Siyakwamukela, msebenzisi we-inthanethi othandekayo, kule ngosi yolwazi ekhethekile kakhulu ngokuhlinzwa kwe-laparoscopic kanye nempilo yokuvimbela. Ukukhathazeka nge- appendectomy kanye nezibazi ze-laparoscopy kuyiqiniso ngokuphelele, njengoba ubuhle buyingxenye ebalulekile yenhlalakahle yakho yangemva kokuhlinzwa.
Njengochwepheshe, siyaqonda ukuthi ukungenelela okuphumelelayo akukalwa nje kuphela ngokulungiswa kwesithombe somtholampilo, kodwa futhi nangomkhondo omncane esiwushiya emzimbeni wakho.
Ngaphambi kokuba sihlolisise indlela inqubo ye-laparoscopic enciphisa ngayo umthelela esikhumbeni sakho noma indlela inqubo yethu yokuhlinzwa yesimanje eqinisekisa ngayo izibazi ezingabonakali, ngiyakumema ukuba ukhulule ukucindezeleka emahlombe akho futhi uphefumule ngokuthula; isayensi yanamuhla ingakusiza.
Ngaphansi kwesiqondiso sezemfundo sikaDkt. Jorge Delgado, sizohlaziya ukuvela kwale nqubo. Kulo mhlahlandlela, sizohlola lokho okudingeka ukwazi ngalesi simo esivamile kanye nenqubo yokuhlinzwa esetshenziswayo ukuze ilashwe ngokuphelele.
I-Appendicitis ukuvuvukala kwe-vermiform appendix, okungaba yi-acute noma i-chronic. I-acute appendicitis iyimbangela evame kakhulu yobuhlungu besisu obudinga ukuhlinzwa e-United States nasemhlabeni jikelele.
Manje sizophendula imibuzo iziguli noma abangane bazo abavame ukuyibuza kithi odokotela egumbini lokubonisana kanye nasemagumbini ezimo eziphuthumayo esibhedlela:
Imibuzo evamile
Isibazi esibangelwa ukuhlinzwa kwe-appendicitis kanye ne-laparoscopy siqhathaniswa kanjani nesokuhlinzwa okuvulekile?
Ekuhlinzeni okuvulekile, kwenziwa ukusika okungu-5 kuya ku-10 cm engxenyeni engezansi kwesokudla. Ku-laparoscopy, sisebenzisa ukusika okuncane okuthathu (ama-port) okuphakathi kwamamilimitha angu-5 kuya kwangu-10. Lokhu kuphumela ezibazini ezingabonakali kakhulu, ngokuvamile ezingabonakali ngokuhamba kwesikhathi.
Zikuphi ngempela lezi zibazi ezincane?
Ngokuvamile, imbobo eyodwa ifakwa enkabeni (efihliwe yi-anatomy yemvelo) kanti eminye emibili ifakwa esiswini esingezansi. Lokhu kubekwa okuhlelekile kuvumela umbono okhulisiwe nophelele wembobo ngaphandle komonakalo omkhulu ezicutshini zangaphandle.
Kuthatha isikhathi esingakanani ukuthi isilonda se-laparoscopic siphole?
Ukusikwa kwangaphandle kuvame ukuvala zingakapheli izinsuku eziyi-7 kuya kweziyi-10. Kodwa-ke, ukulungiswa kwezicubu ngaphansi kwesikhumba kuyaqhubeka izinyanga. Kuhlelo lwethu oluthuthukisiwe, sincoma ukugwema ukuchayeka elangeni ngqo ezibazini ukuqinisekisa ukwenziwa kombala okuhle kakhulu.
Yiziphi izinzuzo ngale kobuhle?
Ubuhlungu obuncane ngemva kokuhlinzwa, ingozi ephansi yokutheleleka endaweni yokuhlinzwa, kanye nokwehla okukhulu kwama-hernias okusika kanye nokunamathela. Indlela ye-laparoscopic okwamanje iyindinganiso yegolide yeziguli ezifuna ukuphepha kanye nokuzikhethela.
