Ukugqitywa kwamathumbu emathunjini

Ukugqobhoza ngumngxuma okhula eludongeni lwelungu lomzimba. Le ngxaki inokwenzeka kwi-esophagus, isisu, ithumbu elincinci, ithumbu elikhulu, i-rectum, okanye i-gallbladder.

Ukugqobhoza kwilungu kunokubangelwa zizinto ezahlukeneyo. Oku kubandakanya:

• Isihlomelo
• Umhlaza (zonke iintlobo)
• Isifo seCrohn
• Diverticulitis
• Isifo senyongo
• Isifo sesilonda Peptic
• Ukudumba okwenziwa sisilonda sikabhobhosi
• Ukucinywa kwamathumbu
• Iiarhente zeChemotherapy
• Ukonyusa uxinzelelo kwi-esophagus ebangelwa kukuhlanza okunyanzelekileyo
• Ukungeniswa kwezinto ezinobungozi

Inokubangelwa kukuhlinzwa esiswini okanye kwiinkqubo ezinje nge-colonoscopy okanye i-endoscopy ephezulu.

Ukugqobhoza kwamathumbu okanye amanye amalungu kubangela ukuba imixholo ivuze esiswini. Oku kubangela usulelo olubi olubizwa ngokuba yi-peritonitis.

Iimpawu zingabandakanya:

• Iintlungu ezinzima zesisu
• Ukugodola
• Ifiva
• Isicaphucaphu
• Ukuhlanza
• Umothuko

I-X-ray yesifuba okanye isisu ingabonisa umoya kwisisu esiswini. Oku kubizwa ngokuba simahla. Luphawu lwenyembezi. Ukuba umqala ubethelwa ngumoya wasimahla unokubonwa kwi-mediastinum (ejikeleze intliziyo) nasesifubeni.

Ukuskena kwe-CT kwesisu kuhlala kubonisa apho umngxunya ukhona. Inani leeseli ezimhlophe zihlala ziphezulu kuneqhelekileyo.

Inkqubo inokunceda ekufumaneni indawo yokuhlanjwa, njenge-endoscopy ephezulu (i-EGD) okanye ikholonoscopy.

Unyango luhlala lubandakanya utyando olungxamisekileyo ukulungisa umngxunya.

• Ngamanye amaxesha, inxalenye encinci yamathumbu kufuneka isuswe. Isiphelo esinye samathumbu sinokukhutshwa ngokuvula (stoma) esenziwe kudonga lwesisu. Oku kubizwa ngokuba yi-colostomy okanye ileostomy.
• Umsele osuka esiswini okanye elinye ilungu unokufuna.

Kwiimeko ezinqabileyo, abantu banokunyangwa ngamayeza okubulala iintsholongwane kuphela ukuba i-perforation ivaliwe. Oku kunokuqinisekiswa ngovavanyo lomzimba, uvavanyo lwegazi, i-CT scan, kunye ne-x-ray.

Utyando luyaphumelela ixesha elininzi. Nangona kunjalo, isiphumo siya kuxhomekeka ekubeni ubugqwetha buqine kangakanani na, kwaye nokuba yayikhona ixesha elingakanani na ngaphambi konyango. Ubukho bezinye izifo bunokuchaphazela nendlela umntu aza kuyenza ngayo emva konyango.

Nokuba uqhaqho, usulelo yeyona nto ixhaphakileyo kwimeko. Usulelo lunokuba ngaphakathi esiswini (esiswini ithumba okanye i-peritonitis), okanye kuwo wonke umzimba. Usulelo olubanzi lomzimba lubizwa ngokuba yi-sepsis. I-Sepsis ingaba yinto enzulu kakhulu kwaye ingakhokelela ekufeni.

Shayela umboneleli wakho wezempilo ukuba unayo:

• Igazi kwisitulo sakho
• Utshintsho kwimikhwa yamathumbu
• Ifiva
• Isicaphucaphu
• Iintlungu ezinzima zesisu
• Ukuhlanza
• Tsalela umnxeba ku-911 ngoko nangoko ukuba wena okanye omnye umntu ungenise into ebangel 'umdla.

Tsalela umnxeba inombolo yongxamiseko yolawulo lwetyhefu yendawo eyi-1-800-222-1222 ukuba umntu uye wafaka into eyingozi. Inombolo yomnxeba iya kukuvumela ukuba uthethe neengcali kwityhefu.

SUKULINDA de umntu abenempawu phambi kokuba ubize uncedo.

Abantu bahlala banemihla embalwa yentlungu ngaphambi kokuba kwenzeke ukubola kwamathumbu. Ukuba unentlungu esiswini, jonga umboneleli wakho kwangoko. Unyango lulula kakhulu kwaye lukhuselekile xa luqala ngaphambi kokubola.

Ukugqobhoza emathunjini; Ukugqitywa kwamathumbu; Ukugqobhoza esiswini; Ukugcotywa kwesophageal

• Inkqubo yokwetyisa
• Inkqubo yokugaya ukutya

UMatthews JB, uTuraga K. Utyando lwe-peritonitis kunye nezinye izifo zeperitoneum, mesentery, omentum, kunye ne-diaphragm. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 39.

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.

UWagner JP, Chen DC, uBarie PS, uHiatt JR. I-Peritonitis kunye nosulelo lwesisu. Ku: Vincent JL, Abraham E, Moore FA, PM Kochanek, Fink MP, ii-eds. Incwadi yesikhokelo soKhathalelo oluBalulekileyo. Umhla wesi-7. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 99.