Siyakwamukela, msebenzisi we-inthanethi, esiqondisweni sethu esiphelele mayelana ne-plastronate appendicitis! Kulesi sihloko, sizohlola izimpawu, ukuxilongwa, kanye nezinketho zokwelapha lesi simo.
I-appendicitis ebukhali iyisimo esiphuthumayo sezokwelapha esivame ukudinga ukunakekelwa okusheshayo emnyangweni wezibhedlela kanye nemitholampilo yezempilo.
Kwenzeka lapho i-vermiform appendix, isitho esincane, esifana nesikhwama esitholakala engxenyeni engezansi kwesokudla yesisu, sivuvukala futhi singase siqhume, okuholela ekubhobokeni kwe-appendicitis.
Uma ingelashwa ekuqaleni kwezimpawu noma imbozwe ngemaski ngokuzelapha, i-appendicitis enezimbobo ivame ukuholela ezinkingeni ezinkulu.
Ngakho-ke, kubalulekile ukuqaphela izimpawu, ukuxilongwa okunembile, nokuhlola izindlela zokwelapha ezitholakalayo. "kubhalwe ngabantu, ngenxa yabantu"Ngolwazi olufanele lwentuthuko yakho yomuntu siqu.
Lesi senzo sinquma isimo sengqondo sokuthatha isinyathelo sokubhekana nesilingo sokuzethemba noma sokuzelapha, okuchitha isikhathi ekufuneni usizo lwezokwelapha ohlelweni lwezempilo lukahulumeni noma oluzimele futhi kugweme izinkinga.
Joyina nathi njengoba sihlola lesi sihloko esibalulekile futhi singene shí olwazini lwe-appendicitis enezimbobo, okuthi, ngenxa yesenzo se-omentum, ikwazi ukukhulisa okuqukethwe kwamathumbu, okubangela i-peritonitis yendawo.
I-Plastronal appendicitis
I-Plastronated appendicitis uhlobo olungavamile lwe-appendicitis olubonakala ngokuba khona kwe-appendicular mass lapho i-appendix evuvukele izungezwe futhi igoqwe yi-peritoneal adhesions.
Imvamisa ezithombeni iphakamisa ukuthi imelela cishe 1-2% wabo bonke abantu abagulayo i-appendicitis, futhi ikakhulukazi iyenzeka kubantu abaneminyaka engu-30 kuya kwengu-50Imbangela eqondile ayikacaci; nokho, ubufakazi obunye busekela izigameko eziphindaphindayo zokuvuvukala okukhulu noma ukutheleleka njengembangela engaba khona.
Izimpawu ezivame kakhulu zifaka phakathi ubuhlungu besisu kanye nokuqina kwesisu, isicanucanu nokuhlanza, umkhuhlane, inani eliphezulu lamaseli amhlophe egazi kanye namazinga e-C-reactive protein.
Uma ingelashwa, i-plastronized appendicitis iyakwazi ukubangela izinkinga njengezimpumputhe, ngisho ne-peritonitis eyesabekayo noma i-sepsis ebulalayo; ngakho-ke, kubalulekile ukuthola ukuxilongwa okufanele ukuze uthole ukwelashwa ngesikhathi.
Ezimweni eziningi ukuhlinzwa kuyadingeka; noma kunjalo, ama-antibiotic angasetshenziswa njengokwelashwa kokuqala okulandelwa ukungenelela kokuhlinzwa uma isiguli sesizinzile.
Okulandelayo, sizophendula uchungechunge lwemibuzo ebuzwa kithi odokotela yiziguli kanye nemindeni yazo kokubili egumbini lokubonisana kanye nasegumbini lezimo eziphuthumayo:
Kuyini i-appendicitis enezimbobo?
Ukucasuka kwe-appendiceal enezimbobo kuyinkinga enkulu ebangelwa ukuvuvukala kwe-appendix, lapho iqhuma khona bese okuqukethwe kwayo kuchithekela esiswini.
Kudingeka usizo lwezokwelapha ngokushesha ukuze kugwenywe izinkinga ezengeziwe, futhi kudingeka ukuxilongwa. Kusekelwe ekuhlanganisweni kokuhlolwa kwezokwelapha, ukuhlolwa ngokomzimba, kanye nokuthwebula izithombe.Ukwelashwa kuvame ukuba nokuhlinzwa kanye nama-antibiotic, futhi ukulandelela okuseduze kubalulekile ukuqinisekisa ukwelulama okufanele.
Uma i-appendix iqhuma, ifaka amagciwane kanye nendle emgodini wesisu, okubangela ukutheleleka. Lokhu kungaholela ebuhlungwini bendawo, ukwanda kobuhlungu, ukuvuvukala, umkhuhlane, kanye nokubanda esiswini esingezansi kwesokudla.
