Ukuba kukho iintlungu kwisisu, ngokokuqala, kuyimfuneko ukukhuphela ngaphandle isidingo sokungenelela kwamagqirha. Kungenziwa kuphela ngcali - ugqirha. Zininzi izizathu zokubonakala kweentlungu zesisu, kwaye ezinye zinokuba nemiphumo emibi kakhulu. Ukuba umntwana unesisu esiswini esingaphezu kweyure, ngoko kuyimfuneko ukubiza udokotela.
Inyaniso yokuba intlungu ibuhlungu kwintsana, oomama abancinci bacinga ngokukhala kunye nokuqiniswa kwemilenze. Kodwa, nangona kunjalo, akusilo lonke ixesha ukukhala nokulila kuthetha ngeentlungu ezisemaphandleni. Yingakho xa umntwana eqala ukukhala, kufuneka ufumanise ukuba intlungu yimbangela, kwaye ukuba kunjalo, ngaba ubuhlungu besisu?
Kubantwana abancinci kunzima kakhulu ukufumanisa apho umntwana ebuhlungu khona, nokuba ingaba buhlungu nantoni na. Njengomthetho, abantwana abaneentlungu, baziphathe ngokuxhalabisa, ningadli, bakhala uze ukhale kude kube yintlungu. Abantwana abaneminyaka emininzi ubudala bangazichazela ukuba zibuhlungu kangakanani, kwaye ziphi na iintlungu. Ngokuqhelekileyo kwenzeka ukuba abantwana, ukwesaba iziyobisi kunye nonyango, banqabile ukuthetha malunga nokuba bakuphi na ubuhlungu.
Isizathu sosizi esiswini seentsana sinokukhutshwa komntwana wesisu esiswini. Ukuba ukuhamba kwimizimba yokutya emathunjini kuphazamiseka yinto ethile, indawo engaphambi kokuba le mqobo ikhule kwaye, ngenxa yoko, intlungu ivela. Ubuhlungu kwisisu esisenokuba ngumntwana kunokuhambelana nokulibaziseka kwisitulo nokuhlanza. Ukuba ukuphazamiseka kubonakala emathunjini amaqondo aphezulu, ngoko, emva kokutya okubini, ukuhlanza kwangoko kwenzeka nge-bile. Isondlo ngasinye esilandelayo sikhombisa ukuhlanza okwandisiweyo kunye nokwanda kwintsikelelo yayo. Ukuba ukuphazamiseka kubonakala kwiindawo ezisezantsi zomathumbu, ukuhlanza kuhluma ngokuhlwa kwelanga lesibini. Vomit yokuqala iqulethe into esanda kungena kwisisu, kwaye i-bile ibonakala, kwaye kamva-iziqulatho zamathumbu.
Ukhuseleko olukhethekileyo lubonakaliswa ngethuba lokuhlanza, kwaye ukuhlanza, ngokubhekiselele, lizinga kunye nesantya sokunciphisa umlenze wamathumbu. Umncinci lo mgca, kwaye ngasentla ngumqobo obangela ukukhutshwa, kungekudala umntu uqala ukuphula.
Iimbangela eziqhelekileyo zentlungu esiswini seentsana zii-gesi, kwaye rhoqo iintlungu ezibuhlungu zenzeka ngenxa yokuphunga kwesisu. Ngokuqhelekileyo oku kwenzekayo kwiinyanga ezine ukuya kwezilishumi. Ngaphantsi kancinci kunyaka wesibini wobomi. Ubunzima bubonakala kungalindelekanga, xa kubonakala ngathi umntwana uphilile ngokupheleleyo. Abantwana baqala ukukhala ngokukhawuleza, ukukhala kungadlulela ukuya kwii-10 imizuzu, uze ume kuze kuhlaselwa ngokutsha.
Xa uhlaselo luqala, umntwana uyakhala kwakhona, enqaba ukutya, amaqhina. Ukuhlaselwa, njengomthetho, kuhamba kunye nokuhlanza. Xa idlula kwiiveki ezi-3 ukuya kwi-6 emva kokuqala kwesi sifo, i-streaks yegazi ibonakala kwisitulo. Iphethini yokuguqulela isithintelo samathumbu emathunjini ukupheliswa kweegesi kunye nemfesi kunye nokucima. Kubalulekile ukuthatha amanyathelo okufika ngexesha, kuba ngeyure nganye imeko yomntwana iya kuncipha.
Enye imbangela yentlungu yabantwana ingaba isifo sikaHirschsprung. Esi sifo sibonakaliswa ngumntu ongeyifa eliyintsimi yokuphuhlisa intlungu encinci. Amantombazana aya kugula kwesi sifo ngokuphindaphindiweyo kuma-5 amaninzi kunamakhwenkwe. Isifo sisoloko siphuhlisa kwisahlulo se-recto-sigmoid samathumbu. Xa isifo sifika, ukusebenza kweli sebe liphukile, intlungu encinci iphela ukuphumla, kwaye iziqulatho zamathumbu azikwazi ukuhamba kwicandelo elincinci. Isebe elisezantsi ngaphaya kokunciphisa luqala ukwandisa, izindonga zamathumbu kule ndawo zixhamla, kwaye oko kuthiwa i-megacolon ikhula, oko kukuthi, ukwandiswa kwamathambo onke okanye inxalenye yayo.
