Ngaba uneziqhoboshi ezinje ngaphakathi esiswini sakho? Masifunde nge (Iziqhoboshi Zesisu)!

Ngaba wakha wenza utyando lwesisu? Okanye ngaba kukho umhlobo okanye izalamane zakho okhe walwenza? Ngamanye amaxesha, abantu abanjalo banokuba namaqhina amancinci esiswini sabo. Namhlanje, siza kuthetha ngemeko ebizwa ngokuba yi -Abdominal Adhesions .

Zithini ezi zinto zinamathelayo esiswini? Masichaze ngqo!

Ngamafutshane, ukunamathelana ziibhanti zezicubu ezibomvu ezithi zikhule ngaphakathi kwesisu sakho, phakathi kwamalungu angaphakathi kwesisu sakho, okanye phakathi kwesitho nodonga lwesisu. Ngokuchanekileyo, zenzeka xa elinye inxeba liphola, kanye njengokuba inxeba lenzeka xa ulusu lwethu lonzakele.

Khawucinge nje, kukho amalungu amaninzi abalulekileyo esiswini sakho.

• Inkqubo yethu yokwetyisa , oko kukuthi, izinto ezifana nesisu , amathumbu amancinci, kunye namathumbu amakhulu.
• Izitho zokuzala zabasetyhini zizitho zenkqubo yokuzala yabasetyhini .
• Izintso, iindlala ze-adrenal.
• Isibindi .
• I-Pancreas .
• Ispleen .

Ezi ziindawo apho ukunamathelana kudla ngokwenzeka khona. Zixhaphake kakhulu emathunjini amancinci . Oku kunamathelana kwenzeka xa kukho ukwenzakala, usulelo, okanye ukudumba ngaphakathi esiswini. Ungamangaliswa, ngamanye amaxesha kunokwakheka ngexesha lotyando, nokuba amalungu omzimba ayachukunyiswa. Enyanisweni, oku kunamathelana kubonakala kakhulu emva kotyando lwesisu. Esi silonda senziwa njengenxalenye yenkqubo yendalo yokuphiliswa komzimba, kwaye ngamanye amaxesha izicubu ziqala ukunamathelana.

Zixhaphake kangakanani ezi ngxaki? Ngaba wonke umntu uyazifumana?

Enyanisweni, abantu abaninzi abenza utyando lwesisu baba nale miqobo yokunamathela. Yeyona miphumo ixhaphakileyo . Nangona kunjalo, abantu abaninzi abanazo iimpawu kwaye abadingi nyango.

Kodwa, kukho enye into. Ezi zinto zinamathelayo zezona zibangela ukuvaleka kwamathumbu amancinci . Ukuvaleka kwamathumbu amancinci yimeko enzima efuna unyango olungxamisekileyo. Oku kuthetha ukuba amathumbu avaleka ngokupheleleyo okanye kancinci.

Ziziphi iimpawu ezinokubakho xa kukho ukunamathela esiswini?

Amaxesha amaninzi, njengoko benditshilo ngaphambili, ezi mpawu zokunamathela azibangeli zimpawu . Usenokungazi nokuba unazo.

Nangona kunjalo, ngamanye amaxesha ezi zinto zinamathelayo zinokubangela ukuba amathumbu akho ajijeke kunye. Kufana nombhobho wamanzi onamathelayo. Oku kunokwenzeka ngokukhawuleza emva kotyando, okanye kunokwenzeka emva kweminyaka emininzi. Kulapho kuvela khona ukuvaleka kwamathumbu amancinci endikhankanyileyo.

Ukuba amathumbu akho avalekile, ukutya, amanzi, umoya, kunye nenkunkuma azikwazi ukudlula kuzo. Ungafumana iimpawu ezifana nezi:

• Usenokuba nesisu esibuhlungu kakhulu .
• Usenokuziva uxinezelekile okanye uneentlungu esiswini sakho.
• Ukudumba kusenokubakho.
• Kunokubakho isicaphucaphu nokuhlanza .
• Isisu sinokudumba phambili (ukudumba kwesisu).
• Iimeko ezinje ngokungakwazi ukuphuma umoya kunye nokungakwazi ukukhupha indle (ukuzibamba) zinokubakho.

