Intussusception me ona āhuatanga āhuatanga

te atu noa pērā i te tātaritanga katoa o intussusception. Ko te whakataki o te kopirua kotahi ki tetahi atu tenei. Nuinga o ngā wā puta tenei mate i roto i nga kohungahunga. Tikanga, te take ko te ioio ngangau, ka whai wāhi tonu etahi he wahi o te spasm uaua porohita.

Intussusception i roto i ngā tamariki maha puta a tawhio noa te tau o te 4 marama ki te tau. I te tahi taime e taea te mate faaite mai ano i waenganui i te tau o rua ki te toru tau. he tika ki te huringa i roto i te kai o te tamaiti tenei. Kei te maha he tātaritanga taua mea whakatupu tamariki i te kikokore. timata Tohu o te mate ohorere: āwangawanga te tamaiti te, karanga hoki kahore take kitea, haere tahi nei e tohe waewae ki tona kopu. I runga i te katoa, riro te reira mārama e te take mō ngā ma'i o ngā tamariki he mamae puku. Tikanga, He te āhuatanga e whai ake nei i te mate.

1. Ko te nuinga o koi patua o te mamae. He ratou rawa kaha, te roanga o ratou iti, engari e pūnahanaha toutou ratou i wā poto. I waenganui i enei patua He māoriori huru o te tamaiti: e taea ia te tākaro, ara moe.
2. Huringa i roto i te kumete: e kore e whai ia pīari tuatahi, no te mea haere kumete i te wahi intestinal raro. I muri mai, hūpē i konatunatua ki te toto puta. Tei runga i te matatini o te mate, kia puta enei tohu i roto i te torutoru haora tuatahi, engari te reira maha tupu nui i muri, i roto i pea ra. Nohoanga, e he āhuatanga o te intussusception, rite ki te tiēre vine matotoru. I te tahi taime tāutuhia wai parauri noa. intussusception i roto i te mau mana heamana i roto i ngā huarahi rerekē: he tokomaha tamariki i muri i te hōneatanga tuatahi puta flatulence me te nohoanga pupuri. Etahi mamae hoki i te korere.
3. Ruaki tahi e te mamae. I te tahi taime e mutu ia, engari i muri i te tahi haora timata ano. A tapiti faahou i te reira e tika ana ki te whakaongaonga tamau o te kōhao puku, me te takahi o te arai whēkau.

Hoki haere tahi intussusception i roto i te wāhanga whakapeka e ataahua o te kiri. Ki te kore e wa whakarato i te āwhina e tika ana ki te tamaiti, e rite ki tohu o peritonitis nga faaiteraa o te mate. Ki te tupu tenei, kia karanga tonu koe i te waka tūroro. Te tākuta, he palpation puku, te tātari turaki i te tātaritanga o ranei "whēkau intussusception." Ko nga mea katoa te hua o te tirohanga, me koutou i roto i tetahi take e haere ki te whare hauora ki te whakatau maimoatanga atu.

rite ki faaiteraa haumanu o te mate e wehea ki:

1. intussusception whakapeka (āhua 98% takanga).
2. intussusception ma'i, āhuatanga e te hanganga o adhesions meinga e te whanaketanga o te tukanga inflammatory (iti iho i te 1%).
3. intussusception recurrent (e pā ana ki 0.5%).

intussusception Treatment tā pupuhi i roto i nei whakamana ana i raro i rehunga whānui mā te whakamahi i Richardson tikanga. Matahoki i muri i te whakamahi o te maimoatanga momo ko tino onge.

He maha ngā contraindications ki te whakamahi o te maimoatanga momo:

1. Ko te aroaro o te toto i roto i te tōu.
2. Ki te whakaatu i te radiograph pouaka arai o te whēkau iti.
3. A, no te i te tohu tuatahi o te mate kua reira nui atu i 18 haora.
4. Tamariki pakeke atu i te tau ranei iti iho i te 3 marama.
5. Ko te aroaro o te intussusception recurrent.

tikanga hāparapara maimoatanga - laparoscopic me laparotomy. toutou intussusception i muri i whakahaere o wawaotanga hāparapara te iti maha atu i muri i te maimoatanga momo.

Tikanga, whakamahia maimoatanga momo te anake i te timatanga o te mate, a i roto i te take te wahi i reira he intussusception o te kopirua sigmoid. Ki te he nui te take, i whakaritea e te tango o te kopirua.