Ingabe uvame ukuba nobuhlungu esiswini sakho kanye nomkhuhlane? Lokhu kungaba "i-Abdominal Abscess"!

Wake wazizwa ubuhlungu obukhulu esiswini sakho kanye nomkhuhlane? Noma wake wazizwa sengathi wehlisa isisindo ngenxa yokulahlekelwa yisifiso sokudla kanye nesicanucanu? Mhlawumbe isimo esikhuluma ngaso namuhla sibizwa ngokuthi "Abdominal Abscess". Ungakhathazeki, ake sixoxe ngalokhu kalula.

Kuyini lokhu `(Isisu Esisesiswini)`? Kungani kuyingozi?

Kalula nje, i-Abdominal Abscess iyisigaxa esigcwele ubomvu esakheka ndawana-thile ngaphakathi esiswini sakho. Lobo bubomvu buwuketshezi oluqoqana ngenxa yokutheleleka. Lesi sikhwama noma ithumba eligcwele ubomvu lingabangela ukungakhululeki okukhulu.

Cabanga ngakho njengesilonda esincane esikhumbeni, esithelelekayo bese ubomvu buqoqana. Kodwa lokhu kwenzeka ngaphakathi esiswini, ngakho asikwazi ukukubona ngaphandle. Kodwa kungabangela umonakalo omkhulu ngaphakathi. Into ebaluleke kakhulu ukuthi uma lokhu kungelashwa kahle, lokhu kutheleleka kungasakazeka emzimbeni wonke futhi kuholele esimweni esiyingozi esibizwa ngokuthi "i-Sepsis". I-"Sepsis" yinto engaba yingozi ngisho nokuphila. Yingakho kubaluleke kakhulu ukuqaphela lokhu.

Kungani lolu hlobo lwe-`(Abdominal Abscess)` lwakheka ngaphakathi esiswini? Ziyini izimbangela?

Esikhathini esiningi, leli `(Isisu Esibangelwa Yisisu)` libangelwa ukutheleleka ngamagciwane. Lapho la magciwane engena ngandlela-thile esiswini sakho, isimiso somzimba sokuzivikela, esifana nesivikelo emzimbeni wethu, siqala ukulwa nala magciwane ahlaselayo. Kulokhu kulwa, okungukuthi, ekusabeleni kwamasosha omzimba, izicubu ezihlobene (`Izicubu`) ziyalimala, futhi ukuvuvukala (`Ukuvuvukala`) kwenzeka. Ngalesi sivuvu, izicubu ezifile namagciwane ziyahlangana ukuze zakhe lobo bomvu (`I-Pus`), obufana nokubila (`Isisu`).

Manje ake sibone ukuthi la magciwane angangena ngaphansi kwaziphi izimo:

• Ngenxa yokutheleleka ngamagciwane okuqala ngaphakathi esiswini: Ngezinye izikhathi, uma kuvela imbobo encane (ukubhoboka) endaweni efana namathumbu, amagciwane angangena emgodini wesisu.
• Izimo ezithile zezokwelapha: Isibonelo, abantu abanesifo sikaCrohn (isimo sokuvuvukala kwamathumbu esingamahlalakhona), i-diverticulitis (ukutheleleka kwezikhwama ezincane zamathumbu amakhulu), noma isifo sokuvuvukala kwe-pelvic (PID) kwabesifazane basengozini enkulu yokuthola ithumba esiswini. Lezi zimo zingadala nokuvuvukala esiswini.
• Ngemva kokuhlinzwa kwesisu: Ngezinye izikhathi, ngemva kokuhlinzwa kwesisu, amabhaktheriya angangena enxebeni futhi abangele ukutheleleka, okuholela ekwakhekeni kwethumba.
• Ngenxa yokulimala esiswini: Isibonelo, ukulimala kwangaphandle, njengenxeba lokugwazwa, kungabangela ukuthi amagciwane angene ngqo esiswini.

