Ingabe nawe uzizwa ubuhlungu ngokuzumayo ohlangothini lwesokudla lwesisu sakho? Angazi ukuthi kuyi-appendicitis yini!

Wake wacabanga ukuthi ngaphakathi esiswini sakho, uma ngikhuluma iqiniso, ohlangothini lwesokudla lwamathumbu akho amakhulu, kukhona ingxenye encane efana nesikhwama cishe ubude bomunwe omncane? Yilokho esikubiza ngokuthi i-appendix . Ngokuvamile, akusikhathazi. Kodwa ngezinye izikhathi, uma le appendix ivuvukala futhi itheleleke, yilapho kuvela khona isimo esibizwa ngokuthi i-appendicitis . Lokhu kungaba kubi kakhulu, ngakho ake sixoxe ngakho namuhla.

Kungani i-appendicitis iyisimo esiphuthumayo kangaka?

Kalula nje, i-appendicitis ukuvuvukala kwe-appendix yakho. Cabanga nje, uma indle yakho, ehamba emathunjini akho amakhulu, inamathela emlonyeni walesi sithako esincane, noma uma igciwane elithile lingena bese lisithelela, isithako siqala ukuvuvukala. Uma lokhu kuvuvukala kuyanda, isithako singaqhuma! Yilokho okuyingozi kakhulu.

Uma i-appendix iqhuma, wonke amagciwane angaphakathi kwayo asakazeka esiswini. Lokhu sikubiza ngokuthi i-peritonitis . Lokhu kutheleleka kungasakazeka nasegazini futhi kubangele izimo ezifana ne-sepsis , ezingaba yingozi empilweni. Yingakho i-appendix isuswa ngokuhlinzwa (i-appendectomy) ngokushesha nje lapho kuvela i-appendicitis. I-appendix ayiyona into ebalulekile emzimbeni wethu, ngakho ngeke uzizwe ulahlekelwe ngemva kokususwa kwayo.

Kuyini i-appendicitis ebukhali nengamahlalakhona?

I-appendicitis ivame ukuba yisimo esibi kakhulu . Lokho kusho ukuthi iqala ngokuzumayo futhi iba yimbi ngokushesha. Lolu uhlobo lwe-appendicitis esikhuluma ngalo futhi esilubona kakhulu.

Kodwa-ke, kukhona nohlobo olungavamile kakhulu olubizwa ngokuthi i-chronic appendicitis . Kulesi simo, i-appendix ivuvukala kancane isikhathi eside, ngezikhathi ezithile. Kodwa ayibi yimbi kakhulu njengakwi-acute appendicitis. Ngakho-ke, ngezinye izikhathi kunzima ukuyixilonga. Kodwa-ke, noma yiluphi uhlobo lwe-appendicitis kufanele luthathwe ngokungathi sína. Uma unobuhlungu besisu obuqhubekayo futhi ungayazi imbangela, kufanele nakanjani ubone udokotela. Ngoba i-appendicitis engapheli nayo ingaba yimbi nganoma yisiphi isikhathi. Ngakho-ke, odokotela baphatha kokubili ngendlela efanayo.

Ivame kangakanani i-appendicitis?

I-appendicitis ebukhali iyisimo esivame kakhulu , ikakhulukazi kubantu abaneminyaka ephakathi kweyi-10 nengama-30. Ivame kakhulu ezinganeni ezincane, kodwa ingathinta nezingane ezincane. Emazweni afana ne-United States, cishe ama-5% abantu bazoba ne-appendicitis empilweni yabo. Iyimbangela ehamba phambili yokuhlinzwa okuphuthumayo kobuhlungu besisu. I-appendicitis engapheli yenzeka ngephesenti elincane kuphela, cishe i-1%.

Ziyini izimpawu ze-appendicitis?

Izimpawu eziyinhloko ze-appendicitis ubuhlungu besisu, isicanucanu, kanye nokulahlekelwa yisifiso sokudla.. Kukhona iphethini ethile yalezi zimpawu eyenza kube lula ukubona i-appendicitis. Kodwa, ngeshwa, ingxenye kuphela yabantu abane-appendicitis ekhombisa lezi zimpawu zakudala. Izingane ezincane, asebekhulile, kanye nabesifazane abakhulelwe bangase bazizwe ngendlela ehlukile lezi zimpawu ezivamile.

