I-Appendicitis - Izimpawu Nezimpawu, Izimbangela, Ukuxilongwa Nokwelashwa

Uhlolojikelele 

I-appendix iyisikhwama esifana nomunwe esinamathiselwe ekuqaleni kwesisu esikhulu futhi asinanjongo eyaziwayo emzimbeni womuntu. I-appendicitis yisimo esihambisanayo se-appendix evuvukele egcwele ubomvu obudala ubuhlungu obungabekezeleleki. Ubuhlungu bugxile esiswini esingezansi kwesokudla. Kwezinye izimo, iqala eduze kwenkaba. Njengoba ukuvuvukala kwanda, ubuhlungu buba nzima, futhi i-appendicitis iphenduka ibe nzima. Iningi lalaba bantu abathintwa yilesi simo baneminyaka ephakathi kweyi-10 nengama-30. Ngakho-ke, ake sihlolisise ukuthi siyini ngempela i-appendicitis. 

Iyini i-Appendicitis? 

I-Appendicitis yisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa ngokushesha. Futhi kuyimbangela evamile yokuhlinzwa kwesisu. I-appendicitis ingenzeka kunoma ibuphi ubudala futhi ithinta ngokulinganayo kokubili amadoda nabesifazane. Kodwa-ke, livame kakhulu emadodeni aneminyaka engu-15 kuya ku-25 ubudala. Ucwaningo lwakamuva lubonise ukuncipha kwenani lamacala e-appendicitis emazweni asentshonalanga. Izehlakalo emazweni ase-Asia nase-Afrika zingase zibe phansi. Kodwa izibalo zangempela ezivela kulawa mazwe azitholakali. Ukuvama kwe-appendicitis kuphansi emasikweni lapho ukudla okune-fiber ephezulu kudliwa njalo.

I-appendicitis yenzeka lapho ukuvinjelwa kwe-appendix kubangela ukuthi itheleleke futhi ivuvuke. I-appendix iyavuvukala, itheleleke, futhi ibe buhlungu kulesi simo. Ukuvuvukala kungase futhi kudlulele ezakhiweni zomzimba ezizungeze i-appendix.

Ubuhlungu obuvelayo kanye nezimpawu zingalingisa ezinye izimo ezifana nezifo zomgudu womchamo noma izilonda zesisu. Nokho, i-appendicitis yisimo esiphuthumayo esidinga ukwelashwa ngokushesha. Ukuxilongwa kwe-appendicitis kuncike kakhulu ekuhlangenwe nakho kukadokotela. Ukuxilongwa kwenziwa ngezimpawu zomzimba zesiguli kanye nophenyo. Ubuhlungu esifundeni esingaphansi kwesokudla sesisu yisibonakaliso esivame kakhulu esihambisana ne-appendicitis. Uphenyo ezifana i-ultrasound kanye nokuhlolwa kwelabhorethri kuyenziwa ukuze kuhlolwe futhi kubhekwe ngokucacile i-appendicitis. Ukwelashwa kwe-appendicitis kuhilela imithi yokulawula ukutheleleka nokususwa kwe-appendix ngokuhlinzwa. Ukususwa ngokuhlinzwa kwe-appendix kubizwa ngokuthi i-appendectomy. Uma ukwelashwa kwe-appendicitis kubambezelekile, isiguli singase sibe nezinkinga ezifana nokubhobozwa, ithumba, kanye i-peritonitis. Ngenhlanhla, umuntu angaphila ngaphandle kwe-appendicitis. 

