Sawubona futhi wamukelekile, msebenzisi we-inthanethi othandekayo, kubhulogi ethi: Impilo Yokugaya Ukudla. Ake siqonde ngqo ekuhlaziyeni. mayelana ne-appendix kwabesifazane.
I-Appendicitis yisifo esibuhlungu esingathinta kokubili amadoda nabesifazane, kodwa ubuwazi ukuthi abesifazane bathambekele kakhulu kuso?
Kulesi sihloko esiphelele mayelana nempilo yokuvimbela, sizohlanganisa konke okudingeka ukwazi mayelana ne-appendix kwabesifazane, okuhlanganisa izimpawu, ukuxilongwa kanye nokwelashwa kungenzeka futhi kuyatholakala njengamanje futhi kufinyeleleka kalula endaweni noma edolobheni.
Kungakhathaliseki ukuthi ungowesifazane okhathazekile ngempilo yakho noma ufuna nje ukufunda okwengeziwe ngalesi sifo ukuze uthuthuke, kuzonquma isimo sengqondo sokuthatha isinyathelo futhi kukusize umelane nesilingo sokuzama ukuzihlola noma okubi nakakhulu, ukuzelapha, lapha uzothola lonke ulwazi oludingayo.
Ngakho hlala phansi, ube inkomishi yetshokolethi emnyama exutshwe emanzini, kuhlanganiswe nokunambitheka okumnandi kwama-cranberry Ngemiphumela yayo enamandla, eyi-100% yemvelo yokuvuselela izinzwa, ifinyelela ukugxilisa ingqondo okungcono kanye nokugcina ulwazi olusha, okuholela esimweni sengqondo sokuthatha isinyathelo. Ngakho-ke, ake sihlole ndawonye ezweni le-appendicitis kwabesifazane.
I-appendix kwabesifazane.
I-appendix kwabesifazane isibe yindaba ethakazelisayo kwezokwelapha ngenxa yokuvama kwayo okubonakala kungajwayelekile ezibalweni.
I-Appendicitis ukucasuka kwe-vermiform appendix futhi kuvame kakhulu kwabesilisa kunabesifazane. Ingozi yokuphila kwe-appendicitis kwabesifazane cishe ingu-6.7%., uma kuqhathaniswa no-8.6% kwabesilisa.
Nakuba lesi sitho sincane futhi silibaleke kakhulu, singaletha izinkinga ezinkulu empilweni yabesifazane uma singaqashwa futhi singaphathwa kahle.
Ukuze uqonde inkinga, kuyasiza ukwazi izimbangela eziyinhloko, izimpawu, kanye nezinkinga ezihlobene nezinkinga ze-appendix kwabesifazane.
Izimbangela ezivame kakhulu zisukela ku-appendicitis kanye nokutheleleka kwamathumbu kuya kwisifo sikaCrohn kanye nezinye izimo zokuvuvukala.
Izimpawu ezivamile zifaka phakathi ubuhlungu besisu, ubuthakathaka obujwayelekile, isicanucanu nokuhlanza, umkhuhlane ophansi (izinga lokushisa lomzimba eliphakathi kuka-37°C no-38°C), kanye nokulahlekelwa yisifiso sokudla. Uma kungelashwa, izinkinga ezinkulu zingafaka phakathi ukuqhekeka kwe-appendix, i-peritonitis, noma amathumba angadinga ukuhlinzwa.
Ngokuhlala unolwazi ngesihloko se-appendicitis kwabesifazane nokuqonda izingozi ezingaba khona ezihlobene nayo, abesifazane bangaphatha kangcono impilo yemizimba yabo futhi baqaphele ukuthi kudingeka nini ukungenelela kwezokwelapha.
Ngezansi siphendula imibuzo iziguli noma abangane bazo abavame ukuyibuza odokotela ngesikhathi sokubonisana noma emakamelweni ezimo eziphuthumayo esibhedlela:
Kuyini i-appendicitis?
I-appendicitis yisifo esivame kakhulu, ikakhulukazi kwabesifazane. Yisimo esibangela ukuvuvukala okubuhlungu kwe-appendix, isitho esincane esitholakala esiswini. isisu esingezansi kwesokudla.
