Xa ulaliswe esibhedlele ngenxa yentlungu enzulu kwicala lasekunene lesisu sakho, ugqirha ukuxelela ukuba une -appendicitis kwaye kufuneka wenze utyando. Kuqhelekile ukuba uzive usoyika kwaye unexhala xa igama elithi "utyando" livela ngequbuliso. Kodwa ungakhathazeki. Olu lutyando oluqhelekileyo noluphumeleleyo kwihlabathi liphela. Ke namhlanje, masithethe ngayo yonke into ekufuneka uyazi malunga nolu tyando olubizwa ngokuba yi-appendectomy .
Yintoni i-appendectomy?
Ngamafutshane, i-appendectomy yinkqubo yotyando yokususa i-appendix yakho, okanye i-appendix njengoko siyibiza ngesiSinhala. I-appendix sisitho esincinci, esifana netyhubhu esinamathele ekuqaleni kwamathumbu akho amakhulu. Sikwicala elisezantsi lasekunene lesisu sakho.
Xa i-appendix isulelekile kwaye idumbile, siyibiza ngokuba yi-appendicitis. Ngenxa yokuba kukho umngcipheko wokuqhekeka kwe-appendix evuvukileyo, i-appendicitis yingxaki yezonyango. Nangona kunjalo, i-appendix esempilweni ayikafunyanwa inemisebenzi ekhethekileyo emzimbeni wethu. Ke ngoko, ukususwa kwayo ngotyando akuyi kukwenzakalisa. Ungaphila ubomi obuqhelekileyo ngaphandle kwayo.
Kutheni le nto olu tyando lungxamisekileyo kangaka?
Cinga nje, i-appendix sisitho esincinci kakhulu. Ngoko ke xa isulelekile, idumba ngokukhawuleza, kwaye inethuba elikhulu lokuqhuma. Ukuba i-appendix iqhuma ngaphakathi esiswini, usulelo lunokusasazeka esiswini sonke. Ukuba oko kuyenzeka, kunokubangela imeko embi ebizwa ngokuba yi-peritonitis . Oko kukuthi, usulelo lwe-membrane olujikeleze umngxuma wesisu.
Ukuba olu sulelo alupheli apho luze lungene egazini, kuvela i-sepsis .Isenokuba yimeko enzima enokuba yingozi nakubomi. I-appendix ingagqabhuka kwiiyure ezingama-36 emva kokuqala kweempawu ze-appendicitis. Yiyo loo nto ithathwa njengengxamiseko kwaye unyango luqalwa ngoko nangoko.
Ngoko ke, ukuba uneempawu ezinje ngentlungu eqatha kwicala lasekunene lesisu sakho, umkhuhlane, kunye nokuhlanza , musa ukuchitha ixesha kwaye ubone ugqirha ngoko nangoko.
Kwenzeka ntoni ngaphambi kotyando?
Utyando ludla ngokwenziwa kwiiyure ezingama-24 emva kokuba ugqirha efumanise ukuba une-appendicitis. Ngaphambi koko, uza kunikwa umgca we-IV, okanye i-saline, emthanjeni, kwaye amayeza okubulala iintsholongwane aza kuqaliswa ngokukhawuleza. Ngokuxhomekeke kubukhulu bosulelo, la mayeza okubulala iintsholongwane aza kuqhubeka iintsuku ezi-1 ukuya kwezi-7 emva kotyando.
Ugqirha wakho unokugqiba ekubeni enze uvavanyo lwegazi kunye neeskeni ngaphambi kotyando. Kubalulekile ukuxelela ugqirha wakho malunga neminye imithi oyithathayo, naziphi na ii-allergies onazo, kunye nezinye iimeko zempilo onazo. Oku kuya kumnceda ukuba akuchazele uhlobo lotyando aze afumane imvume yakho. Awuyi kuvunyelwa ukuba utye okanye usele nantoni na kangangeeyure ezisi-8 ngaphambi kotyando, kodwa uya kuqhubeka nokunikwa ulwelo ngesisombululo setyuwa.
Ngexesha lotyando kunye neentlobo zalo
Ngaphambi kokuba utyando luqale, uza kunikwa i-anesthesia eqhelekileyo. Ngoko ke awuyi kuva ntlungu ngexesha lotyando, uza kube ulele. Kukho iintlobo ezimbini ze-appendectomy kuxhomekeke kwindlela yotyando.
| Uhlobo lotyando | Inkqubo eyenzekayo |
|---|---|
| Utyando lwe-Laparoscopic Appendectomy (Utyando lwenziwe ngoncedo lwekhamera) | Le yeyona nkqubo ixhaphakileyo namhlanje. Akukho mingxunya mikhulu esiswini. Endaweni yoko, kwenziwa imingxunya emincinci eli-1-3 kufutshane ne-anus. Ityhubhu encinci enekhamera (i-laparoscope) ifakwa ngengxunya enye, kwaye imifanekiso ijongwa kwiscreen. Izixhobo ezincinci zifakwa ngezinye izigcawu ukuze kusikwe kwaye kususwe i-appendix. Le nkqubo ayishiyi zikrwelo zingako. |
| Vula i-Appendectomy (Utyando lwesisu lwendabuko) | Kwenziwa ukusika kube kanye malunga ne-intshi ezi-2-3 ubude kwicala elisezantsi lasekunene lesisu. Le nkqubo inokuba yimfuneko ukuba usulelo lusasazeke esiswini sonke. Ugqirha ujonga ngqo i-appendix kunye nendawo ejikelezileyo, acoce usulelo, asuse i-appendix, aze athunge i-incision kwakhona. Oku kushiya isilonda esikhulu kancinci. |
Ngamanye amaxesha, nokuba inkqubo iqala ngendlela ye-laparoscopic, ugqirha otyandayo unokufuneka atshintshele kwinkqubo evulekileyo kuxhomekeke kwimeko engaphakathi. Olu tyando ludla ngokuthatha malunga neyure.
