Sawubona msebenzisi we-inthanethi othandekayo futhi wamukelekile kubhulogi yezempilo yokugaya ukudla. Ake siqonde ngqo ocwaningweni lokungakhululeki okukhulu kwesisu, lapho ubuhlungu besisu buyisimo sezokwelapha esibucayi nesiphuthumayo esingabangelwa yizinkinga ezahlukahlukene eziyisisekelo.
Kubonakaliswa ubuhlungu obungazelelwe nobubukhali esiswini obungase buhambisane nokuphazamiseka kwesisu futhi bube nomthelela omkhulu empilweni iyonke.
Nakuba izimpawu zingavela kubantu babo bonke ubudala, kungaba nzima kakhulu ukuzixilonga ezinsaneni, ezinganeni ezincane nakubantu abadala. Kodwa-ke, kubalulekile ukufuna usizo lwezokwelapha ngokushesha, njengoba "lubhalwe ngabantu, ngenxa yabantu" futhi lungadinga ukwelashwa okusheshayo.
Kulesi sihloko sezokwelapha esinomgomo wokuhlinzwa kokuvimbela izifo zesisu, sizoxoxa ngezizathu, izimpawu kanye nokwelashwa okuvamile kobuhlungu besisu obukhulu.
Sekuyisikhathi sokuphuza inkomishi yetiye eliluhlaza , i-antioxidant enamandla okuvuselela ama-neurological, eyi-100% yemvelo, efinyelela ukugxila okuphezulu nokumuncwa kolwazi ukuze kuthuthukiswe umuntu.
Lokhu kuzokuvumela ukuthi ugcine isimo sengqondo sokuthatha isinyathelo futhi ungabi yisisulu sokuzihlola noma sokuzelapha okubambezela usizo lwezokwelapha ngohlelo lwezempilo lomphakathi noma oluzimele, lwendawo noma lwasemadolobheni, ngokwesikhundla sakho sendawo yomhlaba wonke , futhi ungabi yisibalo sezinkinga ezinkulu ezibulalayo.
Ukungakhululeki okubangelwa yisisu esibuhlungu.
Ubuhlungu obukhulu besisu buwuphawu olungabonisa izimo ezahlukene zezokwelapha, ezinye zazo ezidinga ukunakekelwa okusheshayo. Kubalulekile ukunaka ubukhulu nobude bobuhlungu, kanye nezinye izimpawu ezihlobene, njengomkhuhlane noma ukuhlanza.
Ukuqaphela lezi zimpawu kusenesikhathi kungaba yinto ebalulekile ekuxilongweni nasekulashweni okufanele. Impilo yesisu iyisici esibalulekile senhlalakahle yethu iyonke, ngakho-ke kuhlale kunconywa ukubonisana nochwepheshe wezempilo nganoma yiziphi izinkinga. Ngaphandle kokuchitha isikhathi, ake sifunde kabanzi!
Incazelo
Isisu esibuhlungu sibhekisela esimweni sezokwelapha esibucayi nesibucayi esibonakala ngobuhlungu besisu obungazelelwe nobunamandla. Kuyisimo esiphuthumayo sezokwelapha esidinga ukuxilongwa ngokushesha kanye nokungenelela okuhlinzwa okuvame ukwenziwa ukuze kuxazululwe imbangela eyinhloko.
Lesi simo singabandakanya izinhlobo eziningi zezimbangela ezingaba khona, okuhlanganisa, kodwa kungagcini lapho, izinkinga zesisu, izinkinga zokuvuvukala, kanye nokuvinjelwa kwemishini ngaphakathi kwesisu.
Ukuhlonza imbangela ethile yesisu esibuhlungu ngokushesha nangokunembile kubalulekile ekunqumeni indlela efanele yokwelashwa, kungaba ukwelashwa kwezokwelapha noma ukuhlinzwa.
