Saboda "yatsa safar hannu" jujjuya wani yanki na hanji, ƙwaƙwalwar hanji yana nuna alamun jin zafi na ciki. Yana haifar da gaggawa na likita da tiyata ga yara ƙanana, saboda yana iya haifar da toshewar hanji. A cikin manyan yara da manya, yana iya ɗaukar nau'i na yau da kullun kuma yana nuna alamar polyp ko ƙwayar cuta mai cutarwa.

definition

Intussusception (ko intussusception) yana faruwa lokacin da wani yanki na hanji ya juya kamar safar hannu kuma ya shiga cikin sashin hanji nan da nan a ƙasa. Bayan wannan “telescoping”, riguna masu narkewa waɗanda ke samar da bangon sashin narkewar abinci suna yin cuɗanya da juna, suna yin nadi wanda ya ƙunshi kai da wuya.

Intussusception zai iya rinjayar kowane matakin na hanji. Duk da haka, sau tara a cikin goma, yana samuwa a tsaka-tsakin gida (banshi na karshe na ƙananan hanji) da kuma hanji.

Mafi na kowa nau'i ne m intussusception na jarirai, wanda zai iya sauri haifar da toshewa da katsewar jini (ischemia), tare da hadarin hanji necrosis ko perforation.

A cikin manyan yara da manya, akwai nau'o'in kamuwa da kamuwa da cuta wanda bai cika ba, na yau da kullun ko na ci gaba.

Sanadin

Mummunan intussusception na idiopathic, ba tare da gano dalilin ba, yawanci yana faruwa a cikin yara ƙanana masu lafiya, amma a cikin yanayin ƙwayar cuta ko ƙwayar cuta ta ENT tare da sake dawowa lokacin hunturu wanda ya haifar da kumburi na ƙwayoyin lymph na ciki.

Na biyu intussusception yana da alaƙa da kasancewar rauni a bangon hanji: babban polyp, ƙwayar cuta mai cutarwa, kumburin Merckel's diverticulum, da sauransu. Ƙarin ƙwayoyin cuta na gaba ɗaya na iya kasancewa:

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

Maganin intussusception bayan tiyata wani rikitarwa ne na wasu tiyatar ciki.

bincike

Bincike ya dogara ne akan hoton likita. 

Ciki duban dan tayi yanzu shine gwajin zabi.

Barium enema, gwajin x-ray na hanji da aka yi bayan an yi masa allurar matsakaicin matsakaici (barium), ya kasance daidai gwargwado. Hydrostatic enemas (ta allurar maganin barium ko saline) ko pneumatic (ta hanyar rashin iska) a ƙarƙashin kulawar rediyo yanzu ana amfani da su don tabbatar da ganewar asali. Wadannan gwaje-gwajen suna da damar da za su ba da izini a lokaci guda a farkon jiyya na intussusception ta hanyar inganta maye gurbin ɓangaren ɓarna a ƙarƙashin matsa lamba na enema.

Mutanen da abin ya shafa

Mummunan ciwon ciki yana shafar yara 'yan ƙasa da shekaru 2, tare da mafi girma a cikin jarirai masu shekaru 4 zuwa 9. Yara maza sun ninka mata sau biyu. 

Ciwon kai a cikin yara fiye da shekaru 3-4 da kuma a cikin manya yana da yawa.

hadarin dalilai

Halin rashin lafiya na ƙwayar gastrointestinal na iya zama tsinkaya.

Karamin karuwa a cikin haɗarin kamuwa da ciwon ciki bayan allurar rigakafin cutar rotavirus (Rotarix) an tabbatar da shi ta hanyar bincike da yawa. Wannan hadarin yana faruwa musamman a cikin kwanaki 7 da samun kashi na farko na rigakafin.

A cikin jarirai, ciwon ciki mai tsananin tashin hankali, na farawa kwatsam, yana bayyana ta hanyar rikice-rikice na ɗan lokaci kaɗan. Farashi sosai, yaron yana kuka, kuka, ya firgita… An rabu da farkon tazarar mintuna 15 zuwa 20, ana yawan kai hare-hare. A cikin kwanciyar hankali, yaron yana iya zama mai nutsuwa ko akasin haka yana yin sujada da damuwa.

Amai yana bayyana da sauri. Jaririn ya ƙi ci, kuma wani lokaci ana samun jini a cikin stool, wanda yayi kama da "kamar jelly na guzberi" (jini yana hade da rufin hanji). A ƙarshe, dakatar da wucewar hanji yana haifar da toshewar hanji.

A cikin manyan yara da manya, alamun bayyanar sun fi na toshewar hanji, tare da ciwon ciki da kuma daina stool da gas.

Wani lokaci ilimin cututtuka ya zama na yau da kullum: intussusception, bai cika ba, yana yiwuwa ya sake komawa da kansa kuma zafi yana bayyana kansa a cikin sassan.

M intussusception a cikin jarirai lamari ne na gaggawa na yara. Mai tsanani ko ma mai mutuwa idan ba a kula da shi ba saboda hadarin toshewar hanji da necrosis, yana da kyakkyawan hangen nesa lokacin da aka sarrafa shi da kyau, tare da ƙananan haɗarin sake dawowa.

Tallafin duniya

Ya kamata a magance ciwon jarirai da hadarin rashin ruwa.

Enema na warkewa

Sau tara cikin goma, ciwon huhu da enemas na hydrostatic (duba ganewar asali) sun wadatar don mayar da sashin da aka lalata. Komawa gida da ci gaba da cin abinci suna da sauri.

tiyata

A cikin taron na marigayi ganewar asali, gazawar da enema ko contraindications (alamu na hangula na peritoneum, da dai sauransu.), tiyata ya zama dole.

Rage hanji na hanji yana yiwuwa wani lokaci, ta hanyar matsawa baya akan hanji har sai tsiran alade ya ɓace.

Za a iya yin aikin tiyata na ɓangaren da ba a ciki ba ta hanyar laparotomy (aikin buɗe ido na yau da kullun) ko kuma ta hanyar laparoscopy (ƙananan tiyatar cutarwa ta hanyar endoscopy).

Idan akwai ciwon intussusception na biyu zuwa ƙari, wannan kuma dole ne a cire shi. Duk da haka, ba koyaushe ba ne gaggawa.