Ngaphandle kokuthola usizo lwezokwelapha ngokushesha, kungasakazeka futhi kubangele i-peritonitis.I-appendicitis enezimbobo iyisimo esibi kakhulu. Ngakho-ke, kubalulekile ukuyixilonga nokuyelapha ngokushesha.
Ukuthola lesi simo kudinga ukucabangela izifo zesiguli, umlando wezokwelapha, kanye nemiphumela yokuhlolwa ngokomzimba.
Ukuhlolwa kwezithombe, njenge-ultrasound noma i-computed tomography (CT), nakho kuyasetshenziswa ukuze qinisekisa ukuxilongwa bese uhlola ukuthi kukhona yini ukubhoboka noma ukwakheka kwethumbaLezi zivivinyo zingabona i-appendix evuvukele futhi ziqondise ukwelashwa okufanele.
Ukwelashwa kwe-appendicitis enezimbobo emadodeni kuvame ukuhlanganisa inhlanganisela yokuhlinzwa kanye nama-antibiotic. El Inhloso eyinhloko ukususa i-appendix ethelelekile bese ukhipha noma yiliphi ithumba okungenzeka ukuthi selivele.
Lokhu kwenziwa kusetshenziswa indlela yokuhlinzwa ebizwa ngokuthi i-appendectomy, lapho i-vermiform appendix enesifo isuswa khona yi ukuhlinzwa kwe-laparoscopic okungangenisi kakhulu noma ngokusika okuvamile okuvulekile okunokusika okungu-4 kuya ku-5 cm endaweni engezansi kwesokudla kwesisu.
Uma kukhona ithumba, inqubo yokukhipha amanzi ingenziwa kanye nokuhlinzwa kwe-appendectomy noma ngokwehlukana. Ama-antibiotic anqunyelwe ukulawula ukutheleleka nokuvimbela ukusabalala kwegazi. Ukunakekelwa nokuqapha okulandelayo kubalulekile ukuqinisekisa ukululama okuphumelelayo.
Ziyini izimpawu ze-appendicitis enezimbobo?
Ubuhlungu obukhulu besisu, ikakhulukazi ohlangothini olungezansi kwesokudla, bungenye yezimpawu eziyinhloko ze-appendicitis enezimbobo. Lobuhlungu bungase buqale njengobuhlungu obungajabulisi futhi bukhule ngokushesha ngokuhamba kwesikhathi.
Ezinye izimpawu ezingase zihambisane nalolu buhlungu zifaka phakathi isicanucanu, ukuhlanza, ukulahlekelwa yisifiso sokudla, umkhuhlane ophansi, kanye nomuzwa wokuqunjelwa noma ukukhukhumala kwesisu. Lezi zimpawu akufanele zinganakwa, futhi kufanele kufunwe usizo lwezokwelapha ukuze kutholakale ukuxilongwa okufanele futhi ngesikhathi esifanele.
Ngaphezu kwalokho, abantu abane-appendix enezimbobo bangase babe nenkinga yokuphefumula. ushintsho emikhubeni yabo yokuzila ukudlaLezi zinguquko, kusukela ekuqunjelweni kuya ekuhudweni yisisu, kuhlanganiswe nezimpawu ezibalwe ngenhla, kufanele zithathwe ngokungathi sína futhi zishukumisele ukuvakashela udokotela wendawo yakho ngohlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele.
Nakuba kungebona bonke abantu abazobhekana nazo zonke lezi zimpawu, noma yibuphi ubuhlungu besisu obuqhubekayo buhambisana nanoma yiziphi ezinye izimpawu. Kufanele ahlolwe ngudokotela.Ukuxilongwa kanye nokwelashwa ngesikhathi, okuhlanganisa nokwelashwa ngokuhlinzwa uma kudingeka, kubalulekile ukuze kutholakale imiphumela emihle kakhulu.
I-appendicitis enezimbobo ihlolwa kanjani?
Ukuxilonga i-appendicitis enezimbobo kudinga ukuhlolwa okuphelele. Udokotela ohlelweni lwezempilo lukahulumeni noma oluzimele uzohlola izimpawu, aqaphelisise isimo sesiguli. Naka ngokukhethekile ukuba khona kobuhlungu engxenyeni engezansi kwesokudla yesisu.okuvame ukuba yinkomba yesimo.
Ezinye izimpawu zizocatshangelwa, njengokulahlekelwa yisifiso sokudla, uhudo, isicanucanu, ukuhlanza kanye nokuvuvukala kwesisu.
