Ithumba - isisu okanye isinqe

Ithumba lesisu yipokotho yolwelo olunentsholongwane kunye nobofu obufumaneka ngaphakathi kwesisu (esiswini). Olu hlobo lwethumba lunokufumaneka kufutshane okanye ngaphakathi kwesibindi, ipancreas, izintso okanye amanye amalungu. Kunokubakho ithumba elinye okanye nangaphezulu.

Unokufumana amathumba esiswini kuba une:

• Isihlomelo esigqabhukileyo
• Ukudumba okanye ukuvuza kwamathumbu
• Ukuqhuma kwesibeleko
• Ukudumba kwesifo
• Usulelo kwi-gallbladder yakho, i-pancreas, i-ovary okanye ezinye izitho
• Usulelo lwe-Pelvic
• Usulelo lwe-parasite

Usemngciphekweni wokuba nesisu esiswini ukuba unayo:

• Umonzakalo
• Isifo sesilonda esigqibeleleyo
• Utyando kwindawo yakho esiswini
• Amandla omzimba abuthathaka

Iintsholongwane zinokudlula kwigazi lakho ziye kwilungu esiswini sakho. Ngamanye amaxesha, akukho sizathu sinokufunyanwa kwethumba.

Ubuhlungu okanye ukungahambi kakuhle esiswini esingahambiyo luphawu oluqhelekileyo. Le ntlungu:

• Inokufumaneka kuphela kwindawo enye yesisu sakho okanye ngaphezulu kwesisu sakho
• Isenokuba bukhali okanye buthuntu
• Isenokuba mandundu ngokuhamba kwexesha

Kuxhomekeka kwindawo apho kukho ithumba, unokufumana:

• Ubuhlungu kumqolo wakho
• Intlungu esifubeni okanye egxalabeni

Ezinye iimpawu zesisu esiswini zinokuba njengeempawu zokuba nomkhuhlane. Unokuba:

• Isisu esidumbileyo
• Urhudo
• Umkhuhlane okanye ubanda
• Ukungabikho komdla kunye nokulahleka kwesisindo
• Isihlunu okanye ukugabha
• Ubuthathaka
• Khohlela

Iimpawu zakho zinokuba luphawu lweengxaki ezininzi ezahlukeneyo. Umboneleli wakho wokhathalelo lwempilo uya kwenza iimvavanyo ukunceda ukufumanisa ukuba ngaba unaso na isisu esiswini. Oku kunokubandakanya ezi mvavanyo zilandelayo:

• Gcwalisa ubalo lwegazi - Ubalo oluphezulu lweeseli ezimhlophe luphawu olunokubakho lwamathumba kolunye usulelo.
• Iphaneli yemetabolism ebanzi- Oku kuyakubonisa naziphi na iingxaki zesibindi, izintso okanye igazi.

Olunye uvavanyo olunokuthi lubonise amathumba esiswini:

• X-ray esiswini
• I-Ultrasound yesisu kunye nesinqe
• Ukuvavanywa kwe-CT kwesisu kunye nesinqe
• I-MRI yesisu kunye nesinqe

Iqela lakho lokhathalelo lwempilo liza kuzama ukuchonga nokunyanga unobangela wethumba. Ithumba lakho liya kunyangwa ngamayeza okubulala iintsholongwane, ukukhupha ubomvu, okanye zombini. Ekuqaleni, uya kufumana unyango esibhedlele.

IZIQULATHO

Uya kunikwa ii-antibiotics ukunyanga ithumba. Uya kubathatha ukuya kuthi ga kwiiveki ezi-4 ukuya kwezi-6.

• Uya kuqala kwii-antibiotics ze-IV esibhedlele kwaye unokufumana ii-antibiotics ze-IV ekhaya.
• Emva koko unokutshintsha ube ziipilisi. Qiniseka ukuba uzithatha zonke i-antibiotics zakho, nokuba uziva ungcono.

UMDLALO

Ithumba lakho kufuneka lichithwe ubofu. Umboneleli wakho kwaye uya kuthatha isigqibo ngeyona ndlela yokwenza oku.

Sebenzisa inaliti kunye nokucoca -Umboneleli wakho ubeka inaliti kulusu nakwithumba. Ngokwesiqhelo, oku kwenziwa ngoncedo lwee-x-reyi ukuqinisekisa ukuba inaliti ifakwe kwithumba.

Umboneleli wakho uya kukunika amayeza okwenza ukuba ulale, kunye neyeza lokuqaqambisa ulusu ngaphambi kokuba inaliti ifakwe kulusu.

Isampulu yethumba iya kuthunyelwa elebhu. Oku kunceda umboneleli wakho akhethe ukuba yeyiphi na i-antibiotics ayisebenzisayo.

Umsele ushiywe kwisithumba ukuze ubofu buphume.Ngokwesiqhelo, idreyini igcinwa kangangeentsuku okanye iiveki de ithumba libe ngcono.

Ukuhlinzwa - Ngamanye amaxesha, ugqirha wotyando uyalicoca ithumba. Uya kubekwa phantsi kwe-anesthesia ngokubanzi ukuze ulale kotyando. Utyando lunokufuneka ukuba:

• Ithumba lakho alinakufikelelwa ngokukhuselekileyo usebenzisa inaliti eluswini
• Isihlomelo sakho, amathumbu, okanye elinye ilungu liqhume

Ugqirha uya kusika esiswini. I-Laparotomy ibandakanya ukusikwa okukhulu. I-Laparoscopy isebenzisa ukusikwa okuncinci kakhulu kunye ne-laparoscope (ikhamera encinci yevidiyo). Ugqirha uya kuthi emva koko:

• Coca kwaye ukhuphe ithumba.
• Faka idreyini kwithumba. Umsele uhlala ngaphakathi de ithumba libe ngcono.

Indlela ophendula ngayo kunyango ixhomekeke kwisizathu sethumba kunye nokuba lubi kangakanani usulelo. Kuxhomekeke kwimpilo yakho iyonke. Ngokwesiqhelo, amayeza okubulala iintsholongwane kunye nokuhambisa amanzi kukhathalela amathumba esiswini angasasazekanga.

Unokufuna ngaphezulu kwesinye ukusebenza. Ngamanye amaxesha, ithumba liya kubuya.

Iingxaki zinokubandakanya:

• Ithumba alinakukhupha ngokupheleleyo.
• Ithumba linokubuya (liphindaphindwe).
• Ithumba linokubangela ukugula kakhulu kunye nosulelo lwegazi.
• Usulelo lunokusasazeka.

Fowunela umnikezeli wakho ukuba unayo:

• Iintlungu ezinzima zesisu
• Imikhuhlane
• Isicaphucaphu
• Ukuhlanza
• Utshintsho kwimikhwa yamathumbu

Ithumba - ngaphakathi esiswini; Ithumba lepelvic

• Ithumba langaphakathi esiswini-i-CT scan
• I-Meckel diverticulum

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IShapiro NI, uJones AE. I-Sepsis syndromes. Ku: Iindonga RM, iHockberger RS, iGausche-Hill M, ii-eds. Unyango lukaRosen oluNgxamisekileyo: iikhonsepthi kunye nokuziqhelanisa neklinikhi. Umhla we-9. IPhiladelphia, PA: Elsevier; I-2018: isahluko 130.

Isikwere R, uCarter SN, iPostier RG. Isisu esibuhlungu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 45.