Kuvamile ukuzizwa wesaba kancane lapho ingane yakho ithi, "Mama, isisu sami sibuhlungu." Esikhathini esiningi, sicabanga ukuthi ukudla okubi noma ukuphazamiseka okuncane kwesisu. Kodwa ngezinye izikhathi, lokhu buhlungu besisu okuvamile kungaba uphawu lwento okudingeka sikhathazeke kakhulu ngayo. I-appendicitis ingenye yezinkinga ezinjalo ezidinga ukunakekelwa okuphuthumayo. Abazali abaningi bayesaba ngoba bezwile ngayo, kodwa abazi kahle ukuthi iyini. Ngakho-ke namuhla, ake sixoxe ngayo kalula, ngendlela ongayiqonda.
Kuyini ngempela i-appendicitis?
Kalula nje, i-appendicitis ukutheleleka noma ukuvuvukala kwesitho esincane esibizwa ngokuthi i-appendix. Cabanga ngayo njengepayipi elincane, njengomunwe, elinamathele emathunjini akho amakhulu. Itholakala ohlangothini lwesokudla lwesisu sakho, ngaphansi nje kwesisu sakho.
Uma le ngxenye encane ibambeka ngesizathu esithile, amagciwane angakhula ngaphakathi kuyo futhi abangele ukutheleleka. Yilokho esikubiza ngokuthi i-appendicitis. Lesi yisimo esiphuthumayo sezokwelapha esidinga ukwelashwa ngokushesha . Ngoba uma singelashwa, le appendix ethelelekile ingaqhuma.
Lesi simo sivame ukwenzeka ezinganeni ezineminyaka ephakathi kweyi-10 neyi-18. I-appendicitis nayo iyimbangela ehamba phambili yokuhlinzwa okuphuthumayo ezinganeni.
Wazi kanjani ukuthi umntwana une-appendicitis?
Kunezimpawu eziningana ezibalulekile ezingakusiza ukuthi unqume ukuthi ubuhlungu besisu sengane bujwayelekile noma buyi-appendicitis. Kubalulekile ukuzazi lezi.
Uphawu oluyinhloko noluphawuleka kakhulu lwe-appendicitis yindlela ebangela ngayo ubuhlungu besisu. Ubuhlungu buvame ukuqala nxazonke kwenkaba . Bese kuthi, ngemva kwamahora ambalwa, ubuhlungu buqhubekela kancane kancane ohlangothini olungezansi lwesokudla lwesisu.
Lena yinto eyinhloko okudingeka sikhathazeke ngayo. Ubuhlungu bukhulu kangangokuthi kwenza kube nzima ngengane ukuhamba noma ukunyakaza. Ubuhlungu buyanda lapho igxuma noma ikhwehlela.
Ake sibheke ezinye izimpawu kuthebula elingezansi.
| Isibonakaliso | Incazelo |
|---|---|
| Isisu esibuhlungu | Ubuhlungu obuqhubekayo, obukhulayo obuqala nxazonke zenkaba bese buba ngakwesokudla kwesisu. |
| Isicanucanu nokuhlanza | Ngemva kokuqala kobuhlungu besisu, kungase kube nesicanucanu nokuhlanza. |
| Isifiso sokudla | Ingane yenqaba ngokuphelele ukudla. |
| Imfiva | Umzimba uvame ukuzizwa ushisa futhi ungase ube nomkhuhlane omncane. |
| Ubuhlungu lapho uthutha | Ubuhlungu buya bukhula uma uhamba, uhamba, ukhwehlela, noma ugxumagxuma. Ingane igoba phambili bese izama ukubamba isisu sayo. |
Uma ingane yakho inalezi zimpawu, ungahlali nje ekhaya ulinde, ucabanga ukuthi, "Mhlawumbe kuzoba ngcono." Bonana nodokotela ngokushesha.
Kungani izingane zithola i-appendicitis?
Imbangela evame kakhulu ye-appendicitis ukuvaleka kwe-appendix, lapho ixhumana khona namathumbu amakhulu. Kunezinto eziningana ezingabangela lokhu kuvaleka.
- Ingcezu yendle enamathele: Ngezinye izikhathi ingcezu yendle eyomile, efana netshe inganamathela kuleli payipi elincane.
