Wake wazizwa sengathi isisu sakho sivuvukele futhi sikhukhumele njengebhaluni eligcwele amanzi? Ingabe ukuthola kunzima ukuphefumula futhi uzizwe sengathi awukwazi ukudla noma ukuphuza kahle? Lokhu kungenzeka ngoba isisu sakho sigcwele amanzi amaningi angavamile. Kwezokwelapha, lesi simo sibizwa ngokuthi i-ascites. Ngakho-ke namuhla sizokhuluma ngenqubo yezokwelapha elula, kodwa ebaluleke kakhulu yokususa la manzi aqongelelekile. Lokho kuyi-paracentesis.
Kalula nje, kuyini i-paracentesis?
I-Paracentesis inqubo esusa uketshezi oluningi (amanzi) esiswini sakho, noma emgodini wesisu. Cabanga ukuthi izitho ezingaphakathi kwesisu sakho, njengesibindi sakho namathumbu, zizungezwe ungqimba oluncane lwezicubu olubizwa ngokuthi i-peritoneum. Lesi yisikhala esiphakathi kwalezi zingqimba ezimbili, lapho lolu ketshezi olubizwa ngokuthi i-ascites luqongelela khona.
Kulokhu kwelashwa, udokotela usebenzisa inalithi encane kanye nepayipi elincane lepulasitiki (i-catheter) elinamathiselwe kuyo ukuze asuse la manzi aqongelelekile. Kufana nokukhipha amanzi ethangini. Uma amanzi ekhishwa ngale ndlela, ingcindezi kanye nokungakhululeki esiswini, njengokuqunjelwa, kuncishiswa kakhulu.
Kungani kwenziwa lokhu kwelashwa?
Lokhu kwenziwa ngezizathu ezimbili eziyinhloko: esinye sokuxilongwa , kanti esinye njengokwelashwa .
- I-Diagnostic Paracentesis: Kalula nje, ukuthola ukuthi kungani isisu sigcwele uketshezi. Udokotela ususa isampula yoketshezi bese eluthumela elabhorethri. Imiphumela yokuhlolwa izosiza ekutholeni imbangela eqondile yalesi simo.
- I-Therapeutic Paracentesis: Lokhu kwenzelwa ukunciphisa ukungakhululeki okubangelwa uketshezi esiswini. Ngokuvamile, odokotela basebenzisa lokhu kwelashwa lapho ama-diuretics noma ukudla okunosawoti omncane kwehluleka ukulawula lesi simo.
| Uhlobo lolwazi | Incazelo |
|---|---|
| Izimbangela eziyinhloko ze-ascites | |
| I-cirrhosis yesibindi | Lena yimbangela evame kakhulu yokuqunjelwa. |
| Umfutho wegazi ophezulu we-Portal | Ukwanda komfutho wegazi emthanjeni oyinhloko wesibindi. Kuvamile phakathi kweziguli ezine-cirrhosis. |
| Izifo | I-Peritonitis ukutheleleka koketshezi olusemgodini wesisu. |
| Umdlavuza | Umdlavuza wama-ovari, wesibeletho, isibindi, i-pancreas, noma i-colon. |
| Ukwehluleka Kwezitho Zomzimba | Ukwehluleka kwesibindi noma kwenhliziyo. |
| Izimpawu ezinciphayo ngokuhoxiswa kwamanzi | |
| Izici | Ubuhlungu besisu kanye nokucindezeleka, ukuvuleka kwesisu, ubunzima bokuphefumula, ukuqunjelwa, ukuqunjelwa, kanye nokulahlekelwa yisifiso sokudla. |
Ukulungiselela kanjani lokhu?
Lokhu akuyona indlela enkulu yokuhlinzwa, kodwa kuzodingeka ulungiselele kusenesikhathi. Udokotela wakho uzokuchazela konke.
- Umlando wezokwelapha: Udokotela wakho uzobuza ngezifo zakho zangaphambilini, ukuhlinzwa, kanye nokungezwani komzimba. Kubalulekile ukubazisa uma ukhulelwe.
- Iseluleko ngemithi: Uma uthatha imithi yokunciphisa igazi efana ne-(Aspirin) noma (Warfarin), udokotela wakho angase akucebise ukuthi uyeke ukuthatha leyo mithi izinsuku ezimbalwa. Udokotela wakho angase akucebise nokuthi uyeke ukuthatha imithi yokunciphisa ubuhlungu (NSAIDs) noma eminye imithi yesifo sikashukela. Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho.
- Ukuzila Ukudla: Uzokwaziswa ukuthi uyeke ukudla noma ukuphuza amahora ambalwa ngaphambi kokwelashwa.
Kwenzekani ngesikhathi sokwelashwa?
Lokhu kungenziwa ehhovisi likadokotela noma esibhedlela. Kungcono ukuchama nokukhipha isinyi sakho ngaphambi kokwelashwa.
