Isihlomelo

Isihlomelo yimeko apho isihlomelo sakho sidumba khona. Isihlomelo yingxowa encinci eqhotyoshelwe emathunjini amakhulu.

Isihlomelo ngoyena nobangela uqhelekileyo wotyando olungxamisekileyo. Ingxaki ihlala yenzekile xa isihlomelo sivalelwe lilindle, into yasemzini, ithumba okanye isidleleli kwiimeko ezinqabileyo.

Iimpawu zeappendicitis zinokwahluka. Kunokuba nzima ukufumana i-appendicitis ebantwaneni abancinci, abantu abadala, kunye nabafazi abakwiminyaka yokuzala.

Uphawu lokuqala luhlala luqaqanjelwa sisisu okanye embindini wesisu. Intlungu isenokuba ncinane ekuqaleni, kodwa iba bukhali ngakumbi kwaye ibenzima. Unokuphulukana nokutya, isicaphucaphu, ukugabha kunye nomkhuhlane osezantsi.

Intlungu ithambekele ekuhambeni kwindawo esezantsi esiswini sakho. Intlungu ihlala ijolise kwindawo ethe ngqo ngaphezulu kwesihlomelo esibizwa ngokuba yindawo kaMcBurney. Oku kwenzeka rhoqo kwiiyure ezili-12 ukuya kwezi-24 emva kokugula.

Intlungu yakho ingaba nzima xa uhamba, ukhohlela, okanye uhamba ngokukhawuleza. Iimpawu kamva zibandakanya:

• Ukugodola nokungcangcazela
• Izitulo ezinzima
• Urhudo
• Ifiva
• Isicaphucaphu nokugabha

Umboneleli wakho wezempilo unokukrokrela i-appendicitis esekwe kwiimpawu ozichazayo.

Umboneleli wakho uya kwenza uvavanyo lomzimba.

• Ukuba une-appendicitis, iintlungu zakho ziya kwanda xa indawo yakho esezantsi ngasekunene icinezelwe.
• Ukuba isihlomelo sakho siphukile, ukuchukumisa indawo esiswini kunokubangela iintlungu ezininzi kwaye kukukhokelele ukuba uqinise izihlunu zakho.
• Uvavanyo lwe-rectal lunokufumana ithenda kwicala lasekunene le-rectum yakho.

Uvavanyo lwegazi luza kuhlala lubonisa ubungakanani beeseli ezimhlophe zegazi. Ukujonga iimvavanyo ezinokukunceda ukufumanisa i-appendicitis kubandakanya:

• Ukuvavanywa kwe-CT kwesisu
• I-Ultrasound yesisu

Uninzi lwexesha, ugqirha uya kususa isihlomelo sakho nje ukuba ufunyaniswe.

Ukuba i-CT scan ibonisa ukuba unethumba, unokunyangwa ngamayeza okubulala iintsholongwane kuqala. Uya kususwa isihlomelo emva kokuba usulelo kunye nokudumba kuphelile.

Uvavanyo olusetyenziselwa ukufumanisa i-appendicitis alugqibekanga. Ngenxa yoko, umsebenzi ungabonisa ukuba isihlomelo sakho siqhelekile. Kwimeko apho, ugqirha uya kususa isihlomelo sakho kwaye ahlole sonke isisu sakho ngesinye sezizathu zentlungu yakho.

Uninzi lwabantu luyachacha ngokukhawuleza emva kotyando ukuba isihlomelo sisusiwe ngaphambi kokuba siphuke.

Ukuba isihlomelo sakho siyaphuka ngaphambi kotyando, ukubuyela kwimeko yesiqhelo kungathatha ixesha elide. Kukwanokwenzeka ukuba uphuhlise iingxaki, ezinje:

• Ithumba
• Ukuvaleka kwamathumbu
• Usulelo ngaphakathi kwesisu (peritonitis)
• Usulelo lwenxeba emva kotyando

Tsalela umnikezeli wakho ukuba unentlungu kwindawo esezantsi ekunene kwesisu sakho, okanye ezinye iimpawu ze-appendicitis.

• Iimpawu zomhlaba ze-anatomical zabantu abadala - umbono wangaphambili
• Inkqubo yokwetyisa
• Isihlomelo-uthotho
• Isihlomelo

Cole, MA kunye neHuang, RD. Isihlomelo esibuhlungu. 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 83.

USarosi GA. Isihlomelo. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Amathumbu kunye nezifo zesibindi: iPathophysiology / Diagnosis / Management. Ngomhla we-10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 120.

ISifri CD, iMadoff LC. Isihlomelo. Ku: Bennett E, Dolin R, Blaser MJ, ii-eds. UMandell, uDouglas, kunye neMigaqo yeBennett kunye nokuSebenza kwezifo ezosulelayo, uHlelo oluHlaziyiweyo. Ngomhla we-8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 80.

Ilungu lePalamente likaSmith, uKatz DS, uLalani T, et al. Iikhrayitheriya zokufaneleka kwe-ACR ekunene kwintlungu esezantsi ye-quadrant-ekrokrelwayo ukuba sisihlomelo. Ultrasound Q. 2015; 31 (2): 85-91. IINKCUKACHA: 25364964 www.ncbi.nlm.nih.gov/pubmed/25364964.