Ingabe nawe uzwa ubuhlungu obukhulu besisu ngokuzumayo? (Isisu Esibuhlungu)

Wake waba nobuhlungu besisu obungazelelwe, obungabekezeleleki? Ngezinye izikhathi, ungaba nobuhlungu besisu obungazelelwe. Odokotela babiza lesi simo ngokuthi "isisu esibuhlungu kakhulu." Ngezinye izikhathi, kungaba yingozi ngokwanele ukuthi kudingeke ukuhlinzwa okuphuthumayo. Ngakho-ke kubalulekile ukuqaphela lokhu.

Buyini ngempela ubuhlungu obukhulu besisu?

Kalula nje, ubuhlungu obukhulu besisu bubuhlungu besisu obungazelelwe, obukhulu kakhulu. Lokhu kungaba yisimo esiphuthumayo esisongela ukuphila ngezinye izikhathi. Lokhu kusho ukuthi kungadingeka ukuthi uhlinzwe ngokushesha. Kodwa-ke, akubona bonke ubuhlungu obukhulu besisu obudinga ukuhlinzwa. Ezinye izimo zezokwelapha nazo zingabangela lolu hlobo lobuhlungu.

Odokotela basebenzisa igama elithi "isisu esibuhlungu" ukuchaza lolu hlobo lobuhlungu besisu obungazelelwe nobunzima. Kusho ukuthi udinga ukuthola ukuthi kwenzekani ngokushesha bese uqala ukwelashwa uma kudingeka.

Ubani okungenzeka kakhulu ukuthi athinteke yilesi simo?

Empeleni, lobu buhlungu besisu obungazelelwe bungenzeka kunoma ubani . Kodwa-ke, izimbangela zingahluka kuye ngeminyaka yakho, kungakhathaliseki ukuthi ungowesilisa noma owesifazane, kanye nezinye izimo zezokwelapha ongase ube nazo.

Cabanga ngakho ngale ndlela:

• I-appendicitis yisifo esivamile esithinta intsha eneminyaka engu-18 no-20.
• I-Diverticulitis ivame kakhulu kubantu abangaphezu kweminyaka engama-60.
• Kwabesifazane, ngezinye izikhathi lolu hlobo lobuhlungu obungazelelwe lungenzeka ngenxa yokuqhuma kokukhulelwa okungaphandle kwesibeletho.
• Indoda ingase izwe ubuhlungu obungazelelwe ngenxa yokugoba kwamasende.

Futhi, uma unomlando wezokwelapha, ungase ube nezinkinga zesisu ezinjengalezi.

Sivame kangakanani lesi simo?

Kunzima ukusho ukuthi bangaki abantu abathola lobu buhlungu besisu obungazelelwe. Kodwa-ke, kulinganiselwa ukuthi cishe abantu abayi-7 kuya kwabayi-10 kwabayi-100 abeza emnyangweni wezimo eziphuthumayo bahlushwa yisisu . Ngakho-ke, lokho kukunikeza umbono wokuthi lokhu kuvame kangakanani.

Ziyini izimpawu zobuhlungu obukhulu besisu?

Ngokuvamile uphawu oluyinhloko ubuhlungu besisu obungazelelwe, obungabekezeleleki . Kodwa-ke, kungase kube nezinye izimpawu. Lezi zimpawu zifaka:

• Isisu esivuvukile: Lokhu kusho ukuthi isisu sivuvukele kakhulu kunokujwayelekile, njengebhaluni.
• Izimpawu zokushaqeka: Lokhu kuhlanganisa ukushaya kwenhliziyo okusheshayo, umfutho wegazi ophansi, ukujuluka, futhi ngezinye izikhathi ukudideka. Lokhu kuyisibonakaliso esiyingozi kakhulu.
• Izimpawu ze-peritonitis:Uma ulwelwesi lwesisu sethu lutheleleka (i-peritonitis), kungase kube nobuhlungu obuqhubekayo. Noma ubuhlungu bungase bukhule lapho isisu sithintwa noma sishaywa ndawana thile.

Uma unesinye noma ngaphezulu salezi zimpawu, ungazithathi kalula.

Yini ebangela lobu buhlungu besisu obungazelelwe (i-Acute Abdomen)?

Izimo eziningi ezahlukene zempilo zingabangela lobu buhlungu besisu obungazelelwe. Ezinye zalezi zimbangela zingase zibe yizimbangela zokuhlinzwa . Okusho ukuthi, cishe zizodinga ukuhlinzwa. Ezinye zingase zibe yizimbangela ezingezona ezokuhlinzwa .

