Sawubona bathandi be-inthanethi abathandekayo futhi wamukelekile kubhulogi yezempilo yokugaya ukudla. Ngaphandle kokuchitha isikhathi, ake siqonde ngqo ephuzwini ngombuzo othakazelisayo: Kungani kuyingozi ukungelaphi i-appendicitis ngesikhathi?
I-appendicitis iyinkinga evamile ethinta abantu abaningi, futhi kubalulekile ukuqonda ukubaluleka kokwelashwa ngesikhathi. Kulesi sihloko esibanzi, sizohlola izici ezahlukahlukene ze-appendicitis kanye nezingozi zayo ezingaba khona.
Kusukela encazelweni nasezimpawini kuya ezinkethweni zokwelapha kanye nezinkinga ezingaba khona, sihlose ukukunikeza ulwazi olubalulekile "olubhalwe ngabantu, lwabantu" ngalesi sifo ukuze uthuthuke.
Uma wazi ngezingozi ze-appendicitis engelashwanga, ungathatha izinyathelo zokuqinisekisa impilo yakho kanye nenhlalakahle yakho, ugweme ukuba yisisulu sokuzihlola noma sokuzelapha.
Ngakho-ke, ngiyakumema ukuba uphuze inkomishi yetshokolethi emnyama exutshwe emanzini nenhlanganisela ephelele yama-cranberry amnandi, ama-antioxidants amabili anamandla angu-100% okuvuselela ama-neurological akhuliswa kakhulu, okusiza ukugxilisa ingqondo kahle kanye nokumuncwa kolwazi olusha ukuze umuntu athuthuke.
Le ndlela entsha ikhuthaza indlela yokuthatha isinyathelo sokufuna usizo lwezokwelapha oluchwepheshe ezibhedlela noma emitholampilo yezempilo ngokusebenzisa uhlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele, kuye ngendawo okuyo. Lapho, ozakwethu bazokwenza ukuhlolwa, baxilonge, futhi banqume ukwelashwa okufanele nokufike ngesikhathi ukuze kuvinjelwe izinkinga ezinkulu. Hlala phansi sihlole umhlaba we-appendicitis ndawonye ngale ncwadi entsha nehehayo.
Kungani kuyingozi ukungelaphi i-appendicitis ngesikhathi?
Ukungalaphi i-appendicitis ngokushesha kungaba yingozi kakhulu. Akugcini nje ngokuba yingozi empilweni kodwa futhi kubangele izinkinga zempilo zesikhathi eside. I-appendicitis yenzeka lapho i-appendix ivuvukala futhi itheleleka, futhi uma ingelashwa, ingaqhekeka noma ibhoboke.
I-Appendicitis ukuvuvukala kwe-appendix ye-vermiform futhi ingabonisa izimpawu ezahlukahlukene, okuhlanganisa ubuhlungu besisu, isicanucanu, ukuhlanza, umkhuhlane kanye nokulahlekelwa yisifiso sokudla. Izibalo zemvamisa zisikisela ukuthi i-appendicitis ithinta abantu abaphakathi kuka-5 no-8% base-US minyaka yonke.
Kuye ngobukhulu becala, lezi zimpawu zingase zibe zimbi kakhulu ngaphandle kokungenelela kwezokwelapha okuphuthumayo nokufika ngesikhathi.
I-appendicitis engelashwanga ayinayo nje kuphela amandla okubangela ukuqhekeka noma ukubhoboka kwe-appendix, okwandisa ingozi ye- peritonitis eyesabekayo , kodwa futhi kunezimo lapho ukwelashwa okulibazisekile kuholela ekushayweni yi-sepsis okubulalayo , ukuvuvukala okusakazekile okungabangela izinkinga ezengeziwe, njengokwehluleka kwezitho zomzimba noma ngisho nokufa.
Ukwanda kwesibalo se-appendicitis esingelashwa kubonisa ukubaluleka kokuthatha isinyathelo ngokushesha lapho kutholakala ukuthi sikhona. Ngakho-ke, ukwehluleka ukwelapha i-appendicitis ngokushesha kunezingozi eziningi futhi kudinga ukunakekelwa okuphuthumayo kochwepheshe bezokwelapha.
Kuyini ukuvuvukala kwe-appendix?
I-appendicitis ebukhali yisimo esivamile sezokwelapha esingathinta abantu babo bonke ubudala. Sibonakala ngokucasuka kwe-appendix , isitho esincane, esifana nesikhwama esitholakala esiswini esingezansi kwesokudla , futhi imbangela yaso eqondile ayaziwa.