I-appendicitis ezinganeni 

Njengoba noma ubani engathola i-appendicitis, izingane azikho engozini encane kunabantu abadala. Lesi sifo sijwayelekile kubantu abaneminyaka engu-15 kuya kwengama-30. Uma ingane noma osemusha ehlushwa i-appendicitis, ubuhlungu ngokuvamile buzokwenzeka esiswini eduze kwenkaba. Ubuhlungu bungase bube nzima futhi budlulele ohlangothini olungakwesokudla lwesisu kanye nezimpawu ezilandelayo: 

• Ukuvota
• Ukuthuthukisa a imfiva
• Ukuzwa isicanucanu
• Ukuphelelwa isifiso sokudla 

Kubalulekile ukuthi ingane yakho ilashwe uma udokotela wakho ekholelwa ukuthi ingane yakho ine-appendicitis. Uma ingatholwa cishe emahoreni angu-48, kukhona amathuba okuthi isithasiselo sengane yakho singaqhuma, sisakazeke, futhi sande kakhulu. Kuhlale kuphakanyiswa ukuthi uthintane nodokotela wakho uma ingane yakho ikhononda ngezimpawu ezifana ne-appendix, njenge imfiva, ukuhlanza, nokungathandi ukudla, njengoba kunemiphumela eminingi engase ingabi yinhle enganeni yakho. 

Lapho nje uyisa ingane kudokotela, udokotela angase ahlole izimpawu futhi enze ingane yakho ihlolwe okumbalwa okufana nalokhu: 

• CT scan
• ultrasound
• Ukuhlolwa kwesithombe
• Ukuhlolwa kwegazi
• Ukuhlolwa komchamo 

Kungase kube nokunye ukuhlola okusiza udokotela wakho aqonde imbangela yezimpawu zengane yakho. 

Izimbangela

Kwezinye izimo, imbangela eqondile ye-appendicitis ayaziwa. Ngokuvamile, i-appendicitis ibangelwa lapho kukhona ukuvinjelwa ku-appendix. Lokhu kuvaleka noma ukuvinjelwa kolwelwesi lwesithasiselo kubangela ukungenwa yizifo. Amagciwane aqala ukwanda ngokushesha, enze i-appendix ivuvuke, ivuvuke futhi igcwale ubomvu. Uma inganakwa ngokushesha, ingase iholele ekuqhumeni kwe-appendix. Izici ezahlukahlukene zingase zivimbe isithasiselo sakho, njenge:

• I-appendicitis ngokuvamile ibangelwa ukuvinjelwa kwe-appendix nge-fecal mass, ukuqina (ukuncipha), ukuba khona kwezinto zangaphandle, izikelemu, ukwanda kwezicubu ze-lymphoid, izifo, ukulimala, namathumba.
• Ukuba khona kwe-fecal mass, umzimba wangaphandle, noma ukutheleleka ngegciwane kubangela ukuvuvukala nokucasuka ku-appendix. Ukuvinjelwa kwe-appendix kubangela ukwanda kokukhiqizwa kwamafinyila, okwenza ukucindezela okukhulu ezindongeni ze-appendix. Ukucindezela okuphezulu odongeni olukhanyayo lwe-appendix kubangela i-thrombosis (ukwakheka kwe-a ihluli) emithanjeni yegazi emincane.
• Ulwelwesi lwangaphakathi lwe-appendix ngokuvamile luqukethe izicubu ze-lymphoid eziningana. Lawa amaqoqo amasosha omzimba abizwa ngokuthi ama-lymphocyte. Lezi zicubu ze-lymphoid zingakhula ezifweni zamathumbu ezifana isifo sofuba esiswini, nesimungumungwana, i-amoebiasis, kanye nezifo ezibangelwa amagciwane. Lokhu kungabangela nokuvinjelwa kwe-appendix.
• Ama-parasites afana nama-threadworms nama-flukes nawo angabangela ukuvinjelwa kwe-appendix. Ukuvinjelwa kwe-appendix nakho kuboniswe ekulimaleni okufana namanxeba okudutshulwa esiswini kanye nethuluzi lokuvimbela inzalo elibekwe kabi elifana ne-CuT. Amagciwane anjalo sofuba futhi imidlavuza ingabangela ne-appendicitis.
• Ukucindezela okwandayo kunciphisa ukugeleza kwegazi esicutshini. Kudingeka igazi elanele ukuze amangqamuzana ahlale enempilo. Ukuntuleka kokunikezwa kwegazi kubangela ukufa kwamangqamuzana kanye necrosis yesithasiselo.
• Uma lokhu kwenzeka, amagciwane angaphindaphinda ngaphakathi kweshubhu lesithasiselo esivinjiwe. Njengoba amabhaktheriya anda, amangqamuzana omzimba namagciwane afana namangqamuzana egazi amhlophe (WBC) aqoqana endaweni yokutheleleka, futhi yonke inqubo ibangela ukuvuvukala.
• Ukuvuvukala kungabangela ukuthi i-appendix ivuvuke futhi ibe buhlungu. Ingase futhi isakaze ezicutshini nasezimisweni eziseduze ne-appendix futhi ibangele ukutheleleka, i-thrombosiskanye ne-necrosis.
• Uma ingelashwa, i-appendix enegciwane noma evuvukele izoqhuma (ibhoboze), ichithe izinto ezithathelwanayo emgodini wesisu futhi kubangele i-peritonitis. Kwesinye isikhathi, ithumba eligcwele ubovu (iphakethe lobovu elakhelwe ezicutshini) kwakheka ngaphandle kwe-appendix evuvukele. Ngenxa yalezi zinkinga, i-appendicitis yisimo esiphuthumayo esidinga ukususwa ngokushesha kwe-appendix.