Kubalulekile: Ukuba unezi mpawu zokuvaleka kwamathumbu, kuya kufuneka uye kwisebe likaxakeka lesibhedlele (ETU) ngoko nangoko . Oku kunokuba yingozi ebomini ukuba akunyangelwa ngokukhawuleza.

Kutheni le nto ezi zinto zinamathelayo esiswini? Zithini izizathu?

Ukunamathela esiswini kwenzeka xa umzimba wakho ulungisa izicwili ezonakeleyo ngaphakathi kwesisu sakho. Zifana nezicwili ezikhula ngaphakathi emzimbeni wakho. Ukuba naliphi na ilungu okanye izicwili ezingaphakathi kwesisu sakho zonakele, inkqubo yakho yokuzikhusela yomzimba iya kubangela ukudumba ukulungisa ezo zicwili. Njengenxalenye yale nkqubo yokuphiliswa, izicwili ezikhula phezu kwezicwili ezonakeleyo ziyavela.

Khawucinge nje, ukuba ukrwela idolo lakho uze usikwe, isilonda siya kuphela emva kwexesha elithile kwaye awuyi kuqaphela nokuba besikhona. Kodwa ezi zinto zinamathelayo ezenzeka ngaphakathi esiswini azisuki nje. Endaweni yoko, iindawo ezonakeleyo zinokunamathelana.

Kuthiwa malunga ne-75% yeengxaki zokunamathela ezifunyenweyo zibangelwa lutyando lwesisu . Nangona kunjalo, zinokuvela njengempendulo kuyo nayiphi na ingozi, imeko yezonyango, okanye unyango olubangela ukudumba ngaphakathi kwesisu. Umzekelo:

• Usulelo lwesisu okanye lwe-pelvic.
• I-Appendicitis.
• Isifo sikaCrohn.
• I-Diverticulitis.
• I-Endometriosis.
• Isifo sokudumba kwepelvic (PID).
• Unyango lwemitha esiswini sakho (unyango lomhlaza).
• I-Peritoneal dialysis (unyango lokungasebenzi kakuhle kwezintso).

Ngubani osengozini enkulu yokuphuhlisa ezi zinto?

Eyona nto inobungozi obukhulu bokufumana ukunamathela esiswini kukwenza utyando lwesisu . Ngokukodwa:

• Utyando oluvulekileyo (iLaparotomy):Ezi ziquka ukunqunyulwa okukhulu okukodwa. Ezi zincamathelo zenzeka kwiindlela ezingaphezu kwama-90% zotyando oluvulekileyo.
• Umngcipheko wokuba ezi zinto zinamathele uphantsi kancinci ngexesha lotyando lwe-laparoscopic , kuba ngexesha lotyando lwe-laparoscopic, oogqirha benza utyando ngokusebenzisa iindlela ezininzi ezincinci endaweni yotyando olunye olukhulu.
• Utyando olwenziwe kumalungu akwinxalenye esezantsi yenkqubo yakho yokugaya ukutya, njengekholoni kunye ne-rectum .
• Zingaphi izihlandlo oye watyandwa ngazo isisu?
• Utyando olungxamisekileyo.

Zeziphi iingxaki ezinokubakho ngenxa yezi zinto zinamathelayo esiswini? Ngaba ziyingozi?

Uninzi lwe-adhesion alubangeli ngxaki. Nangona kunjalo, ukuba kukho ingxaki, iingxaki zinokuba nkulu kakhulu.

Iingxaki zingabandakanya:

• Ukuvaleka kwamathumbu amancinci: Le tissue yesilonda inokubangela ukuba imijikelo yamathumbu amancinci ijijeke okanye inciphe, nto leyo ebangela ukuvaleka. Ukuba ayinyangwa ngokukhawuleza, oku kuvaleka kunokukhokelela kwisifo esisongela ubomi esibizwa ngokuba yi-peritonitis .
• Iintlungu ezingapheliyo: Ezi zinto zinamathelayo zinokuthintela amalungu akho ukuba angakwazi ukuhamba ngokukhululekileyo. Oku kunokubangela iintlungu zesisu ezihlala ixesha elide kwisisu sakho okanye kwisisu.
• Ukungazali: Ukunamathela kunokubangela ukungazali. Le tissue yesilonda inokuthintela ukudibana kweqanda kunye nesidoda, nto leyo ethintela ukukhulelwa. Itissue yesilonda ngaphakathi kwesibeleko inokuthintela iqanda elivundisiweyo (isibeleko) ukuba lingene eludongeni lwesibeleko. Ezi stimuli ngaphakathi kwesibeleko zikwabizwa ngokuba yi -intrauterine adhesions , okanye i-Asherman's syndrome .