Ukuqala kwesisu esibuhlungu kuvame ukuzuma, kanti ubuhlungu besisu buyisibonakaliso esiyinhloko sobukhulu besimo. Kungase futhi kuhambisane nokungakhululeki okuhlukahlukene, njengesicanucanu , ukuhlanza, kanye nokuphazamiseka kwesisu.
Ukuhlukahluka kwezimbangela ezingaba khona kanye nokuqhubeka okusheshayo kwezimpawu kwenza isisu esibuhlungu sibe yisimo esiyinselele nesibucayi ochwepheshe bezempilo okufanele basiphathe.
Izimbangela Ezivamile
Kunezizathu eziningana eziyisisekelo ezingaholela ekukhuleni kwesisu esibuhlungu. Lezi zifo zifaka phakathi, phakathi kwezinye izimo, i-acute appendicitis kwabesilisa , ukuvaleka kwamathumbu, i-cholecystitis, i-pancreatitis, kanye nezilonda ezibhobozekile.
Ngayinye yalezi zimo inikeza isethi yayo yezibonakaliso ezithile kanye nezinselele zokuxilonga, okwenza kube kubalulekile ukuthi ochwepheshe bezokwelapha benze ukuhlolwa okuphelele ukuze bathole ngokunembile imbangela yesisu esibuhlungu.
Ngaphezu kwalokho, ukulimala okubuhlungu esiswini , okuthi izitho zaso ngokulandelana kwazo kube yi-spleen noma isibindi esinamanxeba, nakho kungabangela ukubonakaliswa kwesisu esibuhlungu.
Ezinye izimbangela ezivamile zifaka phakathi izimo zesisu ezifana nesifo samathumbu esivuvukalayo, i-colitis, kanye ne-diverticulitis, kanye nezinkinga zabesifazane ezifana nokukhulelwa kwe-ectopic, ama-ovarian cysts, kanye nesifo sokuvuvukala kwe-pelvic.
Ukuqaphela izimbangela eziningi ezingaba khona kubalulekile ekuqondiseni inqubo yokuxilonga kanye nokwakha uhlelo lokwelapha olusebenzayo oluhambisana nezidingo ezithile zesiguli ngasinye.
Izimpawu Ezijwayelekile
Izimpawu zesisu esibuhlungu ziyahlukahluka futhi zingafaka phakathi ubuhlungu besisu obungazelelwe, obukhulu , obungase buvele endaweni ethile noma busabalale. Ezinye izimpawu ezijwayelekile zifaka phakathi isicanucanu, ukuhlanza, ukuqunjelwa, kanye nezinguquko ekuhambeni kwamathumbu.
Kwezinye izimo, iziguli zingase zibe nezimpawu zokushaqeka , njengokushaya kwenhliziyo okusheshayo, umfutho wegazi ophansi, kanye nokuphaphatheka. Ukwehluka nobukhali balezi zimpawu kudinga indlela ephelele nehlelekile yokuxilonga nokuphatha.
Ngaphezu kwezimpawu ezivamile, abantu abanesisu esibuhlungu bangase babonise nezimpawu ezengeziwe zezimo ezithile eziyisisekelo, njengomkhuhlane kanye nenani eliphezulu lamaseli amhlophe egazi ezimweni zezimbangela ezithelelanayo, noma i-jaundice kanye nobuhlungu engxenyeni ephezulu kwesokudla uma kukhulunywa ngezinkinga ze-biliary tract.
Ukuhlonza nokuhumusha lezi zimpawu kubalulekile ekuqondiseni ithimba lezokwelapha kanye nodokotela enqubweni yokuxilonga ngokushesha ngendlela efanele nefike ngesikhathi.
Izimpawu Ezinganeni Nakwabadala Abadala
Ukuqaphela nokuxilonga isisu esibuhlungu ezinganeni nakubantu asebekhulile kungaba yinselele kakhulu ngenxa yokwethulwa okungajwayelekile kanye nezithiyo zokuxhumana.
