Ngaba nawe ngequbuliso uva iintlungu eziqatha zesisu? (Isisu esibuhlungu)

Ngaba wakha waba nesisu esibuhlungu ngequbuliso, esinganyamezelekiyo? Ngamanye amaxesha, unokuba nesisu esibuhlungu ngequbuliso. Oogqirha babiza le meko ngokuthi "sisisu esibuhlungu kakhulu." Ngamanye amaxesha, inokuba yingozi ngokwaneleyo ukuba ifune utyando olungxamisekileyo. Ngoko ke kubalulekile ukukwazi oku.

Yintoni kanye kanye iAcute Abdominal Pain?

Ngamafutshane, iintlungu zesisu ezibukhali yintlungu yesisu eyenzeka ngequbuliso, enzima kakhulu. Oku ngamanye amaxesha kunokuba yingxamiseko esongela ubomi. Oku kuthetha ukuba unokufuna utyando ngoko nangoko. Nangona kunjalo, ayizizo zonke iintlungu zesisu ezibukhali ezifuna utyando. Ezinye iimeko zonyango zinokubangela olu hlobo lwentlungu.

Oogqirha basebenzisa igama elithi "isisu esibuhlungu kakhulu" ukuchaza olu hlobo lwentlungu yesisu engxamisekileyo neqatha. Oku kuthetha ukuba kufuneka ufumane ukuba kwenzeka ntoni ngoko nangoko uze uqale unyango ukuba kuyimfuneko.

Ngubani onokuthi achaphazeleke kakhulu yile meko?

Enyanisweni, le ntlungu yesisu inokwenzeka nakubani na . Nangona kunjalo, izizathu zingahluka ngokuxhomekeke kwiminyaka yakho, nokuba uyindoda okanye ungumfazi, kunye nezinye izifo onokuba nazo.

Cinga ngale ndlela:

• I-Appendicitis yimeko eqhelekileyo echaphazela abantu abaselula abakwiminyaka yabo ye-18 neye-20.
• I-Diverticulitis ixhaphakile kubantu abangaphezu kweminyaka engama-60 ubudala.
• Kumfazi, ngamanye amaxesha olu hlobo lwentlungu ekhawulezileyo lunokwenzeka ngenxa yokuqhuma kokukhulelwa okuphuma ngaphandle kwesibeleko.
• Indoda isenokuva iintlungu ezibangelwa kukugoba kwamasende.

Kwakhona, ukuba unembali yezonyango, unokufumana iingxaki zesisu ezinje.

Ixhaphake kangakanani le meko?

Kunzima ukutsho ngqo ukuba bangaphi abantu abafumana le ntlungu yesisu ngequbuliso. Nangona kunjalo, kuqikelelwa ukuba malunga ne-7 ukuya kwi-10 kubantu abayi-100 abeza kwicandelo lezonyango ezingxamisekileyo baneentlungu zesisu . Ngoko ke, oko kukunika umbono wokuba oku kuqheleke kangakanani.

Zithini iimpawu zentlungu ebukhali yesisu?

Amaxesha amaninzi uphawu oluphambili lubuhlungu besisu obunganyamezelekiyo ngequbuliso . Nangona kunjalo, ezinye iimpawu zinokubakho. Ezi ziquka:

• Isisu esivuvukileyo: Oku kuthetha ukuba isisu sidumbile kakhulu kunesiqhelo, njengebhaluni.
• Iimpawu zokothuka: Oku kuquka ukubetha kwentliziyo ngokukhawuleza, uxinzelelo lwegazi oluphantsi, ukubila, kwaye ngamanye amaxesha ukudideka. Olu luphawu oluyingozi kakhulu.
• Iimpawu ze-peritonitis:Xa ulwelo lwesisu lwethu lusulelekile (i-peritonitis), kunokubakho iintlungu eziqhubekayo. Okanye iintlungu zinokwanda xa isisu sichukunyiswa okanye sibetheka ndaweni ithile.

Ukuba unenye okanye ngaphezulu kwezi mpawu, musa ukuyithatha lula.

Yintoni ebangela le ntlungu yesisu ngequbuliso (Acute Abdomen)?

Iimeko ezininzi ezahlukeneyo zempilo zinokubangela le ntlungu yesisu ngequbuliso. Ezinye zezi zizathu zisenokuba zizizathu zotyando . Oko kukuthi, kusenokwenzeka ukuba zifuna utyando. Ezinye zisenokuba zizizathu ezingezizo ezotyando .

Izizathu zokuba kutheni utyando lunokufuneka

Oku kuquka kakhulu ukopha, usulelo, amahlwili egazi, ukuvaleka kwamathumbu, kunye nokugqobhoka.

