Ukuthamba kwakhona kunye noMqondiso weBlumberg

Umxholo

• Ujonga njani ugqirha ukuba abuye nokuthamba?
• Zeziphi ezinye iimpawu ekufuneka ndizilumkele?
• Yintoni ebangela ukuthamba okungaphezulu?
• Ndifanele ndenze ntoni ngokulandelayo?
• Yintoni imbonakalo?

Yintoni uphawu lukaBlumberg?

Ukuthamba kwakhona, okwabizwa ngokuba ngumqondiso weBlumberg, yinto ugqirha anokuyijonga xa ufumanisa i-peritonitis.

I-Peritonitis kukudumba kwenwebu ngaphakathi kudonga lwesisu sakho (i-peritoneum). Ngokuqhelekileyo kubangelwa usulelo, olunokuba sisiphumo sezinto ezininzi.

Funda ukuze ufunde ngakumbi malunga nokuba ugqirha ujonga njani ukuthamba kunye nokuba kuthetha ntoni kwimpilo yakho.

Ujonga njani ugqirha ukuba abuye nokuthamba?

Ukujonga ukubuyela kwithenda, ugqirha usebenzisa uxinzelelo kwindawo yesisu sakho esebenzisa izandla zabo. Basusa ngokukhawuleza izandla zabo kwaye babuze ukuba uziva nayiphi na intlungu xa ulusu kunye neethishu ezityhalelwe ezantsi zibuyela endaweni yazo.

Ukuba uziva uqaqanjelwa okanye ungonwabanga, une-rebound tenderness. Ukuba awuva nantoni na, kuyanceda ugqirha wakho ukuba akhuphe i-peritonitis njengonobangela weempawu zakho.

Zeziphi ezinye iimpawu ekufuneka ndizilumkele?

Ukuba ufumana isisa sokuthamba, unokufumana ezinye zeempawu ezilandelayo:

• isisu esibuhlungu okanye ukuthamba, ngakumbi xa ushukuma
• iimvakalelo zokugcwala okanye ukudumba, nokuba awutyi nto
• ukudinwa
• unxano olungaqhelekanga
• ukuqhina
• ukunciphisa ukuchama
• Ukuphelelwa ngumdla wokutya
• isicaphucaphu
• ukugabha
• ifiva

Qiniseka ukuba ukuxelela ugqirha malunga nayo nayiphi na le mpawu, kubandakanya xa uziqaphele okokuqala kunye nayo nayiphi na into ebenza ngcono okanye babe mandundu.

Yintoni ebangela ukuthamba okungaphezulu?

Ukuthamba kwakhona luphawu lwe-peritonitis, imeko enkulu kukudumba kwe-peritoneum. Oku kudumba kuhlala kubangelwa lusulelo.

Izinto ezininzi zinokubangela usulelo olusisiseko, kubandakanya:

• Ukugqobhoza. Umngxunya okanye ukuvulwa eludongeni lwesisu sakho kungavumela ibhakteria ukuba ingene, nokuba kukwindlela yokugaya okanye ngaphandle komzimba wakho. Oku kunokubangela usulelo lwe-peritoneum yakho enokuthi ikhokelele kwithumba, nokuqokelelwa kobofu.
• Isifo sokuvuvukala kwepelvic. Isifo sokudumba komzimba (PID) sisiphumo sosulelo lwamalungu okuzala kwabasetyhini, kubandakanya isibeleko, imibhobho yesibeleko, okanye ii-ovari. Iibhaktiriya ezivela kula malungu zinokuhamba ziye kwi-peritoneum kwaye zibangele i-peritonitis.
• Uxilongo. Ungadinga ityhubhu ye-catheter efakwe kwizintso zakho nge-peritoneum yakho ukukhupha ulwelo ngexesha le-dialysis. Usulelo lunokwenzeka ukuba iityhubhu okanye indawo yezonyango ayizinziswanga ngokufanelekileyo.
• Isifo sesibindi. Ukuqhekeka kwethishu yesibindi, eyaziwa ngokuba yi-cirrhosis, kunokubangela i-ascites, ebhekisa kulwakhiwo lwamanzi esiswini sakho. Ukuba kuninzi okwakhiwa kwamanzi, kunokubangela imeko ebizwa ngokuba yi-bacterial peritonitis.
• Ingxaki yotyando. Naluphi na uhlobo lotyando, kubandakanya indawo yakho esiswini, luthwala umngcipheko wosulelo kwilonda lotyando.
• Isihlomelo esihlaziyiweyo. Isihlomelo esosulelekileyo okanye esenzakeleyo sinokugqabhuka, sisasaze iintsholongwane esiswini sakho. Usulelo lwesisu lunokujika ngokukhawuleza lube yi-peritonitis ukuba isihlomelo sakho esaphukileyo asisuswanga okanye asinyangwa kwangoko.
• Isilonda esiswini. Isilonda esiswini sisifo esinokubonakala kwisisu sakho. Uhlobo oluthile lwesilonda esaziwa njenge-perforated peptic ulcer singenza indawo yokuvula esiswini, ibangele usulelo kwisisu esiswini.
• Ipancreatitis. Ukuvuvukala okanye usulelo lwepancreas lunokusasazeka kwisisu sakho kwaye lubangele i-peritonitis. I-Pancreatitis inokubangela ulwelo olubizwa ngokuba yi-chyle ukuba luvuze kwii-lymph node zakho ziye esiswini sakho. Oku kwaziwa njenge-ascites e-chylous ebukhali kwaye kunokubangela i-peritonitis.
• Diverticulitis. I-Diverticulitis yenzeka xa iipakethi ezincinci emathunjini akho, ezibizwa ngokuba yi-diverticula, zivutha kwaye zisuleleke. Oku kunokubangela ukugqabhuka kwindlela yakho yokwetyisa kwaye kukwenze ube sesichengeni se-peritonitis.
• Ukulimala kwesisu. Ukonzakala okanye ukwenzakala kwisisu sakho kunokwenzakalisa udonga lwesisu sakho, kusenza ukuba i-peritoneum ichaphazeleke ngakumbi kukudumba, usulelo, okanye ezinye iingxaki.

