Sanibonani ngemfudumalo, msebenzisi we-inthanethi, futhi wamukelekile kubhulogi yezempilo yokugaya ukudla. Siqala ngokushesha ngokuhlaziywa kobuhlungu besisu obukhulu, obubonakala ngobuhlungu besisu obungazelelwe: izimbangela, izimpawu, kanye nokwelashwa: umhlahlandlela ophelele. Lesi sihloko sihlola izici ezahlukahlukene ezingabangela ubuhlungu besisu obungazelelwe nobunamandla.
Lesi sihloko sihlola ukuthi ubuhlungu besisu bungaba kanjani uphawu lwezimo eziningi ezahlukene kanye nokubaluleka kokufuna ukuhlolwa kwezokwelapha okusheshayo. Siphinde sinikeze umbono jikelele wezinketho ezahlukene zokwelapha ezitholakalayo, ezibhalwe "ngabantu, ngenxa yabantu," okuhlanganisa ukuhlinzwa okuphuthumayo kanye nokuphathwa kwezokwelapha.
Kunconywa ukuphuza inkomishi yetiye eliluhlaza, i-antioxidant enamandla angu -100% emvelo okuvuselela imizwa , okuzonquma ukugxila okuphezulu kwengqondo ukuze uthole ulwazi lokuthuthukiswa komuntu siqu.
Le ntuthuko entsha izonquma isimo sengqondo sokuthatha isinyathelo futhi ingabi yisisulu sokuzihlola noma sokuzelapha , okubambezela usizo lwezokwelapha oluphuthumayo ngohlelo lwezempilo lomphakathi noma oluzimele, ngokwesimo sakho sendawo yomhlaba wonke, futhi kungabi yisibalo sezinkinga ezinkulu.
Kungakhathaliseki ukuthi uzwa ubuhlungu besisu wena ngokwakho noma ufuna ulwazi lomuntu omthandayo, lo mhlahlandlela ophelele ungakusiza uqonde futhi uzulazule ezweni eliyinkimbinkimbi lobuhlungu besisu obukhulu.
Ubuhlungu Besisu Obubukhali.
Kuyini lokhu?
Ubuhlungu besisu obubukhali, obaziwa nangokuthi isisu esibukhali , bubhekisela ekuqalekeni kobuhlungu obungazelelwe nobubukhali esiswini. Lesi simo sivame ukukhombisa inkinga enkulu yezokwelapha eyisisekelo futhi sidinga ukunakekelwa kwezokwelapha okusheshayo.
Isisu esibuhlungu singabangelwa yizinto eziningi ezahlukene , okuhlanganisa ukulimala okubuhlungu, ama-hernia, kanye nezimo zezokwelapha ezahlukahlukene ezithinta izitho ezisemgodini wesisu.
Ukuqala kwezimpawu kungahlukahluka, futhi yize abanye abantu bengase babe nobuhlungu obungazelelwe nobunamandla, abanye bangase babe nezimpawu ezikhula futhi ziqine esikhathini esifushane.
Izinsana , izingane ezincane, kanye nabantu asebekhulile bangase babe nobunzima bokuthola noma ukuchaza ubuhlungu besisu sabo, okungaba yinselele ekutholeni ukuxilongwa ngesikhathi esifanele kanye nokwelashwa okufanele.
Njengoba ezinye izimo ezibonakala njengobuhlungu obukhulu besisu zingaba yingozi empilweni , indlela ephelele nehlelekile yokuhlola ibalulekile kuzo zonke izimo, kungakhathaliseki ubudala besiguli noma ikhono laso lokudlulisa izimpawu ngempumelelo.
Ukuqashelwa kanye nokungenelela okusheshayo nokusheshayo kubalulekile ekuthuthukiseni imiphumela yamalungu amancane omndeni athola isisu esibuhlungu futhi adinga usizo oluphuthumayo lwezokwelapha ngohlelo lwezempilo lukahulumeni noma oluzimele.
