Sawubona msebenzisi we-inthanethi futhi wamukelekile kubhulogi yezempilo yokugaya ukudla. Ake siqonde ngqo ekuhlaziyweni kobuhlungu obukhulu besisu, okuyisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa okusheshayo, njengoba singabangelwa yizimo ezahlukahlukene kusukela kwezincane kuya kwezisongela impilo.
Kulo mhlahlandlela ophelele, sizoxoxa ngencazelo yobuhlungu besisu obukhulu, izimbangela zabo ezivamile, izimpawu, nokuthi butholakala kanjani futhi buphathwe kanjani. Sizoxoxa nangokuqhubeka kwaso kanye nokubikezela kwaso, kanye nokuthi kufanele sifune nini usizo lwezokwelapha ngoba "lubhalwe ngabantu, ngenxa yabantu," nokuthi singaluvimbela kanjani.
Inhloso yalesi sihloko ukunikeza ukuqonda okuphelele kwesithombe sesisu esibuhlungu ukusiza abantu ukuthi babone futhi baphathe lesi simo kangcono.
Ngaphandle kokuchitha isikhathi, ake siqonde ngqo ekuthuthukiseni ukuhlushwa kwemizwa ngokuphuza inkomishi yetiye eliluhlaza. Futhi iyi-antioxidant yemvelo engu-100% kanye ne-neurostimulant, futhi ikusiza ukuthi uthole ulwazi olusha ukuze uthuthuke.
Le ntuthuko entsha isungula isimo sengqondo sokuzilungiselela ukuze kugwenywe ukuwela ekuzibikeni noma ekwelashweni okubambezela usizo lwezokwelapha olusheshayo ngohlelo lwezempilo lomphakathi noma oluzimele noma edolobheni, ngokwendawo yonke, nokugwema ukuba yisibalo esibandayo sezinkinga ezinkulu noma ezibulalayo.
Manje ake singene sijule ngolwazi lokuvimbela ukugaya ukudla!
Ubuhlungu obukhulu besisu. Incazelo
Ubuhlungu obukhulu besisu buyindlela ejwayelekile futhi ebalulekile yokwelapha edinga ukuhlolwa nokuphathwa okusheshayo . Bubonakala ngobuhlungu obungazelelwe, obukhulu obuvela esiswini, obuvame ukubonisa isimo esiphuthumayo sezokwelapha noma sokuhlinzwa.
Lesi simo sidinga ukuhlolwa okuphelele ukuze kutholakale imbangela futhi kuqalwe ukwelashwa okufanele, njengoba ukubambezeleka kungaholela ezinkingeni ezinkulu kanye nengozi eyengeziwe yokugula nokufa. Uhlu lwezimbangela ezingaba khona zobuhlungu besisu obukhulu lubanzi, luhlanganisa izimo ezahlukahlukene zesisu, zangaphakathi kwesisu, kanye nezimo zomzimba.
Ukuhlukahluka kwalezi zimbangela kugcizelela ukubaluleka kwendlela ehlelekile yokuhlola nokuphatha iziguli ezibhekene nalesi simo esiphuthumayo sezokwelapha, kugcizelela isidingo sokuqonda ngokuphelele ukuxilongwa okuhlukile kanye nemikhuba esekelwe ebufakazini ukuqinisekisa ukunakekelwa kweziguli okungcono kakhulu.
Uma kuhlolwa isiguli esinobuhlungu obukhulu besisu, kubalulekile ukucabangela izimbangela ezivamile nezingavamile , kanye nokubonakaliswa okuvamile nokungavamile kwezimo ezahlukahlukene.
Ngokuhlanganisa umlando wezokwelapha, okutholakele ekuhlolweni ngokomzimba, kanye nokusetshenziswa ngokuhlakanipha kwezifundo zokuxilonga, abahlinzeki bezempilo bangasebenza ukuthola ukuxilongwa okunembile futhi basebenzise ukungenelela okufika ngesikhathi okulungiselelwe i-pathology ethile eyisisekelo.
Izimbangela
Izimbangela zobuhlungu obukhulu besisu ziyahlukahluka futhi zivame ukuvela ezinhlotsheni eziningi zezitho zomzimba , okuhlanganisa nezinhlelo zesisu, ze-genitourinary, ze-gynecological, kanye nezemithambo yegazi.
Izimbangela zesisu ezifana ne -appendicitis, i-cholecystitis, kanye nokubhoboka kwamathumbu zivame ukuhlangana, kuyilapho izimbangela ezingezona ezesisu ezifana ne-renal colic kanye ne-aortic dissection nazo kufanele zicatshangelwe.
