Isisindo esiswini

Isisindo esiswini sivuvuka engxenyeni eyodwa yesisu (isisu).

Isisindo esiswini sitholakala kakhulu ngesikhathi sokuhlolwa komzimba okujwayelekile. Isikhathi esiningi, isisindo sikhula kancane. Ungahle ungakwazi ukuzwa ubukhulu.

Ukuthola ubuhlungu kusiza umhlinzeki wakho wokunakekelwa kwezempilo ukuthi enze ukuxilongwa. Isibonelo, isisu singahlukaniswa ngezindawo ezine:

• I-quadrant engaphezulu kwesokudla
• I-quadrant engaphezulu kwesokunxele
• I-quadrant engakwesokudla
• I-quadrant ephansi kwesokunxele

Amanye amagama asetshenziselwe ukuthola indawo yobuhlungu besisu noma uquqaba afaka:

• I-Epigastric - maphakathi nesisu ngaphansi kwezimbambo
• I-Periumbilical - indawo ezungeze inkinobho yesisu

Indawo yobuningi nokuqina kwayo, ukuthungwa kwayo, nezinye izimfanelo kunganikeza izinkomba zembangela yayo.

Izimo eziningana zingadala isisindo esiswini:

• I-aortic aneurysm yesisu ingadala isisindo sokuzungeza inkaba.
• Ukuhlukaniswa kwesinye (ukugcwala kwe-urinary okugcwele uketshezi) kungadala isisindo esiqinile maphakathi nesisu esingezansi ngenhla kwamathambo okhalo. Ezimweni ezimbi kakhulu, ingafinyelela phezulu njengenkaba.
• I-Cholecystitis ingadala isisindo sethenda esizwakala ngaphansi kwesibindi ku-quadrant engaphezulu kwesokudla (ngezikhathi ezithile).
• Umdlavuza wamakholoni ungadala isisindo cishe noma kuphi esiswini.
• Isifo seCrohn noma ukuvinjelwa kwamathumbu kungadala inqwaba yamathenda, amise okwensizi noma kuphi esiswini.
• I-Diverticulitis ingadala isisindo esivame ukutholakala ku-quadrant engezansi kwesobunxele.
• Isimila se-gallbladder singadala isisindo sethenda, esimise ngokungajwayelekile ku-quadrant engakwesokudla-phezulu.
• I-Hydronephrosis (izinso ezigcwele uketshezi) kungadala isisindo esibushelelezi, esizwelayo ngesiponsi ohlangothini olulodwa noma zombili noma emuva (endaweni eseceleni).
• Umdlavuza wezinso kwesinye isikhathi ungadala isisu esiswini.
• Umdlavuza wesibindi ungadala isisindo esiqinile, esinesigaxa ku-quadrant engenhla kwesokudla.
• Ukwandiswa kwesibindi (i-hepatomegaly) kungadala isisindo esiqinile, esingajwayelekile ngaphansi kwesibambo sokudla, noma ohlangothini lwesobunxele endaweni yesisu.
• I-Neuroblastoma, isimila somdlavuza esivame ukutholakala esiswini esingezansi singadala isisindo (lo mdlavuza uvela kakhulu ezinganeni nasezinsaneni).
• I-ovary cyst ingadala isisindo esibushelelezi, esiyindilinga, esinenjoloba ngaphezu kwesikhumba esiswini esingezansi.
• Ithumba lepancreatic lingadala isisindo esiswini esingaphezulu endaweni ye-epigastric.
• I-pseudocyst ye-Pancreatic ingadala isisindo esinesigaxa esiswini esingenhla endaweni ye-epigastric.
• I-Renal cell carcinoma ingadala isisindo esibushelelezi, esiqinile, kodwa hhayi sethenda eduze kwezinso (imvamisa kuthinta kuphela inso elilodwa).
• Ukwandiswa kwepenen (splenomegaly) kwesinye isikhathi kungazwakala ku-quadrant engaphezulu kwesokunxele.
• Umdlavuza wesisu ungadala isisindo esiswini esingaphezulu kwesokunxele endaweni yesisu (i-epigastric) uma umdlavuza mkhulu.
• I-uterine leiomyoma (i-fibroids) ingadala isisindo esiyindilinga, esinamaqhuqhuva ngaphezu kwesikhumba esiswini esingezansi (kwesinye isikhathi kungazwakala uma ama-fibroids emakhulu).
• IVolvulus ingadala isisindo noma kuphi esiswini.
• Ukuvinjelwa kwe-Ureteropelvic junction kungadala isisindo esiswini esingezansi.

Zonke izinsimbi zesisu kufanele zihlolwe ngokushesha ngangokunokwenzeka ngumhlinzeki.

Ukushintsha ukuma komzimba wakho kungasiza ekudambiseni izinhlungu ngenxa yesisindo esiswini.

Thola usizo lwezokwelapha khona manjalo uma unesigaxa esidonsayo esiswini sakho kanye nobuhlungu besisu obukhulu. Lokhu kungaba yisibonakaliso se-aortic aneurysm ephukile, okuyisimo esiphuthumayo.

Xhumana nomhlinzeki wakho uma ubona noma yiluphi uhlobo lwesisindo esiswini.

Ezimweni ezingezona eziphuthumayo, umhlinzeki wakho uzokwenza ukuhlolwa ngokomzimba futhi abuze imibuzo mayelana nezimpawu zakho nomlando wezokwelapha.

Esimweni esiphuthumayo, uzozinza kuqala. Ngemuva kwalokho, umhlinzeki wakho uzohlola isisu sakho abuze imibuzo mayelana nezimpawu zakho nomlando wezokwelapha, ofana nalokhu:

• Ngabe imisa itholakala kuphi?
• Ububonile nini ubunzima?
• Ingabe ifika idlule?
• Ngabe isisindo sishintshile ngosayizi noma ngesikhundla? Ngabe sekube buhlungu kakhulu noma kancane?
• Yiziphi ezinye izimpawu onazo?

Ukuhlolwa kwe-pelvic noma kwe-rectal kungadingeka kwezinye izimo. Ukuhlolwa okungenziwa ukuthola imbangela yesisindo esiswini kufaka:

• Iskena se-CT esiswini
• I-ultrasound yesisu
• I-x-ray yesisu
• I-Angiography
• I-Barium enema
• Ukuhlolwa kwegazi okufana neCBC kanye negazi
• Colonoscopy
• I-EGD
• Ucwaningo lwe-Isotope
• I-Sigmoidoscopy

IMisa esiswini

• Izimpawu zomlando zomuntu omdala - ukubuka kwangaphambili
• Uhlelo lokugaya ukudla
• Izimila ze-Fibroid
• I-aortic aneurysm

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.