Izimpawu

Izimpawu ze-appendicitis zakha izinhlungu zesisu eziphindwe kathathu, ukuhlanza, nomkhuhlane. Kodwa le phrezentheshini evamile ingase ingabonakali kuzo zonke izimo.

Ubuhlungu besisu buwuphawu oluvame kakhulu lwe-appendicitis. Ngokuvamile, ubuhlungu buqala phakathi kwesisu futhi kamuva bushintshela ohlangothini olungezansi kwesokudla, lapho i-appendix ivame ukutholakala khona. Ubuhlungu bungase bube bubi nakakhulu uma indawo lapho i-appendix icindezelekile noma ngenkathi ukhwehlela noma uhamba. Ku-appendicitis eyingozi, umuntu othintekile uzwa ubuhlungu obukhulu obumbangela ukuba agobe umzimba wakhe ngokugoqa imilenze yakhe esifubeni.

Ukuma kwe-anatomic kwe-appendix kuyehluka kakhulu phakathi kwabantu. Indawo yobuhlungu obuhlobene ne-appendicitis kanye nezimpawu ezihambisanayo nazo zingahluka ngokufanele. I-appendix evuvukele eduze kwesinye isinye ingase icunule esinyeni futhi ibangele ukuchama okubuhlungu. Uma isithasiselo sidlulela ngemuva, ukuvuvukala kungacasula izinzwa nemisipha ngemuva futhi kubangele ubunzima ngenkathi uhamba.

Ezinye izimpawu ze-appendicitis ziyi 

• Fever
• I-nausea nokuhlanza
• Ukulahlekelwa kwesifiso
• Ubuhlungu enkabeni
• Ukuvimbela
• Ukuchama kaningi futhi kubuhlungu

Izimpawu ze-appendicitis ziyahlukahluka kubantu abahlukene, futhi ubude besikhathi sokuvuvukala bubangela ukuthi izimpawu zihluke. Ngokuya ngobude besikhathi sezimpawu kanye nokuba khona kwezinkinga, i-appendicitis ingase ihlukaniswe njenge-acute, engapheli, ephindaphindiwe, noma eyinkimbinkimbi.

I-appendicitis eyingozi

I-appendicitis ebukhali yenzeka lapho izimpawu zivela ngokuzumayo nangokuqina okukhulu. Ihlala amahora angama-24 kuye kwangama-48. Lesi yisizathu esivame kakhulu sokuhlinzwa kwesisu ku-appendicitis.

