Isithasiselo

I-Appendicitis yisimo lapho isithasiselo sakho sivutha khona. Isithasiselo yisikhwama esincane esifakwe emathunjini amakhulu.

I-Appendicitis iyimbangela ejwayelekile yokuhlinzwa okuphuthumayo. Inkinga ivame ukwenzeka lapho isithasiselo sivinjelwa indle, into yangaphandle, isimila noma isimuncagazi ezimweni ezingavamile.

Izimpawu ze-appendicitis zingahluka. Kungaba nzima ukuthola i-appendicitis ezinganeni ezincane, kubantu abadala, nakwabesifazane abaseminyakeni yobudala bokuzala.

Uphawu lokuqala imvamisa ubuhlungu obuzungeze inkinobho yesisu noma esiswini esiphakathi nendawo. Ubuhlungu bungaba buncane ekuqaleni, kepha buba bukhali kakhulu futhi bube nzima. Ungase futhi ulahlekelwe isifiso sokudla, isicanucanu, ukuhlanza nomkhuhlane osezingeni eliphansi.

Ubuhlungu buvame ukungena engxenyeni engezansi yesisu sakho. Ubuhlungu buvame ukugxila endaweni ngqo ngenhla kwesithasiselo esibizwa ngeMcBurney point. Lokhu kwenzeka kakhulu emahoreni ayi-12 kuye kwangama-24 ngemuva kokugula.

Ubuhlungu bakho bungaba bukhulu kakhulu lapho uhamba, ukhwehlela, noma wenza ukunyakaza okungazelelwe. Izimpawu zakamuva zifaka:

• Ukugodola nokuqhaqhazela
• Izitulo ezinzima
• Uhudo
• Imfiva
• Isicanucanu nokuhlanza

Umhlinzeki wakho wezokunakekelwa kwempilo angasola i-appendicitis ngokuya ngezimpawu ozichazayo.

Umhlinzeki wakho uzokwenza ukuhlolwa komzimba.

• Uma une-appendicitis, ubuhlungu bakho buzokhuphuka lapho indawo yakho yesisu engezansi ingakwesokudla icindezelwe.
• Uma isithasiselo sakho sidabukile, ukuthinta indawo yesisu kungadala ubuhlungu obukhulu futhi kukuholele ekuqiniseni imisipha yakho.
• Ukuhlolwa kwe-rectal kungathola ubumnene ngakwesokunene se-rectum yakho.

Ukuhlolwa kwegazi kuvame ukukhombisa inani eliphezulu lamaseli amhlophe egazi. Ukufanekisa izivivinyo ezingasiza ukuxilonga i-appendicitis zifaka:

• I-CT scan yesisu
• I-Ultrasound yesisu

Isikhathi esiningi, udokotela ohlinzayo uzosusa isithasiselo sakho lapho nje usutholakele.

Uma ukuskena kwe-CT kukhombisa ukuthi unethumba, ungelashwa ngemithi elwa namagciwane kuqala. Uzosuswa isithasiselo sakho ngemuva kokutheleleka nokuvuvukala.

Ukuhlolwa okusetshenziselwa ukuxilonga i-appendicitis akuphelele. Njengomphumela, ukusebenza kungakhombisa ukuthi isithasiselo sakho sijwayelekile. Uma kunjalo, udokotela ohlinzayo uzosusa isithasiselo sakho bese ehlola sonke isisu sakho ukuthola ezinye izimbangela zobuhlungu bakho.

Iningi labantu lilulama ngokushesha ngemuva kokuhlinzwa uma isithasiselo sisusiwe ngaphambi kokuba siqhume.

Uma isithasiselo sakho siqhuma ngaphambi kokuhlinzwa, ukululama kungathatha isikhathi eside. Kungenzeka futhi ukuthi ube nezinkinga, njenge:

• Ithumba
• Ukuvaleka kwamathumbu
• Ukutheleleka ngaphakathi kwesisu (peritonitis)
• Ukutheleleka kwesilonda ngemuva kokuhlinzwa

Shayela umhlinzeki wakho uma unezinhlungu engxenyeni engezansi kwesokudla esiswini sakho, noma ezinye izimpawu ze-appendicitis.

• Izimpawu zomlando zomuntu omdala - ukubuka kwangaphambili
• Uhlelo lokugaya ukudla
• I-Appendectomy - uchungechunge
• Isithasiselo

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USarosi GA. Isithasiselo. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhlaka 10. IPhiladelphia, PA: Elsevier Saunders; 2016: isahluko 120.

I-Sifri CD, iMadoff LC. Isithasiselo. Ku: Bennett E, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases, uHlelo Olubuyekeziwe. Umhlaka 8. IPhiladelphia, PA: Elsevier Saunders; 2015: isahluko 80.

USmith MP, uKatz DS, uLalani T, et al. Izindlela zokufaneleka ze-ACR kwesokudla esisezingeni eliphansi le-quadrant - okusolakala ukuthi yi-appendicitis. I-Ultrasound Q. 2015; 31 (2): 85-91. I-PMID: 25364964 www.ncbi.nlm.nih.gov/pubmed/25364964.