Ukunamathela

Ukunamathiselwa kungamabhande ezicubu ezinjengezibazi ezakha phakathi kwezindawo ezimbili ngaphakathi komzimba futhi zidale ukuthi zinamathele ndawonye.

Ngokunyakaza komzimba, izitho zangaphakathi ezifana nesisu noma isibeletho ngokujwayelekile ziyakwazi ukuguquka futhi zishelele ngokudlulana. Lokhu kungenxa yokuthi lezi zicubu nezitho ezisemgodini wesisu zinendawo ebushelelezi, eshelelayo. Ukuvuvukala (ukuvuvukala), ukuhlinzwa, noma ukulimala kungadala ukunamathiselwa kwakheke futhi kuvimbele lokhu kuhamba. Ukunamathela kungenzeka cishe noma kuphi emzimbeni, kufaka phakathi:

• Amalunga, njengehlombe
• Amehlo
• Ngaphakathi kwesisu noma okhalo

Ukunamathela kungakhula noma kuqine ngokuhamba kwesikhathi. Izinkinga zingenzeka uma ukunamathela kudala ukuthi isitho noma ingxenye yomzimba:

• Ukusonta
• Khipha isikhundla
• Awukwazi ukuhamba ngokujwayelekile

Ubungozi bokubambelela buphezulu ngemuva kokuhlinzwa kwamathumbu noma kwesitho sowesifazane. Ukuhlinzwa usebenzisa i-laparoscope akunamathuba amancane okudala ukunamathela kunokuhlinzwa okuvulekile.

Ezinye izimbangela zokunamathela esiswini noma okhalweni zifaka:

• I-Appendicitis, imvamisa lapho isithasiselo sivuleka (siqhekeka)
• Umdlavuza
• I-Endometriosis
• Ukutheleleka esiswini nasesinqeni
• Ukwelashwa ngemisebe

Ukunamathiselwa okuzungeze amalunga kungenzeka:

• Ngemuva kokuhlinzwa noma ukuhlukumezeka
• Ngezinhlobo ezithile ze-arthritis
• Ngokusebenzisa ngokweqile ilunga noma imisipha

Ukunamathela kumajoyinti, imisipha, noma imigqa kwenza kube nzima ukuhambisa okuhlangene. Zingadala nobuhlungu.

Ukunamathela esiswini (esiswini) kungadala ukuvimba kwamathumbu. Izimpawu zifaka:

• Ukuqunjelwa noma ukuvuvukala kwesisu sakho
• Ukuqunjelwa
• Isicanucanu nokuhlanza
• Ukungasakwazi ukudlulisa uphethiloli
• Ubuhlungu esiswini obunzima futhi obunenkani

Ukunamathela ku-pelvis kungadala ubuhlungu besikhathi eside (obungapheli) be-pelvic.

Isikhathi esiningi, ukunamathela akubonakali kusetshenziswa ama-x-ray noma ukuhlolwa kwe-imaging.

• IHysterosalpingography ingasiza ekutholeni ukunamathela ngaphakathi kwesibeletho noma amashubhu we-fallopian.
• Ama-X-ray wesisu, izifundo zokuqhathanisa nge-barium, kanye nezikena ze-CT kungasiza ukuthola ukuvinjelwa kwamathumbu okubangelwe ukunamathela.

I-Endoscopy (indlela yokubuka ngaphakathi komzimba usebenzisa ithubhu eliguquguqukayo elinekhamera encane ekugcineni) kungasiza ukuxilonga ukunamathela:

• IHysteroscopy ibukeka ngaphakathi kwesibeletho
• I-laparoscopy ibheka ngaphakathi esiswini nasesinqeni

Ukuhlinzwa kungenziwa ukuhlukanisa ukunamathela. Lokhu kungavumela isitho ukuthi siphinde sithole ukunyakaza okujwayelekile futhi sinciphise izimpawu. Kodwa-ke, ingozi yokunamathela okuningi ikhuphuka nokuhlinzwa okuningi.

Ngokuya ngendawo yokunamathela, kungabekwa umgoqo ngesikhathi sokuhlinzwa ukusiza ukunciphisa amathuba okubambelela okubuyayo.

Umphumela muhle ezimweni eziningi.

Ukunamathela kungadala ukuphazamiseka okuhlukahlukene, kuya ngezicubu ezithintekile.

• Esweni, ukunamathela kwe-iris kulensi kungaholela ku-glaucoma.
• Emathunjini, ukunamathela kungadala ukuvinjelwa okuncane noma okuphelele kwamathumbu.
• Ukunamathela ngaphakathi kwesibeletho sesibeletho kungadala isimo esibizwa nge-Asherman syndrome. Lokhu kungadala ukuthi owesifazane abe nemijikelezo yokuya esikhathini ngokungajwayelekile futhi angakwazi ukukhulelwa.
• Ukunamathela kwe-pelvic okubandakanya ukusikeka kwamashubhu we-fallopian kungaholela ezinkingeni zokuzala kanye nezinkinga zokuzala.
• Ukunamathela esiswini nasesinqeni kungadala ubuhlungu obungapheli.

Shayela umhlinzeki wakho wezokunakekelwa kwezempilo uma une:

• Ubuhlungu besisu
• Ukwehluleka ukudlulisa igesi
• Isicanucanu nokuhlanza okungapheli
• Ubuhlungu esiswini obunzima futhi obunenkani

Ukunamathela kwepelvic; Ukunamathela kwe-Intraperitoneal; Ukunamathela kwe-Intrauterine

• Ukunamathela kwepelvic
• I-ovary cyst

I-Kulaylat MN, iDayton MT. Izinkinga zokuhlinzwa. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhla ka-20. IPhiladelphia, PA: Elsevier; I-2017: isahluko 12.

I-Kuemmerle JF. Izifo zokuvuvukala kanye ne-anatomic zamathumbu, i-peritoneum, i-mesentery, ne-omentum. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 133.

I-National Institute of Diabetes kanye newebhusayithi yezifo zeDigestive and Kidney. Ukunamathela esiswini. www.niddk.nih.gov/health-information/digestive-diseases/abdominal-adhesions. Kubuyekezwe uJuni 2019. Kufinyelelwe ngoMashi 24, 2020.