1. Ukopha (Ukopha igazi)

Ukopha igazi kuxa igazi liphuma emthanjeni ngenxa yomonakalo. Oku kunokubangelwa zezi zinto zilandelayo:

• Inyembezi yomlomo (inyembezi kaMallory-Weiss)
• Ukukhulelwa okuqhambukileyo ngaphandle kwe-ectopic
• Uhlobo oluthile lwengozi (Ukwenzakala)
• I-spleen eqhekekileyo
• I-aneurysm yesisu esiqhekekileyo

2. Iintsholongwane

Iintlungu zesisu ezikhawulezileyo zinokubangelwa zizifo ezahlukeneyo:

• I-Appendicitis - isifo se-appendicitis esisaziyo sonke
• I-Cholecystitis
• Isifo sesilonda sePeptic (izilonda zesisu okanye zamathumbu amancinci)
• I-pancreatitis ebukhali
• Usulelo lweendawo zamathumbu amakhulu (i-Diverticulitis)

3. Ukuvaleka kokuhamba kwegazi (i-Ischemia)

I-Ischemia yenzeka xa ukuhamba kwegazi kwinxalenye yomzimba kuncipha okanye kuyeka.

• Isifo sikaBuerger
• Ukudumba kwamathumbu amakhulu (iColitis)
• Ukuvaleka kwemithambo yegazi ehambisa amathumbu (i-mesenteric ischemia)
• I-hernia ekrwitshiweyo
• Ukugoba kwamasende

4. Izithintelo

Ukuphazamiseka kuxa into ethile ibambeka kwindlela yokugaya ukutya, nto leyo ethintela ukutya kunye nolwelo esilutyayo ukuba lungadluli kakuhle kuyo.

• Isifo samathumbu esivuthayo (IBD)
• Ukungena ngaphakathi (ukungena kwamathumbu)
• Ukuvaleka kwamathumbu amancinci
• Ukuvaleka kwamathumbu amakhulu

5. Ukugqobhoza

Oku kwenzeka xa kuphuma imingxunya eludongeni lwamalungu omzimba wethu.

• Ukuqhawuka komqala (Boerhaave's syndrome)
• Ukugqobhoza kwamathumbu
• Isilonda sesisu esineembobo
• Ukubola kwamathumbu

Izizathu zokuba kutheni utyando lungasoloko luyimfuneko

Ezi zizathu zentlungu zesisu azidingi utyando. Zinokubangelwa ziingxaki ze-endocrine kunye ne-metabolic, izifo zegazi, kunye neetyhefu okanye amayeza.

1. Iingxaki ze-endocrine kunye ne-metabolism

Le yimiba enxulumene neehomoni, iikhemikhali, kunye namadlala emzimbeni wethu (inkqubo ye-Endocrine).

• Ukwanda kwamanqanaba e-urea egazini (i-Uremia)
• I-ketoacidosis enxulumene nesifo seswekile (i-DKA)
• Isifo sika-Addison
• I-porphyria ebukhali engapheliyo

2. Iingxaki zegazi

Ezi zizifo ezinxulumene negazi lethu, iiseli egazini lethu, ii-lymph nodes, umongo wamathambo, kunye neeplatelets zegazi.

• Isifo seSickle cell
• I-leukemia ebukhali
• Izifo ezithile zemfuza
• I-anemia

3. Iityhefu

Amanye amayeza, iikhemikhali, kunye neetyhefu ezivela ekulunyweni zizilwanyana nazo zinokubangela ukudumba kwesisu ngequbuliso.

• Ityhefu yelothe
• Ezinye izinto ezibangela ukunxila ngesinyithi esinzima
• Ukurhoxiswa kweNicotine
• Ityhefu yokulunywa sisigcawu esimnyama
• Ezinye izithonga ze-scorpion

Uyifumanisa njani le ntlungu yesisu ngequbuliso (Acute Abdomen)?

Ukuba uya kwigumbi likaxakeka (ETU) unentlungu eqatha esiswini, oogqirha kunye nabongikazi baya kuzama ngokukhawuleza ukufumanisa ukuba yintoni ebangela loo nto. Ugqirha uza kukubuza imibuzo embalwa:

• Imbali yakho yezonyango: Iingxaki ze-GI zangaphambili kunye nezinye izifo.
• Iphi kanye apho intlungu ikhoyo: Ibuhlungu ndaweni ithile esiswini.
• Ixesha lokuqala kwentlungu kunye nenkcazo yentlungu: Iqale nini kwaye luhlobo luni lwentlungu (ukuqaqamba, ukusika, ukucinezela).
• Yintoni omawuyenze ukunciphisa iintlungu, nento omawuyenze ukuze uzinyuse.
• Ngaba wakha waba neempawu ezinje ngaphambili?
• Ngaba kukho naziphi na izinto ezintsha?
• Ngawaphi amayeza (amayeza abhalwe ngugqirha nalawo angengomyalelo kagqirha) owasebenzisayo?
• Ngaba wakha watyandwa isisu ngaphambili?
• Ngaba ukhe watshintsha indlela osebenza ngayo amathumbu okanye umchamo kutshanje?

