Ukubuyisa Ubumnene ne-Blumberg's Sign

-Delile

• Udokotela usihlola kanjani isizotha esibuyile?
• Yiziphi ezinye izimpawu okufanele ngiziqaphele?
• Yini ebangela isisa esibuhlungu?
• Yini okufanele ngiyenze ngokulandelayo?
• Uyini umbono?

Siyini isibonakaliso sikaBlumberg?

Ubumnene obubuyayo, obubizwa nangokuthi uphawu lukaBlumberg, kuyinto udokotela wakho angayihlola lapho ethola i-peritonitis.

I-Peritonitis ukuvuvukala kolwelwesi ngaphakathi kodonga lwakho lwesisu (i-peritoneum). Ngokuvamile kubangelwa ukutheleleka, okungaba umphumela wezinto eziningi.

Funda ukuze ufunde kabanzi mayelana nokuthi udokotela uhlola kanjani ubumnene obubuyayo nokuthi kusho ukuthini empilweni yakho.

Udokotela usihlola kanjani isizotha esibuyile?

Ukuhlola ubumnene obubuyile, udokotela usebenzisa ingcindezi endaweni yesisu sakho esebenzisa izandla zabo. Basusa izandla zabo ngokushesha bese bebuza ukuthi ngabe uzwa yini ubuhlungu lapho isikhumba nezicubu ebeziqhutshelwa phansi zibuyela endaweni yazo.

Uma uzizwa ubuhlungu noma ungaphatheki kahle, unesizotha esiphindayo. Uma ungazizwa lutho, kusiza udokotela wakho ukukhipha i-peritonitis njengesizathu sezimpawu zakho.

Yiziphi ezinye izimpawu okufanele ngiziqaphele?

Uma uhlangabezana nesisa sokubuyisa, ungahle ube nezinye zezimpawu ezilandelayo:

• ubuhlungu besisu noma isisa, ikakhulukazi lapho unyakaza
• imizwa yokugcwala noma ukuqumba, noma ngabe awudlanga lutho
• ukukhathala
• ukoma okungajwayelekile
• ukuqunjelwa
• ukunciphisa ukuchama
• ukulahlekelwa isifiso sokudla
• isicanucanu
• ukuhlanza
• imfiva

Qiniseka ukuthi ukutshela udokotela nganoma iyiphi yalezi zimpawu, kufaka phakathi lapho uziqaphela okokuqala nanoma yini ebenza babe ngcono noma babe babi kakhulu.

Yini ebangela isisa esibuhlungu?

Ubumnene obubuyayo buyisibonakaliso se-peritonitis, isimo esibi kakhulu ukuvuvukala kwe-peritoneum. Lokhu kuvuvukala kuvame ukubangelwa ukutheleleka.

Izinto eziningi zingadala ukutheleleka okuyisisekelo, kufaka phakathi:

• Ukugcotshwa. Umgodi noma ukuvuleka odongeni lwakho lwesisu kungavumela amabhaktheriya angene, kungaba avela endaweni yakho yokugaya ukudla noma ngaphandle komzimba wakho. Lokhu kungadala ukutheleleka kwe-peritoneum yakho okungaholela ethumba, okuyiqoqo lobomvu.
• Isifo sokuvuvukala kwesisu. Isifo sokuvuvukala kwepelvic (PID) sibangelwa ukutheleleka kwezitho zokuzala zabesifazane, kufaka phakathi isibeletho, amashubhu e-fallopian, noma ama-ovari. Amagciwane avela kulezi zitho angangena kwi-peritoneum futhi abangele i-peritonitis.
• I-Dialysis. Ungadinga amashubhu e-catheter afakwe ezinso zakho nge-peritoneum yakho ukukhipha uketshezi ngesikhathi se-dialysis. Ukutheleleka kungenzeka uma amashubhu noma indawo yezokwelapha ingavinjelwe kahle.
• Isifo sesibindi. Ukuqubuka kwezicubu zesibindi, okwaziwa ngokuthi i-cirrhosis, kungadala ama-ascites, abhekisele ekwakhiweni koketshezi esiswini sakho.Uma uketshezi oluningi lwakha, kungadala isimo esibizwa nge-bacterial peritonitis ezenzakalelayo.
• Inkinga yokuhlinzwa. Noma yiluphi uhlobo lokuhlinzwa, kufaka phakathi indawo yakho yesisu, kunengozi yokutheleleka enxebeni lokuhlinzwa.
• Isithasiselo esikhuphukile. Isithasiselo esinegciwane noma esilimele singaqhuma, sisakaze amagciwane esiswini sakho. Ukutheleleka esiswini kungaphenduka ngokushesha kube yi-peritonitis uma isithasiselo sakho esiphukile singasuswa noma siphathwe khona manjalo.
• Isilonda esiswini. Isilonda esiswini siyisifo esingavela ulwelwesi lwesisu sakho. Uhlobo oluthile lwesilonda esaziwa ngokuthi i-perforated peptic ulcer lungadala ukuvula esiswini, lubangele ukutheleleka esiswini sesisu.
• I-Pancreatitis. Ukuvuvukala noma ukutheleleka kwamanyikwe kungasakazekela esiswini sakho bese kubangela i-peritonitis. I-Pancreatitis nayo ingadala uketshezi olubizwa nge-chyle ukuthi luvuze kusuka kuma-lymph node wakho ukuya esiswini sakho. Lokhu kwaziwa njenge-ascites e-chylous acute futhi kungadala i-peritonitis.
• I-Diverticulitis. I-Diverticulitis yenzeka lapho izikhwama ezincane emathunjini akho, ezibizwa nge-diverticula, zivutha futhi zitheleleke. Lokhu kungadala ukubola kumgudu wakho wokugaya futhi kukwenze ube sengozini ye-peritonitis.
• Ukulimala kwesisu. Ukuhlukumezeka noma ukulimala esiswini sakho kungalimaza udonga lwakho lwesisu, okwenza i-peritoneum isengozini yokuvuvukala, ukutheleleka, noma ezinye izinkinga.

