Wake waba nobuhlungu besisu noma umuzwa wokugcwala ngemva kokuhlinzwa kwesisu, ngisho nangemva kweminyaka? Ngezinye izikhathi isizathu salokhu singase singabi yilokho okucabangayo. Namuhla sikhuluma ngesimo esibizwa ngokuthi 'ukunamathela' abantu abaningi abangasazi, kodwa esivame ukwenzeka ngemva kokuhlinzwa.
Ziyini lezi zinto zokunamathela esiswini?
Kalula nje, lezi yizicucu zezibazi ezakha phakathi kwezitho ezingaphakathi kwesisu sakho. Njengoba nje isibazi sakha lapho isikhumba sethu silimele, lezi yizicucu zezibazi ezakha njengoba ukulimala kuphola ngaphakathi kwesisu, ikakhulukazi ngemva kokuhlinzwa. Lokhu kunamathela kungabangela ukuthi izitho ezingaphakathi kwesisu zinamathele ndawonye.
Lokhu kunamathelana kuvame ukwakheka phakathi kwezihibe zamathumbu akho amancane. Kungakhiwa futhi phakathi kwesinye isitho esiswini sakho nodonga lwesisu.
Uma sithi izitho ezingaphakathi esiswini sethu, ucabanga ngalokhu:
- Uhlelo lokugaya ukudla (isisu, amathumbu)
- Izitho zohlelo lokuzala lwabesifazane
- Izinso
- Isibindi
- I-Pancreas
- Ubende
Ukunamathelana kungakheka phakathi kwanoma yiziphi zalezi zitho. Kungaze kwenzeke ngenxa yokuphathwa kwezitho ngesikhathi sokuhlinzwa. Eqinisweni, lokhu kuyingxenye yemvelo yenqubo yokuphulukiswa komzimba.
Zivame kangakanani lezi zinto zokunamathela?
Lokhu kunamathela kuyimiphumela emibi evame kakhulu yokuhlinzwa kwesisu. Eqinisweni, abantu abaningi abaye bahlinzwa esiswini baba nalokhu kunamathela. Kodwa izindaba ezinhle ukuthi abantu abaningi abanazo izimpawu futhi abadingi ukwelashwa.
Kodwa into ebaluleke kakhulu okufanele uyikhumbule ukuthi lokhu kunamathela kuyimbangela eyinhloko yokuvaleka kwamathumbu amancane. Ukuvaleka kwamathumbu amancane kuyisimo esibucayi esidinga ukwelashwa okuphuthumayo.
Yiziphi izimpawu eziba khona uma kukhona ukunamathela?
Esikhathini esiningi, ukunamathela akubanga zimpawu. Kodwa ngezinye izikhathi, lokhu kunamathela kungabangela ukuthi amathumbu ethu ajike futhi avaleke, njengepayipi lamanzi. Lokhu kungenzeka ngokushesha ngemva kokuhlinzwa noma eminyakeni kamuva. Lapho amathumbu evaleka ngale ndlela, ukudla, uketshezi, umoya, kanye nendle akukwazi ukudlula.
Ngemuva kwalokho ungase uzwe izimpawu ezifana nalezi:
| Isibonakaliso | Incazelo |
|---|---|
| Ubuhlungu obukhulu besisu | Ubuhlungu obungazelelwe, obungenakubekezeleleka. |
| Ubuhlungu besisu | Kubuhlungu sengathi isisu sami siyadabuka. |
| Ukuqunjelwa | Isisu sizwakala sivuvukele futhi siqinile. |
| Isicanucanu nokuhlanza | Ukucanuzela nokuhlanza njalo. |
| Akukho ukukhishwa kwegesi noma indle | Ukungakwazi ukuphuma umoya noma ukuphuma endlini yangasese. Lokhu kubizwa nangokuthi ukuqunjelwa. |
Uma unezinye zalezi zimpawu, ungachithi isikhathi bese uya eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze ngokushesha. Lesi yisimo esiphuthumayo esingasongela impilo.
Kungani lokhu kunamathela kwenzeka? Ziyini izimbangela?
Uma izicubu ezingaphakathi esiswini zonakele, umzimba wethu uqala ukusiphulukisa. Njengengxenye yale nqubo yokuphulukisa, kwakheka lesi silonda, noma ukunamathela.
Imbangela eyinhloko yokunamathela ukuhlinzwa kwesisu. Ukuhlinzwa kubalwa u-75% wazo zonke izinkinga zokunamathela ezitholakale. Ngaphezu kwalokho, zingabangelwa yinoma yikuphi ukulimala, isifo, noma ukwelashwa okubangela ukuvuvukala ngaphakathi kwesisu.
Ezinye izizathu yilezi:
- Ukutheleleka kwesisu noma i-pelvis.
- I-Appendicitis.
- Isifo sikaCrohn.
- I-Endometriosis.
- Isifo sokuvuvukala kwe-pelvic (PID).
- Ukwelashwa ngemisebe esiswini ngenxa yomdlavuza.
- I-Peritoneal dialysis iyindlela yokwelapha ukwehluleka kwezinso.
Ubani osengozini enkulu yokuthola lezi zifo?
Ingozi enkulu kakhulu ilabo abaye bahlinzwa esiswini, ikakhulukazi:
- Ukuhlinzwa okuvulekile (i-Laparotomy): Lokhu ukuhlinzwa okwenziwa ngokusikwa okukodwa okukhulu esiswini. Abantu abangaphezu kuka-90% abenza lolu hlobo lokuhlinzwa baba nokunamathela.
- Ukuhlinzwa kwe-Laparoscopic:Njengoba lokhu kuhilela ukwenza izimbobo eziningana ezincane, ingozi yokunamathela iphansi kancane.