Izimpawu zokuqala ze-appendicitis

Yilokhu okuvame ukwenzeka:

1. Okokuqala, ubuhlungu buqala phakathi nesisu, eduze kwenkaba . Lokhu kungase kuhlale isikhathi esithile bese kudlula.

2. Ngemva kwamahora ambalwa, ubuhlungu buba bukhulu kakhulu, bese kuqala isicanucanu nokuhlanza .

3. Ngemva kwamahora ambalwa, isicanucanu siyaphela bese ubuhlungu budlulela ohlangothini olungezansi kwesokudla lwesisu , lapho kukhona khona i-appendix. Ubuhlungu bugxile endaweni eyodwa futhi buyaqhubeka nokukhula.

Ezinye izimpawu ezingaba khona

Abanye abantu bangase babe nalezi zimpawu kamuva:

• Umkhuhlane: Cishe abantu abangu-40% bangase babe nomkhuhlane. Lokhu kusho ukuthi amasosha omzimba wakho aqala ukusebenza. Noma kungenzeka ukuthi ukuvuvukala kuyanda futhi ukutheleleka kuyasakazeka.
• UMalaise: Ungase uzizwe ungaphilile, ungenasithakazelo kunoma yini, futhi uzizwe sengathi ungalala embhedeni. Njengalapho ugula.
• Ukukhukhumala/ukuqunjelwa kwesisu: Isisu sakho singase sizizwe sikhukhumele noma sigcwele. Lokhu ngokuvamile kuyisibonakaliso esingesibi kangako, futhi kungaba uphawu lokuthi i-appendix yakho iqhumile.
• Izinkinga zomchamo: Ungase uzizwe sengathi udinga ukuchama njalo noma ngokuzumayo uzizwe udinga ukuchama. Lokhu kungenzeka uma imizwa exhunywe kwesinye ivuselelwa yi-appendicitis.
• Ukukhubazeka kwamathumbu: Uma ukugeleza kwegazi kuya ku-appendix kuguqulwa, ukusebenza kwamathumbu kungase kume okwesikhashana. Abanye abantu bangase babe nokuqunjelwa kanye nobunzima bokuphuma komoya. Bangase babe nomuzwa wokuthi inkinga izophela uma bephuma indle.
• Uhudo: Abanye abantu bangase babe nokusebenza kakhulu kwamathumbu kanye nokunyakaza kwamathumbu njalo. Lokhu kungase kube ngenxa yokuvuvukala kwe-appendix, okungase futhi kuvuselele amathumbu amakhulu aseduze.

Ungakwazi yini ukuhlola i-appendicitis ekhaya?

Uma usola ukuthi une-appendicitis, kufanele nakanjani ubone udokotela ukuze ayihlole. Kodwa-ke, kunezimpawu ezimbalwa odokotela abazisebenzisayo ukusiza ekuxilongeni i-appendicitis. Indawo yobuhlungu ibaluleke kakhulu. Kuvamile ukuthi buqale esiswini esingezansi kwesokudla bese budlulela ohlangothini olungezansi kwesokudla. Kodwa-ke, abanye abantu bangase bezwe ubuhlungu kwezinye izindawo. Odokotela bafuna izinto ezinjengalezi:

• Uphawu lukaMcBurney:Iphuzu likaMcBurney yilapho i-appendix ivame ukutholakala khona. Uma ibuhlungu uma uyicindezela, yilokho udokotela azokufuna kuqala. Ungalithola leli phuzu ngokudweba umugqa osuka ethanjeni lakho lenqulu uye esinqeni sakho, cishe ingxenye yesithathu yendlela eya phansi (cishe amasentimitha amabili) ukusuka kulowo mugqa.
• Isibonakaliso sikaBlumberg: Ubuhlungu obandayo uma ucindezela indawo ebuhlungu bese ususa isandla sakho. Lokhu kubizwa nangokuthi i-rebound tenderness .
• Isibonakaliso sikaDunphy: Ubuhlungu obukhulayo lapho ukhwehlela.
• Uphawu lukaRovsing: Ubuhlungu ohlangothini lwesokudla lwesisu uma ucindezela ohlangothini lwesobunxele.
• Isibonakaliso se-Psoas: Uma i-appendix yakho ingemuva (hhayi phambi) kwamathumbu akho amakhulu, i-appendicitis ingase ithinte imisipha yakho ye-psoas . Ungase uzwe ubuhlungu ngokugoba inqulu yakho yesokudla. Uma udokotela ezama ukwelula noma ukuzungeza inqulu yakho yesokudla ngaphandle, kubizwa ngokuthi uphawu lwe-psoas . Uma kubuhlungu uma uyizungeza ngaphakathi, kubizwa ngokuthi uphawu lwe-obturator .