Oogqirha bayibona njani le nto?

Ugqirha wakho uza kukubuza ngeempawu zakho kunye nembali yakho yezonyango. Ukuba uneempawu ezifana neentlungu zesisu, kwaye ukuba ukhe wenza utyando lwesisu ngaphambili, ugqirha wakho unokurhanela ukuba kukho ukunamathelana kwezi mpawu.

Nangona kunjalo, iteknoloji yokujonga imifanekiso, oko kukuthi, iiskeni, azikwazi ukubona ngokuthe ngqo ukunamathela esiswini. Nangona kunjalo, ezi mvavanyo zinokubona ukuvaleka kwamathumbu okunokunxulunyaniswa nokunamathela.

• Ii-X-reyi kunye nee-CT scan zesisu sakho zinokubonisa ukuvaleka kwamathumbu amancinci. I-CT scan inokufumanisa nobunzima bokuvaleka kwawo.
• Uvavanyo olubizwa ngokuba yi-hysterosalpingogram (HSG) lunokubonisa ukuvaleka kwesibeleko sakho okanye iityhubhu ze-fallopian.

Eyona ndlela yokwazi ngokuqinisekileyo ukuba une-adhesions ngokwenene kukwenza utyando .

Ngaba udinga unyango lwe-adhesion yesisu?

Ukunamathela okuninzi akubonisi zimpawu kwaye ngenxa yoko akudingi nyango.

Kwakhona, utyando oluninzi lunokubangela ukunamathelana okungakumbi. Cinga ngale ndlela: Ugqirha wakho angasika aze "akhulule" imitya yezicubu ezinamathele kunye. Nangona kunjalo, xa utyando luphelile, akukho ndlela yokuthintela ukuba izicubu zinganamatheli kwakhona.

Ngoko ke, ugqirha wakho usenokungalufuni utyando ngaphandle kokuba kukho ingxaki enkulu yezonyango, njengokuvaleka kwamathumbu. Ungadinga notyando lokususa izinto ezinamathelayo zesibeleko ezikuthintela ukuba ube nomntwana.

Ngaba ikho indlela yokuthintela ukwakheka kwezi zinto zinamathelayo esiswini?

Inyaniso kukuba, akukho nto ithile wena okanye ugqirha wakho onokuyenza ukuthintela ukwakheka kokunamathela esiswini.

Nangona kunjalo, imingxunya mincinci ngexesha lotyando lwe-laparoscopic, ngoko ke ukunamathelana akunakwenzeka. Ke ngoko, oogqirha ngoku bakhetha utyando lwe-laparoscopic kunotyando oluvulekileyo kwiindlela ezininzi zotyando lwesisu.

Kwakhona, ugqirha wakho unokubeka imiqobo phakathi kwemiphezulu yezicubu ngexesha lotyando ukuze zinganamatheli ndawonye ngenxa yezicubu ezibomvu. Ezi miqobo ziza ngezinto eziqinileyo, ulwelo, iijeli, kunye nezitshizi ezinyibilikayo emzimbeni. Nangona kunjalo, nangona kukho ezi miqobo, ukwakheka kwezicubu ezibomvu yinxalenye engenakuphepheka yenkqubo yokuphiliswa.

Uphando luyaqhubeka lufumana izisombululo ezinokunciphisa iingxaki ezibangelwa zezi zinto zinamathelayo.

Liyintoni ikamva lomntu onesi sifo?

Nokuba uneendawo ezininzi zokunamathela esiswini sakho, usenokungabi nazo naziphi na iimpawu. Nangona kunjalo, ukuba uneentlungu ezingapheliyo zamathumbu, okanye ukuba uneentlungu ezipheleleyo, unokufuna utyando.

Ngaba ukunamathela esiswini kuyaphela ekuhambeni kwexesha?

Ezinye izithintelo zesisu zinokuba ngcono ngokuhamba kwexesha. Kwaye, ngaphandle kokuba zibangela iingxaki, oogqirha abadli ngokuzisusa.