Kwakhona, ngokuqinisekileyo baya kukubuza ukuba ukhulelwe na okanye kukho ithuba lokuba ukhulelwe.

Ugqirha uza kwenza uvavanyo lomzimba, ingakumbi isisu sakho. Uza kujonga ulusu lwesisu sakho ukuze afumane naziphi na iingxaki ezibonakalayo. Uza kusebenzisa i-stethoscope ukuze amamele izandi zamathumbu akho. Emva koko uza kuchukumisa isisu sakho ukuze afumane naluphi na ubuthathaka okanye amaqhuma.

Indawo ekuyo intlungu yakho inokunceda ugqirha wakho ukuba afumanise unobangela wentlungu yakho. Umzekelo, intlungu ye-acute diverticulitis idla ngokuvakala kwicala lasekhohlo elisezantsi lesisu sakho, ngelixa intlungu ye-cholecystitis idla ngokuvakala kwicala lasekunene eliphezulu lesisu sakho.

Ukuba kukho ingxaki yokugaya ukutya okanye yeprostate ekrokrelwayo, kunokwenziwa uvavanyo lwedijithali lwerectal. Ukuba kukho ingxaki yoomama ekrokrelwayo, kunokwenziwa uvavanyo lwe-pelvic. Ukuba kukho ingxaki yokugoba kwe-testicular, kunokwenziwa uvavanyo lwe-testicular.

Ngokusekelwe kwiimpendulo zakho kule mibuzo kunye neziphumo zovavanyo lomzimba, ugqirha unokufumana umbono wokuba isifo sinokuba yintoni na. Ngokusekelwe koko, uya kugqiba ukuba zeziphi iimvavanyo zokuxilonga ekufuneka zenziwe.

Luhlobo luni lovavanyo olwenziwayo koku?

Ngamanye amaxesha, ukuba ugqirha wakho unokubona ngokucacileyo unobangela weempawu zakho, unokukwazi ukukuthumela ngqo kutyando ngaphandle kovavanyo olongezelelweyo. Nangona kunjalo, ukuba awuqinisekanga ngesizathu, kunokufuneka wenze iimvavanyo ezininzi ukuqinisekisa ukuxilongwa. Uvavanyo oluya kufuneka ulwenze luya kuxhomekeka kwinto oyifumanayo ngexesha lovavanyo lwakho lomzimba kunye nemeko ocinga ukuba unayo.

Uvavanyo lwegazi nomchamo (uvavanyo lwelebhu) lungabandakanya:

• Ubalo lwegazi olupheleleyo (i-CBC)
• Iphaneli epheleleyo ye-metabolic (CMP)
• Uvavanyo lwegesi yegazi le-arterial (ABG)
• Uvavanyo lwe-Amylase
• Uvavanyo lokusebenza kwesibindi
• Uvavanyo lokusebenza kwezintso
• Uhlalutyo lomchamo

Uvavanyo lomfanekiso lungabandakanya:

• I-ultrasound yesisu
• I-abdominal computed tomography (i-CT scan)
• I-ultrasound ye-endoscopic

Uyinyanga njani le ntlungu yesisu ekhawulezileyo (Acute Abdomen)?

Unyango luyahluka ngokuxhomekeke kwisizathu . Nokuba yintoni na imbangela, kubalulekile ukufumanisa imeko kwaye uqale unyango ngokukhawuleza. Ukuba kufuneka utyando olungxamisekileyo, ugqirha uya kukuthumela ngokukhawuleza kugqirha ukuze akunike iingcebiso kwaye angakusa kwindawo yotyando.

Ukuba imbangela yentlungu yesisu ngesiquphe ayilotyando, unyango olulandelayo lunokucetyiswa:

• Ukugcina nokujonga iimpawu zakho ezibalulekileyo.
• Ukubonelela umzimba ngolwelo kunye nee-electrolytes ozifunayo.
• Ukunika amayeza okubulala iintsholongwane anobubanzi obuhlukeneyo.
• Ukunika izithomalalisi zentlungu.
• Ukunika amayeza okuthomalalisa ukugabha kunye nokucaphuka.