- Ukutheleleka: Okunye ukutheleleka esiswini kungabangela ukuthi i-appendix ivuvuke futhi ivaleke.
- Izimuncagazi: Akuvamile ukuthi lokhu kubangelwe yizimo ezifana nokutheleleka yizibungu.
- Ezinye izimila: Lokhu kuvinjelwa kungabangelwa nezinto ezifana nezimila.
Kodwa ngezinye izikhathi i-appendicitis ingenzeka ngaphandle kwesizathu esisobala. Ngakho-ke, kunokuba uzame ukuthola ukuthi iyini imbangela, kubaluleke kakhulu ukuqaphela izimpawu bese ufuna ukwelashwa ngokushesha.
Kwenzekani uma lokhu kuba kubi kakhulu? (Izinkinga)
I-appendicitis akuyona isifo okufanele sithathwe kalula. Uma ingelashwa ngokushesha, ingaholela ezinkingeni ezinkulu.
Ingozi enkulu ukuqhekeka kwesithasiselo esithelelekile. Uma lokhu kwenzeka, wonke amagciwane kanye nendle engaphakathi kuzosakazeka kulo lonke umgodi wesisu.
- I-Peritonitis:Uma leli gciwane lisakazeka, lithelela ulwelwesi lwesisu. Lesi yisimo esibi kakhulu, esisongela ngisho nokuphila.
- I-Sepsis: Ukutheleleka kungangena egazini futhi kusakazeke emzimbeni wonke. Lesi futhi yisimo esibi kakhulu, esisongela ukuphila.
- Ithumba: Ngezinye izikhathi iqhubu eligcwele ubomvu (ithumba) lingakheka eduze kwe-appendix evuvukele.
Yingakho sithi uma unezimpawu ze-appendicitis, kufanele uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha .
Ungakuqinisekisa kanjani lokhu, dokotela?
Uma uyisa ingane yakho kudokotela, into yokuqala azoyenza ukukubuza ngezimpawu zengane yakho. Ubuhlungu buqale kanjani futhi bubuhlungu kuphi manje? Ngemuva kwalokho bazohlola isisu sengane. Bazohlola ukuthi ingane izwa ubuhlungu yini uma icindezela ohlangothini olungezansi kwesokudla lwesisu.
Ngaphezu kwalokho, kungenziwa izivivinyo eziningana ukuqinisekisa ukuxilongwa.
- Ukuhlolwa kwegazi: Hlola ukutheleleka emzimbeni.
- Ukuhlolwa komchamo: Qiniseka ukuthi azikho ezinye izimbangela, njengokutheleleka komgudu womchamo.
- Ukuskena nge-ultrasound: Lokhu kungabheka izitho ezisesiswini bese kunquma ukuthi i-appendix ivuvukele yini.
- I-CT scan: Ngezinye izikhathi i-CT scan ingadingeka ukuqinisekisa ukuxilongwa.
Ngemva kwalezi zivivinyo, udokotela unquma ukuthi lokhu kuyi-appendicitis noma cha nokuthi uzoyelapha kanjani.
Yiziphi izindlela zokwelapha?
Uma i-appendicitis iqinisekisiwe, izindlela ezimbili zokwelapha zingacatshangelwa.
Akuvamile kakhulu, uma ukutheleleka kuncane kakhulu, ama-antibiotic kuphela angase anele ukwelapha ukutheleleka. Kodwa ezimweni eziningi, ukwelashwa okungcono kakhulu nokuphephile ukususa i-appendix ethelelekile ngokuhlinzwa. Lokhu kuhlinzwa kubizwa ngokuthi i-appendectomy .
