Ese ufite appendicitis? Reka turebe neza ibyo bizamini!

Ese wigeze ugira ububabare bukomeye mu gice cyo hasi cy'iburyo cy'igifu cyawe? Cyangwa hari inshuti cyangwa umuntu wo mu muryango wabugize? Akenshi, iyo tubonye ibimenyetso nk'ibi, turatinya, si byo se? Wenda ni appendicitite . None rero uyu munsi, reka tuvuge ku cyo appendicitite ari cyo, ibizamini abaganga bakora kugira ngo bamenye niba bihari, n'uko bifatwa. Nta kintu cyo gutinya, reka dusobanure byose mu magambo yoroheje.

Appendicitis ni iki? Mu magambo make...

Noneho, reka tubanze turebe icyo appendicitis ari cyo. Mu nda yacu, ni ukuvuga mu gice cyo hasi cy'iburyo cy'igifu, hari igice gito gisa n'umuyoboro gifatanye n'amara manini (colon). Mu by'ukuri, ni urugingo ruto rumeze nk'inzoka rufite uburebure buri hagati ya santimetero 2 na 4. Ibi ni byo twita appendix . Hari abantu bavuga ko ibi ntacyo bivuze cyane, ariko rimwe na rimwe bishobora guteza ibibazo.

Rero, iyo iyi appendix yanduye mu buryo runaka, cyangwa ikabyimba, ni byo twita appendicitis . Tekereza nk'ikintu gifata mu muyoboro muto kigatangira kubyimba. Ibi ni ibintu byihutirwa, kuko iyo idavuwe neza, ikibazo gishobora kwiyongera.

Iyo urwaye appendicitis, abaganga bakunze kubaga bita appendicite . Ni ukuvuga ko babaga appendicite ifite ikibazo. Ntugahangayike, nyuma yo gukuraho appendicite yawe, ushobora kubaho ubuzima bwiza kandi burambye nta kibazo. Nta gihombo gikomeye uzumva kuko cyashize.

Ni ibihe bimenyetso bya appendicitis bigaragara mu ntangiriro? Ni ngombwa kubimenya!

Noneho reka turebe ibimenyetso bya mbere dushobora kumva mu gihe umuntu arwaye appendicitis. Ni ngombwa cyane kubimenya, kuko iyo bigaragaye hakiri kare, biroroha kuvurwa.

Bitangira nk'ububabare budasanzwe kandi butuje bukikije agahu . Nyuma y'igihe runaka, ubu bubabare bugenda bujya mu gice cyo hasi cy'iburyo cy'inda. Ni bwo ububabare buba bukabije kandi budashobora kwihanganira. Bushobora kumva nk'aho icyuma kiguteye.

Reka nkubwire byinshi kuri ubu bubabare:

• Wenda bizakomeza.
• Ushobora guhita utangira.
• Ububabare bushobora kwiyongera iyo umuntu akorora, aseka, cyangwa agenda.
• Ububabare bwa mbere bushobora kudashira ndetse no nyuma yo gufata umuti ugabanya ububabare.

Uretse ubu bubabare bw'ingenzi, hari n'ibindi bimenyetso bishobora kugaragara. Ibi ni ibi bikurikira:

• Kubura ubushake bwo kurya ( anorexia ).
• Kurya impatwe cyangwa impiswi .
• Kudashobora kunyuramo umwuka (nta gaze ihari).
• Umuriro uri hasi.
• Isesemi no kuruka .

Tekereza, inshuti yawe Nimal yatunguwe no kubabara mu nda, atangira kwinubira ububabare bukikije umukondo we. Nyuma y'amasaha make, yagize ububabare bukabije mu nda ye yo hepfo y'iburyo, ntiyashoboraga kurya, kandi yagize umuriro muto. Mu gihe nk'icyo, ushobora gukeka ko afite appendicitis.

Kuki ari ngombwa kumenya ibi bintu biranga umuntu?

Ushobora gutekereza uti “Oh, ni ukubabara mu nda gusa, kuki uhangayitse cyane?” Ariko appendicitis si urwenya.

