Isithasiselo

I-appendectomy ukuhlinzwa ukususa isithasiselo.

Isithasiselo isitho esincane, esimise okomunwe esiqhamuka engxenyeni yokuqala yamathumbu amakhulu. Uma ivuvukala (ivuvukala) noma itheleleka, lesi simo sibizwa ngokuthi i-appendicitis. Uma une-appendicitis, isithasiselo sakho singadinga ukususwa. Isithasiselo esinembobo kuso singavuza futhi sithelele yonke indawo yesisu. Lokhu kungasongela impilo.

I-Appendectomy yenziwa kusetshenziswa noma yikuphi:

• I-Spinal anesthesia - Umuthi ufakwa emhlane wakho ukukwenza ube ndikindiki ngaphansi kokhalo lwakho. Uzothola nemithi ezokukwenza uzele.
• I-anesthesia ejwayelekile - Uzobe ulele futhi ungezwa buhlungu ngesikhathi sokuhlinzwa.

Udokotela ohlinzayo usika kancane engxenyeni engezansi kwesokudla sendawo yesisu sakho bese esusa isithasiselo.

Isithasiselo singasuswa kusetshenziswa ukusikeka okuncane kokuhlinzwa nekhamera. Lokhu kubizwa nge- laparoscopic appendectomy.

Uma isithasiselo sivuleka noma kwakhiwa iphakethe lesifo (ithumba), isisu sakho sizogezwa ngesikhathi sokuhlinzwa. Ishubhu elincane lingashiywa endaweni yesisu ukusiza ukukhipha uketshezi noma ubomvu.

I-appendectomy yenziwa nge-appendicitis. Lesi simo kungaba nzima ukusithola, ikakhulukazi ezinganeni, kubantu asebekhulile, nakwabesifazane abaseminyakeni yobudala bokuzala.

Imvamisa, uphawu lokuqala lubuhlungu obuzungeze inkinobho yakho yesisu:

• Ubuhlungu bungaba mnene ekuqaleni, kepha buba bukhali futhi bube nzima.
• Ubuhlungu buvame ukungena esiswini sakho sangakwesokudla bese buyagxila kule ndawo.

Ezinye izimpawu zifaka:

• Uhudo noma ukuqunjelwa
• Umkhuhlane (imvamisa awuphakeme kakhulu)
• Isicanucanu nokuhlanza
• Ukunciphisa ukudla

Uma unezimpawu ze-appendicitis, funa usizo lwezokwelapha ngokushesha. UNGAYisebenzisi imishanguzo yokushisa, ama-enemas, ama-laxatives, noma ezinye izindlela zokwelapha ekhaya ukuzama ukunciphisa izimpawu.

Umhlinzeki wakho wokunakekelwa kwezempilo uzohlola isisu sakho kanye ne-rectum yakho. Olunye uvivinyo lungenziwa:

• Ukuhlolwa kwegazi, kufaka phakathi isibalo segazi elimhlophe (WBC), kungenziwa ukubheka ukutheleleka.
• Lapho ukuxilongwa kungacaci, umhlinzeki anga-oda i-CT scan noma i-ultrasound ukuze aqiniseke ukuthi isithasiselo siyimbangela yenkinga.

Azikho izivivinyo zangempela zokuqinisekisa ukuthi une-appendicitis. Ezinye izifo zingadala izimpawu ezifanayo noma ezifanayo.

Umgomo ukususa isithasiselo esinegciwane ngaphambi kokuthi siqhamuke (kuvuleka). Ngemuva kokubukeza izimpawu zakho kanye nemiphumela yokuhlolwa komzimba kanye nokuhlolwa kwezokwelapha, udokotela wakho ohlinzayo uzonquma ukuthi udinga ukuhlinzwa yini.

Izingozi ze-anesthesia nokuhlinzwa ngokujwayelekile zifaka:

• Ukusabela emithini
• Izinkinga ukuphefumula
• Ukopha, amahlule egazi, noma ukutheleleka

Izingozi ze-appendectomy ngemuva kwesithasiselo esiphukile zifaka:

• I-buildup of pus (ithumba), engadinga ukukhishwa kanye nama-antibiotics
• Ukutheleleka kwe-incision

Iningi labantu liphuma esibhedlela ezinsukwini ezi-1 kuya kwezi-2 ngemuva kokuhlinzwa. Ungabuyela emisebenzini yakho ejwayelekile kungakapheli amasonto amabili kuya kwayi-4 ngemuva kokuphuma esibhedlela.

Ukube ubuhlinzwe nge-laparoscopic, cishe uzolulama ngokushesha. Ukubuyiswa kuhamba kancane futhi kuyinkimbinkimbi uma isithasiselo sakho sivulekile noma ngabe ithumba selakhiwe.

Ukuphila ngaphandle kwesithasiselo akubangeli zinkinga zempilo ezaziwayo.

Ukususwa kwesithasiselo; Ukuhlinzwa - i-appendectomy; I-Appendicitis - i-appendectomy

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

I-CRG esheshayo, i-Biers SM, i-Arulampalam THA. Isithasiselo. Ku: I-CRG esheshayo, i-Biers SM, i-Arulampalam THA. Ukuhlinzwa Okubalulekile: Izinkinga Ukuxilongwa Nokuphathwa. Umhlaka 6. IPhiladelphia, PA: Elsevier; 2020: isahluko 26.

URichmond B. Isithasiselo. Ku: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa: Isisekelo Sebhayoloji Sokuhlinzwa Kwamanje. Umhla ka-20. IPhiladelphia, PA: Elsevier; 2017: isahluko 50.

URosenthal MD, uSarosi GS. Isithasiselo. Ku: Feldman M, Friedman LS, Brandt LJ, ama-eds. ISleisenger neFordtran's Gastrointestinal and Liver Disease: IPathophysiology / Diagnosis / Management. Umhla ka-11. IPhiladelphia, PA: Elsevier; 2021: isahluko 120.