Ngaphezu kwalokho, izimo ezifana ne -mesenteric ischemia, ubuhlungu besisu, kanye nezimbangela ezithathelwanayo zingabonakala njengobuhlungu besisu obukhulu, okugcizelela kakhulu isidingo sendlela ephelele nehlanganisayo yokuhlola lokhu kwethulwa kwezokwelapha.
Ngaphezu kwalokho, ukuvezwa okuhlukile kwalezi zimbangela kudinga umbono wezokwelapha ohlukile, njengoba izimo ezithile zingase ziveze izimpawu ezingavamile noma zibonakale ngendlela ehlukile kubantu abathile beziguli.
Isibonelo, abantu abadala bangase babonise izici ezingavamile zezifo ezivamile, okwenza inqubo yokuxilonga ibe nzima.
Ngakho-ke, inkomba ephezulu yokusola kanye nokuxilongwa okubanzi okuhlukile kubalulekile ukuqinisekisa ukuthi izimbangela ezingavamile noma ezingavamile zobuhlungu besisu obukhulu azinakwa.
Izimpawu
Iziguli ezinobuhlungu obukhulu besisu zingase zizwe ukungakhululeki okuhlukahlukene, uhlobo kanye nobunzima bako okunganikeza ulwazi olubalulekile mayelana nembangela eyinhloko.
Ngaphezu kobuhlungu besisu obutholakala endaweni ethile, abantu bangase babike izimpawu ezihlobene nalokhu njengokucanuzela kwenhliziyo nokuhlanza, uhudo, ukuqunjelwa, umkhuhlane, kanye nokushintsha kokuchama.
Ukuba khona kwezimpawu zomzimba, njenge-tachycardia, i-hypotension, kanye nezimpawu zokucasuka kwe-peritoneal , kungasiza futhi ekuboneni izifo ezinkulu zangaphakathi kwesisu. Ngaphezu kwalokho, ikhwalithi nezici zobuhlungu, njengokuqala kwabo, ubude besikhathi, kanye nemisebe, kudlala indima ebalulekile ekuxilongweni okuhlukile.
Isibonelo, uhlobo lokufuduka kobuhlungu ezimweni ezifana ne-appendicitis kwabesilisa kanye ne-biliary colic, kanye nokuqala ngokuzumayo kobuhlungu obukhulu, obudabukile ekuqhekekeni kwe-aorta, yizici ezibalulekile zokuxilonga okufanele zihlolwe ngokucophelela.
Ulwazi lwalezi zimpawu ezihlukile lubalulekile ekuqondiseni ukuhlolwa kwezokwelapha kanye nokwakha isu lokuphatha elifanele.
Ukuxilongwa
Ukuhlolwa kwesiguli esinobuhlungu obukhulu besisu kuhilela indlela enezici eziningi ehlanganisa izici zomlando wezokwelapha, ukuhlolwa ngokomzimba, kanye nokuhlolwa kokuxilonga.
Ukuqonda okuphelele izimpawu zesiguli, ukuqhubeka kwazo ngesikhathi, kanye nanoma yiziphi izici ezenza izimpawu zibe zimbi noma zinciphise kubalulekile ekwakheni ukuxilongwa kokuqala okuhlukile.
Lokhu kuhambisana nokuhlolwa ngokomzimba okucophelelayo okungase kwembule ukwanda kokuzwela kwendawo, ukuvikela noma ukuqina , kanye nezinye izimpawu zomtholampilo ezifanele ezibonisa izifo ezithile zangaphakathi kwesisu.
Ukuhlolwa kokuxilonga, okuhlanganisa izifundo zelebhu, izindlela zokuthatha izithombe, kanye, kwezinye izimo, izinqubo zokuhlola, kusebenza ekucaciseni imbangela eyinhloko yobuhlungu besisu.
Nakuba uphenyo lwelabhorethri yegazi lunganikeza ulwazi lokuqala olubalulekile, izifundo zezithombe, njenge- ultrasonography, i-computed tomography (CT), kanye ne-magnetic resonance imaging (MRI), zidlala indima ebalulekile ekuchazeni i-anatomical pathology kanye nokuqondisa ukuphathwa okulandelayo.
Ukusetshenziswa ngokuhlakanipha kwala mathuluzi okuxilonga, okuqondiswa yizinsolo zezokwelapha kanye nezincomo ezisekelwe ebufakazini, kubalulekile ukuqinisekisa ukuxilongwa okunembile nokufika ngesikhathi esimweni sobuhlungu obukhulu besisu.
Ukwelapha
Ukuphathwa kobuhlungu obukhulu besisu kusekelwe ekwelashweni okufika ngesikhathi nangokufanele kwembangela eyinhloko, kuxazululwe ubuhlungu nokungakhululeki futhi kuncishiswe ingozi yezinkinga.
