Mannewa

Adhesions wasu makunnin nama ne masu kama da tabo wadanda ke haduwa tsakanin bangarori biyu a cikin jiki kuma yana sa su mannewa.

Tare da motsin jiki, gabobin ciki kamar hanji ko mahaifa yawanci suna iya juyawa kuma su zamewa juna. Wannan saboda waɗannan kyallen takarda da gabobin a cikin ramin ciki suna da santsi, santsi. Kumburi (kumburi), tiyata, ko rauni na iya haifar da haɗuwa don samarwa da hana wannan motsi. Adhesions na iya faruwa kusan a ko'ina cikin jiki, gami da:

• Abubuwan haɗin gwiwa, kamar kafada
• Idanu
• A cikin ciki ko ƙashin ƙugu

Adhesions na iya zama manya ko kuma tsaurara akan lokaci. Matsaloli na iya faruwa idan haɗuwa ta haifar da gabobi ko sashin jiki zuwa:

• Karkatarwa
• Cire daga matsayi
• Kasa samun damar motsawa yadda ya kamata

Hadarin samarda mannewa yana da yawa bayan aikin tiyata ko kuma kayan aikin mace. Yin aikin tiyata ta amfani da laparoscope ba zai iya haifar da haɗuwa fiye da buɗe tiyata ba.

Sauran dalilan da ke haifar da mannewa a cikin ciki ko kumburi sun haɗa da:

• Appendicitis, galibi idan kari ya buɗe (ruptures)
• Ciwon daji
• Ciwon mara
• Cututtuka a cikin ciki da ƙashin ƙugu
• Maganin radadi

Adhesions a kusa da gidajen abinci na iya faruwa:

• Bayan tiyata ko rauni
• Tare da wasu nau'ikan cututtukan zuciya
• Tare da amfani da haɗin gwiwa ko jijiya

Abun cikin jijiyoyi, jijiyoyi, ko jijiyoyin jiki sun sanya wahala matsa motsi. Hakanan suna iya haifar da ciwo.

Cushewar ciki (ciki) na iya haifar da toshewar hanji. Kwayar cutar sun hada da:

• Kumburin ciki ko kumburin ciki
• Maƙarƙashiya
• Tashin zuciya da amai
• Rashin iya wuce gas
• Jin zafi a cikin ciki mai tsananin ƙarfi da ƙyalƙyali

Haɗuwa a cikin ƙashin ƙugu na iya haifar da ciwon mara na tsawon lokaci (na kullum).

Mafi yawan lokuta, ba za'a iya ganin mannewa ta amfani da x-rays ko kuma gwajin hoto ba.

• Hysterosalpingography na iya taimakawa wajen gano mannewa a cikin mahaifa ko kuma fallopian tubes.
• X-ray na ciki, nazarin bambancin barium, da sikanin CT na iya taimakawa gano toshewar hanjin sakamakon mannewa.

Endoscopy (hanyar duban cikin jiki ta amfani da bututu mai sassauƙa wanda yake da ƙaramar kyamara a ƙarshen) na iya taimakawa wajen binciko adhesions:

• Hysteroscopy yana kallon cikin mahaifa
• Laparoscopy yana duba cikin ciki da ƙashin ƙugu

Za a iya yin aikin tiyata don rarrabe adhesions. Wannan na iya barin sashin jiki ya dawo da motsi na yau da kullun kuma ya rage alamomin. Koyaya, haɗarin don ƙarin adhesions yana tafiya tare da ƙarin tiyata.

Dogaro da wurin da mannewar yake, ana iya sanya shinge a lokacin aikin tiyata don taimakawa rage damar da adhewar ke dawowa.

Sakamakon yana da kyau a mafi yawan lokuta.

Adhesions na iya haifar da rikice-rikice iri-iri, ya dogara da kyallen takarda da abin ya shafa.

• A cikin ido, mannewa daga iris zuwa ruwan tabarau na iya haifar da glaucoma.
• A cikin hanji, mantuwa na iya haifar da toshewar hanji ko sashi.
• Cushewa a cikin kogon mahaifa na iya haifar da wani yanayi da ake kira ciwo na Asherman. Wannan na iya haifar wa mace samun jinin al’ada ba daidai ba kuma ta kasa daukar ciki.
• Adarafan ƙugu wanda ya haɗa da tabo na bututun mahaifa na iya haifar da rashin haihuwa da matsalolin haihuwa.
• Abubuwan haɗuwa da ciki da na ciki na iya haifar da ciwo mai tsanani.

Kira mai ba da lafiyar ku idan kuna da:

• Ciwon ciki
• Rashin iya wucewar gas
• Lalai da amai wadanda basa tafiya
• Jin zafi a cikin ciki mai tsananin ƙarfi da ƙyalƙyali

Elaura ƙugu Intraperitoneal mannewa; Mannewa cikin mahaifa

• Pelvic mannewa
• Ovarian mafitsara

Kulaylat MN, Dayton MT. Rikicin tiyata. A cikin: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. Littafin Sabiston na tiyata. 20th ed. Philadelphia, PA: Elsevier; 2017: babi na 12.

Kuemmerle JF. Cututtukan kumburi da na anatomic na hanji, peritoneum, mesentery, da omentum. A cikin: Goldman L, Schafer AI, eds. Magungunan Goldman-Cecil. 26th ed. Philadelphia, PA: Elsevier; 2020: babi na 133.

Cibiyar Nazarin Ciwon Suga ta Duniya da Cutar Kula da Lafiya da Koda. Abun adhesions na ciki. www.niddk.nih.gov/health-information/digestive-diseases/abdominal-adhesions. An sabunta Yuni 2019. An shiga Maris 24, 2020.