Lapho Amathumbu Esonteka: Ukuqonda iMidgut Volvulus kanye Nokwelashwa kwayo Okuphuthumayo

I-Midgut volvulus yisimo sezempilo esenzeka lapho ithumbu elincane lizisonta ngokwalo, okuholela ekuvinjweni kokugeleza kwegazi kanye nengozi engaba khona yokulimala kwezicubu. Lesi simo sibhekwa njengesimo esiphuthumayo sezokwelapha futhi sidinga ukwelashwa ngokushesha. I-midgut ibhekisela engxenyeni emaphakathi yamathumbu, esuka ku-duodenum iye endaweni eseduze kokubili kokuthathu kwekholoni eguquguqukayo. Lapho i-midgut iphenduka, ingabangela ukuvinjelwa emathunjini, okuholela ku-ischemia kanye nokulimala okungenzeka kwezicubu. Esihlokweni esilandelayo, UDkt Rahul Dubbaka, Uchwepheshe, Udokotela Wezifo Zomzimba, Udokotela Wesibindi kanye Nezokwelapha Endoscopist, Izibhedlela ze-CARE, Banjara Hills, Hyderabad, yabelana ngezimbangela, izimpawu, ukuxilongwa, izici eziyingozi kanye nokwelashwa kwe-midgut volvulus.

Izimbangela Zokonakala

I-Midgut volvulus yisimo esiyivelakancane kubantu bayo yonke iminyaka, kodwa sibonakala kakhulu ezinsaneni nasezinganeni ezincane.

• Ivamise ukuhlotshaniswa nokukhubazeka kokuzalwa, njengokonakala, lapho ithumbu lingakhuli kahle esibelethweni. I-malrotation ingabangela ukuthi amathumbu anamathele ngendlela engafanele odongeni lwesisu, okwandisa amathuba okusonteka.
• I-Midgut volvulus yisimo esiyivelakancane kodwa esingase sibeke ukuphila engozini esenzeka lapho ithumbu elincane lizisonta ngokwalo, okuholela ekuvinjweni kokugeleza kwegazi kanye nengozi engaba khona yokulimala kwezicubu. Lesi simo sithathwa njengesimo esiphuthumayo sezempilo futhi sidinga ukunakwa ngokushesha.

Midgut Volvulus Izimpawu

I-Midgut volvulus ivamile ezinsaneni nasezinganeni ezincane.

• Izimpawu ze-midgut volvulus zingaba nzima futhi zingase zihlanganise ubuhlungu besisu obungazelelwe futhi obukhulu, isicanucanu nokuhlanza, ukuqunjelwa, ukuqunjelwa, isifo sohudo, kanye nesisu esigobile. Kwezinye izimo, kungase kube nezimpawu ezibonakalayo zamathumbu asontekile noma igazi esitulweni.
• Kuvamise ukuhlotshaniswa nokungajwayelekile kwesakhiwo samathumbu, njengokungahambi kahle, lapho amathumbu awakhuli ngendlela efanele isibeletho. Uma i-malrotation, ithumbu lingase lingaxhunywanga ngokwanele odongeni lwesisu, okulivumela ukuba lisonteke kalula.

Ezinye Izinto Eziyingozi Ye-Midgut Volvulus zihlanganisa:

1. Umlando wokuhlinzwa kwesisu kwangaphambilini.
2. Izimo ezithile zezokwelapha, njenge-cystic fibrosis noma isifo sika-Hirschsprung.
3. Umlando womndeni we-midgut volvulus.

I-Midgut Volvulus Diagnosis

Ingane yakho kungenzeka ihlushwa i-midgut volvulus; ukubambezeleka kokwelashwa kungaholela ezinkingeni ezinzima, okuhlanganisa ukubhobozwa kwamathumbu, i-sepsis, nokufa. Ukuxilongwa kwe-midgut volvulus ngokuvamile kwenziwa ngenhlanganisela yokuhlolwa komzimba, izifundo ze-imaging, nokuhlolwa kwaselabhorethri. Isibonelo, ama-X-ray wesisu, ama-ultrasound, nama-CT scan angase asetshenziselwe ukubona ngeso lengqondo amathumbu asontekile futhi aqinisekise ukuxilongwa. Ukuhlolwa kwegazi kungase futhi kwenziwe ukuze kuhlolwe izimpawu zokutheleleka noma okunye okungavamile.

Ukuhlinzwa: Insika yokwelashwa kwe-midgut volvulus

Ukuhlinzwa kuhloswe ukuqaqa amathumbu nokubuyisela ukugeleza kwegazi endaweni ethintekile.