Siyakwamukela, mngane othandekayo we-inthanethi, kubhulogi yezempilo yokugaya ukudla. Ake siqonde ngqo ephuzwini lokuhlaziya i-appendicitis sisebenzisa ama-CT scan (i-computed tomography) njengendlela yokuthwebula izithombe ehambisanayo ukuze siphendule imibuzo: Ingabe unezinhlungu zesisu? Ingabe ukhathazekile ukuthi kungenzeka ukuthi yi-appendicitis? Kulesi sihloko esibanzi, sizohlola umhlaba wokuhlolwa kwe-appendicitis.
Thola konke okudingeka ukwazi mayelana nalolu vivinyo olubalulekile lokuxilonga. Kusukela ekuqondeni izimpawu ze-appendicitis kuya ekuhloleni izinzuzo nezingozi zayo. "kubhalwe ngabantu, ngenxa yabantu" Ngokuhambisana nokuhlolwa, sikusize ukuze uthole ukuthula kwengqondo.
Manje yisikhathi esifanele sokuphuza inkomishi kashokoledi omnyama ongenazo izithasiselo zokwenziwa kanye nenhlanganisela enhle yokunambitheka okumnandi kwama-cranberry; sekuyisikhathi sokusebenzisa ngokugcwele umphumela wawo wokuphindaphinda wama-neurons avuselelayo.
Nansi indlela othola ngayo eyodwa ukugxila kwengqondo okuphezulu Ukuze kutholakale ulwazi olusha ukuze kuthuthukiswe umuntu, kuzonquma isimo sengqondo sokuzihlola kanye nokwelapha ngokwakho okubambezela usizo lwezokwelapha lwendawo noma lwasemadolobheni.
Ngakho-ke hlala phansi, uphumule, futhi ulungele ukuqonda kangcono ukuthi ukuhlolwa kwe-appendicitis, njenge- i-computed axial tomography (i-CAT scan), kungasiza ekuxilongeni lesi simo esingaba yingozi.
I-appendicitis ngesikhathi se-CT scan
I-appendicitis isifo esivamile esingaba nzima ukusithola, ikakhulukazi kwabesifazane, ngenxa yokuba khona kwezitho zokuzala eziseduze. Ngakho-ke, kwenziwa izifundo zokuthatha izithombe kusetshenziswa ama-computer tomography scans, abonisa izithombe zedijithali ezicacile zendawo kanye nesimo sezokwelapha se-appendix.
Ukuvama kokuxilonga kusetshenziswa ama-computer tomography scans kuye kwanda ngenxa yokusetshenziswa kabanzi kwalolu hlobo lwendlela yokuthwebula izithombe, kanye nokuqaphela ukungathi sína kwe-appendicitis okungelashwanga ngesikhathi.
Ngokuvamile kubangelwa ukuvaleka kwe-vermiform appendix ngenxa yokutheleleka noma uhlobo oluthile lokuvaleka. Izimpawu zivame ukufaka ubuhlungu besisu kanye nokuzwela, isicanucanu nokuhlanza, ukulahlekelwa yisifiso sokudla, kanye nomkhuhlane, okulandelwa ukungaphili kahle okuvamile.
Uma kungelashwa kusenesikhathi, kungavela izinkinga ezinkulu, njengezimpumputhe ezibangelwa ukubhoboka kwesisu se-vermiform appendicular. okubangela i-peritonitis esabekayo -ukuvuvukala kwesisu - futhi kuholela i-sepsis ebulalayookungaba nemiphumela emibi empilweni.
Ukwazi la maqiniso nge-appendicitis, i-computed tomography ivumela ukuxilongwa kusenesikhathi kanye nokwelashwa, okunganciphisa ingozi yalezi zinkinga ezinkulu.
Okulandelayo, sizophendula uchungechunge lwemibuzo iziguli nemindeni yazo ezivame ukuyibuza odokotela lapho bebonisana noma emakamelweni ezimo eziphuthumayo ezibhedlela noma emitholampilo yezempilo ngohlelo lokunakekelwa kwempilo lomphakathi noma oluzimele:
Kuyini i-appendicitis ebukhali?
