Ngaba wakha waba nentlungu enzima kwicala lasekunene lesisu sakho? Okanye ngaba umhlobo okanye ilungu losapho lakhe lakha layiva? Uninzi lwexesha, xa sibona iimpawu ezinje, siyoyika, akunjalo? Mhlawumbi yi -appendicitis . Ngoko ke namhlanje, masithethe ngokuba yintoni i-appendicitis, zeziphi iimvavanyo ezenziwa ngoogqirha ukuze bafumane ukuba ikhona na, kwaye yenziwa njani. Akukho nto yokoyika, masichaze yonke into ngokulula.
Yintoni i-appendicitis? Ngamafutshane...
Kulungile, masiqale sibone ukuba yintoni i-appendicitis. Esiswini sethu, oko kukuthi, kwicala lasekunene elisezantsi lesisu, kukho inxalenye encinci efana nombhobho eqhagamshelwe kumathumbu amakhulu (ikholoni). Ngokuchanekileyo, sisitho esincinci esifana nempethu esiphakathi kwe-2 kunye ne-4 intshi ubude. Oku sikubiza ngokuba yi-appendix . Abanye abantu bathi oku akuncedi kangako, kodwa ngamanye amaxesha kunokubangela iingxaki.
Ngoko ke, ukuba esi sihlomelo sisuleleka ngandlela thile, okanye ukuba siyavuvukala, yiloo nto siyibiza ngokuba yi-appendicitis . Cinga ngayo njengento enamathelayo ngaphakathi kwityhubhu encinci ize iqale ukubila. Oku kuyinto engxamisekileyo kancinci, kuba ukuba ayinyangwa kakuhle, ingxaki inokuba mandundu.
Ukuba une-appendicitis, oogqirha badla ngokwenza utyando olubizwa ngokuba yi-appendixectomy . Oko kukuthi, basusa i-appendix enengxaki ngotyando. Ungakhathazeki, emva kokuba i-appendix yakho isusiwe, ungaphila ubomi obude nobunempilo ngaphandle kweengxaki. Awuyi kuva kulahlekelwa kakhulu kuba ihambile.
Zithini iimpawu zokuqala ze-appendicitis? Kubalulekile ukuzazi ezi!
Ngoku makhe sibone ukuba zeziphi iimpawu zokuqala esinokuziva xa sine-appendicitis. Kubaluleke kakhulu ukuzazi ezi, kuba ukuba ziqatshelwe kwangethuba, kulula ukufumana unyango.
Kuqala njengentlungu engaqhelekanga, ebuhlungu ejikeleze inkaba . Emva kwexesha elithile, le ntlungu iya kancinci kancinci iye kwicala elisezantsi lasekunene lesisu. Kulapho ke intlungu iba bukhali kwaye inganyamezeleki. Ingavakala ngathi yimela ekuhlabayo.
Makhe ndikuxelele okungakumbi ngale ntlungu:
- Mhlawumbi iza kuqhubeka.
- Ungaqala ngoko nangoko.
- Intlungu inokwanda xa ukhohlela, uhleka, okanye ushukuma.
- Intlungu yokuqala ebuhlungu isenokungapheli nokuba sele ithathiwe iyeza lokubulala iintlungu.
Ukongeza kule ntlungu iphambili, ezinye iimpawu zinokuvela. Nazi:
- I-Anorexia (ukulahlekelwa yimdla wokutya).
- Ukuqhinwa okanye urhudo .
- Ukungakwazi ukudlulisa umoya (akukho gesi).
- Umkhuhlane ophantsi.
- Isicaphucaphu nokuhlanza .
Khawuthelekelele, umhlobo wakho uNimal ngequbuliso wahlaselwa sisisu esibuhlungu, ekuqaleni ekhalaza ngentlungu ejikeleze inkaba yakhe. Emva kweeyure ezimbalwa, wahlaselwa yintlungu enzulu esiswini sakhe sasekunene, wayengakwazi ukutya, kwaye wayenomkhuhlane omncinci. Ngexesha elinjalo, ungacinga ukuba kukho i-appendicitis.
Kutheni kubalulekile ukwazi ngezi mpawu?
Usenokucinga, "Hayi, sisisu nje esibuhlungu, kutheni uxhalabile kangaka?" Kodwa i-appendicitis ayisiyonto yokuhlekisa.