Izizathu zokuthi kungani ukuhlinzwa kungadingeka

Lokhu kuhlanganisa kakhulu ukopha, izifo, amahlule egazi, ukuvaleka kwamathumbu, kanye nokubhoboka kwawo.

1. Ukopha (Ukopha)

Ukopha igazi kwenzeka lapho igazi liphuma emthanjeni wegazi ngenxa yomonakalo. Lokhu kungabangelwa yilokhu:

• Unyembezi lwe-Esophageal (unyembezi lwe-Mallory-Weiss)
• Ukukhulelwa okuqhumile kwe-ectopic
• Uhlobo oluthile lwengozi (Ukuhlukumezeka)
• Ubende obuqhekekile
• I-aneurysm yesisu esiqhekekile

2. Ukutheleleka

Ubuhlungu besisu obungazelelwe bungabangelwa izifo ezahlukahlukene:

• I-Appendicitis - isifo esibizwa ngokuthi i-appendicitis sonke esisaziyo
• I-Cholecystitis
• Isifo sesilonda se-peptic (izilonda zesisu noma zamathumbu amancane)
• I-pancreatitis ebukhali
• Ukutheleleka kwezingxenye zamathumbu amakhulu (i-Diverticulitis)

3. Ukuvaleka kokugeleza kwegazi (i-Ischemia)

I-Ischemia yenzeka lapho ukugeleza kwegazi engxenyeni ethile yomzimba kuncipha noma kuyeka.

• Isifo sikaBuerger
• Ukuvuvukala kwamathumbu amakhulu (i-Colitis)
• Ukuvaleka kwemithambo yegazi ehlinzeka ngamathumbu (i-mesenteric ischemia)
• I-hernia ephukile
• Ukugoba kwamasende

4. Izithiyo

Ukuphazamiseka kwenzeka lapho into ethile inamathela endleleni yokugaya ukudla, okuvimbela ukudla noketshezi esikudlayo ukuthi kungadluli kahle kuyo.

• Isifo samathumbu esivuvukalayo (IBD)
• Ukungena ngaphakathi (ukungena kwamathumbu)
• Ukuvaleka kwamathumbu amancane
• Ukuvaleka kwamathumbu amakhulu

5. Ukubhoboka

Yilokhu okwenzekayo lapho kwakheka izimbobo ezindongeni zezitho zomzimba wethu.

• Ukuqhuma komminso (Boerhaave's syndrome)
• Ukubhoboza kwamathumbu
• Isilonda sesisu esibhobokile
• Ukuwohloka kwamathumbu

Izizathu zokuthi kungani ukuhlinzwa kungadingeki

Lezi zimbangela zobuhlungu besisu ngokuvamile azidingi ukuhlinzwa. Zingabangelwa ukuphazamiseka kwe-endocrine kanye ne-metabolic, izifo zegazi, kanye nobuthi noma imithi.

1. Izinkinga ze-endocrine kanye ne-metabolic

Lezi yizinkinga ezihlobene nama-hormone, amakhemikhali, kanye nezindlala emzimbeni wethu (uhlelo lwe-Endocrine).

• Ukwanda kwamazinga e-urea egazini (i-Uremia)
• I-ketoacidosis ehlobene nesifo sikashukela (i-DKA)
• Isifo sika-Addison
• I-porphyria ebukhali ngezikhathi ezithile

2. Izinkinga zegazi

Lezi yizifo ezihlobene negazi lethu, amaseli egazini lethu, ama-lymph node, umongo wamathambo, kanye nama-platelet egazi.

• Isifo se-sickle cell
• I-leukemia ebukhali
• Izifo ezithile zofuzo
• I-anemia

3. Ubuthi

Eminye imithi, amakhemikhali, kanye nobuthi obuvela ekulunyweni yizilwane nakho kungabangela ukucasuka kwesisu okungazelelwe.

• Ubuthi be-lead
• Okunye ukudakwa kwensimbi esindayo
• Ukuhoxiswa kwe-Nicotine
• Ubuthi bokulunywa yi-black widow spider
• Ezinye izinhlansi ze-scorpion

Uthola kanjani lobu buhlungu besisu obungazelelwe (i-Acute Abdomen)?