Into ebaluleke kakhulu: Ngisho noma uqaphela lezi zimpawu, ungazami ukuzixilonga. Uma unobuhlungu besisu obungavamile, bheka udokotela ngokushesha.

Yiziphi ezinye izifo ezingadidaniswa ne-appendicitis?

Izimpawu ze-appendicitis zingafana nezinye izimo eziningi, ikakhulukazi kwabesifazane. Ngenxa yokuthi isisu sakho esingezansi siseduze nomgodi wakho we-pelvic, izimo ezithinta izitho zakho ze-pelvic zingase zifane ne-appendicitis. Lezi zitho zifaka phakathi uhlelo lwakho lomchamo kanye nohlelo lokuzala lwabesifazane. Ezinye izitho zesisu ezingezansi nazo zingathinteka.

Ezinye izifo ezingadidaniswa kalula ne-appendicitis yilezi:

• Isifo sokuvuvukala kwe-pelvic (PID)
• I-Endometriosis
• I-cyst yesibeletho
• Itshe lezinso
• Ukutheleleka komgudu womchamo (UTI)
• I-Pancreatitis
• Isifo samathumbu esivuvukalayo (IBD)
• I-Diverticulitis yekholoni
• I-Gastroenteritis (ukutheleleka kwamathumbu)
• Ukuvinjelwa kwamathumbu

Ziyini izimbangela ze-appendicitis?

Ngenxa yobukhulu be-appendix kanye nendlela etholakala ngayo, ingavinjelwa kalula futhi itheleleke. Amathumbu akho amakhulu ayikhaya lamagciwane amaningi. Uma amabhaktheriya amaningi kakhulu ebhajwa ngaphakathi kwe-appendix, anganda futhi abangele ukutheleleka. Ngezinye izikhathi i-appendicitis iqala ngokutheleleka, futhi ngezinye izikhathi ukutheleleka kuba okwesibili. Lapho i-appendix ivuvukala, ukuvuleka kwayo kungavaleka, okuvumela amabhaktheriya amaningi ukuthi abhajwe ngaphakathi.

Ezinye zezimbangela eziyinhloko zokuvuvukala, ukuvaleka, kanye nokutheleleka kwe-appendix yilezi:

• Amatshe esithako / Ama-Fecalith / Ama-Appendicolith: Izingcezu zendle eqinile, egcwele i-calcium (ebizwa nangokuthi ama-fecalith noma ama-appendicolith ) zingahlala ku-appendix. Ziqukethe amabhaktheriya futhi zingabamba namabhaktheriya asevele ekhona ngaphakathi.
• I-Lymphoid hyperplasia: Uhlelo lwe-lymphatic , oluyingxenye yesimiso sakho somzimba sokuzivikela, lukhiqiza amangqamuzana amhlophe egazi bese luwakhipha ezicutshini zakho ukuze lulwe nokutheleleka. Lokhu kungabangela ukuthi ama-lymph node ase-appendix yakho avuvuke, noma ngabe kukhona ukutheleleka kwenye indawo emzimbeni wakho. Lesi zicubu ezivuvukele zingavimba i-appendix futhi zibangele ukutheleleka ngaphakathi.
• I-Colitis: Ukuvuvukala kwekholoni , kungakhathaliseki ukuthi kubangelwa ukutheleleka noma isimo esifana ne -IBD , kungathinta i-appendix. Ukutheleleka kungasakazeka, futhi ukuvuvukala kungacasula i-appendix.

Ezinye izimbangela ezingaba khona ze-appendix evinjiwe zifaka:

• Amathumba
• Izimuncagazi
• I-cystic fibrosis

Kungani kwenzeka i-appendicitis engapheli?