Ukuqinisekisa ukuxilongwa, ukuhlolwa ngokomzimba kanye nezifundo zezithombe kungenzeka zenziwe. ukuhlolwa kwegazi ngokubalwa kwegazi okupheleleUkuhlolwa komchamo, ukuhlolwa kwama-enzyme, kanye nokuhlolwa kokusebenza kwesibindi nezinso konke kuyadingeka ukuze kutholakale ngokunembile i-appendicitis ebhobozekile.
Ukuhlola izimpawu ze-appendicitis ebukhali kubaluleke kakhulu. Udokotela uzohlola ubuhlungu esiswini esingezansi kwesokudla, okuyisibonakaliso esinamandla salesi simo. Bazohlola nezinye izimpawu, njengokulahlekelwa yisifiso sokudla, uhudo, isicanucanu, ukuhlanza, kanye nokuvuvukala kwesisu.
Ukuze kutholakale ukuxilongwa okuqondile, kungase kudingeke ukuhlolwa kwesisu kanye nokunye ukuhlolwa. Ukuhlolwa okuphelele kwazo zonke izinkomba ezibalwe ngenhla kubalulekile ukuze kutholakale ukuthi kukhona yini i-appendix ebhobozekile.
Yiziphi izindlela zokwelapha i-appendicitis enezimbobo?
Uma kukhulunywa ngokwelapha i-appendix enezimbobo, kunezindlela eziningana ongakhetha kuzo kuye ngokuthi isimo sesiguli ngasinye sibucayi kangakanani.
La Ukuhlinzwa kuyindlela eyinhloko yokwelapha, ukwenza i-appendectomy njengenqubo ephuthumayo yokugwema izinkinga ezengeziwe. Ezimweni ezithile, ukususwa kwe-appendectomy okubambezelekile noma kamuva kungacatshangelwa lapho ithumba selivele.
Ngaphezu kokuhlinzwa, ngokuvamile nikeza ama-antibiotic ukwelapha noma yikuphi ukutheleleka okukhona. Le mithi ivame ukunikezwa ngemithambo yegazi esibhedlela futhi kungadingeka kuqhutshekwe isikhathi esithile.
Ngaphezu kwalokho, ukuphathwa kobuhlungu kubalulekile futhi imithi efana imithi yokunciphisa ubuhlungu noma imithi yokulwa nokuvuvukala ukunciphisa ukungakhululeki nokukhuthaza ukuphulukiswa kwesiguli kanye nokuzikhandla ukuze kuphole amanxeba ngokushesha.
Ngemva kokwelashwa kokuqala, ukuqapha eduze nokunakekelwa kokulandelela kubalulekile ukuze ululame ngokugcwele. Lokhu kungafaka ukuhlolwa njalo nomhlinzeki wakho wezempilo ukuze kuhlolwe inqubekela phambili yokuphulukiswa nokuxazulula noma yiziphi izinkinga.
Kubalulekile ukulandela imiyalelo yangemva kokuhlinzwa enikezwa yithimba lezempilo, engafaka phakathi iziphakamiso zokuphumula, ukunakekelwa kwamanxeba, kanye nokubuyela kancane kancane emisebenzini evamile. Ngokulandela lezi zinqubo zokwelapha, abantu abane-appendix ebhobokile bangalulama ngempumelelo futhi bagweme ezinye izinkinga.
I-appendicitis enezimbobo ingavinjelwa kanjani?
Ukuze uvimbele i-appendicitis ebhobokile, kubalulekile ukugcina indlela yokuphila enempilo. Indlela ephumelela kakhulu yokwenza lokhu ukudla ukudla okune-fiber eningi, okusiza ekuvimbeleni ukuqunjelwa, okuyimbangela evamile ye-appendicitis.
Hlala unamanzi ngokuphuza amanzi amaningi (okungenani amalitha ama-2 amanzi anuka kamnandi e-chamomile, i-mint, i-boldo usuku lonke) kuzophinde kukhuthaze ukunyakaza kwamathumbu njalo, kunciphisa amathuba okuvaleka kwe-appendix.
Ukuvivinya umzimba njalo kubalulekile ekuvimbeleni i-appendicitis ebhobozekile. Akusizi nje kuphela ukugcina isisindo esinempilo kodwa futhi kukhuthaza ukusebenza kahle kokugaya ukudla. Ukuzivocavoca umzimba kuvuselela uhlelo lokugaya ukudla futhi kunciphisa ukunqwabelana kwezinto ezilahliwe ku-appendix, ngaleyo ndlela kunciphisa ingozi yokuvuvukala nokubhoboza.
Imikhuba emihle yokuhlanzeka ibalulekile futhi ekuvimbeleni i-appendicitis. Geza izandla zakho kahle futhi njalo (ikakhulukazi ngaphambi kokudla nangemva kokusebenzisa indlu yangasese) kungasiza ekuvimbeleni ukusabalala kwamagciwane angangena ku-appendix. Ngaphezu kwalokho, ukugwema ukusondelana nabantu abanezifo zamathumbu kuyisinyathelo esihlakaniphile sokuqapha.
