Ingaba uhlala unentlungu esiswini sakho kunye nomkhuhlane? Oku kusenokuba yi-"Abdominal Abscess"!

Ngaba wakha waziva iintlungu ezibukhali esiswini sakho kunye nomkhuhlane? Okanye wakha waziva ngathi uncipha umzimba ngenxa yokulahlekelwa ngumdla wokutya kunye nesicaphucaphu? Mhlawumbi imeko esithetha ngayo namhlanje ibizwa ngokuba yi-"Abdominal Abscess". Ungakhathazeki, masithethe ngale nto ngokulula.

Yintoni le `(Ithumba Lesisu)`? Kutheni iyingozi?

Ngamafutshane, i-Abdominal Abscess yiqhuma elizaliswe bububovu elenzeka ndaweni ithile ngaphakathi esiswini sakho. Le qhuma lulwelo oluqokelelana ngenxa yosulelo. Le ngxowa okanye ithumba elizaliswe bububovu linokubangela ukungakhululeki okukhulu.

Cinga ngayo njengenxeba elincinci eluswini, elisulelekayo kwaye ubovu buqokeleleke. Kodwa oku kwenzeka ngaphakathi esiswini, ngoko asinakukubona ngaphandle. Kodwa kunokubangela umonakalo omkhulu ngaphakathi. Eyona nto ibalulekileyo kukuba ukuba oku akuphathwanga kakuhle, olu sulelo lunokusasazeka emzimbeni wonke kwaye lukhokelele kwimeko eyingozi ebizwa ngokuba yi-"Sepsis". I-"Sepsis" yinto enokuba yingozi nakubomi. Yiyo loo nto kubaluleke kangaka ukuqaphela oku.

Kutheni olu hlobo lwe-`(Abdominal Abscess)` lwenzeka ngaphakathi esiswini? Zithini izizathu?

Ixesha elininzi, eli `(Ithumba Lesisu)` libangelwa kusulelo lwebhaktiriya. Xa ezi bhaktiriya zingena ngandlel’ ithile esiswini sakho, inkqubo yomzimba yokuzikhusela, efana nomlindi emzimbeni wethu, iqala ukulwa nezi bhaktiriya zihlaselayo. Kulo mlo, oko kukuthi, kwimpendulo yomzimba yokuzikhusela, izicubu ezinxulumeneyo (`Izicubu`) zonakele, kwaye ukudumba (`Ukudumba`) kwenzeka. Ngale mvumbo, izicubu ezifileyo kunye neebhaktiriya ziyadibana ukuze zenze loo mvumbo (`Ithumba`), efana nokubila (`Ithumba`).

Ngoku makhe sibone ukuba ezi bhaktheriya zinokungena phantsi kweziphi iimeko esiswini:

• Ngenxa yosulelo lwebhaktiriya oluqala ngaphakathi esiswini: Ngamanye amaxesha, ukuba kukho umngxuma omncinci (ukugqobhoka) kwindawo efana namathumbu, iibhaktiriya zinokungena kwisisu.
• Iimeko ezithile zonyango: Umzekelo, abantu abanesifo sikaCrohn (imeko yokudumba kwamathumbu engapheliyo), i-diverticulitis (usulelo lweengxowa ezincinci zamathumbu amakhulu), okanye isifo sokudumba kwe-pelvic (PID) kwabasetyhini basengozini enkulu yokuba nethumba esiswini. Ezi meko zinokubangela ukudumba esiswini.
• Emva kotyando lwesisu: Ngamanye amaxesha, emva kotyando lwesisu, iintsholongwane zinokungena enxebeni zize zibangele usulelo, nto leyo ebangela ukuba kubekho ithumba.
• Ngenxa yokwenzakala esiswini: Umzekelo, ukwenzakala kwangaphandle, okufana nenxeba lokuhlatywa, kunokubangela ukuba iintsholongwane zingene ngqo esiswini.