Nakuba imbangela eqondile ingacaci, kukholakala ukuthi ibangelwa ukuvaleka kwe-appendix , okuholela ekukhuleni okukhulu kwamagciwane kanye nokutheleleka. Ukuzwa noma yikuphi ukuhlanganiswa kobuhlungu besisu (igama elivamile lobuhlungu besisu eLatin America), ukucasuka okuvamile, umkhuhlane, ukulahlekelwa yisifiso sokudla, isicanucanu nokuhlanza, noma isifo sohudo kungabonisa i-appendicitis futhi kufanele kwelashwe ngokushesha ukuze kugwenywe izinkinga ezinkulu.
Uma uzwa ubuhlungu besisu obuhambisana nomkhuhlane, kubalulekile ukuthi ufune usizo lwezokwelapha endaweni yakini. Kubalulekile ukuqaphela izimpawu ezihambisana nalesi simo ukuze wazi ukuthi kufanele ulufune nini usizo.
Ubuhlungu obuhambisana ne -acute appendicitis buvame ukuqala endaweni yenkaba bese budlulela ohlangothini olungezansi lwesokudla lwesisu.
Ubuhlungu bungaba bukhulu futhi bube bukhulu, okwenza kube nzima ukwenza imisebenzi yansuku zonke. Ngaphezu kwalokho, kubalulekile ukukhumbula ukuthi i-acute appendicitis yisimo esibi futhi sidinga usizo lwezokwelapha ngokushesha.
Izimpawu nezimpawu ze-appendicitis
Ukuhlonza izimpawu eziyisixwayiso zesimo esingaba yingozi njengokucasuka kwe-vermiform appendix noma i-appendicitis kubalulekile ukuze kugwenywe izinkinga ezinkulu.
Uma kukhulunywa ngobuhlungu besisu obuncane, buvame ukuba seduze nenkaba bese bushintshela ohlangothini olungezansi lwesokudla lwesisu. Lobuhlungu bungasukela kobukhali kuya kobuthuntu futhi bungase bube bubi kakhulu ngokunyakaza njengokuhamba noma ukukhwehlela.
Ezinye izimpawu zifaka phakathi ukuphelelwa yisifiso sokudla, isicanucanu, ukuhlanza kanye nomkhuhlane. Kwezinye izimo, ikakhulukazi ezinganeni nasebancane, ubuhlungu obuncane bungaqala enkabeni bese budlulela ohlangothini olungezansi lwesokudla, bube buqine kakhulu futhi buhambisane nobuthakathaka obukhulu obujwayelekile . Ukuqaphela lezi zimpawu kubalulekile ekufuneni usizo lwezokwelapha ngokushesha.
Ukuqaphela izimpawu ezihambisana nalesi sifo kubalulekile ekutholakaleni nasekulashweni kusenesikhathi. Akuyona nje kuphela indawo ethintekile engase ibe mnene lapho ithintekile, kodwa futhi kungaba nomkhuhlane ophansi (izinga lokushisa lomzimba eliphakathi kuka-37°C no-38°C) kanye nokushaya kwenhliziyo okukhuphukile.
Ngaphezu kwalokho, kungase kube nezinguquko ekuhambeni kwamathumbu, njengokuqunjelwa noma isifo sohudo , kanye nobunzima bokukhipha igesi. Ukunaka lezi zimpawu nokukhuluma nochwepheshe wezempilo kungasiza ekuvimbeleni i-appendix ukuthi ingaqhekeki futhi ibangele izinkinga ezengeziwe.
Ukuqaphela izimpawu ze-appendicitis kubalulekile ukuze uthole usizo lwezokwelapha ngesikhathi esifanele. Uma wena noma othile omaziyo ezwa ubuhlungu besisu obuhlala isikhathi eside obuba bubi ngokuhamba kwesikhathi, kanye nezinye izimpawu ezihlobene nomkhuhlane kanye nokuphazamiseka kwesisu, kubalulekile ukufuna iseluleko sezokwelapha.
Uchwepheshe wezokunakekelwa kwempilo ohlelweni lokunakekelwa kwempilo lukahulumeni noma oluzimele angenza ukuhlolwa ngokomzimba , abukeze umlando wezokwelapha, futhi a-ode ukuhlolwa kokuxilonga, njengokuhlolwa kwegazi kanye nezifundo zezithombe. Ukuxilongwa nokwelashwa kusenesikhathi kungasiza ekunciphiseni ingozi yezinkinga, ikakhulukazi ezinganeni nasebancane.
