Wake wazizwa ubuhlungu obukhulu, obungazelelwe endaweni ethile esiswini sakho—uhlobo lobuhlungu lapho ungakhomba khona indawo ngqo ngomunwe owodwa? Kungokwemvelo ukuzizwa ukhathazekile lapho lokhu kwenzeka. Namuhla, sifuna ukukhuluma ngesimo esingaziwa kahle, kodwa kubalulekile ukuqaphela: I-Epiploic Appendagitis . Nakuba igama lingase lizwakale liyinkimbinkimbi, ake silihlukanise ngamagama alula.
Ngakho-ke, iyini ngempela i-Epiploic Appendagitis?
Kalula nje, i-Epiploic Appendagitis iyimbangela yobuhlungu besisu obungazelelwe. Igama empeleni lisho ukuthi “ukuvuvukala kwesitho esingaphansi kwe-epiploic.” Manje, ungase uzibuze, ziyini “izitho ezingaphansi kwe-epiploic”? Lezi yizikhwama ezincane, ezigcwele amafutha ezilenga odongeni lwangaphandle lwekholoni lakho. Cabanga ngazo njengeziqoqo ezincane, ezifana namagilebhisi ezilenga ohlangothini lwamathumbu akho amakhulu.
Ngakho-ke, kwenzekani uma esinye salezi zikhwama ezincane zamafutha (i-epiploic appendage) siphenduka ngokuzumayo? Njengepayipi lamanzi eliqhekeka, ukunikezwa kwegazi kuyanqamuka. Ngaphandle kwalokho kugeleza kwegazi, izicubu ziyavuvukala, zivuvuke, bese ziphenduka zibe bomvu, okubangela ubuhlungu obuzwayo esiswini sakho.
Ubuhlungu buvame ukuvela ngokuzumayo, futhi ngokuvamile ungakwazi ukukhomba indawo eqondile. Ngenxa yokuthi lesi simo asivamile, ngisho nodokotela ngezinye izikhathi bangasithatha njengezinye izimbangela ezivame kakhulu zobuhlungu besisu, njenge:
- I-Appendicitis - Ukuvuvukala kwe-appendix.
- I-Cholecystitis - Ukuvuvukala kwenyongo.
- I-Diverticulitis - Ukuvuvukala kwezikhwama ezincane odongeni lwamathumbu amakhulu.
Ivame kangakanani i-Epiploic Appendagitis?
Kunzima ukusho ukuthi kuvame kangakanani, njengoba amacala amaningi angase angatholakali. Abacwaningi balinganisela ukuthi kungabalwa cishe u-1% weziguli ezilaliswe esibhedlela ezinobuhlungu besisu obungazelelwe. Ngaphezu kwalokho, kutholakale ukuthi cishe u-5% wabantu abatholakale benesifo i-Diverticulitis noma i-Appendicitis ekuqaleni bane-Epiploic Appendagitis. Lokhu kusho ukuthi ngezinye izikhathi, lokho okwesabayo ukuthi kungaba yinkinga enkulu yezempilo empeleni kuyinto engatheni kangako.
Ingabe i-Epiploic Appendagitis iyisimo esibucayi?
Lena yingxenye ebaluleke kakhulu: I-Epiploic Appendagitis ngokuvamile ayisona isimo esibucayi. Kodwa-ke, ngoba ingadidaniswa nezinye izimo eziyingozi kakhulu, idinga ukuxilongwa ngokucophelela. Ngokungafani nezinye izinkinga zempilo, lesi simo sivame ukuphulukiswa sodwa ngaphandle kokwelashwa okukhethekile. Ngokuhamba kwesikhathi, isikhwama samafutha esivuvukele siyoma, siqine (siqine), futhi ekugcineni sisuke emathunjini, lapho ukuvuvukala nobuhlungu kuncipha khona ngokwemvelo.
Ngakho-ke, khumbula ukuthi asikho isidingo sokwesaba uma uzwa lokhu kuxilongwa. Kodwa-ke, uma uzwa ubuhlungu besisu, ukufuna iseluleko sochwepheshe bezokwelapha kubalulekile.
Yini ebangela lokhu?
Kunezinhlobo ezimbili eziyinhloko zezimbangela ze-Epiploic Appendagitis: eyinhloko neyesibili.
Izimbangela Eziyinhloko
Lokhu kuhilela izinkinga ezivela ngqo esikhwameni samafutha uqobo.
- Ukusonta (Ukusonta): Ezimweni eziningi (cishe ama-75%), lesi simo sibangelwa ukusonta kwe-appendage. Lokhu kusonta kuqeda ukugeleza kwegazi , okubangela ukuba izicubu zife. Ngokwezokwelapha, lokhu kubizwa ngokuthi i-infarction .
- I-Thrombosis (Ihlule Legazi): Akuvamile kakhulu ukuthi ihlule legazi elakheka emthanjeni wenye yalezi zikhwama lingavimba ukugeleza kwegazi , okuholela emphumeleni ofanayo.
Izimbangela Zesibili
Lokhu akuvamile kakhulu futhi kwenzeka lapho inkinga kwenye indawo ithinta isikhwama samafutha.