Eyona nto ibalulekileyo kukuba, nokuba yintoni na imbangela, le `(Abdominal Abscess)`Ukuba ayinyangwa ngokukhawuleza, inokukhokelela kwiimeko ezinzulu nezisongela ubomi ezifana ne-"Sepsis" (ityhefu yegazi, apho usulelo lusasazeka emzimbeni wonke) kunye ne-"Ukusilela Kwamalungu Emizimba". Ngoko ke, kubalulekile ukuba ulumke kakhulu ngale nto.

Ingaphi indawo esiswini apho eli ``(ithumba lesisu)'' linokuvela khona? Ngaba kukho iintlobo ezithile?

Ewe, la mathumba anokwakheka kwiindawo ezahlukeneyo zesisu. Oogqirha bawahlulahlula ngokwendawo elikuyo ithumba. Singathetha kakhulu ngeentlobo ezintathu:

1. Amathumba angaphakathi kwesisu: La ngamathumba aqala ngaphakathi kwesisu, oko kukuthi, ngaphakathi kwengaphakathi kwesisu (i-peritoneum). Umzekelo:

• Phantsi kwe-diaphragm yakho (umsipha owahlula isifuba sakho nesisu).
• Amathumbu.
• Umngxuma we-pelvic (`Pelvis`) usendaweni yawo.
• Isisu sikufutshane.
• Enye indawo ekhethekileyo yi-"Subphrenic Abscess" eyenzeka phakathi kwe-diaphragm nesibindi.

2. Amathumba angasemva kwesisu: La akhiwa ngasemva kwesisu, ngaphandle kwesisu. Abonakala kakhulu kwindawo yezintso okanye kwipancreas.

3. Ithumba elingaphakathi: Oku kubhekisa kwingqokelela yobofu obenzeka ngaphakathi kwilungu eliqinileyo, njengesibindi okanye ipleyini.

Nokuba kwenzeka phi na, kubalulekile ukuyifumana nokuyinyanga ngokukhawuleza.

Zithini iimpawu ze-"Abdominal Abscess"? Siyibona njani?

Iimpawu zingahluka kancinci ngokuxhomekeke ekubeni ithumba likuphi. Kodwa kukho ezinye iimpawu eziqhelekileyo. Jonga ukuba unayo na kwezi:

• Intlungu entsha, enzima, nengapheliyo: Le ntlungu inokwenzeka kwisisu esingaphezulu, esisezantsi, emqolo osezantsi, egxalabeni, okanye esifubeni.
• Umkhuhlane: Uphawu oluphambili ngumkhuhlane ophezulu. Ngamanye amaxesha, umkhuhlane unokuhamba nokugodola nokungcangcazela.
• I-Anorexia: Ukuphelelwa ngumnqweno wokutya.
• Isicaphucaphu nokuhlanza: Isicaphucaphu mhlawumbi nokuhlanza kusenokwenzeka kunye nokuphazamiseka kwesisu.
• Ukwehla kobunzima ngendlela engachazekiyo: Ukuba ngequbuliso wehla ubunzima ngaphandle kokunciphisa umzimba okanye ukwenza umthambo, loo nto ikwaluphawu lokuba uxhalabele.

Cinga ngale nto, ngamanye amaxesha xa sifumana intlungu yesisu, sicinga, "Owu, oku kumele ukuba yigesi, okanye kukho into eyenzekileyo." Kodwa ukuba olu hlobo lwentlungu luhamba nomkhuhlane okanye ukuphelelwa ngumdla wokutya, musa ukuyithatha njengegesi. Ingakumbi ukuba intlungu ihlala iqhubeka kwaye iba mandundu imihla ngemihla, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kugqirha.

Ugqirha uluxilonga njani ngokuchanekileyo "i-Abdominal Abscess"? (Uxilongo)

Xa usiya kugqirha (`uMboneleli wezeMpilo`) onezi mpawu, uza kuqala akubuze ngeempawu zakho. Emva koko uza kukuhlola (`uVavanyo lomzimba`). Ukongeza, uza kuyalela iimvavanyo ezininzi ukuqinisekisa ukuba le yi-``Abdominal Abscess``.

