Isihlomelo

Isihlomelo senziwa utyando lokususa isihlomelo.

Isihlomelo lilungu elincinci, elimile okomnwe elivela kwinxalenye yokuqala yamathumbu amakhulu. Xa idumbile (idumbile) okanye inesifo, imeko ibizwa ngokuba yi-appendicitis. Xa une-appendicitis, isihlomelo sakho sinokufuna ukususwa. Isihlomelo esinomngxunya kuso sinokuvuza kwaye sichaphazele wonke ummandla wesisu. Oku kunokuba sisongelo lobomi.

Isihlomelo senziwa ngokusebenzisa:

• I-Spinal anesthesia -Iyeza lifakwa emqolo ukuze likwenze ube ndindisholo phantsi kwesinqe sakho. Uyakufumana amayeza okukwenza wozele.
• I-anesthesia ngokubanzi -Uya kuba ulele kwaye awuva zintlungu ngexesha lotyando.

Ugqirha wenza ukusika okuncinci kwicala lasezantsi lasekunene lesisu sakho kwaye asuse isihlomelo.

Isihlomelo sinokususwa kusetyenziswa ukusika okuncinci kotyando kunye nekhamera. Oku kubizwa ngokuba yi-laparoscopic appendectomy.

Ukuba isihlomelo savuleka okanye ipokotho yosulelo (ithumba) lenziwe, isisu sakho siya kuhlamba ngexesha lotyando. Umbhobho omncinci ungashiywa kwindawo yesisu ukunceda ukukhupha ulwelo okanye ubofu.

Isihlomelo senzelwa i-appendicitis. Le meko kunokuba nzima ukuyichonga, ngakumbi ebantwaneni, kubantu abadala, nakwabasetyhini abaneminyaka yobudala bokuzala.

Rhoqo, uphawu lokuqala lintlungu ejikeleze iqhosha lesisu sakho:

• Intlungu inokuba nobulali ekuqaleni, kodwa iba bukhali kwaye ibukhali.
• Intlungu ihlala ihamba kwisisu sakho sasekunene kwaye ijolise ngakumbi kule ndawo.

Ezinye iimpawu zibandakanya:

• Urhudo okanye ukuqhina
• Umkhuhlane (uhlala ungaphakamanga kakhulu)
• Isicaphucaphu nokugabha
• Ukunciphisa ukutya

Ukuba unempawu ze-appendicitis, khangela uncedo lwezonyango ngokukhawuleza. MUSA ukusebenzisa iphedi yokufudumeza, i-enemas, i-laxatives, okanye olunye unyango lwasekhaya ukuzama ukunciphisa iimpawu.

Umboneleli wakho wezempilo uya kuvavanya isisu sakho kunye nethambo lakho. Olunye uvavanyo lunokwenziwa:

• Uvavanyo lwegazi, kubandakanya ukubalwa kweeseli ezimhlophe zegazi (WBC), kungenziwa ukujonga usulelo.
• Xa isifo singacacanga, umboneleli unokuyalela i-CT scan okanye i-ultrasound ukuqinisekisa ukuba isihlomelo sesona sizathu sengxaki.

Akukho ziphumo zovavanyo zokuqinisekisa ukuba une-appendicitis. Ezinye izifo zinokubangela iimpawu ezifanayo okanye ezifanayo.

Injongo kukususa isihlomelo esosulelekileyo ngaphambi kokuba sivuleke. Emva kokujonga iimpawu zakho kunye neziphumo zovavanyo lomzimba kunye novavanyo lonyango, ugqirha wakho uya kugqiba ekubeni ufuna utyando.

Umngcipheko we-anesthesia kunye notyando ngokubanzi kubandakanya:

• Impendulo kumayeza
• Iingxaki zokuphefumla
• Ukopha, amahlwili egazi, okanye usulelo

Umngcipheko we-appendectomy emva kokuqhekeka kwesihlomelo kubandakanya:

• Ukunyuka kwepus (ithumba), elinokufuna ukufunxwa kunye nezibulala ntsholongwane
• Usulelo lwe-incision

Uninzi lwabantu lushiya esibhedlele kwiintsuku ezi-1 ukuya kwezi-2 emva kotyando. Ungabuyela kwimisebenzi yakho yesiqhelo kwiiveki ezi-2 ukuya kwezi-4 emva kokuba uphumile esibhedlele.

Ukuba ubuqhaqho lwe-laparoscopic, uya kuphila ngokukhawuleza. Ukubuyisela kwimeko yesiqhelo kuhamba kancinci kwaye kunzima ngakumbi ukuba isihlomelo sakho siqhekekile okanye kuye kwakho ithumba.

Ukuphila ngaphandle kwesihlomelo akubangeli zingxaki zempilo.

Ukususwa kwesiHlomelo; Utyando - iappendectomy; Isihlomelo - isihlomelo

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

I-CRG ekhawulezayo, ii-Biers SM, i-Arulampalam THA. Isihlomelo. Ku: I-CRG ekhawulezayo, ii-Biers SM, i-Arulampalam THA. Ugqirha olubalulekileyo: Iingxaki zokuchonga kunye noLawulo. Umhla wesi-6. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.

Richmond B. Isihlomelo. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Incwadi yeSabiston yoNyango: Isiseko sebhayiloji yoQeqesho lwale mihla. Umhla we-20. IPhiladelphia, PA: Elsevier; Ngo-2017: isahluko 50.

IRosenthal MD, iSarosi GS. Isihlomelo. Ku: UFeldman M, uFriedman LS, uBrandt LJ, ii-eds. Sleisenger kunye neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Ngomhla we-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 120.