- Ukutheleleka kusakazeka kusuka kwenye indawo: Uma kukhona ukutheleleka kwenye ingxenye yesisu, kungase kusakazeke kuye engxenyeni yesitho.
- Ukucindezela: Ukuvuvukala kwezicubu ezizungezile kungacindezela isikhwama, okubangela ukucasuka nokuvuvukala.
Ubani osengozini enkulu?
Ucwaningo oluthile lubonisa ukuthi abantu abathile bangase bathambekele kakhulu ekutholeni i-Epiploic Appendagitis. Lokhu kufaka phakathi:
- Abantu abanokukhuluphala ngokweqile : Amafutha amaningi emzimbeni angabangela izitho zomzimba ezinkulu, okungase kwandise ingozi.
- Abantu abane-hernia: Lapho izicubu zangaphakathi zidlula endaweni ebuthakathaka odongeni lwemisipha.
- Abantu abane-Diverticulosis: Ukuba nalezi zikhwama zamathumbu amakhulu kakade kwandisa ingozi.
- Labo abavivinya umzimba kakhulu: Ngezinye izikhathi, umsebenzi onzima kakhulu womzimba ungabangela lesi simo.
- Abantu abaseminyakeni ephakathi (abaneminyaka engu-40-50): Kuvame ukubonakala kuleli qembu leminyaka.
- Kwabesilisa: Kubikwa ukuthi kuvame kakhulu kwabesilisa kunakwabesifazane.
Kodwa-ke, ukuba nalezi zici eziyingozi akuqinisekisi ukuthi uzozithola, futhi kungenzeka kubantu abangenazo lezi zici.
Ziyini izimpawu?
Uphawu oluyinhloko ubuhlungu endaweni ethile yesisu. Buqala ngokuzumayo futhi bungase buhlale amasonto amaningana. Njengoba lezi zitho ze-epiploic ziningi kakhulu ezingxenyeni ezingezansi zekholoni, ubuhlungu buvame ukwenzeka esiswini esingezansi. Cishe ama-75% eziguli abika ubuhlungu besisu esingezansi, kanti abangaphezu kwengxenye babika ukuthi ubuhlungu busehlangothini lwesobunxele.
Ubuhlungu buvame ukuchazwa kanje:
- Ubukhali: Njengomuzwa wokugwaza.
- Okuhlala njalo: Kuqhubeka ngamandla ashintshashintshayo.
- Okukhulu: Kungaba buhlungu kakhulu.
Ubuhlungu bungase bube bubi kakhulu ngesikhathi semisebenzi efana nale:
- Ukukhwehlela
- Ukunweba
- Ukuphefumula okujulile
Ezinye izimpawu zifaka:
- Ukuqapha: Ungase uqinise imisipha yesisu sakho ngokwemvelo noma umboze indawo uma othile ezama ukuyithinta.
- Ubuhlungu obubuyela emuva: Ubuhlungu obuzwakala bukhulu kakhulu lapho udokotela ecindezela isisu bese ekhulula ingcindezi ngokuzumayo.
- Isisindo esizwakalayo: Ngezinye izikhathi, isikhwama esivuvukele singase sivuvuke ngokwanele kangangokuthi singazwakala njengesigaxa esincane ebusweni besisu.
Uma uzwa ubuhlungu obukhulu noma obuqhubekayo besisu, ungabushayi indiva. Sicela uxhumane nesibhedlela esiseduze nawe noma izinsizakalo eziphuthumayo ngokushesha ukuze uthole ukuhlolwa kochwepheshe yithimba laseNirogi Lanka noma umhlinzeki wezempilo wendawo.
Lezi zimpawu zingalingisa izimo ezifana ne-appendicitis, i-cholecystitis, kanye ne-diverticulitis. Kodwa-ke, lezo zimo zivame ukuhambisana nezimpawu ezengeziwe ezifana nomkhuhlane, isicanucanu , nokuhlanza . Uma uzwa ubuhlungu obukhulu endaweni ethile yesisu sakho kodwa ungenazo lezi zimpawu zomzimba njengomkhuhlane noma ukuhlanza, udokotela wakho angase acabangele i-epiploic appendagitis njengokuxilongwa okungenzeka.
Kutholakala kanjani?
Udokotela we-X-ray angakwazi ukubona ngokucacile i-epiploic appendagitis ngokusebenzisa i -ultrasound noma i-CT scan (i-computed tomography scan). Isitho esinempilo se-epiploic ngokuvamile asibonakali kulezi ziskeni, kodwa esivuvukile sibonakala kakhulu. Lokhu kungenxa yokuthi ukuvuvukala kubangela uketshezi ukuqoqana, okwenza kubonakale kucacile noma kugqame kakhulu ezithombeni. Ngokuvamile kuvela njengenqwaba emise okweqanda etholakala lapho uzwa khona ubuhlungu.
Yiziphi izindlela zokwelapha ezingcono kakhulu?