Into ebaluleke kakhulu, kungakhathaliseki ukuthi imbangela iyini, le `(Abdominal Abscess)`Uma kungelashwa ngokushesha, kungaholela ezimweni ezimbi kakhulu, ezisongela ukuphila njenge-"Sepsis" (ubuthi egazini, lapho ukutheleleka kusakazeka khona emzimbeni wonke) kanye ne-"Ukwehluleka Kwezitho". Ngakho-ke, kubalulekile ukuqaphela kakhulu ngalokhu.

Kukuphi lapho leli ``(ithumba lesisu)'' lingavela khona esiswini? Ingabe zikhona izinhlobo?

Yebo, la mathumba angakheka ezingxenyeni ezahlukene zesisu. Odokotela bawahlukanisa ngokwendawo lapho ithumba likhona. Singakhuluma kakhulu ngezinhlobo ezintathu:

1. Amathumba Angaphakathi Kwesisu: Lawa amathumba akheka ngaphakathi kwesisu, okungukuthi, ngaphakathi kolwelwesi lwesisu (i-peritoneum). Isibonelo:

• Ngaphansi kwe-diaphragm yakho (umsipha ohlukanisa isifuba sakho nesisu).
• Amathumbu.
• Umgodi wesinqe (`iPelvis`) usendaweni yawo.
• Isisu siseduze.
• Enye indawo ekhethekile yi-"Subphrenic Abscess", eyenzeka phakathi kwe-diaphragm nesibindi.

2. Amathumba angemuva kwesisu: Lawa akheka ngemuva kwesisu, ngaphandle kwesisu. Abonakala kakhulu endaweni yezinso noma i-pancreas.

3. Ithumba Elingaphakathi Kwesisu: Lokhu kubhekisela eqoqweni lobomvu okwakheka ngaphakathi kwesitho esiqinile, njengesibindi noma udende.

Kungakhathaliseki ukuthi kwenzeka kuphi, kubalulekile ukukuthola nokukwelapha ngokushesha.

Yiziphi izimpawu ze-"Abdominal Abscess"? Siyibona kanjani?

Izimpawu zingahluka kancane kuye ngokuthi ithumba likuphi. Kodwa kunezinye izimpawu ezivamile. Bheka ukuthi unazo yini lezi:

• Ubuhlungu obusha, obukhulu, nobuqhubekayo: Lobuhlungu bungenzeka esiswini esingaphezulu, esiswini esingezansi, emhlane ongezansi, ehlombe, noma ngisho nasesifubeni.
• Umkhuhlane: Uphawu oluyinhloko umkhuhlane ophezulu. Ngezinye izikhathi, umkhuhlane ungahambisana nokubanda nokuthuthumela.
• I-Anorexia: Ukulahlekelwa isifiso sokudla.
• Isicanucanu nokuhlanza: Isicanucanu futhi mhlawumbe nokuhlanza kungase kwenzeke kanye nokuphazamiseka kwesisu.
• Ukwehlisa isisindo okungachazeki: Uma wehlisa isisindo ngokuzumayo ngaphandle kokunciphisa ukudla noma ukuzivocavoca, lokho nakho kuyisibonakaliso okufanele ukhathazeke ngaso.

Cabanga ngakho, ngezinye izikhathi lapho sizwa ubuhlungu besisu, sicabanga ukuthi, "O, lokhu kumelwe ukuba kuyigesi, noma kukhona okuye kwaba kubi." Kodwa uma lolu hlobo lobuhlungu luhambisana nomkhuhlane noma ukulahlekelwa yisifiso sokudla, ungaluthathi nje njengegesi. Ikakhulukazi uma ubuhlungu buqhubeka futhi buba bubi usuku nosuku, kufanele nakanjani ufune iseluleko sezokwelapha.

