Wamathumbu diverticula

diverticula emathunjini (protrusion elinganiselwe kwezingange zawo) kungase kube yinkohliso (kuphela ehlanganisa mucosal futhi submucosal izingqimba) futhi kuyiqiniso (ehlanganisa zonke izendlalelo).

protrusion Amanga libhekisela kwezinso zomzimba futhi kwakhiwa ngaleso izingxenye lapho kungekho Imicu yotshani imisipha ezindaweni ahlukene abhidliza izindonga zayo. Iqiniso diverticula emathunjini is phetho of inqubo sokugembula okuholela ukuthuthukiswa imicu e ahlukene izindawo umzimba. Iqiniso futhi protrusion kungenzeka ezakhiwe senyusa izinga lomfutho womoya ngaphakathi isitho.

protrusion kumiswa kungahle kubangelwe pancreatitis, isilonda peptic, cholecystitis, ukuvuvukala, peritonitis, ukulimala emzimbeni, yinhliziyo.

Diverticula emathunjini esigabeni yayo mncane kungabonakala nasemkhakheni bonke ubude bayo, kodwa ngokuvamile iningi Kutholwe kusayithi duodenum. Sifo senziwa-X-ray. Ukwelashwa lesi sifo iyafana ekwelapheni izinqubo ukuvuvukala emathunjini. Izinkinga (ithumba futhi perforation) ebangela isidingo ukuhlinzwa. Umsebenzi kuboniswe ngoba ziboya esikhulu kabi akhishwe.

Wamathumbu diverticula esigabeni bayo obukhulu ongalinikeza ukuba yonke indawo umnyango noma ingxenye enkulu ye-ke, kulokhu, njengoba umthetho, umonakalo kwenzeka kuqala le colon sigmoid, bese kusuka kwezinkulu kwehle. Kwasendaweni izingxenye distal ngokuvamile libhekene ziboya amaningi.

Asymptomatic ziboya amaningi abangela diverticulitis kapopopo sigmoid. izinqubo okuvuthayo kungaholela okubonakalisa izimpawu sokugembula. Lezi zihlanganisa ukudedelwa igazi isikhwehlela, ubuhlungu imvelo elingacacisiwe. Ukopha kungaba ngokushesha futhi abalulekile. Ukugula okukhulu zinezikhathi olugcwele emathunjini, perforation kwesinye noma ngalo ingaphakathi lesisu, ukwakheka ithumba. Kulokhu kungase kube buhlungu eside bemvelo acute ephelezelwa ukucasuka peritoneal.

Omkhulu zokuxilonga ukubaluleka fibrocolonoscopy indlela. Ngesikhathi esifanayo uphethwe umahluko nomdlavuza e nopopopo. ukunqotshwa Kuhlanganiswe ziboya amaningi futhi Crohn isifo libhekene izinguquko le mucosa kanye emifantwini bendunu.

Le nqubo yokwelapha is hhayi yaphathwa ezifo asymptomatic. Lapho ukuvuvukala ezinqunyiwe uhlobo olukhethekile lokudla. Ukudla kufanele kube khona izithelo kuvuthwe nemifino. Ukuqeda zibe ukuncoma uwoyela amaminerali noma barium yombala sulfate. Ukuze ukuqunjelwa, livelile ngokumelene isizinda izilonda amaningi, njengoba ebekiwe uwoyela amaminerali. Ephambi kwezinduna ubuhlungu imithi Kunconywa Belladonna, atropine, sedatives (kuye ngokuthi ubufakazi). Kwezinye izimo umuntu ukusetshenziswa imithi ethile eqeda ukuvuvukala (sulfonamides, antibiotic). Ezimweni ezimbi kakhulu, ukuvimbela perforation wokusebenza ukuvimbela kanye fistulas kunikezelwe.

udonga protrusion lungase lubonwe esinyeni. Ukunqotshwa kuphakama ngenxa ekwakhekeni engafanele umzimba udonga. Isinye diverticulum bangase bafinyelele phezu ingxenye izindonga ohlangothini noma ureteral orifices. protrusion azalwa naso baxhumana umzimba ingaphakathi ngokusebenzisa isiteshi emincane. Udonga lesion ngokohlaka efanayo odongeni isinye. usayizi lesion lingadlula ubukhulu umzimba.

Njengoba umkhuba ubonisa, iningi amacala kukhona asymptomatic. Ukuba khona izilonda Kutholwe ngenhlanhla ngesikhathi cystography futhi cystoscopy. Kwezinye izimo, lesi sifo ukuthi sine- esinyeni ukutheleleka.