Ingabe nawe unembobo endleleni yakho yokugaya ukudla? (Ukubhoboka Kwesisu) Ungesabi, ake siqaphele lokhu!

O, wake waba nobuhlungu besisu obungazelelwe, obukhulu? Kuzwakala sengathi othile ukugwaza ngommese ngaphakathi, njengobuhlungu obungabekezeleleki obugcwalisa isisu sakho? Ngezinye izikhathi lezi zimpawu zingaba uphawu lwento ethile engathi sína. Namuhla sizokhuluma ngokubhoboka komgudu wokugaya ukudla, noma `(Ukubhoboka Kwamathumbu)` , isimo esidinga ukwelashwa okuphuthumayo.

Kuyini lokhu kubhoboka kwamathumbu?

Kalula nje, `(Ukubhoboka Kwamathumbu)` kusho imbobo noma ukubhoboka endaweni ethile ohlelweni lwethu lokugaya ukudla. Cabanga ngalokho okwenzekayo uma imbobo ivele epayipini lamanzi. Lokhu kuyafana.

Manje ubuza ukuthi, "Luyini lolu hlelo lokugaya ukudla?"

Uhlelo lwethu lokugaya ukudla (`(Umgudu wesisu)` noma `(Umgudu we-GI)`) luhlelo lwezitho ezixhumene ezithatha ukudla esikudlayo, zikugaye, zimunce izakhamzimba, futhi zikhiphe imfucuza. Lufana nepayipi elide. Luhlanganisa kakhulu izitho ezilandelayo:

• I-Esophagus: Ipayipi elithwala ukudla kusuka emlonyeni wethu kuya esiswini sethu.
• Isisu: Indawo eyinhloko lapho ukudla kugaywa khona.
• Amathumbu amancane: Lapho ukudla kugaywa khona futhi izakhamzimba zimuncwa emzimbeni.
• Amathumbu amakhulu (ikholoni): Lapho izinhlayiya zokudla ezingagayiwe ziguqulwa zibe yindle.

Ngakho-ke, uma kwakheka imbobo odongeni lwesinye salezi zitho, yilokho esikubiza ngokuthi ukubhoboza kwamathumbu .

Kungani lokhu kuyingozi kangaka? Kwenzekani emizimbeni yethu?

Ukubhoboka kwendlela yokugaya ukudla kuyisimo esibucayi esidinga ukwelashwa okuphuthumayo . Isibonelo, uma kuvela imbobo emathunjini amakhulu, okungukuthi, emathunjini (`(Ukubhoboka kwamathumbu)`), indle ingavuza esiswini. Uma kukhona imbobo esiswini noma emathunjini amancane, izinto ezifana nokudla okugayiwe kanye nojusi wesisu zingavuza zingene emgodini wesisu.

Nazi izinto ezingenzeka uma lezi zinto zivuza esiswini:

• Ukopha kwangaphakathi nokopha ngokweqile: Ngezinye izikhathi kungaba yingozi empilweni.
• I-Peritonitis: Lokhu ukutheleleka nokuvuvukala kodonga lwangaphakathi lwesisu. Lokhu futhi kuyingozi kakhulu.
• Umonakalo ohlala njalo ohlelweni lokugaya ukudla: Ngezinye izikhathi, uma umonakalo umkhulu, leyo ngxenye ingakhubazeka unomphela.
• I-Sepsis: Ukutheleleka okukhulu okusakazeka emzimbeni wonke. Lokhu nakho kusongela impilo.

Okubaluleke kakhulu: Uma lokhu kwenzeka, kubalulekile ukufuna usizo lwezokwelapha ngokushesha. Ukuhlala ekhaya ngeke kusize.

Yini engabangela lokhu?

Kunezizathu eziningi zokuthi kungani ukubhoboka komphimbo kungenzeka. Ezinye zibangelwa yizingozi, kanti ezinye zibangelwa ezinye izifo.

