Yini Ukubaluleka Kwesikhwama sikaMorison?

-Delile

• Kuphi?
• Yiziphi izimo ezihlotshaniswa nale ndawo?
• Ama-Ascites
• I-Hemoperitoneum
• Isifo sokuqina kwesibindi
• Yiziphi izimpawu okufanele ngiziqaphele?
• Ukuthatha

Siyini isikhwama sikaMorison?

Isikhwama sikaMorison siyindawo ephakathi kwesibindi sakho nezinso zakho zangakwesokudla. Kubizwa nangokuthi ikhefu le-hepatorenal noma isikhala se-subhepatic esifanele.

Isikhwama sikaMorison siyindawo engahle ivuleke lapho uketshezi noma igazi lingena endaweni. Uma lezi zingekho, asikho isikhala phakathi kwesibindi sakho nezinso zangakwesokudla. Ngenxa yalokhu, odokotela basebenzisa ubukhona besikhwama sikaMorison ku-ultrasound ukusiza ukuxilonga izimo ezibangela ukwanda ketshezi esiswini sakho.

Qhubeka ufunde ukuze ufunde kabanzi ngesakhiwo sesikhwama sikaMorison nezimo ezisithintayo.

Kuphi?

Isikhwama sikaMorison sitholakala phakathi kwesiqongo sezinso zakho zangakwesokudla nohlangothi lwangemuva kwesokudla sesibindi sakho, lapho sihlehla khona ngokumelene ne-peritoneum yakho.

I-peritoneum ulwelwesi olwela isisu sakho. Inezingqimba ezimbili. Isendlalelo sangaphandle, esibizwa nge-parietal peritoneum, sinamathela odongeni lwesisu sakho. Isendlalelo sangaphakathi, esibizwa nge-visceral peritoneum, sizungeze izitho esiswini sakho, kufaka phakathi amathumbu akho amancane, isisu, isibindi nekholoni. Kunesikhala esingaba khona phakathi kwalezi zingqimba ezimbili ezibizwa nge-peritoneal cavity.

Uma ungenaso isimo sempilo esiyisisekelo esithinta isisu sakho, wena dokotela ngeke ubone noma yiziphi izimpawu zesikhwama sikaMorison esivivinyweni sezithombe. Kubonakala kuphela uma kukhona uketshezi olwengeziwe esiswini sakho.

Yiziphi izimo ezihlotshaniswa nale ndawo?

Izimo eziningana zingadala uketshezi ngaphakathi kwesisu sakho.

Ama-Ascites

Ama-Ascites abhekisa ekwakhiweni koketshezi emgodini we-peritoneal. Lolu ketshezi lungaphinde luvuze esikhwameni sikaMorison, lubangele ukwanda.

Uphawu oluyinhloko lwama-ascites ukuvuvukala kwesisu okubonakalayo. Ezinye izimpawu ezingaba khona zifaka:

• ukunciphisa ukudla
• ubuhlungu noma ingcindezi esiswini sakho
• ubumnene besisu
• inkinga yokuphefumula

Uketshezi olwakhiwe lungatheleleka, okuholela esimweni esibi esibizwa nge-bacterial peritonitis ezenzekelayo. Lokhu kungadala izimpawu ezengeziwe zomkhuhlane nokukhathala.

Izinto eziningi zingadala ama-ascites, kepha ezijwayelekile kakhulu zifaka ukuqina kwesibindi, umdlavuza, nokwehluleka kwenhliziyo.