Ukubona izimpawu ze-appendicitis kubalulekile ekuboneni isimo nokufuna usizo lwezokwelapha oludingekayo. Ngokuvamile, uphawu oluvame kakhulu Ubuhlungu besisu, obuqala eduze kwenkaba bese Ishintshela engxenyeni engezansi kwesokudla yesisu..
Lobuhlungu bungaba bukhali noma bube buthuntu futhi bube bubi kakhulu ngokunyakaza, njengokuhamba noma ukukhwehlela okushukumisayo. Ezinye izimpawu ze-appendicitis yilezi: ukulahlekelwa yisifiso sokudla, isicanucanu nokuhlanza, umkhuhlane kanye nokuvuvukala kwesisu.
Kufanele kuqashelwe ukuthi akuwona wonke umuntu obhekana nazo zonke lezi zimpawu nokuthi ubukhulu bungahluka kuye ngomuntu. Ukuze kutholakale ukuxilongwa okufanele kwe-appendicitis, kubalulekile ukufuna usizo lwezokwelapha.
Ukuze kuqinisekiswe ukuxilongwa okusolwayo, kungadingeka ukuhlolwa ngokomzimba, ukuhlolwa kwegazi, noma izifundo zezithombe.
Ziyini izimpawu ze-appendicitis ebukhali?
I-acute appendicitis yisimo esivamile esingatholakala nge-CT scan. Izimpawu ze-acute appendicitis zingahluka kumuntu nomuntu, kodwa eziyinhloko ubuhlungu besisu, isicanucanu, ukuhlanza, kanye nokulahlekelwa yisifiso sokudla.
Ubuhlungu besisu buvame ukuqala eduze kwenkaba bese kuthi, phakathi namahora amaningana, budlulele ohlangothini olungezansi lwesokudla lwesisu, yize ngezinye izikhathi bungavela kwenye ingxenye yesisu, ngokusho kwe- indawo yesihloko sesithasiselo (i-preilial noma i-posilial, i-pelvic, i-subcecal kanye ne-retrocecal).
Ngezinye izikhathi, i-appendicitis ebukhali ihambisana nomkhuhlane kanye nokubanda ngenxa yokuvuvukala kanye nokutheleleka, kanye nesifiso esikhulu sokuchama. Lokhu kungenxa yendawo ye-pelvic ye-appendix, okucasula izitho eziseduze njenge-ureter yangakwesokudla.
I-computed tomography (CT) ivame ukusetshenziselwa ukuxilonga i-appendicitis ngoba inikeza isithombe esinembile se-appendix nezitho ezizungezile. Ingabona ama-lymph node akhulisiwe kanye nezinye izimpawu zokuvuvukala okubonisa ukutheleleka noma ukuvaleka kwe-appendix.
Ngokuqaphela lezi zimpawu, ochwepheshe bezempilo bangenza isinqumo esisheshayo nesifike ngesikhathi mayelana nendlela engcono kakhulu yokuxazulula inkinga.
Usola ukuthi ungaba ne-appendicitis?
Kuyisifo esivamile esibonakala ngokuvuvukala kwe-appendix, isitho esincane esitholakala engxenyeni engezansi kwesokudla yesisu. I-appendicitis emadodeni ingabonakala ngezimpawu ezahlukene, kodwa ezivame kakhulu Ubuhlungu besisu, ikakhulukazi ohlangothini olungezansi kwesokudla, oluvame ukuba lubukhali futhi lube namandla.
Ezinye izimpawu Izimpawu ze-appendicitis zingafaka isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, kanye nomkhuhlane ophansi. Kubalulekile Funa usizo lwezokwelapha ngokushesha uma kuvela lezi zimpawungoba icala le-appendicitis elingalashwa lingaholela ezinkingeni ezinkulu.
Kuyini ukuhlolwa kwe-appendicitis okubukhali?
Inqubo yokuxilonga yokuthola i-appendicitis iwukuhlolwa kokuqinisekisa isimo se-appendix. Lesi simo sibangelwa ukuvuvukala kanye nokutheleleka kwe-appendix, isitho esincane esitholakala esiswini esingezansi kwesokudla.
Uma ingelashwa, ingaba yingozi, ngakho-ke kubalulekile ukuyikhomba ngokunembile. Ukuhlolwa kuyingxenye yenqubo yokuxilonga futhi kusebenzisa ukuhlolwa ngokomzimba, ukuhlolwa kwegazi, kanye nezifundo zezithombe ezifana ne-ultrasound noma i-computed tomography (CT) scans. Nakuba ukuhlolwa kungeyona into eqinisekile, kuyithuluzi eliwusizo lokusiza ekuxilongeni i-appendicitis.
