Uma kunezinhlungu esiswini, ke okokuqala, kubalulekile ukukhipha isidingo sokungenelela odokotela abahlinzayo. Kungenziwa kuphela ngosazi - udokotela. Kunezizathu eziningi zokuvela ubuhlungu besisu, kanti ezinye zingaba nemiphumela emibi kakhulu. Uma ingane isuke isisu esiswini isikhathi esingaphezu kwehora, ke kuyiphuthumayo ukubiza udokotela.
Iqiniso lokuthi isisu sibuhlungu ebusweni, omama abancane bacabanga ngokukhala futhi kuqiniswa kwemilenze. Kodwa, noma kunjalo, akusiyo njalo ukukhala nokukhala kukhuluma ngezinhlungu esifundeni sesisu. Yingakho lapho umntwana eqala ukukhala, udinga ukuthola ukuthi ubuhlungu buyimbangela, futhi uma kunjalo, ingabe ubuhlungu kwesisu?
Kuzinzima kakhulu izingane ezinganeni ukucacisa ukuthi ingane ibuhlungu kuphi, nokuthi ngabe iyabuhlungu nhlobo. Njengomthetho, izingane ezinesihlungu, ziphathe ngokukhathazeka, zingadli, zikhala futhi zikhale kuze kufike ubuhlungu. Izingane ezineminyaka eminingi ubudala zingakwazi ukuchaza ukuthi ziyabuhlungu kanjani, nokuthi ziphi ubuhlungu endaweni. Ngokuvamile kwenzeka ukuthi izingane, ukwesaba izidakamizwa kanye nokwelashwa, zenqaba ukukhuluma ukuthi zini futhi ziphi ubuhlungu.
Isimbangela sobuhlungu esiswini sezingane singase sibe yisithiyo esingenasifo sangasese segciwane lesisu. Uma ukuhamba kwezidakamizwa zokudla emathunjini kuvinjelwe okuthile, indawo engaphambi kwalesi sithiyo ikhula futhi, ngenxa yalokho, kuvela ubuhlungu. Ubuhlungu esiswini somntwana lungase buhambisane nokulibaziseka esitokisini nokuhlanza. Uma ukuvinjelwa kubonakala emathunjini emiphakathini engenhla, emva kokudla okuncane, ukuhlanza ngokushesha kwenzeka nge-bile. Ukudla kwesinye isikhathi kuholela ekuhlanzeni okwandisa futhi kwanda ngobuningi bawo. Uma ukuvimbela kubonakala ezingxenyeni eziphansi zamathumbu, ukuhlanza kuvela kusihlwa ngosuku lwesibini. Vomit okokuqala uqukathe lokho osanda kungena esiswini, bese kuthiwa i-bile, futhi kamuva - okuqukethwe kwamathumbu.
Ukuvinjelwa okuyingxenye kubonakala ngesikhathi sokuhlanza, futhi ukuhlanza nakho, yizinga nezinga lokunciphisa ukukhanya kwamathumbu emathunjini. Okuncane kakhulu le gap, futhi ngenhla yisithiyo esabangela ukuvimbela, ngokushesha umuntu uqala ukuphuka.
Izimbangela ezivamile zezinhlungu emathunjini ezinsana zingama-gesi, futhi ngokuvamile ubuhlungu obukhulu buyenzeka ngenxa yokuvinjelwa kwamathumbu. Ngokuvamile lokhu kwenzeka eneminyaka engu-4 kuya kweyishumi. Ngaphansi kancane ngonyaka wesibili wokuphila. Ubuhlungu bubonakala ngokungalindelekile, lapho, kubonakala sengathi ingane iphilile ngokuphelele. Izingane ziqala ukukhala ngokuhlukumezeka, ukukhala kungadlulela kumaminithi angu-10, bese umisa kuze kuhlaselwa okusha.
Lapho kuhlaselwa, ingane ikhala futhi, inqabe ukudla, izibopho. Ukuhlaselwa, njengombuso, kuhambisana nokuhlanza. Uma idlula kusuka emahoreni amathathu kuya kwangu-6 emva kokuqala kwesifo, iziqu zegazi zivela esitokisini. Iphethini eliguqukayo lokuvimbela emathunjini ukuphela kokuphunyuka kwamagesi kanye namazinyo nokubhula. Kubalulekile ukuthatha izinyathelo ezifika ngesikhathi, ngoba ngehora lonke isimo somntwana sizohlaselwa.
