Intestinal ischemia can head to discomfort and cause trouble to the colon to purpose normally. Loss of circulation to the intestine in serious conditions can head to intestinal injury or passing. Intestinal tract ischemia can be dangerous as cardiac arrest.
However, intestinal ischemia can be handled properly. The most essential aspect as a way to properly deal with intestinal ischemia is to recognize early symptoms and symptoms and get immediate healthcare help.
Cause
The aorta is the significant arterial ships that provide the body with oxygen-rich blood is moved by the center. Piece of the aorta that provides below the diaphragm into the abdominal area called the abdominal area aorta.
Three blood vessels branching from the abdominal area aorta, which supplies almost all the blood to the abdominal area region. These blood vessels, among others:
1. Superior mesenteric artery
2. The low quality mesenteric artery
3. Coeliac artery
Intestinal ischemia can appear if circulation through blood vessels or blood vessels close to be decreased, the change can be serious or serious. Any or all of the blood vessels that provide the abdominal area region can be affected by the remains of particles of cholesterol, calcium, damage, and other cellular particles (atherosclerosis).
This happens just as with other blood vessels systems that becomes smaller and limits the amount of blood moving through the ships. Progressive atherosclerotic accumulate can decrease circulation to the little intestine, significant intestine, or both. Chronic intestinal ischemia is usually caused by a accumulate of coronary artery disease.
Acute intestinal ischemia, mostly due to the structure of thrombus in the center which then goes to one of the intestinal blood vessels. Shape clots can build in the blood vessels and away from the gut, thereby reducing the circulation of deoxygenated blood.
Intestinal ischaemia sometimes happens because a portion of the intestine becomes blocked due to hernia (strangulated hernia) or because of adhesions from previous abdominal area surgical procedures. In other conditions it can appear because of low blood pressure level or center failing.
Whatever the cause, the main cause is decreased circulation with sufficient air in the intestinal region structure. In these circumstances, the structure can challenge and then die.
Inflammation can build due to a lot more broken structure. This causes an inability to absorb food and nutrients, causing associated with accompanied by blood. Infection and structure passing can effect in significant harm. Intestinal tract ischemia can be dangerous if not handled quickly.
Symptom
Intestinal ischemia can appear and bring the symptoms and symptoms with a quick (acute intestinal ischemia), which is usually caused by thrombus that block circulation to or from the intestine.
In addition to serious intestinal ischemia, ischemia may build slowly eventually due to various causes, known as serious intestinal ischemia.
a. Acute intestinal ischemia
Signs and symptoms of serious intestinal ischemia usually include:
1. Fever
2. Sudden abdominal area discomfort that can range from slight to severe
3. Dysentery
4. Nausea or nausea or vomiting
5. Frequent bowel movements
6. Abdominal discomfort or distention
b. Chronic intestinal ischemia
Chronic intestinal ischemia, where circulation to the intestine minimizes eventually, usually recognized by:
1. Stomach pain or experience volume, start within 30 minutes after having and continues 1-3 hours
2. Afraid to eat because after that will experience the pain
3. Nausea or nausea or vomiting
4. Abdominal discomfort that gets worse over a few months or months
5. Diarrhea
6. Bloating
7. Losing bodyweight is not desirable
Chronic intestinal ischemia can become an serious instance. People may suffer from serious abdominal area discomfort that happens over a few months or a few months of lost and discomfort attacks appear after having.
In the situation of a quick, get healthcare help quickly obtained. If the patient still felt the constant abdominal area discomfort due to delay of procedure method, can make procedure method more difficult.
Consulting a physician is desired quickly if experiencing one or more of these symptoms or symptoms of the following:
1. Chronic abdominal area discomfort after having, especially when someone is also trying to lose weight
2. Dysentery
Treatment
Treatment of intestinal ischemia focus on rejuvenating adequate blood supply to the abdominal area region is involved. Treatments vary depending on the reason behind the degree of the situation, such as among others.
1. Strategy to intestinal ischemia
a. Surgery
Surgery may be necessary to eliminate the structure (infracted) died when some parts of the intestine has been broken. However, surgical procedures may be desired as a way to avoid a obstruction in one artery intestine.
This business is similar to what is done when there is obstruction of the coronary blood vessels of center that is passed to direct circulation around obstructions. Your physician may consider a full colonoscopy after symptoms and symptoms become better because cancer of the colon is one of the reasons behind the event of colon ischemia.
b. Antibiotics
Antibiotics are widely used to deal with or avoid infections that may appear. Any underlying situation should be handled as well, such as unusual heartrate and congestive center failing.
One is desired to stop the drug that constricts blood vessels, such as hormone drugs, certain center drugs, and headaches drugs.
2. Strategy to serious mesenteric artery ischemia
Usually the business is necessary to eliminate thrombus, blocked blood vessels through which, or to repair or eliminate part of intestine that has been broken.
Additional procedure method may consist of drugs to avoid the structure of freezing blood, blood vessels dilate, or reduce the clog.
In the situation of angiography is performed to spot the problem, radiologists may be able to as well eliminate thrombus, or start a refined artery with angioplasty.
A device used in angioplasty at the end of the catheter to reduce the fatty remains and stretch the artery, thus making a greater path for circulation. A material coils (stent) can be positioned in extra to help keep the artery start.
3. Strategy to serious mesenteric artery ischemia
Treatment goals to fix circulation to the colon. The surgeon can develop the refined blood vessels or avoid blocked blood vessels with angioplasty or stenting therapy.
4. Ischemia due to venous thrombosis mesesenterik
In the situation of a person's intestine confirmed no symptoms of harm, probably will need to take anticoagulant medication for about 3-6 a few months. Anticoagulants help avoid the structure of freezing blood.
As perhaps the intestine confirmed symptoms of harm, patients will still need surgical procedures to access the broken part. After surgical procedures, one may need to take anticoagulants for a few months.
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