Ingabe unezinamathiselo ezinjengalezi esiswini sakho? Ake sifunde nge-(Abdominal Adhesions)!

Wake wahlinzwa isisu? Noma ingabe kukhona abangani bakho noma izihlobo zakho abake bahlinzwa? Ngezinye izikhathi, abantu abanjalo bangaba nokunamathela okuncane esiswini sabo. Namuhla, sizokhuluma ngesimo esibizwa ngokuthi ukunamathela esiswini .

Ziyini lezi zinto zokunamathela esiswini? Ake sichaze kahle!

Kalula nje, ukunamathelana kuyizibopho zezicubu zesilonda ezakha ngaphakathi kwesisu sakho, phakathi kwezitho ezisemgodini wesisu sakho, noma phakathi kwesitho nodonga lwesisu. Ukuze kube sobala, kwakheka lapho elinye inxeba liphola, njengoba nje isilonda sakha lapho isikhumba sethu silimele.

Cabanga nje, kunezitho eziningi ezibalulekile esiswini sakho.

• Uhlelo lwethu lokugaya ukudla , okungukuthi, izinto ezifana nesisu , amathumbu amancane, kanye namathumbu amakhulu.
• Izitho zokuzala zabesifazane yizitho zohlelo lokuzala lwabesifazane .
• Izinso, izindlala ze-adrenal.
• Isibindi .
• I-Pancreas .
• Ubende .

Lezi yizindawo lapho ukunamathelana kuvame ukwakheka khona. Kuvame kakhulu emathunjini amancane . Lokhu kunamathelana kwakheka lapho kukhona ukulimala, ukutheleleka, noma ukuvuvukala ngaphakathi esiswini. Ungamangali, ngezinye izikhathi kungakheka ngisho nangesikhathi sokuhlinzwa, ngisho nalapho izitho zomzimba zithintwa. Eqinisweni, lokhu kunamathelana kuvame ukubonakala ngemva kokuhlinzwa kwesisu. Lesi sikhumba sesilonda sakha njengengxenye yenqubo yemvelo yokuphulukiswa komzimba, futhi ngezinye izikhathi izicubu ziqala ukunamathelana.

Zivame kangakanani lezi zinkinga zokulutha? Ingabe wonke umuntu uyazithola?

Eqinisweni, abantu abaningi abahlinzwa esiswini baba nalezi zinhlayiya zokunamathela. Lokhu kuyimiphumela emibi evame kakhulu . Kodwa-ke, abantu abaningi abanazo izimpawu futhi abadingi ukwelashwa.

Kodwa, kukhona okunye. Lokhu kunamathela kuyimbangela eyinhloko yokuvaleka kwamathumbu amancane . Ukuvaleka kwamathumbu amancane kuyisimo esibi esidinga usizo oluphuthumayo lwezokwelapha. Kusho ukuthi amathumbu avaleka ngokuphelele noma ngokwengxenye.

Yiziphi izimpawu ezingaba khona uma kukhona ukunamathela esiswini?

Esikhathini esiningi, njengoba ngishilo ngaphambili, lokhu kunamathela akubangeli zimpawu . Ungase ungazi nokuthi unazo.

Kodwa-ke, ngezinye izikhathi lokhu kunamathelana kungabangela ukuthi amathumbu akho asonteke ndawonye. Kufana nepayipi lamanzi elibhajwayo. Lokhu kungenzeka ngokushesha ngemva kokuhlinzwa, noma kungenzeka eminyakeni eminingi kamuva. Yilapho kuvela khona ukuvaleka kwamathumbu amancane engikushilo.

Uma amathumbu akho evalekile, ukudla, amanzi, umoya kanye nendle akukwazi ukudlula kuwo. Ungase ube nezimpawu ezifana nalezi:

• Ungase uthole ubuhlungu obukhulu besisu .
• Ungase uzizwe ubuhlungu esiswini sakho.
• Kungase kube nokuqunjelwa .
• Kungase kube nesicanucanu nokuhlanza .
• Isisu singase sivuvuke phambili (ukuvuvukala kwesisu).
• Izimo ezinjengokungakwazi ukuphuma umoya kanye nokungakwazi ukuphuma endlini yangasese (ukuvinjelwa) zingase zibe khona.

Okubalulekile: Uma unalezi zimpawu zokuvaleka kwamathumbu, kufanele uye emnyangweni wezimo eziphuthumayo wesibhedlela (ETU) ngokushesha . Lokhu kungaba yingozi empilweni uma kungelashwa ngokushesha.

