Sawubona ngemfudumalo, msebenzisi we-inthanethi, futhi wamukelekile kubhulogi yezempilo yokugaya ukudla. Sizofika ngqo emnyombweni wendaba ngalesi sihloko: Ukubonakaliswa kwesisu esibuhlungu: izimbangela zaso, izimpawu, kanye nokwelashwa.
Isisu esibuhlungu yisimo esibucayi sezokwelapha esibonakala ngobuhlungu besisu obungazelelwe nobunzima. Akusona isifo esithile, kodwa kunalokho yisifo esingaba nezimbangela ezahlukahlukene eziyisisekelo.
Izinsana, izingane ezincane, kanye nabanye abantu asebekhulile bangase babe nobunzima bokuthola imbangela yobuhlungu babo. Kubalulekile ukufuna usizo lwezokwelapha ngokushesha uma uzwa izimpawu zesisu esibuhlungu, njengoba kungaholela emiphumeleni esongela ukuphila uma kungelashwa.
Lesi sihloko sezokwelapha esizinikele empilweni yokuvimbela ukugaya ukudla ngokuhlinzwa sizobhekana nezimbangela ezivamile, ukungakhululeki, kanye nokwelashwa kwalesi simo esibucayi nesivame kakhulu emhlabeni jikelele.
Kunconywa ukuphuza inkomishi yetshokolethi emnyama exutshwe emanzini futhi ihlanganiswe nokunambitheka okumnandi kwama -cranberry , okufeza isenzo esinamandla semvelo esingu-100% sokuvuselela imizwa ukuze kugxilwe kakhulu engqondweni kanye nokumuncwa kolwazi ukuze kuthuthukiswe umuntu.
Lesi senzo esihle sikhuthaza isimo sengqondo sokuthatha isinyathelo futhi sivimbele ukuwela ekuzidabukeleni noma ekwelashweni , okubambezela usizo lwezokwelapha futhi kwandisa ingozi yezinkinga ezinkulu. Ake sifunde kabanzi ngempilo yokugaya ukudla!
Ukubonakaliswa kwesisu esibuhlungu.
Izimpawu zesisu esibuhlungu ziyiqoqo lezimpawu ezibonisa isimo esiphuthumayo sezokwelapha esingaba khona. Lesi sithombe sezokwelapha singase sihlanganise ubuhlungu obukhulu besisu, ukuvuvukala, isicanucanu, kanye nezinguquko emikhubeni yamathumbu.
Kubalulekile ukuqaphela lezi zimpawu kusenesikhathi, njengoba ukungenelela ngesikhathi kungaba yinto ebalulekile ekuphathweni okufanele kwesiguli. Ukuqonda lezi zimpawu kubalulekile kunoma ubani okhathalela impilo nenhlalakahle.
Ukuthola ubuhlungu obukhulu besisu:
Isisu esibuhlungu sibhekisela esimweni sezokwelapha esibucayi nesivame ukuba sibi kakhulu esibonakala ngokuqala ngokuzumayo kobuhlungu besisu nezinye izimpawu ezihambisana naso. Lesi simo sidinga ukungenelela okuphuthumayo kwezokwelapha noma kokuhlinzwa futhi sibhekwa njengesimo esiphuthumayo sezokwelapha.
Isisu esibuhlungu asisona isifo ngokwaso, kodwa siyisifo esithinta izimbangela eziningi ezingaba khona. Kubalulekile ukuqaphela nokuphatha isisu esibuhlungu ngendlela efanele , njengoba singaholela ezinkingeni ezisongela ukuphila uma singaxazululwa ngokushesha.
Izimpawu ezivame kakhulu zesisu esibuhlungu zihlanganisa ubuhlungu obukhulu nobungapheli besisu, izinkinga zesisu ezifana nokucanuzela kwenhliziyo nokuhlanza, isifo sohudo, kanye nokuwohloka kwempilo yomuntu.
Kwezinye izimo, njengasezinsaneni, ezinganeni ezincane, nakubantu asebekhulile abathile, ukuthola ubuhlungu kungaba yinselele, okuholela ezinkingeni zokuxilonga. Ukuhlonza imbangela ngesikhathi kubalulekile ukuze kuqalwe ukwelashwa okufanele nokunciphisa ingozi yezinkinga ezinkulu.
