Ngaba wakha wanyanzeleka ukuba wenze utyando lwesisu? Okanye ngaba kukho umntu omaziyo owakha wenza utyando? Kuqhelekile ukuba ube neentlungu zesisu kunye nokungakhululeki emva kotyando olunjalo. Kodwa ngaba wakha wacinga ukuba olu tyando lunokubangela ukuba amalungu omzimba anamathele ngaphakathi kwesisu sethu? Namhlanje siza kuthetha ngezi 'zi-adhesion zesisu', abantu abaninzi abangazaziyo, kodwa ezixhaphakileyo emva kotyando.
Ngamafutshane, zithini ezi zinto zinamathelayo esiswini?
Khawuthelekelele ukuba wonzakele edolweni lakho kwaye ulusu luxobule, kwaye njengoko inxeba liphola, kwavela isilonda phezu kwalo, akunjalo? Kwenzeka into efanayo ngaphakathi emizimbeni yethu, ngakumbi phakathi kwamalungu esisu sethu. Ukunamathela esiswini ziibhanti zezicubu zesilonda ezakha phakathi kwamalungu angaphakathi kwesisu sethu okanye phakathi kwamalungu nodonga lwesisu. Ukuchaneka, zifana nentsini encamathisela amalungu kunye.
Ngokwesiqhelo, amalungu angaphakathi kwesisu somntu ophilileyo (njengamathumbu, isibindi, kunye nesibeleko) anomphezulu otyibilikayo, ovumela ukuba ashukume ngokukhululekileyo. Kodwa xa ezi zinto zinamathelayo zisenzeka, loo nkululeko iyalahleka. Amalungu anokunamathelana aze abambeke.
Izitho eziphambili ezingaphakathi kwisisu sethu zezi:
- Inkqubo yokugaya ukutya (isisu, amathumbu amancinci, amathumbu amakhulu)
- Izitho zokuzala zabasetyhini (isibeleko, ama-ovari)
- Izintso
- Isibindi
- I-Pancreas
- Ispleen
Ezi ntambo zinamathelana rhoqo phakathi kwamalungu amathumbu amancinci, kodwa zinokwenzeka phakathi kwamalungu amabini ala malungu.
Kutheni le nto ezi zinto zinamathelayo zenzeka? Yintoni esona sizathu siphambili?
Eyona sizathu siphambili soku lutyando lwesisu . Enyanisweni, abantu abangaphezu kwama-90 kwabayi-100 abenza utyando lwesisu bahlakulela olu xinzelelo. Cinga nje, ngexesha lotyando, oogqirha kufuneka bachukumise baze bashukumise amalungu ethu omzimba. Olu hlengahlengiso lwamalungu lubangela umonakalo omncinci kunye nokwenzakala. Ngexesha lenkqubo yendalo yokuphiliswa komzimba wethu, izicubu zesilonda ziyavela njengoko ezi ndawo zonzakeleyo ziphilisa. Ezo zicubu zesilonda yiloo nto isalayo njengoko olu xinzelelo lunamathela.
Ngamafutshane, ukunamathela esiswini ngamanxeba angaphakathi ayenzeka ngaphakathi emzimbeni. Ayinxalenye yenkqubo yendalo yokuphiliswa komzimba.
Nangona utyando luyimbangela ephambili, ezi zibophelelo zinokubangelwa nalulo naluphi na usulelo okanye ukudumba okwenzeka ngaphakathi esiswini. Umzekelo:
- Usulelo lwe-pelvic
- I-Appendicitis kunye nokuqhekeka kwayo
- Izifo zamathumbu ezifana nesifo sikaCrohn
- Imeko ye-endometriosis
- Isifo sokudumba kwepelvic (PID)
- Unyango lwemitha esiswini ngenxa yomhlaza
Zeziphi iimpawu ezinokubangela ukunamathelana kwezi zicubu?
Iindaba ezimnandi zezokuba uninzi lwexesha, ezi mpawu azibangeli zimpawu . Nokuba unezi mpawu esiswini sakho, ungaphila ubomi obuqhelekileyo ngaphandle kokuziva nto ngazo.