Kwezinye izimo, abantu abanomlando womndeni we-appendicitis bangacabangela izindlela zokuvimbela njengokususwa kwe-appendix, okuhlanganisa nokususwa kwe-appendix ngaphambi kokuba kuvele izimpawu.
Kubalulekile ukubonisana nochwepheshe wezempilo ukuze hlola izici eziyingozi ngazinye bese unquma inkambo efanele kakhulu yesenzo sesiguli ngasinye, okungase kuhlanganise nokuphuma kwamanzi nge-percutaneous.
Nokho, ukuthwala Indlela yokuphila enempilo ehlanganisa ukudla okunomsoco, ukuzivocavoca njalo, kanye nemikhuba efanele yokuhlanzeka Kunciphisa kakhulu ingozi ye-appendicitis enezimbobo.
Ngokulandela lezi zinyathelo zokuvimbela, abantu banganciphisa amathuba okubhekana nemiphumela ebulalayo ye-appendicitis futhi balondoloze impilo yabo yesisu isesimweni esihle.
I-Plastronated appendicitis yisifo esingavamile kodwa esibi lapho i-appendix ivuvukala khona bese yakha udonga lwezicubu ezine-fibrous oluyizungezile.
Indlela ebaluleke kakhulu yokuzivikela kulesi simo ukuba nendlela yokuphila enempilo, njengoba ukuvimbela kubalulekile.
Ukuhlala umatasa, ukugcina isisindo esinempilo, yidla ukudla okunempilo ucebile nge-fiber yokudla Ukuqinisa imisipha kuyizinto ezibalulekile ekufezeni impumelelo yempilo iyonke.
Lokhu kusho ukugwema isilingo sokudla okusheshayo, ukuyeka ukudla okulula okunoshukela, nokungazidli ngokweqile... ukudla okucutshungulwe ngamakhalori aphezulu okungadala ukukhuluphala kanye nezinye izingozi ezihlobene nakho.
Kubalulekile futhi ukuhlala umatasa njalo futhi uhlanganyele emisebenzini evuselela inhliziyo njengokugijima, ukugibela ibhayisikili, ukubhukuda, noma landela uhlelo lokufaneleka komzimba.
Ukwamukela indlela yokuphila enempilo ngokudla nokuzivocavoca kungavimbela i-plastroneated appendicitis, kanye nezinye izifo ezivela ekukhuluphaleni nasekungahlali phansi. Ukuvimbela kuyisihluthulelo sangempela ekukhetheni indlela yokuphila enempilo.
Isiphetho
Ngamafuphi, i-appendicitis yisimo esibi kakhulu esidinga usizo lwezokwelapha ngokushesha. ukuqaphela izimpawu, njengobuhlungu besisu nokulahlekelwa yisifiso sokudlaAbantu bangafuna ukuxilongwa nokwelashwa ngesikhathi.
Ukuhlolwa kwezimpawu kanye nokuhlolwa okuphelele komzimba wesisu kudlala indima ebalulekile ekuxilongweni kwe-appendicitis, kuyilapho Ukungenelela kokuhlinzwa Ngokuvamile kuyadingeka ekwelashweni.
Ngokunakekelwa okufanele kanye nokwaziswa, ingozi yezinkinga, njenge-appendicitis ebhobozekile, ingancishiswa. Lokhu kungaholela ukwakheka kwe-phlegmon noma ithumba, okuyisifo esithathelwanayo endaweni ethile.
Uma usola ukuthi une-appendicitis, kubalulekile ukubona uchwepheshe wezokwelapha wendawo othembekile ohlelweni lokunakekelwa kwempilo lukahulumeni noma oluzimele ukuze uthole ulwazi olunembile kanye nesiqondiso. Khumbula ukuthi impilo yakho ayinakuqhathaniswa, ngakho ungangabazi ukufuna usizo uma uludinga.
Lesi yisikhathi sobumbano ngokwabelana ngolwazi lwezempilo lokuvimbela mayelana ne-appendicitis ezinkundleni zokuxhumana kanye nokuqinisekisa ndawonye ukuthi umndeni, abangani, kanye nabantu abaningi bayazuza futhi bayaqaphela ukungakhululeki kokuvuvukala kwe-vermiform appendix, bese beya kudokotela ukuze bagweme izinkinga ezinkulu.
Ngiyabonga ngokushiya imibono neziphakamiso zakho kubhulogi: Impilo Yokugaya Ukudla. Ukugona okufudumele futhi sizobonana esitolimendeni esilandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-Plastronated appendicitis.