Udokotela uluthola kanjani ngokunembile "i-Abdominal Abscess"? (Ukuxilongwa)

Uma uya kudokotela (`Umhlinzeki Wezempilo`) onalezi zimpawu, uzoqala ngokukubuza ngezimpawu zakho. Ngemuva kwalokho uzokuhlola (`Ukuhlolwa Komzimba`). Ngaphezu kwalokho, uzoyala ukuhlolwa okuningana ukuqinisekisa ukuthi lokhu kuyi-``Abdominal Abscess``.

• Ukuhlolwa kwegazi: I-complete blood count (CBC) ingasetshenziswa ukuhlola ukutheleleka. I-white blood count ephezulu iyisibonakaliso sokutheleleka.
• Ukuhlolwa Kwezithombe: Lokhu kusiza ukubona ngqo ukuthi i-cyst ikuphi kanye nosayizi wayo.
• I-Ultrasound Yesisu: Lokhu kungabheka izitho zomzimba kanye nama-cyst ngaphakathi kwesisu.
• I-X-ray yesifuba: Lokhu kungasiza ekuboneni ukuthi kunenkinga yini nge-diaphragm.
• I-CT Scan: I-CT scan yesisu kanye ne-pelvis iyisivivinyo esivame kakhulu nesinembile ukusiza ekuxilongeni lesi simo. Ingabonisa ithumba ngokucacile.
• Ukuskena kwe-MRI (I-Magnetic Resonance Imaging - Ukuskena kwe-MRI): Lokhu kuhlolwa kungadingeka nakwezinye izimo ezikhethekile.

Ngezinye izikhathi, udokotela kungadingeka athathe isampula encane yobomvu bese eyihlola. Lokhu kubizwa ngokuthi "i-Fine Needle Aspiration". Inaliti encane ifakwa ethumba bese kususwa inani elincane lobomvu bese lithunyelwa elabhorethri ukuthola ukuthi yimaphi amabhaktheriya abangela ukutheleleka. Lokhu kungasiza ekunqumeni ukwelashwa.

Iyini indlela yokwelapha `(Ithumba Lesisu)`? Ingabe lingelapheka?

Yebo, `(Ithumba Lesisu)` liyisimo esingelapheka. Kodwa sidinga ukwelashwa ngokushesha nangokufanele. Izindlela ezimbili zokwelapha eziyinhloko zisetshenziswa ndawonye:

1. Ama-antibiotic: Le mithi inikezwa ukubulala amagciwane abangele ukutheleleka. Ingaqala njengemithi ye-intravenous (IV) bese ishintshelwa emithini yomlomo.

2. Ukukhipha Amanzi: Lokhu akukwazi ukwelapheka ngemithi yodwa. Ubomvu obuqongelelekile budinga ukukhishwa. Indlela evame ukusetshenziswa kakhulu kulokhu ibizwa ngokuthi i-Percutaneous Abscess Drainage (PAD).

Kuyini `(Percutaneous Abscess Drainage - PAD)`?

Lokhu kungase kuzwakale njengento enkulu, kodwa lokhu kuyindlela yokwelapha elula futhi engadingi ukungenelela okuningi.

Okwenzekayo lapha ukuthi, udokotela ubheka `(CT scan)` noma `(Ultrasound scan)` bese efaka ipayipi elincane (`Catheter` noma `Drain`) esikhumbeni (yilokho okushiwo `Percutaneous`) khona kanye lapho kukhona ithumba. Bese kuthi elinye icala lalelo payipi lixhunywe esikhwameni esincane. Bese ubomvu bugeleza kancane kancane epayipini bese buqoqana esikhwameni.

Uzophelelwa amandla (i-local anesthesia) phakathi nale nqubo. Lokhu kusho ukuthi uzobe uqaphile, kodwa indawo lapho ipayipi lifakwe khona izoba yize ngakho ngeke uzwe ubuhlungu. Ngezinye izikhathi kuzodingeka ugcine ipayipi nesikhwama endaweni yalo izinsuku ezimbalwa, ngezinye izikhathi isonto, kuze kube yilapho wonke ubomvu buphuma.

Ingabe lokhu kwelashwa `(PAD)` kungabanga izinkinga?