Ukwelashwa kwe-Appendicitis
Ukwelapha lesi simo ngokushesha kubalulekile ukuze kugwenywe izingozi ezingase zihlotshaniswe naso. Ukususwa kwesitho esivuvukele kuyindlela eyinhloko, inqubo eyaziwa ngokuthi i-appendectomy.
Kungenziwa ngokusika kwendabuko esiswini noma nge-laparoscopy encane kakhulu, ehilela ukwenza izimbobo eziningana (3) ezincane nokusebenzisa ikhamera encane ukuqondisa inqubo.
Ngemva kwenqubo, isiguli sizohlala siqashwe ukuqinisekisa ukuthi siyalulama kahle futhi sivimbele izinkinga zangemva kokuhlinzwa . Ukulandela imiyalelo yangemva kokuhlinzwa enikezwe yithimba lezempilo kubalulekile ukuze silulame ngempumelelo.
Ezimweni lapho i-appendix isivele iqhumile noma ithumba selivele lakhekile, kudingeka ukwelashwa okwengeziwe. Lokhu kungafaka ukukhipha amanzi ethumba kanye nokunikeza ama-antibiotic ngemithambo yegazi . Kwezinye izimo, inqubo yesibili yokuhlinzwa ingadingeka ukuze kuqedwe ngokuphelele ukutheleleka.
Kubalulekile ukulandela imiyalelo yabasebenzi bezokwelapha abathintekayo ekunakekelweni kwakho ukuqinisekisa ukwelashwa okufanele nokunciphisa ingozi yezinkinga. Khumbula ukuthi ukufuna usizo lwezokwelapha ngokushesha nokunamathela ohlelweni lokwelashwa olubekiwe kubalulekile ekuphatheni i-appendicitis.
Ukwelashwa ngesikhathi kubalulekile ukuze kugwenywe izinkinga ezisongela ukuphila. Ukufuna usizo lwezokwelapha ngokushesha nokunamathela ohlelweni lokwelashwa olubekiwe kubalulekile ekuphatheni lesi sifo ngempumelelo.
Ukulandela imiyalelo yangemva kokuhlinzwa yethimba lezokunakekelwa kwempilo nakho kuyisihluthulelo sokululama okuphumelelayo.
Izinkinga ze-appendicitis engalashwanga
Ukwehluleka ukwelapha ukucasuka kwe-appendix kanye nokutheleleka ngokushesha kungaba nemiphumela emibi kakhulu. Ngaphandle kokungenelela kwangesikhathi, i-appendix ingaqhuma futhi ibangele i-peritonitis , isimo lapho ukutheleleka okuvela ku-appendix eqhumile kusakazeka kuyo yonke indawo esiswini, okuholela ekungakhululeki okukhulu kwesisu, umkhuhlane kanye nesicanucanu.
Lokhu kungaholela ekuthelelekeni kwezicubu zomzimba , ukungasebenzi kahle kwezitho zomzimba, futhi, ezimweni ezimbi kakhulu, ukufa ngenxa ye -sepsis . Ukuze kugwenywe imiphumela enjalo ebuhlungu, ukunakekelwa kwezokwelapha okusheshayo kubalulekile ukuze kuvikelwe noma yiziphi izinkinga.
Uma ingelashwa, i-appendicitis ingaholela ekwakhekeni kwethumba . Lokhu kuqoqwa kobomvu kwakheka lapho umzimba uzama ukuvimba ukutheleleka, okubangela ubuhlungu nokuvuvukala endaweni.
Uma kungelashwa, ukutheleleka kungasakazekela kwezinye izingxenye zomzimba, okwenza isimo sibe sibi kakhulu. Ngakho-ke, kubalulekile ukuthola ukuxilongwa kwezokwelapha ngokushesha okukhulu, isibonelo ngokuhlolwa kwegazi okulula, ukuze ugweme noma yiziphi izinkinga zesikhathi esizayo.
I-Appendicitis ezinganeni
Izingane kufanele zithole usizo lwezokwelapha ngokushesha uma zizwa ubuhlungu besisu, umkhuhlane, kanye nokungaphatheki kahle, njengoba lokhu kungaba izimpawu zesimo esibucayi njenge-appendicitis.
Uma ingelashwa, i-appendix evuvukele ingaqhuma futhi ibangele ukutheleleka okusongela ukuphila okubizwa ngokuthi i-peritonitis . Ukususwa kwe-appendix, okuhilela ukususwa kwe-appendix, kuyindlela yokwelapha eyinhloko.
