Ngesonto eledlule, njengoba ikliniki yami yayizophela, insizwa eneminyaka engu-19 ubudala yangena ekliniki, ibambe isisu sayo ngokuqinile futhi ibubula. Igama layo kwakunguTharindu. UTharindu wayenenkinga ngisho nokuma aqonde.
"Dokotela Priya, izolo ebusuku ngibe nobuhlungu obuncane eduze kwenkaba yami. Kodwa kusukela namhlanje ekuseni, ubuhlungu bushintshele ohlangothini lwesokudla lwesisu sami esingezansi, futhi abubekezeleleki. Ngiyahlanza futhi nginomkhuhlane," kuchaza uTharindu ngobunzima.
Lapho nje ngibeka uTharindu etafuleni lokuhlolwa futhi ngicindezela kancane uhlangothi lwesokudla lwesisu sakhe (McBurney's Point), wamemeza ngenxa yobuhlungu.
Ngathi ngokushesha, "Taridu, awunayo inkinga evamile yesisu. Lokhu kuyi -acute appendicitis . Lokhu kungenxa yokuthi i-appendix , ipayipi elincane elifana nomunwe ekuqaleni kwamathumbu ethu amakhulu, selithelelekile futhi lavuvukala. Sidinga ukukulungiselela ukuhlinzwa ngokushesha. Ngoba uma lokhu kungasuswa ngokushesha, i-appendix ingaqhuma ngaphakathi esiswini."
๐จ Amafulegi Abomvu adinga ukulaliswa esibhedlela ngokushesha
I-appendicitis iyisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa kwezokwelapha okusheshayo. Uma uhlangabezana nezimpawu ezilandelayo, kufanele uye emnyangweni wezimo eziphuthumayo wesibhedlela esikhulu esiseduze nawe ngaphandle kokulibala, njengoba i-appendix kungenzeka ukuthi iqhumile:
- Ubuhlungu esiswini esingezansi kwesokudla busakazeka ngokuzumayo esiswini sonke (isibonakaliso esibalulekile sokuthi i-appendix iqhumile).
- Umkhuhlane omkhulu kanye nokuthuthumela nokuhlanza okungapheli.
- Isisu sizwakala siqinile, sivuvukile, futhi sibuhlungu, okwenza kube nzima ngisho nokusithinta.
- Ukushaya kwenhliziyo okusheshayo, ubunzima bokuphefumula, kanye nokuzizwa uphelelwe amandla.
Kungani i-appendicitis ikhula?
I-appendix iyipayipi elincane elivaliwe ngakolunye uhlangothi futhi elitholakala engxenyeni engezansi kwesokudla yesistimu yethu yokugaya ukudla.
Uma leli payipi livinjwa yindle (fecalith), ukutheleleka ngegciwane noma amagciwane, noma ama-lymph node avuvukele, ukuvulwa kwepayipi le-appendix kuvalwe ngokuphelele.
Amabhaktheriya akhula ngokushesha ku-appendix evalekile, okubangela ukuvuvukala okukhulu okugcwele ubomvu. Lokhu kuvimbela ukugeleza kwegazi endaweni, ekugcineni kubangele ukuthi i-appendix iqhume futhi iqhume. Ubomvu namabhaktheriya abe esesakazeka kulo lonke umgodi wesisu, okubangela ukutheleleka kwebhaktheriya okusongela ukuphila okubizwa ngokuthi i-peritonitis .
Iphethini ethile lapho izimpawu zivela khona
Ubuhlungu be-appendicitis bubonisa indlela ehlukile kunobuhlungu besisu obuvamile:
1. Ukuqala: Ubuhlungu buqala ukubonakala njengobuhlungu obuncane phakathi kwesisu, eduze kwenkinobho yesisu.
2. Ukusabalala: Phakathi namahora ambalwa, lobu buhlungu buya engxenyeni engezansi yesisu kwesokudla.
3. Ukwanda:Ubuhlungu bukhula kakhulu uma ukhwehlela, uhamba, ushaya phansi, noma uma ucindezela ohlangothini lwesokudla lwesisu bese ususa isandla (ukuthamba kwe-rebound).
4. Izimpawu ezengeziwe: Ukulahlekelwa yisifiso sokudla ngokuphelele, isicanucanu, ukuhlanza, kanye nomkhuhlane omncane.
Ukuhlinzwa kwe-appendicitis (i-Appendicectomy)
Ukuphela kokwelashwa okuhlala njalo kwe-appendicitis ukususa i-appendix ethelelekile ngokuhlinzwa. Lokhu kuhlinzwa kubizwa ngokuthi i-appendixectomy .