Uma uya egumbini lezimo eziphuthumayo (i-ETU) unezinhlungu zesisu ezinzima, odokotela nabahlengikazi lapho bazozama ngokushesha ukuthola ukuthi yini ebangela lokhu. Udokotela uzokubuza imibuzo embalwa:

• Umlando wakho wezokwelapha: Izinkinga ze-GI zangaphambilini kanye nezinye izifo.
• Kulapho ubuhlungu bukhona khona: Bubuhlungu ndawana thize esiswini.
• Isikhathi sokuqala kobuhlungu kanye nencazelo yobuhlungu: Buqale nini futhi luhlobo luni lobuhlungu (ubuhlungu, ukusikwa, ukucindezelwa).
• Okufanele ukwenze ukuze unciphise ubuhlungu, nokuthi yini ongayenza ukuze ubudambise.
• Wake waba nezimpawu ezinjengalezi ngaphambili?
• Ingabe kukhona izici ezintsha?
• Yimiphi imithi (imithi kadokotela kanye nemithi engeyona kadokotela) oyithathayo?
• Uke wahlinzwa isisu ngaphambilini?
• Ingabe uke waba noshintsho lwamuva nje emikhubeni yamathumbu noma yokuchama?

Futhi, bazobuza ngokuqinisekile ukuthi ukhulelwe noma kungenzeka yini ukuthi ukhulelwe.

Udokotela uzobe esekwenza ukuhlolwa ngokomzimba, ikakhulukazi isisu sakho. Uzobheka isikhumba sesisu sakho ukuze athole noma yikuphi ukuphazamiseka okubonakalayo. Uzosebenzisa i-stethoscope ukuze alalele imisindo yamathumbu akho. Uzobe esethinta isisu sakho ukuze athole noma yikuphi ukuthamba noma amaqhubu.

Indawo lapho ubuhlungu bakho bukhona ingasiza udokotela wakho ukuthi anqume imbangela yobuhlungu bakho. Isibonelo, ubuhlungu be-acute diverticulitis buvame ukuzwakala ohlangothini olungezansi kwesobunxele lwesisu sakho, kanti ubuhlungu be-cholecystitis buvame ukuzwakala ohlangothini oluphezulu kwesokudla lwesisu sakho.

Uma kusolwa inkinga yokugaya ukudla noma ye-prostate, kungenziwa ukuhlolwa kwe-rectal digital. Uma kusolwa inkinga yabesifazane, kungenziwa ukuhlolwa kwe-pelvic. Uma kusolwa ukugoba kwe-testicular, kungenziwa ukuhlolwa kwe-testicular.

Ngokusekelwe ezimpendulweni zakho zale mibuzo kanye nokutholakele ekuhlolweni komzimba, udokotela angathola umbono wokuthi isifo singaba yini. Ngokusekelwe kulokho, uzonquma ukuthi yiziphi izivivinyo zokuxilonga okufanele azenze.

Hlobo luni lokuhlolwa okwenziwayo ngalokhu?

Ngezinye izikhathi, uma udokotela wakho ekwazi ukubona ngokucacile imbangela yezimpawu zakho, angase akwazi ukukudlulisela ngqo ekuhlinzweni ngaphandle kokuhlolwa okwengeziwe. Kodwa-ke, uma ungaqiniseki ngembangela yesimo sakho, kungadingeka ukuthi kwenziwe izivivinyo eziningana ukuqinisekisa ukuxilongwa. Izivivinyo okuzodingeka uzenze zizoncika kulokho okutholayo ngesikhathi sokuhlolwa kwakho ngokomzimba kanye nesimo okusolwayo.

Ukuhlolwa kwegazi nomchamo (ukuhlolwa kwelebhu) kungafaka:

• Inani legazi eliphelele (i-CBC)
• Iphaneli ephelele ye-metabolic (i-CMP)
• Ukuhlolwa kwegesi yegazi le-arterial (ABG)
• Ukuhlolwa kwe-Amylase
• Ukuhlolwa kokusebenza kwesibindi
• Ukuhlolwa kokusebenza kwezinso
• Ukuhlolwa komchamo

Ukuhlolwa kwezithombe kungafaka:

• I-ultrasound yesisu
• I-abdominal computed tomography (i-CT scan)
• I-ultrasound ye-endoscopic

Uphatha kanjani lobu buhlungu besisu obungazelelwe (i-Acute Abdomen)?

Ukwelashwa kuyahlukahluka kuye ngembangela . Kungakhathaliseki ukuthi imbangela iyini, kubalulekile ukuxilonga isimo bese uqala ukwelashwa ngokushesha okukhulu. Uma kudingeka ukuhlinzwa okuphuthumayo, udokotela uzokudlulisela ngokushesha kudokotela ohlinzayo ukuze akunike iseluleko futhi angakuyisa ngisho nasehholo lokuhlinza.

Uma imbangela yobuhlungu besisu obungazelelwe ingeyona eyokuhlinzwa, ukwelashwa okulandelayo kunganconywa:

• Ukuqinisa nokuqapha izimpawu zakho ezibalulekile.
• Ukunikeza umzimba uketshezi kanye nama-electrolyte owadingayo.
• Ukunikeza ama-antibiotic e-broad spectrum.
• Ukunikeza imithi yokuqeda izinhlungu.
• Ukunikeza imithi yokulwa nokucasuka ukuze kuncishiswe ukuhlanza kanye nesicanucanu.