Izingozi nezimbangela zangaphandle

• Ukugwinya into eyingozi ngengozi: Ngezinye izikhathi izingane ezincane zingagwinya izingcezu ezincane zamabhethri, izinhlamvu zemali, izingcezu zamamagnethi, noma izinto ezibukhali (njengephini noma ithambo lenhlanzi). Abantu abadala nabo bangaba nalezi zinto. Futhi, uma ikhemikhali ebhubhisayo (njenge-asidi) ingena esiswini, ingabangela ukubhoboka komphimbo, isisu, noma amathumbu.
• Ukuqunjelwa okukhulu (`ukuthinta amathumbu`): Uma indle ihlala inamathele emathunjini isikhathi eside, yakha iqhubu bese iba lukhuni, ingacindezela amathumbu futhi ibangele ukubhoboka.
• Ukulimala ngengozi: Uma ushaywa isisu kakhulu, njengengozi yemoto noma ukuwa usuka endaweni ephakeme.
• Ukuhlanza okukhulu: Ukuhlanza okuqhubekayo nokunamandla ngezinye izikhathi kungalimaza umphimbo.
• Ukulimala kwezikhali okubukhali: Uma ulimele esiswini noma esifubeni ngento efana nommese noma isibhamu.
• Izinqubo zezokwelapha: Ngezinye izikhathi, ukubhoboka okunjalo kungenzeka ngesikhathi sokuhlinzwa noma ukuhlolwa kwendlela yokugaya ukudla (isb., ukuhlolwa kwe-endoscopic njenge-"colonoscopy"). Kodwa-ke, lokhu akuvamile kakhulu .

Ingabe lesi simo singabangelwa ezinye izifo?

Yebo, ezinye izimo zezokwelapha zingandisa ingozi yokubhoboka komphimbo. Ezinye izibonelo yilezi:

• I-Appendicitis: Ukuvuvukala kwe-appendix.
• Umdlavuza wohlelo lokugaya ukudla: njengomdlavuza we-colorectal, umdlavuza womphimbo, kanye nomdlavuza wesisu.
• I-Diverticulitis: Ukutheleleka kwezikhwama ezincane (i-diverticula) emathunjini.
• I-Hernia: Ukuphuma kwengxenye yomzimba, njengamathumbu, endaweni ebuthakathaka.
• Ukuvaleka kwamathumbu: Ukuvaleka kwendlela yamathumbu.
• Amatshe enyongo: Lokhu ngezinye izikhathi kungalimaza amathumbu njengoba edlula emigudwini yenyongo.
• Isifo Sokuvuvukala Kwamathumbu (IBD): Lokhu kuhlanganisa izimo ezifana nesifo sikaCrohn kanye nesifo sofuba esiswini .
• Isifo sesilonda se-Peptic: Izilonda ezakheka esiswini noma engxenyeni yokuqala yamathumbu amancane. Lezi zilonda zingajula futhi zibangele ukubhoboka.

Akuwona wonke umuntu onalezi zimo ozobhoboka umphimbo. Kodwa-ke, ingozi iphakeme kancane . Yingakho kubalulekile ukuqaphela lezi zimpawu futhi ufune iseluleko sezokwelapha ngokushesha uma uzizwa.

Sizizwa kanjani ngalokhu? Ziyini izimpawu?

Uma une-gastrointestinal perforation, ungase ube nesinye noma ngaphezulu kwalezi zimpawu ezilandelayo:

• Ubuhlungu obukhulu besisu noma ukuqaqamba kwesisu: Lolu uphawu oluyinhloko nolunzima kakhulu. Luqala ngokuzumayo futhi alubekezeleleki.
• Ukuvuvukala kwesisu noma ukuvuvukala: Isisu sakho singase sizizwe sivuvukile kakhulu.
• Umkhuhlane noma ukubanda: Isibonakaliso sokutheleleka.
• Isicanucanu nokuhlanza.
• Ukuzwa ubuhlungu noma ukuqina lapho uthinta isisu.

Uma unezinye zalezi zimpawu, hamba uye esibhedlela ngokushesha . Ungachithi isikhathi.

Udokotela ukuxilonga kanjani lokhu? (Ukuxilongwa)

Uma uya esibhedlela, udokotela uzokuhlola kuqala.

• Bazozwa isisu sakho bese besicindezela ukuze babone ukuthi sibuhlungu kuphi nokuthi kukhona yini ukuqina esiswini sakho.
• Izimpawu zakho zokuphila ziyahlolwa:
• Ukushaya kwegazi
• Izinga lokushisa lomzimba
• Ukushaya kwenhliziyo nokushaya kwenhliziyo
• Izinga lokuphefumula

Udokotela angase akubuze imibuzo efana nale:

• Ingabe unezinye izifo?
• Uke wahlinzwa noma wahlolwa yini muva nje?
• Izimpawu zaqala nini? Uzizwa kanjani?
• Ingabe ukhona emndenini wakho oke waba nomdlavuza noma isifo samathumbu esivuvukalayo (IBD)?

