Intussusception kunye neempawu zayo luphawu

Zonke eqhelekileyo ngakumbi ezifana lokufunyaniswa intussusception. Oku ukuqaliswa ngekholoni omnye komnye. Kaninzi oku sifo kwenzeka kwiintsana. Ngokuqhelekileyo, unobangela i peristalsis ukuphazamiseka xa inxalenye ethile setyhula spasm kwezihlunu bajikelezwe.

Intussusception ebantwaneni kaninzi kwenzeka phakathi kweminyaka kwiinyanga-4 ukuya kunyaka. Ngamanye amaxesha sifo kunokuzibonakalisa phakathi kweminyaka kwiminyaka emibini ukuya kwemithathu. Oku kungenxa utshintsho kwizidlo bomntwana. Loo isifo udla anqakwa abantwana sayame. Iimpawu zesi sifo kuqalisa ngesiquphe; ke umntwana lowo, bakhale ngaphandle kwesizathu, nto leyo sikhatshwa ebongoza umlenze isisu sakhe. Phezu kwalo lonke, kuye kucace ukuba isizathu izigulo zabantwana na intlungu esiswini. Ngokuqhelekileyo, esi sifo ezi mpawu zilandelayo.

1. Ukuhlaselwa buhlungu zidla elibukhali. Beqine kunene, ubude ezincinane zabo, kodwa ngendlela phindwa kumathuba elifutshane. Phakathi kwezi ukuhlaselwa imeko yomntwana nganye ezinga malungu abantu; yena uyakwazi ukudlala, uze ulale.
2. Utshintsho kweenyawo: yena akanayo ukungaqheleki kuqala, ngokuba isihlalo kumkiwe phecana asezantsi emathunjini. Kamva, yencindi ugalelwe igazi ibonakala. Kuxhomekeka kubunzima esi sifo, ezi mpawu kungenzeka kwiiyure ezimbalwa zokuqala, kodwa kuyenzeka kamva, mhlawumbi kwiintsuku. Esitulweni, leyo uphawu intussusception, efana currant ijeli zamafu. Ngamanye amaxesha ezichongiweyo ulwelo nje brown. intussusception kwi iimpembelelo esitulweni ngeendlela ezahlukeneyo: Abantwana abaninzi emva kokukhutshwa ngobungxamo lokuqala kubonakala flatulence kunye esitulweni nokugcinwa. Abanye bahlupheke urhudo.
3. Ukuphalaza kuhambisane ziintlungu. Ngamanye amaxesha ime, kodwa emva kweeyure ezimbalwa liqala kwakhona. Phinda oku kungenxa yashukunyiswa lomgadi kwisisu kunye yaphula isithintelo kwamathumbu.

Kwakhona intussusception kwisigaba etsolo ihamba pallor kwesikhumba. Ukuba ixesha ayiboneleli ngoncedo olufunekayo ukuze umntwana, wabonakala zesi sifo ezifana iimpawu peritonitis. Ukuba oku kuyenzeka, kufuneka ngoko nangoko ubize inqwelo yezigulana. Ugqirha, ukuba Ngokucofa esiswini, ukufumanisa okanye ukuphikisa lokufunyaniswa "namathumbu intussusception." Enoba ngenxa uhlolo, kufuneka kuyo nayiphi na imeko uye ekliniki ukuqinisekisa unyango olungaphezulu.

elowo obubonakala kwezonyango sifo yahlulwe:

1. intussusception Acute (malunga nama-98% ukwenzeka).
2. intussusception Chronic, luphawulwa ukuyilwa azikhuli zibangelwa kuphuhliso inkqubo yokukrala (ngaphantsi kwe-1%).
3. intussusception nezolo (malunga 0.5%).

intussusception Treatment ibandakanya ukuvuthela nge apho wenziwa phantsi zomzimba jikelele usebenzisa Richardson buciko. Ubuya emva ukusetyenziswa konyango endala inqabile kakhulu.

Kukho Izimo ezininzi ukusetyenziswa konyango elondoloza:

1. Ubukho ukopha isikali.
2. Ukuba radiograph esifubeni ubonisa indlela ezivaleke ngayo emathunjini amancinci.
3. Xa evela Iimpawu zokuqala zesi sifo kuye iiyure ezingaphezu kwama-18.
4. Abantwana abadala ngaphezu konyaka okanye ngaphantsi kweenyanga ezi-3.
5. Ubukho intussusception nezolo.

kwendlela yotyando unyango - laparoscopy laparotomy. intussusception emva ulawulo ngoncedo ngotyando ziman ngaphantsi usoloko emva unyango endala.

Ngokuqhelekileyo, unyango elondoloza lisetyenziswa kuphela ekuqaleni kwesi sifo, kwaye kwimeko apho kukho intussusception le colon sigmoid. Ukuba ityala esinzulu, oqeshwe ukushenxiswa ikholoni.