Izizathu
Izimbangela zobuhlungu obukhulu besisu ziyahlukahluka , kusukela ezinkingeni zesisu kuya ezimweni ezithinta ezinye izinhlelo zezitho zomzimba. Ezinye zezimbangela ezivamile zesisu esibuhlungu zifaka phakathi i-appendicitis, i-cholecystitis (ukuvuvukala kwenyongo), ukuvaleka kwamathumbu, izilonda ezibhobozekile, kanye ne-diverticulitis.
Ukulimala esiswini, njengokulimala ngenxa yokushaywa noma izingozi, nakho kungabangela ubuhlungu obukhulu besisu. Ngaphezu kwalokho, izimo zezokwelapha ezifana ne -pancreatitis, amatshe ezinso, kanye nokutheleleka komgudu womchamo kungabonakala ngezimpawu zesisu esibuhlungu.
Kubalulekile ukukhumbula ukuthi imbangela ethile yobuhlungu besisu obubukhali ingahluka kuye ngobudala bomuntu, umlando wezokwelapha, nezinye izici . Isibonelo, yize i-appendicitis kwabesilisa iyimbangela evamile yesisu esibukhali kubantu abasebasha , abantu abadala bangase babe namathuba amaningi okuzwa ubuhlungu besisu obubukhali ngenxa yezimo ezifana ne -mesenteric ischemia noma i-aortic aneurysm.
Kwezinye izimo, ukuhlonza imbangela eqondile yobuhlungu besisu obubukhali kungadinga inhlanganisela yokuhlolwa kwezokwelapha, izifundo zezithombe, kanye nokuhlolwa kwelebhu ukuze kutholakale ukuxilongwa okunembile.
Izimpawu
Ukubonakaliswa kobuhlungu obukhulu besisu kungahlukahluka kuye ngembangela eyinhloko, kodwa kunezinye izimpawu ezivamile abantu abangase bazibone.
Ngokuvamile, isisu esibuhlungu sibonakala ngokuqala ngokuzumayo kobuhlungu besisu obukhulu nobuqhubekayo . Lobuhlungu bungase bube sendawo noma busabalale futhi bungase buhambisane nezimpawu ezengeziwe ezifana nokucanuzela kwenhliziyo, ukuhlanza, kanye nokuvuvukala kwesisu. Esinye sezimpawu eziphawulekayo zesisu esibuhlungu ukuba khona kobuhlungu besisu obuphuthumayo nobunamandla.
Lobuhlungu buvame ukuholela abantu ekufuneni usizo oluphuthumayo lwezokwelapha futhi bungabonisa isifo esibucayi esingaphakathi kwesisu esidinga ukungenelela okusheshayo. Uhlobo lobuhlungu obungazelelwe lubalulekile futhi lungasiza ekuhlukaniseni isisu esibuhlungu kwezinye izimbangela zobuhlungu besisu, ezingaphuthumi kakhulu.
Ubuhlungu obungazelelwe nobunamandla
Isisu esibuhlungu sivame ukubonakala ngobuhlungu obungazelelwe, obubukhali obungase bube sendawo ethile yesisu noma busabalale kakhulu. Ubuhlungu buvame ukuba bukhulu futhi buhlala njalo, futhi abahlushwayo bangase babuchaze njengomuzwa obukhali, ohlabayo, noma obuhlungu.
Kwezinye izimo, ubuhlungu besisu bungaba bukhulu kangangokuthi bubangela ukuthi umuntu aquleke noma abe nobunzima bokuthola indawo ekhululekile, ikakhulukazi uma enesifo sokuvuvukala kwesisu.
Ngaphezu kwalokho, ubuhlungu obungazelelwe nobunamandla esiswini esibuhlungu buvame ukuba yisibonakaliso esibalulekile kochwepheshe bezempilo ukuze babuhlukanise nezinye izimbangela zobuhlungu besisu ezingaphuthumi kakhulu.
Ubunzima kanye nokuqala okusheshayo kobuhlungu besisu kudinga ukuhlolwa okusheshayo nokuphelele ukuze kutholakale imbangela eyisisekelo bese kuqala ukwelashwa okufanele.
Ukuphazamiseka kwesisu
Ngaphezu kobuhlungu obukhulu, isisu esibuhlungu singaba nokuvuvukala kwesisu , okubonakala ngokuvuvukala okukhulu noma ukuvuvuka kwesisu. Lokhu kungaba ngenxa yokuqongelela kwegesi noma uketshezi, noma ngenxa yesimo esingaphansi esibangela ukuvuvukala.