Kungani kwakheka lokhu kunamathela esiswini? Ziyini izimbangela?

Ukunamathela esiswini kwakheka lapho umzimba wakho ulungisa izicubu ezonakele ngaphakathi kwesisu sakho. Kufana nezibazi ezakheka ngaphakathi emzimbeni wakho. Uma noma yisiphi isitho noma izicubu ngaphakathi kwesisu sakho sonakele, amasosha omzimba wakho azobangela ukuvuvukala ukulungisa lezo zicubu. Njengengxenye yale nqubo yokuphulukisa, izicubu ezibazi zakha phezu kwezicubu ezonakele.

Cabanga nje, uma uklwebha idolo lakho bese usikwa, isibazi sizonyamalala ngemva kwesikhashana futhi ngeke uqaphele nokuthi sikhona. Kodwa lokhu kunamathelana okwakheka ngaphakathi esiswini akupheli nje. Kunalokho, izindawo ezonakele zinganamathelana.

Kuthiwa cishe ama-75% okunamathela okutholakale ukuthi abangelwa ukuhlinzwa kwesisu . Kodwa-ke, angavela njengempendulo kunoma yikuphi ukulimala, isimo sezokwelapha, noma ukwelashwa okubangela ukuvuvukala ngaphakathi kwesisu. Isibonelo:

• Ukutheleleka kwesisu noma kwe-pelvic.
• I-Appendicitis.
• Isifo sikaCrohn.
• I-Diverticulitis.
• I-Endometriosis.
• Isifo sokuvuvukala kwe-pelvic (PID).
• Ukwelashwa ngemisebe esiswini sakho (ukwelashwa komdlavuza).
• I-Peritoneal dialysis (ukwelashwa kokwehluleka kwezinso).

Ubani osengozini enkulu yokuthola lezi zinkinga?

Ingozi enkulu yokuthola ukunamathela esiswini ukuhlinzwa kwesisu . Ngokukhethekile:

• Ukuhlinzwa Okuvulekile (i-Laparotomy):Lokhu kuhilela ukusikwa okukodwa okukhulu. Lokhu kunamathela kwenzeka ekuhlinzweni okuvulekile okungaphezu kwama-90%.
• Ingozi yokuthi lokhu kunamathela kwenzeke iphansi kancane ngesikhathi sokuhlinzwa kwe-laparoscopic , ngoba ngesikhathi sokuhlinzwa kwe-laparoscopic, odokotela abahlinzayo benza ukuhlinzwa ngokusika okuncane okuningana esikhundleni sokuhlinzwa okukodwa okukhulu.
• Ukuhlinzwa okwenziwa ezithweni ezisengxenyeni engezansi yesistimu yakho yokugaya ukudla, njengekholoni kanye ne-rectum .
• Kukangaki uhlinzwe isisu?
• Ukuhlinzwa Okuphuthumayo.

Yiziphi izinkinga ezingavela ngenxa yalezi zinhlayiya zesisu? Ingabe ziyingozi?

Ukunamathela okuningi akubangeli izinkinga. Kodwa-ke, uma kuvela inkinga, izinkinga zingaba zimbi kakhulu.

Izinkinga zingafaka:

• Ukuvaleka kwamathumbu amancane: Lesi sicubu sesilonda singabangela ukuthi izihibe zamathumbu amancane zisonteke noma zinciphe, okubangela ukuvaleka. Uma kungelashwa ngokushesha, lokhu kuvaleka kungaholela ekuthelelekeni okusongela ukuphila okubizwa ngokuthi i-peritonitis .
• Ubuhlungu obungapheli: Lokhu kunamathela kungavimbela izitho zakho ukuthi zinyakaze ngokukhululeka. Lokhu kungabangela ubuhlungu besisu isikhathi eside emgodini wakho we-pelvic noma esiswini.
• Ukungazali: Ukunamathela kungabangela nokungabi nabantwana. Lesi sicubu singavimbela iqanda nesidoda ukuthi sihlangane, sivimbele ukukhulelwa. Isicubu esingaphakathi kwesibeletho singavimbela iqanda elivundisiwe (umbungu) ukuthi lingene odongeni lwesibeletho. Lokhu kunamathela ngaphakathi kwesibeletho kubizwa nangokuthi ukunamathela ngaphakathi kwesibeletho, noma i-Asherman's syndrome .

