Volvulus - tamaititi

O le volvulus o se mimilo o le manava e mafai ona tupu i le taimi o tamaititi. E mafua ai le poloka e ono tipi ese le tafe o le toto. E mafai ona faʻaleagaina se vaega ole gaʻao lona iʻuga.

O le fanau mai faaletonu taʻua o le manava gaogao mafai ai ona pepe ono tupu ai se volvulus. Peitai, e mafai ona tupu se volvulus aunoa ma lenei tulaga i ai.

Volvulus ona o le malrotation tupu masani i le muamua tausaga o le olaga.

Faʻailoga masani o volvulus o:

• Toto poʻo ni mea pogisa mumu
• Constipation poʻo le faigata faʻasaʻoloto nofoa
• Manava faʻasese
• Paʻu poʻo le agavaivai i le manava
• Faanoi poʻo puaʻi
• Teʻi
• Talosaga mea lanu meamata

Faailoga e masani ona ogaoga. O le pepe i ia tulaga e ave i le potu o faalavelave faafuaseʻi. O togafitiga vave e mafai ona taua mo le ola.

E ono faʻatonuina e lau tausi soifua maloloina suʻesuʻega ia e suʻesuʻe ai le tulaga.

• Enema Barium
• Toto suʻega e siaki ai electrolytes
• CT faʻasolosolo
• Ogaumu guaiac (faʻaalia le toto i totonu o le faʻataʻavalega)
• Luga GI faasologa

I nisi tulaga, coloscoscopy mafai ona faʻaaogaina e faʻasaʻo ai le faʻafitauli. E aofia ai le faʻaaogaina o se paipa fetuʻunaʻi ma se moli i le pito ua pasi atu i totonu o le kolone (manava tele) e ala atu i le tumutumu.

O taotoga faʻafuaseʻi e masani ona manaʻomia e toe faaleleia ai le volvulus. E tipi le taotoga i le manava. O le manava e le faʻamamaina ma o le toto sapalai ua toe faʻaleleia.

Afai o se tamaʻi vaega o le manava ua mate mai le leai o se toto tafe (necrotic), ua aveʻesea. Ona suʻi faʻatasi ai lea o pito o le manava. Poʻo, e faʻaaogaina e fausia ai se fesoʻotaʻiga o manava i fafo o le tino (colostomy poʻo le ileostomy). E mafai ona aveʻese mea i totonu ole manava ile avanoa lea.

Tele o taimi, vave suʻesuʻega ma togafitiga o volvulus taʻitaʻia ai i se lelei iʻuga.

Afai ua mate le manava, e leaga la le vaʻai. O le tulaga e ono matautia, fuafua i le tele o le manava ua mate.

Faʻafitauli faigata o volvulus o:

• Peritonitis lona lua
• Short bowel syndrome (pe a uma ona aveʻesea se vaega tele o le tamaʻi manava)

Ole faʻalavelave faʻafuaseʻi lea. O faʻailoga o le tamaititi volvulus e tupu vave ma o le a maʻi tigaina le tamaititi. Alu vave ile fomaʻi pe a tupu lenei mea.

Tamaititi volvulus; Manava o le manava - volvulus

• Volvulus
• Volvulus - x-ray

Maqbool A, Liacouras CA. Tele faʻailoga ma faʻailoga o faʻamaʻi o le digestive tract. I le: Kliegman RM, St. Geme JW, Blum NJ, Shah SS, Tasker RC, Wilson KM, eds. Nelson Tusitusiga o Pediatrics. 21 ed. Filatelefia, PA: Elsevier; 2020: mata 332

Mokha J. Vomiting ma le niniva. I le: Wyllie R, Hyams JS, Kay M, eds. Pediatric Gastrointestinal ma le Maʻi o le ate. 6th ed. Filatelefia, PA: Elsevier; 2021: mata 8.

Peterson MA, Wu AW. Faʻaletonu o le lapoʻa. I: Puipui RM, Hockberger RS, Gausche-Hill M, eds. Togafitiga Faʻafuaseʻi a Rosen: Faʻataʻitaʻiga ma Togafitiga Faʻafomaʻi. 9th ed. Filatelefia, PA: Elsevier; 2018: mata 85.

Turay F, Rudolph JA. Meaai paleni ma gastroenterology. I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ma Davis 'Atlas o Pediatric Physical Diagnosis. 7th ed. Filatelefia, PA: Elsevier; 2018: mata 11.