Ukuvuleka kwesisu uma kukhulunywa ngesisu esibuhlungu kuvame ukuba uphawu olukhathazayo futhi kungase kubonise inkinga enkulu yangaphakathi kwesisu edinga ukunakekelwa okuphuthumayo kwezokwelapha kanye nokungenelela.
Ngakolunye uhlangothi, ukuba khona kokuvuvukala kwesisu esiswini esibuhlungu kungaba uphawu oluyisixwayiso kodokotela, okungaholela ocwaningweni olunzulu ukuze kutholakale imbangela futhi kuqalwe ukwelashwa okufanele.
Ukuhlonza nokuphatha ngokushesha izimo ezibangela ukukhukhumala kwesisu kubalulekile ekuvimbeleni izinkinga ezingaba khona kanye nokuthuthukisa imiphumela yesiguli.
Isicanucanu nokuhlanza
Isicanucanu nokuhlanza kuyizimpawu ezivamile ezihambisana nobuhlungu obukhulu besisu futhi kungathinta kakhulu inhlalakahle yalabo abathintekile. Lezi zimpawu zingavela njengempendulo yobuhlungu obukhulu nanjengengxenye yempendulo yomzimba esimweni sesisu esingaphansi.
Isicanucanu nokuhlanza uma kukhulunywa ngesisu esibuhlungu kungaba yinto eqhubekayo futhi kube nzima ukuyilawula , okwandisa ukuphuthuma komtholampilo kokuhlola nokulungisa imbangela yezimpawu.
Ngaphezu kwalokho, ukuba khona kwesicanucanu esingalapheki kanye nokuhlanza esiswini esibuhlungu kugcizelela isidingo sokuhlolwa okuphelele nokufika ngesikhathi ukuze kutholakale futhi kuphathwe ngendlela efanele isimo esiyisisekelo. Ukubhekana nalezi zimpawu kuyingxenye ebalulekile yokuphathwa kwesisu esibuhlungu futhi kungasiza ekududuzeni nasekuzinzeni kwesiguli.
Ukuhlola kanye nokuxilongwa
Ukuhlolwa nokuxilongwa kwesisu esibuhlungu kudinga indlela ehlelekile nebanzi ehlanganisa umlando wezokwelapha onemininingwane, ukuhlolwa ngokomzimba okuphelele, kanye nokusetshenziswa okufanele kwezifundo zokuxilonga.
Njengoba kunezimbangela eziningi ezingaba khona, ukuhlolwa okuhlelekile nokwendlela kubalulekile ukuze kutholakale ngokunembile isimo esithile esibangela izimpawu zesisu ezibukhali.
Akungabazeki ukuthi umlando wezokwelapha ophelele kanye nokuhlolwa ngokomzimba kudlala indima ebalulekile ekuhlolweni kokuqala kwesisu esibuhlungu. Umlando wezokwelapha kufanele uhlole ukuqala kanye nezici zobuhlungu besisu, izimpawu ezihambisanayo njengokucanuzela kwenhliziyo nokuhlanza, umlando wezokwelapha nowokuhlinzwa ofanele, kanye nanoma yiziphi izinto ezingaba nomthelela, njengokuhlukumezeka kwamuva noma izimo zezokwelapha eziyisisekelo.
Okulandelayo, ukuhlolwa okujulile ngokomzimba, okuhlanganisa nokuhlolwa kwezimpawu ezibalulekile kanye nokutholwa kwesisu njengobuhlungu, ukuvuleka, kanye nezimpawu ze-peritoneal, kubalulekile ukuze kucaciswe izimbangela ezingaba khona zesisu esibuhlungu.
Umlando wezokwelapha kanye nokuhlolwa ngokomzimba
Ekuhlolweni kwesisu esibuhlungu, umlando wezokwelapha unikeza ulwazi olubalulekile mayelana nohlobo kanye nezinto ezingaba yizimbangela zezimpawu. Uqondisa uchwepheshe wezempilo ekwakheni ukuxilongwa okuhlukile okufanele kanye nokunquma ukuphuthuma kokungenelela okwengeziwe kokuxilonga nokwelapha.