Joyina nathi njengoba sihlola izimpawu, ukuxilongwa, izinketho zokwelapha, kanye nendlela ethile yokuhlinzwa kwe-laparoscopic. Kungakhathaliseki ukuthi ufuna ulwazi njengesiguli noma umane ufuna ukwazi ngalesi sihloko sezokwelapha "esibhalwe ngabantu, sabantu," sikumbozile.
Lesi yisikhathi esifanele sokuphefumula ngokujulile, ubambe imizuzwana emi-4, bese ukhipha umoya kancane.
Lo msebenzi uphindaphindwa izikhathi ezine futhi, ngale ndlela, kufezwa umoya-mpilo ebuchosheni bezingxenye eziseduze kakhulu, okukuvumela ukuthi unikeze umthombo omuhle kakhulu wamandla abalulekile ukuze ufinyelele ukugxila kwengqondo okuhle kakhulu kanye nokugxila kolwazi lokuthuthukiswa komuntu siqu.
Lesi senzo esihle sinquma isimo sengqondo sokuthatha isinyathelo futhi sigwema ukuba yinombolo ebandayo ezibalweni, ngenxa yezinkinga ezivela ekuzihloleni nasekuziphatheni, okubambezela usizo oluvela kochwepheshe bezokwelapha ohlelweni lwezempilo lomphakathi noma oluzimele.
Ngakho-ke ake singene kulolu hambo olujabulisayo lolwazi futhi sigxile kakhulu ekutholeni imininingwane yokucasuka kwe-appendix kanye nokuhlinzwa okungangenisi kakhulu, okwaziwa ngokuthi ukungenelela kwe-laparoscopic, ukuze kususwe i-vermiform appendix.
I-Appendicitis kanye ne-laparoscopy isilonda
I-appendicitis ingenye yezifo ezivame kakhulu kubantu abadala abasebasha, kanti kulinganiselwa ukuthi ivame ukuba yizimo ezingu-50 kuya kwezingu-100 kubantu abayi-100.000 ngonyaka e-United States kuphela. Nakuba imbangela ye-appendicitis ingaziwa, kukholakala ukuthi ibangelwa ukuvaleka kwe-appendix ye-vermiform ngenxa yokunqwabelana kwe-mucus, indle eqinile, noma izimila.
Izimpawu ezivamile zifaka phakathi ubuhlungu obuseduze nenkaba obuhamba phakathi namahora ambalwa buye ohlangothini olungezansi lwesokudla lwesisu, obuhambisana nokungaphatheki kahle okuvamile, isicanucanu, ukuhlanza, kanye nokulahlekelwa yisifiso sokudla.
Kodwa-ke, uma ingelashwa kusukela ekuqaleni kwezimpawu , i-appendicitis ingaholela ezinkingeni ezinkulu, njengokuqhekeka kwe-appendiceal, okungadinga ukuhlinzwa kwe-laparoscopic ukuze isuswe.
Ukuhlinzwa kwe-Laparoscopic sekuthandwa kakhulu ngenxa yokuthi akudingi ukuhlinzwa okuningi kanye nesikhathi esifushane sokululama uma kuqhathaniswa nezinqubo zokuhlinzwa ezivulekile.
Ukusetshenziswa kwayo okwandisiwe uma kuqhathaniswa nezindlela zendabuko kungase kuhlobane nemiphumela engcono yeziguli kanye nokuhlala isikhathi esifushane ezibhedlela noma emitholampilo.
I-Appendicitis
Ukuvuvukala kwe-appendix kuyisimo esingaba nemiphumela emibi kakhulu. Kubalulekile ukuqaphela izimpawu zalesi simo nokufuna usizo lwezokwelapha lwendawo ngokushesha ukuze ugweme ezinye izinkinga.
Izimpawu ezivame kakhulu ubuhlungu besisu engxenyeni engezansi kwesokudla, ukuntuleka kwesifiso sokudla, ukuhlanza, isicanucanu kanye nomkhuhlane.