Ngenxa yezimbangela zaso ezingase zihluke, isisu esibuhlungu singabangelwa yizimo ezahlukahlukene ezithinta izitho zesisu, okuhlanganisa, kodwa kungagcini lapho, izinhlelo zesisu, zokuzala, kanye nezomchamo.
Izimbangela ezingaba khona zesisu esibuhlungu zifaka phakathi i-appendicitis, ukuvaleka kwamathumbu, i-cholecystitis, i-pancreatitis, kanye nama-cyst e-ovarian aqhekekile. Ukuxilongwa okusheshayo nokunembile kubalulekile ukuze kutholakale imbangela ethile futhi kunikezwe ukwelashwa okuphumelelayo kakhulu.
Izimbangela
Isisu esibuhlungu singabangelwa yizimbangela eziningi eziyisisekelo, ngasinye sinikeza izinselele ezahlukene kanye nezinkinga ezingaba khona. Ezinye zezimbangela ezivamile zesisu esibuhlungu zifaka phakathi izimo ezifana ne- appendicitis kwabesilisa kanye nokubonakaliswa kwayo okuhlukahlukene , i-cholecystitis, isifo sesilonda se-peptic , ukuvaleka kwamathumbu, i-pancreatitis, kanye nokukhulelwa kwe-ectopic.
I-appendicitis, ebonakala ngokuvuvukala kwe-appendix, iyimbangela evamile yesisu esibuhlungu futhi ivame ukudinga ukungenelela okuphuthumayo kokuhlinzwa ukuze kuvinjelwe ukuqhekeka nezinkinga ezihlobene nakho.
Ngaphezu kwalokho, ukuvaleka kwamathumbu , kungakhathaliseki ukuthi kungenxa yokunamathela, ama-hernia, noma izimila , kungabangela ukuqala kwezimpawu zesisu ezibukhali. I-Cholecystitis, evame ukubangelwa amatshe enyongo abangela ukuvuvukala kwenyongo, ingenye imbangela evamile yesisu esibukhali.
Ngaphezu kwalokho, isifo sesilonda se-peptic , esihilela ukwakheka kwezilonda esiswini noma e-duodenum, kanye ne-pancreatitis, ebonakala ngokuvuvukala kwe-pancreas, ingabonakala njengobuhlungu besisu kanye nokungakhululeki okukhulu.
Ukukhulelwa kwesisu , isimo esisongela impilo lapho iqanda elivundisiwe lifakwa ngaphandle kwesibeletho , kuyinto ebalulekile ezigulini zesifazane ezineminyaka yokuzala ezibonakala zinesisu esibuhlungu.
Izimpawu
Izimpawu zesisu esibuhlungu zivame ukuba zinkulu futhi zingafaka phakathi ubuhlungu besisu obungazelelwe, obukhulu obukhula ngokuhamba kwesikhathi, okubangela ukungakhululeki okukhulu.
Izimpawu zesisu ezifana nokucanuzela kwenhliziyo, ukuhlanza, kanye nesifo sohudo esiqhubekayo zivame ukubonakala, okufaka isandla esithombeni somtholampilo sesisu esibuhlungu. Abantu abanalesi simo bangase babonise nezimpawu zesifo somzimba, njengomkhuhlane, i-tachycardia, kanye nobuhlungu besisu.
Kwezinye izimo, izimpawu zakudala ze- peritonitis , njengokuqina kwesisu, ukuthamba okuphindaphindekayo, kanye nesimo esihlukile sokuma ukuze kuncishiswe ubuhlungu, zingase zibonakale ngesikhathi sokuhlolwa ngokomzimba.
Ngaphezu kwalokho, izimbangela ezithile zesisu esibuhlungu zingase zihlotshaniswe nezimpawu ezihlukile. Isibonelo, i-appendicitis ivame ukuveza ubuhlungu obutholakala engxenyeni engezansi kwesokudla yesisu, kuyilapho i-cholecystitis ingabangela i-biliary colic, i-jaundice, kanye nobuhlungu besisu engxenyeni engenhla kwesokudla.