Ngokuya ngesizathu esiyimbangela nempilo yakho yonke, ukwelapha ama-ascites kungabandakanya:

• ukudla okunesodium ephansi
• amanzi oketshezi
• ukufakelwa kwesibindi

I-Hemoperitoneum

I-Hemoperitoneum ibhekisela egazini elakhelwe ngaphakathi emgodini wakho we-peritoneal, ongaphinde ungene esikhwameni sikaMorison. Kungadala uhla lwezimpawu, kufaka phakathi:

• ubuhlungu besisu noma ubumnene
• ukuzizwa ngibuthakathaka noma ngithuthumela
• ukulahlekelwa umbala ebusweni nasesikhumbeni sakho
• ukulahlekelwa ukwazi

Kubangelwa ukulimala emthanjeni wegazi oseduze, ongavela ku:

• ukulimala esiswini
• ama-aneurysms esiswini
• imbobo esiswini noma emathunjini akho
• ukulimala kwesibindi
• inkinga yokuphuma kwamanzi okusuka esiswini sakho
• elele phansi isikhathi eside embhedeni wasesibhedlela
• ukukhulelwa kwe-ectopic

IHemoperitoneum ibhekwa njengesimo esiphuthumayo ngoba ingasheshe ibulale. Uma udokotela wakho ecabanga ukuthi une-hemoperitoneum, bazoshesha benze i-laparotomy. Lokhu kuhilela ukuvula isisu sakho ngokuhlinzwa ukuze ubheke umthombo wokopha. Okulandelayo, bazokhipha igazi elengeziwe futhi basuse noma balungise noma yiziphi izicubu ezilimele.

Ngokwelashwa okusheshayo, abantu abaningi bangalulama ngaphandle kwezinkinga ezinkulu.

Isifo sokuqina kwesibindi

I-Cirrhosis ibhekisa ekulimaleni unomphela kwezicubu zakho zesibindi. Ngokuhamba kwesikhathi, lesi sicubu esibomvu sifaka ingcindezi emithanjeni yegazi esibindini sakho, okungaholela ekwakhiweni koketshezi emgodini wakho we-peritoneal nasikhwameni sikaMorison.

Emazweni ayo okuqala, i-cirrhosis kungenzeka ingabangeli zimpawu. Njengoba iqhubeka, ingadala:

• ukukhathala
• i-jaundice
• ukulahlekelwa isifiso sokudla
• isicanucanu
• ukuvuvukala esiswini sakho noma emilenzeni
• ukudideka
• inkulumo engahambi kahle
• ukwanda kwegazi noma ukulimaza
• ukuncipha kwesisindo okungaqondakali
• ukukhula kwebele okungavamile emadodeni
• ukuncipha kwamasende emadodeni

Izinto eziningi zingadala i-cirrhosis, kufaka phakathi:

• izifo ezibangelwa amagciwane
• ukuphuza utshwala obuningi
• isifo sesibindi esingenawo utshwala
• i-hepatitis
• hemochromatosis
• imithi ethile

I-Cirrhosis ayibuyiseki, ukwelapha imbangela eyisisekelo kungasiza ekunciphiseni ukuqhubeka kwayo. Ezimweni eziphambili kakhulu, ungadinga ukufakelwa kwesibindi.

Yiziphi izimpawu okufanele ngiziqaphele?

Izimpawu zokuba noketshezi esikhwameni sakho sikaMorison ziyefana nezinye zezimo eziningi. Kodwa-ke, ngoba kungaba uphawu lwesimo esibi esidinga ukwelashwa ngokushesha, kungcono ukufonela udokotela wakho ngokushesha uma uqaphela:

• ukuvuvukala esiswini sakho noma emilenzeni
• ukukhathala noma ukozela
• ngizizwa ngididekile
• ukuncipha komzimba hhayi ngenxa yokudla noma ukuvivinya umzimba
• ubuhlungu noma isisa esiswini sakho
• ukopha noma ukulinyazwa kalula
• umkhuhlane we-101 ° F noma ngaphezulu
• ukudlula (ukulahlekelwa ukwazi)

Ukuthatha

Isikhwama sikaMorison yisikhala esiphakathi kwesibindi sakho nezinso zangakwesokudla esibonakala kuphela lapho isisu sakho sigcwala uketshezi. Uma lokhu kwenzeka, udokotela wakho uzokwazi ukubona isikhwama sakho sikaMorison ku-ultrasound.