Tekereza, byagenda bite iyo umuvuduko uri muri iyo appendix yabyimbye kandi yanduye uturitse mu buryo butunguranye? Iyo bibaye bityo, mikorobe ziri muri yo, ni ukuvuga bagiteri, zishobora gukwirakwira mu nda yose. Ibi bishobora gutera indwara ikomeye cyane, ishobora guhitana ubuzima, yitwa peritonitis. Niyo mpamvu ari ngombwa kumenya ibimenyetso bya mbere no gushaka inama kwa muganga vuba. Icyo gihe ni bwo indwara ishobora gupimwa neza kandi igatangira kuvurwa neza.

Ni ibihe bipimo bikorwa kugira ngo harebwe niba appendicitis ari ikibazo?

None se, niba ufite ibimenyetso byavuzwe haruguru, iyo ugiye kwa muganga, ni gute amenya niba koko ari appendicitis cyangwa ikindi kintu? Abaganga bakoresha ibizamini bitandukanye kugira ngo babigereho. Intego y'ibi bizamini ni ukugusuzuma vuba kandi neza indwara no kuguha ubuvuzi ukeneye.

Hari ubwoko bwinshi bw'ingenzi bw'ibizamini:

1. Isuzuma ry'umubiri

Iki ni cyo kintu cya mbere kizakorwa. Muganga azakubaza ibimenyetso byawe kandi asuzume inda yawe. Azareba ububabare, cyane cyane mu gice cyo hasi cy'iburyo cy'inda yawe , kuko ariho agace k'inkari gakunze kuba. Azareba kandi niba imitsi irindwa kandi koroherwa no kugaruka.

2. Gupima amaraso n'inkari

Isuzuma ry'amaraso rikorwa kugira ngo harebwe niba ufite ubwandu cyangwa ububyimbirwe mu mubiri wawe. Ubusanzwe, ubwandu nka appendicitis butera kwiyongera k'umubare w'uturemangingo tw'amaraso twera mu maraso yawe. Urugero rwitwa C-reactive protein (CRP) narwo rushobora kwiyongera, ibyo bikaba bigaragaza ububyimbirwe mu mubiri.

Ikizamini cy'inkari gikorwa kugira ngo harebwe niba ibimenyetso byawe biterwa n'ikindi kintu, nko kwandura indwara y'inkari (UTI) . Hari igihe ibimenyetso by'indwara y'inkari bishobora gusa n'ibya appendicitis.

3. Ikizamini cya CT scan

gupima CT (CT scan)Imwe muri zo ni X-ray yihariye ishobora kubona neza ingingo ziri mu nda. Ubu ni bwo buryo bwiza bwo gusuzuma appendicitis. Iyi scan ituma muganga abona neza niba appendicitis yabyimbye cyangwa niba hari impinduka ziyikikije.

Ariko, niba uri umugore uri mu kigero cyo kubyara, ikizamini cyo gutwita gikorwa mbere yo gukora isuzuma rya CT. Impamvu yabyo ni ukwirinda imirasire idakenewe uko bishoboka kose. Kuko rimwe na rimwe gutwita hanze y'inda bishobora gutera ububabare mu nda, nko kubaga appendicitis. Ibi bizamini binafasha mu kubimenya.

4. Gupima hakoreshejwe ikoranabuhanga rya Ultrasound

Isuzuma rya ultrasound rikoresha amajwi kugira ngo rikore amashusho y’imbere mu nda. Ntirikoresha imirasire. Nubwo ritari ryiza nka CT scan, rikunze gukoreshwa aho gukoresha CT scan kugira ngo harebwe niba hari appendicitis ku bana bato, abakiri bato, n’abagore batwite .

Ni nde ukora ibi bizamini?

Ibi bizamini bikorwa n'umuntu umwe.

• Umuganga azagutega amatwi kandi agukorere isuzuma ry'umubiri .
• Umuforomo cyangwa umuganga w’indwara z’imitsi (phlebotomist) ni we ufata amaraso .
• Isuzuma ryawe rya ultrasound cyangwa CT scan rizakorwa n'umuhanga mu by'amaradiyo .

Ese ushobora gusuzuma appendicitis uri mu rugo?