I-appendicitis engapheli

Kwenzeka lapho ukuvuvukala kwe-appendix kuhlala kungatholakali, futhi izimpawu zihlala kuze kube amasonto amathathu. Izimpawu zingase zivele futhi zinyamalale. Ngokuvamile, i-appendicitis engapheli itholakala lapho ubukhulu bobuhlungu bukhula futhi isiguli sibonisa njengoba umuntu engenza ku-appendicitis eyingozi.

I-Appendicitis Evamile

Kutholakala lapho isiguli sineziqephu eziningi zobuhlungu obuphansi besisu ngenxa ye-appendicitis.

I-appendicitis eyinkimbinkimbi

Uma siyekwa singelashwa, isithasiselo esinegciwane noma esivuvukele sizoqhuma noma sibhoboze, sichithe into ethathelwanayo emgodini wesisu. I-appendicitis eyinkimbinkimbi yenzeka lapho i-appendix iqhuma ngenxa yokwanda kwengcindezi ngaphakathi kwaso noma lapho i-appendix ilahlekelwa ukutholakala kwegazi futhi iba yisilonda. Ithumba le-appendicular kwakheka lapho ubomvu buqoqa ngaphakathi kwesaka esifundeni esiseduze nesithasiselo.

I-appendix enethumba nayo ingabhoboza noma iqhume. Izinto ezithathelwanayo zingasakazeka ngaphakathi kwendawo yesisu futhi zibangele i-peritonitis (ukuvuvukala kodonga lwangaphakathi lwesisu).

Ezinye izimo ezimbalwa zingase zilingise izimpawu ze-appendicitis. Lezi zihlanganisa 

• Ukutheleleka kwesibeletho kanye nezakhiwo ezizungezile
• Amatshe emgudwini womchamo
• Izifo ezithinta u-Urinary
• endometriosis
• Ukutheleleka kwamathumbu
• Itshe le-gallbladder kanye nokutheleleka

Izingozi Zezingozi

• Ubudala: Ingozi ye-appendicitis ingaphezu kwentsha kanye nabantu abadala (iminyaka engu-15 kuya kwengama-25).
• Ubulili: Abesilisa basengozini enkulu kunabesifazane.
• Ukutheleleka: Ukutheleleka kwamathumbu kwandisa ingozi ye-appendicitis.
• ukuhlukumezeka: Ukulimala kwangaphakathi kwe-appendix kwandisa ingozi ye-appendicitis.
• Ukudla okune-fiber ephansi: Ukudla okune-fiber ephansi kubangela ukuqunjelwa futhi ezinye ze-fecal zifakwe kusithasiselo, okuholela ku-appendicitis.

Sifo

I-Appendicitis itholwa ngudokotela ngokuthatha umlando wesiguli, ngokuhlola umzimba, futhi ayalele uphenyo lwezokwelapha.

• Ukuhlolwa komzimba

Ngesikhathi sokuhlolwa ngokomzimba, udokotela uhlola izimpawu ezibalulekile ezifana ukushaya kwegazi, izinga lokushisa lomzimba, izinga lokuphefumula, nokushaya kwenhliziyo. Udokotela ubezohlola nesisu futhi athole indawo yezinhlungu. Iziguli ezine-appendicitis zinomkhuhlane, izinga lokushaya kwenhliziyo elikhuphukayo, ubuhlungu ngezansi kwesisu esingakwesokudla, nokuncipha kokunyakaza kwamathumbu. Uma udokotela wakho esola ukuthi une-appendicitis, uzohlola ukuthamba ohlangothini olungakwesokudla lwesisu, kanye nokuvuvukala nokuqina. Uma udokotela esekuhlole kahle ngokomzimba, uzokunikeza ukuhlolwa okusekelwe ezimpawini ezibonakalayo ze-appendicitis ukuze aqinisekise ukuxilongwa. Lokhu futhi kusiza odokotela baqonde uma kukhona ezinye izizathu zezimpawu nezimpawu ohlangabezana nazo. 

