Kuyini i-Pneumaturia?
-Delile
Kuyini lokhu?
I-Pneumaturia igama elichaza amabhamuza omoya adlula emchameni wakho. I-Pneumaturia iyodwa ayisiyo ukuxilongwa, kodwa kungaba uphawu lwezimo ezithile zempilo.
Izimbangela ze-pneumaturia zibandakanya ukutheleleka kwe-urinary tract (UTIs) kanye nemigwaqo phakathi kwekholoni nesinye (okuthiwa i-fistula) okungeyona eyakho.
Qhubeka ufunda ukuthola okuningi nge-pneumaturia, ukuthi ibangelwa yini, nokuthi iyelashwa kanjani.
Kubukeka kanjani?
Uma une-pneumaturia, uzozwa igesi noma umuzwa wokubhuza ophazamisa ukusakaza kwakho komchamo. Umchamo wakho ungabonakala ugcwele amabhamuza amancane omoya. Lokhu kwehlukile kunomchamo obukeka unamagwebu, okuvame ukuba yisibonakaliso samaprotheni amaningi emchameni wakho.
Njengoba i-pneumaturia iyisibonakaliso sezinye izimo hhayi isimo yodwa, ungahle uthande ukubheka ezinye izimpawu kwesinye isikhathi ezihambisana nayo, njenge:
- umuzwa ovuthayo ngenkathi uchama
- ubunzima bokuchama
- ukuzwa isidingo sokuthi "hamba" ngaso sonke isikhathi
- umchamo onombala
Zonke lezi zimpawu zingakhombisa ukutheleleka kumgudu wakho wokuchama.
Izimbangela ezivamile
Isizathu esisodwa esivamile se-pneumaturia amabhaktheriya athathelanayo. I-Pneumaturia ingakhombisa i-UTI, njengoba amabhaktheriya enza amagwebu ekusakazeni kwakho komchamo.
Enye imbangela evamile i-fistula. Le yindima phakathi kwezitho ezisemzimbeni wakho ezingekho lapho. I-fistula phakathi kwamathumbu akho nesinye ingaletha amabhamuza ekusakazweni kwakho komchamo. Le fistula ingaba umphumela we-diverticulitis.
Ngaphansi kokujula kolwandle abahlukahlukene bayoba ne-pneumaturia ngemuva kwesikhathi esithile ngaphansi kwamanzi.
Kwesinye isikhathi i-pneumaturia iwuphawu lwesifo sikaCrohn.
Kunezimo ezithile ezingavamile kakhulu lapho odokotela bebona abantu abane-pneumaturia futhi bangatholi imbangela eyimbangela. Kepha esikhundleni sokuphakamisa ukuthi i-pneumaturia yisimo sisodwa, odokotela bakholelwa ukuthi kulezi zimo, imbangela ebikhona ibikhona kepha ibinganqunywa ngesikhathi sokuxilongwa.
Kutholakala kanjani
Ukuze ube ne-pneumaturia yangempela, umchamo wakho kufanele ube negesi kuwo kusukela lapho uphuma esinyeni sakho. Amagwebu angena ekusakazweni komchamo ngenkathi echama awabalwa njenge-pneumaturia. Udokotela wakho angadinga ukwenza izivivinyo ezimbalwa ukuthola ukuthi amabhamuza angena kuphi kumchamo wakho.
Umchamo wakho ungahlolwa ukuze ubone ukuthi awekho yini amagciwane ayingozi kupheshana lakho lomchamo. Ukuskena kwe-CT kuzovame ukwenziwa ukubheka i-fistula. I-colonoscopy ingadinga ukwenziwa ukubona ukuthi unayo i-fistula. Ukuhlolwa okuhlola ulwelwesi lwesinye sakho, okuthiwa i-cystoscopy, nakho kungenziwa.
Izinketho zokwelashwa
Ukwelashwa kwe-pneumaturia kuzoya ngesizathu esiyimbangela. Ama-UTI alashwa ngenkambo yama-antibiotics ehloselwe ukubulala amabhaktheriya asemgodini wakho wokuchama. Kwesinye isikhathi, amabhaktheriya amelana nenkambo yokuqala yokwelashwa kwama-antibiotic futhi omunye umuthi wama-antibiotic uyadingeka. I-pneumaturia yakho kufanele ixazululeke uma ukutheleleka kuhamba.
Uma une-fistula, kunezinketho ezimbalwa zokwelashwa. Ukuhlinzwa nge-laparoscopic ukulungisa i-fistula kungenye yezinto okufanele uzicabangele. Lokhu kuhlinzwa kuzoba ngumzamo wokubambisana phakathi kwakho, udokotela ohlinzayo, nodokotela womchamo. Xoxa neqembu lakho ukuthi hlobo luni lokuhlinzwa onethezekile ngalo, nokuthi luzodinga ukwenziwa nini. Funda kabanzi mayelana nezinketho zokuhlinzwa ze-diverticulitis.
Akuwona wonke umuntu olungele ukhetho lokuhlinzwa. Uma une-diverticulitis, engaholela kuma-fistula, ukwelapha leso simo kungaba nomthelela omuhle kuzo zonke izimpawu zakho. Ukwelashwa ngokwe-Conservative, nonsurgical kwe-diverticulitis kungabandakanya uketshezi lwesikhashana noma ukudla okuphansi kwe-fiber nokuphumula.
Uyini umbono?
Umbono we-pneumaturia uncike kakhulu kulokho okwenza lesi sibonakaliso senzeke. Uma une-UTI, izimpawu zakho zingaxazululwa ngokuvakasha kukadokotela nangemithi elwa namagciwane.
Uma une-fistula ebangelwa i-diverticulitis, ukwelashwa kwakho kungathatha izinyathelo ezimbalwa zokuyixazulula.
Noma lesi sibonakaliso singase singakuthinti njengobucayi, akusona okufanele usishaye indiva. I-Pneumaturia iyisiginali evela emzimbeni wakho ukuthi kukhona okwenzekayo esinyeni sakho noma emathunjini akho. Uma une-pneumaturia, unganqikazi ukuhlela i-aphoyintimenti ukuze uthole ukuthi kwenzekani.