Igikuru ni ukwitondera ibimenyetso byawe. Byongeye kandi, hari ibintu bibiri byoroshye ushobora gukora uri mu rugo, kandi ukareba niba ubabara cyane mu nda iyo ubikoze:

• Ese birababaza iyo uryamye uruhande rw'ibumoso hanyuma ukanyuza ikibuno cy'iburyo inyuma yawe ?
• Ese ububabare bubaho iyo upfukamye ikibuno cyawe cy'iburyo n'ivi hanyuma ukazamura ikibuno cyawe cy'iburyo ?

Niba ubabara mu gihe ubikora, cyangwa niba ufite gushidikanya, jya kwa muganga. Kuko indwara ya appendicitis ni indwara ishobora gutera ingorane zikomeye iyo idavuwe vuba. Ntugafate ibyemezo uri wenyine mu rugo.

Ese ukeneye kwitegura ibi bizamini mbere y'igihe?

Akenshi, ntukenera gukora ikintu kidasanzwe kugira ngo witegure isuzuma ry'umubiri, isuzuma ry'amaraso, cyangwa isuzuma ry'inkari.

Ariko, ku isuzuma ry’ishusho, nka CT scan cyangwa ultrasound scan, ushobora gusabwa guhagarika kurya no kunywa (kwiyiriza ubusa) amasaha make mbere y’isuzuma.Muganga azabikubwira mbere y'igihe.

Ikizamini gikorwa gute? Reka tubirebe mu buryo burambuye.

Noneho reka turebe uko bigenda iyo dukora ibi bizamini.

Isuzuma ry'umubiri

Dore bimwe mu bintu muganga wawe ashobora gukora mu gihe asuzuma igifu cyawe:

• Uzahindurirwa uruhande rwawe rw'ibumoso maze uzasabwa gushyira igitutu gito ku itako ryawe ry'iburyo mu gihe ukurura itako ryawe ry'iburyo inyuma. (Iki kandi cyitwa 'ikimenyetso cya Psoas')
• Umurwayi akandagira ahantu hatandukanye mu nda hanyuma agahita akuramo ukuboko (reba kubabara kw'inyuma).
• Iyo uzamuye ukuguru kwawe kw'iburyo, gukanda ku ivi ry'iburyo (ibi bipimwa nk'ikimenyetso cya 'Obturator').

Isuzuma ry'amaraso

Ibi biroroshye cyane.

• Umuforomo azashyira urushinge ruto mu mutsi uri mu kuboko kwawe.
• Ingero nto y'amaraso irafatwa muri uwo mutsi. Nguko uko.

gupima CT (CT scan)

Ibi bishobora kubaho gutya:

• Ushobora guhabwa amazi yihariye yitwa irangi ritandukanye kugira ngo unywe, cyangwa ushobora kuyatera mu mitsi. Ibi bituma amashusho yo gupima arushaho kuba meza.
• Hanyuma uzaryama ku meza. Umurasire wa X-ray wa CT scanner uzazenguruka ukagufata amafoto. Icyo ugomba gukora ni uguhagarara ntuje.

Gupima hakoreshejwe ikoranabuhanga rya Ultrasound

Muri ibi:

• Umuganga cyangwa umuhanga mu by'ubuhanga azagusiga gel yihariye ku nda yawe.
• Hanyuma agakoresho gato kitwa transducer kashyirwa hejuru ya gel. Amashusho y'ingingo z'imbere ashobora kurebwa kuri ecran.

Nta cyo guhangayikishwa nacyo, ibi bizamini ntabwo bibabaza cyane.

Ese hari ingaruka cyangwa ingaruka mbi zishobora guterwa n'izi nshinge?

Ibi bizamini byo gusuzuma appendicitis akenshi ntabwo bigira ingaruka zikomeye cyangwa ingaruka mbi zikomeye. Aho amaraso akurwa hashobora guhinduka ubururu gato cyangwa kubabara. Hari abantu bashobora kugira allergie nto ku ibara rya contrast, ariko ibi ni gake cyane. Abaganga barabizi.

Ibisubizo by'ibizamini bivuga iki?