Kodwa ngamanye amaxesha, ezi zinto zinamathelayo zinokubangela iingxaki. Njengokuba umbhobho wamanzi unokuqhekeka kwaye uyeke amanzi ukuba aphume, ezi zinto zinamathelayo zinokubangela ukuba amathumbu aqhekeke, ajijeke, okanye avalwe. Oku sikubiza ngokuba yi -'Small Bowel Obstruction' . Oku kungenzeka emva nje kotyando, okanye emva kweminyaka emininzi.
Ukuvaleka kwamathumbu yimeko enzima efuna unyango olungxamisekileyo . Ithintela ukutya, ulwelo, umoya, kunye nenkunkuma ukuba ingangeni emathunjini. Ukuba oku kuyenzeka, unokufumana ezi mpawu.
| Uphawu | Inkcazo |
|---|---|
| Intlungu ebuhlungu yesisu | Intlungu ebukhali, ehlabayo eza enye emva kwenye. |
| Ukudumba kunye nokudumba | Ukuziva ngathi isisu sakho siqinile kwaye sidumbile njengelitye. |
| Isicaphucaphu nokuhlanza | Akupheleli nje ekutyeni nasekuseleni, kodwa ngamanye amaxesha uhlanza inyongo eluhlaza okanye emdaka. |
| Ukungabikho kwe-flatulence kunye ne-chairs | Olu luphawu olubaluleke kakhulu. Xa amathumbu evalekile, akukho moya okanye ilindle elinokuphuma. |
Eyona nto ibalulekileyo: Ukuba unayo nayiphi na kwezi mpawu zokuvaleka kwamathumbu, yiya kwiSebe lezeMpilo eziNgxamisekileyo (ETU) esibhedlele ngoko nangoko. Le ayisiyongxaki enokunyangwa ekhaya. Inokuba yingozi ebomini ukuba ayinyangwa.
Ziziphi ezinye iingxaki ezinokubakho ngenxa yokunamathela?
Ukuvaleka kwamathumbu yeyona ngxaki iphambili neyingozi. Ngaphandle koko, kukho nezinye iingxaki ezininzi ezinokuvela.
- Intlungu Engapheliyo: Abanye abantu banokufumana iintlungu ezihlala ixesha elide esiswini okanye kwindawo ye-pelvic. Oku kungenxa yokuba ukunamathela kuthintela amalungu omzimba ukuba ashukume ngokukhululekileyo. Oku kunokubangela uxinzelelo kunye nokucinezelwa kwamalungu omzimba.
- Ukungazali: Ukunamathela, ingakumbi kubasetyhini, kunokwenza kube nzima ukuba nabantwana. Oku kunamathela kunokuthintela ukudibana kweqanda kunye nesidoda, okanye kuthintele ukufakelwa kweqanda elivundisiweyo esibelekweni. Le meko, eyenzeka ngaphakathi kwesibeleko, ikwabizwa ngokuba yi -Asherman's syndrome .
Ugqirha uzibona njani ezi zinto zinamathelayo?
Le yingxaki enzima kancinci, kuba ezi zicubu zibizwa ngokuba zii-adhesions azinakubonwa ngokuthe ngqo nge-scan eqhelekileyo, oko kukuthi, i -X-ray okanye i -CT scan .
Nangona kunjalo, ugqirha unokukukrokrela oku ngokubuza ngeempawu zakho (ezifana neentlungu zesisu, ukuhlanza) kunye nembali yakho yezonyango (nokuba ukhe watyandwa isisu ngaphambili).
Nokuba iiskeni azibonisi ukunamathela, zinokubonisa ngokucacileyo naluphi na ukuvalwa kwamathumbu okubangelwa zezo zinamathela. I-CT scan inokufumanisa ukuba ukuvalwa kwamathumbu kukhulu kangakanani.
Eyona ndlela yokuqiniseka ngokupheleleyo ukuba umntu unamathelisi esiswini kukwenza utyando lokujonga ngaphakathi esiswini. Oku kudla ngokuqinisekiswa ngenkqubo ebizwa ngokuba yi-laparoscopy.