Yini okufanele ngiyenze ngokulandelayo?

Uma ucabanga ukuthi une-peritonitis, bheka udokotela wakho ngokushesha.

Ukutheleleka esiswini kungaholela ezinkingeni ezinkulu uma kuyekwa kungalashwa.

Uma udokotela ethola ukuthi unaso isisa sokubuyisa, kungenzeka balandele ezinye izivivinyo ezimbalwa ukunciphisa ukuxilongwa.

Lezi zivivinyo zifaka:

• Ukuqapha ukuhlolwa kokuqina. Ukuqapha kubandakanya ukufaka imisipha yakho esiswini ngokuzithandela, wenze isisu sakho sizizwe siqinile kwabanzima. Ukuqina ukuqina kwesisu okungahlobene nokuguquguquka kwemisipha. Udokotela wakho angawubona umehluko ngokuthinta isisu sakho ngobumnene futhi abone ukuthi ukuqina kuyehla yini lapho uphumula.
• Ukuhlolwa kwethenda yesandla. Udokotela uzothepha esiswini sakho ngobumnene kodwa ngokuqinile ukuze abheke ubuhlungu, ukungaphatheki kahle, noma isisa. Ukushaya ngokungazelelwe kungadala ubuhlungu uma une-peritonitis.
• Isikhohlela test. Uzocelwa ukukhwehlela ngenkathi udokotela ehlola noma yikuphi ukukhazimula noma ezinye izimpawu zobuhlungu. Uma ukukhwehlela kubangela ubuhlungu, ungahle ube ne-peritonitis.

Ngokuya ngezinye izimpawu zakho, udokotela angalalela ezinye izivivinyo zaselebhu futhi, kufaka phakathi:

• ukuhlolwa kwegazi
• ukuhlolwa komchamo
• ukuhlolwa kwe-imaging
• ukuhlolwa kwezinso
• ukuhlolwa kwesibindi
• ukuhlaziywa koketshezi lwesisu

Bangasebenzisa i-CT scan noma i-MRI scan ukubheka izicubu nezitho zakho zesisu.

Uma udokotela eqinisekisa ukuthi une-peritonitis, kunezindlela eziningi zokwelashwa, ngokuya ngesizathu esiyimbangela. Lokhu kufaka phakathi:

• ama-antibiotic wokutheleleka kwamagciwane
• ukuhlinzwa ukuze ususe izicubu ezinesifo, isithasiselo esiqhumile, izicubu zesibindi ezigulayo, noma ukubhekana nezinkinga esiswini noma emathunjini akho
• umuthi wezinhlungu wanoma yibuphi ubuhlungu noma ukungaphatheki kahle ekuvukeleni

Uyini umbono?

Isisa sokubuyisa akusona isimo uqobo. Esikhundleni salokho, ngokuvamile kuwuphawu lwe-peritonitis. Ngaphandle kokwelashwa okusheshayo, i-peritonitis ingadala izinkinga zempilo ezihlala njalo.

Funa usizo lwezempilo ngokushesha uma uhlangabezana nokuqunjelwa esiswini nobuhlungu obungavamile, ikakhulukazi uma ungadlanga lutho muva nje.