Uma ulaliswe esibhedlela ngenxa yobuhlungu obukhulu ohlangothini olungezansi kwesokudla lwesisu sakho, udokotela ukutshela ukuthi une -appendicitis futhi udinga ukuhlinzwa. Kuvamile ukuzizwa wesaba kancane futhi ukhathazekile lapho igama elithi "ukuhlinzwa" livela ngokuzumayo. Kodwa ungakhathazeki. Lokhu kuyindlela yokuhlinzwa evamile kakhulu futhi ephumelelayo emhlabeni. Ngakho-ke namuhla, ake sixoxe ngakho konke okudingeka ukwazi ngalokhu kuhlinzwa okubizwa ngokuthi i-appendectomy .
Kuyini ukususwa kwe-appendectomy?
Kalula nje, i-appendectomy inqubo yokuhlinzwa yokususa i-appendix yakho, noma i-appendix njengoba siyibiza kanjalo ngesiSinhala. I-appendix iyisitho esincane, esifana ne-tube esinamathele ekuqaleni kwamathumbu akho amakhulu. Sitholakala ohlangothini olungezansi kwesokudla lwesisu sakho.
Uma i-appendix itheleleka futhi ivuvukala, siyibiza ngokuthi i-appendicitis. Ngenxa yokuthi kukhona ingozi yokuqhekeka kwe-appendix evuvukile, i-appendicitis iyisimo esiphuthumayo sezokwelapha. Kodwa-ke, i-appendix enempilo ayikatholakali inomsebenzi okhethekile emzimbeni wethu. Ngakho-ke, ukuyisusa ngokuhlinzwa ngeke kukulimaze. Ungaphila impilo evamile ngaphandle kwayo.
Kungani lokhu kungukuhlinzwa okuphuthumayo kangaka?
Cabanga ngakho, i-appendix iyisitho esincane kakhulu. Ngakho-ke uma itheleleka, ivuvukala ngokushesha kakhulu, futhi inethuba elikhulu lokuqhuma. Uma i-appendix iqhuma ngaphakathi esiswini, ukutheleleka kungasakazeka esiswini sonke. Uma lokho kwenzeka, kungabangela isimo esibi esibizwa ngokuthi i-peritonitis . Okungukuthi, ukutheleleka kwe-membrane emboze umgodi wesisu.
Uma lokhu kutheleleka kungagcini lapho futhi kungene egazini, kuvela i-sepsis .Kungaba yisimo esibi esingasongela ngisho nokuphila. I-appendix ingaqhuma zingakapheli amahora angu-36 kusukela ekuqaleni kwezimpawu ze-appendicitis. Yingakho kubhekwa njengesimo esiphuthumayo futhi ukwelashwa kuqala ngokushesha.
Ngakho-ke, uma unezimpawu ezifana nobuhlungu obukhulu ohlangothini olungezansi kwesokudla lwesisu sakho, umkhuhlane, nokuhlanza , ungachithi isikhathi bese ubona udokotela ngokushesha.
Kwenzekani ngaphambi kokuhlinzwa?
Ukuhlinzwa kuvame ukwenziwa zingakapheli amahora angama-24 udokotela ethole i-appendicitis. Ngaphambi kwalokho, uzonikezwa i-IV line, noma i-saline, emthanjeni, bese kuqala ama-antibiotic ngokushesha okukhulu. Kuye ngokuthi ukutheleleka kubucayi kangakanani, lawa ma-antibiotic azoqhubeka usuku olulodwa kuya kweziyisikhombisa ngemva kokuhlinzwa.
Udokotela wakho angase futhi anqume ukwenza ukuhlolwa kwegazi kanye nokuskena ngaphambi kokuhlinzwa. Kubalulekile futhi ukutshela udokotela wakho nganoma yimiphi eminye imithi oyithathayo, noma yikuphi ukungezwani komzimba okunakho, kanye nanoma yiziphi ezinye izimo zezokwelapha onazo. Lokhu kuzosiza ukuthi akuchazele uhlobo lokuhlinzwa futhi athole imvume yakho. Ngeke uvunyelwe ukudla noma ukuphuza noma yini amahora angu-8 ngaphambi kokuhlinzwa, kodwa uzoqhubeka nokunikezwa uketshezi ngesisombululo sikasawoti.
Ngesikhathi sokuhlinzwa kanye nezinhlobo zako
Ngaphambi kokuba ukuhlinzwa kuqale, uzonikezwa i-anesthesia ejwayelekile. Ngakho-ke ngeke uzizwe ubuhlungu ngesikhathi sokuhlinzwa, uzobe ulele. Kunezinhlobo ezimbili ze-appendectomy kuye ngendlela yokuhlinzwa.