Ezimweni zokuvaleka kwamathumbu , kungase kubonakale ukuvuvukala kwesisu, ubuhlungu besisu obuhambisana nokuqunjelwa, kanye nokuhlanza inyongo. Ukuqaphela izimpawu ezihlukile ezihambisana nezimbangela ezahlukene kubalulekile ekuxilongweni okunembile kanye nokungenelela ngesikhathi.
Izinkinga
Isisu esibuhlungu singaholela ezinkingeni eziningi ezisongela ukuphila uma singaphathwa ngokushesha nangendlela ephumelelayo. Ukwephuza ukuxilongwa nokwelashwa kungaholela ekuqhubekeni kwesimo esiyisisekelo, okuholela ezinkingeni ezinkulu ezifana ne-peritonitis, ukushaqeka kwe-septic, ukwehluleka kwezitho zomzimba, ngisho nokufa.
Imiphumela yesisu esibuhlungu esingalashwanga idlulela ngale komgodi wesisu, inemiphumela ehlelekile engathinta kakhulu impilo nenhlalakahle yomuntu ngamunye, futhi ithonya umndeni.
Ezimweni ezithile ezifana ne-appendicitis, ukwelashwa okulibazisekile kungaholela ekuqhekekeni kwe-appendix, okuholela ekukhululweni kwezinto ezithathelwanayo emgodini we-peritoneal kanye nokuthuthukiswa kwe-peritonitis okulandelayo.
Uma kungalungiswa, ukuvaleka kwamathumbu kungaholela ekushayweni kwegazi, ukubola kwamathumbu, kanye nokubhoboka kwamathumbu , okudinga ukungenelela okukhulu kokuhlinzwa futhi kubeke engcupheni enkulu yokugula nokufa.
Ukuqashelwa kanye nokuphathwa ngesikhathi esifanele kwezinkinga ezingaba khona zesisu esibuhlungu kubalulekile ukunciphisa umthwalo wesifo sonke kanye nokwenza ngcono imiphumela yesiguli.
Ukuhlolwa Komzimba Nokuxilongwa
Ukuhlolwa kwesiguli esinesisu esibuhlungu kuhilela ukuhlolwa okubanzi ngokomzimba okwenzelwe ukuthola imbangela eyinhloko nokuhlola ubukhali besimo. Umhlinzeki wezempilo kufanele athinte isisu ngokucophelela ukuze abone izindawo ezithambile, ezivikelayo, noma eziqinile , ezinganikeza ulwazi olubalulekile mayelana nezimbangela ezingaba khona zezimpawu zesisu.
Izimpawu ezithile njengokuba khona kwenqwaba ezwakalayo, uphawu lwe-Murphy olubonisa i-cholecystitis, noma ukuqina kwendawo lapho uMcBurney enesifo se-appendicitis kungasiza ekutholeni ukuxilongwa kwesikhashana.
Ngaphezu kokuhlolwa ngokomzimba, izindlela eziningana zokuxilonga kanye nokuhlolwa kwelebhu, njengokubalwa kwegazi okuphelele, amazinga e-electrolyte egazini, kanye nezimpawu zokuvuvukala , zingasetshenziswa ukuchaza kabanzi uhlobo lwesisu esibuhlungu.
Izifundo zokuthatha izithombe ezifana ne-ultrasound yesisu, ukuskena kwe-computed tomography (CT), kanye, ezimweni ezithile, i-magnetic resonance imaging (MRI) ingaba usizo ekuboneni isifo esiyisisekelo, ukuqinisekisa ukuxilongwa, kanye nokuqondisa izinqumo zokwelapha ezilandelayo.
Ukuhlanganisa ukwahlulela kwezokwelapha, okutholakele ekuhlolweni ngokomzimba, kanye nemiphumela yokuhlolwa kokuxilonga kubalulekile ukuze kufinyelelwe ekuxilongweni okunembile futhi kuqalwe izinyathelo zokwelapha ezifanele.
Ukuhlolwa Kwelebhu
Ukuhlolwa kwelebhu kudlala indima ebalulekile ekuhlolweni kwesisu esibuhlungu, okunikeza ulwazi olubalulekile mayelana nokuba khona kokutheleleka, ukuvuvukala, kanye nokungasebenzi kahle kwezitho zomzimba.