Ndifanele ndenze ntoni ngokulandelayo?

Ukuba ucinga ukuba une-peritonitis, jonga ugqirha ngoko nangoko.

Usulelo lwesisu lungakhokelela kwiingxaki ezinkulu ukuba luyekile lunganyangwa.

Ukuba ugqirha ufumanisa ukuba unayo i-rebound tenderness, baya kulandelelana nezinye iimvavanyo ezimbalwa ukunciphisa ukuxilongwa.

Olu vavanyo lubandakanya:

• Ukulinda ngokuchasene novavanyo lokuqina. Ukugada kubandakanya ngokuzithandela ukutshintsha izihlunu zesisu, usenze isisu sakho sizive siqinile kwimbaleki. Ukuqina kukuqina kwesisu okungahambelani nokuguquguquka kwezihlunu. Ugqirha wakho unokuchaza umahluko ngokuchukumisa kancinci isisu sakho kwaye ubone ukuba ukuqina kuyancipha xa uphumla.
• Uvavanyo lokuthamba kwesantya. Ugqirha uyakucofa kancinci kodwa ngokuqinileyo esiswini sakho ukujonga iintlungu, ukungonwabi, okanye ukuthamba. Ukucofa ngokukhawuleza kunokubangela iintlungu xa une-peritonitis.
• Uvavanyo lokukhohlela. Uya kucelwa ukuba ukhohlele ngelixa ugqirha ejonga nayiphi na into ebengezelayo okanye ezinye iimpawu zentlungu. Ukuba ukukhwehlela kubangela iintlungu, unokuba ne-peritonitis.

Ngokuxhomekeka kwezinye iimpawu zakho, ugqirha unokuyalela iimvavanyo zaselebhu ngokunjalo, kubandakanya:

• iimvavanyo zegazi
• iimvavanyo zomchamo
• iimvavanyo zokucinga
• Uvavanyo lwezintso
• Uvavanyo lomsebenzi wesibindi
• Uhlalutyo lolwelo esiswini

Banokusebenzisa i-CT scan okanye iMRI ukuskena ukujonga izicubu zesisu kunye namalungu.

Ukuba ugqirha uqinisekisa ukuba une-peritonitis, zininzi iindlela zokhetho, kuxhomekeka kwisizathu esisisiseko. Oku kubandakanya:

• Iintsholongwane zentsholongwane
• utyando lokususa izicwili ezosulelekileyo, isihlomelo esigqabhukileyo, izicwili zesibindi esigulayo, okanye ukulungisa imiba esiswini okanye emathunjini
• amayeza entlungu kuyo nayiphi na intlungu okanye ukungaphatheki kakuhle kukudumba

Yintoni imbonakalo?

Ukuthamba kwakhona akuyiyo imeko uqobo. Endaweni yoko, ihlala iluphawu lwe peritonitis. Ngaphandle konyango olukhawulezileyo, i-peritonitis inokubangela iingxaki zempilo ezingapheliyo.

Funa unyango kwangoko ukuba ufumana isisu esingaqhelekanga kunye nentlungu, ngakumbi ukuba khange utye nantoni na kutshanje.