Kufamba kwemukati kuri nyore kukanganiswa. Kunyangwe isiri yakakomba mune yakawanda kesi, zvinoitika kuti mhasuru inopesana inoona kufambira mberi kwechikafu mudumbu, mudumbu peristalsis, haina kusimba kana kupokana nekukurumidza. Izvi zvinokanganisa zvinogona kutsamwisa zuva nezuva. Kugadziridza pane kwayo kushanda?

Tinodaidza kuti "peristalsis" zvese zvinokanganisa tsandanyama ("peristaltic movement") yenzira yekugaya inoitwa kubva kumusoro kusvika kuzasi ichibvumira kufambira mberi kwechikafu mukati memukati mehomwe. Mune mamwe mazwi, madziro eiyo esophagus anofambisa chikafu kuenda mudumbu kuburikidza nekufamba kwechimhanzi kunogadzirwa nemhasuru inopunzika.

Izwi rinobva ku neo-Latin uye rinobva muchiGiriki peristallein, "kukomberedza".

Kutenda mhasuru dzinovatenderedza, nhengo dzine mhango, ziso, mudumbu uye ura, chibvumirano pakarepo, zvichibvumira kufambira mberi kwechikafu. Pasina ichi chiitiko, iko kwese kugadziriswa kwechikafu uye kumisikidzwa kwehutano kunenge kusingaiti.

Kugaya kwehusimbe uye kukanganiswa kwematumbo peristalsis zvinowanzo kukonzera kusagadzikana kusingaperi.

Unyanzvi hwemotokari yemhasuru dzakatsetseka dzedumbu rekugaya uye neparonda remudumbu zvinogona kudzikisirwa nezvinhu zvakawanda.

Izvo zvikonzero zvekudzikira kwakadzika kunogona kuve kwekutanga:

• Hormonal: kubata pamuviri, kuenda kumwedzi, kutora chirongwa chekudzivirira homoni;
• Organic: chirwere kana kukwegura;
• Iatrogenic: yakadzokororwa mishonga;
• Psychogenic kana zvemagariro: anorexia nervosa, kushushikana;
• Hupenyu hwakasimba zvakajairika, kushungurudzika kana shanduko mutsika (shanduko yehupenyu, kufamba kana kushushikana kunogona kukanganisa zvakanyanya peristalsis).

Kugaya kwehusimbe uye kukanganiswa kwematumbo peristalsis zvinowanzo kukonzera kusagadzikana kusingaperi senge:

• Rinoshanda colopathy kana rinogumbura ura syndrome: inoshanda pathology, ndiko kuti kushanda kwematumbo kuchinjika uye kunoitisawo zvine mutsindo zvichikonzera zvikamu zvechirwere kana kupatirwa;
• Fecaloma: kusagadzikana kwenzvimbo yekugaya inoratidzwa nekuunganidzwa kusingaite kwendove. Icho chimwe chezvinetso zvekusingaperi kuzvimbirwa;
• Gastroparesis: inoratidzwa nekunonoka gastric kurasa, mudumbu inodurura zvisina kunaka kana zvishoma nezvishoma;
• Achalasia: hutachiona umo mhasuru dzerusophageal madziro pamwe neiyo sphincter iri pakati pegodo nedumbu hazvizorore mushure mekumedza, izvo zvinodzivirira chikafu kupinda mudumbu;
• Intestinal ileus: kumisa kwenguva pfupi kwematumbo peristalsis ayo anowanzoonekwa mushure mekuvhiyiwa mudumbu, kunyanya kana ura hwave kushandiswa;
• Occlusive Syndrome: Kuvhiringidzika kwematumbo kunoratidza sekurwadziwa mudumbu, kumiswa kwezvinhu uye gasi, kusvotwa kana kurutsa, mudumbu meteorism uye zvinowanzoda kuvhiiwa nechimbichimbi vamwe vachibvumidza kurapwa.

Kurapa kwematumbo peristalsis kwakabatana nemishonga yekurapa (manyowa emvura kanopfuura katatu pazuva kana kupfuura kazhinji) kana kupatira.

Kana mune manyoka

• Chenjera kudzivirira zvinogona kupera mvura mumvura: mvura haina yakakwana mamineral munyu, zviri nani kunwa yakachinjika cola, yakafuma mumagetsi;
• Farira chikafu chinopa simba: mupunga, karoti dzakabikwa, michero yemichero, mabhanana, kana quince jelly, uye kuderedza michero miriwo nemiriwo zvinowedzera ura;
• Kununura zvinodhaka: Smecta kana zvimwe zvakafanana zvinoshanda pahutsi uye manyoka.

Panyaya yekudzvinyirirwa

• Idya zvine hutano: deredza mafuta, doro rakawandisa uye zvakagadziriswa chikafu;
• Favour zvigadzirwa zvakapfuma mufiber (miriwo yegirinhi, michero yakaomeswa, zviyo zvechingwa zvezviyo);
• Tora nguva yekudya;
• Gara wakadiridzwa nemvura yekunwa;
• Dzidzira kuita chiitiko chenguva dzose (kushambira, kusvetuka uye kumhanya mitambo, kufamba uchikurumidza, nezvimwewo).

Ileus

Kurapa kunosanganisira:

• Aspiration nasogastrique;
• Kutsanya;
• An IV hydroelectrolytic supply: kuripira kurasikirwa zvisati zvaitika chiito chekushanda asiwo kufunga nezvemigumisiro inokonzerwa nechiito uye nzira yeanesthesia. Kana zvikaitika chirwere chinowoneka chine chekuita nekufa mitezo, ndiko kurapwa kwechikonzero kwakakosha.

Hapana kuongororwa kwehupenyu kwakakosha kuti uongororwe. Iko kurudziro inotsvaga kuongororwa kweropa pamwe nekutsvaga kweanemia kana CRP bvunzo kuitira kuti utarise kuzvimba, uye pakupedzisira kuitisa zvingaita kuongororwa kwechirwere chechiliac.

Zviratidzo zvekunyevera zvinotungamira mukurumidza kuita colonoscopy ndeizvi:

• kubuda ropa;
• uremu husina kutsanangurwa
• nhoroondo yemhuri yekenza yekoloni;
• kuwanikwa kwechirwere chisina kujairika (mashoma epamuviri);
• kutanga kwezviratidzo zvekutanga mushure memakore makumi matanhatu.