Lesi sitho esincane sinamathele emathunjini amakhulu futhi asinawo umsebenzi owaziwayo emzimbeni, ngokusho kwabanye, kodwa izifundo zakamuva zinikeze isithasiselo indima ebalulekile ngoba siyiso umthombo wamagciwane anenzuzo okusekela amasosha omzimba.
I-appendicitis ingathinta noma ubani, yize ivame kakhulu kubantu abaneminyaka ephakathi kweyi-10 nengama-30. Ukwelashwa kwalesi simo kubalulekile futhi kufanele Funa usizo lwezokwelapha ngokushesha ukuze ugweme ezinye izinkinga..
Uma wena noma othile omaziyo engase abe nesifo esesabekayo esibizwa ngokuthi i-appendicitis, kufanele ufune usizo lwezokwelapha ngokushesha ohlelweni lwezempilo lomphakathi noma oluzimele ukuze ugweme izinkinga ezinkulu.
Imbangela ye-appendicitis ayaziwa, kodwa kunezici eziningi ezingaba nomthelela. Kungase kube ngenxa izithiyo okubangelwa yindle eqinile, izinto zangaphandle (ama-parasites, imbewu) noma umdlavuza, ngenxa yokutheleleka kwendlela yokugaya ukudla.
Izici zofuzo nazo zingadlala indima. Izimpawu ezivamile zalesi sifo zifaka phakathi ubuhlungu besisu, isicanucanu, ukuhlanza kanye nomkhuhlane.
Uma kwenzeka noma yiziphi zalezi zimpawuKubalulekile ukuthola usizo lwezokwelapha ngokushesha okukhulu ezibhedlela noma emitholampilo yezempilo ngokusebenzisa uhlelo lwezempilo lomphakathi noma oluzimele lwendawo.
Khumbula ukuthi ukwelashwa kusenesikhathi kungaba yinto ebalulekile ukuze umuntu alulame ngempumelelo ku-appendicitis. Hlala unolwazi ngokufunda i-athikili yethu. incwadi yezindaba mayelana ne-appendicitis kwabesifazane.
Yini ebangela i-appendicitis kwabesifazane?
I-Appendicitis iyinkinga yezempilo yomhlaba wonke ethinta i-appendix kwabesifazane. Nakuba noma ubani engaba nalesi simo, izici ezithile zingandisa ingozi kwabesifazane.
Esinye sezimbangela eziyinhloko ze-appendicitis ukuvaleka kwe-appendix, okungabangelwa yizimbangela ezahlukahlukene, njengendle eqinile, izimila, noma izifo. Kwezinye izimo, into ehlaselayo nayo ingabangela ukuvaleka. ukuphazamiseka Kuvimba ukugeleza okuvamile koketshezi nge-lumen ye-appendix, okubangela ukuvuvukala nokutheleleka.
Ufuzo lungenye into engandisa amathuba owesifazane okuthola i-appendicitis. Abesifazane abanomlando womndeni walesi simo banamathuba amaningi okuba naso bona ngokwabo.
Ngaphezu kwalokho, izinkinga zezokwelapha zokuvuvukala kwamathumbu okungapheli njenge Isifo sikaCrohn noma i-ulcerative colitis Lezi zici zingase zandise nengozi ye-appendicitis kwabesifazane. Ngakho-ke, kubalulekile ukuqaphela lezi zici eziyingozi futhi uthathe izinyathelo zokuvimbela lesi sifo ukuthi singakhuli noma siqhubeke nokuba sibi.
Uma ucabanga ukuthi ungase ube ne-appendicitis, kubalulekile ukuthi ufune usizo lwezokwelapha ngokushesha. Ukuxilongwa nokwelashwa ngokushesha kungavimbela izinkinga futhi kuqinisekise ukululama okuphumelelayo.
Udokotela wakho angenza izivivinyo eziningana zokuxilonga ukuze anqume ukuthi une-appendicitis, njengokuthatha umlando wezokwelapha ophelele, ukuhlolwa okuphelele komzimba wesisu, ukuhlolwa kwegazi, kanye nezifundo zezithombe ezifana ne-ultrasound noma i-CT scans.