Lokhu kudinga indlela ehlelekile neqondakalayo ecabangela imbangela ethile, isimo sempilo yesiguli iyonke, kanye namathuba okungenelela kokuhlinzwa noma okungekona ukuhlinzwa.
Isibonelo, yize izimo ezifana ne-appendicitis kanye ne-cholecystitis zivame ukudinga ukuhlinzwa, ezinye, njenge-diverticulitis elula, zingaphathwa ngendlela elondolozayo ngama-antibiotic kanye nezinyathelo zokusekela.
Ngaphezu kokubhekana nesifo esiyinhloko, ukukhululeka kwezimpawu kanye nokunakekelwa okusekelayo kuyizingxenye ezibalulekile zohlelo lokuphatha. Imithi yokunciphisa ubuhlungu, imithi yokulwa nokuqunjelwa, kanye nokuvuselela uketshezi kungadingeka ukuze kuncishiswe ubuhlungu, kulawulwe izimpawu ezihambisanayo, futhi kuthuthukiswe isimo sesiguli.
Ukuqapha okuseduze, futhi kwezinye izimo, ukubonisana nezinsizakalo zokuhlinzwa noma izikhungo ezikhethekile kubalulekile ukuqinisekisa ukunakekelwa okuphelele nokuhlelekile, ikakhulukazi ezimweni lapho kudingeka khona ukungenelela kokuhlinzwa noma ukwesekwa kokunakekelwa okubucayi.
I-Evolution kanye ne-prognosis
Ukuvela kanye nokubikezela kwesimo esibi sesisu kuncike ezintweni eziningana, njengokushesha kokuxilongwa, uhlobo lwesifo esiyisisekelo, kanye nokufaneleka kokungenelela.
Izimo ezifana ne-acute appendicitis kanye ne-biliary colic elula ngokuvamile ziba nemiphumela emihle ngokuphathwa ngesikhathi esifanele nangokufanele, kanti ukubambezeleka kokuxilongwa nokwelashwa kungadala izinkinga ezifana nokubhoboka kwesisu, ukwakheka kwethumba, noma i-sepsis.
Ngaphezu kwalokho, ezinye izinkinga, njenge- mesenteric ischemia kanye nokuhlukaniswa kwe-aorta , zihlotshaniswa nengozi ephezulu yokugula nokufa, okugcizelela ukubaluleka kokuqashelwa nokungenelela kusenesikhathi.
Indlela yokwelapha yesimo sesisu esibuhlungu ithonywa ukusebenzisana okuyinkimbinkimbi kwezici zomtholampilo, zomzimba, kanye nezomzimba , okugqamisa isidingo sendlela ekhuthele nesheshayo yokuthuthukisa imiphumela yesiguli nokunciphisa amathuba emicimbi emibi.
Izikhathi zokubona udokotela
Njengoba kunikezwe imiphumela engaba yingozi yobuhlungu besisu obukhulu, kubalulekile ukuthi abantu bafune usizo lwezokwelapha ngokushesha ezimweni eziningana ezibalulekile.
Lokhu kufaka phakathi ukuqala kobuhlungu besisu obungazelelwe nobunzima obuqhubekayo noma obuqhubeka buba bubi, ikakhulukazi uma buhambisana nezimpawu ezihlobene nomkhuhlane, isicanucanu, ukuhlanza, noma izinguquko emikhubeni yamathumbu.
Ngaphezu kwalokho, abantu abanomlando wokuhlinzwa kwesisu noma izimo zesisu ezikhona kakade kufanele bagcine umkhawulo ophansi wokufuna ukuhlolwa kwezokwelapha uma kuziwa ezimpawini ezintsha noma eziphathelene nesisu.
Ezimweni lapho ubuhlungu besisu buhambisana nezimpawu zokungazinzi kwe-hemodynamic, njengokuzungeza, ukuphaphatheka, noma izinguquko ezibalulekile ekushayeni kwenhliziyo kanye nomfutho wegazi , ukuhlolwa kwezokwelapha okuphuthumayo kubalulekile.
Lezi zimpawu eziyisixwayiso kanye nezimo zezokwelapha zidinga indlela yokuthatha isinyathelo ngokushesha nesheshayo yokufuna usizo lwezokwelapha, njengoba zingase zibe uphawu lwezimo eziphuthumayo ezinkulu zangaphakathi kwesisu ezidinga ukungenelela okusheshayo nokuqondile.
Prevención
Nakuba kungezona zonke izimbangela zobuhlungu obukhulu besisu ezingavinjelwa ngokuphelele, izinyathelo ezithile zokuqapha zingasiza ekunciphiseni ingozi yezifo ezithile.