1. Ukukulungiselela: Okokuqala, uzolaliswa embhedeni.
2. Ukuhlanza nokufaka izinzwa: Ngemva kwalokho, indawo yokubhoboza iyahlanzwa kahle futhi indawo iyavalwa . Kunikezwa umjovo omncane ngalokhu. Uma ibhobozwa, izwakala ibuhlungu kancane, njengokulunywa yintuthwane, kodwa ngemva kwalokho, akukho buhlungu kuleyo ndawo.
3. Ukufaka i-catheter: Udokotela uvame ukusebenzisa i -ultrasound scan ukuze abone kahle ukuthi amanzi akuphi. Ngemuva kwalokho, ngokusebenzisa indawo yokubhoboza, i-catheter kanye nepayipi elincane lepulasitiki (i-catheter) elinamathiselwe kuyo kuzofakwa kancane kancane esiswini.
4. Ukususa amanzi: Bese usebenzisa isirinji noma ibhodlela le-vacuum ukususa amanzi. Uma unemalitha amaningana amanzi okufanele uwasuse, sebenzisa leli bhodlela le-vacuum ukuze usheshise inqubo.
5. Ukususa isinti kanye nokusibopha: Uma amanzi esephumile, isinti siyasuswa, kufakwa ingcindezi endaweni ukuze kumiswe ukopha, bese kufakwa ibhandishi elihlanzekile.
Kwabanye abantu, noma ngabe uketshezi lususwa ngale ndlela, luhlala lubuya. Kwabanjalo abantu, kufakwa ipayipi ekhethekile yesikhathi eside (i-Tunneled Peritoneal Drainage Catheter). Ngemuva kwalokho ungasusa uketshezi ekhaya. Udokotela wakho uzonquma ukuthi lukufanele yini.
Ingabe lokhu kubuhlungu? Kuzothatha isikhathi esingakanani?
Ungase uzwe ubuhlungu obuncane uma uthola umjovo obangela ukungazizwa kahle, kodwa ngeke uzwe ubuhlungu obukhulu uma amanzi ekhishwa. Kodwa-ke, ungase uzwe ukucindezeleka okuncane noma ukungakhululeki esiswini sakho. Uma uzwa ukungakhululeki noma isiyezi, ungesabi ukutshela udokotela noma umhlengikazi lapho.
Le nqubo ivame ukuthatha imizuzu engama-20 kuya kwengama-45 . Iyahlukahluka kuye ngokuthi uketshezi lukhishwa kangaki. Ngezinjongo zokuxilonga, kuthathwa inani elincane, cishe amamililitha angama-25. Ukuze kwelashwe, ngezinye izikhathi amalitha ama-5 noma ngaphezulu angasuswa.
Ungaqaphela kanjani uma ubuyela ekhaya?
Kungcono ukuphumula amahora angu-24 okuqala ngemva kokwelashwa. Udokotela wakho uzokweluleka ngendlela yokunakekela inxeba.
- Ukunakekelwa kwenxeba: Geza izandla zakho kahle ngensipho namanzi ngaphambi kokushintsha ibhandishi. Tshela udokotela wakho uma inxeba liba bomvu, livuvukele, noma liphuma ubomvu.
- Ukudla: Kuzodingeka unciphise usawoti ekudleni kwakho, njengoba usawoti wandisa ukugcinwa kwamanzi emzimbeni.
- Imithi: Thatha imithi yokukhipha isisu enqunywe udokotela wakho ngesikhathi esifanele.
- Ukuhlanzeka:Ungavumeli inxeba limanzi lize liphole. Ngakho-ke, kungcono ukugwema ukugeza bese ugeza ngesiponji.
Kunini lapho kufanele ufune khona iseluleko sezokwelapha ngokushesha?
Izinkinga azivamile kakhulu, kodwa kubalulekile ukuthatha isinyathelo ngokushesha uma kuvela izimpawu eziyingozi.
| Ithuba | Izimpawu |
|---|---|
| Shayela udokotela wakho. | |
| Izimpawu zokutheleleka | Umkhuhlane kanye nokubanda, ukubomvu noma ubuhlungu endaweni yokujova, kanye noketshezi olunuka kabi noma ubomvu. |
| Yiya e-Emergency Treatment Unit (ETU) ngokushesha. | |
| Izimo eziphuthumayo | Ubuhlungu besifuba, ubunzima obukhulu bokuphefumula, isiyezi, ubuhlungu obukhulu besisu noma ukuvuvukala. |
Umlayezo Wokuya Nawe Ekhaya
- I-Paracentesis inqubo yezokwelapha ephephile kakhulu esusa uketshezi oluningi esiswini.
- Lokhu kungakusiza ukuthola imbangela yokuqunjelwa futhi kunciphise ukungakhululeki okukubangelayo.
- Kubaluleke kakhulu ukulandela imiyalelo kadokotela wakho ngqo, kokubili ngaphambi nangemva kokwelashwa.
- Qaphela izimpawu eziyisixwayiso ezifana nomkhuhlane, ukuvuvukala kwesilonda, kanye nobuhlungu obukhulu besisu. Uma kwenzeka noma yikuphi kwalokhu, funa iseluleko sezokwelapha ngokushesha.
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