Intussusception - ụmụaka

Intussusception bụ ịmịgharị otu akụkụ eriri afọ n’ime ọzọ.

Edemede a lekwasịrị anya na intussusception na ụmụaka.

Intussusception na-akpata akụkụ nke eriri afọ a dọbara n'ime n'ime onwe ya.

Nrụgide nke mgbidi eriri afọ jikọtara ọnụ na-akpata:

• Mbelata nke ọbara
• Iwe
• Ọzịza

Intussusception nwere ike igbochi ụzọ isi banye eriri afọ. Ọ bụrụ na ebipụ ọbara na-enye, akụkụ eriri afọ nke adọtara n'ime nwere ike ịnwụ. Nnukwu ọbara ọgbụgba pụkwara ime. Ọ bụrụ na oghere amalite, ọrịa, ujo, na akpịrị ịkpọ nkụ nwere ike ime ngwa ngwa.

Amaghi ihe kpatara intussusception. Ọnọdụ ndị nwere ike iduga nsogbu ahụ gụnyere:

• Malitere ịrịa ọrịa
• Nnukwu lymph ọnụ na eriri afọ
• Polyp ma ọ bụ etuto dị na eriri afọ

Intussusception nwere ike imetụta ma ụmụaka ma ndị okenye. Ọ bụkarị ụmụ nwoke ka a na-ahụkarị. Ọ na-emetụtakarị ụmụaka gbara ọnwa 5 ruo afọ 3.

Ihe ịrịba ama izizi nke intussusception bụ mgbe na mberede, akwa na-eti mkpu site na mgbu afọ. Mgbu ahụ na-arịa oyi ma ọ bụghị na-aga n’ihu (oge ụfọdụ), mana ọ na-alọghachi mgbe mgbe. Mgbu ahụ ga-esiwanye ike ma dịrị ogologo oge ọ bụla ọ laghachi.

Nwatakịrị nwere nnukwu ihe mgbu n’afọ nwere ike ịdọrọ ikpere ya n’obi ya mgbe ọ na-ebe akwa.

Mgbaàmà ndị ọzọ gụnyere:

• Ọbara, imi-ka eriri afọ, mgbe ụfọdụ a na-akpọ stool "currant jelii"
• Ahụ ọkụ
• Ujo (acha dị ọcha, ike ọgwụgwụ, ọsụsọ)
• Ifuho obụk ye iyịp ye ikpa
• Akpịrị

Onye na-ahụ maka ahụike gị ga-eme nyocha nyocha nke ọma, nke nwere ike ikpughe ọtụtụ n'ime afọ. Enwere ike inwe ihe ịrịba ama nke akpịrị ịkpọ nkụ ma ọ bụ ụjọ.

Ule nwere ike ịgụnye:

• Ime ultrasound
• Ime x-ray
• Ikuku ma ọ bụ iche enema

Nwa ahụ ga-ebu ụzọ kwụsie ike. A tube ga-gabiga n'ime afo site na imi (nasogastric tube). A ga-etinye eriri ogwu (IV) na ogwe aka, a ga-enyekwa mmiri mmiri iji gbochie akpịrị ịkpọ nkụ.

N'ọnọdụ ụfọdụ, enwere ike iji ikuku ma ọ bụ iche enema gwọọ eriri afọ. Nke a na-eme nke a site na redio ọkachamara maara na usoro ahụ. Enwere ihe egwu nke njiri obi (perforation) na usoro a.

Nwa ahụ ga-achọ ịwa ahụ ma ọ bụrụ na ọgwụgwọ ndị a anaghị arụ ọrụ. A na-echekwa ụdị eriri afọ. A ga-ewepụ anụ ahụ nwụrụ anwụ.

Ọgwụ nje nwere ike ịdị mkpa iji gwọọ ọrịa ọ bụla.

A ga-anọgide na-enye nri na mmiri ọgwụ ruo mgbe nwatakịrị ahụ nwere eriri afọ ọ bụla.

Nsonaazụ dị mma na ọgwụgwọ n'oge. E nwere ihe egwu nsogbu a ga-alọghachi.

Mgbe oghere ma ọ bụ dọwara na eriri afọ mere, a ghaghị ịgwọ ya ozugbo. Ọ bụrụ na anaghị agwọ ya, intussusception fọrọ nke nta ka ọ bụrụ ihe na-egbu ụmụaka na ụmụ aka.

Intussusception bụ ihe mberede ahụike. Kpọọ 911 ma ọ bụ gaa na ụlọ mberede ozugbo.

Afọ mgbu na ụmụaka - intussusception

• Nnyocha
• Intussusception - x-ray
• Ngwa ngwa ngwa

Hu YY, Jensen T, Finck C. Ọnọdụ ịwa ahụ nke eriri afọ nke obere na ụmụ aka. Na: Yeo CJ, ed. Gerywa Ahụ nke Shackelford nke Alimentary Tract. 8th ed. Philadelphia, PA: Elsevier; 2019: isi 83.

Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM. Ileus, adhesions, intussusception, na mgbochi mmechi. Na: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Akwụkwọ ọgụgụ nke Ọrịa edimụaka. 21nke. Philadelphia, PA: Elsevier; 2020: isi 359.

Maloney PJ. Ọrịa afọ. Na: Mgbidi RM, Hockberger RS, Gausche-Hill M, eds. Ngwọta Mberede nke Rosen: Echiche na usoro ọgwụgwọ. Agba nke 9. Philadelphia, PA: Elsevier; 2018: isi 171.