Ngaba uziva iintlungu ezikhawulezileyo kwindawo enye esiswini sakho? Ngaba yi-Epiploic Appendagitis?

Ngaba wakha waba nentlungu ebukhali nengalindelekanga esiswini sakho? Kungathi ungayikhomba ngomnwe wakho. Sihlala soyika ngamaxesha anje, akunjalo? Esinye isizathu soku yimeko engaziwa kakuhle, kodwa kufanelekile ukuyazi. Oku kubizwa ngokuba yi-Epiploic Appendagitis. Nangona igama lisenokuvakala lingaqhelekanga, masilichaze ngokulula.

Ngoko ke yintoni i-Epiploic Appendagitis?

Ngamafutshane, i-Epiploic Appendagitis kukuqala kwentlungu ngequbuliso esiswini sakho. Eli gama lithetha " ukudumba kwe-epiploic appendix." Kulungile, ngoku uyazibuza ukuba zeziphi ezi "epiploic appendages". Zizinto ezincinci ezinamafutha ezixhonywe ngaphandle kwekholoni yethu. Zicinge njengeediliya ezincinci ezixhonywe kumdiliya.

Ngoko ke, kwenzeka ntoni ukuba eli qhekeza lincinci lamafutha (i-epiploic appendage) lijika ngequbuliso (torsion)? Emva koko igazi eliya kulo liyanqunyulwa. Khawucinge ngombhobho wamanzi ojijeke kakhulu kwindawo enye. Emva koko amanzi awayi kudlula kuwo, akunjalo? Yiloo nto eyenzekayo xa eli candelo linamafutha lijijeke. Xa igazi linqunyulwa, loo nxalenye iyavuvukala, oko kuthetha ukuba iyadumba, ibe bomvu, kwaye ibangele intlungu. Yiyo leyo intlungu oyivayo esiswini sakho.

Uninzi lwexesha, le ntlungu ifika ngequbuliso. Ungayibona ngqo apho ibuhlungu khona. Kodwa ngenxa yokuba le meko ingaqhelekanga, oogqirha ngamanye amaxesha banokuyibhidanisa nezinye iimeko ezibangela iintlungu zesisu eziqhelekileyo. Umzekelo:

• I-Appendicitis - Oku kuthetha ukudumba kwe-appendix.
• I-Cholecystitis - Oku kuthetha ukudumba kwenyongo.
• I-Diverticulitis - Oku kukudumba kweengxowa ezincinci eludongeni lwamathumbu amakhulu.

Ixhaphake kangakanani i-Epiploic Appendigitis?

Kunzima ukutsho ukuba oku kuqheleke kangakanani, kuba kusenokungafunyaniswa. Abaphandi baqikelela ukuba malunga ne-1% yabantu abalaliswe esibhedlele ngenxa yeentlungu zesisu ezikhawulezileyo banokuba nale meko. Kwakhona, malunga ne-5% yabantu abafunyaniswe bene-diverticulitis okanye i-appendicitis ngokwenene banento ebizwa ngokuba yi-epiploic appendagitis. Oko kuthetha ukuba ngamanye amaxesha, nangona sinokucinga ukuba yinto enzulu, unobangela unokuba yinto elula njengale.

Ngaba i-Epiploic Appendagitis yimeko enzulu?

Nantsi into ebalulekileyo: I-Epiploic appendagitis ayisoloko iyinto embi kakhulu.Kodwa, njengoko bekutshiwo ngaphambili, ingxaki kukuba inokubhidaniswa nezinye iimeko ezinzima. Ngokungafaniyo nezinye iimeko, oku kudla ngokuphela ngaphandle konyango oluthile. Iqhubu elinamafutha elivuvukileyo (i-epiploic appendage) liyoma ngokuhamba kwexesha, linyibilike, kwaye ekugqibeleni liphume kumathumbu amakhulu. Ukudumba kunye nentlungu ziyaphela.