Izinsana nezingane ezincane zingase zibonise izimpawu ezingacacile njengokucasuka, ukungadli kahle, kanye nokungahlaliseki, kuyilapho abantu abadala kungenzeka ukuthi bashintshe isimo sengqondo, ukuncipha kokuqonda ubuhlungu, kanye nezimpendulo zezimpawu ezibalulekile ezingavamile.
Ukuqonda ubuqili bendlela izifo ezibonakala ngayo kulezi zinhlobo ezikhethekile nezibucayi kubalulekile ekuxilongweni okusheshayo, okunembile, nokufika ngesikhathi.
Kubantu abadala asebekhulile , izimo ezifana ne -intestinal ischemia, i-mesenteric ischemia, kanye ne-diverticulitis zingase zibe nezimpawu ezicashile noma ezingavamile, okuholela ekubambezelekeni kokuxilongwa kanye nemiphumela engaba mibi kakhulu uma kungaxazululwa ngokushesha.
Ngokufanayo, ezinganeni , izimo ezifana nokungena ngaphakathi kanye nokuphazamiseka kwengqondo zidinga inkomba ephezulu yokusola kanye nezindlela ezikhethekile zokuxilonga ukuze kugwenywe izithiyo zokuxilonga futhi kuqinisekiswe ukungenelela ngesikhathi.
Indawo Yobuhlungu
Indawo yobuhlungu besisu iyisici esibalulekile ekuhlolweni kwesisu esibuhlungu. Kuye ngembangela eyisisekelo, ubuhlungu bungase bube sengxenyeni ethile yesisu noma bungase busabalale, ngakho-ke kubalulekile ukuhlola indawo eqondile kanye nanoma yimiphi imisebe yobuhlungu.
Isibonelo, ubuhlungu engxenyeni engezansi kwesokudla, njengoba kubonakala ku-acute appendicitis, noma esifundeni se-epigastric, okubonisa izilonda ze-peptic noma i-pancreatitis, bunikeza izinkomba ezibalulekile mayelana nesizathu esingaba khona sesisu esibuhlungu.
Ngaphezu kwalokho, ukuba khona kobuhlungu obudluliselwe emhlane, emahlombe, noma ezithweni zangasese kungasiza ekunciphiseni amacala okuxilongwa okuhlukile futhi kuqondise ukuhlolwa kokuxilonga okulandelayo.
Ngaphezu kwalokho, uhlobo lobuhlungu, kungakhathaliseki ukuthi yi-colic, i-spasmodic, noma i-consistent, lunikeza ulwazi olubalulekile mayelana nezifo ezingaba khona eziyisisekelo, njengokuvaleka kwamathumbu, i-cholecystitis, noma i-mesenteric ischemia.
Ukuhlukanisa lezi zindlela zobuhlungu nokuzihlobanisa nezinye izimpawu kubalulekile ekwakheni uhlelo lokuxilongwa nokwelashwa olunembile noluzimele.
Ukuhlolwa kanye Nokuhlolwa Kokuxilonga
Ukuxilongwa kwesisu esibuhlungu ngokuvamile kudinga ukusolwa ngokwezokwelapha ngokuhlanganiswa kokuhlolwa kwezokwelapha kanye nokuhlolwa kokuxilongwa okuhambisanayo ukuze kutholakale imbangela eyisisekelo.
Ukuhlolwa ngokomzimba, okuhlanganisa ukuhlolwa kwezimpawu ezibalulekile, ukuqina kwesisu, kanye nezimpawu zokucasuka kwe-peritoneal , kuyisinyathelo sokuqala esibalulekile enkambisweni yokuxilonga, okunikeza ulwazi olubalulekile ukuze kuqondiswe uphenyo olwengeziwe.
Izifundo zelebhu, ezifana nokubalwa kwegazi okuphelele , iphaneli ephelele ye-metabolic, kanye namazinga e-serum amylase/lipase, zinganikeza ulwazi mayelana nokuba khona kokutheleleka, ukungasebenzi kahle kwezitho zomzimba, noma i-pancreatic pathology, njengoba kungenza nokuhlolwa komchamo.