Esinye imbangela yezinhlungu zezingane kungaba isifo sikaHirschsprung. Lesi sifo sibonakala nge-anomaly yefa lokuthuthukiswa komathumbu omncane. Amantombazane agula lesi sifo kaningi ngokuphindwe kabili kunabesilisa. Lesi sifo sivame ukuvela engxenyeni ye-recto-sigmoid yamathumbu. Uma kwenzeka isifo, ukusebenza kwalo mnyango kuphukile, intombazane encane igqiba ukuphumula, futhi okuqukethwe kwamathumbu akukwazi ukuhamba ngesigaba esincane. Umnyango otholakale ngaphezu kokunciphisa uqala ukwandisa, izindonga zamathumbu kule ndawo zixutshwe, futhi okuthiwa i-megacolon iyaqala, okungukuthi, ukwandiswa kwamathambo wonke umgudu noma ingxenye yayo.
Izingane ezingaphansi kweminyaka emithathu zivame ukuhlaselwa yi-appendicitis. Ukuvama kokwenzeka kwabo ezinganeni zaleli qembu lobudala kubonakala ngamaphesenti angu-8. Ukuphakama kokuqhathaniswa kwe-appendicitis kuwela eqenjini elidala kusukela eminyakeni eyi-10 ukuya kweyi-15. Lapha iphesenti lamacala lenyukela kuma-55%.
Isibalo siphuthuma ngokushesha. Ngokuqinisekile ingane enempilo ngokuzumayo iqala ukuba ingenangqondo, ukwenqaba ukudla. Uma lesi sifo siqala ebusuku, khona-ke ingane ayikwazi ukulala. Isibonakaliso esicacile sokuthi i-appendicitis enamandla iyisifo se-dyspeptic. Ingane iqala ukuhlanza, iphula, ngokuvamile i-stool evulekile. Kumele kuqashelwe ukuthi umntwana angaphula izikhathi eziningi. Emva kwamahora ayisithupha emva kokuqala kwesifo, ukudakwa komzimba kuqala ukuba nomlingiswa ocacile. Inkulumo ebusweni iyaba buhlungu, izindebe ziyomile, izinga lokushisa likhuphuka. Lapho behlola isisu, izingane ezingaphansi kweminyaka engama-3 ubudala ziziphatha ngokuzenzekelayo, zihlukumeza imisipha yendawo ebuhlungu, ngakho-ke ukuhlolwa kwezinsana kuyinkimbinkimbi kakhulu.
Ezinganeni ezindala, i-anamnesis incane kakhulu - kuze kube amahora amaningana, ngezinye izikhathi eyodwa noma ezimbili izinsuku. Lesi sifo sibonakala ngezinhlungu eziqhubekayo noma ze-colicky ngaphezu kwenkaba noma emnyangweni we-epigastric. Ngemva kwesikhashana, ubuhlungu buya endaweni yangakwesokudla kulesi ileum noma esifundeni sesisu. Izingane zikhononda ngesicanucanu, kukhona ukwenqaba, izinga lokushisa likhuphukela kuma-degree angu-38, ngokuvamile izingane zihamba, ziqubuzela, ngoba lokhu kwenza ubuhlungu bube buhlungu.
Njengoba isifo esinjalo njenge-diverticulitis, kunezinhlungu, njenge-appendicitis. Lesi sifo sibonakala ngokugqama kwesodonga samathumbu emathumbu, ngokuvamile kuvame endaweni efanayo lapho isithasiselo sitholakala khona. Uma i-diverticulum ihlukana, khona-ke kukhona isithombe esifana ne-peritonitis, esibonakala ubuhlungu kuyo yonke indawo yesisu. Kungaba nzima uma ukhwehlela noma ukhubaza. Ingane ayivunyelwe ukuzihlola yona futhi ithinte isisu. Ubuso bezingane bubuhlungu, ukushaywa komzimba kwenziwa kaningi, izimpikiswano zigeleza.
Isizathu sobuhlungu obukhulu esiswini samantombazane asencane singaba nemilenze esontekile ye-cyst kwi-ovary. Ngokuvamile ubuhlungu esiswini esingaphansi kwabancane bubangelwa ukuphulwa kwe-hernia engasebenzi. Ezimweni ezinjalo, kulula ukuzwa ukwakheka kwe-tumor, engafanele esifundeni se-peritoneal. Lokhu kwenzeka kaningi ezinsaneni kuze kube seminyaka emibili.
Uhlobo lwezinsimbi zokuvimbela emathunjini luvame kakhulu ezinganeni zeqembu elidala. Lesi sifo sihambisana nobuhlungu obukhulu, sibe nomlingiswa wokugwinya, ukuhlanza, ukubhuqa nokuqothulwa.
Ngokuvamile izingane zihlakulela kakhulu i-pancreatitis noma i-pancreatic isifo nokukhukhumeza kwe-cholelithiasis.
Uma ingane inabuhlungu obuhlungu esiswini, inqatshelwe:
- Nika ama-painkillers, ngoba imbangela yobuhlungu ingachazwa ngendlela engafanele futhi ihlolwe kamuva.
- Nikeza ama-antibiotics kanye nama-laxatives.
- Zama ukunciphisa ubuhlungu ngomfudumala