Abantwana abaneminyaka engaphantsi kweminyaka emithathu bahlala behlulwa yi-appendicitis. Ubunzima bokuvela kwabo kubantwana beli qela elidala libonakaliswa ngama-8 ekhulwini. Ubungakanani bokugqithisa kwe-appendicitis buwela kwiqela elidala ukususela kwiminyaka eyi-10 ukuya kwe-15. Apha ipesenti yamatyala iyanda kuma-55%.
I-Symptomatic ikhula ngokukhawuleza. Umntwana onempilweni enomdla ngokukhawuleza uqala ukungahambi kakuhle, ukwenqaba ukutya. Ukuba isigulo siyaqhubeka ebusuku, umntwana akanako ukulala. Uphawu olucacileyo lwe-appendicitis enesifo sisifo se-dyspeptic. Umntwana uqala ukuhlamba, iphula, ngokuqhelekileyo kukho isitulo esivulekile. Kufuneka kuqatshelwe ukuba umntwana angakwazi ukuphula amaxesha amaninzi. Emva kweeyure ezingama-6 emva kokuqala kwesi sifo, ukuxiliswa komzimba kuqala ukuba nomlingiswa ochaziweyo. Ukubonakalisa ubuso buba buhlungu, umlomo umile, ukushisa kuphakama. Xa uhlola isisu, abantwana abaneminyaka engaphantsi kweminyaka emi-3 baziphatha ngokungazimeli, baxakeke iingxube zendawo ebuhlungu, ngoko ukuhlolwa kwezingane ezincinci kunzima kakhulu.
Kubantwana abadala, i-anamnesis yincinci - ukuya kwiiyure eziliqela, ngamanye amaxesha enye okanye ezimbini iintsuku. Esi sifo sibonakalisa ngokugqithisileyo okanye iintlungu ezinqamle ngaphezu kwendlovu okanye kwi-epigastric yesebe. Emva kwithuba elithile, intlungu ihlala kwindawo efanelekileyo kwi-ileum okanye kwindawo yesisu. Abantwana bakhala isikhalazo, banqatshelwe, iqondo lokushisa liphakama ukuya kuma-degrees ama-38, ngokuqhelekileyo abantwana bayahamba, bakha, kuba oku kwenza ukuba buhlungu.
Ngenxa yesifo esinjenge-diverticulitis, kukho iintlungu, njenga-appendicitis. Esi sifo sibonakaliswe ngophakamiso lwodonga lwamathumbu, esoloko ehlala kwindawo enye apho isihlomelo sitholakala khona. Ukuba i-diverticulum iyaphuka, ngoko kukho umfanekiso ofana ne-peritonitis, ebonakala yintlungu kuyo yonke indawo yesisu. Kungadluka xa ukukhwehlela okanye ukuxhoma. Umntwana akavumelekanga ukuba azihlole kwaye asebenze esiswini. Ubuso babantwana bubuhlungu, i-pulse yenziwa ngokuphindaphindiweyo, ukujikeleza kweengcingo.
Isizathu sosizi olunzima esiswini seentombazana eziseneminyaka engama-10 ubudala singazinyantya imilenze ye-cyst kwi-ovary. Ngokuqhelekileyo intlungu kwisisu esezantsi kwiintsholongwane zibangelwa ukuphulwa kwe-hernia okanye ingqungquthela. Kwiimeko ezinjalo, kulula ukuvalelwa kwimizimba yesisu, engangqinelani nommandla we-peritoneal. Oku kwenzeka rhoqo kwiintsana ukuya kutsho kwiminyaka emibini.
Uhlobo lwe-mechanical of obstruction intestinal luyinto exhaphake kakhulu kubantwana beqela elidala. Esi sifo sihamba kunye neentlungu ezibuhlungu, sinomkhwa wokuqhaqhazela, ukuhlanza, ukuqhaqhaqhayisa nokuqhaqha.
Ngaphantsi kaninzi abantwana bahlakulela i-pancreatitis ephawulekayo okanye isifo se-pancreatic kunye nokugqithisa kwe-cholelithiasis.
Ukuba umntwana unentlungu ebuhlungu kwisisu, akuvumelekile:
- Nika i-painkillers, kuba izizathu zentlungu zingachazwa ngokuchanekileyo kwaye zixilongwe kamva.
- Nika ii-antibiotikiti kunye ne-laxatives.
- Zama ukunciphisa intlungu ngokufudumala