Odokotela bakuthola kanjani lokhu?

Udokotela wakho uzokubuza ngezimpawu zakho kanye nomlando wakho wezokwelapha. Uma unezimpawu ezifana nobuhlungu besisu, futhi uma uke wahlinzwa isisu ngaphambilini, udokotela wakho angase asole lokhu kunamathela.

Kodwa-ke, ubuchwepheshe bokuthwebula izithombe, okungukuthi ama-scan, abukwazi ukubona ngqo ukunamathela esiswini. Kodwa-ke, lokhu kuhlolwa kungabona ukuvinjelwa kwamathumbu okungase kuhlobane nokunamathela.

• Ukuhlolwa kwe-X-ray kanye ne-CT scan yesisu sakho kungabonisa ukuvaleka kwamathumbu akho amancane. Ukuhlolwa kwe-CT scan kunganquma nobunzima bokuvaleka kwawo.
• Ukuhlolwa okubizwa ngokuthi i-hysterosalpingogram (HSG) kungabonisa ukuvaleka kwesibeletho sakho noma amashubhu esibeletho.

Ukuphela kwendlela yokwazi ngokuqinisekile ukuthi une-adhesion ngempela yini ukuhlinzwa .

Ingabe udinga ukwelashwa kokunamathela esiswini?

Ukunamathela okuningi akubonisi zimpawu ngakho-ke akudingi ukwelashwa.

Futhi, ukuhlinzwa okwengeziwe kungabangela ukunamathelana okwengeziwe. Cabanga ngalokhu ngale ndlela: Udokotela wakho ohlinzayo angasika futhi "akhulule" izibopho zezicubu ezinamathele ndawonye. Kodwa-ke, uma ukuhlinzwa sekuphelile, ayikho indlela yokuvimbela izicubu ukuthi zingaphinde zinamathele ndawonye.

Ngakho-ke, udokotela wakho cishe uzogwema ukuhlinzwa ngaphandle uma kunenkinga enkulu yezokwelapha, njengokuvaleka kwamathumbu. Ungase udinge nokuhlinzwa ukuze kususwe ukunamathela kwesibeletho okukuvimbela ukuba ube nomntwana.

Ingabe ikhona indlela yokuvimbela lokhu kunamathela esiswini ukuthi kungakheki?

Uma ngikhuluma iqiniso, akukho lutho oluqondile wena noma udokotela wakho ohlinzayo eningakwenza ukuvimbela ukwakheka kokunamathela esiswini.

Kodwa-ke, ukusikwa kuncane ngesikhathi sokuhlinzwa kwe-laparoscopic, ngakho-ke ukunamathela cishe akunakwenzeka. Ngakho-ke, odokotela abahlinzayo manje sebekhetha ukuhlinzwa kwe-laparoscopic kunokuhlinzwa okuvulekile kokuhlinzwa okuningi kwesisu.

Futhi, udokotela wakho ohlinzayo angase abeke izithiyo phakathi kwezindawo zezicubu ngesikhathi sokuhlinzwa ukuze azivimbele ukuthi zinamathele ndawonye ngenxa yezicubu zesibazi. Lezi zithiyo ziza ngezinto eziqinile, uketshezi, amajeli, kanye nezifutho ezincibilika emzimbeni. Kodwa-ke, ngisho nalezi zithiyo, ukwakheka kwezicubu zesibazi kuyingxenye engenakugwenywa yenqubo yokuphulukiswa.

Ucwaningo luyaqhubeka nokuthola izixazululo ezinganciphisa izinkinga ezibangelwa yilokhu kunamathela.

Liyini ikusasa lomuntu onalesi simo?

Ngisho noma unezinhlayiya eziningi esiswini sakho, ungase ungabi nazo izimpawu. Kodwa-ke, uma unezinhlayiya zamathumbu eziqhubekayo, noma uma uvaleleke ngokuphelele, kungadingeka uhlinzwe.

Ingabe ukunamathela esiswini kuyaphela ngokuhamba kwesikhathi?

Ezinye izinhlayiya zesisu zingaba ngcono ngokuhamba kwesikhathi. Futhi, ngaphandle kokuthi zibangela izinkinga, odokotela abavamile ukuzisusa.