Ukubalwa kwegazi okuphelele (i-CBC) okunenani elihlukile kungaveza i-leukocytosis, isici esivelele sezinqubo eziningi zokuvuvukala kwangaphakathi kwesisu, kuyilapho inani eliphakeme le-neutrophil lingabonisa imbangela yokutheleleka.
Ukuhlola amazinga e-serum electrolyte kanye nokuhlolwa kokusebenza kwesibindi kungasiza ekuhloleni umthelela womzimba wonke wesisu esibuhlungu futhi kutholakale ukukhubazeka okuthile okunganikeza ulwazi ngokuhlolwa kokuxilonga kanye nokuhlela ukwelashwa.
Ngaphezu kwalokho, ukukala amazinga e-serum amylase kanye ne-lipase kubaluleke kakhulu ezimweni ezisolwayo ze-pancreatitis , okusiza ukuqinisekisa ukuxilongwa nokuhlola ubukhali besimo.
Amazinga aphezulu ala ma-enzyme e-pancreatic abonisa ukulimala kwe-pancreatic futhi angasiza ekuhlukaniseni i-pancreatitis ebukhali kwezinye izimbangela zobuhlungu besisu.
Ngokuhambisana nezifundo zezithombe, ukuhlolwa kwelabhorethri kunegalelo ekuhlolweni okuphelele kwesisu esibuhlungu futhi kudlala indima ebalulekile ekuqondiseni ukwenziwa kwezinqumo zomtholampilo.
Izithombe Zezokwelapha
Izindlela zokuthatha izithombe zezokwelapha zibaluleke kakhulu endleleni yokuxilonga isisu esibuhlungu, zinikeza ulwazi oluningiliziwe mayelana nokwakheka komzimba kanye nezifo ezithuthukisa ukuqonda isimo esiyisisekelo.
I-ultrasound yesisu ivame ukusetshenziswa njengendlela yokuqala yokuthwebula izithombe, ikakhulukazi ezimweni zokusolwa kwe-cholecystitis, isifo se-biliary tract, kanye nezimo ezithile zabesifazane njengokukhulelwa kwe-ectopic. Ivumela ukuhlolwa kokukhubazeka kwe-gallbladder , ukuba khona kwamatshe e-gallstone, kanye nokuboniswa kwezitho nezakhiwo zangaphakathi kwesisu.
Ukuskena kwe-computed tomography (CT) kwesisu kanye ne-pelvis kubaluleke kakhulu ekuchazeni imbangela yesisu esibuhlungu, okuhlinzeka ngezithombe ezibanzi ezisiza ekuboneni izinqubo zokuvuvukala, izimo ezithelelanayo, kanye nokukhubazeka kwesakhiwo.
I-CT iwusizo kakhulu ezimweni zokusolwa kwe-appendicitis, i-diverticulitis, ukubhoboka kwamathumbu, kanye ne-mesenteric ischemia . I-magnetic resonance imaging (MRI) ingasetshenziswa ezimweni ezithile, inikeza ukungafani okukhulu kwezicubu ezithambile kanye namakhono okuthwebula izithombe eziningi ezizuzisayo kwezinye izifo zesisu, kufaka phakathi izifo zesibindi kanye ne-pancreas.
Ukwelapha
Ukuphathwa kwesisu esibuhlungu kusekelwe ekuhlonzweni kwembangela eyisisekelo ngokushesha, ngesikhathi, nangokunembile, okulandelwa ukuqaliswa kokungenelela kwezokwelapha noma kokuhlinzwa okufanele ukuze kuqiniswe isiguli.
Kuye ngokuthi imbangela yalesi sifo ibangelwa yini, izindlela zokwelapha zingafaka phakathi ukudambisa ubuhlungu ukuze kuncishiswe ubuhlungu, ukunikezwa koketshezi olufakwa emthanjeni ukuze kulondolozwe umswakama kanye nokulungisa ukungalingani kwama-electrolyte, kanye nokusetshenziswa kwama-antibiotic e-broad-spectrum ezimweni zokutheleleka okusolwayo ngaphakathi kwesisu.
Isicanucanu nokuhlanza kungaxazululwa ngokunikeza imithi yokulwa nokugabha, ukunciphisa ukucindezeleka, kanye nokwenza kube lula ukuphuza utshwala uma kungenzeka.
