Ingabe ingane yakho encane ikhala ngokuzumayo ngoba inesisu esibuhlungu? Ingabe ilwa nomkhuhlane omncane, ikakhulukazi uma ingakuvumeli ukuthinta uhlangothi lwesokudla lwesisu sayo? Ngesikhathi esinjengalesi, ukwesaba okukhulu okufika engqondweni yanoma yimuphi umama noma ubaba ukuthi, "O, angazi nge-appendicitis." Lokho kwesaba kunengqondo. Kodwa akuhlali kuvela ukuthi yi-appendicitis. Namuhla, sizokhuluma ngesinye isimo esibonisa izimpawu, kodwa esingeyona ingozi kangako. Lokhu sikubiza ngokuthi i-Mesenteric Lymphadenitis.

Kalula nje, iyini i-Mesenteric Lymphadenitis?

Kulungile, leli gama lingase lizwakale liyinkimbinkimbi kancane, kodwa indaba ilula kakhulu. Ake siyichaze igama negama.

• I-Lymphadenitis: Lokhu kusho "ukuvuvukala kwama-lymph node." Ama-lymph node afana nabaqaphi abancane ohlelweni lokuzivikela lomzimba wethu. Njengamaphoyisa. Umsebenzi wabo ukubamba amagciwane, amabhaktheriya, kanye namagciwane angena emzimbeni futhi awavimbe ekusakazekeni kuwo wonke umzimba. Ngakho-ke uma silwa negciwane, la ma-lymph node ayavuvukala futhi abe buhlungu. Njengoba nje ama-lymph node entanyeni yethu evuvukala.
• I-Mesenteric: Lokhu kubhekisela endaweni yalezi zindlala. Amathumbu angaphakathi esiswini sethu agcinwa endaweni eyodwa ngaphandle kokuntanta, kodwa ahlelwe ngendlela ehlelekile yi-membrane ebizwa ngokuthi "i-Mesentery" . Amathumbu axhunywe odongeni lwesisu njengekhethini. Ngakho-ke, ukuvuvukala kwezindlala ezizungeze lolu lwelwesi kubizwa ngokuthi i-Mesenteric Lymphadenitis .

Kalula nje, lokhu ukuvuvukala okubangelwa ukutheleleka ngamagciwane esiswini nasemathunjini.

Ubani okungenzeka kakhulu ukuthi athole lesi simo?

Lokhu kuvame ukubonakala ezinganeni ezincane nakubantu abadala abasebasha , ikakhulukazi labo abangaphansi kweminyaka engama-20. Akuvamile kakhulu kubantu abadala.

Kungani izingane zithola lezi zifo kaningi? Ngenxa yokuthi amasosha omzimba ezingane asakhula futhi ahlala echayeke kumagciwane ahlukahlukene namagciwane, amasosha omzimba emizimba yazo ahlala esebenza. Ngakho-ke, ngisho noma kunegciwane elincane, la masosha omzimba anamathuba amaningi okuvuvukala.

Ziyini izimpawu? Kungani lokhu kudidaniswa ne-appendicitis?

Yilapho ingxenye ebaluleke kakhulu neyesabeka kakhulu ikhona. Ngoba izimpawu zalesi sifo zifana kakhulu neze-appendicitis. Isizathu salokhu ukuthi inani elikhulu lala ma-cysts litholakala eduze kakhulu ne-appendix, okuyilapho i-appendicitis yenzeka khona, engxenyeni engezansi kwesokudla yesisu.

Ake sibheke lokhu kufana kanye nomehluko omncane etafuleni elingezansi.

Kungani la maqhubu evuvukala? Ziyini izimbangela?

Isizathu esiyinhloko salokhu ukutheleleka. Okusho ukuthi, igciwane lingena emzimbeni futhi amasosha ethu omzimba alwa nalo.

Ngenxa yezifo

Ngokuvamile lokhu kubangelwa ukutheleleka ngegciwane .

• I-Gastroenteritis: Lesi yisimo esivame ukusibiza ngokuthi "umkhuhlane wesisu," esibangela ukuhlanza nohudo. Ngenxa yokuthi leli gciwane lithinta amathumbu, ulwelwesi oluwazungezile lungavuvukala.
• Ukutheleleka kwesistimu yokuphefumula:Lesi simo singabangelwa yinto efana nomkhuhlane ovamile noma ukutheleleka komphimbo.

Ngezinye izikhathi lokhu kungabangelwa nayizifo ezibangelwa amagciwane .

• I-Yersinia enterocolitica: Leli yigciwane eliyinhloko. Lidluliselwa ngenyama engaphekiwe kahle, ikakhulukazi ingulube, namanzi angcolile.
• Amanye amagciwane: Lawa ma-gland angavuvukala nasezimweni ezifana nesifo sofuba noma ukutheleleka nge-HIV.

