Ngaba uva le ntlungu ingaqhelekanga esiswini sakho? Masithethe nge-(Rectus Sheath Hematoma)!

Ngaba wakha waziva iintlungu zesisu eziqatha ngequbuliso ezivakala ngathi yiqhuma esiswini sakho? Okanye wakha wakhwehlela kakhulu waza wabona ibala eliluhlaza okwesibhakabhaka kwi-inside yesisu sakho? Nangona ezi zinto zingaqhelekanga, ngamanye amaxesha zinokuba ziimpawu zesifo esibizwa ngokuba yi-`(Rectus Sheath Hematoma)` esenzeka kwi-inside yesisu sethu. Ke namhlanje, masithethe ngale nto ngokweenkcukacha, kuba kubaluleke kakhulu ukuyiqonda le nto.

Okokuqala, masibone ukuba yintoni le `(Rectus Sheath)`?

Ngamafutshane, i-`(Rectus Sheath)` yakho sisigqubuthelo esomeleleyo nesinamaqhina esijikeleze izihlunu ezingaphambili kwesisu sakho. Ngokuchanekileyo, yi-membrane etyebileyo (ekwabizwa ngokuba yi-`(aponeurosis)`). Ngaphakathi kwesi sigqubuthelo kukho izihlunu ezibini eziphambili zesisu sakho, i-`(rectus abdominis)` (esidla ngokuyibiza ngokuba yi-"six-pack") kunye ne-`(pyramidalis)`.

Khawuthelekelele, le `(Rectus Sheath)` inodonga olungaphambili (ngaphambili) kunye nodonga olungasemva (olungasemva). Ezi ndonga zenziwe nge-fascia efanayo (`(fascia)`) ejikeleze ezinye izihlunu esiswini sakho. Oko kukuthi:

• Imisipha yakho yesisu engaphandle (imisipha yesisu engaphandle)
• ``(imisipha yangaphakathi yesisu)`` yakho (imisipha yangaphakathi yesisu)``
• Isisu sakho esinqamlezileyo (imisipha yesisu esinqamlezileyo)

I-"Rectus Sheath" yenziwe ngeengubo zezi nyama.

Kwakhona, imithambo yegazi ephezulu nengaphantsi kwe-epigastric, eyimithambo yegazi ephambili ehambisa igazi kwimisipha yakho yesisu, idlula kule `(Rectus Sheath). Ngoko ke umsebenzi oyintloko wale `(Rectus Sheath)` kukukhusela le misipha, imithambo yegazi, kunye namalungu angqongileyo eludongeni lwesisu.

Kodwa kukho into encinci. Le `(Rectus Sheath)` ayigubungeli ngokupheleleyo okungaphakathi. Umphezulu wesihlunu sakho se-`(rectus abdominis)` ugqunywe yile `(Rectus Sheath)` kumacala omabini, ngaphambili nangasemva. Nangona kunjalo, kukho umda phakathi komphezulu nosezantsi kwesi sihlunu, obizwa ngokuba yi-`(arcuate line)`. Lo mgca umalunga nesinye kwisithathu sendlela ehlayo ukusuka enkabeni yakho ukuya apho amathambo akho amabini e-pelvic adibana khona ngaphambili (`(pubic symphysis)`).

Into ebalulekileyo kukuba, ngaphantsi kwalo `(umgca we-arcuate)`, inxalenye esezantsi yesihlunu sakho se-`(rectus abdominis)` igqunywe kuphela yi-`(Rectus Sheath)` ngaphambili. Akukho `(posterior rectus sheath)` ngasemva! Oko kuthetha ukuba akukho sheath enjalo yokukhusela inxalenye engezantsi yesihlunu se-`(rectus abdominis)`. Khumbula oku, kuba oku kubalulekile kwimeko ye-`(Rectus Sheath Hematoma)` esithetha ngayo.

Ngoko ke yintoni `(Rectus Sheath Hematoma)`?

I-`(Hematoma)`, ngokufutshane, yingqokelela yegazi ngaphakathi kwezicubu zakho. Ngoku, ukuba i-`(epigastric arteries)` ngaphakathi kwe-`(Rectus Sheath)` ebesithethe ngayo ngaphambili iqala ukopha ngandlela thile, elo gazi linokuqokelelana kuloo ndawo yesisu sakho. Olu qokelelo lwegazi lubizwa ngokuba yi-`(Rectus Sheath Hematoma).`

Kule meko, ukopha, ingakumbi kwi-inferior epigastric artery, kunokuba yingozi ngakumbi. Kuba, njengoko besitshilo ngaphambili, akukho sigqubuthelo ngaphantsi komgca we-arcuate, kwaye ukuba igazi liqala ukuphuma apho, akukho zicubu zokuthintela ukusasazeka kwegazi. Ke ngoko, igazi elininzi linokuqokelelana.

Ngubani ochaphazeleka kakhulu yile meko?