Kodwa-ke, ngezinye izikhathi, ukuhlinzwa kuyadingeka, noma ngabe kukhona ingozi yokunamathela okuqhubekayo. Udokotela wakho uzokusiza ukuthi unqume ngezinzuzo kanye nokungalungi kokuhlinzwa, kuye ngezimpawu zakho.

Yini engenziwa ngobuhlungu obubangelwa ukunamathela kwesisu?

Udokotela wakho angase akuncomele imithi yokwelapha izinhlungu ongayithenga ekhemisi.

Ezinye izifundo zisikisela ukuthi inqubo yokwelapha ngokomzimba ebizwa ngokuthi ukunyakaza kwezicubu ezithambile ingasiza ekunciphiseni ubuhlungu obuhambisana nokunamathela. Kodwa-ke, kudingeka ucwaningo olwengeziwe ukuze kuqondwe izinzuzo zalokhu kwelashwa.

Ingabe lesi silonda (izinti) esiswini singasuswa?

Ukuphela kwendlela yokuphula lesi silonda, noma ukunamathela, ukuhlinzwa . Udokotela wakho uzokhuluma nawe ngezinzuzo kanye nezingozi ezingaba khona zokuhlinzwa, kuye ngezimpawu zakho.

Ingabe kukhona ukudla noma iziphuzo okufanele uzigweme uma une-adhesion?

Akukho ukudla "okubi" okufanele ukugweme uma une-adhesion. Kodwa-ke, uma unesimo esifana nokuvaleka kwamathumbu okuyingxenye, udokotela wakho angase akuncome ukuthiKuthiwa udle ukudla okuthambile noma ukudla okune-fiber encane ngoba ukudla okunjalo kungadlula kalula emathunjini akho.

Kufanele ngifune nini iseluleko sezokwelapha?

Uma unezinhlungu zesisu ezingachazeki, noma uma unenkinga yokuphuma indle noma ukuphuma igesi, bona udokotela wakho ngokushesha. Ungase ube nokunamathela noma ukuvaleka kwamathumbu akho.

Ukuvaleka kwamathumbu ngokuphelele kusongela impilo! Uma unezinye zezimpawu ezilandelayo, funa usizo lwezokwelapha oluphuthumayo ngokushesha:

• Ubuhlungu obukhulu esiswini noma izinhlungu.
• Ukuqunjelwa noma ukuvuvukala okukhulu.
• Ukucanuzela noma ukuhlanza.

Kuvamile ukuba nokunamathela esiswini ngemva kokuhlinzwa kwesisu. Ngenhlanhla, ukunamathela okuningi akukaze kubange izinkinga. Kodwa-ke, uma uzwa izimpawu zokuvaleka kwamathumbu, njengobuhlungu besisu, ubunzima bokuphuma kwegesi, noma ukuhamba kwamathumbu, funa usizo oluphuthumayo ngokushesha. Lesi sicubu esinjengesibazi sisengadala izinkinga eminyakeni eminingi ngemva kokuhlinzwa. Ukwazi izimpawu eziyisixwayiso kungakusiza uthole usizo ngokushesha.

Okokugcina, into ebaluleke kakhulu okufanele uyikhumbule (Umyalezo Wokuya Ekhaya)

Kulungile, ngakho-ke, kusukela kulokho esikhulume ngakho, lezi yizinto ezibaluleke kakhulu okudingeka uzikhumbule:

• Kuvamile kakhulu ukuthi kube nokunamathela okunje ngemva kokuhlinzwa kwesisu.
• Kodwa-ke, abantu abaningi abanazo izimpawu noma izinkinga ngenxa yalokhu, ngakho ungakhathazeki.
• Into ebaluleke kakhulu ukuqaphela izimpawu eziyisixwayiso (ubuhlungu obukhulu besisu, ukuqunjelwa, ukuhlanza, kanye nokuqunjelwa) ezingase zenzeke uma lokhu kunamathela kubangela into efana nokuvaleka kwamathumbu.
• Uma kuvela izimpawu ezinjalo, kungasindisa impilo ukufuna iseluleko sezokwelapha ngokushesha ngaphandle kokuchitha isikhathi .
• Ngaphambi kokuhlinzwa, khuluma nodokotela wakho ngalezi zinhlanganisela. Buza ukuthi izinqubo ezifana ne-laparoscopy zinganciphisa yini ingozi.

Ngakho-ke, ngithemba ukuthi lolu lwazi lube wusizo kuwe. Hlala uphilile!