Lokhu kungafaka phakathi ukwamukela indlela yokuphila enempilo, ukuguqulwa kokudla ukuze kuthuthukiswe impilo yesisu , kanye nokuphathwa ngokuhlakanipha kwezimo zezokwelapha ezikhona kakade ezingase zibangele umuntu ukuba abe nezifo zangaphakathi kwesisu.
Isibonelo, ukugcina isisindo esinempilo, ukuhlala usebenza ngokomzimba, kanye nokubhekana nanoma yiziphi izinkinga zesisu ezaziwayo kungasiza ekuvimbeleni noma ekutholakaleni kusenesikhathi kwezinkinga ezithile zesisu.
Ngaphezu kwalokho, abantu abanomlando wezimo ezifana namatshe enyongo, i-diverticulitis, noma isifo samathumbu esivuvukalayo kufanele balandele izincomo zabahlinzeki babo bezempilo zokuphatha lezi zimo, okuhlanganisa ukuguqulwa kokudla, ukunamathela emithini, kanye nokunakekelwa okulandela njalo.
Ukuqwashisa ngezinto ezingaba yingozi kanye nokusetshenziswa kwamasu okuvimbela, njengoba kwelulekwa ochwepheshe bezempilo, kungadlala indima ebalulekile ekunciphiseni ukwanda kanye nobunzima bobuhlungu obukhulu besisu kanye nezinkinga ezihambisana nabo.
Umhlahlandlela wokushayela
Ukuphathwa okuphelele kobuhlungu besisu obubukhali kusekelwe endleleni ehlelekile nesekelwe ebufakazini ehlanganisa ukuqashelwa kwezimpawu eziyisixwayiso, ukuhlolwa kokuxilonga okuhlelekile, kanye nokuqaliswa kokungenelela okuqondiwe ngesikhathi esifanele.
Abahlinzeki bezokunakekelwa kwempilo kufanele balondoloze izinga eliphezulu lokusolakala kwezokwelapha ngezifo ezinkulu zangaphakathi kwesisu, kuyilapho becabangela ukuxilongwa okubanzi okuhlukile okucabangela kokubili izimbangela ezivamile nezingavamile.
Ukusetshenziswa ngokuhlakanipha kwezifundo zokuxilonga, okuhlanganisa nophenyo lwelabhorethri kanye nezindlela ezithuthukisiwe zokuthwebula izithombe, kufanele kuhambisane nokwethulwa kwesiguli emtholampilo kanye nomgomo ophelele wokuxilongwa okusheshayo nokunembile.
Lokhu, futhi, kwakha isisekelo sokwakhiwa kohlelo lokuphatha oluqondene nomuntu siqu olubhekana nesifo esithile esiyisisekelo, lunikeze impumuzo yezimpawu, futhi lunciphise ingozi yezinkinga.
Ukubambisana kwemikhakha eminingi , okuhlanganisa ochwepheshe kwezokuhlinzwa, ezokwelapha eziphuthumayo, kanye nokunakekelwa okubucayi , kuvame ukuba kubalulekile ukuqinisekisa ukunakekelwa okuphelele nokuqhubekayo kwabantu abafika ezibhedlela noma emitholampilo yezempilo abanobuhlungu obukhulu besisu, ikakhulukazi ezimweni ezidinga ukungenelela kokuhlinzwa noma izinto ezikhethekile ezifana ne-Intensive Care Unit (ICU).
Isiphetho
Okokugcina, kubalulekile ukuqonda ukuthi ubuhlungu obukhulu besisu bungabangelwa yizimo ezahlukahlukene futhi bungabonakala nezimpawu ezahlukene . Umhlahlandlela ophelele onolwazi ngezimbangela, ukungakhululeki, kanye nokwelashwa kubalulekile ekuqondeni nasekuphatheni lesi simo esingaba yingozi.
Kubalulekile ukufuna usizo lwezokwelapha ohlelweni lwezempilo lukahulumeni noma oluzimele uma uhlangabezana nezimpawu ezinzima noma eziqhubekayo ukuze uthole ukuxilongwa nokwelashwa okufanele.
Ukugcina impilo enhle yokugaya ukudla nokuqaphela izimbangela ezingaba khona kungasiza ekuvimbeleni ubuhlungu obukhulu besisu. Uma lolu lwazi luphendule imibuzo yakho, sicela wabelane ngalo ezinkundleni zokuxhumana bese ushiya amazwana ku-Blog ye-Digestive Health. Siyabonga ngokuvakashela nokuphawula, futhi sizokubona kokuthunyelwe okulandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ubuhlungu Besisu Obubukhali.