I-Rectus Sheath Hematoma ixhaphake kakhulu kwabasetyhini kunamadoda, kwaye ixhaphake kakhulu nakubantu abangaphezu kweminyaka engama-60 ubudala .

Ixhaphake kangakanani le meko?

I-Rectus Sheath Hematoma yimeko engaqhelekanga kakhulu . Ichaphazela kuphela i-1% ukuya kwi-2% yezigulana ezineentlungu zesisu. Ngenxa yoko, usenokungaziva rhoqo ngayo.

Zithini iimpawu?

Uphawu oluqhelekileyo lwale meko ziintlungu zesisu . Le ntlungu:

• Ungaqala ngoko nangoko.
• Inokuba yintlungu ebukhali nenganyamezelekiyo.
• Isenokuba yintlungu engapheliyo.
• Intlungu inokwanda xa ushukuma, ugoba, okanye ucinezela izihlunu zesisu sakho.

Ukongeza, ngamanye amaxesha xa uchukumisa isisu sakho, ungaziva into efana neqhuma .

Ezinye iimpawu ezinokubonwa ziquka:

• Isicaphucaphu nokuhlanza
• Ifiva
• Ulusu oluluhlaza okwesibhakabhaka okanye ukukrweleka (ingakumbi kwindawo yesisu)
• I-anemia (oko kuthetha ukwehla komthamo wegazi)
• Ukunyuka kwesantya sentliziyo (i-tachycardia)
• Uxinzelelo lwegazi oluphantsi (uxinzelelo lwegazi oluphantsi)

Yintoni ebangela oku?

Eyona nto ibangela i-`Rectus Sheath Hematoma` kukuphuma kwegazi kwi-`(Rectus Sheath).` Oku kwenzeka rhoqo xa kukho uhlobo oluthile lokulimala eludongeni lwesisu .

Ngamafutshane, le meko inokwenzeka ukuba `(umthambo we-epigastric)`, imithambo yegazi emincinci ephuma kuyo, okanye umsipha we-`(rectus abdominis)` wonakele. Njengoko besitshilo ngaphambili, izihlunu zesisu zinikwa igazi yimithambo ephezulu nengaphantsi `(imithambo ye-epigastric)`. Kwakhona, ukuba `(umthambo we-epigastric ongaphantsi)` wonakele, imeko inokuba mandundu ngakumbi, kuba ayinalo ukhuseleko ngasemva kwayo ngaphantsi `(umgca we-arcuate)`.

Khawucinge nje, ukuba uhlaselwa ngqo esiswini sakho, okanye ukuba ngequbuliso ufaka amandla amaninzi kwizihlunu zesisu (umzekelo, ukuba ukhohlela kakhulu ixesha elide, okanye ukuba ucinezela isisu sakho ngelixa uphakamisa into enzima), le `(umthambo we-epigastric)` inokuqhuma ize iqale ukopha, yenze `(hematoma)`.

Zithini izinto ezibangela oku?

Eyona nto inobungozi kakhulu ekuphuhliseni i-'Rectus Sheath Hematoma' kukusebenzisa amayeza athintela ukujiya kwegazi (`(anticoagulants)` okanye ``blood thinners``) . Phantse ama-70% abantu abaphuhlisa i-`Rectus Sheath Hematoma`` bathatha uhlobo oluthile lweyeza ``(anticoagulant)``. La mayeza ayacothisa inkqubo yokopha, nto leyo eyenza kube lula ukuba i-``(hematoma)`` iphuhlise.

Enye into ebangela umngcipheko omkhulu sisifo sezintso esinganyangekiyo . Phantse ama-60% abantu abafumana i-rectus sheath hematoma banesifo sezintso esikwinqanaba lesi-3 okanye ngaphezulu.

Ezinye izinto ezinobungozi ziquka:

• Utyando lwesisu lwakutshanje
• Ukusetyenziswa kwe-steroids okanye amayeza okunciphisa umzimba
• Ukukhohlela okunzima kakhulu nokungapheliyo
• Ukuthatha unyango lwe-'Antiplatelet therapy' (unyango oluthintela iiplatelet zegazi ukuba zingadibani)
• Ukukhulelwa
• Iimeko ezingapheliyo, ezifana noxinzelelo lwegazi kunye ne-atherosclerosis (ukuncipha kwemithambo yegazi ngenxa yokugcwala kwamafutha eludongeni lwemithambo yegazi)

Kubalulekile: Ukuba usela amayeza okunciphisa ukugabha kwegazi afana nala, kufuneka ulumke ngakumbi xa ngequbuliso uva iintlungu zesisu.

Yenziwa njani le nto yokuxilonga?

I-rectus sheath hematoma ngamanye amaxesha inokuba nzima ukuyifumana, njengoko iimpawu zayo zinokufana nezezinye iimeko zesisu.

