Kana uri muchipatara nekuda kwekurwadziwa kwakanyanya mudumbu rako, chiremba anokuudza kuti une appendicitis uye unoda kuvhiyiwa. Zvakajairika kuti unzwe kutya uye kutya kana izwi rekuti "operation" rikabuda kamwe kamwe. Asi usazvidya mwoyo. Uku kuvhiyiwa kwakajairika uye kunobudirira munyika. Saka nhasi, ngatitaurei nezvese zvaunoda kuziva nezvekuvhiyiwa uku kunonzi appendectomy .
Chii chinonzi appendectomy?
Muchidimbu, kuvhiyiwa kwe appendix kuvhiyiwa kubvisa appendix yako, kana kuti appendix sezvatinoidana muchiSinhala. Appendix inhengo diki, yakaita sechubhu yakabatana nekutanga kweura hwako hukuru. Iri pasi kurudyi rwedumbu rako.
Kana appendix yabatwa nechirwere uye yazvimba, tinoidaidza kuti appendicitis. Nekuti pane njodzi yekuputika kweappendix yakazvimba, appendicitis idambudziko rehutano. Zvisinei, appendix ine hutano haisati yaonekwa kuti ine basa rakakosha mumuviri wedu. Saka, kubviswa kwayo nekuvhiyiwa hakuzokukuvadzi. Unogona kurarama hupenyu hwakajairika usina.
Sei uku kuri kuvhiyiwa kwekukurumidzira?
Funga nezvazvo, appendix inhengo diki kwazvo. Saka kana ikabatwa nechirwere, inozvimba nekukurumidza, uye ine mukana mukuru wekuputika. Kana appendix ikaputika mudumbu, hutachiona hunogona kupararira mudumbu rese. Kana izvozvo zvikaitika, zvinogona kukonzera chirwere chakakomba chinonzi peritonitis . Kureva, hutachiona hwemembrane huri mudumbu.
Kana hutachiona uhu hukasamira ipapo huchipinda muropa, chirwere che sepsis chinoitika.Inogona kunge iri chirwere chakakomba chinogona kutouraya. Appendix inogona kuputika mukati memaawa makumi matatu nematanhatu kubva pakutanga kwezviratidzo zveappendicitis. Ndosaka ichionekwa sedambudziko rekukurumidza uye kurapwa kunotanga nekukasika.
Saka, kana uine zviratidzo zvakaita sekurwadziwa kwakanyanya mudumbu, fivha, uye kurutsa , usapedza nguva wobva waona chiremba nekukasika.
Chii chinoitika kuvhiyiwa kusati kwaitwa?
Kuvhiyiwa kunowanzoitwa mukati memaawa makumi maviri nemana kubva pakaonekwa kuti chiremba ane appendicitis. Usati waita izvozvo, uchapihwa IV line, kana kuti saline, mutsinga, uye mishonga inorwisa mabhakitiriya ichatanga kushandiswa nekukurumidza. Zvichienderana nekuoma kwehutachiona, mishonga iyi inorwisa mabhakitiriya icharamba iripo kwemazuva rimwe kusvika manomwe mushure mekuvhiyiwa.
Chiremba wako anogonawo kusarudza kuita bvunzo dzeropa uye kuskena usati wavhiyiwa. Zvakakoshawo kuudza chiremba wako nezvemimwe mishonga yauri kutora, chero allergies yaunayo, uye chero mamwe matambudziko ehutano auri kusangana nawo. Izvi zvichamubatsira kutsanangura rudzi rwekuvhiyiwa kwako uye kuwana mvumo yako. Hamuzobvumirwi kudya kana kunwa chero chinhu kwemaawa masere musati mavhiyiwa, asi mucharamba muchipiwa mvura kuburikidza nesaline solution.
Panguva yekuvhiyiwa uye mhando dzayo
Usati watanga kuvhiyiwa, uchapihwa anesthesia yakajairika. Saka hauzonzwi kurwadziwa panguva yekuvhiyiwa, unenge wakarara. Kune mhando mbiri dzeappendectomy zvichienderana nenzira yekuvhiyiwa.
