Intussusception chacho mamirire zvinhu

Zvose zvinozivikanwa akadai nechirwere kuti intussusception. Ndiyo kutanga rimwe muura kune mumwe. Kakawanda chirwere ichi unowanikwa vacheche. Kazhinji, chikonzero chiri nyonganyonga peristalsis nguva apo mumwe chikamu dzeraundi tsandanyama spasm pachena.

Intussusception muvana rinowanzoberekera kumativi makore 4 months kuti gore. Dzimwe nguva chirwere kungazviratidza pakati pemakore maviri matatu. Izvi imhaka kuchinja mwana zvokudya. chirwere kwakadaro rinowanzoshandiswa ichirera vana pokuvimba. Zviratidzo zviri chirwere kwatanga: mwana hanya, vachichemera pasina chikonzero chakajeka, icho pamwe nokukurudzira gumbo kuti dumbu rake. Yose, zvinova pachena kuti chikonzero zvirwere zvevana vari abdominal kurwadziwa. Kazhinji, maperembudzi ane zvinotevera zvinhu.

1. Kurwisa kurwadziwa kazhinji unopinza. Vane simba kwazvo, nguva yavo duku, asi vari zvakanyatsorongwa akadzokorora panguva pfupi zvikamu. Pakati kurwiswa izvi hwomwana ezvinhu ari normalized iye anogona kutamba, kunyange kurara.
2. Aichinja chetsoka: haana abnormality wokutanga, nekuti chitsiko ibvai rezasi intestinal turakiti. Gare gare, madzihwa rakavhenganiswa ropa anooneka. Zvichienderana kunzwisisa chirwere, zviratidzo izvi zvinogona kuitika munguva mumaawa mashoma okutanga, asi kazhinji zvinoitika zvikuru gare gare, zvichida mukati mazuva. Chitsiko, izvo runozivisa intussusception, zvakafanana gobvu the currant mondo. Dzimwe nguva akazivisa nyore shava zvokunwa. intussusception pachigaro kunechekuita nenzira dzakasiyana: Vana vazhinji shure kwerekutanga kubvisa rinowanika flatulence uye chetsoka chengetedzo. Vamwe vanotambura manyoka.
3. Kurutsa achiperekedzwa marwadzo. Dzimwe nguva iye anomira, asi pashure pemaawa mashomanana Tinoenderera mberi zvakare. Dzokorora nayo nokuda kuramba kweiyi ari abdominal mhango uye kutyora bowel mhingaidzo.

Uyewo intussusception iri rikwanise chokutambudzika iri pamwe pallor ganda. Kana nguva haripi zvinodiwa kubatsira mwana, ari kuratidzwa chirwere akafanana zviratidzo peritonitis. Kana izvi zvikaitika, unofanira pakarepo kudaidza amburenzi. Chiremba, ndine abdominal palpation, rokuongorora kana agodzivisa zvokuongorora kuti "bowel intussusception." Chero mugumisiro Kuedzwa, unofanira kuzvidzosera kuenda kukiriniki kuona mimwe mishonga.

maererano kurapwa kuratidzwa hosha rakakamurwa:

1. Chenjera intussusception (vanenge 98% chiitiko).
2. Chirwere intussusception, dzinoratidzwa paumbwe adhesions kukonzerwa kukura kushoma (asingasviki 1%).
3. Idzokororo intussusception (anenge 0.5%).

intussusception Treatment kunosanganisira vachiridza kuburikidza iyo rinoitwa pasi zvavo yokutindivadza uchishandisa Richardson unyanzvi. Kuitazve pashure kushandisa kuchinja kurapwa apo neapo.

Pane contraindications akawanda pakushandisa kuchinja mabatiro:

1. Kuvapo ropa ari mugaranhoko.
2. Kana chipfuva radiograph rinoratidza mhingaidzo yacho ura duku.
3. Kana kubva zviratidzo chirwere rokutanga chave maawa anopfuura 18.
4. Vana vakura kupfuura gore kana asingasviki 3 months.
5. Kuvapo idzokororo intussusception.

kuvhiya kurapwa nzira - laparoscopic uye laparotomy. intussusception pashure kwokubatsira kuvhiya kupindira inodzokororwa nezvahwo pane pashure kuchinja kurapwa.

Kazhinji, kuchinja mabatiro rinoshandiswa chete pakutanga chirwere, uye nyaya pane intussusception yacho sigmoid muura. Kana nyaya yacho yakakomba, yakatarwa kubviswa muura.