Ngoko ke khumbula, oku akuyonto ibalulekileyo ukuba uxhalatyiswe. Nangona kunjalo, ukuba uva iintlungu zesisu, kubalulekile ukuba ufune iingcebiso zonyango.

Yintoni ebangela oku?

Kukho iintlobo ezimbini eziphambili zezizathu ze-Epiploic Appendigitis: izizathu eziphambili kunye nezizathu zesibini.

Izizathu eziphambili

Ezi zizinto eziqala ngaphakathi kweso siqwenga sinamafutha (i-appendage).

• Ukugoba: Uninzi lwexesha (malunga ne-75%) le meko ibangelwa kukujijeka kwamafutha akhankanyiweyo. Ngenxa yokujijeka, ukuhanjiswa kwegazi kuwo kuphantse kunqunyulwe ngokupheleleyo, kwaye izicubu ziyafa ngenxa yokulahleka kokunikezelwa kwegazi . Oku kubizwa ngokuba yi- (Infarction) kwisayensi yezonyango.
• I-Thrombosis: Kunqabile kakhulu ukuba igazi lijike emthanjeni kwezi ntsalela zamafutha, lithintele ukuhamba kwegazi .

Izizathu zesibini

Ezi azixhaphakanga kangako. Okwenzekayo kukuba eli qhekeza lamafutha lichatshazelwa yingxaki kwenye indawo.

• Usulelo olusasazeka luvela kwenye indawo: Umzekelo, ukuba kukho usulelo kwenye indawo esiswini, lunokusasazeka luye kweli qhuma linamafutha.
• Ukudumba kwezicubu ezijikelezileyo okubangela ukuba iqhuma lamafutha lidumbe: Ngamanye amaxesha, xa izicubu ezijikelezileyo zidumba, kunokubangela ukuba iqhuma lamafutha lidumbe kwaye kubangele iingxaki.

Ngubani osengozini enkulu yoku?

Olunye uphando lubonise ukuba abantu abathile banamathuba amaninzi okufumana i-Epiploic Appendigitis. Makhe sibone ukuba bangoobani.

• Abantu abatyebe kakhulu : Oku kusenokuba kungenxa yokuba la ma-fat cells anokuba maninzi nakubantu abanamafutha amaninzi emzimbeni.
• Abantu abane-hernias: I-hernia kukuphuma kwesitho sangaphakathi okanye kwizicubu ngebala elibuthathaka emzimbeni.
• Abantu abane-diverticulosis (iingxowa ezincinci emathunjini amakhulu): Umngcipheko uphezulu kakhulu kule meko.
• Abantu abenza umthambo ngamandla: Ngamanye amaxesha, izinto ezinje zinokwenzeka nokuba uzilolonga nzima kunokuba ucinga.
• Abantu abakwiminyaka ephakathi (phakathi kweminyaka engama-40-50 ubudala): Abantu abakweli qela leminyaka babona okungaphezulu kancinci.
• Icala lamadoda:Kuthiwa oku kuxhaphake kakhulu phakathi kwamadoda kunabafazi.

Kodwa ayinguye wonke umntu okhula oku kuba nje enezi zinto zinobungozi , kwaye kunokuvela nakubantu abangenazo ezi zinto.

Zithini iimpawu zoku?

Uphawu oluphambili ziintlungu kwindawo enye yesisu. Oku kungaqala ngequbuliso kwaye kuhlale iiveki ezininzi. Ii-epiploic appendages zikwinxalenye esezantsi yekoloni yethu. Ngenxa yoko, le ntlungu idla ngokuvakala kwinxalenye esezantsi yesisu. Abantu abathathu kwabane bathi banentlungu kwindawo esezantsi yesisu. Kwaye ngaphezulu kwesiqingatha bathi ikwicala lasekhohlo.

