Ithumba leBongo

Umxholo

• Ziziphi izinto ezinobungozi?
• Zithini iimpawu zethumba lobuchopho?
• Ifunyaniswa njani ithumba lobuchopho?
• Yintoni unyango lwe-abscess yengqondo?
• Ngaba ithumba lobuchopho linokuthintelwa?

Ushwankathelo

Ithumba kwingqondo yomntu ophilileyo kungenxa yesiqhelo libangelwa lusulelo lwebacteria. Amathumba engqondo yokungunda athanda ukwenzeka kubantu abanamajoni omzimba abuthathaka. Usulelo luya kubangela ukuba ingqondo yakho idumbe ukusuka kuqokelelo lobofu kunye neeseli ezifileyo ezenzekayo.

Iifom zengqondo yobuchopho xa isikhunta, intsholongwane, okanye intsholongwane ifikelela kwingqondo yakho ngenxeba entlokweni yakho okanye usulelo kwenye indawo emzimbeni wakho. NgokweSibhedlele saBantwana saseWisconsin, usulelo olusuka kwamanye amalungu omzimba luphakathi kwama-20 nama-50 ekhulwini kuwo onke amatyala obuchopho. Usulelo lwentliziyo kunye nemiphunga zezinye zezinto eziqhelekileyo ezibangela amathumba engqondo. Nangona kunjalo, amathumba obuchopho anokuqala kwindlebe okanye usulelo lwesono, okanye kwizinyo elingenamntu.

Yiya kugqirha ngoko nangoko ukuba ucinga ukuba unokuba nethumba lobuchopho. Uya kudinga unyango olufanelekileyo ukukhusela nakuphi na ukonakala kwengqondo ekudumbeni.

Ziziphi izinto ezinobungozi?

Phantse nabani na unokufumana ithumba lobuchopho, kodwa amaqela athile abantu asemngciphekweni omkhulu kunabanye. Ezinye izifo, ukuphazamiseka, kunye neemeko eziphakamisa umngcipheko zibandakanya:

• amajoni omzimba abuthathaka ngenxa ye-HIV okanye i-AIDS
• umhlaza kunye nezinye izifo ezingapheliyo
• isifo sentliziyo esibelekwe
• ukulimala kwentloko enkulu okanye ukwaphuka kokakayi
• meningitis
• iziyobisi ezikhuselayo, ezinjengezo zisetyenziswa kwi-chemotherapy
• isifo sesono esinganyangekiyo okanye usuleleko kwindlebe oluphakathi

Iziphene ezithile zokuzalwa zivumela usulelo ukuba lufikelele kwingqondo ngokulula ngamazinyo nangamathumbu. Omnye umzekelo woku yi-tetralogy ye-Fallot, esisiphene sentliziyo.

Zithini iimpawu zethumba lobuchopho?

Iimpawu zihlala zikhula kancinci kwiiveki ezininzi, kodwa zinokuza ngesiquphe. Iimpawu omele uzijonge zezi:

• Umahluko kwiinkqubo zengqondo, ezinje ngokudideka okwandileyo, ukunciphisa ukuphendula kunye nokucaphuka
• intetho inciphile
• ukuncipha kwemvakalelo
• ukuncipha kokuhamba ngenxa yokuphulukana nomsebenzi wemisipha
• utshintsho kumbono
• utshintsho kubuntu okanye ekuziphatheni
• ukugabha
• ifiva
• Ukugodola
• ukuqina kwentamo, ngakumbi xa kusenzeka ngefiva kunye nengqele
• uvakalelo ekukhanyeni

Kwiintsana nabantwana abancinci, uninzi lweempawu ziyafana. Nangona kunjalo, umntwana wakho unokubonisa ezinye iimpawu zethumba lobuchopho. Indawo ethambileyo ngaphezulu kwentloko yosana lwakho, ebizwa ngokuba yifontian, inokudumba okanye idumbe. Ezinye iimpawu kumntwana wakho zingabandakanya:

• ukugabha kweprojektha
• ukukhala okuphezulu
• Ukuxhamla kwimilenze

Ifunyaniswa njani ithumba lobuchopho?

