Sengoli: Gregory Harris
Letsatsi La Creation: 13 April 2021
Ntlafatsa Letsatsi: 18 November 2024
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Volvulus - bongoaneng - Moriana
Volvulus - bongoaneng - Moriana

Volvulus ke ho sotha mala ho ka hlahang bongoaneng. E baka tšitiso e ka khaotsang phallo ea mali. Karolo e 'ngoe ea mala e ka senyeha ka lebaka leo.

Bofokoli ba tsoalo bo bitsoang mala malrotation bo ka etsa hore lesea le khone ho ba le volvulus. Leha ho le joalo, volvulus e ka etsahala ntle le boemo bona bo le teng.

Volvulus ka lebaka la malrotation e etsahala hangata haholo selemong sa pele sa bophelo.

Matšoao a tloaelehileng a volvulus ke:

  • Litulo tse khubelu tse nang le mali kapa tse lefifi
  • Ho bipetsoa kapa ho thatafalloa ho lokolla litulo
  • Mpa e senyehileng
  • Bohloko kapa bonolo ka mpeng
  • Ho nyekeloa kapa ho hlatsa
  • Ho tshoha
  • Ho hlatsa lintho tse tala

Matšoao a lula a le matla haholo. Lesea maemong a joalo le isoa kamoreng ea maemo a tšohanyetso. Kalafo ea kapele e ka ba bohlokoa bakeng sa ho pholoha.

Mofani oa hao oa tlhokomelo ea bophelo a ka odara liteko tse latelang ho fumana boemo bona:

  • Enema ea Barium
  • Liteko tsa mali ho lekola li-electrolyte
  • CT scan
  • Stool guaiac (e bonts'a mali ka setuloaneng)
  • Lihlooho tse kaholimo tsa GI

Maemong a mang, colonoscopy e ka sebelisoa ho lokisa bothata. Sena se kenyelletsa tšebeliso ea phala e tenyetsehang e nang le lebone qetellong e fetisetsoang kolone (mala a maholo) ka phallo.


Hangata ho hlokahala opereishene ea tšohanyetso ho lokisa volvulus. Sehiloeng sa ho buoa se etsoa ka mpeng. Mala a sa koaloa 'me phepelo ea mali ea khutlisoa.

Haeba karolo e nyane ea mala e shoele ka lebaka la khaello ea phallo ea mali (necrotic), ea tlosoa. Bofelo ba mala boa rokelloa hammoho. Kapa, ​​li sebelisetsoa ho theha khokahano ea mala le bokantle ba mmele (colostomy kapa ileostomy). Lintho tse ka hare tsa mala li ka tlosoa ka monyako ona.

Boholo ba nako, ho hlahlojoa kapele le kalafo ea volvulus ho lebisa liphellong tse ntle.

Haeba mala a shoele, pono ha e ntle. Boemo bo kanna ba bolaea, ho latela hore na mala a shoele hakae.

Mathata a ka bang teng a volvulus ke:

  • Peritonitis ea bobeli
  • Short bowel syndrome (kamora ho tlosa karolo e kholo ea mala a manyane)

Ena ke boemo ba tšohanyetso. Matšoao a volvulus ea bongoana a hlaha kapele mme ngoana o tla kula haholo. Fumana ngaka hang-hang haeba sena se etsahala.


Volvulus ea bongoaneng; Mahlaba a mpeng - volvulus

  • Volvulus
  • Volvulus - x-ray

Maqbool A, Liacouras CA. Matšoao a maholo le matšoao a mathata a tšilo ea lijo. Ka: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, bahlophisi. Buka ea Nelson ea Pediatrics. La 21 Ed. Philadelphia, PA: Elsevier; 2020: khaolo ea 332.

Mokha J. Ho hlatsa le ho nyekeloa ke pelo. Ka: Wyllie R, Hyams JS, Kay M, bahlophisi. Matšoao a mafu a bana le mafu a sebete. La 6th. Philadelphia, PA: Elsevier; 2021: khaolo ea 8.

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.


E fetotsoe F, Rudolph JA. Phepo e nepahetseng le gastroenterology. Ka: Zitelli BJ, McIntire SC, Nowalk AJ, li-eds. Zitelli le Davis ’Atlas of Pediatric Physical Diagnosis. La 7th. Philadelphia, PA: Elsevier; 2018: khaolo ea 11.

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