Kwenzekani uma ngiba nobuhlungu besisu obungazelelwe (i-Acute Abdomen)?

Ukubikezela kwakho kuncike embangela yesifo. Uma uthola ukwelashwa ngokushesha, amathuba akho okululama aphezulu.

Uma ubuhlungu besisu obungazelelwe bungelashwa, kungavela izinkinga eziyingozi. Lezi zinkinga zifaka:

• Ukuxhumana okungavamile phakathi kwezingxenye zomzimba okungafanele zixhunywe komunye nomunye (i-Fistula).
• Ukufa kwamathumbu akho.
• Ushevu wegazi (i-Sepsis).
• Ngisho nokufa kungenzeka.

Ngakho-ke, uma uzwa ubuhlungu besisu obungazelelwe, ungalokothi ubushaye indiva. Into engcono kakhulu ongayenza ukufuna iseluleko sezokwelapha ngokushesha.

Ngingakuvimbela yini lokhu buhlungu besisu obungazelelwe (i-Acute Abdomen)?

Njengoba kunezimbangela eziningi zobuhlungu besisu obungazelelwe, kunzima ukuzivimbela zonke. Kodwa-ke, unganciphisa le ngozi ngokulandela indlela yokuphila enempilo . Lokho kusho ukuthi:

• Ukudla ukudla okunempilo.
• Ukuzivocavoca njalo.
• Ukuya kohlolwa njalo kwezokwelapha.
• Ukuyeka ukubhema.

Kufanele ngimbone nini udokotela?

Uma unezinhlungu zesisu ezingapheli, okusho ubuhlungu obebulokhu buqhubeka amasonto amaningi futhi bungabonakali buya ngokuba ngcono, kufanele nakanjani ubone udokotela. Kunezimbangela eziningi zobuhlungu besisu. Udokotela angaxilonga isimo sakho futhi ancome ukwelashwa okufanele.

Kufanele ngiye nini e-Emergency Treatment Unit (ETU) ?

Uma unezinhlungu zesisu eziphuthumayo nezinzima, shayela u-911 (1990 eSri Lanka) ngokushesha, noma uye egumbini lezimo eziphuthumayo eliseduze. Lesi kungaba yisimo esisongela ukuphila, ngakho-ke ukwelashwa okusheshayo kubalulekile.

Yimiphi imibuzo okufanele ngiyibuze udokotela wami?

Uma uzwa ubuhlungu besisu obungazelelwe, ungabuza udokotela wakho le mibuzo:

• Kungani ngibe nobuhlungu besisu ngokuzumayo?
• Ingabe ngizodinga ukwelashwa okwengeziwe?
• Yini engingayenza ukuvimbela into efana nale ukuthi ingaphinde yenzeke?
• Uyini umehluko phakathi kobuhlungu besisu obubukhali kanye nobuhlungu besisu obungapheli?

Cishe wonke umuntu uzwa ubuhlungu besisu ngesikhathi esithile empilweni yakhe. Esikhathini esiningi, abubucayi futhi buzophela bodwa. Kodwa-ke, ubuhlungu besisu obukhulu bungaba uphawu lwesimo esiphuthumayo sezokwelapha. Uma uzwa ubuhlungu obukhulu besisu ngokuzumayo, kubalulekile ukuya ekamelweni lezimo eziphuthumayo ngokushesha. Ngale ndlela, odokotela bangathola imbangela yobuhlungu bakho futhi baqale ukwelashwa ngokushesha. Uma bungelashwa, ubuhlungu besisu obukhulu bungaholela ezinkingeni ezinkulu.

Khumbula into ebaluleke kakhulu (Umyalezo Wokuya Ekhaya)

Ubuhlungu besisu obungazelelwe, obukhulu abuyona into okufanele uyinake . Kungaba khona imbangela engathi sína eyisisekelo. Ngakho-ke, uma wena noma othile omaziyo ezwa ubuhlungu besisu obungathi sína ngokuzumayo, funa usizo lwezokwelapha ngokushesha . Ukwelashwa okusheshayo kungasindisa impilo. Ukuphila ngendlela enempilo kungakusiza futhi ekuvikeleni kulezi zimo ngezinga elithile. Ngaphezu kwakho konke, nakekela umzimba wakho futhi unake noma yini engavamile.

Ubuhlungu besisu , ubuhlungu besisu obungazelelwe, ubuhlungu besisu, ukuhlinzwa, ukulaliswa esibhedlela, izimpawu zesisu, isisu esibuhlungu