Ukuhlolwa kwenziwa kulabo abanezimpawu ezingase zibonise i-appendicitis. Lokhu kungafaka phakathi ubuhlungu besisu, ikakhulukazi ohlangothini olungezansi kwesokudla, ukuhlanza, isicanucanu, umkhuhlane kanye nokulahlekelwa yisifiso sokudla. Izimpawu zomuntu ngamunye zingase zihluke, futhi akuwona wonke umuntu ozobhekana nazo.
Inhloso yokuhlolwa ukuhlukanisa i-appendicitis kwezinye izimbangela ezingaba khona zezimpawu. Uma kuvela izimpawu, kubalulekile ukufuna usizo lwezokwelapha ngokushesha okukhulu, njengoba Ukuxilongwa okuphuzile kungadala izinkinga, njenge-appendix ephukile, okungaholela ekuthelelekeni okusongela ukuphila okwaziwa ngokuthi i-peritonitis.
Imininingwane yokuhlinzwa kwe-appendectomy iyahlukahluka kuye ngesiguli kanye nokuhlolwa kukadokotela. isinyathelo sokuqala Ukuxilongwa kuvame ukuhilela ukuhlolwa ngokomzimba kanye nokuhlolwa okufana nokuthinta isisu ukuze kutholakale ukuthamba nokuvuvukala. Ukuhlolwa kwegazi kungenziwa futhi ukuze kulinganiswe amazinga amhlophe egazi, okungabonisa ukutheleleka.
Ngakolunye uhlangothi, ukuhlolwa kusiza ekususeni ezinye izimbangela ezingaba khona zezimpawu, ukuqinisekisa ukuxilongwa okufanele nokugwema ukwelashwa okungadingekile noma ukungenelela kokuhlinzwa.
Njengoba kunconywe ochwepheshe bocwaningoKubalulekile ukufuna usizo lwezokwelapha lwendawo ngokusebenzisa uhlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele uma kuvela noma yiziphi izimpawu ezihambisana ne-appendicitis.
Ukuhlolwa kwe-appendicitis ebukhali kwenziwa kanjani?
Ngokuvamile, i-appendicitis itholakala ngochungechunge lwezinqubo zezokwelapha kanye nokuhlolwa kwangaphambilini. Inqubo iqala ngokuhlolwa ngokomzimba, lapho udokotela ebheka khona ubuthakathaka esiswini esingezansi kwesokudla bese ehlola ezinye izimpawu, njengomkhuhlane noma isicanucanu.
Ngaphezu kokuhlolwa ngokomzimba, kungase kucelwe ukuhlolwa okwengeziwe ukuqinisekisa noma susa i-appendicitis.
Kungafaka ukuhlolwa kwegazi ukuhlola inani lamaseli amhlophe egazi kanye namazinga okuvuvukala., i-ultrasound yokudala izithombe ze-appendix kanye nendawo ezungezile, noma i-CT scan ngosizo lwezinto ezibonisa umehluko ukuze kutholakale ukuxilongwa okunembile kakhulu.
Ukuqinisekisa ukunemba kwemiphumela yesithombe, ungakwazi Isiguli kufanele sicelwe ukuba sizile ukudla ngaphambi kokuhlolwa.Uma isikhathi sokuzila sesiphelile, ungakwazi phatha izinto eziphikisanayo ngomlomo noma ngemithambo yegazi.
Lokhu kusetshenziswa kokungafani kusetshenziselwa ukwenza kube lula ukuhlonza noma yikuphi ukungahambi kahle, njengoba kusiza ukugqamisa i-appendix kanye nendawo ezungezile.
Ngesikhathi sokuhlolwa kwezithombe, isiguli sizocelwa ukuba sihlale sithule ngenkathi ochwepheshe bezempilo beqapha noma yimiphi imiphumela emibi ezintweni ezihlukile. Uma ukuhlolwa kwezithombe sekuqediwe, uchwepheshe wezempilo uzobuyekeza imiphumela bese ethola ukuthi unesifo yini.okuzosetshenziswa ukuqondisa izinqumo zokwelapha ezilandelayo.