Khawucinge nje, kuya kwenzeka ntoni ukuba uxinzelelo olungaphakathi kweso sithako sidumbileyo nesisulelekileyo luqhuma ngequbuliso? Ukuba oko kuyenzeka, iintsholongwane ezikuso, oko kukuthi, iintsholongwane, zinokusasazeka kulo lonke isisu. Oku kunokubangela usulelo olubi kakhulu, olusongela ubomi, olubizwa ngokuba yi-peritonitis. Yiyo loo nto kubalulekile ukuqaphela ezi mpawu zakuqala kwaye ufune iingcebiso zonyango ngokukhawuleza. Kulapho kuphela apho isifo sinokuchongwa ngokuchanekileyo kwaye unyango olufanelekileyo lunokuqaliswa.
Zeziphi iimvavanyo ezenziwayo ukujonga i-appendicitis?
Kulungile, ukuba uneempawu ezikhankanyiweyo ngaphambili, xa usiya kugqirha, ufumanisa njani ukuba yi-appendicitis okanye yinto enye? Oogqirha basebenzisa indibaniselwano yovavanyo ukwenza oku. Injongo yolu vavanyo kukufumanisa imeko ngokukhawuleza nangokuchanekileyo kwaye bakunike unyango oludingayo.
Kukho iintlobo ezininzi eziphambili zovavanyo:
1. Uvavanyo lomzimba
Le yinto yokuqala eza kwenziwa. Ugqirha uza kukubuza ngeempawu zakho aze ahlole isisu sakho. Baza kukhangela iintlungu, ingakumbi kwicala elisezantsi lasekunene lesisu sakho , kuba kulapho i-appendix ihlala ikhona khona. Baza kukhangela nokukhusela imisipha kunye nokuthamba kwemisipha.
2. Uvavanyo lwegazi nomchamo
Uvavanyo lwegazi lwenziwa ukuze kubonwe ukuba unayo na intsholongwane okanye ukudumba emzimbeni wakho. Ngokwesiqhelo, intsholongwane efana ne-appendicitis iya kubangela ukwanda kwenani leeseli ezimhlophe zegazi egazini lakho. Inqanaba elibizwa ngokuba yi -C-reactive protein (CRP) nalo linokuphakama, nto leyo ebonisa ukudumba emzimbeni.
Uvavanyo lomchamo lwenziwa ukuze kubonwe ukuba iimpawu zakho zibangelwa yinto ethile na, njengosulelo lomchamo (UTI) . Ngamanye amaxesha iimpawu zosulelo lomchamo zinokufana nezo ze-appendicitis.
3. Uvavanyo lwe-CT scan
Iskeni ye-CTEnye yi-X-ray ekhethekileyo ekwaziyo ukubona ngokucacileyo amalungu angaphakathi esiswini. Le yeyona ndlela ichanekileyo yokuxilonga i-appendicitis. Olu vavanyo luvumela ugqirha ukuba abone ngokucacileyo ukuba i-appendix idumbile okanye kukho naluphi na utshintsho olujikeleze yona.
Nangona kunjalo, ukuba ungumfazi oseneminyaka yokuzala, uvavanyo lokukhulelwa lwenziwa ngaphambi kokuba wenze olu vavanyo lwe-CT scan. Isizathu soku kukuphepha ukuvezwa kwimitha engeyomfuneko kangangoko kunokwenzeka. Kuba ngamanye amaxesha ukukhulelwa okuphuma emvelweni kunokubangela iintlungu zesisu, ezifana ne-appendicitis. Olu vavanyo lukwanceda ekuchongeni.
4. Iskeni ye-ultrasound
I-ultrasound scan isebenzisa amaza esandi ukwenza imifanekiso yangaphakathi kwesisu. Ayisebenzisi imitha. Nangona ingachanekanga njenge-CT scan, isetyenziswa endaweni ye-CT scan ukujonga i-appendicitis kubantwana abancinci, abantu abadala abancinci, kunye nabasetyhini abakhulelweyo .
Ngubani owenza ezi mvavanyo?
Ezi mvavanyo zenziwa ngumntu omnye.
- Ugqirha uza kumamela iimpawu zakho aze akuhlole ngokwasemzimbeni .
- Umongikazi okanye ingcali ye-phlebotomist yenza ukutsalwa kwegazi .
- Iskeni yakho ye-ultrasound okanye i-CT scan iya kwenziwa yingcali ye-radiology .
Ngaba ungajonga i-appendicitis ekhaya?