• Uvavanyo lwegazi: Uvavanyo lwegazi olupheleleyo (CBC) lunokusetyenziswa ukujonga usulelo. Uvavanyo lwegazi oluphezulu luphawu losulelo.
• Uvavanyo lweMifanekiso: Olu vavanyo lunceda ukubona ngqo apho i-cyst ikhoyo kunye nobukhulu bayo.
• I-Ultrasound yesisu: Oku kunokujonga amalungu omzimba kunye namaqhuqhuva ngaphakathi kwesisu.
• I-X-ray yesifuba: Oku kunokunceda ukubona ukuba kukho ingxaki kwi-diaphragm.
• I-CT Scan: I-CT scan yesisu kunye ne-pelvis lolona vavanyo luqhelekileyo noluchanekileyo lokunceda ekuxilongeni le meko. Ingabonisa ithumba ngokucacileyo.
• Iskeni ye-MRI (I-Magnetic Resonance Imaging - Iskeni ye-MRI): Olu vavanyo lunokufuneka nakwiimeko ezithile ezikhethekileyo.

Ngamanye amaxesha, ugqirha unokufuna ukuthatha isampuli encinci yobovu aze ayivavanye. Oku kubizwa ngokuba yi-"Fine Needle Aspiration". Inaliti encinci ifakwa kwithumba kwaye inani elincinci lobovu liyasuswa lithunyelwe kwilebhu ukuze kufunyaniswe ukuba yeyiphi kanye kanye intsholongwane ebangela usulelo. Oku kunokunceda ekumiseleni unyango.

Luluphi unyango lwe-`(Abdominal Abscess)`? Ngaba lunganyangeka?

Ewe, `(Ithumba Lesisu)` yimeko enokunyangeka. Kodwa kufuneka inyangwe ngokukhawuleza nangendlela efanelekileyo. Iindlela ezimbini eziphambili zonyango zisetyenziswa kunye:

1. Ii-antibiotics: La mayeza anikwa ukubulala iintsholongwane ezibangele usulelo. Angaqalwa njengemithi ye-intravenous (IV) aze emva koko atshintshelwe kwimithi yomlomo.

2. Ukukhupha amanzi: Oku akunakunyangwa ngamayeza odwa. Ubovu obuqokeleleneyo kufuneka bukhutshwe. Eyona ndlela isetyenziswa kakhulu koku ibizwa ngokuba yiPercutaneous Abscess Drainage (PAD).

Yintoni i-`(Percutaneous Abscess Drainage - PAD)`?

Oku kusenokuvakala ngathi yinto enkulu, kodwa olu lunyango olulula kwaye alungeni kakhulu.

Okwenzekayo apha kukuba, ugqirha ujonga i-`(CT scan)` okanye i-`(Ultrasound scan)` aze afake ityhubhu encinci (`Catheter` okanye i-`Drain`) eluswini (yiloo nto ithetha ukuthi 'Percutaneous`) kanye apho ithumba likhoyo. Emva koko elinye icala laloo tyhubhu liqhagamshelwe kwingxowa encinci. Emva koko ubovu buyahamba kancinci kancinci bungene kwityhubhu buqokeleleke kwingxowa.

Uza kuba ne-numbness (local anesthesia) ngexesha lolu tyando. Oku kuthetha ukuba uza kuba uphilile engqondweni, kodwa indawo apho ityhubhu ifakwe khona iza kuba ne-numbness ngoko awuyi kuva ntlungu. Ngamanye amaxesha kuya kufuneka ugcine ityhubhu kunye nebhegi endaweni yayo kangangeentsuku ezimbalwa, ngamanye amaxesha ngeveki, de kuphume lonke ubovu.

Ngaba olu nyango `(PAD)` lungabangela iingxaki?

