Ingabe uhlangothi lwesokudla lwesisu sakho luqale ukubuhlungu ngokuzumayo? Ukuze sibe neqiniso, ingabe ubuhlungu obukhulu obuqala esiswini esingezansi bese kancane kancane buqhubekela ohlangothini lwesokudla? Wake wazibuza ukuthi lokhu kungaba yi-appendicitis? Eqinisweni, abantu abaningi bake babhekana nalokhu. Ngakho-ke iyini ngempela i-appendicitis? Udokotela uyixilonga kanjani? Ake sixoxe ngalokhu ngendlela elula namuhla, ngendlela ongayiqonda.
Okokuqala, kuyini i-appendicitis?
Kalula nje, kukhona isitho esincane esifana nethubhu esingaba amasentimitha angu-2-4 ubude esixhunywe emathunjini ethu amakhulu. Lokhu kubizwa ngokuthi i-appendix. Uma lesi appendix sitheleleka, siqala ukuvuvukala. Leso yisimo esisibiza ngokuthi i-appendicitis .
Uma lokhu kungelashwa kahle, i-appendix evuvukele ingaqhuma. Uma lokhu kwenzeka, amagciwane akuyo angasakazeka esiswini futhi abangele isimo esibi esingasongela impilo. Ngakho-ke, kubaluleke kakhulu ukuqaphela lokhu. Ukwelashwa okuvamile kwalokhu ukususa i-appendix ngokuhlinzwa. Lokhu kubizwa ngokuthi i-appendixectomy . Ngemva kokususwa kwe-appendix, ungaphila impilo enempilo ngaphandle kwezinkinga.
Yiziphi izimpawu zokuqala ze-appendicitis?
Kubaluleke kakhulu ukuqaphela izimpawu ze-appendicitis ngokunembile, ukuze ukwazi ukufuna ukwelashwa ngokushesha. Lezi yizimpawu eziyinhloko.
| Isici | Incazelo |
|---|---|
| Ubuhlungu Besisu | Kuqala njengobuhlungu obungajabulisi eduze kwesisu. Phakathi namahora ambalwa, lobu buhlungu buya kancane kancane buye ohlangothini olungezansi lwesokudla lwesisu. Bese ubuhlungu buba bukhali futhi bube bukhulu. |
| Uhlobo lobuhlungu | Ubuhlungu bungase buhlale njalo. Ubuhlungu buyanda uma unyakaza, ukhwehlela, noma uthimula. Ama-painkiller awabuqedi ubuhlungu. |
| Ezinye izici |
|
Into ebaluleke kakhulu ukuthi, uma unalezi zimpawu, ikakhulukazi uma ubuhlungu besisu buqala ukuba bubi kancane kancane, ungabunaki.
Kungani kufanele ukhathazeke ngalezi zimpawu ngokushesha?
Njengoba ngishilo ekuqaleni, i-appendix ethelelekile ingaqhuma. Uma lokho kwenzeka, amagciwane angasakazeka esiswini futhi abangele ukutheleleka okukhulu okubizwa ngokuthi i-peritonitis . Lokhu kungaba yingozi empilweni. Yingakho kubalulekile ukufuna usizo lwezokwelapha ngokushesha nje lapho ubona izimpawu zokuqala.
Yiziphi izivivinyo ezenziwayo ukuze kutholakale i-appendicitis?
Udokotela angase asole i-appendicitis uma ezwa izimpawu zakho. Kodwa-ke, uzokwenza izivivinyo eziningana ukuze aziqinisekise. Isiphetho esinembile kakhulu asifinyelelwa ngokuhlolwa okukodwa nje, kodwa ngokuhlanganiswa kwezivivinyo eziningana.
1. Ukuhlolwa Komzimba
Lena yinto yokuqala ezokwenziwa. Udokotela uzocindezela kancane indawo yobuhlungu besisu sakho, ikakhulukazi ohlangothini lwesokudla. Uzohlola futhi ukuthi ubuhlungu buyanda yini uma ususa isandla sakho. Lokhu kuzokunikeza umbono ocacile ngomsuka wobuhlungu nokuthi kukhona yini ukuvuvukala kolwelwesi lwesisu.
2. Ukuhlolwa Kwegazi Nomchamo
- Ukuhlolwa kwegazi: Lokhu kwenzelwa ukuhlola ukutheleleka emzimbeni wakho. Inani elandayo lamaseli amhlophe egazini liwuphawu lokutheleleka. Izinga eliphakeme leprotheyini esabela ku-C libonisa nokuvuvukala emzimbeni.
- Ukuhlolwa komchamo: Lokhu kuhlolwa kusiza ekunqumeni ukuthi imbangela yobuhlungu besisu sakho iwukutheleleka komgudu womchamo noma okunye, njengamatshe ezinso.
3. Ukuhlolwa Kwezithombe
Lezi yizindlela ezinembile kakhulu zokuqinisekisa i-appendicitis.
