Toshewar hanji da Ileus

Toshewar hanji wani bangare ne ko cikas na hanji. Abin da ke cikin hanjin ba zai iya wucewa ta ciki ba.

Tushewar hanji na iya zama saboda:

• Dalilin inji, wanda ke nufin wani abu yana kan hanya
• Ileus, yanayin da hanji baya aiki daidai, amma babu wata matsalar tsarin da ke haifar dashi

Paralytic ileus, wanda kuma ake kira ruɗin ɓoye, yana ɗaya daga cikin manyan abubuwan da ke haifar da toshewar hanji ga jarirai da yara. Abubuwan da ke haifar da cutar shan inuwa na iya haɗawa da:

• Kwayar cuta ko ƙwayoyin cuta da ke haifar da cututtukan hanji (gastroenteritis)
• Chemical, electrolyte, ko rashin daidaiton ma'adinai (kamar su ƙarancin sinadarin potassium)
• Tiyatar ciki
• Rage yaduwar jini ga hanji
• Cututtuka a cikin ciki, kamar su appendicitis
• Koda ko cutar huhu
• Amfani da wasu magunguna, musamman kayan maye

Abubuwan da ke haifar da toshewar hanji na iya hadawa da:

• Abun haɗuwa ko tabon nama wanda ke samuwa bayan tiyata
• Jikin baƙi (abubuwan da aka haɗiye su suka toshe hanji)
• Duwatsu masu daraja (ba safai ba)
• Hernias
• Tasirin da aka yi tasiri
• Intussusception (hangen nesa na wani bangare na hanji zuwa wani)
• Umumurai masu toshe hanji
• Volvulus (hanjin murɗa)

Kwayar cutar na iya haɗawa da:

• Ciwan ciki (tsawa)
• Ciki cikakke, gas
• Ciwon ciki da kuma matsi
• Warin numfashi
• Maƙarƙashiya
• Gudawa
• Rashin izinin wuce gas
• Amai

Yayin gwajin jiki, mai ba da kiwon lafiya na iya samun kumburi, taushi, ko hernias a cikin ciki.

Gwaje-gwajen da suka nuna toshewa sun haɗa da:

• CT scan na ciki
• X-ray na ciki
• Barium enema
• Babban GI da ƙananan jerin hanji

Jiyya ya haɗa da sanya bututu ta hanci zuwa cikin ciki ko hanji. Wannan shine don taimakawa kumburin ciki (narkarwa) da amai. Vila na babbar hanji za a iya magani ta wucewar bututu zuwa cikin dubura.

Ana iya buƙatar yin aikin tiyata don taimakawa toshewar idan bututu bai taimaka alamun ba. Hakanan za'a iya buƙata idan akwai alamun mutuwar nama.

Sakamakon ya dogara da dalilin toshewar. Mafi yawan lokuta, ana samun nasarar magance dalilin.

Matsaloli na iya haɗawa ko na iya haifar da:

• Rashin wutar lantarki (sinadarin jini da na ma'adinai)
• Rashin ruwa
• Rami (perforation) a cikin hanji
• Kamuwa da cuta
• Jaundice (raunin fata da idanu)

Idan toshewar ya toshe hanyoyin samarda jini zuwa hanji, zai iya haifar da kamuwa da cuta da kuma mutuwar nama (gangrene). Haɗarin haɗarin mutuwar nama yana da alaƙa da dalilin toshewar da kuma tsawon lokacin da ya kasance. Hernias, volvulus, da intussusception suna da haɗarin haɗarin haɗuwa.

A cikin jariri, ciwon shan inna wanda ke lalata bangon hanji (necrotizing enterocolitis) yanayi ne mai barazanar rai. Yana iya haifar da jini da cututtukan huhu.

Kira mai ba ku sabis idan kun:

• Ba za a iya wuce kujeru ko gas ba
• Samun kumburin ciki (karkarwa) wanda baya tafiya
• Ci gaba da amai
• Yi ciwon ciki wanda ba a bayyana ba wanda ba zai tafi ba

Rigakafin ya dogara da dalilin. Kula da yanayi, kamar ciwace-ciwacen daji da hernias waɗanda zasu iya haifar da toshewa, na iya rage haɗarinku.

Ba za a iya hana wasu abubuwan da ke haifar da toshewa ba.

Shanyayyen gida; Zafin ciki na hanji; Toshewar hanji; Ileus; Pseudo-toshewa - hanji; Ciwon ciki na hanji; Ructionananan toshewar hanji

• Bayyancin abincin mai ruwa
• Cikakken abincin abinci
• Babban yankewar hanji - fitarwa
• Ctionaramar cirewar hanji - fitarwa
• Total colectomy ko proctocolectomy - fitarwa

• Tsarin narkewa
• Ileus - x-ray na hanjin ciki da ciki
• Ileus - x-ray na kumburin ciki
• Intussusception - x-ray
• Volvulus - x-ray
• Obstananan toshewar hanji - x-ray
• Ctionananan raunin ciki - jerin

Harris JW, Evers BM. Intananan hanji. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 49.

Mahmud NN, Bleier JIS, Aarons CB, Paulson EC, Shanmugan S, Fry RD. Gashin ciki da dubura. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 51.

Mustain WC, Turnage RH. Toshewar hanji. A cikin: Feldman M, Friedman LS, Brandt LJ, eds. Sleisenger da Cututtukan Cutar hanta da na Fordtran. 11th ed. Philadelphia, PA: Elsevier; 2021: babi na 123.