Uninzi lwezi mpawu lufana nezinye izifo okanye iingxaki zempilo. Thetha nogqirha wakho ngokukhawuleza ukuba uvelisa naziphi na iimpawu. Uya kudinga uvavanyo lwe-neurological. Olu vavanyo lunokubonisa naluphi na uxinzelelo olonyukayo ngaphakathi kwengqondo, olunokuthi lwenzeke ngokudumba. Iskena se-CT kunye neMRI sinokusetyenziselwa ukuxilonga ithumba lobuchopho.

Kwezinye iimeko, ugqirha wakho unokufuna ukwenza i-lumbar puncture, okanye itephu yomqolo. Oku kubandakanya ukususwa kwenani elincinci le-cerebral spinal fluid ukuvavanya naziphi na iingxaki ngaphandle kosulelo. Ukugqobhoza i-lumbar ngekhe kwenziwe ukuba kukho ukukrokreleka kwengqondo okukrokrisayo, njengoko kunokubangela uxinzelelo okwethutyana ngaphakathi kwentloko. Oku kukhusela umngcipheko we-hematoma yengqondo, okanye isitya segazi esaphukileyo kwingqondo.

Yintoni unyango lwe-abscess yengqondo?

Ithumba lobuchopho yimeko enzima yonyango. Ukuhlala esibhedlele kuya kufuneka. Uxinzelelo ngenxa yokudumba kwengqondo lunokukhokelela ekonakaleni okungapheliyo kwengqondo.

Ukuba ithumba lakho linzulu ngaphakathi kwengqondo yakho okanye ziisentimitha eziyi-2,5 okanye ngaphantsi, kuyakunyangwa ngamayeza okubulala iintsholongwane. Amayeza okubulala iintsholongwane ayakusetyenziselwa ukunyanga naziphi na izifo ezisisiseko ezinokubangela ithumba lobuchopho. Amayeza okubulala iintsholongwane ebulala iintlobo ezahlukeneyo zebacteria zezona ziqhelekileyo. Unokufuna ngaphezulu kolunye uhlobo lweantibiotic.

Utyando kaninzi linyathelo elilandelayo ukuba ithumba alinciphi ngokusetyenziswa kweyeza lokubulala iintsholongwane. Isenokuba lunyango olukhethwayo lwamathumba angaphezu kweesentimitha ezi-2.5 ububanzi. Ukususa ithumba ngotyando kudla ngokubandakanya ukuvula ukhakhayi kunye nokufunxa ithumba. Ulwelo olususiweyo ludla ngokuthunyelwa elebhu ukufumanisa unobangela wosulelo. Ukwazi unobangela wosulelo kuya kunceda ugqirha wakho afumane ezona zintsholongwane. Utyando lunokuba yimfuneko ukuba i-antibiotics ayisebenzi, ukuze umzimba obangela ithumba uzimisele ukunceda ukukhokela olona nyango lusebenzayo.

Utyando kufuneka lwenziwe kwezona meko zinzima xa ithumba libangela ulwakhiwo oluyingozi loxinzelelo kwingqondo. Ugqirha wakho unokucebisa utyando njengeyona ndlela ilungileyo kwezi meko zilandelayo:

• Ithumba lobuchopho bakho lisemngciphekweni wokugqabhuka ngaphakathi kolukakayi lwakho.
• Ithumba lobuchopho bakho linamafutha ngamanye amaxesha aveliswa ziibhaktheriya.

Ngaba ithumba lobuchopho linokuthintelwa?

Ithumba lobuchopho yimeko enzulu yonyango. Uthintelo lubalulekile. Unokuwunciphisa umngcipheko ngokubeka iliso kuyo nayiphi na imeko enokubangela ithumba lobuchopho. Fowunela ugqirha wakho kusibonakaliso sokuqala sethumba lobuchopho.

Ukuba unayo nayiphi na ingxaki yesifo sentliziyo, thetha nogqirha wakho ngaphambi kokuba ube neenkqubo zamazinyo okanye zomchamo. Ugqirha wakho unokukunika amayeza okubulala iintsholongwane ukuze uwathathe ngaphambi kwale nkqubo. Oku kuya kunciphisa umngcipheko wosulelo olunokusasazeka kwingqondo yakho.