Lezi ukuhlolwa kokuxilonga Bangakusiza ekuboneni umthombo wezimpawu zakho futhi banqume uhlelo lokwelapha olusebenza kahle kakhulu kuwe.
Ziyini izimpawu ze-appendicitis kwabesifazane?
La I-Appendicitis yisifo esithinta kokubili abesifazane nabesilisa.Nakuba izimpawu zingase zihluke kuye ngobulili. Abesifazane bangase babe nobunzima bokuxilonga i-appendicitis ngenxa yokufana kwezimpawu zayo nezezinye izimo.
Ubuhlungu besisu, obungase buqale eduze kwenkaba budlulele ohlangothini olungezansi lwesokudla lwesisu, bungenye yezimpawu ezivame kakhulu ze-appendicitis kwabesifazane.
Kwezinye izimo, ubuhlungu bungase bube ngakwesokunxele kwesisu, ikakhulukazi kwabesifazane abakhulelweEzinye izimpawu zalesi simo zifaka phakathi isicanucanu, ukuhlanza, umkhuhlane kanye nokulahlekelwa yisifiso sokudla.
Kubalulekile ukukhumbula ukuthi, kuye ngomuntu ngamunye, akuzona zonke lezi zimpawu ezingase zibe khona. Ngakho-ke, kubalulekile ukubonisana nochwepheshe wezempilo uma kusolwa ukuthi une-appendicitis, ukuze kunqunywe ezinye izimo ezithinta uhlangothi lwesokudla lwesisu (kwabesifazane). ukuba khona kwesibeletho sokudla kanye nepayipi le-fallopian Yizona izizathu zokuxilongwa okunembile nokufika ngesikhathi.
Ukuxilongwa nokwelashwa okusheshayo kubalulekile ukuze umuntu alulame ngempumelelo ku-appendicitis. Uchwepheshe wezempilo angenza ukuhlolwa ngokomzimba kanye nokuhlolwa kwegazi ukuze ahlole noma yiziphi izimpawu zokutheleleka. Ukuhlolwa kwezithombe, njenge-CT scans kanye ne-ultrasound, kungasetshenziswa futhi ukwenza ukuxilongwa.
Ukuhlehlisa ukuxilongwa nokwelashwa kungaholela ezinkingeni ezinkulu, njengokuqhekeka kwe-appendix noma ukutheleleka, okungaba yingozi empilweni. Ngakho-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha okukhulu uma kusolwa ukuthi une-appendicitis. Ngokutholakala nokwelashwa kusenesikhathi, amathuba okululama anda kakhulu.
Ukuxilongwa kwe-appendicitis kwabesifazane
Ukuthola i-appendicitis kwabesifazane kungaba nzima, njengoba izimpawu zingafana nezezinye izimo zesisu. Okokuqala, udokotela uzokwenza ukuhlolwa ngokomzimba ukuze ahlole ukuthamba noma ubuhlungu esiswini esingezansi kwesokudla.
Uma kutholakala ubuthakathaka kule ndawo, kungase kusolwe ukuthi i-appendicitis ibuhlungu. Kodwa-ke, lokhu kuzwela kungaba uphawu lwezinye izinkinga, njenge-cyst yama-ovari, i-fibroids enkulu, noma isifo sokuvuvukala kwe-pelvic.
Ukuqinisekisa ukutholakala kwe-appendicitis kwabesifazane, kungase kwenziwe ezinye izivivinyo zokuxilonga. Enye indlela evamile i-ultrasound, esebenzisa amaza omsindo avame kakhulu ukuthola izithombe zesisu.
Lokhu kungasiza ekuboneni noma yikuphi ukuvuvukala noma ukuvuvukala ku-appendix. Ngakho-ke, kungacelwa i-computed tomography scan, ekhiqiza izithombe ezinemininingwane yamamilimitha, kanye ne-X-ray ukuhlola ukuthi i-appendix iyavuvukala noma ukuthi kukhona yini uketshezi noma ithumba engxenyeni engezansi kwesokudla.