Ngenxa yezinye izimo zezokwelapha

Akuvamile kakhulu, la maqhubu angaba uphawu lwezinye izimo zezokwelapha. Isibonelo, ezimweni ezifana nomdlavuza (i-Lymphoma) kanye ne-Inflammatory Bowel Disease. Kodwa lokhu akuvamile kakhulu, ngakho-ke asikho isidingo sokukhathazeka.

Ukuthola kanjani lokhu, Dokotela?

Uma uyisa ingane yakho kudokotela, into yokuqala ezoyenza ukukubuza imibuzo ethile.

• "Inkinga iqale nini?"
• "Buphi ubuhlungu?"
• "Uhlanze? Ingabe isisu sakho siphazamisekile?"
• "Ingabe ubunomkhuhlane ngaphambi kokuba le nkinga ifike?"

Udokotela ube esehlola ingane, ikakhulukazi isisu , ebheka noma yiziphi izindawo ezibuhlungu kanye nokuvuvukala kwezingono.

Okulandelayo, kubalulekile ukuqinisekisa ukuthi akuyona i-appendicitis, ngoba i-appendicitis yisimo esidinga ukuhlinzwa okuphuthumayo. Ukuqinisekisa lokhu, udokotela wakho angase a-ode lezi zivivinyo:

• Ukuhlolwa kwegazi (Inani Eliphelele Legazi - I-CBC): Ukuhlolwa kokutheleleka emzimbeni.
• Ukuskena nge-Ultrasound: Lena yindlela evame ukusetshenziswa kakhulu. Ingabona ngokucacile ukuthi i-appendix engaphakathi kwesisu ivuvukele noma ukuthi ikhona yini i-appendicitis.
• I-CT Scan: Ngezinye izikhathi, uma i-ultrasound scan ingacacile, i-CT scan ingacelwa.

Yiziphi izindlela zokwelapha? Yini engingayenza ekhaya?

Nazi izindaba ezinhle. Kwabaningi abantwana, i-Mesenteric Lymphadenitis iphela yodwa phakathi nesonto eli-1 kuya kwamane ngaphandle kokwelashwa okukhethekile. Ayinazo imiphumela yesikhathi eside.

Kodwa-ke, udokotela uzokunikeza imithi yokunciphisa ukungakhululeki kwengane.

• Uma kuyisifo esibangelwa amagciwane: Uma kuqinisekiswa yimibiko yegazi, kuzonikezwa ama-antibiotic.
• Uma kuyigciwane elibangelwa yigciwane: Akukho muthi othize walo. Ukwelashwa kuyizimpawu. Umuthi wokuqeda izinhlungu njenge-paracetamol uzonikezwa ngenxa yobuhlungu nomkhuhlane.

Kunezinto eziningana ongazenza ngenkathi unakekela ingane yakho ekhaya.

• Ukuphumula: Vumela ingane yakho iphumule ngokwanele. Yehlisa ukudlala, ukugijima, nokugxuma izinsuku ezimbalwa.
• Uketshezi:Ukuhlanza nohudo kungabangela ukuphelelwa amanzi emzimbeni, ngakho-ke nikeza ingane yakho uketshezi oluningi njengamanzi, umhluzi, iphalishi kanye nesobho.
• Ukufudumala isisu: Ukubeka ibhodlela lamanzi ashisayo noma indwangu efudumele esiswini kungasiza ekunciphiseni ubuhlungu.
• Ama-Painkiller: Nikeza ama-painkiller anikezwe udokotela ngesikhathi esifanele nangesilinganiso esifanele.

Ingane yakho ingase ingafuni ukudla ngenxa yesicanucanu. Kodwa zama ukunikeza ukudla okuncane okuthambile, okunamafutha amancane, nokugayeka kalula.

Ingabe lokhu kungavinjelwa ukuthi kwenzeke?

Yebo, ngezinga elithile singakuvimbela lokhu. Lokhu kubangelwa ukutheleleka, futhi okudingeka sikwenze ukuzivikela ezifweni. Lokho kusho ukuthi ukuhlanzeka kuyinto ebaluleke kakhulu.

Yiziphi izikhathi ezibaluleke kakhulu zokuya kudokotela?

Uma ingane yakho inezinye zezimpawu ezilandelayo, xhumana nodokotela wakho ngokushesha noma uye eMnyangweni Wezimo Eziphuthumayo (ETU) wesibhedlela esiseduze.

Khumbula ikakhulukazi, uma umuntu omdala oneminyaka engaphezu kwengu-20 eba nalezi zimpawu, akunakwenzeka ukuthi yi-Mesenteric Lymphadenitis. Ngakho-ke, kungenzeka kakhulu ukuthi yi-appendicitis. Esimweni esinjalo, kubalulekile ukubhekisela ngokushesha e-Emergency Treatment Unit (ETU).