Akukho ukuhlolwa okukhethekile kokukhomba i-appendicitis. Uma udokotela engazitholi ezinye izizathu zezimpawu nezimpawu onazo, angase aphethe ngokuthi une-appendicitis. 

• Ukuhlolwa kwegazi 

Igazi liyahlolwa ukuze kutholwe inani lamangqamuzana egazi amhlophe (WBC). Ukwenyuka kwesibalo se-WBC kuyinkomba evamile yokutheleleka. Kanye ne-WBC, isibalo segazi esiphelele singase futhi sinikezwe udokotela wakho. Ukuze wenze lokhu kuhlolwa, kuzodingeka ukuthi uye kuchwepheshe zelabhu, futhi bazoqoqa isampula yegazi lakho ukuze bahlaziye futhi bathole imbangela. 

• Ukuhlolwa kokukhulelwa

Kunezimo eziningana lapho i-ectopic ukukhulelwa Kwenziwa iphutha nge-appendicitis. Kwenzeka lapho iqanda elivundisiwe lizifaka ngaphakathi kweshubhu le-fallopian esikhundleni sesibeletho. Kuyisimo esiphuthumayo sezempilo. Uma udokotela ekusola lokhu, ungase ucelwe ukuba uhlole ukukhulelwa. Bangase futhi benze i-ultrasound ye-transvaginal ukuze baqonde ukuthi iqanda elivundisiwe lifakwe kuphi. 

• Ukuhlolwa kwePelvic

Ukuvuvukala kwe-pelvic kungaba esinye isizathu esenza ube nezimpawu. Lokhu ngokuvamile kwenzeka kwabesifazane kuphela. Ibuye ibizwe ngokuthi i- i-cyst ovarian ezithinta izitho zakho zokuzala. Phakathi nalokhu kuhlolwa, uchwepheshe zelabhu uzohlola isitho sakho sangasese sowesifazane, isibeletho sakho, kanye ne-vulva futhi ahlole isibeletho sakho namaqanda akho mathupha. Bazoqoqa isampula lesicubu salokhu kuhlolwa. 

Okunye ukuhlolwa kwaselabhorethri kungase kudingeke ukuze kuqedwe izifo zezitho zesisu ezinjengesibindi nezinso noma ukuthola izinkinga. Lezi zivivinyo zihlanganisa: 

• I-CRP noma i-C-reactive amaprotheni aphakeme ku-appendicitis eyinkimbinkimbi.
• Ukuhlolwa Komchamo kwenziwa ukuze kutholwe izifo zomgudu womchamo futhi ezinso. Lezi zingaphinda zilingise izimpawu ze-appendicitis. Ama-Pus cell angavela emchameni kwezinye izimo ze-appendicitis. Lokhu kuhlolwa kwenziwa njengoba i-appendicitis ivame ukuhambisana nokutheleleka kwebhaktheriya emgudwini wakho womchamo, noma ingase ibe ngaphakathi kwezinye izitho zesisu, okungase kubangele izimpawu nezimpawu zakho. Ukuze ukuqonde lokhu, udokotela wakho uzo-oda ukuhlolwa komchamo, okuzoqoqwa ilebhu.
• Ukuvivinya kokusebenza kwesibindi
• Ukuhlolwa kwe-Amylase ukubona izifo ze-pancreas, ezingalingisa i-appendicitis.
• Ukuhlolwa kwesithombe
• I-ultrasound yesisu: I-ultrasound wuphenyo lokuqala olukhethwayo ezigulini ezisolwa nge-appendicitis. Isazi sezokuhlalisana kwabantu sisebenzisa umshini we-ultrasound ukuze sibuke i-appendix futhi sithole ukuba khona kwezinkinga.
• I-CT Scan: I-CT scan izwela kakhulu kune-ultrasound. Ingakwazi ukubona i-appendicitis ezigulini ezibonisa izimpawu ze-atypical nasezimeni lapho i-appendix itholakala ngemuva kwamathumbu amakhulu.
• I-X-ray (i-barium enema): Isiza udokotela ukuthi ahlole i-rectum yesiguli, ithumbu elikhulu, nesingezansi samathumbu amancane. Uketshezi olubizwa ngokuthi i-barium lunikezwa isiguli ngendlela ye-rectal enema. Khona-ke i-X-ray yesisu yenziwa ukuze kuhlolwe isisu, ukuvinjelwa kwe-appendix, futhi kutholakale isithasiselo esingagcwalisi. Lokhu kuhlola akwenziwa kabanzi manje.