Ukuze kuqinisekiswe ukuxilongwa okusolwayo, kudingeka ukuhlolwa okuphelele. Lokhu kungafaka phakathi ukubukeza umlando wezokwelapha, ukwenza ukuhlolwa okuphelele ngokomzimba, kanye nokwenza izivivinyo zokuxilonga ezifana nokuhlolwa kwegazi, ama-ultrasound, noma ama-CT scan.
I-appendectomy ivame ukuba yindlela yokwelapha enconywayo ye -appendicitis futhi kunezindlela eziningana zokuhlinzwa, njengokuhlinzwa kwe-laparoscopic okungangenisi kakhulu.
Le ndlela ihilela ukuhlikihlwa okuncane okuthathu (3) esiswini kanye nokusetshenziswa kwekhamera encane kanye namathuluzi akhethekile ukususa i-appendix.
Ukuhlinzwa kwe-laparoscopic kunenzuzo yobuhlungu obuncane ngemva kokuhlinzwa, ukululama okusheshayo, kanye nezibazi ezincane uma kuqhathaniswa nokuhlinzwa okuvulekile.
Kubalulekile ukuqonda uhlobo lwe-appendicitis nokulinganisa izinzuzo zezindlela ezahlukene zokwelapha ukuze wenze isinqumo esinolwazi.
Izimpawu ze-appendicitis
Uma kukhulunywa nge-appendicitis, ezinye zezimpawu ezivamile zokuxwayisa okufanele uziqaphele ubuhlungu besisu, obuvame ukutholakala esiswini esingaphezulu, bese buqhubekela ohlangothini olungezansi kwesokudla.
Lobuhlungu bungaba buncane noma bube bukhulu futhi bube bukhali, futhi buya bukhula uma ukhwehlela noma uhamba. Ezinye izimpawu zifaka phakathi isicanucanu nokuhlanza okuhambisana nokuncipha kwesifiso sokudla. Umkhuhlane ophansi (ophakathi kuka-37°C no-38°C) kanye nobunzima bokukhipha igesi nakho kungenzeka.
Akuwona wonke amacala e- appendicitis kwabesilisa azovela nazo zonke lezi zimpawu , futhi amanye azobhekana nezimbalwa kuphela. Ngakho-ke, kubalulekile ukuqaphela izimpawu nokufuna usizo lwezokwelapha ngokushesha ngangokunokwenzeka ukuze kuncishiswe ingozi yezinkinga futhi kuqinisekiswe ukuthi kululama ngokushesha.
Ngaphezu kobuhlungu besisu, ububele endaweni ezungeze i -appendix bungenye impawu ye-appendicitis . Lokhu kungabonakala ngokucindezela ohlangothini olungezansi kwesokudla lwesisu futhi kungahambisana nomuzwa wokuqunjelwa noma ukugcwala.
Ngezinye izikhathi, ubuhlungu buqala njengobuhlungu obungajabulisi futhi kancane kancane bukhula ngamandla. Kubalulekile ukukhumbula ukuthi i-appendicitis ingaphambaniswa nezinye izimo, njengokutheleleka komgudu womchamo noma izinkinga zesisu.
Ngakho-ke, kubalulekile ukubonisana nochwepheshe wezempilo wendawo ukuze uthole ukuxilongwa okufanele . Ukutholwa kanye nokwelashwa ngesikhathi kubalulekile ukuze ululame ngempumelelo ku-appendicitis.
Ukuxilongwa kwe-appendicitis
Ukuthola izifo zesisu kungaba nzima, njengoba izimpawu zokungakhululeki zingafana nezezinye izimo zezokwelapha.
Ukuhlolwa ngokomzimba okuphelele ngokuvamile kuyisinyathelo sokuqala kule nqubo, lapho udokotela ezozwa khona ubuhlungu nokuvuvukala endaweni. Ukuhlolwa okwengeziwe kungafaka ukuhlolwa kwegazi ukuhlola ukuvuvukala nokutheleleka.
Izindlela zokuthwebula izithombe, njenge-ultrasound noma i-computed tomography (CT), zingaba usizo ekuboneni noma yikuphi ukukhubazeka endaweni futhi zisize ekwenzeni ukuxilongwa okunembile.