Ngaphezu kwalokho, ukuhlolwa ngokomzimba, okugxile esiswini, kusiza ekuboneni imiphumela ebalulekile, njengokuthamba okuphindaphindekayo noma ukuqina kwesisu, okunganikeza izinkomba ezibalulekile zokuxilonga futhi kusize ekuqondiseni izinyathelo zocwaningo ezilandelayo.
Uma kubhekwa ukuhlolwa ngokomzimba, kugxilwa kakhulu ekubeni khona kwezimpawu ze-peritoneal, okuhlanganisa ukuthamba okuphindaphindekayo, ukuqapha ngokuzithandela, kanye nokuqina kwesisu . Lezi zimpawu zibonisa inqubo eyisisekelo yokucasuka kwe-peritoneal futhi ziphakamisa izimo ezinkulu zangaphakathi kwesisu, njengokubhoboka noma ukuvuvukala.
Ukuqaphela nokuhumusha lokhu okutholakele kubalulekile ekuhlolweni kokuqala kwesisu esibuhlungu futhi kungaqondisa ukwenza izinqumo mayelana nesidingo sokuthwebula izithombe ezengeziwe noma ukungenelela okuphuthumayo.
Ukuhlolwa kwegazi kanye nokuhlolwa kwezithombe
Ngemva kokuhlolwa kokuqala komtholampilo, ukusetshenziswa kwezifundo zelebhu kanye namasu okuthwebula izithombe kuyingxenye ebalulekile yokuhlolwa kokuxilonga isisu esibuhlungu. Ukuhlolwa kwegazi, okuhlanganisa ukubalwa kwegazi okuphelele, iphaneli ye-metabolic, kanye nezimpawu zokuvuvukala , kunganikeza ulwazi olubalulekile mayelana nokuba khona kokutheleleka, ukungasebenzi kahle kwezitho zomzimba, noma izinqubo zokuvuvukala.
Ngaphezu kwalokho, izifundo zezithombe, njenge-ultrasound, i-computed tomography (CT) scans, noma i-radiographs ecacile, zivame ukudingeka ukuze kubonwe izitho zesisu futhi kutholakale izifo ezithile, njenge-gallstones, ukuqoqwa koketshezi, noma izimpawu zokuvaleka kwamathumbu.
Ngaphezu kwalokho, amasu okuthwebula izithombe athuthukile, njenge-magnetic resonance imaging (MRI) kanye nezinqubo ze-interventional radiology, angasetshenziswa ezimweni ezikhethiwe ukuze kuchazwe kabanzi okutholakele okuyinkimbinkimbi noma okungaqondile.
Ukusetshenziswa ngokuhlakanipha kwala mathuluzi okuxilonga, okuqondiswa ukusola kwezokwelapha kanye nokwethulwa kwesiguli, kubalulekile ekusunguleni ukuxilongwa okunembile kanye nokuqondisa ukuphathwa okulandelayo kwesisu esibuhlungu.
Ukwelapha
Ukwelashwa kwesisu esibuhlungu kuncike embangela eyinhloko kanye nobukhali bezimpawu zomuntu. Ezimweni eziningi, ukuphatha isisu esibuhlungu kudinga indlela ehlukahlukene ehilela odokotela abahlinzayo, odokotela bezifo zamathumbu, kanye nabanye ochwepheshe ukuze kuxazululwe izimbangela ezahlukahlukene futhi kuthuthukiswe imiphumela yesiguli.
Ukuhlonza ngokushesha nangokunembile isimo esiyisisekelo kubalulekile ekunqumeni isu lokwelapha elifanele kakhulu kubantu ababhekene nesisu esibuhlungu.
Uma isisu esibuhlungu sibangelwa izimo eziphuthumayo zokuhlinzwa, njenge-appendicitis, ukubhoboka kwamathumbu, noma ischemia ye-mesenteric, ukungenelela okusheshayo kokuhlinzwa kuvame ukudingeka ukuze kulungiswe lesi simo futhi kuvinjelwe izinkinga ezingaba khona.