Umqondo ngemuva kwe-appendicitis engapheli ukuthi into ethile ibangela ukuvuvukala okuncane isikhathi eside. Kungaba yisimo sesikhathi eside njenge -IBD , noma kungaba ukukhula ngokweqile kwamagciwane. Noma kungaba ukuvaleka kwe-appendix okubambekayo bese kubuya. Ukuvuvukala kwesikhathi eside kungaholela ku- lymphoid hyperplasia , noma ngokuhamba kwesikhathi, izicubu zesibazi ku-appendix.

Ingabe i-appendicitis iwufuzo?

Uma othile emndenini wakho eke waba ne-appendicitis, ungase ube sengozini enkulu yokuba nayo. Kodwa imbangela eqondile ayicaci. I-appendicitis ngokwayo ayilona ufuzo, kodwa ezinye zezinto eziyibangela zingase zibe nethonya lofuzo.

Ingabe ukucindezeleka kungadala i-appendicitis?

Amathuba okuthi lokhu kwenzeke mancane kakhulu. Kodwa-ke, ukucindezeleka okukhulu ngokomzimba okubangelwa ukugula okukhulu kungabangela ukwehla kokugeleza kwegazi emathunjini (ischemia yamathumbu) . Lesi simo , esibizwa ngokuthi i-ischemic colitis, asivamile ukuthinta i-appendix.

Ingabe ukudla kungabangela i-appendicitis?

Kube nemibiko engavamile yokuthi imbewu noma inanazi elingagayeki libhajwe ku-appendix, okubangela ukuvuvukala. Kodwa-ke, ngokuvamile, ukudla okune-fiber ephezulu kunciphisa ingozi ye-appendicitis.

Yiziphi izinkinga ezingaba khona ze-appendicitis?

I-appendicitis ingaholela ngokushesha ezinkingeni ezinkulu kakhulu . Yingakho odokotela beyibheka njengesimo esiphuthumayo. Izinkinga zingaba zimbi kakhulu ngokuhamba kwesikhathi, kodwa azihlali zenzeka ngendlela efanayo.

Izinkinga (izigaba) zingaba kanje:

• Ukwehla kokugeleza kwegazi kanye nokufa kwezicubu (Ischemia kanye ne-necrosis): Ukuvuvukala okukhulu kwe-appendix kubangela ukuthi ukuhlinzekwa kwegazi kuyo kume (ischemia) , okubangela ukuvuvukala okwengeziwe, futhi ekugcineni izicubu ziqale ukufa (necrosis) .
• Ukubhoboka/ukubhoboka: Lapho izicubu ziqala ukufa, ukutheleleka kungasakazeka. Kungasakazeka ngaphakathi njenge -gangrene , noma kungasakazeka ngokushesha ngokuqhekeka noma ukubhoboka kwe-appendix.
• Ithumba/i-phlegmon: Ekuqaleni, ukutheleleka kungase kungasabalali ngale kwe-appendix. Kungase kukhule njengethumba ngaphandle kwe-appendix. Noma iqhubu elibizwa ngokuthi i-phlegmon lingakheka nxazonke kwe-appendix. La maqhubu angase abe nokutheleleka, kodwa angaqhuma.
• I-Peritonitis kanye nokutheleleka okusabalalayo: Lapho ukutheleleka kusakazekela olwelwesini lwesisu (i-peritoneal cavity - i-peritonitis) , kungasakazekela kwezinye izitho futhi ekugcineni kufinyelele egazini (i-septicemia) . Uma ukutheleleka kusakazekela egazini, kungabangela izimo ezifana ne -sepsis kanye ne-septic shock , okungaba yingozi empilweni.

I-appendicitis itholakala kanjani?

Udokotela uzokubuza ngobuhlungu bakho kanye nezinye izimpawu. Bazokwenza ukuhlolwa ngokomzimba ngokucophelela futhi babheke izimpawu zomzimba ze-appendicitis (isibonelo, ubuhlungu lapho ucindezela isisu sakho, iqhubu eliqinile esiswini sakho). Uma unezimpawu ezivamile, bazokwazi ukuxilonga lesi simo ngokushesha. Ngaphandle kwalokho, kuzodingeka benze izivivinyo ezengeziwe ukuqinisekisa i-appendicitis.

Yiziphi izivivinyo ezisetshenziswa ukuxilonga i-appendicitis?

Ukuhlolwa kwe-appendicitis kuvame ukufaka ukuhlolwa kwegazi kanye nokuhlolwa kwezithombe . Ukuhlolwa kwegazi kungabonisa izimpawu zokuvuvukala (isib. ukwanda kwenani lamaseli amhlophe egazi , ukwanda kweprotheni esabela ku-C ) futhi kungasiza ekutholeni ukutheleleka. Kungenziwa i -ultrasound yesisu noma i-CT scan.Ukuhlolwa kwezithombe, njengokwesinye, kungabonisa ukuthi i-appendix ivuvukele yini. Udokotela angase futhi acele ukuhlolwa okwengeziwe ukuze anqume ezinye izimo.

Ingabe i-appendicitis ingazilungisa ngokwayo?

Kungenzeka, kodwa akunakwenzeka neze. Uma imbangela ye-appendicitis inyamalala ngokuzumayo, ingase ixazululeke yodwa. Isibonelo, uma okuthile okubhajwe ku-appendix kudlula emathunjini, noma uma ukutheleleka okubangele ukuvuvukala kwama-lymph node kuxazululeka ngokuzumayo. Kodwa-ke, ungacabangi ukuthi lokhu kuzokwenzeka, noma ubuhlungu buphela.

Yiziphi izindlela zokwelapha i-appendicitis?

Ngenxa yokuthi i-appendicitis iyisimo esiphuthumayo, yelashwa egumbini lezimo eziphuthumayo. Ukwelashwa okuvamile kuhlanganisa kokubili imithi kanye nokuhlinzwa. Kodwa-ke, ezimweni ezingavamile kakhulu, imithi yodwa inganele.

Imithi

Cishe wonke umuntu one-appendicitis kuzodingeka anikezwe ama-antibiotic . Ngisho noma ungenalo ukutheleleka kwasekuqaleni, i-appendicitis ivame ukubangela ukutheleleka. Kuvamile ukunikezwa ama-antibiotic ngaphambi kokuhlinzwa ukuze kuvinjelwe ukutheleleka.

Uma unecala elincane kakhulu le-appendicitis, udokotela wakho angase anqume ukukunikeza ama-antibiotics futhi aqaphele izimpawu zakho. Uma usengozini enkulu yokuhlinzwa, ungase uthande ukucabangela le nketho. Kodwa-ke, odokotela abavamile ukuncoma le nketho ngoba uma i-appendicitis ingasuswa, amathuba okuthi i-appendicitis ibuye aphakeme.

Ungase udinge futhi ukuqeda ubuhlungu . Lokhu kunganikezwa nge- IV (usawoti ofakwa emthanjeni ongalweni yakho) . Uma uhlinzwa, uzonikezwa i-anesthesia ejwayelekile , ngakho ngeke uzizwe kahle ngesikhathi sokuhlinzwa.

Ukuhlinzwa

Uma usuthole ukuthi une-appendicitis, isikhathi sibaluleke kakhulu. I-appendix yakho ingaqhuma zingakapheli amahora angu-36 kusukela kuzimpawu zakho zokuqala. Odokotela abahlinzayo bavame ukuhlela ukuhlinzwa kwe-appendectomy zingakapheli amahora angu-24 kusukela kutholakale ukuthi unayo. I-appendectomy ingenye yokuhlinzwa okuvamile okwenziwa emhlabeni wonke. Odokotela abahlinzayo bavame ukukwenza ngamasu angangenisi kakhulu, njengokuhlinzwa kwe-laparoscopic . Okusho ukuthi, ukuhlinzwa okuhilela ukwenza izingcezu ezimbalwa ezincane esiswini nokufaka ikhamera namathuluzi abucayi.

Uma unezinkinga, udokotela ohlinzayo uzozelapha ngesikhathi sokuhlinzwa. Uma kunezinkinga, kungadingeka ukuthi uhlinzwe isisu. Ngemva kokuhlinzwa, bazogeza futhi bahlanze ingaphakathi lesisu sakho ngesisombululo esingenamagciwane.

Akukho miphumela emibi ngemva kokususa i-appendix. Odokotela abaqiniseki nokuthi i-appendix yenza noma yini. Uma ikwenza, incane kakhulu. Mhlawumbe iyasiza ekwenzeni ama-antibodies ebuntwaneni.

Kuthatha isikhathi esingakanani ukululama ngemva kokuhlinzwa kwe-appendectomy?

Uma wenze i-laparoscopic appendectomy elula, ungase ukwazi ukuya ekhaya ngalolo suku. Uma ube nezinkinga, noma uma wenze ukuhlinzwa okuvulekile, kungase kudingeke uhlale esibhedlela izinsuku ezimbalwa ezengeziwe. Ungase udinge imithi yezinhlungu ezinsukwini ezimbalwa zokuqala ngemva kokuba ubuyele ekhaya. Iningi labantu liyalulama ngokuphelele emavikini ayisithupha.

Iyini ikusasa lalesi simo?

Uma ubanjwe futhi welashwa kusenesikhathi, isimo siba sibi kakhulu. Iningi labantu liyalulama ngokushesha nangokuphelele. Uma uke waba ne-appendicitis eyinkimbinkimbi, isikhathi sakho sokululama singase sibe side kancane. Kungase kudingeke uthole ukwelashwa okuphindaphindiwe kwezifo ezisakazeke ngale kwe-appendix. I-appendicitis elashwe ngama-antibiotics kuphela inengozi engu-40% yokuphinda ivele. I-appendicitis engelashwanga inengozi engu-50% yokufa.

Kunini lapho kufanele uthole khona iseluleko sezokwelapha nge-appendicitis?

I-appendicitis ihlala iyisimo esiphuthumayo!

Uma unezinye zalezi zimpawu noma izimpawu ze-appendicitis, funa iseluleko sezokwelapha ngokushesha:

• Ubuhlungu ohlangothini olungezansi kwesokudla lwesisu.
• Uma ubuhlungu besisu bukhula kancane kancane.
• Uma unesicanucanu kanye/noma umkhuhlane kanye nobuhlungu besisu.
• Uma kubuhlungu uma ucindezela isisu sakho noma ubeka isandla sakho kuso.

Cishe awukaze ucabange nge-appendix yakho kuze kube yilapho ibuhlungu ngolunye usuku. Uma lokho kwenzeka, asikho isikhathi sokulinda – udinga ukuya esibhedlela ngokushesha. I-appendicitis iyingozi kakhulu, kodwa ivamile. Uma udinga ukuhlinzwa okuphuthumayo, usezandleni ezinolwazi. Uma lokhu sekuphelile, ngeke uphinde ukhathazeke nge-appendicitis.

Izinto okufanele sizikhumbule kule ndaba (Umyalezo Ohamba Nawo Ekhaya)

Kulungile, ake siphinde sixoxe ngezinto ezibaluleke kakhulu esikhulume ngazo:

• I-appendicitis iyisimo esiphuthumayo. Uma unezimpawu ezifana nobuhlungu obukhulu ohlangothini olungezansi kwesokudla lwesisu sakho, isicanucanu, kanye nomkhuhlane, kungaba yi-appendicitis.
• Ungachithi isikhathi. Uma unezimpawu, bona udokotela ngokushesha. Ngoba akuthathi isikhathi eside ukuthi i-appendix iqhume.
• Kunezindlela zokwelapha. Inqubo evame kakhulu ukususa i-appendix ngokuhlinzwa (i-appendectomy) . Lokhu kuvame ukwenziwa ngokusika okuncane (i-laparoscopic) .
• Kungelapheka. Uma uthola ukwelashwa ngokushesha, ungalulama ngokuphelele futhi ubuyele empilweni evamile.
• Ungesabi, kodwa qaphela. Kubalulekile ukuqaphela i-appendicitis. Thatha isinyathelo ngokushesha nje lapho usola izimpawu.

Ngithemba ukuthi lolu lwazi luwusizo. Hlala uphilile!

I - Appendicitis, ubuhlungu besisu, i-appendix, ubuhlungu besisu, ukususwa kwe-appendix, ukuhlinzwa okuphuthumayo, i-peritonitis