Pamusana pe "glove finger" kutendeuka kwechikamu chemukati, intussusception inoratidzwa nekurwadziwa kwepamuviri kwechisimba. Icho chikonzero chekurapa uye kuvhiyiwa kwekukurumidzira muvana vadiki, sezvo inogona kutungamirira mukuvharika kwematumbo. Muvana vakwegura nevakuru, zvinogona kutora chimiro chisingaperi uye kuratidza kuvapo kwepolyp kana chirwere chakaipa.

tsananguro

Intussusception (kana intussusception) inoitika apo chikamu cheura chinoshanduka segirovhosi uye chinopinda mukati mechikamu chemukati pakarepo pasi. Kutevera iyi "telescoping", machira ekugaya ayo anoumba madziro emudumbu anopindirana, achigadzira roll yekupinda inosanganisira musoro nemutsipa.

Intussusception inogona kukanganisa chero nhanho yemudumbu. Nekudaro, kapfumbamwe kubva pagumi, inowanikwa pamharadzano yeileum (chikamu chekupedzisira chedumbu diki) uye colon.

Chimiro chinowanzozivikanwa ndeye acute intussusception yemucheche, iyo inogona kukurumidza kutungamirira kukuvharidzirwa uye kukanganisa kweropa rekupa (ischemia), ine ngozi ye intestinal necrosis kana perforation.

Muvana vakwegura nevakuru, kune maitiro asina kukwana, asingagumi kana anofambira mberi e intussusception.

Zvinokonzera

Acute idiopathic intussusception, pasina chikonzero chakazivikanwa, inowanzoitika muvana vadiki vane hutano, asi mumamiriro ehutachiona kana ENT hutachiona nechando recrudescence izvo zvakakonzera kuzvimba kweabdominal lymph nodes.

Sekondari intussusception inobatanidzwa nekuvapo kweronda mumadziro eura: polyp hombe, bundu rinouraya, diverticulum yeMerckel yakazvimba, nezvimwewo. Zvimwe zvirwere zvakawanda zvinogonawo kubatanidzwa:

• rheumatoid purpura,
• lymphoma,
• hemolytic uremic syndrome,
• cystic fibrosis…

Postoperative intussusception idambudziko rekumwe kuvhiya mudumbu.

chirwere

Kuongororwa kunobva pamifananidzo yezvokurapa. 

Abdominal ultrasound ndiyo bvunzo yesarudzo.

Iyo barium enema, x-ray yekuongorora yecolon yakaitwa mushure mejekiseni rekumashure remusiyano wepakati (barium), yaimbova mwero wegoridhe. Hydrostatic enemas (nejekiseni rebarium solution kana saline) kana pneumatic (nekupinzwa mweya) pasi peradiological control yava kushandiswa kusimbisa kuongororwa. Iyi miedzo ine mukana wekubvumira panguva imwechete kurapwa kwekutanga kwe intussusception nekusimudzira kuchinjwa kwechikamu chakavharwa pasi pekumanikidzwa kweenema.

Vanhu vane hanya

Acute intussusception inonyanya kubata vana vari pasi pemakore maviri ezera, ine huwandu hwepamusoro muvacheche vane mwedzi mina kusvika 2. Vakomana vanobatwa nekaviri kupfuura vasikana. 

Intussusception muvana vanopfuura makore 3-4 uye muvakuru ishoma.

Zvinhu zvinotyisa

Congenital malformations of the gastrointestinal turakiti inogona kunge iri predisposition.

Kuwedzera kudiki kwenjodzi yekubatwa nemuromo zvichitevera kubaiwa jekiseni rekudzivirira zvirwere zverotavirus (Rotarix) kwakasimbiswa nezvidzidzo zvakawanda. Iyi njodzi inoitika zvakanyanya mukati memazuva manomwe kubva pakugamuchira muyero wekutanga wejekiseni.

Muvacheche, kurwadziwa kwakanyanya kwemudumbu, kwekutanga kamwe kamwe, kunoratidzwa nekuputika kwepakati kunotora maminetsi mashomanana. Kucheneruka kwazvo, mwana anochema, anochema, anogumbuka… Kuparadzaniswa pakutanga nepakati pemaminitsi gumi nemashanu kusvika makumi maviri, kurwiswa kunoramba kuchiitika. Mukunyarara, mwana anogona kuratidzika serene kana zvinopesana akagwadama uye achinetseka.

Kurutsa kunoonekwa nekukurumidza. Mwana anoramba kudyisa, uye dzimwe nguva ropa rinowanikwa muchitsiko, chinotaridzika se "gooseberry jelly" (ropa rinosanganiswa nemucheka wemukati). Pakupedzisira, kumisa kufamba kwemukati kunomutsa kuvharika kwematumbo.

Muvana vakura nevakuru, zviratidzo zvinonyanya zviya zvekuvharika kwematumbo, nekurwadziwa mudumbu uye kupera kwechituru uye gasi.

Dzimwe nguva pathology inova isingaperi: intussusception, isina kukwana, inogona kudzoka pachayo uye kurwadziwa kunozviratidza muzvikamu.

Acute intussusception muvacheche ndeyechimbichimbi yevana. Yakakomba kana kutouraya kana ikasiiwa isina kurapwa nekuda kwenjodzi yekuvharika kwematumbo uye necrosis, ine fungidziro yakanakisa kana yakanyatsogadziriswa, ine njodzi yakaderera yekudzokazve.

Tsigiro yenyika

Kurwadziwa kwemucheche uye njodzi yekudonha mvura inofanira kutariswa.

Therapeutic enema

Zvipfumbamwe kubva pagumi, pneumatic uye hydrostatic enemas (ona kuongororwa) zvakakwana kuti udzorere chikamu chakavharwa panzvimbo. Kudzokera kumba uye kutangazve kudya kunokurumidza.

sejari

Muchiitiko chekupedzisira kuongororwa, kukundikana kweenema kana contraindication (zviratidzo zvekutsamwiswa kweperitoneum, nezvimwewo), kupindira kwekuvhiya kunodiwa.

Manual kuderedzwa kwe intussusception dzimwe nguva zvinogoneka, nekuita dzvinyiriro kumashure paura kusvika soseji yanyangarika.

Kuvhiya kubviswa kwechikamu chakavharwa kunogona kuitwa ne laparotomy (classic open stomach operation) kana ne laparoscopy (kuvhiyiwa kuduku kunoitwa ne endoscopy).

Muchiitiko che intussusception yechipiri kune bundu, izvi zvinofanirwawo kubviswa. Zvisinei, haisi nguva dzose dambudziko.