Ugqirha wakho kusenokwenzeka ukuba uza kuqala enze uvavanyo lwegazi ukuze alinganise amanqanaba e-hemoglobin kunye ne-hematocrit yakho. Abantu abangaphezu kwesiqingatha abane-rectus sheath hematoma baya kuba namanqanaba e-hemoglobin aphantsi kakhulu (oko kuthetha ukuba banomthamo wegazi ophantsi).

Okulandelayo, ugqirha wakho angenza i-ultrasound yodonga lwakho lwesisu. Oku kunokunceda ekuqinisekiseni ukuba kukho ulwelo olufana negazi ngaphakathi kodonga lwesisu kunye nokuba i-hematoma inkulu kangakanani.

Ngamanye amaxesha, i-CT scan ingenziwa ukuze kufunyanwe umfanekiso ochanekileyo nocacileyo wemeko. I-CT scan, ingakumbi esebenzisa idayi yokwahlulahlula, inokubonisa ngqo apho idayi ivuza khona kwimithambo yegazi eyonakeleyo. Oku kunokunceda ugqirha ukuba afumanise apho ukopha kuvela khona.

Iphathwa njani?

Iindaba ezimnandi zezokuba uninzi lwee-rectus sheath hematomas ziyaphola ngokwazo kwaye azidingi naluphi na unyango olukhethekileyo. Unyango lwesi sifo ludla ngokuquka:

• Ukusebenzisa iipakethi zomkhenkce (i-ice okanye i-cold compresses)
• Ukuphumla
• Ukusebenzisa iintlungu ezixhaphakileyo (`(i-analgesics)`)

Malunga ne-80% yee-rectus sheath hematomas ziyanyangwa ngonyango olulula olufana nolu.

Nangona kunjalo, ukuba olu nyango lulula aluncedi, okanye ukuba imeko imbi kakhulu, ugqirha angasebenzisa unyango olubizwa ngokuba yi-"angioembolization." Olu asilotyando. Lubandakanya ukudibanisa i-"angiography" (indlela yokuthatha imifanekiso yemithambo yegazi) kunye ne-"embolization" (indlela yokuvala umthambo wegazi), ukuze kufunyanwe umthambo wegazi uze uwuvale.

Ukuba le ndlela ye-"angioembolization" ayiphumeleli, utyando lunokufuneka njengenyathelo lokugqibela. Ngexesha lotyando, ihlwili legazi eliqokelelweyo (``hematoma``) liyasuswa kwaye umthambo ophuma igazi uvalwe.

Ngexesha nasemva konyango, ugqirha wakho uza kujonga imeko yakho ngovavanyo lwegazi kunye nee-ultrasound. Oku kunokunceda ekufumaniseni nakuphi na ukuphinda kopha okanye usulelo.

Kuza kwenzeka ntoni emva koko? Ngaba uza kuba bhetele?

Uninzi lwee-rectus sheath hematomas ziphela ngokuzenzekelayo kwiinyanga ezimbini ukuya kwezintathu . Uninzi lwabantu abafumana le meko bayaphila kakuhle kwaye ababi nazo ezinye iingxaki.

Nangona kunjalo, kwezinye iimeko - ingakumbi phakathi kwabantu abasebenzisa amayeza okunciphisa igazi - le meko inokubulala . Nangona kunjalo, ayiqhelekanga kakhulu. Ngokwedatha yamva nje, bangaphantsi kwe-2% abantu abafa ngenxa ye-Rectus Sheath Hematoma.

Njengakweyiphi na imeko yezonyango, ukuxilongwa kwangoko kunye nonyango kwangoko kwandisa amathuba okuchacha . Ke ngoko, ukuba ucinga ukuba uneempawu ze-'Rectus Sheath Hematoma', qiniseka ukuba ucela ingcebiso kagqirha.

Okokugqibela, izinto ekufuneka uzikhumbule

I-`(Rectus Sheath)` yakho sisigqubuthelo esibalulekileyo esikhusela amalungu omzimba, izicubu, kunye nemithambo yegazi eludongeni lwakho lwesisu. Ukuba udonga lwakho lwesisu lonzakele nangayiphi na indlela, `(umthambo we-epigastric)` unokuqhekeka kwaye ubangele `(Rectus Sheath Hematoma)`.

Ixesha elininzi, le meko ayifuni unyango olukhulu. Izinto ezilula ezifana nokufaka umkhenkce, ukuphumla, kunye nokusela amayeza okudambisa iintlungu zinokunceda.

Nangona kunjalo, ezinye iimeko zinokuba zimbi kakhulu. Ukuba unentlungu yesisu eqatha, ngequbuliso, kusoloko kububulumko ukubona ugqirha ukuze kuqinisekiswe ukuba ufuna unyango na. Musa ukoyika, kodwa kubalulekile ukuba wena nosapho lwakho nizazi ezi zinto.

I - Hematoma ye-Rectus Sheath, iintlungu zesisu, ukopha kwesisu, umthambo we-epigastric, amayeza okunciphisa ukugabha kwegazi, ubunzima besisu, iintlungu zesisu