Megacolon e chefo

Megacolon e chefo e etsahala ha ho ruruha le ho ruruha ho namela likarolong tse tebileng tsa colon ea hau. Ka lebaka leo, kolone e emisa ho sebetsa mme e atoloha. Maemong a boima, kolone e ka phatloha.

Lentsoe "chefo" le bolela hore bothata bona bo kotsi haholo. Megacolon e chefo e ka hlaha ho batho ba nang le kolone e ruruhileng ka lebaka la:

• Ulcerative colitis, kapa lefu la Crohn le sa laoloeng hantle
• Ts'oaetso ea colon joalo ka Clostridioides fapane
• Lefu la Ischemic bowel

Mefuta e meng ea megacolon e kenyelletsa pseudo-obstruction, ileus e matla ea colonic, kapa congenital colonic dilation. Maemo ana ha a kenyeletse kolone e nang le tšoaetso kapa e ruruhileng.

Ho atoloha ka potlako ha colon ho ka etsa hore matšoao a latelang a hlahe ka nako e khuts'oane:

• Mpa e bohloko, e senyehileng
• Feberu (sepsis)
• Letšollo (hangata le mali)

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Liphetho li ka kenyelletsa:

• Bonolo ka mpeng
• Ho fokotsa kapa ho ba sieo hoa melumo ea mala

Teko e ka senola matšoao a ts'abo ea septic, joalo ka:

• Ho eketseha ha lebelo la pelo
• Boemo ba kelello boa fetoha
• Ho otla ha pelo ka potlako
• Khatello ea mali e tlase

Mofani oa thepa a ka odara efe kapa efe ea liteko tse latelang:

• X-ray ea mpeng, ultrasound, CT scan, kapa scan ea MRI
• Li-electrolyte tsa mali
• Palo e felletseng ea mali

Kalafo ea lefu lena le lebisitseng ho megacolon e chefo e kenyelletsa:

• Li-steroid le meriana e meng e hatellang sesole sa 'mele
• Lithibela-mafu

Haeba u tšohile haholo, u tla amoheloa setsing sa tlhokomelo e matla ea sepetlele. Kalafo e ka kenyelletsa:

• Mochine oa ho hema (mochini o kenang moeeng)
• Dialysis bakeng sa ho hloleha ha liphio
• Lithethefatsi ho phekola khatello e tlase ea mali, ts'oaetso, kapa ho koala mali hampe
• Maro a fanoang ka kotlolloho mothapong
• Oxyjene

Haeba ho atoloha ka potlako ho sa phekoloe, ho bula kapa ho robeha ho ka hlaha ka har'a kolone. Haeba boemo bo sa ntlafale ka kalafo ea bongaka, ho tla hlokahala opereishene ho tlosa karolo kapa karolo eohle ea kolone.

U ka fumana lithibela-mafu ho thibela sepsis (tšoaetso e matla).

Haeba boemo bo sa ntlafale, bo ka bolaea. Hangata ho hlokahala opereishene ea Colon maemong a joalo.

Mathata a ka kenyelletsa:

• Phetoho ea kolone
• Sepsis
• Ho tshoha
• Lefu

E-ea kamoreng ea maemo a tšohanyetso kapa u letsetse nomoro ea ts'ohanyetso ea lehae (joalo ka 911) haeba u ba le mahlaba a bohloko mpeng, haholo haeba u na le:

• Letšollo le nang le mali
• Feberu
• Letšollo khafetsa
• Ho otla ha pelo ka potlako
• Bonolo ha mpa e petelitsoe
• Ho senya mpa

Ho phekola mafu a bakang megacolon e chefo, joalo ka ulcerative colitis kapa lefu la Crohn, ho ka thibela boemo bona.

Ho chesoa ha chefo ea kolone; Megarectum; Lefu la ho ruruha ha mala - megacolon e chefo; Lefu la Crohn - megacolon e chefo; Ulcerative colitis - megacolon e chefo

• Tsamaiso ea ho sila lijo
• Megacolon e chefo
• Libaka tse amehileng ke lefu la Crohn
• Ho ruruha ha lefu la ulcerative
• Lisebelisoa tsa tsamaiso ea lijo

Lichtenstein GR. Maloetse a ho ruruha. Ka: Goldman L, Schafer AI, li-eds. Phekolo ea Goldman-Cecil. La 26th. Philadelphia, PA: Elsevier; 2020: khaolo ea 132.

Nishtala MV, Benlice C, Steele SR. Tsamaiso ea megacolon e chefo. Ka: Cameron AM, Cameron JL, bahlophisi. Phekolo ea Hajoale ea Ts'ebetso. 13th ed. Philadelphia, PA: Elsevier; 180-185.

Peterson MA, Wu AW. Mathata a mala a maholo. Ka: Marako RM, Hockberger RS, Gausche-Hill M, eds. Rosen's Emergency Medicine: Likhopolo le Tloaelo ea Kliniki. La 9th. Philadelphia, PA: Elsevier; 2018: khaolo ea 85.