Eyona nto ibalulekileyo kukunika ingqalelo kwiimpawu zakho. Ukongeza, kukho izinto ezimbini ezilula onokuzenza ekhaya, kwaye ubone ukuba ufumana intlungu ebukhali esiswini sakho xa uzenza:
- Ngaba kubuhlungu xa ulala ngecala lakho lasekhohlo uze wolule isinqe sakho sasekunene ngasemva kwakho ?
- Ingaba intlungu iyenzeka xa ugoba isinqe sakho sasekunene nedolo uze ujikelezise isinqe sakho sasekunene ?
Ukuba uziva iintlungu ngelixa usenza ezi zinto, okanye ukuba unamathandabuzo, qiniseka ukuba ubona ugqirha. Kuba i-appendicitis yimeko enokubangela iingxaki ezinkulu ukuba ayinyangwa ngokukhawuleza. Musa ukwenza izigqibo wedwa ekhaya.
Ngaba kufuneka uzilungiselele ezi mvavanyo kwangaphambili?
Ixesha elininzi, awudingi ukwenza nantoni na ekhethekileyo ukulungiselela uvavanyo lomzimba, uvavanyo lwegazi, okanye uvavanyo lomchamo.
Nangona kunjalo, kuvavanyo lomfanekiso, olufana ne-CT scan okanye i-ultrasound scan, unokucelwa ukuba uyeke ukutya nokusela (ukuzila ukutya) iiyure ezimbalwa ngaphambi kovavanyo.Ugqirha uza kukuxelela ngayo kwangaphambili.
Lwenziwa njani uvavanyo? Makhe sijonge ngokweenkcukacha ezithe vetshe.
Ngoku makhe sibone ukuba kwenzeka ntoni xa senza ezi mvavanyo.
Uvavanyo lomzimba
Nazi ezinye izinto ugqirha wakho anokuzisebenzisa xa ehlola isisu sakho:
- Uza kujika ujonge kwicala lasekhohlo uze ucelwe ukuba ucinezele kancinci esinqeni sakho sasekunene ngelixa utsala ithanga lakho lasekunene ngasemva. (Oku kukwabizwa ngokuba yi-'Psoas sign')
- Isigulane sicinezela kwiindawo ezahlukeneyo zesisu size emva koko sisuse isandla ngequbuliso (jonga ukuthamba kwesisu).
- Xa uphakamisa umlenze wakho wasekunene, ucinezela edolweni lasekunene (uvavanyo olufana nophawu lwe-Obturator).
Uvavanyo lwegazi
Oku kulula kakhulu.
- Umongikazi uza kufaka inaliti encinci emthanjeni osengalweni yakho.
- Kuthathwa isampuli yegazi elincinci kuloo mthambo. Yiyo leyo.
Iskeni ye-CT
Oku kungenzeka ngolu hlobo:
- Usenokunikwa ulwelo olukhethekileyo olubizwa ngokuba yidayi yokwahlulahlula ukuze ulusele, okanye ulufake emthanjeni. Oku kwenza imifanekiso yeskeni icace ngakumbi.
- Emva koko uza kulala etafileni. Umsebe we-X-reyi we-CT scanner uza kukujikeleza uze uthathe imifanekiso. Okufuneka ukwenze kukuhlala ungashukumi.
Iskeni ye-ultrasound
Kule:
- Ugqirha okanye ingcali iza kusebenzisa ijeli ekhethekileyo esiswini sakho.
- Emva koko isixhobo esincinci esibizwa ngokuba yi-transducer sithuthwa phezu kwejeli. Imifanekiso yezitho zangaphakathi ingabonwa kwisikrini.
Akukho nto inokubangela ixhala, ezi mvavanyo azibuhlungu kangako.
Ngaba kukho naziphi na iingozi okanye iziphumo ebezingalindelekanga ezivela kwezi zitofu?
Olu vavanyo lokujonga i-appendicitis alunazo naziphi na iingozi ezinkulu okanye iziphumo ebezingalindelekanga ezinzulu. Indawo apho igazi litsalwa khona inokuba luhlaza okwesibhakabhaka okanye ibe buhlungu. Abanye abantu banokuba ne-allergy encinci kwidayi yomahluko, kodwa oku kunqabile kakhulu. Oogqirha bayayazi le nto.
Zithini iziphumo zovavanyo?
Kulungile, zithini iingxelo emva kovavanyo?
