Ingabe uzwa ubuhlungu obungazelelwe endaweni eyodwa esiswini sakho? Ingabe kungaba yi-Epiploic Appendagitis?

Wake waba nobuhlungu obungazelelwe, obubukhali esiswini sakho? Kunjengokungathi ungabukhomba ngomunwe wakho. Sivame ukwesaba ngezikhathi ezinjengalezi, akunjalo? Esinye isizathu salokhu yisimo esingaziwa kahle, kodwa okufanele ukwazi ngaso. Lokhu kubizwa ngokuthi i-Epiploic Appendagitis. Nakuba igama lingase lizwakale lingavamile, ake silichaze kalula.

Ngakho-ke iyini i-Epiploic Appendagitis?

Kalula nje, i-Epiploic Appendagitis ukuqala ngokuzumayo kobuhlungu esiswini sakho. Igama lisho " ukuvuvukala kwe-epiploic appendix." Kulungile, manje usuzibuza ukuthi ziyini lezi "epiploic appendages". Ziyizinhlayiya ezincane ezinamafutha ezilenga ngaphandle kwekholoni yethu. Cabanga ngazo njengezingcezu ezincane zamagilebhisi ezilenga emvinini.

Ngakho-ke, kwenzekani uma le ngxenye encane yamafutha (i-epiploic appendage) iphenduka ngokuzumayo (torsion)? Bese igazi eliya kuyo linqamuka. Cabanga ngepayipi lamanzi elijikijelwe ngokuqinile endaweni eyodwa. Khona-ke amanzi ngeke ageleze kulo, akunjalo? Yilokho okwenzekayo lapho le ngxenye enamafutha ijikijelwe. Lapho igazi linqamuka, leyo ngxenye iyavuvukala, okusho ukuthi iyavuvukala, ibe bomvu, futhi ibangele ubuhlungu. Yilokho ubuhlungu obuzwayo esiswini sakho.

Esikhathini esiningi, lobu buhlungu bufika ngokuzumayo. Ungabona ngqo ukuthi bubuhlungu kuphi. Kodwa ngenxa yokuthi lesi simo asivamile, ngisho nodokotela ngezinye izikhathi bangasididanisa nezinye izimo ezibangela ubuhlungu besisu obuvamile. Isibonelo:

• I-Appendicitis - Lokhu kusho ukuvuvukala kwe-appendix.
• I-Cholecystitis - Lokhu kusho ukuvuvukala kwenyongo.
• I-Diverticulitis - Lokhu ukuvuvukala kwezikhwama ezincane odongeni lwamathumbu amakhulu.

Ivame kangakanani i-Epiploic Appendagitis?

Kunzima ukusho ukuthi lokhu kuvame kangakanani, ngoba ngokuvamile kungatholakali. Abacwaningi balinganisela ukuthi cishe u-1% wabantu abalaliswe esibhedlela ngenxa yobuhlungu besisu obungazelelwe bangaba nalesi simo. Futhi, cishe u-5% wabantu abatholakale benesifo se-diverticulitis noma i-appendicitis empeleni banalokho okubizwa ngokuthi i-epiploic appendagitis. Lokho kusho ukuthi ngezinye izikhathi, nakuba singase sicabange ukuthi kuyinto engathí sina, imbangela ingaba yinto elula njengale.

Ingabe i-Epiploic Appendagitis iyisimo esibucayi?

Nansi into ebalulekile: I-Epiploic appendagitis ngokuvamile ayisona isimo esibucayi.Kodwa, njengoba kushiwo ngaphambili, inkinga ukuthi ingadidaniswa nezinye izimo ezingathi sína. Ngokungafani nezinye izimo, lokhu kuvame ukuxazululeka ngaphandle kokwelashwa okuqondile. Iqhubu elinamafutha elivuvukele (i-epiploic appendage) liyoma ngokuhamba kwesikhathi, liba lukhuni, bese ekugcineni liphuma emathunjini amakhulu. Kokubili ukuvuvukala nobuhlungu kuyaphela.

