Ithumba - isisu noma ukhalo

Ithumba lesisu liyiphakethe loketshezi olunegciwane nobomvu obutholakala ngaphakathi esiswini (esiswini). Lolu hlobo lwethumba lungatholakala eduze noma ngaphakathi kwesibindi, amanyikwe, izinso noma ezinye izitho. Kungaba khona ithumba elilodwa noma amaningi.

Ungathola amathumba esiswini ngoba une:

• Isithasiselo esiqhumile
• Amathumbu aqhumayo noma avuzayo
• Ukuqhuma kwesibeletho
• Isifo samathumbu esivuthayo
• Ukutheleleka ku-gallbladder yakho, ama-pancreas, i-ovary noma ezinye izitho
• Ukutheleleka kwe-pelvic
• Ukutheleleka ngamagciwane

Usengozini enkulu yethumba lesisu uma une:

• Ukuhlukumezeka
• Isifo sesilonda esinezilonda
• Ukuhlinzwa endaweni yakho esiswini
• Amasosha omzimba abuthakathaka

Amagciwane angadlula egazini lakho aye esithweni esiswini sakho. Kwesinye isikhathi, asikho isizathu esingatholwa ngethumba.

Ubuhlungu noma ukungaphatheki kahle esiswini okungapheli yisimpawu esivamile. Lobu buhlungu:

• Ingatholwa kuphela endaweni eyodwa yesisu sakho noma ngaphezulu kwesisu sakho
• Kungaba bukhali noma buthuntu
• Kungaba kubi ngokuhamba kwesikhathi

Ngokuya ngokuthi ithumba litholakala kuphi, ungahle ube:

• Ubuhlungu emhlane wakho
• Ubuhlungu esifubeni noma ehlombe

Ezinye izimpawu zethumba lesisu zingaba njengezimpawu zokuba nomkhuhlane. Ungahle ube:

• Isisu esivuvukile
• Uhudo
• Imfiva noma amakhaza
• Ukuntuleka kwesifiso kanye nokwehla kwesisindo okungenzeka
• Isicanucanu noma ukuhlanza
• Ubuthakathaka
• Khwehlela

Izimpawu zakho zingaba uphawu lwezinkinga eziningi ezahlukahlukene. Umhlinzeki wakho wezokunakekelwa kwempilo uzokwenza izivivinyo ezithile ukusiza ukuthola ukuthi unalo yini ithumba lesisu. Lokhu kungafaka izivivinyo ezilandelayo:

• Ukubalwa kwegazi okuphelele - Ukubalwa kwamaseli egazi amhlophe aphezulu kuyisibonakaliso esingaba khona sethumba lokunye ukutheleleka.
• Iphaneli yemethodi ephelele - Lokhu kuzobonisa noma yiziphi izinkinga zesibindi, izinso noma igazi.

Olunye uvivinyo okufanele lukhombise amathumba esiswini:

• I-x-ray yesisu
• I-Ultrasound yesisu nesinqe
• Ukuhlolwa kwe-CT kwesisu nasesinqeni
• I-MRI yesisu nesinqe

Ithimba lakho lokunakekelwa kwezempilo lizozama ukukhomba kanye nokwelapha imbangela yethumba. Ithumba lakho lizophathwa ngemithi elwa namagciwane, ukudonsa ubomvu, noma kokubili. Ekuqaleni, cishe uzothola ukunakekelwa esibhedlela.

I-ANTIBIOTICS

Uzonikezwa ama-antibiotic ukwelapha ithumba. Uzozithatha kuze kube amasonto amane kuya kwayisithupha.

• Uzoqala kuma-antibiotic e-IV esibhedlela futhi ungathola ama-antibiotic e-IV ekhaya.
• Ngemuva kwalokho ungashintsha ube amaphilisi. Qiniseka ukuthi uphuza wonke ama-antibiotic akho, noma ngabe uzizwa ungcono.

IDRARA

Ithumba lakho lidinga ukukhishwa ubomvu. Umhlinzeki wakho futhi uzonquma indlela engcono yokwenza lokhu.

Kusetshenziswa inaliti nokudonsa - Umhlinzeki wakho ubeka inaliti esikhunjeni nasethunjini. Imvamisa, lokhu kwenziwa ngosizo lwama-x-ray ukuqinisekisa ukuthi inaliti ifakwa kuthumba.

Umhlinzeki wakho uzokunika umuthi wokukwenza uzele, nemithi yokunikaza isikhumba ngaphambi kokuba inaliti ifakwe esikhunjeni.

Isampula lethumba lizothunyelwa ebhodini. Lokhu kusiza umhlinzeki wakho akhethe ukuthi imaphi ama-antibiotic azowasebenzisa.

Umsele usala ethumba ukuze kuphume ubomvu.Imvamisa, umsele ugcinwa izinsuku noma amasonto kuze kube yilapho ithumba selingcono.

Ukuhlinzwa - Kwesinye isikhathi, udokotela ohlinzayo uhlinzeka ukukhipha ithumba. Uzobekwa ngaphansi kwe-anesthesia ejwayelekile ukuze ulele ukuhlinzwa. Ukuhlinzwa kungadingeka uma:

• Ithumba lakho alikwazi ukufinyelelwa ngokuphepha usebenzisa inaliti ngesikhumba
• Isithasiselo sakho, amathumbu, noma esinye isitho kuqhume

Udokotela ohlinzayo uzosika esiswini. I-laparotomy ihilela ukusika okukhulu. I-laparoscopy isebenzisa ukusika okuncane kakhulu ne-laparoscope (ikhamera encane yevidiyo). Udokotela ohlinzayo uzobe ese:

• Hlanza ukhiphe ithumba.
• Faka ukhiphe ithumba. Umsele uhlala ngaphakathi kuze kube ngcono ithumba.

Ukuphendula kahle ekwelashweni kuya ngesizathu sethumba nokuthi ukutheleleka kubi kangakanani. Kuya futhi ngempilo yakho yonke. Imvamisa ama-antibiotic kanye ne-drainage anakekela amathumba esiswini angakasakazeki.

Ungadinga ukusebenza okungaphezu kokukodwa. Kwesinye isikhathi, ithumba lizobuya.

Izinkinga zingafaka:

• Ithumba kungenzeka lingakhiphi ngokuphelele.
• Ithumba lingabuya (liphinde libuye).
• Ithumba lingadala ukugula okukhulu nokutheleleka kwegazi.
• Ukutheleleka kungasakazeka.

Shayela umhlinzeki wakho uma une:

• Ubuhlungu obukhulu besisu
• Imikhuhlane
• Isicanucanu
• Ukuhlanza
• Izinguquko kwimikhuba yamathumbu

Ithumba - esiswini; Ithumba le-pelvic

• Ithumba elingaphakathi kwesisu - i-CT scan
• I-Meckel diverticulum

UDe Prisco G, uCelinski S, uSpak CW. Amathumba esiswini kanye nefistula yamathumbu. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 28.

UShapiro NI, uJones AE. Ama-Sepsis syndromes. Ku: Walls RM, Hockberger RS, Gausche-Hill M, ama-eds. Imithi Ephuthumayo yaseRosen: Imiqondo kanye Nokuzijwayeza Komtholampilo. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2018: isahluko 130.

Ama-squire R, uCarter SN, uPostier RG. Isisu esinamandla. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 45.