Njenganoma iyiphi inqubo yezokwelapha, kunethuba elincane lezinkinga ezincane ngale nqubo ethi "PAD". Kodwa-ke, lezi azivamile.

• Ukopha: Kungase kuphume igazi elincane endaweni yokufakwa kwepayipi.
• Ubuhlungu: Ngemva kokuba ukuba ndikindiki sekuphelile, ungase uzwe ubuhlungu. Ungathatha imithi yobuhlungu ngalokho.
• Ukutheleleka Kwenxeba: Ngezinye izikhathi indawo yokufaka ipayipi ingatheleleka.

Uma kwenzeka into efana nale, udokotela uzokunikeza ukwelashwa okudingekayo.

Yini engingayilindela uma ngine-"Abdominal Abscess"? Ingabe izophola ngokuphelele?

Kwabaningi, ama-antibiotic kanye ne-PAD cishe kungalapha ngokuphelele i-Abdominal Abscess. Uzozizwa ungcono kancane kancane. Umkhuhlane wakho uzoncipha, ubuhlungu bakho buzophela, futhi isifiso sakho sokudla sizobuya.

Kodwa kukhona okunye. Ithumba Lesisu aliveli nje kuphela. Kungase kube khona imbangela eyisisekelo (isib. isifo sikaCrohn, ukutheleleka ngemva kokuhlinzwa). Ukwelashwa kuhloswe ukususa ithumba nokulawula ukutheleleka, hhayi njalo ukuqeda imbangela eyisisekelo. Ngakho-ke, kubalulekile ukwelapha noma ukubhekana nembangela eyisisekelo futhi.

Kunini lapho ngizodinga ukubona udokotela futhi?

Ngisho noma uzizwa ungcono ngemva kokwelashwa, qaphela izimpawu ezithile. Isibonelo:

• Uma umkhuhlane ubuya.
• Uma ubuhlungu besisu buqala futhi futhi buqhubeka.

Uma lezi zimpawu ziphinde zivele, kungase kusho ukuthi sekuvele elinye ithumba. Uma kunjalo, bona udokotela ngokushesha.

Ikakhulukazi uma unesifo esandisa ingozi yakho yokuthola ithumba esiswini, njengesifo sikaCrohn noma i-diverticulitis, khuluma nodokotela wakho mayelana nezimpawu okufanele uzikhathaze kakhulu ngazo. Ngaleyo ndlela, ungabona inkinga futhi uthole ukwelashwa ngokushesha.

Ngamafuphi, izinto ezibaluleke kakhulu okudingeka uzikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lawa amaphuzu ayinhloko okufanele uwakhumbule:

• Isisu esisesiswini yisimo esikhula ngaphakathi esiswini.Ithumba eligcwele ubomvu. Lokhu kubangelwa ukutheleleka ngamagciwane.
• Lokhu ngeke kube ngcono. Uma kungelashwa, kungaba yingozi empilweni, njenge-sepsis.
• Uma unezimpawu ezifana nobuhlungu obukhulu besisu, umkhuhlane, ukuphelelwa yisifiso sokudla, kanye nesicanucanu , ungamane nje uzishaye indiva. Bheka udokotela ngokushesha.
• Ukwelashwa kuvame ukufaka kokubili ama-antibiotic kanye nokukhipha amanzi emzimbeni .
• Uma unezici eziyingozi njengesifo sikaCrohn, qaphela kakhulu ngalokhu.

Khumbula, wazi umzimba wakho kangcono. Ngakho-ke uma uzizwa ungavamile, kuwukuhlakanipha ukuthi uhlolwe. Ukwelashwa kusenesikhathi kungavimbela izinkinga eziningi ezinkulu.

Ithumba lesisu , Ithumba lesisu, Ubuhlungu besisu, Umkhuhlane, Ukwelashwa, I-Sepsis, Ukutheleleka kwamathumbu, Ukuhlinzwa kwesisu