Kwezinye izimo, i- laparoscopy ingenziwa ukuze kuhlolwe ngqo i-appendix . Ukuxilongwa okunembile nokufika ngesikhathi kubalulekile ukuqinisekisa umphumela omuhle kakhulu kanye nokunquma ukuthi ukungenelela kokuhlinzwa kuyadingeka yini.
Ubudala besiguli kanye nobulili baso nakho kuyacatshangelwa , njengoba amaqembu athile eminyaka angase abonise izimpawu ngendlela ehlukile; ngakho-ke, izingane kanye nabantu abadala yiwona amaqembu abaluleke kakhulu.
Ukuxilonga izinkinga zesisu ngokuvamile kudinga inhlanganisela yokuhlolwa kwezokwelapha, ukuhlolwa ngokomzimba, kanye nezifundo zezithombe. Ngaphezu kokuhlolwa ngokomzimba kanye nemiphumela yelabhorethri , udokotela uzobuyekeza umlando wezokwelapha wesiguli ukuze aqonde kangcono ukuqhubeka kwalesi simo.
Udokotela uzohlola incazelo yobuhlungu, indawo obukuyo, kanye nanoma yiziphi izimpawu ezihlobene. Amasu okuthwebula izithombe, njenge-ultrasound kanye ne-CT scans, anganikeza ulwazi mayelana nesimo se-appendix.
Kubalulekile ukuthi ochwepheshe bezokwelapha baqaphele ukuthi kungenzeka ukuthi i-appendicitis ivele ngokushesha futhi bayibheke njengento engenzeka uma ubuhlungu obukhulu besisu buqala kancane lapho umuntu ezwa ubuhlungu.
Ukwelashwa kwe-Appendicitis
Uma umuntu ehlushwa ukucasuka kwe-appendix, ukungenelela okuvame kakhulu ukuhlinzwa okubizwa ngokuthi i-appendectomy.
Lokhu kuhlinzwa kuvame ukwenziwa yithimba lokuhlinzwa eliqukethe udokotela wezinzwa, ogcina isiguli singaphansi kwe-anesthesia ejwayelekile elawulwayo, futhi kungenziwa ngezindlela ezimbili: nge-laparoscopic nangokusobala.
Ukuhlinzwa kwe-appendectomy nge-laparoscopic ( 1) kuhilela ukwenza izimbobo ezincane odongeni lwesisu nokufaka amathuluzi athile kanye nekhamera encane, okuhlinzeka ngenketho encane kakhulu enombono oqiniswe ngokuphindwe ka-16 kunombono womuntu.
Ngokuphambene nalokho, ukuhlinzwa okuvamile okuvulekile kuhilela ukwenza ukusikwa okukhulu ukuze kufinyelelwe ku-appendix bese kususwa ngqo.
Zombili lezi zindlela zinezinzuzo zazo futhi isinqumo sincike ebunzimeni be-appendicitis, isimo sesiguli, ukuba khona kwesinye isifo esingamahlalakhona , kanye nokukhethwa ngudokotela ohlinzayo.
Ngemva kokuhlinzwa kwe-appendectomy, abantu bavame ukwelulekwa ukuba balandele ukudla okuthile ngesikhathi sokululama, okungahlala izinsuku eziningana emtholampilo.
Kufanele kuqashelwe ukuthi ukuhlinzwa ngokwako akuyingozi, yize kukhona ingozi yokopha . Naphezu kwalokhu, iziguli eziningi zingaqhubeka nokuphila kwazo okuvamile ngokushesha ngemva kokuhlinzwa futhi ziphile impilo enempilo nejwayelekile.
Izingozi zokuhlinzwa kwe-appendicitis
Uma ucabangela ukuhlinzwa ukuze kususwe i-appendix, kubalulekile ukucabangela izingozi ezihilelekile . Nakuba le nqubo ngokuvamile iphephile, kunethuba elincane lokopha ngemva kokuhlinzwa.