| Uhlobo lokuhlinzwa | Inqubo eyenzeka |
|---|---|
| Ukuhlinzwa kwe-Appendectomy nge-Laparoscopic (Ukuhlinzwa kwenziwe ngosizo lwekhamera) | Lena inqubo evame kakhulu namuhla. Akukho ukusikwa okukhulu esiswini. Esikhundleni salokho, kwenziwa ukusikwa okuncane okungu-1-3 eduze kwendunu. Ithubhu elincane elinekhamera (i-laparoscope) lifakwa ngokusikwa okukodwa, bese izithombe zibukwa esikrinini. Izinsimbi ezincane zifakwa ngezinye izimbobo ukuze kusikwe futhi kususwe i-appendix. Le nqubo ishiya izibazi ezincane kakhulu. |
| Vula i-Appendectomy (Ukuhlinzwa kwesisu kwendabuko) | Kwenziwa ukusika okukodwa okungaba amasentimitha angu-2-3 ubude ohlangothini olungezansi kwesokudla lwesisu. Le nqubo ingadingeka uma ukutheleleka kusakazeke esiswini sonke. Udokotela ohlinzayo ubheka ngqo i-appendix nendawo ezungezile, ahlanze ukutheleleka, asuse i-appendix, bese ethunga ukusika emuva. Lokhu kushiya isilonda esikhulu kancane. |
Ngezinye izikhathi, noma ngabe inqubo iqala ngendlela ye-laparoscopic, udokotela ohlinzayo kungase kudingeke ashintshele enkambisweni evulekile kuye ngesimo esingaphakathi. Lokhu kuhlinzwa kuvame ukuthatha cishe ihora.
Kwenzekani ngemva kokuhlinzwa?
Uma uhlinzwe nge-laparoscopic elula, ungase ukwazi ukuya ekhaya ngalobo busuku. Kodwa-ke, ngeke ukwazi ukushayela ngenxa yemiphumela ye-anesthesia, ngakho-ke uzodinga umuntu ozokushayela.
Kodwa uma i-appendix yakho iqhuma noma uhlinzwe ngokuvulekile, kuzodingeka uhlale esibhedlela izinsuku ezimbalwa ezengeziwe. Udokotela wakho uzoqhubeka nokuqapha isimo sakho futhi akunike ama-antibiotic ngemithambo yegazi. Uma unepayipi lokukhipha amanzi, lizosuswa ngaphambi kokuba uye ekhaya.
Yini okufanele uyenze uma ufika ekhaya? Yini okungafanele uyenze?
Ukuzinikela kwakho kubaluleke kakhulu ukuze ululame ngokuphelele.
Izinto okufanele zenziwe:
- Gcina indawo yokuhlinzwa ihlanzekile futhi yomile . Yinakekele njengoba kuqondiswe udokotela wakho.
- Yidla ukudla okumanzi noma okuthambile okulula ukukugaya ezinsukwini zokuqala. Kancane kancane jwayela ukudla okuvamile.
- Ungazikhandleli ngokweqile. Uma uhlinzwa ngokuvulekile, ukuma isikhathi eside kakhulu kungalimaza imisipha yesisu sakho.
- Uma ubona izimpawu zokutheleleka njengomkhuhlane , ukuvuvukala okuzungeze indawo eboshiwe, ukubomvu, noma ubomvu, shayela udokotela wakho ngokushesha.
Izinto okungafanele uzenze:
- Ungathathi noma yimuphi umuthi udokotela wakho angawuvumanga. Eminye imithi yokwelapha izinhlungu ingandisa ukopha .
- Ungangeni emanzini, ugeze emabhavini, noma ubhukude kuze kube yilapho izimbobo ziphola futhi izithungo zincibilika (noma kuze kube yilapho udokotela esusa izithungo).
- Gwema ukwenza imisebenzi ecindezela imisipha yesisu sakho. Nciphisa ukuphakamisa izinsimbi nokukhwela izitebhisi.
- Ungahlali embhedeni ngaso sonke isikhathi. Ukuvuka nokuhambahamba kusiza ukuvimbela ukujiya kwegazi nokubuyisela ukusebenza kwamathumbu.
Kufanele ngiphinde ngimbone nini udokotela?
Ngokuvamile kufanele ubone udokotela wakho ukuze ahlolwe ngemva kwamasonto amabili kuya kwamathathu. Kodwa-ke, uma uhlangabezana nanoma yiziphi izimpawu ezilandelayo, ungalindi utshele udokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela:
- Ukuvuvukala, ukubomvu , noma ukushintsha kombala eduze kwesilonda
- Imfiva
- Ubuhlungu obukhulu besisu
- Isifiso sokudla
- Ukuhlanza
Kungathatha cishe amasonto angu-4-6 ukululama ngokuphelele. Kodwa uma ulalela umzimba wakho futhi ulandela imiyalelo kadokotela wakho, ungabuyela empilweni evamile ngokushesha.
Umlayezo Wokuya Nawe Ekhaya
- I-appendicitis iyisimo esiphuthumayo sezokwelapha. Uma unezimpawu, ungalibali ukufuna ukwelashwa.
- Ukususwa kwe-appendectomy kuyindlela ephephile nephumelela kakhulu yokwelapha i-appendicitis.
- Kunezinhlobo ezimbili zokuhlinzwa: i-laparoscopic (ukusikwa okuncane) kanye ne-open (ukusikwa okukhulu). Ukululama kuyashesha ngokuhlinzwa kwe-laparoscopic.
- Ukulandela imiyalelo kadokotela ngemva kokuhlinzwa kubalulekile ukuze ululame ngokushesha.
- Ngemva kokususwa kwe-appendix yakho, ungaphila impilo evamile nenempilo ngaphandle kwezinkinga.
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