Intussusception ndi zochititsa khalidwe

Onse ambiri monga matenda a intussusception. Izi oyamba a m'matumbo limodzi ndi mzake. Nthawi zambiri matenda amapezeka makanda. Childs, chifukwa ndi chisokonezo peristalsis pamene gawo ena a minofu kuphipha zozungulira kaŵirikaŵiri.

Intussusception ana nthawi zambiri amapezeka padziko m'badwo wa miyezi 4 chaka. Nthawi zina matenda angasonyeze zaka zapakati pa zaka ziwiri kapena zitatu. Ichi ndi chifukwa kusintha zakudya mwanayo. Chotero matenda kawirikawiri adamlera ana modalira. Zizindikiro za matenda ayamba mwadzidzidzi: mwana nkhawa, kulira popanda chifukwa chenicheni, amene anatsagana ndi kukudandaulirani mwendo ndi mimba yake. Pa lonse, zimaonekeratu kuti chifukwa matenda ana ndi ululu m'mimba. Childs, matenda ali mbali zotsatirazi.

1. Matenda ululu amakhala lakuthwa. Ali amphamvu kwambiri, nthawi ya ang'ono awo, koma mwadongosolo mobwerezabwereza pa intervals yochepa. Pakati kuukira izi chikhalidwe mwana ndi dekhetsa: iye akhoza kuimba, ngakhale kugona.
2. Kusintha chopondapo: iye alibe chosayenerera woyamba, chifukwa chopondapo achoke thirakiti m'munsi matumbo. Kenako, ntchofu wothira magazi. Malinga zovuta za matenda, zizindikiro zimenezi zingachitike mu maora pang'ono koyamba, koma zambiri zimachitika patapita nthawi yaitali, mwina mwa masiku. Chopondapo, ndiwo khalidwe la intussusception, mofanana ndi wakuda currant odzola. Nthawi zina kuzindikiridwa madzi chabe bulauni. intussusception mu makhalidwe mpando m'njira zosiyanasiyana: ana ambiri pambuyo achoke koyamba flatulence ndi chopondapo posungira. Ena amadwala matenda otsekula m'mimba.
3. Kusanza limodzi ndi ululu. Nthawi zina mabasi, koma pambuyo maola ochepa tikupitiriza kachiwiri. Kubwereza izo chifukwa mangolomera zonse zonse m'mimba ndi kuphwanya matumbo kutsekeka.

intussusception mu gawo pachimake Komanso limodzi ndi pallor a khungu. Ngati nthawi sasamalira ndi thandizo lofunika mwana, maonekedwe a matenda ofanana ndi zizindikiro za peritonitis. Ngati zimenezi zachitika, muyenera yomweyo itanani ambulansi. dokotala, pokhala palpation m'mimba, matenda kapena kutsutsa matenda a "matumbo intussusception." Kaya chifukwa cha kuyenderako, muyenera Mulimonsemo kupita ku chipatala kuti mudziwe mankhwala zina.

malinga ndi mawonetseredwe matenda a matenda lagawidwa:

1. Pachimake intussusception (pafupifupi 98% yatsoka).
2. Matenda intussusception, yodziwika ndi mapangidwe adhesions chifukwa cha chitukuko cha ndondomeko yotupa (zosakwana 1%).
3. Kobwereza intussusception (za 0,5%).

intussusception Chithandizo kumafuna kuwomba kudzera amene anachita pogonekedwa ndi mankhwala ambiri ntchito Richardson njira. Kuyambiranso pambuyo ntchito mankhwala ndiwofatsa ali osowa kwambiri.

Pali contraindications angapo kugwiritsa ntchito mankhwala ndiwofatsa:

1. Kukhalapo kwa magazi mu rectum.
2. Ngati chifuwa radiograph limasonyeza kutsekeka za m'mimba yaing'ono.
3. Pamene kuchokera zizindikiro woyamba wa matenda wakhala maola oposa 18.
4. Ana okulirapo kuposa chaka kapena osakwana miyezi 3.
5. Pamaso pa intussusception kobwereza.

chithandizo opaleshoni njira - laparoscopic ndi laparotomy. intussusception pambuyo ka phukusi opaleshoni akubwerezedwa zochepa zambiri kuposa mankhwala ndiwofatsa.

Childs, chithandizo ndiwofatsa ntchito kokha pa chiyambi cha matenda, ndi choncho kumene intussusception wa sigmoid m'matumbo. Ngati choncho kwambiri, amasankhidwa ndi kuchotsa ya m'matumbo.