- Uvavanyo lwegazi:
- Ukuba inani leeseli ezimhlophe zegazi lakho liphezulu , oko kuthetha ukuba kukho uhlobo oluthile losulelo emzimbeni wakho. Kodwa khumbula, malunga nesithathu sabantu abane-appendicitis banenani eliqhelekileyo leeseli ezimhlophe zegazi.
- Ukuba inqanaba leprotheyini ye-C-reactive (CRP) liphezulu, oko kuthetha ukuba kusenokubakho ukudumba emzimbeni, mhlawumbi i-appendicitis.
- Uvavanyo lomchamo:
- Ukuba isampuli yomchamo wakho ineeseli ezimhlophe zegazi kunye neebhaktheriya, oko kuthetha ukuba unosulelo lwendlela yomchamo .
- Kwakhona, ukuba isampuli yomchamo ineeminerali ezithile ezenza amatye ezintso, okanye ukuba kukho igazi kumchamo, isenokunika ulwazi malunga namatye ezintso.
- I-CT scan okanye i-ultrasound scan:
Ukuba une-appendicitis, imifanekiso yeskeni ingabonisa izinto ezifana nezi:
- Ukuba isihlomelo sikhulu (ngaphezu kwe-6 mm ububanzi).
- Ukuba kukho iidiphozithi zecalcium ngaphakathi kwi-appendix, oko kukuthi, ii-appendicoliths .
- Ukuba izicubu ezinamafutha ezijikeleze i-appendix zidumbile kwaye zitshintshile umbala ( ukuxinana kwamafutha angaphantsi kwe-appendiceal) .
- Ukuba udonga lwesihlomelo lujiyile (ngaphezu kweemilimitha ezi-2).
Kungokuzihlanganisa zonke ezi zinto apho ugqirha ethatha isigqibo sokugqibela sokuba ngaba une-appendicitis okanye akunjalo.
Kuthatha ixesha elingakanani ukufumana iziphumo?
Ixesha elithathwayo ukufumana iziphumo zovavanyo linokwahluka ngokuxhomekeke kuvavanyo. Umzekelo, kungathatha iyure okanye ezimbini ukufumana iziphumo ze-ultrasound scan okanye i-CT scan. Iziphumo zovavanyo lwegazi nomchamo zingathatha ixesha elifanayo okanye ixesha elide kancinci. Ugqirha wakho uza kukwazisa.
Ndifanele ndimbone nini ugqirha? Ngaba yingxamiseko?
I-Appendicitis ithathwa njengengxamiseko yezonyango.
Ngoko ke, ukuba uneempawu ze-appendicitis ezikhankanyiweyo ngaphambili (ingakumbi iintlungu eziqatha kwicala lasekunene elisezantsi lesisu, umkhuhlane, ukuhlanza), kubalulekile ukufuna ingcebiso kagqirha ngoko nangoko. Musa ukuchitha ixesha. Kuba ukuba i-appendix iyaqhuma, inokubangela iingxaki ezisongela ubomi.
Umyalezo Wokuya Ekhaya
Kulungile, masishwankathele yonke into esithethe ngayo:
- I-Appendicitis lusulelo okanye ukudumba kwelungu elincinci elibizwa ngokuba yi-appendix.
- Uphawu oluphambili ziintlungu eziqatha kwicala lasekunene lesisu. Zisenokuhamba nomkhuhlane, ukuhlanza, kunye nokuphelelwa ngumdla wokutya.
- Ukuze kuchongwe ngokuchanekileyo i-appendicitis, kusetyenziswa uvavanyo lomzimba, uvavanyo lwegazi nomchamo, kunye novavanyo lwemifanekiso olufana ne-CT scan okanye i-ultrasound scan.
- Le yimeko engxamisekileyo. Ukuba ubonakalisa iimpawu, bonana nogqirha ngokukhawuleza.
- Ungakhathazeki, oku kunokunyangeka ukuba kunyangwa ngexesha elifanelekileyo. Ngokuqhelekileyo, i-appendix isuswa ngotyando.
Ngoko ke, ndiyathemba ukuba uyiqonda kakuhle i-appendicitis kunye novavanyo oluhambelana nayo. Hlala usempilweni!
I- Appendicitis, i-appendix, iintlungu zesisu, i-CT scan, i-ultrasound, iimvavanyo ze-appendicitis, iintlungu zesisu











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