- I-CT Scan:Lokhu kungathatha izithombe ezicacile zengaphakathi lesisu. Kunganquma ngokunembile ukuthi kukhona yini i-appendix evuvukile, ekhulisiwe, nokuthi kukhona yini ukuvuvukala okuzungezile. Lena ngokuvamile yindlela enembile kakhulu yokuxilonga i-appendicitis. Kodwa-ke, i-CT scan ivame ukwenziwa ukuhlola ukukhulelwa ngaphambi kokuba owesifazane osemdala wokuzala abe nakho.
- I-Ultrasound Scan: Lokhu akusebenzisi imisebe, kodwa kunalokho kusebenzisa amaza omsindo ukudala izithombe zangaphakathi kwesisu. Nakuba kungelona iqiniso njenge-CT scan, lena yindlela evame kakhulu esetshenziswa ukuxilonga i-appendicitis ezinganeni ezincane, abantu abadala abasebasha, kanye nabesifazane abakhulelwe. Kungasiza futhi abesifazane ukuthi bangaziboni ezinye izimbangela zobuhlungu besisu, njengokukhulelwa kwe-ectopic .
Kwenzekani ngesikhathi sokuhlolwa?
Ungase wesabe ngalezi zivivinyo, kodwa zilula kakhulu. Ake sibheke ukuthi kwenzekani esivivinyweni ngasinye.
| Ukuhlolwa | Kwenzekani? |
|---|---|
| Ukuhlolwa komzimba | Udokotela uzokulalisa embhedeni bese ehlola izingxenye ezahlukene zesisu sakho. Angase futhi akucele ukuthi ugobe noma uqondise omunye wemilenze yakho. |
| Ukuhlolwa kwegazi | Umhlengikazi noma udokotela we-phlebotomist uzofaka inalithi encane emthanjeni osengalweni yakho bese ekhipha igazi elincane. |
| I-CT Scan | Unganikwa uketshezi olukhethekile (udayi ohlukile) ukuze uluphuze, noma ungalufaka emthanjeni. Ngemuva kwalokho uzolala etafuleni ngenkathi isithwebuli sihamba nxazonke zakho. |
| Ukuskena kwe-Ultrasound | Uchwepheshe uzofaka ijeli ekhethekile ebusweni besisu sakho bese ehambisa idivayisi encane (i-transducer) phezu kwayo. |
Ithini imiphumela?
Ngemva kokufika kwemiphumela yokuhlolwa, udokotela uzoyihlanganisa yonke bese ekutshela ukuthi une-appendicitis noma cha.
- Uma amangqamuzana amhlophe egazi ebalweni legazi liphezulu, kuyisibonakaliso sokutheleleka.
- Uma umbiko womchamo ujwayelekile, uqinisekisa ukuthi ayikho imbangela eyisisekelo, njengokutheleleka komgudu womchamo.
- Uma ukuskena kukhombisa ukuthi i-appendix inkulu kuno-6 mm, inezindonga ezijiyile, futhi kukhona ukuvuvukala okuzungezile, kuqinisekiswa ukuthi i-appendicitis. Ngezinye izikhathi, ama-calcium deposits afana namatshe (ama-appendicoliths) angabonakala ngaphakathi kwe-appendix.
Kufanele ngibone nini udokotela ngokushesha?
I-appendicitis iyisimo esiphuthumayo sezokwelapha . Ngakho-ke ungayithathi kalula. Uma unezimpawu engizikhulumile ekuqaleni, ikakhulukazi uma ubuhlungu besisu sakho buqhubeka futhi buba bubi kakhulu, hamba uye e-Emergency Treatment Unit (ETU) yesibhedlela ngokushesha .
Ungazami ukucindezela ubuhlungu ngokuthatha imithi yokubulala izinhlungu ekhaya. Lokhu kuzofihla izimpawu kuphela futhi kwenze isimo sibe sibi kakhulu. Ukuthola ukuxilongwa okufanele kanye nokwelashwa ngokushesha okukhulu kungavimbela izinkinga ezinkulu.
Umlayezo Wokuya Nawe Ekhaya
- Uphawu oluyinhloko lwe-appendicitis ubuhlungu obubukhali obuqala nxazonke zenkaba bese buqhubekela ohlangothini lwesokudla lwesisu.
- Izimpawu ezifana nokulahlekelwa yisifiso sokudla, ukuhlanza, kanye nomkhuhlane omncane zingase zihambisane nobuhlungu.
- Lesi yisimo esiphuthumayo sezokwelapha. Uma i-appendix iqhuma, kungaba yingozi empilweni.
- Udokotela uzosebenzisa ukuhlolwa ngokomzimba, ukuhlolwa kwegazi nomchamo, kanye nokuskena kwe-CT noma i-ultrasound ukuqinisekisa lokhu.
- Uma usola ukuthi une-appendicitis, ungachithi isikhathi bese ubona udokotela noma uye esibhedlela ngokushesha.
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