- Ukuhlinzwa kwenziwa engxenyeni engezansi yesistimu yokugaya ukudla (ikholoni, i-rectum).
- Uma uke wahlinzwa isisu izikhathi eziningi.
- Ukuhlinzwa Okuphuthumayo.
Yiziphi izinkinga ezingaba khona ngenxa yokunamathela?
Esikhathini esiningi, ukunamathela akubangeli izinkinga, kodwa uma kubanga izinkinga, kungaba yingozi kakhulu.
- Ukuvaleka kwamathumbu amancane: Izicubu zezibazi zingabangela ukuthi amathumbu ajijeke futhi avaleke. Uma kungelashwa ngokushesha, kungavela ukutheleleka okukhulu okubizwa ngokuthi i-peritonitis, okungaba yingozi empilweni.
- Ubuhlungu obungapheli: Ukunamathela kuvimbela izitho zomzimba ukuthi zihambe ngokukhululeka, okungabangela ubuhlungu obungapheli esiswini noma emgodini we-pelvic.
- Ukungazali: Ukunamathela kungavimbela iqanda nesidoda ukuthi singahlangani. Uma ukunamathela kwakheka ngaphakathi kwesibeletho, iqanda elivundisiwe (umbungu) alikwazi ukumila esibelethweni. Lokhu kunamathela okwakheka ngaphakathi kwesibeletho kubizwa nangokuthi i-Asherman's syndrome .
Udokotela ukuthola kanjani lokhu?
Udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wezokwelapha. Udokotela wakho angase asole ukuthi kukhona ukunamathela, ikakhulukazi uma uke waba nobuhlungu besisu kanye nokuhlinzwa kwesisu ngaphambilini.
Into ebalulekile ukuthi lokhu kunamathela akubonakali ngqo kuma-X-ray noma kuma-CT scan. Kodwa-ke, uma lokhu kunamathela kubangele ukuvaleka kwamathumbu, kungatholakala kulezi ziskeni.
- Ama-X-ray nama-CT scan: Lokhu kungabonisa ukuvaleka kwamathumbu amancane. I-CT scan ingasiza ekunqumeni ubukhulu bokuvaleka kwamathumbu.
- I-Hysterosalpingogram (HSG): Lokhu kuhlolwa kwenziwa ukuhlola ukuvaleka kwesibeletho noma amashubhu e-fallopian.
Ekugcineni, okuwukuphela kwendlela yokwazi ngokuqiniseka okungu-100% ukuthi une-adhesion yini ukuhlinzwa.
Ingabe ngidinga ukwelapha lokhu?
Ukunamathela okuningi akunazimpawu futhi akudingi ukwelashwa.
Futhi kukhona okunye. Uma unesinye isidakamizwa sokususa ukunamathela, kungabangela ukwakheka kokunamathela okusha. Lesi yisinqumo esibucayi kakhulu. Udokotela ohlinzayo angasika futhi ahlukanise izicubu ezinamathele. Kodwa uma ukuhlinzwa sekuqediwe, ayikho indlela yokuvimbela izicubu ukuthi zinganamatheli ndawonye futhi.
Ngakho-ke, udokotela wakho uzoncoma ukuhlinzwa kuphela uma kunenkinga enkulu yezokwelapha, njengokuvaleka kwamathumbu. Futhi, uma ukunamathela kwenza kube nzima ukuba nezingane, kuzokwenziwa ukuhlinzwa ukuze kususwe ukunamathela.
Ingabe lezi zinto ezinamathiselwe ziyoke ziphele? Ingabe akunakwenzeka?
Ezinye izinti zingaphola zodwa ngokuhamba kwesikhathi. Ngaphandle kokuthi zibangela izinkinga, odokotela abavamile ukuzisusa.
Kodwa-ke, noma ngabe kukhona ingozi yokunamathela okwengeziwe, ngezinye izikhathi ukuhlinzwa kuyadingeka. Udokotela wakho uzokuchazela izinzuzo nezingozi zokuhlinzwa, kuye ngezimpawu zakho.
Akukho lutho wena noma udokotela wakho ohlinzayo ongakwenza ukuvimbela ukunamathela. Kodwa-ke, ukuhlinzwa kwe-laparoscopic kunengozi encane yokunamathela ngoba ukusikwa kuncane. Yingakho odokotela abaningi abahlinzayo manje sebekhetha ukuhlinzwa kwe-laparoscopic kunokuhlinzwa okuvulekile.
Umlayezo Wokuya Nawe Ekhaya
- Ukunamathela esiswini kuvame kakhulu futhi kuvamile ngemva kokuhlinzwa kwesisu. Kubantu abaningi, akubangeli zinkinga.
- Kodwa-ke, uma uzwa izimpawu ezifana nobuhlungu obukhulu besisu, ukuhlanza, ukuqunjelwa, noma ubunzima bokukhipha igesi noma indle, kungaba ukuvaleka kwamathumbu. Lesi yisimo esiphuthumayo futhi kufanele uye eMnyangweni Wezimo Eziphuthumayo wesibhedlela (ETU) ngokushesha.
- Ukuhlinzwa ukuze kususwe ukunamathela kungadala nokwakheka kokunamathela okusha. Ngakho-ke, ukuthi ukuhlinzwa kuyadingeka noma cha kuyinto okufanele uyixoxe nodokotela wakho bese unquma.
- Ukuhlinzwa kwe-laparoscopic kunganciphisa kancane ingozi yokunamathela kunokuhlinzwa okuvulekile (i-laparotomy).
- Uma uzwa ubuhlungu obungachazeki ngemva kokuhlinzwa kwesisu, khuluma nodokotela wakho ngakho.
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