Ukwelashwa kwe-Appendicitis

Kwezinye izimo ezingavamile, i-appendicitis ingase ilashwe ngaphandle kokuhlinzwa. Kodwa ezimweni eziningi, umuntu udinga ukuhlinzwa ukuze kukhishwe i-appendix futhi isimo selashwe. Lokhu kuhlinzwa kwaziwa ngokuthi i-appendectomy. Ngokuya ngesimo sakho sezokwelapha, udokotela wakho uzoncoma uhlelo lokwelapha lwe-appendicitis yakho. Kungaba okukodwa noma ngaphezulu kokulandelayo:

• Ukuhlinzwa
  Ukwelapha i-appendicitis, inqubo yokuhlinzwa eyaziwa ngokuthi i-appendectomy iyenziwa. Le nqubo ihilela ukukhishwa kokuhlinzwa kwe-appendix. Uma i-appendix iqhuma, umgodi wesisu uyahlanzwa. Nakuba lokhu kuhlinzwa kunezingozi ezithile, izingozi ziphansi kunengozi yokushiya i-appendicitis ingelashiwe. Ukuhlinzwa kungenziwa ngendlela engavamile, njenge-laparoscopy. Kwezinye izimo, ukuhlinzwa okuvulekile kuyadingeka uma umgodi wesisu kufanele uhlanzwe, okudingekayo uma isiguli sinezimila ohlelweni lokugaya ukudla.

a) Vula i-appendectomy

Ngesikhathi se-appendectomy evulekile, i-appendectomy eyodwa yenziwa endaweni engezansi kwesokudla sesisu ukuze kukhishwe i-appendix. Nokho, le nqubo iye yathathelwa indawo kabanzi ngokuhlinzwa kwe-laparoscopic.

b) I-appendectomy ye-Laparoscopic

Ukuhlinzwa kwe-laparoscopic kudinga ukusika okuncane futhi akuhlaseli kancane. Udokotela ohlinzayo wenza izimbobo ezintathu ezincane (iyintshi ngayinye engu-1/4 – 1/2) bese efaka i-laparoscope (itheleskopu encane exhunywe kukhamera yevidiyo) nge-cannula kwenye yezimbobo. Isiza udokotela ohlinzayo ukuba nombono okhulisiwe wezitho zangaphakathi kumshini wethelevishini. Amanye ama-cannula amaningana afakwa ngokunye ukusika, bese i-appendix ikhishwa. Ukuhlinzwa kwe-laparoscopic kuhilela ukusika okuncane, futhi isikhathi sokululama sifushane.

Imithi yobuhlungu kanye nama-antibiotic angase abekwe ngemva kokuhlinzwa.

Yini okufanele isiguli siyenze ngaphambi kokwenza i-appendectomy?

Uma isiguli sihlelelwe i-appendectomy, kufanele silandele lezi ziphakamiso ukuvimbela izinkinga:

• Gwema ukudla noma ukuphuza noma yini amahora angu-8 ngaphambi kokuhlinzwa.
• Nikeza udokotela ohlinzayo ulwazi oluphelele mayelana nempilo yakho yangaphambilini.
• Yazisa udokotela ohlinzayo uma unokuzwela kunoma yimuphi umuthi noma i-latex.
• Yazisa udokotela ohlinzayo ngayo yonke imithi nezithasiselo ozithathayo.
• Yazisa udokotela ohlinzayo uma uthatha i-aspirin noma imishanguzo ye-anticoagulant, njengoba ithinta ukujiya kwegazi. Udokotela ohlinzayo angase akucele ukuthi uyeke ukuthatha imithi ngaphambi kokuhlinzwa.