Ngakho khumbula, lokhu akusikho okufanele ukhathazeke ngakho. Kodwa-ke, uma uzwa ubuhlungu esiswini, kubalulekile ukufuna iseluleko sikadokotela.

Yini ebangela lokhu?

Kunezinhlobo ezimbili eziyinhloko zezimbangela ze-Epiploic Appendigitis: izimbangela eziyinhloko kanye nezimbangela zesibili.

Izimbangela eziyinhloko

Lezi yizinto eziqala ngaphakathi kwaleso siqeshana esinamafutha (i-appendage).

• Ukugoba: Isikhathi esiningi (cishe u-75%) lesi simo sibangelwa ukugoba kwamafutha ashiwoyo. Ngenxa yalokhu kugoba, ukuphakelwa kwegazi kuwo cishe kunqanyulwa ngokuphelele, futhi izicubu ziyafa ngenxa yokulahlekelwa ukuphakelwa kwegazi . Lokhu kubizwa ngokuthi (i-Infarction) kwisayensi yezokwelapha.
• I-Thrombosis: Akuvamile kakhulu ukuthi ihlule legazi lakheke emthanjeni kulezi zinqwaba zamafutha, livimbele ukuhamba kwegazi .

Izimbangela zesibili

Lezi yizona ezingavamile kakhulu. Okwenzekayo ukuthi leli qatha lamafutha lithintwa yinkinga kwenye indawo.

• Ukutheleleka okusabalala kusuka kwenye indawo: Isibonelo, uma kukhona ukutheleleka kwenye indawo esiswini, kungasakazekela kulesi sigaxa esinamafutha.
• Ukuvuvukala kwezicubu ezizungezile okubangela ukuba iqhubu lamafutha likhukhumale: Ngezinye izikhathi, lapho izicubu ezizungezile zikhukhuma, kungabangela ukuba iqhubu lamafutha likhukhumale futhi kubangele izinkinga.

Ubani osengozini enkulu yalokhu?

Ucwaningo oluthile lubonise ukuthi abantu abathile banamathuba amaningi okuthola i-Epiploic Appendigitis. Ake sibone ukuthi bangobani.

• Abantu abanokukhuluphala ngokweqile : Lokhu kungenzeka ngoba la maseli amafutha angaba makhulu nakubantu abanamafutha amaningi emzimbeni.
• Abantu abane-hernia: I-hernia iwukuphuma kwesitho sangaphakathi noma izicubu endaweni ebuthakathaka emzimbeni.
• Abantu abane-diverticulosis (izikhwama ezincane emathunjini amakhulu): Ingozi nayo iphakeme kulesi simo.
• Abantu abavivinya umzimba kakhulu: Ngezinye izikhathi, izinto ezinjengalezi zingenzeka ngisho noma uvivinya umzimba kakhulu kunalokho ocabanga.
• Abantu abaseminyakeni ephakathi (abaphakathi kweminyaka engama-40-50): Abantu abakuleli qembu leminyaka babona okungaphezulu.
• Uhlangothi lwabesilisa:Kuthiwa lokhu kuvame kakhulu phakathi kwabesilisa kunabesifazane.

Kodwa akubona bonke abantu ababhekana nalokhu ngoba nje benalezi zinto eziyingozi , futhi kungavela nakumuntu ongenazo lezi zinto.

Ziyini izimpawu zalokhu?

Uphawu oluyinhloko ubuhlungu engxenyeni eyodwa yesisu. Lokhu kungaqala ngokuzumayo futhi kuhlale amasonto amaningana. Izitho ze-epiploic zitholakala engxenyeni engezansi yekholoni yethu. Ngakho-ke, lobu buhlungu buvame ukuzwakala engxenyeni engezansi yesisu. Abantu abathathu kwabane bathi banobuhlungu engxenyeni engezansi yesisu. Futhi abangaphezu kwengxenye bathi busehlangothini lwesobunxele.

