Sigmoid m'matumbo: matenda, pathogenesis, chithandizo strategy

Sigmoid m'matumbo - ndi chiwalo dzenje mu gawo lomaliza za m'mimba, limene lili kumanzere kwa pamimba. Pankhaniyi, umboni mankhwala zikusonyeza kuti anaŵerama angafikire subcostal lamanja kapena midline. mapangidwe Izi si kukhala wochitachita mu ndondomeko ya chimbudzi, ndiye anapanga chopondapo. Mu matenda osiyanasiyana sigmoid m'matumbo kuoneka chisokonezo kwambiri makhalidwe matumbo, iwonso bwanji kugwira ntchito yachibadwa ziwalo pafupi. matenda Part (mwachitsanzo, zilonda zaminyewa chotupa wa sigmoid m'matumbo) kuyambitsa kuwopsyeza kwa moyo wa wodwalayo.

Sigmoid m'matumbo: matenda a kutupa chikhalidwe

Gulu la matenda ali pabwino monga kutupa ndi Sigma ndi mtundu wa matenda a m'matumbo. Tanthauzo ndi mitundu iwiri ya matenda - pachimake ndi aakulu. Zizindikiro za sigmoidita pachimake ndi ululu dera iliac, kusintha mtundu ndi mphamvu ya mpando. Mawonekedwe a matenda a sigmoid m'matumbo aakulu amayambitsa kupweteka pa kayendedwe matumbo kapena pambuyo pali kusinthana kwa m'mimba ndi kudzimbidwa. Pakuti Zikavuta kwambiri, odwala amadandaula kusanza, bloating. Izi ndi zizindikiro opaleshoni monga chiwonetsero chachikulu cha kutupa - ndi kutsekeka matumbo. Zikakhala kumene kutupa sigmoid m'matumbo akupitiriza maphatikizidwe intestine angayambe ndi matupi pafupi.

Pakuti dongosolo chotero, ngati sigmoid m'matumbo, matenda yodziwika ndi staging, ndipo akutanthauza kuvomerezedwa bedi zina pa exacerbation, kugwilizana ndi zakudya kwambiri. Wodwala Kwalamulidwa spazmologicheskie, mankhwala ndi mankhwala pogwiritsa ntchito mitengo azitsamba. Mu siteji sharpness aakulu noticeable zizindikiro chabe. Pankhaniyi, kaya mawonekedwe sigmoidita akhoza anachiritsa kotheratu, ndipo ayenera kupita kwa dokotala, chifukwa kutupa zonse - ndi chinthu causative mu chitukuko cha mavuto khansa ya chikhalidwe zilonda kapena chosaopsa.

Sigmoid m'matumbo: matenda disembriogeneza

Gulu la matenda ukufanizidwa diverticulosis. matenda amenewa ali mwana ali osowa kwambiri, koma zizindikiro zazikulu pafupifupi zaka 50. Odwala ochuluka ayamba kumva kuyan'anila monga chopondapo anachedwa, kumverera kwa chidzalo mu pamimba, bloating. Matendawa ndi zotsatira amphamvu kwambiri pa ntchito m'mimba, makamaka chimandiswa Ndime chilengedwe cha chopondapo. Mu chochitika cha kulephera kupereka chithandizo yake angathe mapangidwe abscess, purulent peritonitis, magazi ndi njira zina zowononga.

Ngati matenda ndi bata pamene wodwalayo sayenera m'chipatala. Zingakhale chithandizo chokwanira kunyumba. mankhwala zotchulidwa, Ndi bwino kumwa zakumwa zina. Monga kugwilizana ndi zakudya okhwima ndi zina bedi. Ngati zabwino zimawonedwa, mtima uli anatumiza kuchipatala. Ulosi wa mankhwala zambiri zimadalira kukula kwa matenda ndi zaka wodwalayo.

Sigmoid m'matumbo: matenda a chikhalidwe oncological

Kwa kapangidwe ngati thupi la munthu ngati sigmoid m'matumbo, ndi kudwala yodziwika ndi etiology choyambirira, makamaka pankhani ya Oncology. Kulankhulana ndi nthawi zonse zatha madzi chopondapo ndi khansa sigmoid kwathunthu anatsimikizira. Zizindikiro za matenda ndi ululu m'mimba, matumbo kutsekeka, nseru, bloating.

Chithandizo cha matenda ikuchitika pambuyo yobereka ndi anayendera nkhani zonse zoona lathunthu la mtima. Mu matenda a ntchito yaikulu wotanganidwa ndi anapezazo zasayansi ndi biopsy. Zonsezi umalimbana kukhazikitsa kukula kwa polyp kapena adenocarcinoma wa sigmoid m'matumbo ndi malo enieni. Komanso, kuwonjezera pa amitundu wamba pathologies khansa ya matenda a sigmoid m'matumbo anawagawira ndi kusiyana chiyambi cha chotupa cha. A wosanjikiza zaminyewa kupangika adenomas, ndi submucosa wa zaminyewa akalowa - ndi polyp wa sigmoid m'matumbo. Cancer mankhwala ikuchitika njira onse opaleshoni ndipo pharmacological. Morning ntchito ngati muyeso akuthandiza kuthandiza kuchotsa maselo chotupa.