Kuza kwenzeka ntoni ukuba ndinentlungu yesisu ngequbuliso (i-Acute Abdomen)?

Ingqikelelo yakho ixhomekeke kwisizathu sesifo. Okukhona ufumana unyango ngokukhawuleza, kokukhona amathuba akho okuphila aphezulu.

Ukuba iintlungu zesisu ezikhawulezileyo azinyangwa, iingxaki eziyingozi zingavela. Ezi ziquka:

• Unxibelelwano olungaqhelekanga phakathi kwamalungu omzimba angafanelanga ukuba adibane (iFistula).
• Ukufa kwamathumbu akho.
• Ityhefu yegazi (iSepsis).
• Nokufa kunokwenzeka.

Ngoko ke, ukuba uva iintlungu zesisu ngequbuliso, ungaze uzityeshele. Eyona nto ingcono onokuyenza kukufuna ingcebiso kagqirha ngokukhawuleza.

Ndingayithintela na le ntlungu yesisu ngequbuliso (Acute Abdomen)?

Ekubeni zininzi izinto ezibangela iintlungu zesisu ngequbuliso, kunzima ukuzithintela zonke. Nangona kunjalo, ungayinciphisa le ngozi ngokulandela indlela yokuphila enempilo . Oko kuthetha ukuba:

• Ukutya ukutya okunesondlo.
• Ukuzilolonga rhoqo.
• Ukuya kuhlolwa rhoqo ngugqirha.
• Ukuyeka ukutshaya.

Ndifanele ndimbone nini ugqirha?

Ukuba unentlungu yesisu engapheliyo, oko kuthetha intlungu ebisoloko iqhubeka kangangeeveki kwaye ibonakala ngathi ayiphucuki, ngokuqinisekileyo kuya kufuneka ubone ugqirha. Zininzi izizathu zentlungu yesisu. Ugqirha unokuxilonga imeko yakho aze akucebise unyango olufanelekileyo.

Ndingaya nini kwiYunithi yoNyango oluNgxamisekileyo (i-ETU) ?

Ukuba unentlungu yesisu engalindelekanga, enzima, fowunela ku-911 (1990 eSri Lanka) ngoko nangoko, okanye uye kwigumbi likaxakeka elikufutshane. Le inokuba yimeko esongela ubomi, ngoko ke unyango olukhawulezileyo lubalulekile.

Ndingayibuza yiphi imibuzo ugqirha wam?

Ukuba unentlungu yesisu ngequbuliso, ungabuza ugqirha wakho le mibuzo:

• Kutheni ndivele ndanesisu esibuhlungu ngequbuliso?
• Ngaba ndiza kufuna olunye unyango?
• Ndingenza ntoni ukuthintela into efana nale ukuba ingaphindi yenzeke?
• Yintoni umahluko phakathi kwentlungu yesisu ebukhali kunye nentlungu yesisu engapheliyo?

Phantse wonke umntu uva iintlungu zesisu ngaxa lithile ebomini bakhe. Uninzi lwexesha, azibi zinzulu kwaye ziya kuphela zodwa. Nangona kunjalo, iintlungu zesisu ezibukhali zinokuba luphawu lwengxakeko yezonyango. Ukuba ngequbuliso uva iintlungu zesisu ezibukhali, kubalulekile ukuya kwigumbi longxamiseko ngoko nangoko. Ngale ndlela, oogqirha banokufumanisa unobangela wentlungu yakho baze baqale unyango ngoko nangoko. Ukuba ayinyangwa, iintlungu zesisu ezibukhali zinokukhokelela kwiingxaki ezinkulu.

Khumbula eyona nto ibalulekileyo (Umyalezo Wokuya Ekhaya)

Intlungu yesisu eqatha nekhawulezileyo ayiyonto yokungayinaki . Kusenokuba kukho unobangela onzulu. Ngoko ke, ukuba wena okanye umntu omaziyo ngequbuliso uva iintlungu zesisu eziqatha, funa uncedo lwezonyango ngokukhawuleza . Unyango olukhawulezileyo lunokusindisa ubomi. Ukuphila ubomi obusempilweni kunokukunceda ekukhuseleni kwezi meko ngandlela thile. Ngaphezu kwako konke, khathalela umzimba wakho kwaye unikele ingqalelo kuyo nayiphi na into engaqhelekanga.

Intlungu yesisu , iintlungu zesisu ezikhawulezileyo, iintlungu zesisu, utyando, ukulaliswa esibhedlele, iimpawu zesisu, isisu esibuhlungu