Kwezinye izimo, ukuhlolwa kwegazi kuvame ukucelwa ukuze kuhlolwe izimpawu zokutheleleka noma ukuvuvukala. Inani eliphezulu lamaseli amhlophe egazi lingabonisa ukutheleleka emzimbeni, njenge-appendicitis.nakuba kungaba uphawu lwezinye izifo.
Ekugcineni, ukuxilongwa kwe-appendicitis kwabesifazane kudinga inhlanganisela yezindlela zokwelashwa. ukuhlolwa ngokomzimba kanye nokuhlolwa kokuxilonga ukuqinisekisa ukuxilongwa okunembile kanye nokwelashwa okulandelayo okuhle kakhulu.
ukuxilongwa okuhlukile
I-appendix iyisitho esincane esitholakala esiswini esingezansi kwesokudla esivame ukunganakwa. Abesifazane, ikakhulukazi, badinga ukucatshangelwa okukhethekile uma kukhulunywa ngokuxilongwa okuhlukile kwe-appendicitis.
Ukuze bathole ngokunembile noma iyiphi inkinga ye-appendix, odokotela kumele bakwazi ukuhlukanisa phakathi kwezifo ezivamile eziqondene nabesifazane, njengokuthi ama-cyst esibelethweni, izifo zokuvuvukala kwe-pelvic, izifo zomgudu womchamo, kanye ne-endometriosis.
Kumelwe sisebenzise amasu afanele okuthwebula izithombe kanye nokuhlaziywa kwelabhorethri ukuze sithole ngokunembile umthombo wanoma yibuphi ubuhlungu, sikhumbula ukuthi Ama-hormone kanye nezici ezithile zendlela yokuphila kungathonya izinga lokududuzeka kowesifazane kuleyo ndawo.
Ngesikhathi sokuhlolwa ngokomzimba, odokotela kumele banake kakhulu izimpawu ezibonisa i-appendicitis, njengobuhlungu engxenyeni engezansi kwesokudla, isicanucanu, ukuhlanza, isifo sohudo esisheshayo, noma ubuhlungu obukhulu besisu ngemva kokuhamba uhleli noma ulele.
Ukuxilongwa okuhlukile nakho kubaluleke kakhulu ukugwema ukuhlinzwa okungadingekile, okungaba yinkinga enkulu kwabesifazane asebevele besengozini yezinkinga ezithile zempilo yokuzala.
I-appendix iyisitho esibalulekile kwabesifazane, futhi ochwepheshe bezokwelapha kumele baqaphele kakhulu ekuxilongweni okuhlukile lapho behlola isimo sabo sempilo.
Ukwelashwa kwe-appendicitis kwabesifazane
Uma kukhulunywa ngokwelashwa kwe-appendicitis kwabesifazane, kunezindlela eziningana ezitholakalayo kuye ngokuthi ingakanani inkinga. Ngokuvamile, ukuhlinzwa kuyisisombululo esifanele kakhulu sokususa i-appendix evuvukele, eyaziwa nangokuthi i-appendectomy.
Le nqubo ingenziwa ngokusebenzisa ukuhlinzwa okuvamile okuvulekile noma amasu e-laparoscopiclokhu kwamuva okungekuhle kakhulu Lokhu kuholela ezikhathini zokululama ezimfushane. Kodwa-ke, kubalulekile ukubonisana nodokotela ukuze uthole inketho engcono kakhulu yesimo sakho esithile.
Ngemva kokuhlinzwa kwe-appendectomy okuphumelelayo, kubalulekile ukulandela imiyalelo yokunakekelwa ngemva kokuhlinzwa. Lokhu kungafaka phakathi ukuthatha imithi yobuhlungu enikezwe udokotela, ukugwema umsebenzi onzima, nokugcina indawo yokusikwa ihlanzekile futhi yomile.
Ngaphezu kwalokho, udokotela wakho angase ukuphakamisa ukudla okuthile okuzosiza enkambisweni yokuphulukiswaUkuya emihlanganweni yokulandelela nodokotela wakho kubalulekile futhi ukuze kuqashwe intuthuko yakho futhi kuqinisekiswe ukuthi uyalulama kahle.
Kwezinye izimo, ama-antibiotic angasetshenziswa ukwelapha i-appendicitis encane; noma kunjalo, lokhu akusebenzi ngaso sonke isikhathi futhi kungaholela esidingweni sokuhlinzwa esikhathini esizayo.
