Ithumba Lesisu: Yini Ebangela Ubuhlungu Esiswini Sami?

-Delile

• Yini ebangela ukuthi ithumba lesisu lakheke?
• Ziyini izimpawu zethumba lesisu?
• Litholwa kanjani ithumba lesisu?
• I-Ultrasound
• Iskena se-computerised tomography (CT)
• Ukucabanga kwe-Magnetic resonance (MRI)
• Ukuhlaziywa kwesampula le-Abscess fluid
• Lelashwa kanjani ithumba lesisu?

Liyini ithumba lesisu?

Ithumba yisikhwama sezicubu ezivuthayo esigcwele ubomvu. Amathumba angakha noma yikuphi emzimbeni (ngaphakathi nangaphandle). Zitholakala kakhulu ebusweni besikhumba.

Ithumba lesisu liyiphakethe lobomvu elisesiswini.

Amathumba esisu angakheka ngaphakathi ngaphakathi kodonga lwesisu, ngemuva kwesisu, noma izitho ezizungeze isisu, kufaka phakathi isibindi, amanyikwe nezinso. Amathumba esisu angakhula ngaphandle kwesizathu, kepha imvamisa ahlobene nomunye umcimbi, njengokuhlinzwa kwesisu, ukuqhuma kwamathumbu, noma ukulimala esiswini.

Yini ebangela ukuthi ithumba lesisu lakheke?

Amathumba esiswini abangelwa amagciwane avame ukungena esiswini ngenxa yokuhlukumezeka okungena ngaphakathi, ukuqhuma kwamathumbu, noma ukuhlinzwa esiswini. Amathumba angaphakathi kwesisu (amathumba ngaphakathi kwesisu) angakhula lapho umgodi wesisu noma isitho esiswini sengozini ngandlela thile futhi amabhaktheriya akwazi ukungena. Izimo ezinjalo zifaka i-appendicitis, ukuqhuma kwamathumbu, ukuhlukumezeka okungena ngaphakathi, ukuhlinzwa, nesifo sikaCrohn noma isifo sezilonda. Ngokuya ngokuthi ithumba lesisu litholakala kuphi, izimbangela ezingeziwe zingaba yicala.

Amathumba nawo angakha esikhaleni esiphakathi komgodi wesisu nomgogodla. Amathumba lawa aziwa njengamathumba e-retroperitoneal. I-retroperitoneum isho isikhala esiphakathi komgogodla wesisu nomgogodla.

Ziyini izimpawu zethumba lesisu?

Izimpawu ezijwayelekile zamathumba esiswini zifaka:

• ngizizwa ngingaphilile
• ubuhlungu besisu
• isicanucanu nokuhlanza
• imfiva
• ukulahlekelwa isifiso sokudla

Litholwa kanjani ithumba lesisu?

Izimpawu zamathumba esiswini zingahle zifane nezimpawu zezinye izimo, ezingezimbi kangako. Udokotela wakho angahle ahlole ukuhlolwa kwezithombe ukuze ahlolwe kahle. I-ultrasound ingaba yithuluzi lokuqala lokuxilonga elisetshenzisiwe. Okunye ukuhlolwa kwe-imaging, njenge-CT scan noma i-MRI, nakho kusiza udokotela wakho abone izitho nezicubu zesisu.

I-Ultrasound

I-ultrasound yesisu isebenzisa amagagasi omsindo aphakeme kakhulu ukudala izithombe zezitho esiswini.

Ngesikhathi sokuhlolwa, uzobeka etafuleni isisu sakho sivezwe. Uchwepheshe we-ultrasound uzofaka ijeli elicacile, elisuselwa emanzini esikhumbeni esiswini. Bese bezozulisa ithuluzi eliphathwa ngesandla elibizwa ngokuthi i-transducer ngaphezu kwesisu. I-transducer ithumela amaza omsindo wemvamisa ephezulu ahlasela izakhiwo zomzimba nezitho zomzimba. Amagagasi athunyelwa ekhompyutheni, esebenzisa amagagasi ukwenza izithombe. Izithombe zivumela udokotela wakho ukuthi ahlole ngokucophelela izitho esiswini.

Iskena se-computerised tomography (CT)

I-CT scan iyi-X-ray ekhethekile engakhombisa izithombe ezinqamulelayo zendawo ethile yomzimba.

Isithwebuli se-CT sibukeka njengendilinga enkulu enembobo phakathi, ebizwa ngokuthi i-gantry. Ngesikhathi sokuskena, uzobeka phansi etafuleni, elibekwe egantry. I-gantry bese iqala ukuzungeza eduze kwakho, ithathe izithombe zesisu sakho ezinhlangothini eziningi. Lokhu kunikeza udokotela wakho umbono ophelele wendawo.

Iskena se-CT singabonisa ukudabuka, amathumba asendaweni, izitho, ukukhula kwesisu, nezinto zangaphandle emzimbeni.

Ukucabanga kwe-Magnetic resonance (MRI)

I-MRI isebenzisa ozibuthe abakhulu namagagasi omsakazo ukwakha izithombe zomzimba. Umshini we-MRI uyishubhu ende kazibuthe.

Ngalesi sivivinyo, uzolala embhedeni oshelela ekuvulekeni kweshubhu. Umshini ukhiqiza amandla kazibuthe azungeze umzimba wakho futhi aqondanise ama-molecule wamanzi emzimbeni wakho. Lokhu kuvumela umshini ukuthi uthwebule izithombe ezicacile, ezihlukaniswe ngesisu sakho.

I-MRI yenza kube lula kudokotela wakho ukubheka ukungahleleki kwezicubu nezitho esiswini.

Ukuhlaziywa kwesampula le-Abscess fluid

Udokotela wakho angathatha isampula loketshezi oluvela ku-abscess aluhlole ukuze athole ukuxilongwa okungcono. Indlela yokuthola isampula eluketshezi incike endaweni yethumba.

Lelashwa kanjani ithumba lesisu?

Ukugeleza kungenye yezinyathelo zokuqala zokwelapha ithumba lesisu. Ukudonswa kwenaliti kungenye yezindlela ezisetshenziselwa ukukhipha ubovu ethumba.

Phakathi nale nqubo, udokotela wakho uzosebenzisa i-CT scan noma i-ultrasound ukufaka inaliti esikhunjeni sakho futhi ngqo kuthumba. Udokotela wakho uzobe esedonsa i-plunger ukuze asuse lonke uketshezi. Ngemuva kokukhipha ithumba, udokotela wakho uzothumela isampula ebhodini ukuze lihlaziywe. Lokhu kuzosiza ekunqumeni ukuthi imaphi ama-antibiotic okufanele unikezwe.

Uzodinga futhi ama-antibiotics afakwa emithanjeni ukwelapha ithumba lesisu.

Ezinye izimo zingadinga ukuhlinzwa. Ukuhlinzwa kungadingeka:

• ukuhlanza ithumba ngokuphelele
• uma ithumba kunzima ukufinyelela ngalo ngenaliti
• uma isitho sidabukile

Udokotela wakho uzokunika i-anesthesia ejwayelekile yokukulalisa phakathi nakho konke ukuhlinzwa. Ngesikhathi senqubo, udokotela ohlinzayo uzosika isisu bese ethola ithumba. Bazobe behlanza ithumba bese benamathisela umsele kuwo ukuze ubomvu bungakhipha. Umsele uzohlala endaweni kuze kuphole ithumba. Lokhu kuvame ukuthatha izinsuku noma amasonto ambalwa.