Xiidmaha oo xannibma iyo Ileus

Xannibaadda mindhicirku waa qayb ka mid ah ama dhammaystirka mindhicirka. Waxyaabaha ku jira xiidmaha ma mari karaan.

Cudurka mindhicirka ayaa laga yaabaa inay sabab u tahay:

• Sabab farsamo, taas oo macnaheedu yahay wax ayaa jidka ku jira
• Ileus, waa xaalad aysan saxaradu si sax ah u shaqeynaynin, laakiin ma jiraan wax dhibaato dhismeed ah oo keenaya

Paralytic ileus, oo sidoo kale loo yaqaan 'pseudo-obstruction', ayaa ah mid ka mid ah sababaha ugu waaweyn ee xiidmaha u xirma dhallaanka iyo carruurta. Waxyaabaha sababa ileus curyaaminta waxaa ka mid noqon kara:

• Bakteeriyada ama fiiruska sababa infekshinka xiidmaha (gastroenteritis)
• Isku dheelitir la'aanta kiimikada, korantada, ama macdanta (sida hoos u dhaca heerka potassium)
• Qalliinka caloosha
• Dhiiga oo yaraada mindhicirada
• Caabuqyada ku dhaca caloosha gudaheeda, sida appendicitis
• Kelyaha ama cudurka sambabka
• Isticmaalka dawooyinka qaarkood, gaar ahaan mukhaadaraadka

Sababaha farsamada ee xiidmaha xiidmaha waxaa ka mid noqon kara:

• Adhesions ama cadka nabarrada ee sameysma qalliinka ka dib
• Jidhka shisheeyaha (walxaha la liqo oo xiidmaha xira)
• Dhagaxxaali (dhif)
• Hernias
• Saxarada ay saamaysay
• Intussusception (telescoping-ka ee qayb ka mid ah mindhicirka mid kale)
• Burooyinka xannibaya mindhicirada
• Volvulus (xiidmaha qaloocsan)

Calaamadaha waxaa ka mid noqon kara:

• Barar caloosha ah (murugo)
• Buuxinta caloosha, gaaska
• Calool xanuun iyo casiraad
• Urta neefta
• Calool fadhiga
• Shuban
• Awood la'aanta gudbinta gaaska
• Matagid

Inta lagu jiro baaritaanka jirka, bixiyaha xanaanada caafimaadka waxaa laga yaabaa inuu ka helo calool xanuun, calool xanuun, ama hernias.

Tijaabooyinka muujinaya carqaladeynta waxaa ka mid ah:

• Sawirka CT-ga ee caloosha
• Raajo caloosha ku jirta
• Barium enema
• GI-ga sare iyo taxanaha mindhicirka yar

Daaweyntu waxay ku lug leedahay in tuubo la galiyo sanka caloosha ama xiidmaha. Tani waa inay kaa caawiso yareynta bararka caloosha (murugada) iyo matagga. Qiyaasta mindhicirka weyn waxaa lagu daaweyn karaa iyadoo loo maro tuubbo malawadka ah.

Qalliin ayaa laga yaabaa in loo baahdo si loo yareeyo xannibaadda haddii tuubbada aysan ka nasan calaamadaha. Sidoo kale waa loo baahnaan karaa haddii ay jiraan calaamado u dhinta unugyada.

Natiijadu waxay kuxirantahay sababta xannibaadda. Inta badan, sababta si guul leh ayaa loo daaweeyaa.

Dhibaatooyinka waxaa ka mid noqon kara ama u horseedi kara:

• Isku dheelitir la'aanta elektroolka (kiimikada dhiiga iyo macdanta)
• Fuuqbax
• Dalool (dalool) mindhicirka
• Caabuq
• Cagaarshow (maqaarka iyo indhaha oo huruud noqda)

Haddii xannibaaddu xannibto bixinta dhiigga ee mindhicirka, waxay sababi kartaa caabuq iyo unug u dhinta (gangrene). Khataraha unugyada u dhinta waxay la xiriirtaa sababta xannibaadda iyo inta ay jirtay. Hernias, volvulus, iyo intussusception waxay leeyihiin halista gangrene sare.

Ilmaha dhasha ah, ileus curyaan ah oo dumiya gidaarka mindhicirka (necrotizing enterocolitis) waa xaalad naftiisa halis ku ah. Waxay u horseedi kartaa dhiig iyo infekshannada sambabaha.

Wac adeeg bixiyahaaga haddii aad:

• Saxarada ama gaaska lama dhaafi karo
• Uu yeesho calool bararsan (distention) aan tagaynin
• Matag sii wad
• Aad yeelato xanuun caloosha ah oo aan la sharraxin oo aan dhammaanayn

Ka-hortagga waxay kuxirantahay sababta. Daaweynta xaaladaha, sida burooyinka iyo hernias ee u horseedi kara xannibaad, ayaa yareyn kara halistaada.

Sababaha qaar ee carqaladeynta looma hortagi karo.

Curyaannimo ileus; Volvulus xiidmaha; Xannibaadda mindhicirka; Ileus; Xakamaynta been abuurka ah - xiidmaha; Colonic ileus; Xannibaadda mindhicirka oo yar

• Nadiifi cuntada dareeraha ah
• Cunto dareere buuxa
• Soo-goynta mindhicirka weyn - dheecaan
• Saarista mindhicirka yar - dheecaan
• Wadarta isku-uruurinta ama proctocolectomy - dheecaan

• Nidaamka dheefshiidka
• Ileus - raajo caloosha iyo caloosha oo xumaatay
• Ileus - raajo saxaro caloosha
• Intussusception - raajo
• Volvulus - raajo
• Xannibaadda mindhicirka oo yar - raajo
• Saarista mindhicirka yar - taxane

Harris JW, Evers BM. Xiidmaha yar-yar. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 20aad. Philadelphia, PA: Elsevier; 2017: cutubka 49.

Mahmud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Xiidanka iyo malawadka. Gudaha: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buugga Qalitaanka. 20aad. Philadelphia, PA: Elsevier; 2017: cutubka 51.

Mustain WC, Turnage RH. Xiidmaha xiidmaha. Gudaha: Feldman M, Friedman LS, Brandt LJ, eds. Cudurka caloosha iyo beerka ee Sleisenger iyo Fordtran. 11aad. Philadelphia, PA: Elsevier; 2021: cutubka 123.