Yini okufanele isiguli siyenze ngemva kokukhishwa?

• Isiguli kufanele sinakekele ngendlela efanele ngemva kokuphuma esibhedlela. Kuyasiza ukuvimbela izifo futhi kusize ukululama kusenesikhathi.
• Gwema imisebenzi ekhathazayo.
• Gcina i-incision ihlanzekile futhi yomile.
• Phumula ngokwanele kuze kube yilapho udokotela eluleka isiguli ukuthi sibuyele emsebenzini kanye nemisebenzi evamile.
• Bonana nodokotela ngokushesha uma isiguli sinomkhuhlane, siphalaza, sibuhlungu futhi sibomvu endaweni esisikwe kuyo noma yiziphi ezinye izimpawu.
• Amanzi
  Uma i-appendix iqhume, okuholela ekwakhekeni kwe-abscess ezungezile, i-abscess idinga ukukhishwa. Lokhu kwenziwa ngokufaka ishubhu esikhumbeni lingene ethumba. I-Appendectomy yenziwa emasontweni ambalwa ngemva kokukhipha amanzi.
• Amakhambi endlela yokuphila
  Ngemuva kwe-appendectomy, udinga ukulandela izinyathelo ezithile zokusiza umzimba uphulukise futhi uvimbele ukuphindeka. Udinga ukugwema ukuzibandakanya emsebenzini onzima wesigaba sokuqala sokululama. Udinga ukubeka umcamelo noma unikeze ukusekela esiswini sakho lapho uhleka noma ukhwehlela noma ngisho nalapho wenza ukunyakaza okuthile. Kufanele uthintane nodokotela wakho uma izidambisi zinhlungu zingasizi. Udinga ukuphumula lapho uzwa ukuthi umzimba wakho uyakucela. Ukuphuza uketshezi oluningi kuyadingeka. Udokotela wakho angase futhi aphakamise ukuthi uthathe izithasiselo ze-fiber. Futhi, qala ukwandisa umsebenzi wakho kancane kancane, njengokuthatha uhambo olufushane. Vuka futhi unyakaze kuphela lapho usukulungele ngokuphelele.

Ukuthola ukwelashwa kwe-Appendicitis 

Kunezici eziningi lapho ukululama kwakho kuncike kuzo, njengempilo yakho iyonke, uma uke wabhekana nanoma yiziphi izinkinga ze-appendicitis noma ukuhlinzwa, noma mhlawumbe uhlobo oluthile lokwelashwa olutholile. Uma ube nokuhlinzwa kwe-laparoscopic ukuze kukhishwe i-appendix, ungase ukhishwe esibhedlela emahoreni ambalwa ngemva kokuhlinzwa. 

Kodwa uma uhlinzwe obala, amathuba ukuthi kuzodingeka uchithe izinsuku ezimbalwa esibhedlela, uthola ukululama okufanele. Ukuhlinza obala kuhlasela kakhulu uma kuqhathaniswa nokuhlinzwa kwe-laparoscopic, futhi kudinga ukunakekelwa okwengeziwe.

Prevention

Ayikho indlela eqinisekile yokuvimbela i-appendicitis, kodwa ungase ukwazi ukwehlisa ingozi yokuba nalesi sifo. Kuyabonakala ukuthi i-appendicitis ayivamile kakhulu emazweni lapho abantu bedla ukudla okunefiber ephezulu. Ukudla ukudla okune-fiber ephezulu kungase kusize umzimba udale indle ethambile, okungenzeka ukuthi ibangele ukuvinjelwa kwe-appendix, kanjalo, i-appendicitis. Ukudla okucebile nge-fiber kuhlanganisa:

• Ukudla okune-fiber ephezulu: Kuhlanganisa ukudla okunothe nge-fiber, okufana nobhatata, imbewu yefilakisi, ama-alimondi aluhlaza, amakhowe, njll., kuzosiza ukuvimbela i-appendicitis. Ukudla okunothe ngokuqukethwe kwe-fiber kusiza ukuvimbela ukuvinjwa kwe-appendix yi-fecal matter.
• Ukunakekelwa kwezokwelapha okusheshayo: Endabeni yezimpawu ezingase ziphakamise i-appendicitis, ukuya kudokotela nokulandela iseluleko sezokwelapha kungavimbela izinkinga ze-appendicitis ekukhuleni.
• I-fibre yezokudla kuthiwa kunciphisa ukuvaleka kwe-appendix nge-fecal matter. Ukudla okunjalo kuhlanganisa izithelo, imifino, i-oatmeal, ukolweni, okusanhlamvu nerayisi elinsundu, udali, ubhontshisi, uphizi ohlukanisiwe, nokunye okusanhlamvu. 

Isiphetho

Kubaluleke kakhulu ukuthi ubonane nodokotela uma uhlangabezana nezimpawu ezincane ze-appendicitis. Lesi yisimo esingaba isimo esiphuthumayo ngokushesha. Ngakho-ke, ukuqaphela lesi simo esibucayi ngokushesha futhi unikeze ukwelashwa okudingekayo kubalulekile.

Imibuzo evame ukubuzwa (FAQs)

Iyini imiphumela yesikhathi eside ye-appendectomy?

Azikho izinkinga zesikhathi eside ezihlotshaniswa ne-appendectomy. Ungaqala kabusha umsebenzi wakho emavikini ama-2 kuya kwayi-6 ngemva kokuhlinzwa. Nokho, kubalulekile ukulandela indlela yokuphila enempilo ukuze ube nempilo enhle.

Ingabe ukuhlinzwa ukuphela kwendlela yokwelapha i-appendicitis?

Cha. I-appendicitis ethambile ingelashwa ngama-antibiotics namaphilisi ezinhlungu. Kodwa-ke, iziguli ezine-appendicitis ezinzima zidinga ukususwa kokuhlinzwa kwe-appendix ukuvimbela izinkinga ezengeziwe kanye nezifo.

Imuphi udokotela okufanele ngiye kuye nge-appendicitis?

Kufanele uthintane nodokotela, udokotela ohlinzayo jikelele, noma i-gastroenterologist ukuze uthole i-appendicitis.

Ingabe i-appendicitis ingenzeka ngesikhathi sokukhulelwa? Uma kunjalo, kuyini ukwelashwa?

I-appendicitis kungenzeka cishe ku-trimester yesibili noma yesithathu yokukhulelwa. Kungase kubangele ukulahlekelwa kwengane ngenxa yokuchayeka oketshezini oluthathelwanayo. Ukuxilongwa nokwelashwa kuhlala kufana esigulini esikhulelwe nanoma yisiphi esinye isiguli. Nokho, ukunakekelwa okwengeziwe kuyodingeka. Udokotela ohlinzayo, udokotela ojwayelekile, kanye ne-gynecologist bazoqapha ngokucophelela isiguli.

Yiziphi izimo ezingabangela izimpawu ezifanayo nalezo ezibonakala ku-appendicitis?

I-Meckel's diverticulitis, isifo sokuvuvukala kwe-pelvic (PID), izifo ezivuthayo zesisu esingaphezulu kwesokudla, i-diverticulitis engakwesokudla, izifo zezinso, kanye ukukhulelwa kwe-ectopic ezinye izimo ezilingisa izimpawu ze-appendicitis.

I-Apollo Hospitals inodokotela abahamba phambili be-appendicitis eNdiya. Ukuze uthole odokotela abahamba phambili be-appendicitis edolobheni lakho eliseduze, vakashela izixhumanisi ezingezansi: