Ingabe une-appendicitis? Ake sithole ukuthi ziyini ngempela lezi zivivinyo!

Wake waba nobuhlungu obukhulu engxenyeni engezansi kwesokudla yesisu sakho? Noma ingabe umngane noma ilungu lomndeni wake waba nabo? Esikhathini esiningi, uma sibona izimpawu ezinjengalezi, siyesaba, akunjalo? Mhlawumbe yi -appendicitis . Ngakho-ke namuhla, ake sixoxe ngokuthi iyini i-appendicitis, yiziphi izivivinyo ezenziwa odokotela ukuze bathole ukuthi ikhona yini, nokuthi yenziwa kanjani. Akukho okufanele ukwesabe, ake sichaze konke ngamagama alula.

Kuyini i-appendicitis? Kalula nje...

Kulungile, ake siqale sibone ukuthi iyini i-appendicitis. Esiswini sethu, okungukuthi, ohlangothini olungezansi kwesokudla lwesisu, kunengxenye encane efana nethubhu exhunywe emathunjini amakhulu (ikholoni). Ukuze kube sobala, iyisitho esincane esifana nezimpethu esiphakathi kwamasentimitha angu-2 no-4 ubude. Yilokhu esikubiza ngokuthi i-appendix . Abanye abantu bathi lokhu akusizi kakhulu, kodwa ngezinye izikhathi kungabangela izinkinga.

Ngakho-ke, uma lesi sithako singenwa yigciwane ngandlela thile, noma uma sivuvukala, yilokho esikubiza ngokuthi i-appendicitis . Cabanga ngakho njengokuthile okubhajwa ngaphakathi kwepayipi elincane bese kuqala ukubila. Lokhu kuyisimo esiphuthumayo kancane, ngoba uma kungelashwa kahle, inkinga ingaba yimbi kakhulu.

Uma une-appendicitis, odokotela bavame ukwenza ukuhlinzwa okubizwa ngokuthi i-appendixectomy . Okusho ukuthi, basusa i-appendix eyinkinga ngokuhlinzwa. Ungakhathazeki, ngemva kokususwa kwe-appendix yakho, ungaphila impilo ende nenempilo ngaphandle kwezinkinga. Ngeke uzizwe ulahlekelwe kakhulu ngoba isihambile.

Yiziphi izimpawu zokuqala ze-appendicitis? Kubalulekile ukuzazi lezi!

Manje ake sibone ukuthi yiziphi izimpawu zokuqala esingazizwa uma sinesifo se-appendicitis. Kubaluleke kakhulu ukuzazi lezi zimpawu, ngoba uma zibonakala kusenesikhathi, kulula ukuthola ukwelashwa.

Kuqala njengobuhlungu obungavamile, obungajabulisi obuzungeze inkaba . Ngemva kwesikhashana, lobu buhlungu buya kancane kancane buye ohlangothini olungezansi lwesokudla lwesisu. Yilapho ubuhlungu buba bukhali futhi bungabekezeleleki. Kungazwakala sengathi ummese uyakugwaza.

Ake ngikutshele kabanzi ngalobu buhlungu:

• Mhlawumbe kuzoqhubeka.
• Ungaqala ngokushesha.
• Ubuhlungu bungase bukhule uma ukhwehlela, uhleka, noma unyakaza.
• Ubuhlungu bokuqala obubuhlungu bungase bungapheli ngisho nangemva kokuthatha umuthi wokuqeda izinhlungu.

Ngaphezu kwalolu buhlungu obuyinhloko, kungase kuvele nezinye izimpawu. Lezi yilezi:

• I-Anorexia (ukulahlekelwa yisifiso sokudla).
• Ukuqunjelwa noma uhudo .
• Ukungakwazi ukudlulisa umoya (akukho gesi).
• Umkhuhlane ophansi.
• Isicanucanu nokuhlanza .

Cabanga nje, umngane wakho uNimal wavele waba nobuhlungu besisu, ekuqaleni ekhononda ngobuhlungu obuzungeze inkaba yakhe. Ngemva kwamahora ambalwa, waba nobuhlungu obukhulu esiswini sakhe esingezansi kwesokudla, wayengakwazi ukudla, futhi wayenomkhuhlane omncane. Ngesikhathi esinjengaleso, ungase usole ukuthi une-appendicitis.

Kungani kubalulekile ukwazi ngalezi zici?

Ungase ucabange, "O, kubuhlungu besisu nje, kungani ukhathazekile kangaka?" Kodwa i-appendicitis ayiyona ihlaya.

Cabanga nje, bekuzokwenzekani uma ingcindezi engaphakathi kwaleso sithako esivuvukele nesithelelekile iqhuma ngokuzumayo? Uma lokho kwenzeka, amagciwane angaphakathi kwaso, okungukuthi, amabhaktheriya, angasakazeka kulo lonke umgodi wesisu. Lokhu kungabangela ukutheleleka okubi kakhulu, okusongela ukuphila, okubizwa ngokuthi i-peritonitis. Yingakho kubalulekile ukuqaphela lezi zimpawu zokuqala nokufuna iseluleko sezokwelapha ngokushesha. Yilapho kuphela lapho lesi sifo singatholakala khona ngokunembile futhi ukwelashwa okufanele kungaqalwa khona.

Yiziphi izivivinyo ezenziwayo ukuhlola i-appendicitis?

Kulungile, uma unezimpawu okukhulunywe ngazo ngaphambili, uma uya kudokotela, unquma kanjani ukuthi ngempela yi-appendicitis noma okunye? Odokotela basebenzisa inhlanganisela yezivivinyo ukwenza lokhu. Umgomo walezi zivivinyo ukuhlonza isimo ngokushesha nangokunembile futhi ukukunikeza ukwelashwa okudingayo.

Kunezinhlobo eziningana eziyinhloko zokuhlolwa:

1. Ukuhlolwa komzimba

Lena yinto yokuqala ezokwenziwa. Udokotela uzokubuza ngezimpawu zakho futhi ahlole isisu sakho. Bazobheka ubuhlungu, ikakhulukazi ohlangothini olungezansi kwesokudla lwesisu sakho , ngoba yilapho i-appendix ivame ukutholakala khona. Bazobheka nokuvikela imisipha kanye nokuthamba kokubuyela emuva.

2. Ukuhlolwa kwegazi nomchamo

Ukuhlolwa kwegazi kwenziwa ukuze kubonakale ukuthi unesifo noma ukuvuvukala emzimbeni wakho. Ngokuvamile, ukutheleleka okufana ne-appendicitis kuzobangela ukwanda kwenani lamaseli amhlophe egazi egazini lakho. Izinga elibizwa ngokuthi i-C-reactive protein (CRP) lingaphakama, okubonisa nokuvuvukala emzimbeni.

Ukuhlolwa komchamo kwenziwa ukuze kubonakale ukuthi izimpawu zakho zibangelwa yini okunye, njengokutheleleka komgudu womchamo (UTI) . Ngezinye izikhathi izimpawu zokutheleleka komgudu womchamo zingafana neze-appendicitis.

3. Ukuhlolwa kwe-CT scan

Ukuskena kwe-CTEnye i-X-ray ekhethekile ekwazi ukubona kahle izitho ezingaphakathi kwesisu. Lena yindlela enembile kakhulu yokuxilonga i-appendicitis. Lokhu kuskena kuvumela udokotela ukuthi abone ngokucacile ukuthi i-appendix ivuvukele noma kukhona yini izinguquko ezizungezile.

Kodwa-ke, uma ungowesifazane osekhulile ekuzaleni, kwenziwa ukuhlolwa kokukhulelwa ngaphambi kokuba kwenziwe lokhu kuskena kwe-CT. Isizathu salokhu ukugwema ukuchayeka emisebeni engadingekile ngangokunokwenzeka. Ngoba ngezinye izikhathi ukukhulelwa okuphuma esikhumbeni kungadala nobuhlungu besisu, njenge-appendicitis. Lokhu kuhlolwa kusiza nasekukuboneni.

4. Ukuskena nge-ultrasound

I-ultrasound scan isebenzisa amaza omsindo ukudala izithombe zangaphakathi kwesisu. Ayisebenzisi imisebe. Nakuba ingeyona enembe njenge-CT scan, ivame ukusetshenziswa esikhundleni se-CT scan ukuhlola i-appendicitis ezinganeni ezincane, kubantu abadala abasebasha, kanye nabesifazane abakhulelwe .

Ubani owenza lezi zivivinyo?

Lezi zivivinyo zenziwa ngumuntu oyedwa.

• Udokotela uzolalela izimpawu zakho futhi akuhlole ngokomzimba .
• Umhlengikazi noma udokotela we-phlebotomist wenza ukudonswa kwegazi .
• Ukuskena kwakho kwe-ultrasound noma i-CT scan kuzokwenziwa uchwepheshe we-radiology .

Ungakwazi yini ukuhlola i-appendicitis ekhaya?

Into ebaluleke kakhulu ukunaka izimpawu zakho. Ngaphezu kwalokho, kunezinto ezimbili ezilula ongazenza ekhaya, bese ubona ukuthi uthola ubuhlungu obukhulu esiswini sakho uma uzenza:

• Ingabe kubuhlungu uma ulala ngohlangothi lwakho lwesobunxele bese welula isinqe sakho sokudla ngemuva kwakho ?
• Ingabe ubuhlungu buyenzeka uma ugoba inqulu yakho yangakwesokudla nedolo bese uphendula inqulu yakho yangakwesokudla ?

Uma uzwa ubuhlungu ngenkathi wenza lokhu, noma uma unemibuzo, qiniseka ukuthi ubona udokotela. Ngoba i-appendicitis yisimo esingaholela ezinkingeni ezinkulu uma singelashwa ngokushesha. Ungenzi izinqumo wedwa ekhaya.

Ingabe udinga ukulungiselela lezi zivivinyo kusenesikhathi?

Esikhathini esiningi, awudingi ukwenza lutho olukhethekile ukuze ulungiselele ukuhlolwa ngokomzimba, ukuhlolwa kwegazi, noma ukuhlolwa komchamo.

Kodwa-ke, ekuhlolweni kwezithombe, njenge-CT scan noma i-ultrasound scan, ungase ucelwe ukuthi uyeke ukudla nokuphuza (ukuzila ukudla) amahora ambalwa ngaphambi kokuhlolwa.Udokotela uzokutshela ngakho kusenesikhathi.

Kwenziwa kanjani ukuhlolwa? Ake sikubheke ngemininingwane ethe xaxa.

Manje ake sibone ukuthi kwenzekani uma senza lezi zivivinyo.

Ukuhlolwa komzimba

Nazi ezinye izinto udokotela wakho angase azenze lapho ehlola isisu sakho:

• Uzophendulwa uye ohlangothini lwakho lwesobunxele futhi uzocelwa ukuthi ucindezele kancane enqulwini yakho yesokudla ngenkathi udonsa ithanga lakho lesokudla emuva. (Lokhu kubizwa nangokuthi 'uphawu lwe-Psoas')
• Isiguli sicindezela izindawo ezahlukene zesisu bese sisusa isandla ngokuzumayo (bheka ukuthamba kwe-rebound).
• Uma uphakamisa umlenze wakho wesokudla, ucindezela edolweni lesokudla (ukuhlolwa okufana nokuthi 'uphawu lwe-Obturator').

Ukuhlolwa kwegazi

Lokhu kulula kakhulu.

• Umhlengikazi uzofaka inalithi encane emthanjeni ongalweni yakho.
• Kuqoqwa isampula yegazi elincane kulowo mthambo. Yilokho kuphela.

Ukuskena kwe-CT

Lokhu kungenzeka kanje:

• Ungase unikezwe uketshezi olukhethekile olubizwa ngokuthi idayi yokungafani ukuze uluphuze, noma ungase ulufake emthanjeni. Lokhu kwenza izithombe zeskeni zicace kakhudlwana.
• Ngemuva kwalokho uzolala etafuleni. Ukukhanya kwe-X-ray kwesithwebuli se-CT kuzokuzungeza futhi kuthathe izithombe. Okumele ukwenze nje ukuhlala unganyakazi.

Ukuskena nge-ultrasound

Kulokhu:

• Udokotela noma uchwepheshe uzofaka ijeli ekhethekile esiswini sakho.
• Bese kuthi ithuluzi elincane elibizwa ngokuthi i-transducer lithuthwe phezu kwejeli. Izithombe zezitho zangaphakathi zingabukwa kusikrini.

Akukho okufanele ukhathazeke ngakho, lezi zivivinyo azibuhlungu kakhulu.

Ingabe zikhona izingozi noma imiphumela emibi evela kule mijovo?

Lezi zivivinyo zokuhlola i-appendicitis ngokuvamile azinazo izingozi ezinkulu noma imiphumela emibi engathi sína. Indawo lapho igazi likhishwa khona ingase ibe luhlaza okwesibhakabhaka noma ibe buhlungu. Abanye abantu bangase babe nokungezwani okuncane nedayi yokungafani, kodwa lokhu akuvamile kakhulu. Odokotela bayakwazi lokhu.

Ithini imiphumela yokuhlolwa?

Kulungile, imibiko ithini ngemva kokuhlolwa?

• Ukuhlolwa kwegazi:
• Uma inani lamaseli amhlophe egazi lakho liphezulu , kusho ukuthi kukhona uhlobo oluthile lokutheleleka emzimbeni wakho. Kodwa khumbula, cishe ingxenye yesithathu yabantu abane-appendicitis banenani elijwayelekile lamaseli amhlophe egazi.
• Uma izinga le- C-reactive protein (CRP) liphakeme, kusho nokuthi kungase kube nokuvuvukala emzimbeni, mhlawumbe i-appendicitis.

• Ukuhlolwa komchamo:
• Uma isampula yomchamo wakho inamaseli amhlophe egazi namagciwane, ngokuvamile kusho ukuthi unesifo somgudu womchamo .
• Futhi, uma isampula yomchamo inamaminerali athile akha amatshe ezinso, noma uma kukhona igazi emchameni, inganikeza nencazelo ngamatshe ezinso.

• I-CT scan noma i-ultrasound scan:

Uma une-appendicitis, izithombe zeskeni zingase zibonise izinto ezifana nalezi:

• Uma isithasiselo sikhulisiwe (ngaphezu kuka-6 mm ububanzi).
• Uma kukhona ama-calcium deposits ngaphakathi kwe-appendix, okungukuthi, ama-appendicoliths .
• Uma izicubu ezinamafutha ezizungeze i-appendix sezivuvukele futhi zashintsha umbala ( ukugoba kwamafutha angaphansi kwe-appendiceal) .
• Uma udonga lwesithasiselo lujiyile (ngaphezu kwamamilimitha amabili).

Udokotela uthatha isinqumo sokugcina sokuthi une-appendicitis noma cha ngokuhlanganisa konke lokhu.

Kuthatha isikhathi esingakanani ukuthola imiphumela?

Isikhathi esithathwayo ukuthola imiphumela yokuhlolwa singahluka kuye ngokuhlolwa. Isibonelo, kungathatha ihora noma amabili ukuthola imiphumela ye-ultrasound scan noma i-CT scan. Imiphumela yokuhlolwa kwegazi nomchamo ingathatha isikhathi esifanayo noma isikhathi eside kancane. Udokotela wakho uzokwazisa.

Kufanele ngimbone nini udokotela? Ingabe kuyisimo esiphuthumayo?

I-appendicitis ibhekwa njengesimo esiphuthumayo sezokwelapha.

Ngakho-ke, uma unezimpawu ze-appendicitis okukhulunywe ngazo ngaphambili (ikakhulukazi ubuhlungu obukhulu ohlangothini olungezansi kwesokudla lwesisu, umkhuhlane, ukuhlanza), kubalulekile ukufuna iseluleko sezokwelapha ngokushesha. Ungachithi isikhathi. Ngoba uma i-appendix iqhuma, ingabangela izinkinga ezisongela ukuphila.

Umlayezo Wokuya Nawe Ekhaya

Kulungile, ake sifingqe konke esikhulume ngakho:

• I-Appendicitis ukutheleleka noma ukuvuvukala kwesitho esincane esibizwa ngokuthi i-appendix.
• Uphawu oluyinhloko ubuhlungu obukhulu ohlangothini olungezansi kwesokudla lwesisu. Kungase futhi kuhambisane nomkhuhlane, ukuhlanza, kanye nokulahlekelwa yisifiso sokudla.
• Ukuze kutholakale ngokunembile i-appendicitis, kusetshenziswa ukuhlolwa ngokomzimba, ukuhlolwa kwegazi nomchamo, kanye nokuhlolwa kwezithombe okufana ne-CT scan noma i-ultrasound scan.
• Lesi yisimo esiphuthumayo. Uma uba nezimpawu, bona udokotela ngokushesha.
• Ungakhathazeki, lokhu kungelapheka uma kwelashwa ngesikhathi esifanele. Ngokuvamile, i-appendix isuswa ngokuhlinzwa.

Ngakho-ke, ngithemba ukuthi uyaqonda kahle i-appendicitis kanye nokuhlolwa okuhlobene nayo. Hlala uphilile!

I - Appendicitis, i-appendix, ubuhlungu besisu, i-CT scan, i-ultrasound, ukuhlolwa kwe-appendicitis, ubuhlungu besisu