Odokotela bavame ukuqala ngokunikeza imithi engeyona i-steroidal Anti-Inflammatory Drugs (NSAIDs) , njenge-ibuprofen, esiza ekunciphiseni ukuvuvukala nokuphatha ubuhlungu. Uma kudingeka, kunganikezwa usizo olwengeziwe lobuhlungu. Iziguli eziningi zithola impumuzo ebalulekile ngokushesha ngale mithi. Uma ungathuthuki, ukuhlinzwa kokususa isitho samafutha esivuvukele akuvamile.
Ngokuvamile kuthatha isikhathi esingakanani ukululama ekugugeni kwe-epiploic appendagitis?
Ngisho nangaphandle kokwelashwa, izimpawu ze-epiploic appendagitis azivamile ukuhlala isikhathi esingaphezu kwesonto, nakuba kwezinye izimo, zingase ziqhubeke kuze kube amasonto amane. Kodwa-ke, ngemithi, ungalindela ukuthi izimpawu zakho ziqale ukuthuthuka zingakapheli izinsuku ezimbalwa. Ngokuvamile asikho isidingo sokukhathazeka okukhulu.
Kunini lapho kudingeka khona ukuhlinzwa?
Ukuhlinzwa kwe-epiploic appendagitis akuvamile kakhulu. Kodwa-ke, uma izimpawu zakho zingathuthuki noma uma kukhona ukungaqiniseki mayelana nokuxilongwa, udokotela wakho kungadingeka ahlole isisu sakho ukuze athole imbangela yangempela yobuhlungu obuqhubekayo.
Ukuze benze lokhu, basebenzisa inqubo engangenisi kakhulu ebizwa ngokuthi i-laparoscopy. Phakathi nalokhu kuhlinzwa, udokotela ohlinzayo wenza imivimbo emincane emithathu noma emine (cishe ingxenye yesentimitha ngayinye) esiswini sakho bese efaka i-laparoscope, okuyikhamera encane. Beqondiswa yizithombe eziku-monitor, basebenzisa amathuluzi amancane ngokusebenzisa imivimbo ukuze basuse ngokuphephile ingxenye yamafutha evuvukele.
Imicabango yokugcina ngalesi simo
I-Epiploic appendagitis ingaba buhlungu futhi ikhathaze, kodwa ngokuvamile, akuyona into okufanele uyikhathazeke. Ngokungafani ne-appendix evuvukele, i-gallbladder, noma i-diverticula, ayikho ingozi yokuthi i-epiploic appendage iqhume. Ngokuvamile, ukuvuvukala kuyaphela, izicubu ezinamafutha ziyaxazululeka, futhi inkinga iyaphela phakathi nesonto.
Ingabe kukhona ukuxhumana phakathi kwe-epiploic appendagitis nomdlavuza?
Ngokwazi kwezokwelapha okungcono kakhulu, akukho ukuxhumana phakathi kwe-epiploic appendagitis nomdlavuza. Sicela ungakhathazeki ngalokhu.
Ingabe kukhona ukudla okufanele ukudle noma okufanele ukugweme ukuze kuvinjelwe lokhu?
Akukho ubudlelwano obaziwayo phakathi kwe-epiploic appendagitis nokudla kwakho. Ngakho-ke, akukho ukudla okuqondile okudingeka ukudle noma ukugweme ukuze uvimbele lesi simo.
Uma kutholakala ukuthi une-epiploic appendagitis, kungenzeka ukuthi kungokokuqala ngqa nokugcina oyoke ubhekane nayo. Ungase uzizwe ukhathazekile ngobuhlungu obungazelelwe bese uvakashela umnyango wezimo eziphuthumayo, mhlawumbe wesaba ukuthi udinga ukuhlinzwa okukhulu. Kodwa-ke, ukwelashwa kwe-epiploic appendagitis kulula kakhulu, futhi ukuhlinzwa akudingeki kakhulu. Cishe uzoya ekhaya nendaba eyingqayizivele ozoyixoxa nabanye abangakaze bezwe ngalesi simo.
Umlayezo Wokuya Nawe Ekhaya
- I-Epiploic appendagitis ubuhlungu besisu obungazelelwe obubangelwa ukusonteka nokuvuvukala okulandelayo kwesikhwama esincane samafutha esinamathele emathunjini akho, okuvimbela ukugeleza kwegazi.
- Nakuba kuvame ukudidaniswa nezinye izimo ezifana ne-appendicitis , ngokuvamile ayibonakali nezimpawu zomzimba njengomkhuhlane noma ukuhlanza.
- Akuyona inkinga esongela ukuphila futhi ivame ukuphola ngokwayo phakathi nesonto noma amabili.
- Ukwelashwa kuhilela ngokuyinhloko ukuqeda ubuhlungu kanye nemithi yokulwa nokuvuvukala (ama-NSAID). Ukuhlinzwa kuyadingeka kuphela ezimweni ezingavamile kakhulu.
- Noma kunjalo, uma uzwa ubuhlungu besisu obungazelelwe, obukhulu, sicela ufune usizo lwezokwelapha ngokushesha,njengoba kungaba uphawu lwesinye isimo esibucayi.
Ngiyethemba ukuthi lokhu kukunikeza ukuqonda okucacile kwe-epiploic appendagitis. Hlala uphilile nge-Nirogi Lanka!