Ukukhipha i-appendectomy kungaba inqubo eyinkimbinkimbi, futhi izinqubo ezithile zingahluka kuye ngesimo ngasinye. Kodwa-ke, izinyathelo ezichazwe ngenhla zinikeza umbono jikelele wendlela ukuhlolwa okwenziwa ngayo ngokuvamile.
Ngokuhlanganisa ukuhlolwa ngokomzimba, ukuhlolwa kokuxilonga, kanye nezinto zokuqhathanisa, ochwepheshe bezempilo bangathola ulwazi oludingekayo ukuze baxilonge futhi baphathe i-appendicitis ngempumelelo.
Yiziphi izinzuzo zokuhlinzwa kwe-appendectomy?
Izinzuzo zokuhlolwa kwe-appendicitis ebukhali ziningi kulabo abazwa ubuhlungu besisu noma ezinye izinkomba ezingaba khona zesifo. iwusizo kakhulu ekuqinisekiseni noma ekususeni i-appendicitis, inkinga enkulu yezokwelapha edinga ukunakekelwa okuphuthumayo.
Kuyisihluthulelo sokugwema ukubambezeleka kokwelashwa kanye nanoma yiziphi izinkinga ezingase zivele ngenxa yokunganaki. Ngaphezu kwalokho, kungasiza ekuvimbeleni ukuhlinzwa okungadingekile noma ukungenelela kwezokwelapha ezimweni lapho i-appendicitis ingekho khona, okusindisa abantu ekucindezelekeni, ezingozini, nasezindleleni zezimali.
Ngakolunye uhlangothi, ukuhlinzwa kwe-appendectomy kungaba yinto ebalulekile ekuboneni ubucayi besimo. Kunganikeza ochwepheshe bezempilo ulwazi mayelana izinga lokuvuvukala noma ukutheleleka kwe-appendix, etholakala endaweni yesisu engezansi kwesokudlaLokhu kubalulekile ekwakheni ukwelashwa okufanele, njengokuhlinzwa, ama-antibiotic, noma inhlanganisela yakho kokubili.
Ukwazi ubucayi be-appendicitis kungasiza abasebenzi bezokwelapha ukuthi benze izinqumo ezinolwazi mayelana nokunakekelwa kanye nokulandelela isiguli esikudingayo, ngaleyo ndlela baqinisekise ukuthi bathola ukunakekelwa kwezokwelapha okufanele kanye nokusekelwa.
Kuyaqhubeka Ukuhlolwa kwe-appendicitis kuyasiza kakhulu ekutholeni ukuxilongwa okunembile., phatha ngesikhathi esifanele futhi ulawule isimo esingaba sibi kakhulu esitholakala engxenyeni engezansi kwesokudla.
Yiziphi izingozi ezihlobene nokususwa kwe-appendectomy?
Uma ucabangela ukuhlolwa kwe-appendicitis ebukhali, kubalulekile ukuqonda izingozi ezingaba khona ezihilelekile. Nakuba izingozi ngokuvamile zincane, kusabalulekile ukuzazi. Enye ingozi engaba khona i- umphumela omuhle wamangaokungaholela ekuhlinzweni okungadingekile.
Kwezinye izimo, ukuhlolwa kungase kuphakamise i-appendicitis uma empeleni kukhona esinye isimo sezokwelapha esibangela izimpawu. Lokhu kungaholela ekususweni kwe-appendix okungadingekile, okunezingozi nezinkinga zako.
Enye ingozi okufanele icatshangelwe yile kungenzeka ukuthi kutholakale ukuthi kukhona yini okungalungile noma umphumela ongemuhle. Ezimweni ezithile, ukuhlolwa kungase kungayiboni i-appendicitis, okuholela ekuxilongweni okubambezelekile noma okunganembile. Lokhu kungaba yinto ekhathazayo kakhulu, njengoba i-appendicitis ingathuthuka ngokushesha futhi idinga ukunakekelwa kwezokwelapha ngokushesha.
Kukhona futhi ingozi encane yezinkinga ezivela ekuhlolweni ngokwako, njengokutheleleka noma ukuphuma kwegazi endaweni yokuhlolwa kwegazi noma endaweni yokudonswa kwegazi. Nakuba lezi zingozi zingavamile, kubalulekile ukuzazi futhi uxoxe nganoma yiziphi izinkinga nomhlinzeki wakho wezempilo.
