رتوج اللفائفي والصائم المكتسبة

Authors

  • فؤاد قاسم

Abstract

رتوج اللفائفي والصائم المكتسبة هي أمراض نادرة يتراوح معدل حدوثها بين (05-1.4)%، وتكون رتوج الصائم أكثر شيوعاً وأكبر حجماً من رتوج اللفائفي, وهي رتوج متعددة غالباَ.

غير أن مضاعفاتها ليست بالاستثنائية (6-13)% مع نسبة وفيات يمكن أن تصل إلى 40% من نسبة المصابين عند المسنين.

وأهم المضاعفات هي:

1- التهاب الرتج 16.66%.

2- الانثقاب 11.11%.

3- انسداد الأمعاء الحاد 5.55%.

4- النزف الهضمي 5.55% والذي غالباً مايكون كتلياً (غزيراَ) ونادراً بشكل خفي.

5- أسواء الامتصاص (سوء امتصاص الدسم – نقص البروتينات – فقر دم كبير الكريات).

6- الأورام الهضمية مجهولة السبب.

 

علاج رتوج الأمعاء الدقيقة لا يكون جراحياً إلا عندما تترافق بمضاعفات.

ويرتكز العلاج الوقائي للمضاعفات على إجراءات الصحة الغذائية لمقاومة ركود الدم وارتفاع الضغط المعوي (مضادات التشنج، المطهرات المعوية، نظام غذائي قليل الفضلات) والإنتان (مضادات حيوية فموياً).

Acquired Jejineum and Ilieus's diverticulum's are rare diseases. They occure in 0.5-1.4%, Jejineum's diveticulms are more unouncing and larger than Ilieues's diverticulms.

Its complications are 6-13% and its mortality reaches to 40% from older patients.

The most important of complications are:

  1. diverticulitis 16.66%.
  2. Perforation 11.11%.
  3. Acute intestinal obstruction 5.55%.
  4. Peptic bleeding 5.55%, this is common massive and rarely.
  5. Malabsorbtions (malabsorbtion of  fat, hypoprotinemia, Macro anemia).
  6. Unknown Peptic tumers.

 

The treatment of intestinal diverticulm is conservative, but it becomes surgical when the complications occur.

Protective treatment of complications depends on feeding health's measures against stasis and intestinal Hyperpressure (Antispasmolitic,Intestinal disinfectants, reside free diet) and infection (oral antibiotics).

Downloads

Published

2019-01-14

How to Cite

1.
قاسم ف. رتوج اللفائفي والصائم المكتسبة. Tuj-hlth [Internet]. 2019Jan.14 [cited 2024May9];27(1). Available from: https://journal.tishreen.edu.sy/index.php/hlthscnc/article/view/6322

Issue

Vol. 27 No. 1 (2005): العلوم الصحية

Section

Articles

License

Creative Commons License

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.

The authors retain the copyright and grant the right to publish in the magazine for the first time with the transfer of the commercial right to Tishreen University Journal for Research and Scientific Studies - Health Sciences Series

 Under a CC BY- NC-SA 04 license that allows others to share the work with of the work's authorship and initial publication in this journal. Authors can use a copy of their articles in their scientific activity, and on their scientific websites, provided that the place of publication is indicted in  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series   .  The Readers have the right to send, print and subscribe to the initial version of the article, and the title of  Tishreen University Journal for Research and Scientific Studies - Health Sciences Series  Publisher

journal uses a CC BY-NC-SA license which mean

You are free to:

  • Adapt — remix, transform, and build upon the material
  •  
  • The licensor cannot revoke these freedoms as long as you follow the license terms.

 

  • Attribution — You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
  • NonCommercial — You may not use the material for commercial purposes.
  • ShareAlike — If you remix, transform, or build upon the material, you must distribute your contributions under the same license as the original.
  • No additional restrictions — You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.