Ngakho-ke, maqondana Ngokuphathelene ne-appendicitis kwabesifazane, kubalulekile ukuthola ulwazi lwezokwelapha oluthembekile. futhi ulandele yonke imiyalelo kadokotela. Ukuzelapha ngama-antibiotic kufanele kugwenywe njengendaba yokuqwashisa.
Yini ongayilindela ngemva kokwelashwa kwe-appendicitis kwabesifazane
Ngemva kokwelashwa kwe-appendicitis, kuvamile ukuthi abesifazane bazizwe belulama. Ubude balokhu kululama bungancika ebunzimeni besimo kanye nohlobo lokunakekelwa olutholiwe.
Ngemva kokungenelela bangakwazi ukuzwa ubuhlungu nokungaphumuli esiswiniKodwa-ke, ngokuvamile zingaphathwa ngemithi nokuphumula. Kubalulekile ukulandela imiyalelo kadokotela wakho mayelana nokunakekelwa ngemva kokuhlinzwa, okungase kuhlanganise nokuzivocavoca umzimba okulinganiselwe, ukudla okukhethekile, kanye nokuhlolwa njalo.
Phakathi nalesi sikhathi kubalulekile ukuqapha noma yiziphi izimpawu zezinkinga, njengomkhuhlane, ubuhlungu obuqhubekayo, noma ukuphuma kwamanzi endaweni yokusikwa. Uma kuvela noma yiziphi zalezi zimpawu, xhumana nodokotela wakho wendawo ngokushesha.
Ukuvimbela i-appendicitis yesikhathi esizayo nakho kubalulekile, futhi kungafezwa ngokugcina ukudla okunempilo, ukuhlala unamanzi, nokugwema imisebenzi engabangela ukulimala kwesisu.
Isikhathi sokululama singaba nzima ngokomzwelo, kube nemizwa yokucindezeleka, ukukhathala, kanye nokukhungatheka. Kubalulekile ukugcizelela ukuzinakekela, njengokuthi phumula ngokwanele, Zijwayeze amasu okuphumula futhi uthole ukwesekwa emndenini nakubangane. Ngokuhamba kwesikhathi nokunakekelwa okufanele, abesifazane abaningi bangalulama ngokugcwele futhi baqhubeke nemisebenzi yabo evamile.
Ubuhlungu besisu obuqhubekayo noma obukhulu, kanye nezinye izimpawu ezifana nokuhlanza noma uhudo, kufanele kubikwe kudokotela ngokushesha. Lokhu kungaba izimpawu zokutheleleka noma inkingafuthi kungase kudingeke ukwelashwa okwengeziwe. Ngokunaka kakhulu nokulandela imiyalelo kadokotela, owesifazane angalulama ngempumelelo ekuguleni kwe-appendicitis.
Ukuvimbela i-appendicitis kwabesifazane
Ukulondoloza indlela yokuphila enempilo kubalulekile ekuvimbeleni i-appendicitis kwabesifazane. Ukulandela ukudla okunamanzi amaningi, i-fiber, namafutha aphansi, ukwenza umsebenzi womzimba njalo, kanye nokugcina inhlanzeko enhle kuyizinyathelo ezibalulekile zokunciphisa ingozi yokuthola lesi sifo.
Ngakolunye uhlangothi, maqondana Kwabesifazane, i-appendicitis ingavinjelwa ngokungabhemi nokunciphisa ukusetshenziswa kotshwala. Kuyasiza ukuqinisa amasosha omzimba nokuvikela izifo zokugaya ukudla.
Ukuze kuncishiswe amathuba okuthola i-appendicitis, kubalulekile Kunconywa ukuthi umuntu abe nesibindi sokubhekana nempilo yakhe, ikakhulukazi mayelana ne-appendix kwabesifazane.Ukuhlolwa njalo kwezokwelapha kungasiza ekutholeni noma yiziphi izinkinga ezingaba khona, njengokuvaleka kwendawo engezansi ye-rectum, ngaphambi kokuba zibe yinkinga.
