Kwiveki ephelileyo, njengoko ikliniki yam yayisiya ekupheleni, umfana oneminyaka eli-19 ubudala wangena ekliniki, ebambe isisu sakhe ngokuqinileyo ekhala. Igama lakhe yayinguTharindu. UTharindu wayenengxaki yokuma nkqo.
"Gqirha Priya, izolo ebusuku bendinentlungu encinci ejikeleze inkaba yam. Kodwa ukusukela kusasa, intlungu itshintshele kwicala lasekunene lesisu sam esisezantsi, kwaye ayinyamezeleki. Ndiyahlanza kwaye ndinomkhuhlane," ucacise watsho uTharindu ngobunzima.
Ndathi ndakubeka uTharindu etafileni yokuhlolwa ndaza ndacinezela kancinci icala lasekunene lesisu sakhe (uMcBurney's Point), wakhala kakhulu ngenxa yentlungu.
Ndathi ngoko nangoko, "Taridu, awunantlungu yesisu eqhelekileyo. Le yi- acute appendicitis . Oku kungenxa yokuba i-appendix , umbhobho omncinci ofana nomnwe ekuqaleni kwamathumbu ethu amakhulu, usulele kwaye uvuvukile. Kufuneka sikulungiselele utyando ngoko nangoko. Kuba ukuba oku akususwa ngokukhawuleza, i-appendix ingaqhuma ngaphakathi esiswini."
Know your body mass index (BMI) and weight classification
🚨 Iiflegi ezibomvu ezifuna ukulaliswa esibhedlele ngokukhawuleza
I-Appendicitis yimeko engxamisekileyo yezonyango efuna unyango olukhawulezileyo. Ukuba ufumana ezi mpawu zilandelayo, kuya kufuneka uye kwicandelo lezonyango elingxamisekileyo kwisibhedlele esikhulu esikufutshane nawe ngaphandle kokulibazisa, kuba i-appendix isenokuba iqhumile:
- Intlungu kwisisu esisezantsi ngasekunene isasazeka ngequbuliso iye kwisisu sonke (uphawu oluphambili lokuba i-appendix iqhumile).
- Umkhuhlane ophezulu kunye nokungcangcazela kunye nokuhlanza okungapheliyo.
- Isisu sivakala siqinile, sidumbile, kwaye sibuhlungu, nto leyo eyenza kube nzima nokusichukumisa.
- Ukubetha kwentliziyo ngokukhawuleza, ubunzima bokuphefumla, kunye nokuziva utyhafile.
Kutheni kukho i-appendicitis?
I-appendix yityhubhu encinci evaliweyo kwelinye icala kwaye ikwinxalenye esezantsi ngasekunene yenkqubo yethu yokugaya ukutya.
Ukuba le tube ivalwe yindle (fecalith), usulelo olubangelwa yintsholongwane okanye yibhaktheriya, okanye ii-lymph nodes ezivuvukileyo, ukuvulwa kwe-appendix tube kuvalwe ngokupheleleyo.
Iintsholongwane zikhula ngokukhawuleza kwi-appendix evalekileyo, nto leyo ebangela ukudumba okukhulu okuzele yi-pus. Oku kuthintela ukuhamba kwegazi ukuya kuloo ndawo, ekugqibeleni kubangela ukuba i-appendix iqhekeke kwaye iqhume. Emva koko i-pus kunye ne-bacteria zisasazeka kuyo yonke indawo esiswini, nto leyo ebangela usulelo lwebhaktiriya olusongela ubomi olubizwa ngokuba yi-peritonitis .
Indlela ethile apho iimpawu zibonakala khona
Intlungu ye-appendicitis ibonisa indlela eyahlukileyo kunentlungu yesisu eqhelekileyo:
1. Ukuqala: Intlungu iqala ukubonakala njengentlungu encinci embindini wesisu, ejikeleze isinqe.
2. Ukusasazeka: Kwiiyure ezimbalwa, le ntlungu idlulela kwisiqingatha esisezantsi sasekunene sesisu.
3. Ukwanda:Intlungu iyanda kakhulu xa ukhohlela, uhamba, ubetha phantsi, okanye xa ucinezela kwicala lasekunene lesisu uze ususe isandla (rebound tenderness).
4. Iimpawu ezongezelelweyo: Ukulahlekelwa ngokupheleleyo kukutya, isicaphucaphu, ukuhlanza, kunye nomkhuhlane omncinci.
Utyando lwe-Appendicitis (i-Appendicectomy)
Unyango oluhlala luhleli lwe-appendicitis kukususa i-appendix enesifo ngotyando. Olu tyando lubizwa ngokuba yi-appendixectomy .
Okwangoku, iindlela ezimbini eziphambili zotyando zisetyenziswa koku:
- Utyando lweLaparoscopic / Utyando lweKeyhole: Utyando lwanamhlanje olwenziwa ngokusikwa okuncinci okumalunga nesithathu esiswini kusetyenziswa ikhamera kunye nezixhobo ezithambileyo. Intlungu incinci kwaye akukho zikrweqe. Isigulana sinokuphola ngokukhawuleza size sibuyele ekhaya.
- Utyando Oluvulekileyo: Kwiimeko ezinzima apho i-appendix iqhuma kwaye isasaze usulelo esiswini sonke, olu lutyando lwendabuko olwenziwa ngokusikwa kwesisu okungange-5-10 cm ecaleni. Oku kufuna iintsuku ezimbalwa zokulaliswa esibhedlele ukuze uphile.
Izinto ekufuneka zenziwe nezo kufuneka zingayenzi
| ✔️ Izinto onokuzenza (Zenze) | ❌ Izinto ongazifuniyo |
|---|---|
| Ukuba kukho urhanelwa kwe-appendicitis, yeka ukutya nokusela ngoko nangoko (Nil ngomlomo). Oku kubalulekile kwi-anesthesia xa kusenziwa utyando olungxamisekileyo. | Musa ukuthatha amayeza okudambisa iintlungu ngaphandle kwemvume kagqirha ukuze unciphise iintlungu zesisu. Oku kungazifihla iimpawu kwaye kulibazise ukuxilongwa. |
| Mthathe umguli ngokukhawuleza uye kwicandelo likaxakeka lesibhedlele esikhulu esikufutshane ukuba kukho nayiphi na intlungu yesisu ekrokrisayo. | Ungaze unike isisu sakho i-enema, amayeza okuhambisa isisu, okanye iibhotile zamanzi ashushu ukuze ufudumale isisu sakho kuba ucinga ukuba kukungagayi kakuhle kokutya. Ezi zinto zinokunyusa kakhulu umngcipheko wokugqabhuka kwe-appendix yakho. |
| Sela idosi epheleleyo yee-antibiotics ezichazwe ngugqirha wakho emva kotyando. | Kuphephe ukuphakamisa iintsimbi, ukubaleka, okanye ukwenza umthambo onzima kwiiveki ezimbini zokuqala emva kotyando. |
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