Uke wahlinzwa muva nje, ikakhulukazi inqubo yesisu? Noma ingabe uhlushwa ubuhlungu besisu obungapheli, obungachazeki noma umuzwa wokudonsa ophindaphindayo esiswini sakho? Ngezinye izikhathi, imbangela ingaba yinto ongeke uyisole: izitho zangaphakathi zinamathelana. Ngokwezokwelapha, lesi simo sibizwa ngokuthi ukunamathela . Nakuba igama lingase lizwakale lingajwayelekile, kuyinto evamile ngemva kokuhlinzwa. Ake sihlukanise konke okudingeka ukwazi mayelana nokunamathela ngamagama alula nacacile.
Kuyini ngempela ama-Adhesions?
Kalula nje, ukunamathela kuyizibopho zangaphakathi zezicubu zesibazi ezakha ngaphakathi komzimba wakho. Cabanga ngalokho okwenzekayo lapho isikhumba sakho sisikwa; njengoba inxeba liphola, kwakheka isibazi. Ngokufanayo, ngaphakathi emzimbeni wakho, ukunamathela kuyizibopho zezicubu zesibazi ezivala igebe phakathi kwezitho ezimbili noma izicubu ezingavamile ukuxhumeka. Lokhu kungabonakala njengamashidi amancane, afana nefilimu afana ne-cellophane noma njengezibopho ezijiyile, ezifana nentambo.
Imbangela eyinhloko yokunamathelana yinqubo yemvelo yokuphulukiswa komzimba wakho. Lapho izicubu zakho zonakele—kungakhathaliseki ukuthi ukuhlinzwa, ukutheleleka, ukulimala ( ukuhlukumezeka ), noma ukwelashwa ngemisebe —umzimba wakho uqala impendulo yokulungisa. Phakathi nalokhu kuphulukiswa, uma isitho esonakele sithintana nenye indawo, amangqamuzana okuphulukisa omzimba wakho angase abe nobunzima bokuhlukanisa phakathi kwawo. Ngenxa yalokho, adala izicubu ezibophayo ezihlanganisa izindawo ezimbili ndawonye, zakhe ukunamathelana.
Kukuphi lapho ukuhlanganisa kuvame ukwakheka khona?
Nakuba ukunamathela kungakheka cishe noma kuphi emzimbeni, kunezindawo ezithile ezivamile:
| Indawo | Umthelela kanye nencazelo |
|---|---|
| Ukunamathela Kwesisu | Lolu uhlobo oluvame kakhulu. Abantu abangaphezu kuka-90% abahlinzwa esiswini noma ethangeni bangase babe nalokhu. Kungabangela ukuthi amathumbu anamathele, agoqeke, noma asonte. Ingozi enkulu kakhulu ukuvaleka kwamathumbu , lapho ukunyakaza kokudla emathunjini kuvimbeke khona ngokwengxenye noma ngokuphelele. |
| Ukunamathela kwe-pelvic | Lokhu kungakheka phakathi kwesibeletho sowesifazane, ama-ovari, nama-fallopian tubes, ngokuvamile ngenxa yezimo ezifana ne-Pelvic Inflammatory Disease (PID) noma i-Endometriosis. Ukunamathela kuma-fallopian tubes kungandisa ingozi yokungazali kanye nokukhulelwa kwe-ectopic , futhi kuyimbangela evamile yobuhlungu obungapheli be-pelvic. |
| Ukunamathela kwe-Pleural | Ngemva kwe-pneumonia, isifo sofuba, noma ukuhlinzwa kwesifuba, izicubu zesilonda zingakheka phakathi kwezindwangu ezimboze amaphaphu, okungadala ubuhlungu ngesikhathi sokuphefumula okujulile. |
| Ukunamathela Kwenhliziyo | Uma ukunamathelana kwakheka phakathi kwezingqimba ezizungeze inhliziyo (i-pericardial sac), kungaphazamisa ukusebenza kwenhliziyo. Izifo ezifana nomkhuhlane wamathambo nazo zingabangela ukunamathelana kuma-valve enhliziyo, kunciphisa ukusebenza kahle kwenhliziyo. |
Ziyini izimpawu ze-Adhesions?
Okubaluleke kakhulu, ukunamathela okuningi akubangeli zimpawu nhlobo . Kungase kuhlale emzimbeni wakho iminyaka eminingi ngaphandle kokuthi wazi ukuthi kukhona. Izimpawu zivame ukuvela kuphela uma ukunamathela kuqala ukuphazamisa ukusebenza okuvamile kwesitho.
Izimpawu ezingaba khona zifaka:
- Uma unezinhlayiya zamathumbu, ungase uzizwe udonswa noma uzwa ubuhlungu esiswini sakho ngesikhathi sokuzivocavoca noma ukunyakaza.
- Kwabesifazane, ukunamathela eduze kwesifunda se-pelvic kungabangela ubuhlungu ngesikhathi socansi.
- Ukunamathela eduze kwamaphaphu kungabangela ubuhlungu obukhulu noma ubunzima lapho uphefumula ngokujulile.
- Ukunamathela okubandakanya inhliziyo kungabangela ubuhlungu besifuba .
Ukuvaleka Kwamathumbu – Lesi yisimo Esiphuthumayo!