Ukuphathwa kokuhlinzwa kungafaka konke kusukela kuma-appendectomies kanye nama-laparotomies okuhlola kuya ekusikweni kabusha kwezingxenye zamathumbu ezingasebenzi kahle, kuye ngokuthi kutholakale yini isifo esithile kanye nobukhulu besifo sangaphakathi kwesisu.
Ukuhlinzwa Okuphuthumayo
Ukuhlinzwa okuphuthumayo kwesisu esibuhlungu kuhlose ukuxazulula inkinga eyisisekelo ebangela izimpawu zesisu ezisheshayo nezinzima. Lokhu kungafaka phakathi ukususwa kwezitho ezivuvukile noma ezibhobozekile, ukulungiswa kokulimala okubuhlungu, noma ukubuyiselwa kokugeleza kwegazi ezingxenyeni zamathumbu ezingasebenzi kahle.
Ukusebenza ngesikhathi nangobungcweti kokungenelela okuphuthumayo kubalulekile ukunciphisa imiphumela emibi engaba khona ehlobene nesisu esibuhlungu nokukhuthaza ukululama kwabantu abathintekile.
Ngakolunye uhlangothi, ezizathwini ezingadingi ukuhlinzwa zesisu esibuhlungu, njengezimo ezithile zezokwelapha noma izifo zesisu eziguqukayo, ukuphathwa okungadingi ukuhlinzwa, okuhlanganisa ukwelashwa kwezokwelapha kanye nokunakekelwa okusekelayo, kungaba yisisekelo sokwelashwa.
Le ndlela ingafaka phakathi ukunikeza ama-painkiller, ama-antibiotic, noma imithi ethile eqondiswe esimweni esiyisisekelo, kanye nokuqapha eduze isimo sesiguli kanye nempendulo yaso ekwelashweni.
Ukuphathwa kwezokwelapha
Ukuphathwa kwezokwelapha kwesisu esibuhlungu kungase kuhilele ukubhekana nezici ezithile eziyimbangela, njengokunikeza uketshezi olufakwa emthanjeni kanye nama-antibiotic ezimweni zokutheleleka ngaphakathi kwesisu, noma ukusebenzisa izinyathelo zokunciphisa ukuvinjelwa kwamathumbu noma ukunciphisa ukuvuvukala ezifweni ezingezona ezokuhlinzwa.
Ngaphezu kwalokho, ezimweni lapho isisu esibuhlungu sihlobene nezimo zezokwelapha zomzimba, njenge-ketoacidosis yesifo sikashukela noma i-acute myocardial infarction, ukungenelela kwezokwelapha okuthile kanye nokunakekelwa okuhlanganisiwe nochwepheshe bezokwelapha zangaphakathi kanye nokunakekelwa okubucayi kungaba yinto ebalulekile ukuthuthukisa imiphumela yesiguli.
Isiphetho
Ngamafuphi, ubuhlungu obukhulu besisu bungaba nezimbangela ezahlukahlukene futhi bube nezimpawu ezahlukahlukene . Kubalulekile ukuthi abantu bafune usizo lwezokwelapha uma bezwa ubuhlungu obungazelelwe noma obukhulu, njengoba kungabonisa isimo esibucayi esiyisisekelo.
Ukuhlolwa okuphelele kanye nokuxilongwa, okuhlanganisa ukuhlolwa kwegazi kanye nezifundo zezithombe, kungadingeka ukuze kutholakale imbangela yobuhlungu besisu. Ukwelashwa okufanele, kungakhathaliseki ukuthi ukuhlinzwa noma ukwelashwa, kuzoncika embangela ethile kanye nobunzima besimo.
Kubalulekile ukuthi abantu babonisane nochwepheshe wezempilo ezibhedlela noma emitholampilo yezempilo ukuze bathole ukuphathwa okufanele nokuvimbela izinkinga ezingaba khona.
Ngiyabonga ngokuphawula kwakho kubhulogi ye-Digestive Health kanye nokwabelana ngalolu lwazi oluwusizo nabantu emhlabeni wonke ezinkundleni zokuxhumana!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ubuhlungu Besisu Obubukhali.