Kwenzeka ntoni emva kotyando?
Ukuba wenze utyando lwe-laparoscopic olulula, unokukwazi ukuya ekhaya ngokuhlwa. Nangona kunjalo, awuyi kukwazi ukuqhuba ngenxa yeziphumo ze-anesthesia, ngoko ke kuya kufuneka umntu oza kukuqhubela.
Kodwa ukuba i-appendix yakho iqhumile okanye wenze utyando oluvulekileyo, kuya kufuneka uhlale esibhedlele kangangeentsuku ezimbalwa. Ugqirha wakho uza kuqhubeka ejonga imeko yakho aze akunike amayeza okubulala iintsholongwane ngemithambo. Ukuba unetyhubhu yokukhupha amanzi, iya kususwa ngaphambi kokuba uye ekhaya.
Yintoni omele uyenze xa ufika ekhaya? Yintoni omele ungayiyenzi?
Ukuzinikela kwakho kubaluleke kakhulu ekuchacheni ngokupheleleyo.
Izinto zokwenza:
- Gcina indawo yokusikwa/yokunqunyulwa kotyando icocekile kwaye yomile . Yinyamekele njengoko ugqirha wakho eyalele.
- Yitya ukutya okumanzi okanye okuthambileyo okulula ukukugaya kwiintsuku zokuqala. Kancinci kancinci qhela ukutya okuqhelekileyo.
- Musa ukuzibhokoxa kakhulu. Ukuba wenze utyando oluvulekileyo, ukuma ixesha elide kakhulu kunokwenzakalisa izihlunu zesisu sakho.
- Ukuba ubona iimpawu zosulelo ezifana nomkhuhlane, ukudumba okujikeleze indawo eqhekeziweyo, ukuba bomvu, okanye ubomvu, tsalela umnxeba ugqirha wakho ngoko nangoko.
Izinto ongafanele uzenze:
- Musa ukuthatha naluphi na unyango olungavunywanga ngugqirha wakho. Ezinye izithomalalisi zentlungu zinokunyusa ukopha .
- Musa ukungena emanzini, uhlambe kwiibhafu, okanye uqubhe de izithuba ziphole kwaye istitshi inyibilike (okanye ude ugqirha anqumle istitshi).
- Kuphephe ukwenza imisebenzi ecinezela izihlunu zesisu sakho. Nciphisa ukuphakamisa iintsimbi kunye nokunyuka izinyuko.
- Musa ukuhlala ebhedini ngalo lonke ixesha. Ukuvuka nokuhambahamba kancinci kunokunceda ukuthintela ukuqhekeka kwegazi nokubuyisela ukusebenza kwamathumbu.
Ndifanele ndiphinde ndimbone ugqirha kwakhona?
Ngokwesiqhelo kufuneka ubone ugqirha wakho ukuze ahlolwe kwakhona emva kweeveki ezimbini ukuya kwezintathu. Nangona kunjalo, ukuba ufumana naziphi na kwezi mpawu zilandelayo, musa ukulinda uxelele ugqirha wakho ngoko nangoko okanye uye kwiSebe lezeMpilo eziNgxamisekileyo (ETU) lesibhedlele:
- Ukudumba, ukuba bomvu , okanye ukutshintsha kombala okujikeleze i-incision
- Ifiva
- Intlungu ebuhlungu yesisu
- Umnqweno wokutya
- Ukuhlanza
Kungathatha malunga neeveki ezi-4-6 ukuze uphile ngokupheleleyo. Kodwa ukuba uyamamela umzimba wakho kwaye ulandele imiyalelo kagqirha wakho, ungabuyela ebomini obuqhelekileyo ngokukhawuleza.
Umyalezo Wokuya Ekhaya
- I-Appendicitis yingxaki yezonyango. Ukuba uneempawu, musa ukulibazisa ukufuna unyango.
- I-Appendectomy lolona nyango lukhuselekileyo nolusebenzayo lwe-appendicitis.
- Kukho iintlobo ezimbini zotyando: i-laparoscopic (ukusikwa okuncinci) kunye ne-open (ukusikwa okukhulu). Ukuphila ngokukhawuleza ngotyando lwe-laparoscopic.
- Ukulandela imiyalelo kagqirha kanye emva kotyando kubalulekile ukuze uphile ngokukhawuleza.
- Emva kokuba i-appendix yakho isusiwe, ungaphila ubomi obuqhelekileyo nobusempilweni ngaphandle kweengxaki.
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