Le ngozi ingathonywa impilo yomuntu kanye nohlobo lwezindlela ezisetshenziswayo. Ngakho-ke, kubalulekile ukuthi iziguli zikhulume nodokotela wazo futhi ziqinisekise ukuthi ziyaziqonda izingozi ezingaba khona ngaphambi kokunquma ukwelashwa.
Kunezinye izinkinga ezingase zivele esiswini esingezansi kwesokudla. Lokhu kungafaka phakathi ukutheleleka, ukulimala kwezitho noma izicubu eziseduze, noma ukusabela okungekuhle ekubulaweni yizinzwa.
Nakuba izinkinga ezinjalo zingavami ukwenzeka , kubalulekile ukuthi iziguli zizazi futhi zazise udokotela wazo ngokushesha nganoma yikuphi ukungakhululeki noma ukukhathazeka okubonakalayo.
Ukuba ngumuntu oqaphelayo nokuqapha kungasiza abantu ukuthi baphathe izingozi ezihlobene nokuhlinzwa okubambezelekile futhi kuqinisekise ukuthi ukululama kwabo kukhululekile futhi kuphephile ngangokunokwenzeka.
Ukuvuselelwa ngemva kokuhlinzwa kwe-appendectomy
Inqubo yokuphulukiswa ngemva kokuhlinzwa ukuze kususwe i-appendix evuvukele ibaluleke kakhulu. Ukuqinisekisa umphumela omuhle kakhulu, iziguli kumele zilandele ukudla okukhethekile okwenzelwe ukunciphisa ukungakhululeki nokwenza kube lula ukululama.
Lokhu kuhlanganisa ukudla ukudla okulula, njengesobho nomhluzi, kanye nezithelo ezithambile, nokugwema noma yikuphi ukudla okungase kucasule indawo, njengokudla okubabayo noma okunamafutha.
Ngaphezu kwalokho, ukuhlala umanzi emzimbeni kanye nokuthatha imithi yobuhlungu enqunywe ngudokotela njengoba kuyalelwe kuvumela ukuhamba nokuzivocavoca kokuphefumula ekhaya, okubalulekile ukuqinisekisa ukululama okuphumelelayo.
Esikhathini sangemva kokuhlinzwa, ungase uzwe ukungakhululeki noma ubuhlungu endaweni yokusikwa. Kubalulekile ukulandela imiyalelo kadokotela wakho ohlinzayo mayelana nokunakekelwa kwenxeba , uqinisekise ukuthi indawo igcinwa ihlanzekile futhi yomile ukuze kuvinjelwe ukutheleleka.
Ngokuvamile, ukuhlala esibhedlela ngalolu hlobo lwenqubo kuthatha izinsuku ezi-2 kuya kwezi-4, futhi abasebenzi bezokwelapha baqapha isiguli ngokuseduze, banikeze ama-antibiotic ngemithambo yegazi kuze kube yilapho silulama.
Nakuba kungathatha isikhathi ukuthola amandla ngokugcwele, ukulandela uhlelo lokunakekelwa okufanele ngemva kokuhlinzwa kungenza umehluko omkhulu empilweni yesiguli .
Izinhlobo zokuhlinzwa kwe-appendicitis
Lapho bebhekene nokutheleleka okukhulu noma izinkinga ezinkulu ezigulini ezibuthakathaka, odokotela bangakhetha ukuhlinzwa okuvulekile . Ngokwenza ukusika okukhulu esiswini, udokotela ohlinzayo angabuka ngqo i-appendix nezakhiwo ezizungezile.
Le ndlela yenza kube lula ukubona kahle nokuphatha noma yiziphi izingozi noma izinkinga ezingaba khona. Ngaphezu kwalokho, ukuhlinzwa kwe-laparoscopic kuyindlela engangenisi kakhulu ehilela ukwenza izimbobo ezincane esiswini ukuze kususwe i-appendix. Le ndlela inikeza ukuhlala esibhedlela isikhathi esifushane, amanxeba amancane, kanye nokubuyela ngokushesha emisebenzini evamile.