Ezimweni lapho kuqinisekiswa khona ukuthi kukhona isifo sokuhlinzwa, njenge-appendicitis, i-cholecystitis noma ukubhoboka kwamathumbu, ukubonisana okusheshayo kanye nokungenelela kokuhlinzwa kubalulekile.
Ukwelashwa kokuhlinzwa kwesisu esibuhlungu kuvame ukuhilela izinqubo ezifana nokususwa kwe-appendectomy, i-cholecystectomy, i-adhesiolysis, noma ukususwa kabusha kwezingxenye zamathumbu afile ezimweni zokushaqeka kwamathumbu noma ukubhoboka kwawo.
Ukukhethwa kwesu lokwelashwa elifanele kakhulu kuncike ekuxilongweni okuthile, isimo somuntu ngamunye, kanye nokuba khona kwezinkinga ezingadinga ukungenelela okuphuthumayo.
Ukuhlinzwa Okuphuthumayo
Isisu esibuhlungu sivame ukudinga ukuhlinzwa okuphuthumayo ukuze kulungiswe izimo ezibeka engcupheni impilo nenhlalakahle yomuntu.
Isinqumo sokuqhubeka nokuhlinzwa okuphuthumayo siqondiswa ukuxilongwa okuthile, ubukhali bokwethulwa kwesifo, kanye nokuba khona kwezinkinga ezifana ne-peritonitis, ukushaqeka kwe-septic, noma ukubhoboka kwamathumbu.
Ukuhlola kanye nokungenelela kokuhlinzwa kubalulekile ezimweni ze-appendicitis lapho kunobufakazi bokubhoboka, i-diffuse peritonitis noma ukuba khona kwe- appendiceal abscess , kanye nasezimweni zokuvaleka kwamathumbu anezimpawu ze-ischemia noma i-peritonitis.
Ukuxazululwa okusheshayo emakamelweni okuphuthumayo okuhlinzwa kubalulekile ezibhedlela noma emitholampilo yezempilo ukuze kuncishiswe ingozi yokuqhubeka kwesifo kanye nokugula okuhambisana naso.
Ngokuphathwa kokuhlinzwa okusheshayo nokuqondile, abahlinzeki bezempilo banganciphisa imiphumela emibi engaba khona yesisu esibuhlungu futhi banikele ekululameni okusheshayo kwempilo nenhlalakahle yomuntu.
Ukubambisana phakathi kwezokwelapha kanye nochwepheshe bokuhlinzwa kubalulekile ukuqinisekisa ukunakekelwa kanye nokuphathwa okuhle kwabantu abanesisu esibuhlungu, okwenza kube lula ukusebenzisa indlela ehlukahlukene ebhekana nezici ezahlukene zezokwelapha kanye nokwelapha zalesi simo esibucayi.
Isiphetho
Ukufingqa iphuzu elibaluleke kakhulu, isisu esibuhlungu yisimo esibi kakhulu esidinga ukunakekelwa kwezokwelapha okusheshayo nokwelashwa. Izimpawu zaso, njengobuhlungu besisu obubuhlungu kanye nokuphazamiseka kwesisu , zingaba nezimbangela ezahlukahlukene eziyisisekelo. Ukuxilongwa nokwelashwa okusheshayo kubalulekile ukuvimbela izinkinga ezisongela ukuphila.
Izinketho zokwelapha zingafaka kokubili ukungenelela okungekona ukuhlinzwa kanye nokuhlinzwa , kuye ngokuthi imbangela ethile yalesi simo ibangelwa yini. Kubalulekile ukufuna usizo lwezokwelapha lwendawo noma lwasemadolobheni uma ubhekene nezimpawu zesisu esibuhlungu ukuqinisekisa ukuphathwa okusheshayo nokuphumelelayo.
Uma ulwazi mayelana nobuhlungu besisu obubukhali luhlangabezana nokulindelekile kwakho, sicela wabelane ngalo ezinkundleni zokuxhumana ukuze lolu lwazi lwezokwelapha luzuze abantu abaningi emhlabeni jikelele. Siyabonga ngokuphawula kwakho ngesikhathi esifanele kubhulogi ye-Digestive Health.
Kuze kube yisibuyekezo sezindaba esilandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ukubonakaliswa Kwesisu Esibuhlungu.