Kana pakanga paine marwadzo mudumbu, saka kutanga, zvakakosha kubvisa kudiwa kwechiremba chirwere chinopindira. Inogona kungoitwa chete neyanyanzvi - chiremba. Kune zvikonzero zvizhinji zvekuonekwa kwekunzwa kwepamuviri, uye vamwe vanogona kuva nemigumisiro yakaipa kwazvo. Kana mwana ane chirwere chepamuviri kwemaawa anopfuura, saka zvinokurumidza kudana chiremba.
Ichokwadi chokuti mhumbu inorwadza mucheche, vanaamai vaduku vanofungidzira nekuchema uye unhu hunoomesa wemakumbo. Asi, zvisinei, kwete nguva dzose kuchema nekuchema zvinoreva kurwadziwa mukati memucheto. Ndicho chikonzero apo mwana anotanga kuchema, unoda kuziva kana kurwadziwa ndiko kukonzera, uye kana zvakadaro, kunorwadzisa mudumbu here?
Muvana vaduku zvakaoma zvikuru kuziva kuti mwana anotambudzika kupi, uye kuti zvinorwadza zvachose. Sezvo mutemo, vana vane marwadzo, vanobata nehanya, vasingadyi, kuchema uye kuchema kusvikira marwadzo apera. Vana vezera rakakura vanogona ivo pachavo kutsanangura zvinoshungurudza, uye munzvimbo iyo vanorwadziwa. Zvinowanzoitika kuti vana, vachitya zvinodhaka uye kurapwa, vanoramba kutaura pamusoro pei uye kupi kwavanenge vachitambudzika.
Chinokonzera kurwadziwa mumimba yevana vanogona kunge chichivhiringidza chibereko chepamuviri. Kana nzira yezvokudya mumatumbo ichikanganiswa nechimwe chinhu, nzvimbo inotangira chigumbuso ichi ichikurira uye, sechikonzero, kurwadziwa kunomuka. Pain mucheche wemwana inogona kuendeswa nechinonoka mumubhedha nekurutsa. Kana kuvharidzika kuchionekwa mumatumbo emakamuri akakwirira, saka, mushure mokudya kwechinguva, kusvetuka kunowanzoitika ne bile. Chimwe nechimwe chinotevera chifambiso chinotungamirira kukurutsa kukuru uye kuwedzerwa kwehuwandu hwahwo. Kana kuvhara kunowanikwa mumatumbo emukati, ipapo kushambidzika kunotanga nemanheru ezuva rechipiri. Vomit kutanga ine chinhu chakangobva kupinda mudumbu, uye zvino bile inoonekwa, uye gare gare - zviri mukati memukati.
Kuvhiringidza kunonzwisisika kunoratidzwa nenguva yekurutsira, uye kurutsa, zvakare, ndiyo yepamusoro uye chiyero chekudzivirira kwemuviri wemukirini. Izvo zvakanyanya kudarika uku, uye pamusoro apa ndiyo chipingamupinyi chakakonzera kubviswa, nokukurumidza munhu anotanga kuputsa.
Zvikonzero zvinowanzokonzera marwadzo mumimba yevana vachesi, uye kazhinji kurwadziwa kwakanyanya kunoitika nekuda kwekuputika kwemukati. Kazhinji izvi zvinoitika pazera remwedzi mina kusvika gumi. Pashoma kakawanda mugore rechipiri rehupenyu. Marwadzo anooneka asingatarisiri, apo, zvingaita sokuti, mwana wacho ane utano hwakakwana. Vana vanotanga kuchema zvakanyanya, kuchema kunogona kupedza kusvika kumaminitsi gumi, uye mirai kusvikira mushure mutsva.
Apo kurwisa kunotanga, mwana anodanidzira zvakare, anoramba kudya, akabatana. Kurwisana, sekutonga, kunosangana nekurutsa. Kana inopera kubva maawa matatu kusvikira maawa matanhatu mushure mekutanga kwechirwere, ropa re streaks rinowanikwa muchitsiko. Iko kushanduka kwemuviri wekuvhara mumimba ndiko kuguma kwekupukunyuka kwemagasi nemasumbu uye kubhururuka. Zvakakosha kutora matanho anonoka nguva, nokuti neawa imwe yese nyika yecheche ichaparara.
