Kubhekwa njenge-appendicitis - isici esingenalusizo esiyingozi, esasidlulisela kithi njengefa kusukela okhokho basendulo. Kodwa eminyakeni yamuva, isimo sengqondo sodokotela ekuntulekeni kokusebenza kwesisindo sokuqala sasebenza ukushintsha. Odokotela baseMelika bathola ukuthi inqubo eyimpumputhe ayinayo indima encane emisebenzini yesimiso somzimba sokuzivikela komzimba, yenza ama-bacteria abambe iqhaza ekusebenzeni okuvamile kwamathumbu.
I-Appendicitis nokubonakaliswa kwayo kuqala ukuphazamisa umuntu ngezizathu eziningana. Ukuvuvukala kubangelwa ukuvala isibani sesithasiselo ngezingqimba ze-mucus obukhulu; ekuvaleni umgodi kungaholela ekugqibeleni kwesithasiselo, ukukhungatheka kwemikhumbi, okumnika ukudla okunomsoco, i-dysbiosis, ukuhlukunyezwa kwesisu.
I-Appendicitis ingaba yinkimbinkimbi futhi engapheli. Ngokuvuvukala okunzima, ubuhlungu obunzima obuqhubekayo buqala engxenyeni engenhla yesisu, okuyinto yendawo yendawo esiswini esingaphansi kwesokudla, kodwa ingagxila esifundeni sezinzwa, futhi sinikezwe ngemuva. Ubuhlungu bubi kakhulu uma uqamba amanga ngakwesokunxele sakho. Kukhona ukucabangela, ukuhlanza, umlomo owomile, kancane kancane kuphakama izinga lokushisa komzimba. Ukubonakaliswa kokuvuvukala kufaka phakathi isifo sohudo (ezinganeni) nokugcinwa kwesitoreji (kubantu abadala).
Kwase kudlule isikhathi eside odokotela bethola ukuvuvukala kwenqubo eyimpumputhe ngesandla, ngokubonakala kwezinhlungu. Uma ucindezela ohlangothini olungezansi kwesisu bese ukhululeka ngokushesha, ubuhlungu buyoqina. Ukusebenzisa le ndlela, kulula ukubeka ukuxilongwa okungalungile. Noma kunjalo kukholelwa ukuthi ngokususa i-appendicitis enempilo, umonakalo empilweni uzoba ngaphansi uma isiguli singasusiwe.
Kodwa kwakukhona nezindlela eziningi ezithembekile zokuxilongwa. Ucwaningo lwama-radiography, oluvame ukwenziwa ezinganeni, ukuze kubone ukuthi kungenzeka yini ukugqoka kwesithasiselo ngegodi elibala. Ukubonakala kwenqubo ekhulayo noma edematous, kanye nenqubo yokuvuvukala, itholakala usebenzisa i-ultrasound. Isithombe sezinqubo ezivuthayo, kanye nezinguquko ezakhiweni zamathumbu kanye ne-peritoneum, zizotholakala nge-tomography ehlanganisiwe. Ukuhlolwa kwendawo yonke yesisu kwenziwa nge-laparoscopy.
Naphezu kokuthi i-appendicitis ibhekisela emisebenzini eminingi engeyinkimbinkimbi, ukuvuselelwa emva kwalokho okudlula kunokushesha futhi izinkinga azivangeli, kepha uma ungasusi i-appendicitis ejulile ngesikhathi, lokhu kungaba nemiphumela emibi kakhulu kuze kube semphumela obulalayo. Uma ungayenzi lo msebenzi, i-appendicitis ingahamba kalula kufomu elifanayo noma elingenasidingo.
E-appendicitis engapheli, umuntu uzwa ubuhlungu obunzima, futhi ukuvuvukala okungazelelwe akukwenzeka. Ngamafomu ahlanzekile, ubuhlungu bube buthaka, kulokhu, ukubambezeleka emsebenzini ngisho nangosuku kungaba nemiphumela emibi kunazo zonke, kuze kufike ku-peritonitis (ukuvuvukala kwendwangu ebandakanya ubuso obuphakathi kwesigxobo esiswini kanye nezitho zalo).
Kodwa izinkinga eziyingozi kakhulu (kodwa ezingavamile) ze-appendicitis yi-sepsis, isb. ukutheleleka kwegazi, lapho amabhaktheriya engena egazini futhi adluliselwa kwezinye izitho.
Ngokuqondene nokusebenza ukuze ususe i-appendicitis evuliwe, izindlela ezimbili zisetshenziswa njengamanje. Iyokuqala, ye-classic, yokusebenza, eyenziwa ngaphansi kwe-anesthesia jikelele noma i-anesthesia yendawo, kanti udokotela uthola ukuqala nokuphela kwesithasiselo futhi uyisuse. Ukusebenza kuqhubeka cishe imizuzu engu-15-20, kungabi khona ukungenelela okunjalo - isibazi esihlala emzimbeni. Uhlobo lwesibili, i-endoscopy, lapho kungeke kube khona ukulahlwa okukhulu. Isithasiselo sisusiwe usebenzisa i-endoscope, futhi yonke imisebenzi ihlolwe udokotela esikrinini.
Ngokusobala, i-appendicitis evuthayo idinga ukususwa. Ukubonakaliswa kwalesi sifo kuzoqhubeka njalo ngehora, ubuhlungu buyokhula kuphela. Ngisho noma lesi sifo siphenduka ifomu elingapheliyo, inqubo eyake ivele eyimpumputhe ngokuqinisekile iyoziveza ngemva kwesikhathi. Uma ucabanga ukuthi ukuvuvukala kwe-appendicitis kuqala futhi ukubonakaliswa kwayo kubonakala, ungachithi isikhathi ethembeni lokuziphilisa, lokhu ngeke kwenzeke! Masinyane shayela i-ambulensi. Uma ulindele udokotela, ungazami ukuzisebenzisa. Isikhulu esingazenzeka ukucindezeleka okubandayo esiswini, uma ubuhlungu bubuhlungu kakhulu. Awukwazi ukuphuza i-no-shpa ne-analgesics, tk. lokhu kuzokwenza kube nzima ukukhomba iphethini lesifo. Ngaphandle kwalokho kungashukumisa indawo enobungozi, kuyingozi futhi kungaholela ekuqhumeni kwempumputhe. Ngaphambi kokuba udokotela angakwazi ukudakwa futhi adle.