Ngokuhlala unolwazi futhi uthatha izinyathelo zokuvimbela, ungavikela inhlalakahle yakho yesikhathi eside.
I-appendicitis ingaba yisifo esibuhlungu nesiyingozi. Ngakho-ke, ukuthatha izinyathelo zokuvimbela kubalulekile kwabesifazane ukuze balondoloze impilo enhle.
Ngokudla ngokuqaphela, ukuvivinya umzimba kanye imikhuba emihle yenhlanzekoAbesifazane banganciphisa kakhulu ingozi yabo yokuthola lesi sifo.
Ngaphezu kwalokho, kuyanconywa ukuhlolwa njalo kwezokwelapha ngoba kungasiza ekuboneni noma yiziphi izinkinga endleleni yokugaya ukudla kusenesikhathi futhi kuqinisekiswe impilo enhle.
El Phuza amalitha ama-2 amanzi anephunga elimnandi njenge-chamomile, i-boldo, i-mint, impande ye-dandelion usuku lonkeKuyasiza ekuthuthukiseni ukuhamba kwamathumbu futhi kuvimbele ukuphelelwa amanzi emzimbeni kwendle ukuze kungabi nzima, okungavimba i-appendix futhi kubangele ukucasuka, ngaleyo ndlela kuqale inqubo engenakuguqulwa ye-appendicitis kwabesifazane.
Ukuvimbela kuyindlela yokuphila engasiza ukugcina i-appendix iphilile, ikakhulukazi uma kwenzeka kwabesifazane, abangase babe nezinkinga ezifana ne-appendicitis ngenxa yama-hormone nezinye izici.
Ukuvimbela kuqala ngokuthi ukudla okunempilo okucebile nge-fiber yokudla kanye nokuzivocavoca njengokugijima, ukubhukuda, ukugibela ibhayisikili noma landela uhlelo lokufaneleka komzimbaUkugwema ukukhuluphala nokugcina isisindo esinempilo kuyizinto ezibalulekile ekugcineni impilo enhle nokuvimbela i-appendicitis.
Yidla kahle ayinakho ukudla okucutshungulwe ngofuzo Ukuqinisa imisipha yesisu kubaluleke kakhulu, njengoba kunjalo nokugwema indlela yokuphila yokuhlala phansi ukuze umzimba ungabi nezinkinga zokugaya ukudla.
Ngalezi zinyathelo ezincane, abesifazane bangaqinisekisa ukuthi i-appendix yabo, nakuba ifihliwe, iyaqhubeka nokusebenza kahle.
Isiphetho
Okokugcina, maqondana nezinto eziza kuqala, I-appendicitis yisifo esibi kakhulu esithinta kokubili abesifazane nabesilisa.. Ukuqaphela izimpawu nokufuna usizo lwezokwelapha ngokushesha kubalulekile ekuxilongweni nasekulashweni kwe-appendicitis ngempumelelo kwabesifazane. Ukuhlinzwa kuyindlela yokwelapha evame kakhulu ye-appendicitis, kodwa ezinye izinketho zingatholakala kuye ngesimo ngasinye.
Kubalulekile ukulandela imiyalelo kadokotela futhi uzinakekele ngemva kokwelashwa ukuqinisekisa ukuthi ululama ngokugcwele. Okokugcina, londoloza indlela yokuphila enempilo Futhi ukugwema ukuziphatha okuyingozi kungasiza ekuvimbeleni i-appendicitis nezinye izinkinga zempilo.
Sisemkhakheni wobumbano futhi sekuyisikhathi sokwabelana ngolwazi lwezempilo lokuvimbela i-appendicitis kwabesifazane ngokusebenzisa amanethiwekhi omphakathi futhi siqinisekise ukuthi imindeni, abangani kanye nabantu abaningi banolwazi olufanele mayelana nokungakhululeki futhi bayakubona ukuze kuhlolwe futhi bagweme izinkinga ezinkulu.
Ngiyabonga ngokushiya imibono neziphakamiso zakho kubhulogi: Impilo Yokugaya Ukudla. Ukugona okufudumele kuze kube yisikhathi esilandelayo!
Khumbula njalo ukubonisana nodokotela uma unenkinga ngempilo yakho!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. I-appendix kwabesifazane.