, Inc 23 Jul 2008. 30 Jul 2009.