Le ntlungu ichazwa ngolu hlobo lulandelayo:

• Ibukhali: Njengokuhlaba ngemela.
• I-Constant: Iyaqhubeka, nokuba kukho utshintsho okanye akukho tshintsho.
• Ubukhali: Ubukhali kangangokuba kunzima ukunyamezela.

Kwakhona, intlungu inganda ngamaxesha anje ngala:

• Xa ukhohlela
• Xa usolula umzimba
• Xa uphefumla kakhulu

Ukongeza kule ntlungu, ezinye iimpawu ezininzi zinokubonakala:

• Ukukhusela: Khawuthelekelele ukuba umntu uzama ukuchukumisa isisu sakho, ubuya kuyiqinisa ngokuzenzekelayo loo ndawo, ngokungathi uyigquma ngesandla sakho. Yiloo nto siyibiza ngokuba 'kukukhusela'.
• Ukuthamba okubuyela umva: Xa ugqirha ekucinezela isisu aze ngequbuliso asuse isandla sakhe, intlungu ibonakala isanda ngakumbi kunangaphambili.
• Isixa esibonakalayo: Ngamanye amaxesha isigaxa esinamafutha esivuvukileyo (i-appendage) sinokudumba kangangokuba sivakale ngathi sisigaxa xa sichukunyiswa ngaphandle.

Ezi mpawu ziyafana neempawu zezifo ezikhankanyiweyo ngaphambili ezifana ne-appendicitis, i-cholecystitis, kunye ne-diverticulitis. Nangona kunjalo, kwezo zifo, zihlala zikho iimpawu ezongezelelweyo ezifana nomkhuhlane, isicaphucaphu , kunye nokuhlanza . Ngoko ke, ukuba unentlungu ebukhali kwindawo enye esiswini ngolu hlobo, kodwa ungenazo ezo mpawu zongezelelweyo (ezifana nomkhuhlane kunye nokuhlanza), ugqirha unokurhanela ukuba yi-Epiploic Appendagitis.

Uyixilonga njani le nto?

Ingcali ye-X-ray ingenza i-ultrasound scan okanye i-CT scan (i-computed tomography scan).Chaza le meko njenge-Epiploic Appendagitis.** I-epiploic appendix ephilileyo ayisoloko ibonwa kwezi scan. Nangona kunjalo, evuvukileyo ibonakala ngokucacileyo. Oku kungenxa yokuba ukudumba kubangela ukuba igcwale lulwelo kwaye ibonakale ikhanya kwi scan. Ibonakala njengengqumba efana neqanda kanye apho kukho intlungu.

Yeyiphi eyona ndlela ilungileyo yokunyanga oku?

Oogqirha badla ngokuqala ngokunika amayeza angengo-steroidal anti-inflammatory (NSAIDs) . La anciphisa ukudumba kunye nentlungu. Umzekelo, i-ibuprofen. Ukuba kuyimfuneko, ezinye iintlungu zokuphelisa iintlungu zinganikwa ukongeza. Uninzi lwabantu lufumana isiqabu ngokukhawuleza ngala mayeza. Ukuba oku akuncedi, kwiimeko ezingaqhelekanga, kunokufuneka utyando ukuze kususwe i-appendix evuvukileyo.

Kudla ngokuthatha ixesha elingakanani ukuba i-Epiploic Appendigit iphiliswe?

Nokuba akukho nyango, iimpawu ze-Epiploic Appendagitis azihlali ixesha elingaphezu kweveki. Kwezinye iimeko, zinokuhlala ukuya kuthi ga kwiiveki ezine. Nangona kunjalo, ngamayeza, iimpawu zihlala ziphela kwiintsuku ezimbalwa. Ngoko ke, akukho nto inokubangela ixhala ngayo.

Kunini apho kufuneka khona utyando?