Chimwe chikonzero chekutambudzika kwevana chinogona kuva chirwere cheHirschsprung. Ichi chirwere chinoratidzirwa nehupenyu husina hanya hwekukura kwemukati mudumbu. Vasikana vanorwara nechirwere ichi kamwe chete mumashanu zvishoma pane vakomana. Chirwere ichi chinowanzotanga muchikamu chekare-sigmoid chemukati. Apo chirwere chinoitika, kushanda kwedhipatimendi ichi kwakaputsika, musikana muduku unorega kusununguka, uye zviri mukati memukumbo hazvikwanisi kutama kuburikidza nechikamu chakacheka. Dhipatimendi iri pamusoro pekuderera kunotanga kuwedzera, mazamu emukati munzvimbo ino ane hypertrophied, uye zvinonzi megacolon zvinokura, ndiko kuti, kuwedzera kwechirwere chemukati wose kana chikamu chacho.
Vana vaduku vari pasi pemakore matatu vanowanzotambura nekuzvidzivirira kwekudzivirira. Kuwanda kwezvavari kuitika kune vana vezera iri rinoratidzwa ne8 muzana. Chirwere chekuwedzera kwekuwedzera kwechikwata chinowira pazera remakore kubva gumi kusvika kune gumi nemashanu. Pano chiyero chematambudziko chinowedzera kusvika 55%.
Symptomatic inokurumidza chaizvo. Mwana ane utano anononoka anotanga kuva capricious, kuramba zvokudya. Kana chirwere chichikura usiku, ipapo mwana haagoni kurara. Chiratidzo chakajeka chekuwedzera appendicitis chirwere chinonzi dyspeptic disorder. Mwana wacho anotanga kurutsa, inoputsa, kazhinji kune chigadziko chisina kusimba. Inofanira kuonekwa kuti mwana anogona kupwanya kakawanda. Mushure memaawa masere mushure mekutanga kwechirwere, kudhakwa kwemuviri kunotanga kuva nehuwandu hwemunhu. Mutsara wechiso unorwadza, miromo yakaoma, kutonhora kunomuka. Pavanenge vachiongorora mimba, vana vane makore pasi pemakore matatu vanogara vasingatauri, vachigadzirisa misungo yenzvimbo inorwadza, saka kuongorora kwevana vaduku kwakaoma zvikuru.
Muvana vakwegura, anamnesis yakapfupika - kusvika kumaawa akawanda, dzimwe nguva imwe kana maviri mazuva. Chirwere ichi chinoratidzirwa nekugara nguva dzose kana chelicky marwadzo pamusoro pevhareji kana mune dhipatimendi repigastric. Mushure mechinguva, marwadzo anowanikwa munzvimbo yakarurama mueiriyamu kana mudumbu remuviri. Vana vanogunun'una pamusoro pekutsvaga, pane zvinoramba, kutonhora kunokwira kusvika kune digirii 38, kazhinji vana vanofamba, vachigumburwa, nokuti izvi zvinoita kuti zvinorwadza.
Nechirwere chakadai sa diverticulitis, kune marwadzo, sezvinonzi appendicitis. Ichi chirwere chinoratidzwa nekuputika kwemuviri mudumbu, kazhinji pane imwe nzvimbo umo mawedzera. Kana iyo diverticulum inopera, ipapo pane mufananidzo wakafanana neparitonitis, inoratidzirwa nekurwadziwa mudunhu remuviri. Zvinogona kukuvadza kana uchikanganiswa kana kuti uchimbidzika. Mwana haabvumirwi kuzviongorora uye kubata pamuviri. Izvo zviso zvevana zvinokanganisa, kupisa kunoitwa kakawanda, mararamiro anoyerera.
Chinokonzera kurwadziwa kwakanyanya mumimba yevasikana vechidiki vanogona kukanganisa makumbo e cyst pane ovary. Kazhinji marwadzo ari mudumbu rezasi muvechiri kuyaruka anokonzerwa nekuputsika kwechinyorwa kana chinopisa. Mumamiriro ezvinhu akadaro, zviri nyore kunzwa manzwiro emakumbo, izvo zvisingakodzeri munzvimbo ye peritoneal. Izvi zvinoitika kakawanda mucheche kusvika kumakore maviri.
Rudzi rwemakemikari rwekudzivirira mumimba inonyanya kuonekwa kune vana vezera remakore. Chirwere ichi chinosangana nekurwadziwa kwakanyanya, kuva nechirwere chinoputika, kurutsira, kubvisa uye kuvhiringidzika.
Kakawanda vana vanokura pancreatitis yakaoma kana pancreatic chirwere uye kuwedzera kwecholelithiasis.
Kana mwana ane kurwadziwa kwakanyanya mudumbu, zvinorambidzwa:
- Ipa painkillers, nokuti zvinokonzera marwadzo zvinogona kusarudzwa zvisina kururama uye zvinoratidzwa mushure mekunge.
- Ipai mishonga inorwisa mabhakitiriya uye marashi.
- Edza kuderedza marwadzo nemhepo inodziya