Ubumnene bokukhomba - isisu

Ubumnene bephuzu lesisu ubuhlungu obuzwayo lapho kufakwa ingcindezi engxenyeni ethile yesisu (isisu).

Isisu siyindawo yomzimba umhlinzeki wezokunakekelwa kwempilo angayihlola kalula ngokuthinta. Umhlinzeki angazizwa ukukhula kanye nezitho esiswini futhi athole lapho uzwa khona ubuhlungu.

Ubumnene besisu bungaba mnene bube nzima. Ubumnene obubuyayo benzeka lapho izicubu ezibeka umgogodla wesisu (i-peritoneum) zicasukile, zivutha noma zithelelekile. Lokhu kubizwa nge-peritonitis.

Izimbangela zifaka:

• Ithumba lesisu
• Isithasiselo
• Izinhlobo ezithile ze-hernias
• I-Meckel diverticulum
• I-ovarian torsion (ishubhu eliwumbele elisontekile)

Thola usizo lwezokwelapha oluphuthumayo ngokushesha uma unethenda lephuzu lesisu.

Umhlinzeki wakho uzokuhlola futhi azithobe ngobumnene ezindaweni ezisesiswini sakho. Abantu abane-peritonitis bavame ukushuba imisipha yesisu lapho kuthintwa indawo. Lokhu kubizwa ngokuqapha.

Umhlinzeki uzobona noma yiliphi iphuzu lesisa.Indawo yesisa ingakhombisa inkinga eyibangelayo. Isibonelo, uma une-appendicitis, uzoba nesisa lapho kuthintwa indawo ethile. Le ndawo ibizwa ngokuthi iphuzu leMcBurney.

Umhlinzeki uzobuza futhi imibuzo mayelana nezimpawu zakho nomlando wezokwelapha. Lokhu kungafaka:

• Zaqala nini izimpawu?
• Ngabe kungokokuqala ukuthi ube nokuhlukumezeka okunje?
• Uma kungenjalo, kwenzeka nini ukungakhululeki?
• Ingabe unezinye izimpawu, njengokuqunjelwa, uhudo, ukuquleka, ukuhlanza noma umkhuhlane?

Ungadinga ukuthola izivivinyo ezilandelayo:

• I-x-ray yesisu
• Iskena se-CT esiswini (ngezikhathi ezithile)
• Umsebenzi wegazi, njengokubala okuphelele kwegazi

Kwezinye izimo, ungadinga ukuhlinzwa ngokushesha. Lokhu kungabandakanya i-laparotomy yokuhlola noma i-appendectomy ephuthumayo.

Ubumnene besisu

• Izimpawu zomlando zomuntu omdala - ukubuka kwangaphambili
• Isithasiselo

I-Ball JW, i-Dains JE, i-Flynn JA, i-Solomon BS, i-Stewart RW. Isisu. Ku: Ball JW, Dains JE, Flynn JA, Solomon BS, Stewart RW, ama-eds. Umhlahlandlela kaSeidel Wokuhlolwa Komzimba. Umhlaka 9. ISt Louis, MO: Elsevier; 2019: isahluko 18.

ILandmann A, iBond M, iPostier R. Isisu esibuhlungu. Ku: Townsend CM Jr, Beauchamp RD, Evers BM, Mattox KL, eds. ISabiston Incwadi Yokuhlinzwa. Umhlaka 21. ISt Louis, MO: Elsevier; 2022: isahluko 46.

McQuaid KR. Sondela esigulini ngesifo samathumbu. Ku: IGoldman L, iSchafer AI, ama-eds. Imithi yeGoldman-Cecil. Umhla ka-26. IPhiladelphia, PA: Elsevier; 2020: isahluko 123.