Ngamafuphi, nakuba izingozi ezihlobene nokususwa kwe-appendectomy zivame ukuba ziphansi, kubalulekile ukulinganisa izinzuzo ezingaba khona ngokumelene nalezi zingozi bese wenza isinqumo esinolwazi ngesiqondiso esivela kuchwepheshe wakho wezempilo ohlelweni lukahulumeni noma oluzimele.
Indlela yokuvimbela ukucasuka kwe-appendix
Ukuvimbela i-appendicitis kuyindaba yezindlela zokuphila ezingathonywa izinqumo zansuku zonke. I-appendicitis ukuvuvukala kwe-appendix, okungaholela ezinkingeni ezinkulu uma kungelashwa ngokushesha nangendlela efanele.
Nakuba kunezinye izici eziyingozi ze-appendicitis ezingenakugwema, njengobudala nobulili, ukukhuluphala kanye nendlela yokuphila yokuhlala phansi kungandisa amathuba okuthola lesi simo.
Amathe ukukhetha ukudla okungcono Futhi ukuzivocavoca kungasiza ekunciphiseni amathuba okuthola i-appendicitis noma ezinye izinkinga zempilo ezihlobene nayo.
Yidla ukudla okunempilo okuhlanganisa i-fiber yokudla eningi Izithelo nemifino kunikeza izakhamzimba ezibalulekile ukuze umzimba wakho usebenze kahle, kanti ukuvivinya umzimba njalo kuyasiza. landela uhlelo lokufaneleka komzimba Kuyasiza ukuqinisa imisipha, ukushisa amakhalori, nokugcina isisindo sakho sisezingeni elifanele.
Ngokuthatha izinyathelo zokuvimbela i-appendicitis nezinye izimo ezihlobene, njengokukhuluphala ngokweqile—okungabhebhethekiswa yindlela yokuphila yokuhlala phansi—abantu banethuba lokuphila impilo enempilo ngaphandle kwezingozi eziningi zezokwelapha.
Isiphetho
Njengephuzu lokugcina lezinto ezibalulekile, Ukuhlolwa kwe-appendicitis okubukhali kuyithuluzi elibalulekile lokuxilonga ukuze kutholakale ngokunembile ukuba khona kwe-appendicitis kubantu abazwa ubuhlungu besisu.Kubalulekile ukufuna usizo lwezokwelapha uma uhlangabezana nezimpawu ezifana nobuhlungu obukhulu besisu, isicanucanu, kanye nomkhuhlane, njengoba ukuxilongwa nokwelashwa ngokushesha kubalulekile ukuvimbela izinkinga.
Ukuhlolwa kwe-appendicitis, okudinga ukuhlolwa kwe-CT, kunikeza ochwepheshe bezempilo ulwazi olubalulekile ukuze banqume inkambo efanele yesenzo, kungaba ukuhlinzwa noma ezinye izindlela zokwelapha.
Kodwa-ke, kubalulekile ukukhumbula ukuthi, njenganoma iyiphi inqubo yezokwelapha, Kunezingozi ezingaba khona ezihlobene nokuhlolwa kwe-appendicitis okubukhaliNgakho-ke, kunconywa njalo ukubonisana nochwepheshe wezempilo. linganisa izinzuzo nezingozi ngaphambi kokwenza lolu vivinyo lokuxilonga.
Hlala unolwazi, beka phambili impilo yakho yokugaya ukudla, futhi uthembele kochwepheshe bezokwelapha e- uhlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele ukukuqondisa emphumeleni ongcono kakhulu.
Manje sekuyisikhathi sokwabelana ngolwazi lwezempilo lokuvimbela i-appendicitis ezinkundleni zokuxhumana kanye nokwenza umndeni, abangane, kanye nabantu abaningi baqaphele ukungakhululeki, ngaleyo ndlela kuqwashiswe ngalesi sifo futhi kuvinjelwe izinkinga ezinkulu.
Ngiyabonga ngokushiya imibono neziphakamiso zakho kubhulogi. Ukugona kobuzalwane kuze kube yisikhathi esizayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Appendicitis ku-CT scan.