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    腸子打結了!乙狀結腸扭轉

    PtxhJdFpM

    假日到商場,或在婚禮喜宴上,你會看到商場促銷員、婚慶公司的工作人員,靈巧地扭轉氣球,做出造型變化萬千的各種小動物呢?然而當一般外科醫生見到表演者扭轉著手中氣球時,總會忍不住想到個疾病:乙狀結腸扭轉。

    乙狀結腸位在我們左下腹,是最末端的大腸部位,再往下就會接到直腸、肛門。中文稱做乙狀結腸,英文則是叫Sigmoid colon,都代表這一段結腸的形狀是S型模樣。

    在我們退化老化的過程中,乙狀結腸和腹壁的連接會變松,松到這段腸子脹大起來后就像一條長形氣球,可以自己跟自己打轉起來了,就很像一條長長的氣球轉一圈固定起來的模樣。這就是乙狀結腸扭轉。

    腸胃道其他地方也是有機會發生扭轉的。盲腸扭轉也不少,而胃、小腸、橫狀結腸也可能出現扭轉,只是機會較低。

    那腸道扭轉后會怎樣嗎?嗯,接下來就麻煩了。想想看,大腸是我們輸送糞便的通路,送到乙狀結腸這里的是準備往肛門排出的糞便,假使乙狀結腸扭轉,那糞便會走進死路,過不去了,就這樣卡在乙狀結腸。

    而乙狀結腸發生扭轉的同時,還會影響到血流輸送進腸道的狀況。腸道變得越腫脹,里面壓力越大,血流就更送不過去。因此腸子開始缺血,組織逐漸壞死,細菌增生,下一步就是腸壁壞死到腸子穿孔。腸子里的糞便、空氣,全都一股腦地流進腹腔內,引發腹膜炎和嚴重的細菌感染!這可是危及性命的呢!


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