Lobuhlungu buchazwa kanje:

• Kubukhali: Njengokugwaza ngommese.
• Okuqhubekayo: Okuqhubekayo, noma ngabe kukhona ushintsho noma cha.
• Okukhulu: Okukhulu kangangokuthi kunzima ukukuthwala.

Futhi, ubuhlungu bungakhula ngezikhathi ezifana nalezi:

• Uma ukhwehlela
• Uma welula umzimba
• Uma uphefumula kakhulu

Ngaphezu kwalokhu buhlungu, ezinye izimpawu eziningana zingabonakala:

• Ukuqapha: Cabanga uma othile ezama ukuthinta isisu sakho, ubuzoqinisa ngokuzenzakalelayo indawo, njengokungathi uyimboza ngesandla sakho. Yilokho esikubiza ngokuthi 'ukuqapha'.
• Ubuhlungu obubuyela emuva: Lapho udokotela ekucindezela isisu sakho bese esusa isandla sakhe ngokuzumayo, ubuhlungu bubonakala bukhula kakhulu kunangaphambili.
• Isisindo esizwakalayo: Ngezinye izikhathi iqhubu elinamafutha elivuvukele (i-appendage) lingavuvukala kangangokuthi lizwakale njengeqhubu uma lithintwa ngaphandle.

Lezi zimpawu zifana nezimpawu zezifo okukhulunywe ngazo ngaphambili njenge-appendicitis, i-cholecystitis, kanye ne-diverticulitis. Kodwa-ke, kulezo zifo, kuvame ukuba nezimpawu ezengeziwe ezifana nomkhuhlane, isicanucanu , nokuhlanza . Ngakho-ke, uma unobuhlungu obukhulu endaweni eyodwa esiswini kanje, kodwa ungenazo lezo zimpawu ezengeziwe (njengomkhuhlane nokuhlanza), udokotela angase asole i-Epiploic Appendagitis.

Ukuthola kanjani lokhu?

Udokotela we-X-ray angenza i-ultrasound scan noma i-CT scan (i-computed tomography scan).Thola lesi simo njenge-Epiploic Appendagitis.** I-epiploic appendix enempilo ngokuvamile ayibonakali kulezi ziskeni. Kodwa-ke, esivuvukile singabonakala ngokucacile. Lokhu kungenxa yokuthi ukuvuvukala kubangela ukuthi sigcwale uketshezi futhi sibonakale sikhanya kuskeni. Sibonakala njengenqwaba emise okweqanda lapho ubuhlungu bukhona khona.

Yikuphi ukwelashwa okungcono kakhulu kwalokhu?

Odokotela bavame ukuqala ngokunikeza imithi yokulwa nokuvuvukala engeyona eye-steroidal (ama-NSAID) . Le mithi inciphisa ukuvuvukala nobuhlungu. Isibonelo, i-ibuprofen. Uma kudingeka, eminye imithi yokubulala izinhlungu inganikezwa ngaphezu kwalokho. Iningi labantu lithola impumuzo ngokushesha ngale mithi. Uma lokhu kungasizi, ezimweni ezingavamile, kungase kudingeke ukuhlinzwa ukuze kususwe i-appendix evuvukele.

Ngokuvamile kuthatha isikhathi esingakanani ukuthi i-Epiploic Appendigitis iphole?

Ngisho noma kungekho ukwelashwa, izimpawu ze-Epiploic Appendagitis azivamile ukuhlala isikhathi esingaphezu kwesonto. Kwezinye izimo, zingahlala amasonto amane. Kodwa-ke, ngemithi, izimpawu zivame ukuphela zingakapheli izinsuku ezimbalwa. Ngakho-ke, akukho okufanele ukhathazeke ngakho.

Kunini lapho kudingeka khona ukuhlinzwa?