Ese raporo zivuga iki nyuma y'ibizamini?

• Isuzuma ry'amaraso:
• Niba umubare w'uturemangingo tw'amaraso yawe ari mwinshi , bivuze ko hari ubwoko bw'ubwandu mu mubiri wawe. Ariko ibuka ko hafi kimwe cya gatatu cy'abantu barwaye appendicitis bafite umubare usanzwe w'uturemangingo tw'amaraso tw'umweru.
• Iyo urugero rwa poroteyine ya C-reactive (CRP) ruri hejuru, bivuze kandi ko hashobora kubaho kubyimba mu mubiri, wenda appendicitis.

• Isuzuma ry'inkari:
• Niba inkari zawe zirimo uturemangingo tw'amaraso twera na bagiteri, akenshi bivuze ko ufite ubwandu mu nzira y'inkari .
• Nanone, niba icyitegererezo cy'inkari kirimo imyunyungugu imwe n'imwe ikora amabuye y'impyiko, cyangwa niba hari amaraso mu nkari, bishobora no gutanga ishusho y'amabuye y'impyiko.

• Gupima CT cyangwa ultrasound:

Niba ufite appendicitis, amashusho ya scan ashobora kwerekana ibintu nk'ibi:

• Iyo umugereka wagutse (urengeje mm 6 z'umurambararo).
• Iyo hari calcium iri mu gice cy'umunyururu, ni ukuvuga appendicoliths .
• Iyo ibinure bikikije appendix byabyimbye kandi bigahinduka ibara ( peri-appendiceal fat stringing) .
• Iyo urukuta rw'inyongera rufite ubugari (rurenze milimetero 2).

Mu gushyira hamwe ibi byose, ni bwo muganga afata icyemezo cya nyuma niba ufite appendicitis cyangwa utayifite.

Bitwara igihe kingana iki kugira ngo ubone ibisubizo?

Igihe bifata kugira ngo ubone ibisubizo by'ibizamini gishobora gutandukana bitewe n'ikizamini. Urugero, bishobora gufata isaha imwe cyangwa ebyiri kugira ngo ubone ibisubizo bya ultrasound scan cyangwa CT scan. Ibisubizo by'ibizamini by'amaraso n'inkari bishobora gufata igihe kingana cyangwa kirenzeho gato. Muganga wawe azabikubwira.

Ni ryari nkwiye kujya kwa muganga? Ese ni ibintu byihutirwa?

Appendicitis ifatwa nk'ikibazo cyihutirwa cy'ubuvuzi.

Bityo rero, niba ufite ibimenyetso bya appendicitis twavuze mbere (cyane cyane ububabare bukomeye mu gice cyo hasi cy'iburyo cy'inda, umuriro, kuruka), ni ngombwa kwihutira gushaka inama kwa muganga. Ntugapfushe ubusa. Kuko iyo appendix ituritse, ishobora guteza ingorane zishobora gushyira ubuzima bwawe mu kaga.

Ubutumwa bwo kujyana mu rugo

Sawa, reka tuvuge muri make ibyo twavuze byose:

• Appendicitis ni indwara cyangwa kubyimba k'urugingo ruto rwitwa appendicitis.
• Ikimenyetso nyamukuru ni ububabare bukomeye mu gice cyo hasi cy'iburyo cy'inda. Bushobora kandi guherekezwa n'umuriro, kuruka no kubura ubushake bwo kurya.
• Kugira ngo hamenyekane neza indwara ya appendicitis, hakoreshwa isuzuma ry’umubiri, ibizamini by’amaraso n’inkari, ndetse n’ibizamini byo gufata amashusho nka CT scan cyangwa ultrasound scan.
• Iki ni ikibazo cyihutirwa. Niba ugaragaje ibimenyetso, hita ubonana na muganga.
• Ntugahangayike, ibi bishobora gukira iyo bivuwe mu gihe gikwiye. Akenshi, agahu ka appendix karakurwaho mu buryo bwo kubaga.

Rero, ndizera ko usobanukiwe neza indwara ya appendicitis n'ibizamini biyijyanye nayo. Komeza ugire ubuzima bwiza!

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