Sunta megacolon

Sunta megacolon waxay dhacdaa marka barar iyo barar ku fido lakabyada hoose ee mindhicirkaaga. Natiija ahaan, xiidku wuxuu joojiyaa shaqada wuuna ballaaraa. Xaaladaha daran, xiidanka ayaa dillaaci kara.

Ereyga "sun" micnaheedu waa in dhibaatadani ay tahay mid aad khatar u ah. Sunta megacolon ayaa ku dhici karta dadka qaba xiidanka oo bararsan sababo la xiriira:

• Cudurka 'ulcerative colitis', ama cudurka loo yaqaan 'Crohn disease' oo aan si fiican loo xakamayn
• Infekshinka xiidanka sida Clostridioides dhib badan
• Cudurka mindhicirka ee 'Ischemic'

Noocyada kale ee megacolon waxaa ka mid ah xayiraad-been-abuur ah, ileus colonic daran, ama is-ballaarinta xiidanka. Xaaladahaani kuma lug leeyihiin xiidanka cudurka qaba ama bararsan.

Ballaarinta xiidanka weyn waxay sababi kartaa astaamaha soo socda inay ku dhacaan muddo gaaban:

• Xanuun badan, calool xanuun
• Qandho (sepsis)
• Shuban (badanaa dhiig)

Bixiyaha xanaanada caafimaadka ayaa sameyn doona baaritaan jireed. Natiijooyinka waxaa ka mid noqon kara:

• Danqasho caloosha
• Dhawaaqa saxaro la'aanta ama maqnaanshaha

Imtixaanka waxaa laga yaabaa inuu muujiyo calaamadaha shoogga dhiigga, sida:

• Kordhinta garaaca wadnaha
• Isbedelada xaalada maskaxda
• Qiyaasta garaaca wadnaha
• Cadaadis dhiig oo hooseeya

Bixiyuhu wuxuu dalban karaa mid ka mid ah tijaabooyinka soo socda:

• Raajada caloosha, ultrasound, CT scan, ama MRI scan
• Elektroliska dhiigga
• Tirinta dhiigga oo dhammaystiran

Daaweynta cilladda keentay sunta megacolon waxaa ka mid ah:

• Steroids iyo daawooyinka kale ee xakameynaya nidaamka difaaca jirka
• Antibiyootikada

Haddii aad qabtid shoogga dhiig baxa, waxaa lagu seexin doonaa qaybta daryeelka degdegga ah ee isbitaalka. Daaweynta waxaa ka mid noqon kara:

• Mashiinka neefsashada (hawo farsamo)
• Kaadi-siis (Dialisis) kelyaha oo shaqeynaya
• Daawooyinka lagu daaweeyo cadaadiska dhiigga oo hooseeya, infekshan, ama xinjirowga dhiigga oo liita
• Dheecaanno si toos ah xididka loo siiyo
• Ogsijiin

Haddii si dhakhso leh loo ballaadhiyo aan la daweyn, furitaan ama dillaac ayaa ka soo bixi kara xiidanka. Haddii xaaladdu aysan ku fiicnayn daaweynta caafimaadka, qalliin ayaa loo baahan doonaa si looga saaro qayb ama dhammaan xiidmaha.

Waxaa lagaa qaadi karaa antibiyootiko si looga hortago sepsis (infekshan daran).

Haddii xaaladdu aysan ka soo rayn, waxay u dhiman kartaa. Qalliinka mindhicirka weyn ayaa badanaa loo baahan yahay xaaladaha noocaas ah.

Dhibaatooyinka waxaa ka mid noqon kara:

• Daloolin xiidanka
• Cudurka Sepsis
• Naxdin
• Dhimasho

Aad qolka gargaarka degdegga ah ama wac nambarka degdegga ee deegaanka (sida 911) haddii aad yeelato calool xanuun daran, gaar ahaan haddii aad sidoo kale isku aragto:

• Shuban dhiig leh
• Qandho
• Shuban joogto ah
• Qiyaasta garaaca wadnaha
• Jilicsan marka caloosha la cadaadiyo
• Kala-baxa caloosha

Daaweynta cudurada keena megacolon sun ah, sida ulcerative colitis ama cudurka Crohn, ayaa ka hortagi kara xaaladdan.

Kordhinta sunta xiidanka; Megarectum; Cudurka mindhicirka ee infakshanka - megacolon sun ah; Cudurka Crohn - megacolon sun ah; Cudurka 'ulcerative colitis' - megacolon sun ah

• Nidaamka dheefshiidka
• Sunta megacolon
• Meelaha uu ku dhaco cudurka Crohn
• Cudurka 'ulcerative colitis'
• Xubnaha habka dheefshiidka

Lichtenstein GR. Cudurka caloosha ee caabuqa leh. Gudaha: Goldman L, Schafer AI, eds. Daawada Goldman-Cecil. 26aad. Philadelphia, PA: Elsevier; 2020: cutubka 132.

Nishtala MV, Benlice C, Steele SR. Maareynta sunta megacolon. Gudaha: Cameron AM, Cameron JL, eds. Daaweynta Qalliinka ee Hadda. 13aad. Philadelphia, PA: Elsevier; 180-185.

Peterson MA, Wu AW. Cilladaha xiidmaha waaweyn. Gudaha: Walls RM, Hockberger RS, Gausche-Hill M, eds. Daawada Degdega ah ee Rosen: Fikradaha iyo Tababarka Caafimaadka. 9aad. Philadelphia, PA: Elsevier; 2018: cutubka 85.