Njengakwezinye iinkqubo zonyango, kukho ithuba elincinci leengxaki ezincinci ngale nkqubo "ye-PAD". Nangona kunjalo, ezi azixhaphakanga.

• Ukopha: Igazi elincinci lingaphuma kwindawo efakwe kuyo ityhubhu.
• Intlungu: Emva kokuba ukuba ndindisholo kuphelile, ungaziva iintlungu. Ungathatha amayeza okudambisa iintlungu ngenxa yoko.
• Usulelo lwenxeba: Ngamanye amaxesha indawo efakwe kuyo ityhubhu inokosulelwa.

Ukuba kwenzeka into efana nale, ugqirha uya kunika unyango olufunekayo.

Ndingalindela ntoni ukuba ndine-"Abdominal Abscess"? Ngaba iza kuphola ngokupheleleyo?

Kwabaninzi abantu, amayeza okubulala iintsholongwane kunye ne-PAD zinokuphilisa ngokupheleleyo i-Abdominal Abscess. Uza kuziva ungcono kancinci kancinci. Umkhuhlane wakho uza kuncipha, iintlungu zakho ziya kuphela, kwaye nomnqweno wakho wokutya uza kubuya.

Kodwa kukho okungakumbi. Ithumba Lesisu alizenzekeli nje. Kusenokuba kukho unobangela oyintloko (umz., isifo sikaCrohn, usulelo emva kotyando). Unyango lujolise ekususeni ithumba nokulawula usulelo, kungekhona ekususeni unobangela oyintloko rhoqo. Ke ngoko, kubalulekile ukunyanga okanye ukulungisa unobangela oyintloko.

Ndiza kufuneka ndiphinde ndibone ugqirha nini?

Nokuba uzive ungcono emva konyango, hlala ulumkele iimpawu ezithile. Umzekelo:

• Ukuba umkhuhlane ubuya.
• Ukuba intlungu yesisu iqala kwakhona kwaye iyaqhubeka.

Ukuba ezi mpawu ziyavela kwakhona, oko kuthetha ukuba sele kukho elinye ithumba. Ukuba kunjalo, bonana nogqirha ngokukhawuleza.

Ingakumbi ukuba unemeko eyonyusa umngcipheko wokuba nethumba esiswini, njengesifo sikaCrohn okanye i-diverticulitis, thetha nogqirha wakho malunga neempawu ekufuneka uzikhathaze ngazo. Ngale ndlela, unokubona ingxaki kwaye ufumane unyango ngokukhawuleza.

Ngamafutshane, ezona zinto zibalulekileyo ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke, ngokwezinto esizithethileyo, nazi iingongoma eziphambili ekufuneka uzikhumbule:

• Isisu esisesiswini yimeko ekhula ngaphakathi esiswini.Ithumba elizele bubomvu. Oku kubangelwa lusulelo lwebhaktiriya.
• Oku akuyi kuba ngcono. Ukuba akunyangwa, kunokuba yingozi ebomini, njenge-sepsis.
• Ukuba uneempawu ezifana nentlungu ebuhlungu yesisu, umkhuhlane, ukuphelelwa ngumdla wokutya, kunye nesicaphucaphu , musa ukuzityeshela nje. Bona ugqirha ngoko nangoko.
• Unyango ludla ngokubandakanya zombini ii-antibiotics kunye nokukhupha amanzi emzimbeni .
• Ukuba unezinto ezinobungozi ezifana nesifo sikaCrohn, lumka kakhulu ngale nto.

Khumbula, uyayazi kakuhle imizimba yakho. Ngoko ke ukuba uziva into engaqhelekanga, kulungile ukuyihlola. Unyango lwangethuba lunokuthintela iingxaki ezininzi ezinkulu.

Ithumba lesisu , Ithumba lesisu, Intlungu yesisu, Umkhuhlane, Unyango, I-Sepsis, Usulelo lwamathumbu, Utyando lwesisu