Ama-antibiotic angase anikezwe ukwelapha noma yikuphi ukutheleleka okukhona. Kubalulekile ukuthi abazali nabanakekeli babone izimpawu kusenesikhathi futhi bafune usizo lwezokwelapha ngokushesha ngohlelo lokunakekelwa kwempilo lukahulumeni noma oluzimele ukuze kuncishiswe izingozi futhi kuthuthukiswe ukubikezela.
Ngesikhathi sokukhulelwa, i-appendicitis ingaba yingozi eyengeziwe kumama kanye nosana. Ukuxilongwa kungaba nzima ngenxa yezimpawu ezifanayo ezitholakala ngesikhathi sokukhulelwa.
Kodwa-ke, kubalulekile ukuqaphela nokwelapha i-appendicitis ngokushesha ukuze kugwenywe izinkinga. Ukuhlinzwa, njengokususwa kwe-appendix, kungenziwa, kucatshangelwa ukuphepha kukamama nomntwana.
Udokotela uzohlola ngokucophelela isimo futhi acabangele izingozi nezinzuzo ezingaba khona ngaphambi kokunquma inkambo efanele yokwenza. Abesifazane abakhulelwe kufanele bazise udokotela wabo nganoma yibuphi ubuhlungu besisu noma ukungakhululeki, njengoba ukungenelela ngesikhathi kubalulekile enhlalakahleni kamama nengane.
I-appendicitis ngesikhathi sokukhulelwa
Omama abakhulelwe babhekene nengozi enkulu ye-appendicitis ngesikhathi sokukhulelwa . Nakuba izimpawu zingase zifane nokungakhululeki okuvamile kokukhulelwa, ukubambezeleka noma ukugwema ukwelashwa kungaba nemiphumela emibi kakhulu.
Ngakho-ke, kubaluleke kakhulu ukuthi abesifazane abakhulelwe banake izimpawu eziyisixwayiso futhi bathathe isinyathelo ngokushesha uma bezwa ubuhlungu besisu obuqhubekayo, ikakhulukazi ohlangothini lwesokudla.
Umzimba ubhekana nezinguquko eziningi ngesikhathi sokukhulelwa, okwenza kube nzima ukuxilonga i-appendicitis ngokunembile. Kubalulekile ukuthi ochwepheshe bezempilo bazi ukuthi i-appendicitis ingenzeka futhi benze izivivinyo ezifanele, njenge-ultrasound, ukuze kunqunywe eminye imithombo engaba khona yokungakhululeki esiswini.
Uma sekutholakale, ukususwa kwe-appendix ngokuhlinzwa kuvame ukunconywa ukuze kugwenywe izinkinga ezinkulu.
Kubalulekile ukukhumbula ukuthi ukwelapha i-appendicitis ngesikhathi sokukhulelwa kubalulekile ekuqinisekiseni ukuphepha komama kanye nosana . Ukwelapha i-appendicitis kubalulekile ekukhulelweni okuphumelelayo.
Umonakalo wesikhathi eside obangelwa isifo sikashukela kanye ne-appendicitis
Inhlanganisela yesifo sikashukela kanye ne-appendicitis ingaba nemiphumela yesikhathi eside engathinta kabi impilo yomuntu iyonke, njengoba ku-vermiform appendicular organ virus kungenzeka kakhulu ngenxa yokuphazamiseka kokuzwela ubuhlungu isikhathi eside kanye nezinkinga ezihlala zikhona.
Lokhu kungenxa yokuthi isifo sikashukela senza umzimba ungabi namandla okulawula amazinga kashukela egazini, kanti ukuvuvukala okubangelwa yi-appendicitis kungadala izinkinga ezengeziwe.
Ukuze kuncishiswe ingozi yezinkinga ezengeziwe futhi kuncishiswe umonakalo ongaba khona wesikhathi eside, kubalulekile ukuthi abanesifo sikashukela bathole usizo lwezokwelapha ngokushesha uma kwenzeka izinguquko ezincane abazibonayo futhi bafune usizo lwezokwelapha lwendawo noma lwasemadolobheni.
Ukuba khona kwesifo sikashukela kungalimaza ikhono lomzimba lokulwa nezifo nokwelapha amanxeba , okwenza isimo sibe nzima nakakhulu uma kwenzeka i-appendix ivuvukele.
