Ukugcotshwa kwamathumbu

I-Perforation imbobo ekhula odongeni lwesitho somzimba. Le nkinga ingavela emgodini, esiswini, emathunjini amancane, emathunjini amakhulu, kwi-rectum, noma ku-gallbladder.

Ukugcwala kwesitho kungadalwa yizinto ezahlukahlukene. Lokhu kufaka phakathi:

• Isithasiselo
• Umdlavuza (zonke izinhlobo)
• Isifo seCrohn
• I-Diverticulitis
• Isifo se-gallbladder
• Isifo sesilonda se-Peptic
• I-ulcerative colitis
• Ukuvaleka kwamathumbu
• Ama-chemotherapy agents
• Ukwanda kwengcindezi emqolo okubangelwa ukuhlanza okunamandla
• Ukungeniswa kwezinto eziyimbangela

Kungabangelwa nokuhlinzwa esiswini noma izinqubo ezifana ne-colonoscopy noma i-endoscopy ephezulu.

Ukugcotshwa kwamathumbu noma ezinye izitho kubangela ukuthi okuqukethwe kuvuzise esiswini. Lokhu kudala ukutheleleka okunzima okubizwa nge-peritonitis.

Izimpawu zingafaka:

• Ubuhlungu obukhulu besisu
• Amakhaza
• Imfiva
• Isicanucanu
• Ukuhlanza
• Ukushaqeka

Ama-X-ray esifubeni noma esiswini angabonisa umoya esiswini sesisu. Lokhu kubizwa ngokuthi umoya wamahhala. Kuwuphawu lwesinyembezi. Uma i-esophagus igcwele umoya wamahhala ungabonakala ku-mediastinum (ezungeze inhliziyo) nasesifubeni.

Ukuhlolwa kwesisu kwe-CT kuvame ukukhombisa lapho umgodi utholakala khona. Isibalo samangqamuzana amhlophe egazi ngokuvamile siphezulu kunokujwayelekile.

Inqubo ingasiza ekutholeni indawo ye-perforation, njenge-endoscopy ephezulu (i-EGD) noma i-colonoscopy.

Ukwelashwa kaningi kubandakanya ukuhlinzwa okuphuthumayo ukulungisa imbobo.

• Kwesinye isikhathi, ingxenye encane yamathumbu kufanele isuswe. Umkhawulo owodwa wamathumbu ungakhishwa ngembobo (i-stoma) eyenziwe odongeni lwesisu. Lokhu kubizwa nge-colostomy noma ileostomy.
• Ukukhipha isisu noma esinye isitho kungadingeka.

Ezimweni ezingavamile, abantu bangelashwa ngama-antibiotic kuphela uma i-perforation ivaliwe. Lokhu kungaqinisekiswa ukuhlolwa komzimba, ukuhlolwa kwegazi, i-CT scan, nama-x-ray.

Ukuhlinzwa kuyaphumelela isikhathi esiningi. Kodwa-ke, umphumela uzoya ngokuthi i-perforation inzima kangakanani, nokuthi ibikhona isikhathi esingakanani ngaphambi kokwelashwa. Ukuba khona kwezinye izifo kungathinta nokuthi umuntu uzokwenza kahle kangakanani ngemuva kokwelashwa.

Ngisho nokuhlinzwa, ukutheleleka kuyinkinga evame kakhulu yalesi simo. Ukutheleleka kungaba ngaphakathi esiswini (ithumba lesisu noma i-peritonitis), noma kuwo wonke umzimba. Ukutheleleka komzimba wonke kubizwa ngokuthi i-sepsis. I-Sepsis ingaba yimbi kakhulu futhi ingaholela ekufeni.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma une:

• Igazi esitokisini sakho
• Izinguquko kwimikhuba yamathumbu
• Imfiva
• Isicanucanu
• Ubuhlungu obukhulu besisu
• Ukuhlanza
• Shayela u-911 khona manjalo uma wena noma omunye umuntu efake into ebangelayo.

Shayela inombolo ephuthumayo yesikhungo sokulawula ubuthi ku-1-800-222-1222 uma umuntu efake into ebabayo. Le nombolo yocingo izokuvumela ukuthi ukhulume nezazi ekufakweni kobuthi.

UNGALINI kuze kube yilapho umuntu enezimpawu ngaphambi kokuba ucele usizo.

Abantu bavame ukuba nezinsuku ezimbalwa zobuhlungu ngaphambi kokugcotshwa kwamathumbu. Uma unezinhlungu esiswini, bheka umhlinzeki wakho khona manjalo. Ukwelashwa kulula kakhulu futhi kuphephe lapho kuqalwa ngaphambi kokugcotshwa.

Ukubhoboza amathumbu; Perforation wamathumbu; Ukugcotshwa kwesisu; Ukugcotshwa kwe-Esophageal

• Uhlelo lokugaya ukudla
• Izitho zohlelo lokugaya ukudla

UMatthews JB, uTuraga K. I-peritonitis yokuhlinzwa nezinye izifo ze-peritoneum, mesentery, omentum, ne-diaphragm. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 39.

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.

UWagner JP, Chen DC, uBarie PS, uHiatt JR. I-Peritonitis kanye nokutheleleka esiswini. Ku: Vincent JL, Abraham E, Moore FA, Kochanek PM, Fink MP, ama-eds. Incwadi Yokunakekelwa Okubalulekile. Umhla wesi-7. IPhiladelphia, PA: Elsevier; 2017: isahluko 99.