| Rudzi rwekuvhiyiwa | Maitiro anoitika |
|---|---|
| Kuvhiyiwa kweAppendectomy neLaparoscopic (Kuvhiyiwa kwakaitwa nerubatsiro rwekamera) | Iyi ndiyo nzira inonyanya kushandiswa mazuva ano. Hapana kucheka kukuru mudumbu. Pane kudaro, kucheka kudiki diki kamwe chete kusvika katatu kunoitirwa pedyo neanus. Chubhu diki ine kamera (laparoscope) inopinzwa kuburikidza nekucheka kumwe chete, uye mifananidzo inoonekwa pachiratidziro. Zvishandiso zvakanaka zvinopinzwa kuburikidza nezvimwe zvichemo kuti zvicheke uye zvibvise appendix. Maitiro aya haasiye mavanga akawanda. |
| Vhura Appendectomy (Kuvhiyiwa kwedumbu kwechivanhu) | Kuchekwa kamwe chete kwepazasi kwedumbu kunoreba masendimita 2-3. Maitiro aya anogona kudiwa kana hutachiona hwapararira mudumbu rese. Chiremba anovhiya anoona zvakananga appendix nenzvimbo yakapoteredza, ochenesa hutachiona, obvisa appendix, uye osonesa incision yacho. Izvi zvinosiya vanga rakakura zvishoma. |
Dzimwe nguva, kunyangwe nzira iyi ichitanga ne laparoscopic approach, chiremba anogona kuchinja kuita nzira yekuvhiya yakavhurika zvichienderana nemamiriro ari mukati. Kuvhiya uku kunowanzo tora awa imwe chete.
Chii chinoitika mushure mekuvhiyiwa?
Kana wakavhiyiwa laparoscopic iri nyore, unogona kudzokera kumba manheru iwayo. Zvisinei, hauzokwanisi kutyaira nekuda kwemigumisiro yeanesthesia, saka uchada mumwe munhu kuti akufambise.
Asi kana appendix yako ikaputika kana kuti wakavhiyiwa pachena, uchafanira kugara muchipatara kwemazuva mashoma. Chiremba wako acharamba achitarisa mamiriro ako uye achikupa mishonga inorwisa mabhakitiriya netsinga. Kana uine chubhu yekubuditsa mvura, ichabviswa usati waenda kumba.
Chii chaunofanira kuita kana wasvika kumba? Chii chausingafaniri kuita?
Kuzvipira kwako kwakakoshawo zvikuru kuti upore zvakakwana.
Zvinhu zvekuita:
- Chengeta nzvimbo yakachekwa/yakachekwa yakachena uye yakaoma . Itarisire sezvakarairwa nachiremba wako.
- Idya chikafu chemvura kana chakapfava chiri nyore kugaya mumazuva ekutanga. Zvishoma nezvishoma jaira kudya chikafu chenguva dzose.
- Usazvishandisa zvakanyanya. Kana ukavhiyiwa wakavhurika, kumira kwenguva yakareba kunogona kukuvadza tsandanyama dzemudumbu.
- Kana ukaona zviratidzo zvehutachiona zvakaita sefivha, kuzvimba kwakakomberedza nzvimbo yakachekwa, kutsvuka, kana kuti matumbu, fonera chiremba wako nekukasika.
Zvinhu zvausingafaniri kuita:
- Usatore chero mushonga usina kutenderwa nachiremba wako. Mimwe mishonga inoderedza marwadzo inogona kuwedzera kubuda ropa .
- Usapinda mumvura, usageze mumabhavhu ekugezera, kana kushambira kusvika mavanga apora uye mavanga acho anyunguduka (kana kusvika chiremba acheka mavanga acho).
- Dzivisa kuita mabasa anoremadza tsandanyama dzemudumbu. Deredza kusimudza zvinorema nekukwira masitepisi.
- Usagara wakarara nguva dzese. Kumuka nekufamba-famba zvishoma kunogona kubatsira kudzivirira kuumbwa kweropa uye kudzorera mashandiro emudumbu.
Ndinofanira kuona chiremba zvakare rini?
Kazhinji unofanira kuona chiremba wako kuti aongororwe mushure memavhiki maviri kusvika matatu. Zvisinei, kana ukaona chimwe chezviratidzo zvinotevera, usamirira wobva waudza chiremba wako nekukasika kana kuenda kuEmergency Department (ETU) yechipatara:
- Kuzvimba, kutsvuka , kana kuchinja ruvara rwakapoteredza nzvimbo yakachekwa
- Kupindwa nechando
- Kurwadziwa kwakanyanya mudumbu
- Kuda kudya
- Kurutsa
Zvinogona kutora mavhiki mana kusvika matanhatu kuti unyatsopora. Asi kana ukateerera muviri wako uye ukatevedzera mirairo yachiremba wako, unogona kudzokera kuhupenyu hwako hwemazuva ese nekukurumidza.
Mharidzo Yekuenda Nayo Kumba
- Appendicitis chirwere chinoda kurapwa nekukurumidza. Kana uine zviratidzo, usanonoka kutsvaga kurapwa.
- Kuvhiyiwa kweAppendectomy ndiyo nzira yakachengeteka uye inoshanda zvikuru yekurapa appendicitis.
- Kune mhando mbiri dzekuvhiya: laparoscopic (kucheka kudiki) uye yakavhurika (kucheka kukuru). Kupora kunokurumidza nekuvhiya laparoscopic.
- Kutevedzera mirairo yachiremba mushure mekuvhiyiwa kwakakosha kuti munhu akwanise kupora nekukurumidza.
- Kana appendix yako yabviswa, unogona kurarama hupenyu hwakanaka, hwakajairika pasina matambudziko.
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