Lokhu kuhlinzwa kwenziwa ngezindlela ezimbili eziyinhloko.
| Indlela yokuhlinzwa | Indlela yokukwenza kanye nezinzuzo |
|---|---|
| Ukuhlinzwa kwe-Laparoscopic | Lokhu kubizwa nangokuthi ukuhlinzwa "kwe-keyhole". I-appendix isuswa ngokwenza imivimbo emincane emibili noma emithathu esiswini, ukufaka ikhamera ngeyodwa, nokusebenzisa amathuluzi afakwe kwezinye izimbobo. Izinzuzo: Isilonda esincane kakhulu , ubuhlungu obuncane, ukuphola okusheshayo, ukuhlala esibhedlela isikhathi esifushane. |
| Ukuhlinzwa Okuvulekile | Kwenziwa ukusika okukhulu kancane ohlangothini olungezansi kwesokudla lwesisu bese kususwa i-appendix. Le ndlela isetshenziswa ezimweni eziyinkimbinkimbi, njengalapho i-appendix iqhumile futhi ukutheleleka sekusakazeke kabanzi. Okubi: Kuthatha isikhathi ukuphola, kanti isilonda sikhulu. |
Ngaphambi kokuhlinzwa, ingane izonikezwa ama-antibiotics ngomthambo. Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile (ukulaliswa), ukuze ingane ingazizwa ubuhlungu. Ukuhlinzwa kuvame ukuthatha cishe ihora.
Ingabe ngizolulama ngokushesha ngemva kokuhlinzwa?
Iningi lezingane liyalulama ngokushesha ngemva kokuhlinzwa.
- Ukuhlala esibhedlela: Uma isimo singesibi kakhulu, ungase ukwazi ukuya ekhaya ngosuku olulodwa noma ezimbili. Uma ithumba seliqhumile, kungase kudingeke uhlale esibhedlela izinsuku ezimbalwa ukuze uthole ama-antibiotic.
- Ukululama: Uma ukuhlinzwa kwenziwe nge-laparoscopic, ingane ingabuyela emisebenzini evamile zingakapheli izinsuku ezingu-3-5. Uma ukuhlinzwa bekuvuliwe, ingane kuzodingeka iphumule cishe amasonto angu-1-2.
- Ukuya esikoleni: Ingane izokwazi ukubuyela esikoleni cishe ngesonto elilodwa ngemuva kokuhlinzwa kwe-laparoscopic, futhi cishe emavikini amabili ngemuva kokuhlinzwa okuvulekile.
Phakathi nalesi sikhathi, kufanele ugcine ingane yakho kude nemisebenzi efana nokugijima, ukugxuma, nokuphakamisa izinsimbi. Udokotela wakho uzokweluleka ngalokhu.
Qaphela lezi zimpawu ngemva kokuhlinzwa!
Uma ingane yakho ithola noma yiziphi zalezi zimpawu ngemva kokubuyela ekhaya, shayela udokotela wakho ngokushesha.
- Umkhuhlane futhi
- Uma ubuhlungu buba bubi kakhulu
- Uma ukuhlanza kuqhubeka
- Uma inxeba lokuhlinzwa livuvukile, libomvu, noma ubomvu buphuma
Lezi kungaba izimpawu zokutheleleka, ngakho-ke qaphela lokhu.
Umlayezo Wokuya Nawe Ekhaya
- Thola indlela yobuhlungu besisu: Uma ubuhlungu besisu sengane buqala enkabeni budlulele esiswini esingezansi kwesokudla, kungenzeka kakhulu ukuthi bube yi-appendicitis.
- Ungalibali: Uma unalezi zimpawu, ungazami ukuzelapha ekhaya, kodwa bonana nodokotela ngokushesha. I-appendicitis iyisimo esiphuthumayo.
- Akulona iphutha lakho: Akusikho njalo isizathu esicacile sokuthi kungani ingane ithola i-appendicitis. Akulona iphutha labazali. Into ebaluleke kakhulu ukuthatha isinyathelo ngokushesha uma ubona izimpawu.
- Ukwelashwa kulula futhi kuphephile: I-Appendectomy iyindlela yokuhlinzwa evamile kakhulu futhi ephephile namuhla. Ingane ilulama ngokushesha.
- Chaza ingane yakho kalula: Ungesabi ukutshela ingane yakho ngokuhlinzwa. Mtshele kalula nangothando, "Nginenkinga encane yesisu, futhi udokotela uzokwenza ukuhlinzwa okuncane ukuze akulungise. Kuzokwenziwa ngenkathi ulele. Ngeke kukuphathe kabi. Uma uvuka, umama nobaba bazoba seduze kwakho."
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