Njengamanje, kusetshenziswa izindlela ezimbili eziyinhloko zokuhlinzwa kulokhu:
- Ukuhlinzwa kwe-Laparoscopic / Ukuhlinzwa kwe-Keyhole: Ukuhlinzwa kwesimanje okwenziwa ngokusikwa okuncane okungaba ngu-3 esiswini kusetshenziswa ikhamera namathuluzi abucayi. Ubuhlungu buncane futhi azikho izibazi. Isiguli singalulama ngokushesha bese siya ekhaya.
- Ukuhlinzwa Okuvulekile: Ezimweni ezimbi kakhulu lapho i-appendix iqhume khona futhi yasakaza ukutheleleka esiswini sonke, lokhu kuyindlela yokuhlinzwa yendabuko eyenziwa ngokusika okungu-5-10 cm ohlangothini lwesisu. Lokhu kudinga izinsuku ezimbalwa zokulaliswa esibhedlela ukuze ululame.
Okumele Ukwenze Nokungafanele Ukwenze
| โ๏ธ Izinto okufanele uzenze (Okufanele Uzenze) | โ Okungafanele ukwenze |
|---|---|
| Uma kusolwa ukuthi i-appendicitis ibangela ukuvuvukala kwesisu, yeka ukudla nokuphuza ngokushesha (Nil ngomlomo). Lokhu kubalulekile ekubulaweni kwe-anesthesia lapho kuhlinzwa okuphuthumayo. | Ungathathi imithi yokwelapha izinhlungu ngaphandle kwencwadi kadokotela ukuze unciphise ubuhlungu besisu. Lokhu kungafihla izimpawu futhi kulibazise ukuxilongwa. |
| Thatha isiguli ngokushesha siye emnyangweni wezimo eziphuthumayo wesibhedlela esikhulu esiseduze uma kukhona ubuhlungu besisu obusolisayo. | Ungalokothi unikeze i-enema, imithi yokuhlanza isisu, noma amabhodlela amanzi ashisayo ukuze ufudumale isisu sakho ngoba ucabanga ukuthi kuwukungagayeki kahle kokudla. Lokhu kungandisa kakhulu ingozi yokuqhuma kwe-appendix yakho. |
| Thatha umthamo ophelele wama-antibiotic owanikezwe udokotela wakho ngemva kokuhlinzwa. | Gwema ukuphakamisa izinsimbi, ukugijima, noma ukuzivocavoca okunzima emasontweni amabili okuqala ngemva kokuhlinzwa. |
โ Eminye imibuzo ongase ube nayo (Imibuzo Ebuzwa Njalo)
Ingabe zikhona izinkinga zempilo ngemva kokususwa kwe-appendix ?
Cha, i-appendix iyisitho esingasebenzi kahle esingabalulekile emzimbeni wethu. Ukusisusa emzimbeni ngeke kube nomthelela ekugayweni kokudla noma eminye imisebenzi yezempilo yesikhathi eside.
Ingabe i-appendicitis ingelapheka ngama-antibiotic kuphela ?
Odokotela ngezinye izikhathi bangase banqume ukusebenzisa ama-antibiotic kuphela ezimweni ze-appendicitis elula noma elula. Kodwa-ke, njengoba ingozi yokuphinda ivele iphezulu kakhulu, ukuhlinzwa kuyindlela yokwelapha eqinisekile nephephile kakhulu eyamukelwayo emhlabeni jikelele.
Kwenzekani uma i-appendix iqhuma? โผ
Uma i-appendix iqhuma, ubomvu namabhaktheriya angaphakathi kwayo kungasakazeka kulo lonke umgodi wesisu, okubangela i-peritonitis. Lokhu kungaqhubekela phambili ku-sepsis, isimo lapho amagciwane angena khona egazini futhi angaba yingozi.
Ungahlukanisa kanjani ubuhlungu besisu obubangelwa yi-PCOS noma ukutheleleka komgudu womchamo? โผ
Ubuhlungu besisu esingezansi bungenzeka nakwabesifazane abanobuhlungu be-ovarian (PCOS/Cyst rupture) kanye nezifo zomgudu womchamo. Kodwa-ke, indlela yobuhlungu eqala enkabeni isakazekele ohlangothini lwesokudla kanye nezici zobuhlungu obubuyela emuva azenzeki lapho, njengase-appendicitis. Lokhu kuhlukaniswa ngokuhlolwa kwegazi kanye nokuskena.
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