Inkinga enkulu kakhulu yokunamathela esiswini ukuvaleka kwamathumbu. Lesi yisimo esiphuthumayo sezokwelapha lapho amathumbu evalekile, okuvimbela ukudlula kokudla. Kubalulekile ukuqaphela lezi zimpawu:
- Ubuhlungu besisu obungazelelwe, obukhulu, obuhlala imizuzu eminingana, obuvame ukuba bubi ngemva kokudla.
- Ukuhlanza okuhambisana nobuhlungu; ungase uzizwe ukhululekile okwesikhashana ngemva kokuhlanza.
- Ukuqunjelwa kwesisu nokuvuvukala.
- Umsindo wesisu ophakeme, ophakeme.
- Uma izimpawu ziqhubeka, ubuhlungu bungase buhlale njalo, imisindo evamile yamathumbu ingase iphele, futhi ungase uzizwe ungakwazi ukukhipha igesi noma indle, okuvame ukuhambisana nomkhuhlane.
Uma uhlangabezana nalezi zimpawu, ikakhulukazi uma uke wahlinzwa isisu ngaphambilini, ungazinaki . Lokhu kungaba ukuvaleka kwamathumbu. Funa usizo lwezokwelapha ngokushesha eMnyangweni Wezimo Eziphuthumayo (ER) oseduze nawe.
Kuhlonzwa kanjani ukunamathela?
Ukunamathela kwaziwa ukuthi kunzima ukukubona ekuhlolweni okujwayelekile kwezithombe njenge-X-ray noma i-CT scans. Nakuba lokhu kuhlola kungaveza ukuvaleka kwamathumbu, akukwazi ukukhomba ngokuqinisekile ukunamathela njengembangela.
Ukuphela kwendlela yokuthola ukuthi kukhona ukunamathela okuqondile iwukusebenzisa inqubo efana ne- Laparoscopy . Phakathi nale nqubo, udokotela ohlinzayo wenza i-incision encane bese efaka ikhamera ukuze ahlole umgodi wesisu. Uma kutholakala ukunamathela, udokotela ohlinzayo angazisusa ngenqubo efanayo.
Yiziphi izindlela zokwelapha?
Uma ukunamathela kungabonakali, akukho ukwelashwa okudingekayo. Kodwa-ke, uma kubangela izimpawu ezibalulekile, ukwelashwa kuyadingeka. Indlela eyinhloko ukususwa ngokuhlinzwa, okwaziwa ngokuthi i-Adhesiolysis .
Kunezindlela ezimbili eziyinhloko zokuhlinzwa:
| Indlela Yokuhlinzwa | Incazelo |
|---|---|
| I-Laparoscopy | Le ndlela eyaziwa ngokuthi "ukuhlinzwa kwe-keyhole," ihilela ukusikwa okuncane okumbalwa ukuze kufakwe ikhamera namathuluzi okusika nokususa ngokunembile ukunamathela. |
| Ukuhlinzwa kwe-Laparotomy | Lokhu "ukuhlinzwa okuvulekile." Kwenziwa ukusika okukhulu esiswini, okuvumela udokotela ohlinzayo ukuba abone indawo ngqo ukuze asuse ukunamathela. |
Indida yalokhu kwelashwa ukuthi ukuhlinzwa ngokwako kungabangela ukwakheka kokunamathela okusha, njengoba impendulo yokuphulukiswa komzimba ivuselelwa futhi ngokungenelela kokuhlinzwa.
Ingabe ukunamathela kungavinjelwa?
Nakuba zingenakuvinjelwa ngokuphelele ngaso sonke isikhathi, odokotela abahlinzayo bathatha izinyathelo eziningana zokuphepha ngesikhathi sokuhlinzwa ukuze banciphise ingozi:
- Ukunciphisa isikhathi esithathwa ukuhlinzwa.
- Ukuphatha izicubu ngobumnene nangokunakekela okukhulu.
- Ukugcina izicubu zimanzi kuyo yonke inqubo.
- Ukusebenzisa amagilavu akhethekile angenaso isitashi kanye nangenaso i-latex.
- Kwezinye izimo, ukubeka izithiyo ezikhethekile zokulwa nokunamathela (amashidi afana nefilimu) phakathi kwezitho zomzimba.
Uma ulungiselela ukuhlinzwa, zizwe ukhululekile ukuxoxa ngalezi zindlela zokuvimbela nodokotela wakho ohlinzayo.
Izinto Ezibalulekile Okufanele Uzicabangele
- Ukunamathela kuyizibopho zangaphakathi zezicubu ezibomvu ezakhekayo, ngokuvamile ngemva kokuhlinzwa.
- Iningi lokunamathela alinangozi, kodwa okunye kungaholela ebuhlungwini, ekungazali, noma ezinkingeni ezinkulu njengokuvaleka kwamathumbu.
- Uma unomlando wokuhlinzwa futhi uzwa ubuhlungu obukhulu besisu, ukuhlanza, nokuqunjelwa, kuphathe njengesimo esiphuthumayo sezokwelapha bese ucela ukunakekelwa ngokushesha.
- Ukuxilongwa kuvame ukuqinisekiswa ngesikhathi sokubona ngeso lengqondo.
- Ngisho nangemva kokususwa ngokuhlinzwa, kunengozi yokubuya kokunamathela.
- Xhumana nodokotela wakho njalo uma uhlangabezana nanoma yiziphi izimpawu ezingavamile ngemva kokuhlinzwa.