Utyando lwe-epiploic appendagitis lunqabile kakhulu. Nangona kunjalo, ukuba iimpawu zakho aziphucuki konke konke, okanye ukuba kusekho amathandabuzo malunga nokuxilongwa kwakho, ugqirha wakho unokufuna ukujonga ngaphakathi esiswini sakho ukuze afumane unobangela wokwenene wentlungu yakho engapheliyo.

Basebenzisa inkqubo yotyando olungenamsebenzi kangako ebizwa ngokuba yi-laparoscopy ukwenza oku. Kule nkqubo, ugqirha wenza imingxunya emithathu okanye emine (malunga nesiqingatha se-intshi) esiswini sakho aze afake ikhamera encinci ebizwa ngokuba yi-laparoscope kuyo. Ugqirha usebenzisa ikhamera yevidiyo ukujonga imifanekiso kwiscreen aze emva koko adlulise izixhobo ezinde nezincinci kwimingxunya emincinci ukuze asuse i-appendix evuvukileyo.

Lithini ilizwi lakho lokugqibela ngale meko?

I-Epiploic appendagitis inokuba buhlungu kwaye yoyikeke. Kodwa ngokubanzi, akukho nto ibalulekileyo yokuyikhathaza. Ngokungafaniyo ne-appendix yakho, i-gallbladder, okanye i-diverticula, i-epiploic appendage ayinabungozi bokuqhekeka ngenxa yokudumba. Ngokwesiqhelo, ukudumba kuyaphela kancinci kancinci, iqhuma elinamafutha liyafa, kwaye yonke into iphelile kwiveki.

Ngaba kukho unxibelelwano phakathi kwe-Epiploic Appendigitis kunye neCancer?

Akukho nxibelelwano lwaziwayo phakathi kwe-Epiploic Appendagitis kunye nomhlaza, ngoko ungakhathazeki ngayo.

Ngaba kukho ukutya okufuneka ukutye okanye ukuphephe ukuthintela oku?

Akukho nxibelelwano lwaziwayo phakathi kwe-Epiploic Appendagitis kunye nendlela otya ngayo. Ngenxa yoko, akukho kutya kuthile onokukutya okanye ukuphephe.

Ngoko ke, ukuba ukhe waba ne-Epiploic Appendigit, mhlawumbi kuya kuba lixesha lokuqala nelokugqibela usiva ngayo. Usenokoyika intlungu ekhawulezileyo, kwaye ungagqibela ngokuya kwigumbi likaxakeka, ucinga ukuba kukho into enzulu eza kwenzeka. Kodwa unyango lwe-Epiploic Appendigit lulula kakhulu, kwaye utyando alufuneki rhoqo. Usenokubuya ekhaya nebali elingaqhelekanga lokuxelela wonke umntu ongazange alive.

Izinto ezibaluleke kakhulu ekufuneka uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Epiploic appendagitis yintlungu yesisu eyenzeka ngequbuliso ebangelwa kukujijeka kwezicubu ezincinci zamafutha ngaphandle kwamathumbu amakhulu (ikholoni), ukulahlekelwa ligazi, kunye nokudumba.
• Nangona oku kunokubhidaniswa nezinye iimeko ezifana ne-appendicitis , iimpawu ezifana nomkhuhlane kunye nokuhlanza zihlala zingekho nzima kangako.
• Esi asisosifo sibi kakhulu, kwaye uninzi lwexesha siyaphola ngokwaso kwiveki okanye ezimbini.
• Unyango lusetyenziswa kakhulu ngamayeza okudambisa iintlungu kunye namayeza okulwa nokuvuvukala angengowe-steroidal (NSAIDs). Utyando alufuneki rhoqo.
• Nangona kunjalo, ukuba ufumana iintlungu zesisu eziqatha ngequbuliso, ngokuqinisekileyo kuya kufuneka ufune ingcebiso kagqirha, kuba oko kunokuba luphawu lwesinye isifo esinzima.

Ngoko ke ndiyathemba ukuba uyiqonda kakuhle i-Epiploic Appendagitis. Hlala usempilweni!