Matumbo diverticula

matumbo diverticula (zochepa protrusion makoma ake) kungonyenga (yekha wopangidwa mwa zigawo mucosal ndi submucosal) ndi woona (wopangidwa mwa zigawo zonse).

Onyenga protrusion amatanthauza kuvutika thupi ndipo anapanga pa mbali kumene ulusi minofu mu malo osiyana makoma ake. N'zoona matumbo diverticula ndi zotsatira za ndondomeko pathological imbaenda chitukuko cha nkhosi mu malo osiyana thupi. Zoona ndi protrusion ungadzakhazikitsidwe amayamba kuthamanga mkati limba.

protrusion mapangidwe ingayambe ndi kapamba, chironda chachikulu, cholecystitis, kutupa, peritonitis, kuvulala thupi, matenda a mtima.

Diverticula za m'mimba mu gawo ake woonda zingaoneke lonse m'litali, koma nthawi zambiri wapezeka pa malo duodenum. Matendawa amapangidwa ndi X-ray. Kuchiza matenda ndi ofanana ndi mankhwala njira yotupa matumbo. Zovuta (abscess ndi perforation) zimapangitsa kusowa kwa opaleshoni. Opaleshoni akusonyeza kuti protrusions lalikulu ndi bwino anadzikhuthula.

Matumbo diverticula mu gawo lake wandiweyani imafika ku dera lonse la Dipatimenti kapena mbali yaikulu ya izo, mu nkhani iyi, monga ulamuliro, kuwonongeka amapezeka yoyamba ya sigmoid m'matumbo, ndiyeno kutsika dongosolo. Kutanthauzira kwa zigawo wapotalikira zambiri yodziwika ndi protrusions angapo.

Asymptomatic protrusions angapo chifukwa diverticulitis wa sigmoid m'matumbo. njira yotupa kungachititse kuti mawonetseredwe a zizindikiro za pathological. Zikuphatikizapo kumaliseche magazi ndi ntchofu, ululu mosadziwika chikhalidwe. Magazi kungakhale mofulumira ndi chidwi. Zikavuta yodziwika ndi kuchepetsa wa intestine, ndi perforation wa chikhodzodzo kapena zonse m'mimba, mapangidwe abscess ndi. Pankhaniyi pangakhale ululu ndithu chikhalidwe pachimake limodzi ndi kuyabwa peritoneal.

Great matenda kufunika fibrocolonoscopy njira. Pa yomweyo kusiyanitsidwa matenda ndi khansara m'matumbo. Tikaphatikiza kugonjetsedwa protrusions angapo ndipo amatupitsa matenda amakhala ndi kusintha kwa mucosa ndi fissures kumatako.

mankhwala si kutumikiridwa mu milandu matenda asymptomatic. Pamene kutupa Kwalamulidwa kudya zakudya zapadera. The zakudya ayenera kupezeka bwino yophika zipatso ndi ndiwo zamasamba. Kuthetsa spasms amalangiza mchere mafuta kapena barium sulphate. Pakuti kudzimbidwa, chinachitika ndi maziko a zotupa angapo, monga mafuta akuchipatala mchere. Pamaso pa mankhwala ululu analimbikitsa ndi belladonna, atropine, mitsempha (malingana ndi umboni). Zina idzagwiritsa ntchito mankhwala-yotupa (sulfonamides, mankhwala). Zikavuta, kuteteza perforation cha kutsekeka ndi fistulas anatumizidwa ntchito.

khoma protrusion akhoza anati mu chikhodzodzo. Kugonjetsedwa ukapezeka chifukwa zosayenera mapangidwe thupi khoma. Chikhodzodzo diverticulum akhoza kupanga pa gawo la makoma mbali kapena ureteral orifices. Kobadwa nako protrusion amalankhulira ndi M'mimbamo m'thupi njira yopapatiza. Mpanda wa chotupa ali kapangidwe chomwecho monga khoma chikhodzodzo. chotupa kukula akhoza kupitiliza kukula kwa thupi.

Monga mmene mchitidwe ambiri a milandu ndi asymptomatic. Kupezeka kwa zotupa wapezeka poyamba pa cystography ndi cystoscopy. Nthawi zina, nthendayo anapezeka ndi matenda chikhodzodzo.