Uma kungelashwa, lokhu kutheleleka kungasakazeka esiswini sonke, okuholela esimweni esisongela ukuphila esaziwa ngokuthi i-peritonitis. Ngakho-ke, abanesifo sikashukela kufanele bathathe indlela ephelele yokwelapha zombili lezi zimo ukuze banciphise ingozi yokulimala kwesikhathi eside.
Ukuqinisekisa ukwelapheka okufanele nokunciphisa ingozi yokulimala kwesikhathi eside, labo abathintekile yisifo sikashukela kanye ne-appendicitis kufanele bathole uhlelo lokwelashwa oluphelele.
Lokhu kungafaka phakathi ukuqapha amazinga kashukela egazini eduze, ukulungiswa okudingekayo emithini kanye nezindlela zokwelashwa nge-insulin, kanye nokuhlolwa njalo nochwepheshe wezempilo.
Uma isifo sikashukela kanye ne-appendicitis yezokwelapha kubhekwana nayo ngesikhathi esisodwa futhi kuthathwa izinyathelo ezidingekayo ukuqinisekisa ukunakekelwa okuphelele, abantu bangathuthukisa amathuba abo okunciphisa noma yimuphi umonakalo ongaba khona wesikhathi eside.
Ukuvimbela i-appendicitis
Ukungalaphi i-appendicitis ngokushesha kungaba yingozi, njengoba kungaholela ezinkingeni ezinkulu zempilo. I-appendicitis ukuvuvukala kwe-vermiform appendix, isitho esincane esixhunywe emathunjini, futhi kuvame kakhulu kubantu abaneminyaka ephakathi kweyi-10 nengama-30.
Uma kungelashwa kusenesikhathi, ukuvuvukala kungabangela ukuthi i-appendix iqhume bese kuthi kamuva kutheleleke i-mucosa yesisu, okungaba nemiphumela ebulalayo.
Ngakho-ke, ukuvimbela kubalulekile, ikakhulukazi uma ucabangela amazinga akhuphukayo okukhuluphala ngokweqile kanye nokukhuluphala emphakathini wanamuhla, okubeka abantu abaningi engozini yokuthola i-appendicitis ngenxa yokuphila kwabo bengasebenzi kahle kanye nemikhuba yokudla engafanele.
Ukunakekela impilo yakho ngokudla okunomsoco kanye nokuzivocavoca njalo ngokuzivocavoca umzimba kusiza ekunciphiseni amacala e-appendicitis nezinye izinkinga zempilo, ukuze bambalwa abantu abasengozini yokuhlushwa yizimo ezinjalo eziyingozi.
Isiphetho
Ngamafuphi, ukwelapha i-appendicitis ngokushesha kubaluleke kakhulu. Ukwehluleka ukwenza kanjalo kungaholela ezinkingeni ezinkulu , njengokuqhekeka kwe -appendix futhi kubangele i-peritonitis , ukutheleleka okungaba yingozi empilweni esiswini.
Kodwa-ke, ngokungenelela kwezokwelapha okusheshayo, njengokuhlinzwa kanye nama-antibiotic, izingozi ezihambisana ne-appendicitis zingancishiswa. Kubalulekile ukwazi izimpawu ze-appendicitis, ikakhulukazi ezinganeni nakwabesifazane abakhulelwe, njengoba zingadinga ukunakekelwa okukhethekile.
Ngaphezu kwalokho, abantu abanezimo ezifana nesifo sikashukela sangaphambi kwesikhathi kufanele baqaphele, njengoba i-appendicitis engalashwanga ingenza umonakalo wesikhathi eside esiswini ube mubi kakhulu.
Ngakho-ke, kubalulekile ukubeka phambili ukutholwa nokwelashwa kusenesikhathi ukuqinisekisa inhlalakahle yabantu nokugwema izinkinga ezengeziwe emgodini wesisu.
Manje yisikhathi esikhethekile sokwabelana ngolwazi lwezempilo lokuvimbela mayelana ne-appendicitis engelashwanga ngesikhathi ngokusebenzisa izinkundla zokuxhumana kanye nokukhulisa ulwazi ngezinkinga ezinkulu; ndawonye singaqinisekisa ukuthi abantu abaningi bayazuza kulolu lwazi olusha.
Ngiyabonga ngokushiya imibono neziphakamiso zakho ebhokisini elihambisanayo ngezihloko ezizoxoxwa ngazo kubhulogi. Nginibingelela ngemfudumalo, futhi sizobonana kokuthunyelwe okulandelayo!
UDkt. Jorge Delgado, Udokotela Ohlinzayo. Kungani kuyingozi ukungelaphi i-appendicitis ngesikhathi?