Nangona kunjalo, ngamanye amaxesha, utyando luyimfuneko, nokuba kukho umngcipheko wokunamathela ngakumbi. Ugqirha wakho uya kukunceda uthathe isigqibo ngezinto ezilungileyo nezingalunganga ngotyando, kuxhomekeke kwiimpawu zakho.

Yintoni enokwenziwa ngentlungu ebangelwa kukunamathela kwesisu?

Ugqirha wakho unokucebisa amayeza okudambisa iintlungu onokuwathenga kwikhemesti.

Ezinye izifundo zibonisa ukuba indlela yonyango lomzimba ebizwa ngokuba yi- soft tissue mobilization inokunceda ukunciphisa iintlungu ezinxulumene nokunamathela. Nangona kunjalo, kufuneka uphando oluthe kratya ukuze kuqondwe iingenelo zolu nyango.

Ngaba esi sicwili sesilonda (ii-adhesions) esiswini singasuswa?

Eyona ndlela yokwahlula esi sicwili sesilonda, okanye ukunamathela, kukwenza utyando . Ugqirha wakho uza kuthetha nawe ngeenzuzo kunye neengozi ezinokubakho zotyando, kuxhomekeke kwiimpawu zakho.

Ngaba kukho ukutya okanye iziselo ekufuneka uziphephe ukuba une-adhesions?

Akukho kutya "kungalunganga" okuthe ngqo omele ukuphephe ukuba unamathelisi. Nangona kunjalo, ukuba unesifo esifana nokuvaleka kwamathumbu okuncinci, ugqirha wakho unokucebisa ukubaKuthiwa kukutya ukutya okuthambileyo okanye ukutya okunefayibha encinci. Oku kungenxa yokuba ukutya okunjalo kunokudlula lula emathunjini akho.

Ndingalufuna nini uncedo lwezonyango?

Ukuba unentlungu esiswini engachazekiyo, okanye ukuba unengxaki yokuphuma indle okanye ukuphuma igesi, bona ugqirha wakho ngoko nangoko. Usenokuba uneendawo zokunamathela okanye ukuvaleka kwamathumbu akho.

Ukuvaleka kwamathumbu ngokupheleleyo kusongela ubomi! Ukuba unayo nayiphi na kwezi mpawu zilandelayo, funa uncedo lwezonyango ngokukhawuleza:

• Intlungu ebuhlungu yesisu okanye ukuqaqamba.
• Ukudumba okanye ukudumba okukhulu.
• Isicaphucaphu okanye ukuhlanza.

Kuqhelekile ukuba kubekho ukunamathela esiswini emva kotyando lwesisu. Ngethamsanqa, uninzi lokunamathela alubangeli ngxaki. Nangona kunjalo, ukuba ufumana iimpawu zokuvaleka kwamathumbu, njengentlungu yesisu, ubunzima bokuphuma kwegesi, okanye ukuba nesisu esibuhlungu, funa uncedo lwezonyango ngokukhawuleza. Le tissue ifana nenxeba isenokubangela iingxaki emva kweminyaka emininzi yotyando. Ukwazi iimpawu zokulumkisa kunokukunceda ufumane uncedo ngokukhawuleza.

Okokugqibela, eyona nto ibalulekileyo ekufuneka uyikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngoko ke, ngokwezinto esithethe ngazo, ezi zezona zinto zibalulekileyo ekufuneka uzikhumbule:

• Kuqhelekile kakhulu ukuba kubekho ukunamathela okunje emva kotyando lwesisu.
• Nangona kunjalo, uninzi lwabantu alufumani zimpawu okanye iingxaki ngenxa yoku, ngoko ke ungakhathazeki.
• Eyona nto ibalulekileyo kukwazi iimpawu ezilumkisayo (iintlungu zesisu eziqatha, ukudumba, ukuhlanza, kunye nokuqhina) ezinokwenzeka ukuba ezi zinto zinamathelayo zibangela into efana nokuvaleka kwamathumbu.
• Ukuba iimpawu ezinjalo ziyenzeka, kungasindisa ubomi ukufuna ingcebiso kagqirha ngokukhawuleza ngaphandle kokuchitha ixesha .
• Ngaphambi kokuba wenze utyando, thetha nogqirha wakho ngezi zinto zokunamathela. Buza ukuba iinkqubo ezifana ne-laparoscopy zingawunciphisa na umngcipheko.

Ngoko ke, ndiyathemba ukuba olu lwazi lube luncedo kuwe. Hlala usempilweni!