Kungakhathaliseki ukuthi inqubo ikhethiwe, umgomo oyinhloko ukususa i-appendix ecasukile noma ethelelekile ukuze kuvinjelwe izinkinga ezengeziwe. Kwezinye izimo, i-appendix ingaqhuma, okungaholela ekwakhekeni kwethumba eligcwele ubomvu.
Ukuze kukhuthazwe ukuphulukiswa nokuvimbela ukutheleleka, kungadingeka ukukhipha amanzi esikhumbeni ngesikhathi senqubo. Udokotela ohlinzayo uzohlola isimo somuntu ngamunye futhi anqume inkambo engcono kakhulu yokuphepha nenhlalakahle yesiguli.
Kubalulekile ukuqaphela ukuthi isinqumo mayelana nohlobo lokuhlinzwa kufanele senziwe ngokubonisana nochwepheshe wezempilo oqinisekisiwe. Bazocabangela izici eziningi, njengempilo yesiguli iyonke, ubukhali bokutheleleka, kanye nanoma yiziphi izingozi noma izinkinga ezingaba khona.
Ngokuqonda izinhlobo zokwelapha ezitholakalayo ze-appendicitis, iziguli zingenza izinqumo ezinolwazi mayelana nezinketho zazo zokwelapha futhi zisebenzele ukululama okuphumelelayo.
Izindlela ezimbili ezivame kakhulu ukuhlinzwa kwe-laparoscopic kanye nokuhlinzwa okuvulekile. Ukuhlinzwa kwe-laparoscopic kunikeza ukululama okusheshayo kanye nobuhlungu obuncane ngemva kokuhlinzwa, kanti ukuhlinzwa okuvulekile kunikeza udokotela ohlinzayo umbono oqondile kanye nokuthinta ngomunwe; inqubo esetshenziswayo izoncika esimweni sesiguli ngasinye.
Izinzuzo zokuhlinzwa kwe-laparoscopic appendectomy
Indlela yokuhlinzwa kwe-laparoscopic appendectomy engangenisi kakhulu ingenye yezinzuzo zayo eziyinhloko. Esikhundleni sokuhlinzwa okukhulu kwesisu, le ndlela idinga ukusikwa okuncane okuthathu kuphela, okunciphisa ingozi yokutheleleka kanye nenani lezibazi. Ngaphezu kwalokho, isiguli sizwa ubuhlungu obuncane kanye nokungakhululeki ngesikhathi sokululama, okusheshisa ukuphulukiswa.
Ngakolunye uhlangothi, ukususwa kwe-appendectomy nge-laparoscopic kudinga ukuhlala esibhedlela isikhathi esifushane . Ngesikhathi sokululama ngemva kokuhlinzwa sezinsuku ezimbili kuya kwezine, iziguli zingabuyela emisebenzini yazo evamile ngokushesha, zigweme ingozi yezinkinga futhi zinciphise izindleko zokunakekelwa kwempilo.
Ngaphezu kwalokho, i-laparoscope, ishubhu elincane elinekhamera encane enamathiselwe, inikeza umbono okhuliswe ngokuphindwe ka-16 wendawo yokuhlinzwa. Lokhu kuvumela isithombe esinemininingwane eminingi se-appendix nezitho ezizungezile, okwenza kube lula kudokotela ohlinzayo ukususa i-appendix evuvukele ngokunembile nangokuphelele.
Ukuvimbela ukucasuka kwe-appendix
I-Appendicitis ukuvuvukala kwesithasiselo se-vermiform, okuthi uma kungelashwa ngokushesha, kungaholela ezinkingeni ezinkulu zempilo.
Ukwelapha i-appendicitis, ukuhlinzwa kwe-laparoscopic kuvame ukusetshenziswa, njengoba kuyindlela encane yokungenelela ethwala izingozi ezimbalwa kanye nezikhathi ezimfushane zokululama kunezinye izinqubo zokuhlinzwa.
