Svondo rapfuura, kiriniki yangu payakanga yava kupera, jaya rine makore 19 okuberekwa rakapinda mukiriniki, rakabata dumbu rayo zvakasimba richigomera. Zita rayo rainzi Tharindu. Tharindu ainetseka kutomira akatwasuka.
"Chiremba Priya, nezuro husiku ndakarwadziwa zvishoma paguvhu rangu. Asi kubva mangwanani ano, kurwadziwa kwacho kwachinja kuenda kurudyi rwedumbu rangu repazasi, uye hazvigoneke. Ndiri kurutsawo uye ndine fivha," Tharindu akatsanangura achinetseka.
Pandakangoisa Tharindu patafura yekuongororwa ndokudzvanya zvinyoro nyoro divi rekurudyi redumbu rake (McBurney's Point), akachema nekurwadziwa.
Ndakabva ndati, "Taridu, hausi kurwadziwa nemudumbu zvakajairika. Uku kurwara kwe appendicitis . Izvi zvinokonzerwa nekuti appendix , chubhu diki yakaita semunwe pakutanga kweura hwedu hukuru, yave nehutachiona uye yakazvimba. Tinofanira kugadzirira kuvhiyiwa nekukasika. Nekuti kana izvi zvikasabviswa nekukurumidza, appendix inogona kuputika mudumbu."
🚨 Zviratidzo zvinorwadza zvinoda kuendeswa kuchipatara nekukasika
Appendicitis chirwere chekukurumidzira chinoda kurapwa nekukurumidza. Kana ukaona zviratidzo zvinotevera, unofanira kuenda kuchipatara chikuru chiri pedyo newe nekukurumidza, sezvo appendix ingangodaro yakabvaruka:
- Marwadzo ari mudumbu repazasi rerudyi anopararira kamwe kamwe mudumbu rose (chiratidzo chikuru chekuti appendix yaputika).
- Fivha yakanyanya pamwe nekubvunda uye kurutsa kusingaperi.
- Dumbu rinonzwa rakamanikana, rakazvimba, uye richirwadza, zvichiita kuti zvisakwanise kutomboribata.
- Kurova kwemoyo nekukurumidza, kunetseka kufema, uye kunzwa kupera simba.
Sei appendicitis ichiitika?
Appendix ichubhu diki yakavharwa kune rimwe divi uye iri muchikamu chezasi chekurudyi chegadziriro yedu yekugaya chikafu.
Kana chubhu iyi ikavharika netsvina (fecalith), utachiona hwehutachiona kana hwebhakitiriya, kana kuti lymph nodes dzakazvimba, kuvhurika kwechubhu yeappendix kunovharika zvachose.
Mabhakitiriya anokura nekukurumidza muappendix yakavharika, zvichikonzera kuzvimba kwakanyanya kwakazara nematumbu. Izvi zvinoderedza kuyerera kweropa kunzvimbo iyi, zvichizoita kuti appendix ibve uye ibude. Uturu nemabhakitiriya zvinozopararira mudumbu rose, zvichikonzera hutachiona hunotyisa hunonzi peritonitis .
Maitiro chaiwo ayo zviratidzo zvinoonekwa
Marwadzo eappendicitis akasiyana nemarwadzo emudumbu akajairika:
1. Kutanga: Marwadzo anotanga kuonekwa sekurwadziwa kudiki pakati pedumbu, kwakatenderedza dumbu.
2. Kupararira: Mukati memaawa mashoma, kurwadziwa uku kunoenda kuchikamu chezasi chedumbu kurudyi.
3. Kuwedzera:Marwadzo anowedzera zvakanyanya kana uchikosora, uchifamba, uchirova pasi, kana kana uchidzvanya kurudyi rwedumbu wobvisa ruoko (rebound tenderness).
4. Zvimwe zviratidzo: Kushaya chido chekudya zvachose, kuda kurutsa, kurutsa, uye fivha isina kunyanya kuipa.
Kuvhiyiwa kweAppendicitis (Appendicectomy)
Mushonga wekugara kwenguva refu we appendicitis ndeyekubvisa appendix ine hutachiona nekuvhiyiwa. Kuvhiyiwa uku kunonzi appendixectomy .
Parizvino, nzira mbiri huru dzekuvhiya dzinoshandiswa pakuita izvi:
- Kuvhiyiwa kweLaparoscopic / Keyhole Surgery: Kuvhiyiwa kwemazuva ano kunoitwa kuburikidza nekucheka kadiki katatu mudumbu uchishandisa kamera nemidziyo yakapfava. Marwadzo acho madiki uye hapana mavanga. Murwere anogona kupora nekukurumidza oenda kumba.
- Kuvhiyiwa Kwakavhurika: Muzviitiko zvakakomba apo appendix yakaputika uye yakaparadzira hutachiona mudumbu rose, uku kuvhiyiwa kwechivanhu kunoitwa kuburikidza nekucheka 5-10 cm parutivi pedumbu. Izvi zvinoda mazuva mashoma ekurapwa muchipatara kuti upore.
Zvinofanira kuitwa uye Zvisingafaniri kuitwa
| ✔️ Zvinhu zvekuita (Zviito) | ❌ Zvisingafaniri kuitwa |
|---|---|
| Kana paine chifungidziro chekuti appendicitis inogona kukonzera chirwere, rega kudya nekunwa nekukasika (Hapana nemuromo). Izvi zvakakosha pakushandisa mushonga weanesthesia pakuvhiyiwa kwekukurumidzira. | Usatore mishonga inoderedza marwadzo usina kunyorerwa nachiremba kuti uderedze marwadzo emudumbu. Izvi zvinogona kuvharisa zviratidzo zvechirwere uye kunonoka kuongororwa. |
| Endai nemurwere nekukurumidza kuchipatara chikuru chiri pedyo kana paine kurwadziwa kwemudumbu kunofungirwa kuti kwaitika. | Usambofa wapa dumbu rako enema, mishonga yekurara, kana mabhodhoro emvura inopisa kuti udziye nekuti unofunga kuti kugaya chikafu kunenge kusina kunaka. Izvi zvinogona kuwedzera njodzi yekuti appendix yako ibude. |
| Inwa mushonga wese wemishonga inorwisa mabhakitiriya wawakanyorerwa nachiremba mushure mekuvhiyiwa. | Dzivisa kusimudza zvinorema, kumhanya, kana kuita maekisesaizi anorema kwemavhiki maviri ekutanga mushure mekuvhiyiwa. |
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