Intussusception kanye nezici zayo isici

Zonke kwande ezifana sitholakele intussusception. Lena isethulo ikholoni olulodwa kwesinye. Ngokuvamile lesi sifo kwenzeka in izinsana. Ngokuvamile, imbangela kuyinto peristalsis ukuphazamiseka lapho ingxenye ethile ye-isiyingi imisipha spasm njalo edalulwa.

Intussusception ezinganeni ngokuvamile kwenzeka emhlabeni engu-izinyanga 4 kuya ngonyaka. Ngezinye izikhathi lesi sifo ukuzibonakalisa abaneminyaka ephakathi kwengu-iminyaka emibili kuya kwemithathu. Lokhu kungenxa izinguquko ekudleni kwengane. kokutshelwa ngokukhubazeka kwengane ngokuvamile sondleke izingane kuka mafutha. Izimpawu zesifo uqale kungazelelwe: ingane ethintekayo, ukukhala okukhulu ngaphandle kwesizathu, okuyinto kuhambisana ngokuncenga umlenze ukuze esiswini sakhe. On wonke, kuba sobala ukuthi isizathu izifo zezingane kukhona ubuhlungu besisu. Ngokuvamile, isifo has izici ezilandelayo.

1. Ukuhlaselwa zobuhlungu ngokuvamile abukhali. Inamandla kakhulu, isikhathi esincane yabo, kodwa basuke ehlelekile okuphindaphindiwe ngezikhawu iDemo. Phakathi kwalokhu kuhlaselwa isimo somntwana sibuyela kwesejwayelekile: angakwazi ukudlala, ngisho ukulala.
2. Izinguquko e sezinyawo: akanaso angahlangani kuqala, ngoba sezinyawo asuke aphansi pheshana emathunjini. Kamuva, isikhwehlela kuxutshaniswe negazi livela. Kuye yinkimbinkimbi isifo, lezi zimpawu kungenzeka amahora ambalwa kuqala, kodwa ngokuvamile kwenzeka kamuva kakhulu, mhlawumbe zingakapheli izinsuku. Sezinyawo, okuyizinto sici intussusception, efana obukhulu currant jelly. Ngezinye izikhathi ezikhonjwe ketshezi nje brown. intussusception e namathonya esihlalweni ngetindlela letehlukene: izingane eziningi ngemva esiphuthumayo sokuqala ibonakala ukubuyisa futhi sezinyawo nokugcinwa. Abanye futhi uhlushwa isifo sohudo.
3. Ukuhlanza ephelezelwa ubuhlungu. Ngezinye izikhathi yena eyeka, kodwa ngemuva kwamahora ambalwa iyaqala futhi. Phinda ke ngenxa ezishukumisayo njalo ngalo ingaphakathi lesisu kanye kokunikezwa kwe-isimiso wamathumbu.

Futhi intussusception esigabeni acute kuhambisana pallor kwesikhumba. Uma isikhathi alinikezi ngosizo oludingekayo ukuze ingane, izenzo sifo zifana izimpawu of peritonitis. Uma lokhu kwenzeka, kufanele ngokushesha shayela i-ambulense. Udokotela, kokuba palpation besisu, ukuxilonga noma ukuphikisa sitholakele "wamathumbu intussusception." Kungakhathaliseki umphumela wokuhlola, kufanele ngabe yikuphi ukuya emtholampilo ukunquma okunye ukwelashwa.

ngokuvumelana ukubonakaliswa emitholampilo ye isifo uhlukaniswe:

1. intussusception olunamandla (cishe 98% nesenzakalo).
2. intussusception Ezingalapheki, libhekene kumiswa ukuvuvukala okubangelwa ukuthuthukiswa ukuvuvukala (ngaphansi kuka-1%).
3. intussusception Phindaphinda (mayelana 0.5%).

intussusception Ukwelashwa kuhilela ohlabayo ngokusebenzisa okuyinto eyenziwa ngaphansi izinzwa jikelele usebenzisa Richardson imiklamo. Ukushiyeka emva ukusetshenziswa ukwelashwa ngoludala kukalutshwana kakhulu.

Kukhona Izimo eziningana ukuze ukusetshenziswa ukwelashwa ngoludala:

1. Ukuba khona ukopha ingemuva.
2. Uma radiograph esifubeni ubonisa isimiso emathunjini amancane.
3. Lapho kusukela izimpawu zokuqala zesifo ke kuye kwaba kuka 18 amahora.
4. Izingane ezindala esingaphezu konyaka noma esingaphansi kwezinyanga 3.
5. Ukuba khona intussusception yansukuzonke.

kuhlinzwa ukwelashwa indlela - laparoscopic futhi laparotomy. intussusception ngemva nokuphathwa kokungenela kuhlinzwa iyaphindwa kancane kaningi kunanoma emva kokwelashwa olandelanayo.

Ngokuvamile, ukwelashwa ngoludala isetshenziswa kuphela ekuqaleni lesi sifo, futhi esimweni lapho kukhona intussusception kapopopo sigmoid. Uma isimo sibucayi, aqokwe ekususweni ikholoni.