Kodwa-ke, ukuvimbela i-appendicitis kuyindaba yendlela yokuphila, njengoba ucwaningo lukhombisile ukuthi ukukhuluphala ngokweqile, indlela yokuphila yokuhlala phansi, kanye nokudla ukudla okune-fiber ephansi kuholela ekuqunjelweni futhi kwandisa ingozi yokuthola lesi sifo.
Ukwenza umzamo wokudla okunempilo nokuzivocavoca njalo, njengokugijima, ukubhukuda, ukugibela ibhayisikili noma ukulandela uhlelo lokuzivocavoca (2), kuzosiza ekuvimbeleni i-appendicitis, kanye nokuqinisa imisipha nokuthuthukisa inhlalakahle iyonke.
Ukuthatha izinyathelo zokuzivikela endleleni yokuphila enempilo kunciphisa kakhulu ingozi ye-appendicitis futhi kunikeza iziguli ukuthula kwengqondo ngokwazi ukuthi zenza konke okusemandleni ukugwema ukuhlinzwa okungadingekile. Ukuhlinzwa nge-laparoscopic kungaba yindlela ephumelelayo yokwelapha le nkinga enkulu uma kudingeka.
Ukuhlaziywa kwenani
Ubuhle Njengokusebenza:
Okubalulekile ukuthi ukusikwa okuncane akugcini nje ngobuhle; kusho ukulimala okuncane kwemisipha kanye nokwakheka kokunamathela okunciphile. UDkt. Delgado unezela ukubaluleka ngokuchaza ukuthi i-laparoscopy igcina kanjani ubuqotho bodonga lwesisu.
Ukuqina Kwezemfundo:
Umehluko usekusetshenzisweni kokuthungwa. Njengomfundisi omkhulu , uDkt. Delgado ugcizelela ukusetshenziswa kwe-intradermal sutures kanye ne-adhesive care esezingeni eliphezulu eqeda isidingo sokususa izithungo zangaphandle, ngaleyo ndlela kuthuthukiswe ulwazi lwesiguli.
Isiphetho
Ngamafuphi, into ebaluleke kakhulu okufanele uyazi ukuthi i-appendicitis yisimo esingabangela ubuhlungu obukhulu besisu kanye nokungakhululeki . Kubalulekile ukuqaphela izimpawu bese ucela usizo lwezokwelapha ngokushesha ukuze ugweme izinkinga.
I-Laparotomy, ikakhulukazi i-laparoscopic appendectomy , ibonakalise ukuthi iyindlela yokwelapha ephumelelayo nengangenisi kakhulu ekususeni i-appendix evuvukele. Le nqubo inikeza izinzuzo eziningana, njengokusikwa okuncane, izibazi ezincane, kanye nezikhathi zokululama ezimfushane.
Kodwa-ke, njenganoma iyiphi inqubo yokuhlinzwa, kunezingozi ezingaba khona. Kubalulekile ukuthi uxoxe ngalezi zingozi nodokotela wakho futhi ulandele ngenkuthalo imiyalelo yokunakekelwa ngemva kokuhlinzwa ukuqinisekisa ukuthi uyalulama kahle futhi uyaneliseka.
Khumbula ukuthi ukutholwa kusenesikhathi kanye nokwelashwa okufika ngesikhathi nangokufanele kubalulekile ukulawula i-appendicitis nokugcina impilo enhle.
Sisesigabeni sobumbano ngokwabelana ngolwazi lwezempilo lokuvimbela mayelana nokuhlinzwa kwe-laparoscopic appendicitis ezinkundleni zokuxhumana kanye nokusebenzisana ukuqinisekisa ukuthi umndeni, abangani, kanye nabantu abaningi banolwazi lokubona izimpawu zokuqala futhi bagweme izinkinga ezinkulu.
Siyabonga ngokuvakashela, ukuphawula, kanye nokusikisela ibhulogi: Impilo Yokugaya Ukudla. Ngiyokwanga futhi sizobonana ngesikhathi esizayo!
UDkt. Jorge Delgado woDokotela Ohlinzayo. I-Appendicitis kanye nesibazi se-laparoscopy.
📌 Ukufundwa okunconyiwe:
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