Izifundo zokuthatha izithombe , okuhlanganisa i-ultrasound yesisu, i-computed tomography (CT), kanye nakwezinye izimo i-magnetic resonance imaging (MRI) , zidlala indima ebalulekile ekuboneni izitho zesisu ngeso lengqondo, ekutholeni izimo ze-pathological, kanye nokuqondisa inqubo yokwenza izinqumo zokuphathwa kwezokwelapha noma kokuhlinzwa.
Ngaphezu kwalokho, ezimweni ezithile, izinqubo zokuxilonga ezifana nokuhlanzwa kwe-peritoneal noma i-laparoscopy yokuxilonga zingadingeka ukuze kubonwe ngqo futhi kuhlolwe umgodi wesisu ukuthola imithombo yezifo ezidinga ukungenelela okusheshayo.
Izinhlobo kanye nokuhlukaniswa kwesisu esibuhlungu
Isisu esibuhlungu singahlukaniswa ngezinhlobo eziningana ngokusekelwe emvelaphi eyisisekelo kanye nohlobo lokubonakaliswa komtholampilo. Lokhu kufaka phakathi, kodwa akugcini lapho, izimo zokuvuvukala okukhulu njenge-acute appendicitis, i-cholecystitis, kanye ne-diverticulitis; izimbangela zomshini ezifana nokuvinjelwa kwamathumbu kanye ne-hernias; kanye nezimbangela zemithambo yegazi , kufaka phakathi i-mesenteric ischemia kanye ne-abdominal aortic aneurysm.
Ngaphezu kwalokho, izimbangela ezibuhlungu , njengokusikeka kwezitho zomzimba, kanye nezinkinga ze-iatrogenic, njengokubhoboka kwangemva kokuhlinzwa, zimelela ezinye izigaba ezibalulekile zesisu esibuhlungu.
Ukuhlukaniswa okuhlukahlukene kwesisu esibuhlungu kugqamisa ububanzi bezimbangela ezingaba khona kanye nesidingo sendlela ehlelekile yokuxilonga nokuphatha. Ngokubona izinhlobo ezihlukile kanye nokuhlukanisa isethulo, ochwepheshe bezempilo bangenza ukuhlolwa okuphumelelayo futhi banikeze ukungenelela okufanele kakhulu esimweni ngasinye esithile, bathuthukise imiphumela yesiguli futhi banciphise ingozi yezinkinga ezingaba khona ezihlobene nokuphathwa okulibazisekile nokunganele.
Nini ukufuna ukwelashwa
Kubalulekile ukuthi abantu ababhekene nezimpawu zesisu esibuhlungu, njengobuhlungu besisu obungazelelwe nobunzima, isicanucanu, ukuhlanza, noma izinguquko emikhubeni yokuya emathunjini, bafune usizo lwezokwelapha oluphuthumayo endaweni noma edolobheni, ngohlelo lwezempilo lukahulumeni noma oluzimele.
Ukuhlolwa okusheshayo nguchwepheshe wezempilo kubalulekile ukuze kutholakale ukuxilongwa ngesikhathi esifanele kanye nokungenelela ukuze kuxazululwe imbangela eyinhloko futhi kuvinjelwe izinkinga ezingaba khona.
Ukuhlehlisa ukunakekelwa kwezokwelapha ngenxa yesisu esibuhlungu kungaholela ekuqhubekeni kwesifo, ukwanda kwezifo, kanye nengozi ephezulu yezimo eziphuthumayo zokuhlinzwa , okugcizelela ukubaluleka kokuhlolwa kwezokwelapha okusheshayo nokufika ngesikhathi kubantu ababhekene nezimpawu eziphathelene nalesi sifo.
Kufanele kuqashelwe ngokukhethekile abantu abanezimo zezokwelapha ezikhona kakade, njengesifo samathumbu esivuvukalayo (i-IBD), umlando wokuhlinzwa kwesisu, noma izinkinga zamathumbu ezaziwayo , njengoba bangase babe sengozini enkulu yokuthola isisu esibuhlungu.