Ziziphi iindlela zonyango zoku? Ngaba utyando luyimfuneko?
Nantsi into ebalulekileyo. Utyando yeyona nto iphambili ebangela ukunamathela esiswini. Kwakhona, unyango olulodwa lokususa oku kunamathela lutyando olunye.
Ngaba uyaqonda ingxaki ngale nto? Xa utyando lokususa izinto ezinamathelayo, kukho ithuba elikhulu lokuba kubekho izinto ezintsha ezinamathelayo ngenxa yolo tyando.
Ngenxa yesi sizathu, oogqirha abasoloko becebisa utyando lokunyanga ukunamathela ngaphandle kokuba kubangela ingxaki enkulu.
- Ukuba awunazo iimpawu: Ukuba awunazo iingxaki, usenokungadingi unyango nokuba uneziqholo zokunamathela.
- Ukuvaleka kwamathumbu: Le yimeko engxamisekileyo kwaye ifuna utyando ukuze kukhululwe amathumbu avalekileyo.
- Unobangela wokungabi nabantwana:Ukuba awukwazi ukukhulelwa umntwana ngenxa yokunamathela, utyando lunokwenziwa ukuze kususwe ukunamathela.
Ngoko ke, isigqibo esifanelekileyo sithathwa ngugqirha wakho emva kokuphonononga imeko yakho ngononophelo kunye nokulinganisa iingenelo zotyando ngokuthelekisa iingozi ezinokubakho (ezifana nokunamathela okutsha).
Ngaba ezi zinto zokunamathela azinakuthintelwa?
Ngelishwa, wena okanye ugqirha wakho akanakuyithintela ngokupheleleyo le miqobo yokuba ingenzeki, kuba yinkqubo yendalo yokuphilisa umzimba.
Kodwa kukho iindlela ezininzi zokunciphisa umngcipheko:
- Utyando lweLaparoscopic: Xa kuthelekiswa notyando oluvulekileyo/i-laparotomy, utyando lwe-keyhole, apho ikhamera ifakwa khona ngokusebenzisa imingxunya embalwa emincinci, lubangela umonakalo omncinci kumalungu omzimba. Ke ngoko, umngcipheko wokunamathela nawo uphantsi kancinci.
- Izithintelo Ezikhethekileyo: Kwezinye iinkqubo zotyando, oogqirha babeka ijeli ekhethekileyo okanye ulwelwesi phakathi kwamalungu anyibilikayo. Oku kuthintela amalungu ukuba anganamatheli kunye ngexesha lokuphiliswa.
Nangona kunjalo, kwanezi ndlela azinakuthintela ukunamathela ngokupheleleyo.
Umyalezo Wokuya Ekhaya
- Ukunamathela esiswini yimeko eqhelekileyo eyenzeka emva kotyando lwesisu. Ezi zizicubu ezikhula ngaphakathi emzimbeni.
- Abantu abaninzi banale miqobo yokunamathela kodwa abanazo iimpawu okanye iingxaki.
- Iintlungu zesisu eziqatha ngequbuliso, ukuhlanza, ukudumba, kunye nokungakwazi ukuphuma igesi okanye ilindle ziimpawu zokuvaleka kwamathumbu. Ukuba ezi zinto zenzeka, yiya kwicandelo likaxakeka lesibhedlele (ETU) ngokukhawuleza.
- Nangona utyando lukuphela kwendlela yokususa ukunamathela, utyando ngokwalo lunokubangela ukuba kubekho ukunamathela okutsha. Ngenxa yoko, oogqirha abacebisi utyando ngaphandle kokuba kuyimfuneko.
- Ukuba unentlungu esiswini okanye nakuphi na ukuthandabuza malunga noku, thetha ngokukhululekileyo nogqirha wakho ngayo.
💬 Comments (0)
Akukho zimvo zithunyelweyo okwangoku. Faka uluvo lwakho apha okokuqala.
Faka uluvo lwakho