Yiziphi izivivinyo ezenziwayo?

Ngemva kokuhlolwa ngokomzimba, udokotela angenza izivivinyo eziningana ukuze anqume ukuthi kukhona yini ukubhoboka:

• Ukuhlolwa kwegazi: Hlola ukuthi izinso zakho nesibindi zisebenza kanjani nokuthi zisebenza kanjani.
• Ama-X-ray: Hlola umoya ongaphakathi kwesisu. Uma kukhona imbobo emphinjeni, umoya ungavuza ungene ngaphakathi kwesisu. Lokhu kuyisibonakaliso esikhulu sokubhoboka.
• I-CT scan: Lokhu kungaveza izithombe ezicacile nezinemininingwane eminingi. Lokhu kusiza kakhulu ekutholeni indawo eqondile yomgodi.
• I-endoscopy Ephezulu: Ipayipi elinekhamera enamathiselwe lifakwa ngomlomo ukuhlola umphimbo, isisu, kanye nengxenye engenhla yamathumbu amancane.
• I-Colonoscopy: Ipayipi elinekhamera enamathiselwe lifakwa nge-anus ukuze kuhlolwe amathumbu amakhulu (ikholoni).

Ngokwenza okukodwa noma ngaphezulu kwalokhu kuhlolwa, odokotela bangathola ukuthi unembobo emqaleni wakho, ukuthi ikuphi, nokuthi inzima kangakanani.

Yiziphi izindlela zokwelapha lokhu?

Uma udokotela eqinisekisa ukuthi unembobo yesisu, ukuhlinzwa okuphuthumayo kuvame ukudingeka ukuze kuvalwe imbobo.

Uhlobo lokuhlinzwa olwenziwayo luncike ngobukhulu bembobo, indawo yayo, kanye nempilo yakho iyonke. Kunezinhlobo eziningana zokuhlinzwa:

• Inqubo ye-Endoscopic:Ezinye izimbobo ezincane zingalungiswa ngaphandle kokusikwa okukhulu kusetshenziswa amathuluzi amancane afakwa nge-endoscope (ithubhu enekhamera).
• Ukuhlinzwa kwe-Laparoscopic: Lokhu kuhilela ukwenza izimbobo ezimbalwa ezincane esiswini bese kufakwa ikhamera kanye namathuluzi okuhlinza ngazo. Lokhu kubizwa nangokuthi "ukuhlinzwa kwe-keyhole." Ukululama kuyashesha.
• Ukuhlinzwa okuvulekile kwendabuko: Lena inqubo lapho kwenziwa khona ukusikwa okukhulu esiswini. Le ndlela isetshenziswa uma imbobo inkulu noma uma isimo siyinkimbinkimbi.

Ngezinye izikhathi, ukuze unike amathumbu akho isikhathi sokuphulukiswa, kungadingeka ukuthi udale indlela yesikhashana yokuthi indle yakho idlule . Lokhu kubizwa ngokuthi ukudala i-stoma . Udokotela ohlinzayo uzobe ese:

1. Kudalwa imbobo encane (`stoma`) esikhumbeni sesisu sakho.

2. Ingxenye yamathumbu akho amancane noma amathumbu amakhulu ixhunywe kule ndawo evulekile.

3. Isikhwama (`isikhwama se-Colostomy`) sinamathiselwe ngaphandle kwalesi stoma.

Isikhwama se-colostomy yisikhwama esivaliwe, esingabonakali esiqoqa indle. Wena noma othile okukhathalelayo ningakhipha isikhwama nsuku zonke. Ngemva kokuba amathumbu akho esepholile, udokotela wakho uvame ukususa i-stoma nesikhwama .

Ngeke yini lokhu kube ngcono ngaphandle kokuhlinzwa?

Ukubhoboka okuncane kakhulu kwendlela yokugaya ukudla ngezinye izikhathi kungaphola ngaphandle kokuhlinzwa. Kodwa-ke, lokhu akuyona into ongayinquma ekhaya. Awazi ukuthi lesi simo sibi kangakanani uze uthole ukuxilongwa. Ngakho-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha .

Uma welashwa ngaphandle kokuhlinzwa, ngokuvamile uzonikezwa ama-antibiotic e-intravenous (IV) bese ugcinwa esibhedlela ukuze uqashwe ngokucophelela.

Khumbula! Ukubhoboka komphimbo kungaba yingozi empilweni. Ungalokothi uzame ukwelapha lokhu ekhaya. Uma unezimpawu, hamba esibhedlela ngokushesha.

Yimiphi imithi esetshenziswa ekwelapheni?

Abantu abaningi, kungakhathaliseki ukuthi bahlinzwa noma cha, banikezwa ama-antibiotic ukwelapha ukubhoboka komphimbo. Le mithi inikezwa ukuvimbela nokulawula izifo ezingakhula ngaphakathi esiswini ngenxa yokubhoboka. Kungase kudingeke ukuthi uthathe le mithi amasonto ambalwa. Thatha imithi njengoba nje udokotela wakho ekutshelile. Ungayeki ukuthatha imithi kuze kube yilapho udokotela wakho ekutshelile.

Yini esingayenza ukuze sinciphise le ngozi?

Kungase kungenzeki ukuvimbela ngokuphelele ukubhoboka komphimbo. Kodwa-ke, ungenza okulandelayo ukuze unciphise ingozi yakho:

• Gwema ukubhema nokusebenzisa imikhiqizo kagwayi.
• Yidla ukudla okunempilo. Ikakhulukazi faka ukudla okucebile nge-fiber (imifino, izithelo, kanye nemifino) ekudleni kwakho. Lokhu kuzosiza ekuvimbeleni ukuqunjelwa futhi kugcine ukugaya kwakho kujwayelekile.
• Uma unezinye izimo zezokwelapha (isib. isilonda se-peptic, i-IBD), hlala uxhumane nodokotela wakho ukuze azilawule. Tshela udokotela wakho nganoma yiziphi izimpawu ezintsha, ikakhulukazi ubuhlungu besisu noma izinkinga zokugaya ukudla.

Mayelana nokululama kanye nekusasa

Kungathatha amasonto ambalwa ukululama ngokuphelele ngemva kokuhlinzwa ukuze kubhoboke umphimbo. Iningi labantu liyalulama ngokuphelele ngemva kokwelashwa okuphumelelayo. Ungakhohlwa ukuya kuma-aphoyintimenti okulandelela njengoba uqondiswe udokotela wakho.

Ingabe lesi simo singavela izikhathi ezingaphezu kwesisodwa? Yebo, singenzeka. Kodwa akuvamile kakhulu . Khuluma nodokotela wakho njalo ukuze uphathe izimo zakho zempilo futhi unciphise ingozi yokuba nomgodi onjengalona esikhathini esizayo.

Kufanele simbone nini udokotela maduze?

Ukubhoboka komphimbo kungaba yingozi empilweni, ngakho-ke uma uhlangabezana nanoma yiziphi zalezi zimpawu, iya ekamelweni lezimo eziphuthumayo ngokushesha. Ungalindi kuze kube yilapho "kuba ngcono ngokwako."

Ngamafuphi, nazi izinto okudingeka sizikhumbule (Umyalezo Wokuya Ekhaya):

Kulungile, ngakho-ke ukubhoboka kwamathumbu esikhulume ngakho namuhla kuyisimo esibucayi esidinga ukwelashwa okuphuthumayo. Kodwa, ungesabi. Ngezindlela zokuhlinzwa ezithuthukisiwe zanamuhla kanye nemithi, abantu abaningi bayalulama ngokuphelele uma bethola ukwelashwa ngokushesha.

Into ebaluleke kakhulu ukuqaphela izimpawu nokuqaphela izici eziyingozi ongase ube nazo. Ngalolu lwazi, ungathatha isinyathelo sokuqapha impilo yakho futhi wandise amathuba akho okwelashwa okuphumelelayo. Uma unokungabaza, noma uma unezinhlungu zesisu ezingavamile, bona udokotela ngokushesha. Yilokho okungcono kakhulu ongakwenza!

Ukubhoboka Kwamathumbu , Imbobo Yesisu, Ukubhoboka Kwamathumbu, Ubuhlungu Besisu, I-Peritonitis, I-Sepsis, Ukuhlinzwa Okuphuthumayo, I-Colostomy