Kulezi zimo, noma yiziphi izimpawu zesisu ezintsha, ezinzima, noma eziphathelene nazo kufanele zihlolwe ngokushesha nguchwepheshe wezempilo ukuqinisekisa ukuqashelwa kusenesikhathi kanye nokuphathwa kwezimo zesisu eziyingozi ezingaba khona.
Ukwelashwa kwesisu esibuhlungu
Ukwelashwa kwesisu esibuhlungu kuncike embangela eqondile kanye nesimo somtholampilo sesiguli sonke. Ezimweni eziningi, ikakhulukazi ezimweni ze-appendicitis ebuhlungu, i-cholecystitis, noma ukuvaleka kwamathumbu, ukungenelela kokuhlinzwa kuvame ukudingeka ukuze kulungiswe i-pathology futhi kuncishiswe izimpawu ezibuhlungu.
Ukwelashwa kokuhlinzwa okusheshayo nokufika ngesikhathi kungabandakanya izinqubo ezifana nokususwa kwe-appendectomy, i-cholecystectomy, noma ukususwa kwamathumbu , kuye ngokuthi imbangela ethile kanye nobukhulu besifo.
Ngezimbangela ezingezona ezokuhlinzwa , okuhlanganisa izimo ezithile zokuvuvukala kanye nezimbangela ezithelelanayo, ukwelashwa ngemithi yokwelapha ubuhlungu, ukwelashwa ngamagciwane, kanye nezinyathelo zokusekela kungasetshenziswa ukuze kuncishiswe izimpawu futhi kulungiswe imbangela eyinhloko.
Ngaphezu kwalokho, ezimweni ze -mesenteric ischemia noma izimbangela zemithambo yegazi , amasu okuvuselela imithambo yegazi noma izinqubo zokungenelela zingadingeka ukuze kubuyiselwe ukugeleza kwegazi futhi kuvinjelwe umonakalo owengeziwe ezicutshini ezizungezile.
Ukuqapha ngokucophelela, ukuphathwa kobuhlungu, kanye nokubhekana nanoma yiziphi izinkinga ezihlobene, njenge- sepsis noma ukwehluleka kwezitho zomzimba , kuyizingxenye ezibalulekile zendlela yokwelapha ephelele yesisu esibuhlungu.
Ngemva kwesigaba esibucayi, ukunakekelwa okufanele ngemva kokuhlinzwa kungadingeka futhi, kwezinye izimo, izinyathelo zokuvuselela ukuze kube lula ukululama kwesiguli nokuthuthukisa ukuphulukiswa kwezicubu kanye nemiphumela yezempilo yesikhathi eside.
Isiphetho
Ukufingqa iphuzu elibaluleke kakhulu, ubuhlungu obukhulu besisu buyisimo esibucayi sezokwelapha esidinga ukwelashwa okufika ngesikhathi nangokufanele . Bungabangelwa izici ezahlukahlukene futhi bungabonakala ngezimpawu ezivamile njengokuphazamiseka kwesisu kanye nomthelela empilweni iyonke.
Nakuba kungaba nzima ukukubona ezinsaneni, ezinganeni ezincane, nakubanye abantu abadala , kubalulekile ukufuna usizo lwezokwelapha uma uzwa ubuhlungu besisu obungazelelwe, obukhulu, nobubukhali.
Izinketho zokwelapha ziyahlukahluka futhi kufanele zinqunywe uchwepheshe wezokwelapha ngokusekelwe embangela eyinhloko yobuhlungu. Sekuyisikhathi sokwabelana ngalolu lwazi ezinkundleni zokuxhumana ukuze izinzuzo zokufunda zifinyelele abantu abaningi emhlabeni jikelele. Siyabonga ngokuphawula kwakho okuqotho kubhulogi.
Yilokho kuphela okwamanje, sizobonana kokuthunyelwe okulandelayo okunolwazi mayelana nempilo yokugaya ukudla!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Ukungakhululeki Ngenxa Yesisu Esibuhlungu.