Ithumba lesibindi se-Pyogenic

Ithumba lesibindi se-Pyogenic liphakethe eligcwele ubomvu loketshezi ngaphakathi kwesibindi. I-Pyogenic isho ukukhiqiza ubomvu.

Kunezimbangela eziningi zamathumba wesibindi, kufaka phakathi:

• Ukutheleleka kwesisu, njenge-appendicitis, i-diverticulitis, noma isilonda esine-perforated
• Ukutheleleka egazini
• Ukutheleleka kwamashubhu okukhipha inyongo
• I-endoscopy yakamuva yamashubhu wokukhipha inyongo
• Ukuhlukumezeka okulimaza isibindi

Amagciwane amaningi ajwayelekile angadala amathumba esibindi. Ezimweni eziningi, kutholakala izinhlobo ezingaphezu kweyodwa zebhaktheriya.

Izimpawu zamathumba wesibindi zingafaka:

• Ubuhlungu besifuba (ngezansi kwesokudla)
• Ubuhlungu esiswini sangakwesokudla sangaphezulu (esivame kakhulu) noma kuso sonke isisu (okungajwayelekile kakhulu)
• Izitulo ezinombala wobumba
• Umchamo omnyama
• Imfiva, amakhaza, ukujuluka ebusuku
• Ukuphelelwa isifiso sokudla
• Isicanucanu, ukuhlanza
• Ukwehla kwesisindo ngokungenhloso
• Ubuthakathaka
• Isikhumba esiphuzi (i-jaundice)
• Ubuhlungu behlombe langakwesokudla (ubuhlungu obubhekisiwe)

Ukuhlolwa kungafaka:

• Iskena se-CT esiswini
• I-ultrasound yesisu
• Isiko legazi lamagciwane
• Qedela ukubalwa kwegazi (CBC)
• I-biopsy yesibindi
• Ukuhlolwa kokusebenza kwesibindi

Ukwelashwa imvamisa kuqukethe ukufaka ithubhu esikhunjeni ungene esibindini ukukhipha ithumba. Ngokuvamile, ukuhlinzwa kuyadingeka. Uzothola ama-antibiotic cishe amasonto ama-4 kuye kwayi-6. Kwesinye isikhathi, ama-antibiotic kuphela angalapha ukutheleleka.

Lesi simo singasongela impilo. Ingozi yokufa iphezulu kubantu abanamathumba amaningi wesibindi.

I-sepsis esongela impilo ingavela. I-Sepsis ukugula lapho umzimba unempendulo enamandla yokuvuvukala kuma-bacteria noma amanye amagciwane.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma une:

• Noma yiziphi izimpawu zalesi sifo
• Ubuhlungu obukhulu besisu
• Ukudideka noma ukuncipha kokuqonda
• Umkhuhlane ophezulu ongapheli
• Ezinye izimpawu ezintsha ngesikhathi sokwelashwa noma ngemuva kwaso

Ukwelashwa ngokushesha kwezifo zesisu nezinye izifo kunganciphisa ubungozi bokuba nethumba lesibindi, kepha izimo eziningi azivinjelwe.

Ithumba lesibindi; Igciwane lesibindi ithumba; Ithumba le-hepatic

• Uhlelo lokugaya ukudla
• Ithumba le-Pyogenic
• Izitho zohlelo lokugaya ukudla

UKim AY, uChung RT. Ukutheleleka kwesibindi, okubandakanya ama-parasitic, kanye nefungal, kufaka phakathi amathumba esibindi. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. Sleisenger kanye neFordtran's Gastrointestinal and Liver Disease. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahl. 84.

I-Sifri CD, iMadoff LC. Ukutheleleka kwesibindi ne-biliary system (ithumba lesibindi, i-cholangitis, i-cholecystitis). Ku: Bennett JE, Dolin R, Blaser MJ, ama-eds. Mandell, Douglas, kanye neBennett's Principles and Practice of Infectious Diseases. Umhlaka 9. IPhiladelphia, PA: Elsevier; 2020: isahluko 75.