Ubunzima besisu

Ubunzima besisu budumba kwindawo enye yesisu (isisu).

Ubunzima besisu buhlala butholwa ngexesha lovavanyo lomzimba oluqhelekileyo. Uninzi lwexesha, ubunzima bukhula kancinci. Awunokwazi ukubuva ubunzima.

Ukufumana iintlungu kunceda umboneleli wakho wezempilo ukuba enze isifo. Umzekelo, isisu singahlulahlulwa sibe ziindawo ezine:

• I-quadrant ephezulu-ngasekunene
• I-quadrant ephezulu yasekhohlo
• I-quadrant esezantsi ngasekunene
• I-quadrant esezantsi ekhohlo

Amanye amagama asetyenziselwa ukufumana indawo yeentlungu zesisu okanye ubunzima kubandakanya:

• I-Epigastric - iziko lesisu apha ngezantsi kwembambo
• Indawo yePeriumbilical-ejikeleze iqhosha lesisu

Indawo yobunzima kunye nokuqina kwayo, ubume bayo, kunye nezinye iimpawu zinokunika imikhombandlela kwisizathu sayo.

Iimeko ezininzi zinokubangela ubunzima besisu:

• Isisu esine-aortic aneurysm sinokubangela ubunzima be-pulsating ejikeleze inkaba.
• Ukuqhawulwa kwe-bladder (i-urinary bladder over-filled with fluid) kunokubangela ubunzima obuqinileyo phakathi kwesisu esisezantsi ngaphezu kwamathambo e-pelvic. Kwiimeko ezigabadeleyo, inokufikelela kwinqanaba lenkaba.
• I-Cholecystitis inokubangela ubunzima obukhulu kakhulu obuva ngaphantsi kwesibindi kwi-quadrant ephezulu-yangaphezulu (ngamanye amaxesha).
• Umhlaza wekolon unokubangela ubunzima phantse naphina esiswini.
• Isifo seCrohn okanye isithintelo samathumbu kunokubangela uninzi lweethenda, ubungakanani obenziwe ngoseji naphina esiswini.
• I-Diverticulitis inokubangela ubunzima obuhlala buhlala kwi-quadrant esezantsi ekhohlo.
• Isisu se-gallbladder sinokubangela ithenda, ubunzima obungalinganiyo kwi-quadrant yasekunene.
• I-Hydronephrosis (intso egcwele ulwelo) inokubangela ukuqaqamba, ukuziva ngathi kukho isiponji kwelinye icala okanye omabini amacala okanye ngasemva (kwicala leplanga).
• Umhlaza wezintso ngamanye amaxesha unokubangela ubunzima esiswini.
• Umhlaza wesibindi unokubangela ukuqina, ubunzima obunamaqhuma kwi-quadrant ephezulu yangasekunene.
• Ukwandiswa kwesibindi (i-hepatomegaly) kunokubangela ubunzima obuqinileyo, obungaqhelekanga phantsi kwembambo yasekunene, okanye kwicala lasekhohlo kwindawo yesisu.
• I-Neuroblastoma, ithumba elinomhlaza elifumana rhoqo kwisisu esisezantsi kunokubangela ubunzima (lo mhlaza ikakhulu uvela ebantwaneni nakwiintsana).
• I-Ovarian cyst inokubangela ubunzima obugudileyo, obujikeleziweyo, obunerabha ngaphezulu kwesinqe esiswini esisezantsi.
• Ithumba lepancreatic linokubangela ubunzima kwisisu esingaphezulu kwindawo ye-epigastric.
• Ipancudic pseudocyst inokubangela ubunzima obunamaqhuma kwisisu esingaphezulu kwindawo ye-epigastric.
• I-Renal cell carcinoma inokubangela ubunzima obugudileyo, obuqinileyo, kodwa obungathambekiyo kufutshane nezintso (zihlala zichaphazela kuphela izintso).
• Ukwandiswa kwepleen (splenomegaly) ngamanye amaxesha kunokuziva kwi-quadrant ephezulu yasekhohlo.
• Umhlaza wesisu unokubangela ubunzima kwisisu esisekhohlo esisentla kwindawo yesisu (epigastric) ukuba umhlaza mkhulu.
• I-Uterine leiomyoma (i-fibroids) inokubangela ukujikeleza, ubunzima obunamaqhuma ngaphezulu kwesinqe esiswini esisezantsi (ngamanye amaxesha kunokuvakala ukuba i-fibroids inkulu).
• IVolvulus inokubangela ubunzima naphina esiswini.
• Ukuthintelwa kwe-Ureteropelvic junction kunokubangela ubunzima kwisisu esisezantsi.

Bonke ubunzima besisu kufuneka buhlolwe ngokukhawuleza ngababoneleli.

Ukutshintsha umzimba wakho kunokunceda ekunciphiseni iintlungu ngenxa yesisu esiswini.

Fumana uncedo lwezonyango kwangoko ukuba unamaqhuma ashushu esiswini sakho kunye nentlungu esiswini. Oku kunokuba ngumqondiso we-aortic aneurysm, eyimeko engxamisekileyo.

Nxibelelana nomboneleli wakho ukuba ubona naluphi na uhlobo lobunzima besisu.

Kwiimeko ezingxamisekileyo, umboneleli wakho uya kwenza uvavanyo lomzimba kwaye abuze imibuzo malunga neempawu zakho kunye nembali yezonyango.

Kwimeko engxamisekileyo, uya kuzinza kuqala. Emva koko, umboneleli wakho uya kuvavanya isisu sakho kwaye abuze imibuzo malunga neempawu zakho kunye nembali yezonyango, enje:

• Uphi ubunzima?
• Ububonile nini ubunzima?
• Ngaba iza idlule?
• Ngaba ubunzima butshintshile ngobukhulu okanye isikhundla? Ngaba iye yaba buhlungu ngakumbi okanye ngaphantsi?
• Zeziphi ezinye iimpawu onazo?

Uvavanyo lwe-pelvic okanye lwe-rectal lunokufuneka kwezinye iimeko. Uvavanyo olunokwenziwa ukufumana unobangela wesisu esiswini kubandakanya:

• Ukuskena kwe-CT esiswini
• I-ultrasound yesisu
• X-ray esiswini
• I-Angiography
• I-enema yeBarium
• Uvavanyo lwegazi olufana neCBC kunye negazi
• Colonoscopy
• I-EGD
• Isotope yokufunda
• Isigmoidoscopy

Ubunzima kwisisu

• Iimpawu zomhlaba ze-anatomical zabantu abadala - umbono wangaphambili
• Inkqubo yokwetyisa
• Amathumba e-Fibroid
• Aortic aneurysm

Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW. Isisu. Ku: Ibhola i-JW, iDain JE, uFlynn JA, uSolomon BS, uStewart RW, ii-eds. Isikhokelo sikaSeidel kuViwo loMzimba. Umhla we-9. ISt Louis, MO: Elsevier; I-2019: isahl. 18.

ILandmann A, iiBond M, iPostier R. Isisu esibuhlungu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, ii-eds. Incwadi yeSabiston yoNyango. Umhla wama-21. ISt Louis, MO: Elsevier; 2022: isahluko 46.

McQuaid KR. Sondela kwisigulana ngesifo samathumbu. Ku: IGoldman L, iSchafer AI, ii-eds. Amayeza eGoldman-Cecil. Ngomhla wama-26. IPhiladelphia, PA: Elsevier; 2020: isahl. 123.