Ukuhlinzwa kwe-epiploic appendagitis akuvamile kakhulu. Kodwa-ke, uma izimpawu zakho zingathuthuki nhlobo, noma uma kusenokungabaza ngokutholakala kwakho, udokotela wakho kungadingeka abheke ngaphakathi esiswini sakho ukuze athole imbangela yangempela yobuhlungu bakho obuqhubekayo.

Basebenzisa inqubo yokuhlinzwa engangenisi kakhulu ebizwa ngokuthi i-laparoscopy ukwenza lokhu. Kule nqubo, udokotela ohlinzayo wenza izimbobo ezintathu noma ezine ezincane (cishe ingxenye yesentimitha) esiswini sakho bese efaka ikhamera encane ebizwa ngokuthi i-laparoscope kuzo. Udokotela ohlinzayo usebenzisa ikhamera yevidiyo ukubuka izithombe esikrinini bese edlulisa amathuluzi amade, amancane ngokusebenzisa izimbobo ezincane ukuze asuse i-appendix evuvukele.

Uthini izwi lakho lokugcina ngalesi simo?

I-Epiploic appendagitis ingaba buhlungu futhi yesabise. Kodwa ngokuvamile, akukho okufanele ukhathazeke ngakho. Ngokungafani ne-appendix yakho, i-gallbladder, noma i-diverticula, i-epiploic appendage ayikho engozini yokuqhekeka ngenxa yokuvuvukala. Ngokuvamile, ukuvuvukala kuyaphela kancane kancane, iqhubu elinamafutha liyafa, futhi konke kuyaphela phakathi nesonto.

Ingabe kukhona ukuxhumana phakathi kwe-Epiploic Appendigitis kanye ne-Cancer?

Akukho ukuxhumana okwaziwayo phakathi kwe-Epiploic Appendagitis nomdlavuza, ngakho ungakhathazeki ngakho.

Ingabe kukhona ukudla okufanele ukudle noma ukugweme ukuze kuvinjelwe lokhu?

Akukho ukuxhumana okwaziwayo phakathi kwe-Epiploic Appendagitis nemikhuba yakho yokudla. Ngakho-ke, akukho ukudla okukhethekile okufanele ukudle noma ukugweme.

Ngakho-ke, uma uke waba ne-Epiploic Appendigit, cishe kuzoba okokuqala ngqa nokugcina ukuzwa ngakho. Ungase wesabe ubuhlungu obungazelelwe, futhi ungase ugcine uye egumbini lezimo eziphuthumayo, ucabanga ukuthi kukhona okungathi sína okuzokwenzeka. Kodwa ukwelashwa kwe-Epiploic Appendigit kulula kakhulu, futhi ukuhlinzwa akuvamile. Ungase ubuye ekhaya nendaba engavamile ozoyitshela wonke umuntu ongakaze ayizwe.

Izinto ezibaluleke kakhulu okufanele uzikhumbule (Umyalezo Wokuya Ekhaya)

• I-Epiploic appendagitis ubuhlungu besisu obungazelelwe obubangelwa ukusonteka kwezicubu ezincane ezinamafutha ngaphandle kwamathumbu amakhulu (ikholoni), ukulahlekelwa igazi, nokuvuvukala.
• Nakuba lokhu kungadidaniswa nezinye izimo ezifana ne-appendicitis , izimpawu ezifana nomkhuhlane nokuhlanza ngokuvamile azibi kakhulu.
• Lesi akusona isimo esibucayi, futhi isikhathi esiningi siyaphola sodwa phakathi nesonto noma amabili.
• Ukwelashwa kwenziwa kakhulu ngemithi yokubulala izinhlungu kanye nemithi engeyona eye-steroidal anti-inflammatory (NSAIDs). Ukuhlinzwa akuvamile.
• Kodwa-ke, uma uzwa ubuhlungu besisu obungazelelwe, kufanele nakanjani ufune iseluleko sikadokotela, njengoba kungaba uphawu lwesinye isimo esibucayi.

Ngakho-ke ngithemba ukuthi uyaqonda kahle i-Epiploic Appendagitis. Hlala uphilile!