I-appendicitis ezinganeni

I-appendicitis ithinta izigidi zezingane ezifunda emhlabeni unyaka ngamunye. Ukuqonda izimbangela ze-appendicitis ezinganeni kubalulekile kubazali nakubanakekeli. Lesi simo, esihilela ukuvuvukala kwe-appendix, singabulala uma singelashwa ngokushesha. Ukuqaphela izimpawu nezimpawu ze-appendicitis ezinganeni kuyisihluthulelo sokuqinisekisa ukungenelela kwezokwelapha okufika ngesikhathi nokuvimbela izingozi zempilo ezingase zibe khona.

Ake sihlole izimbangela ezivamile, sixoxe ngezimpawu okufanele zibhekwe, futhi sibeke izinqubo zokuxilonga zodokotela. 

Iyini i-Appendicitis?

Lesi simo siwukuvuvukala kwe-appendix, isikhwama esifana neshubhu esimise umunwe esixhunywe engxenyeni yokuqala yamathumbu amakhulu. Lesi simo senzeka lapho i-appendix ivinjelwa, okuholela ekuthelelekeni nasekuvuvukeni. I-appendix itholakala ngezansi kwesokudla kwesisu. Njengoba ukuvuvukala kuba kubi, ukunikezwa kwegazi esithasiselweni kuncipha, okungase kuholele ku-tissue necrosis. Abantu ngokuvamile bezwa ubuhlungu obuncane nxazonke inkaba, eliya kwesokudla esingezansi kwesisu futhi libe libi ngokuhamba kwesikhathi.

I-appendicitis ivame kangakanani ezinganeni?

I-appendicitis ivame kakhulu ezinganeni, ngokuvamile ezikhula phakathi kweminyaka eyi-10 ne-19, ibalwa ku-7-8% wezingane ezibhekana ne-appendicitis eyingozi ezinganeni. Ingenye yezimbangela ezivame kakhulu ubuhlungu besisu okuholela ekuvakasheni kwezibhedlela eziphuthumayo kuleli qembu lobudala. 

Yini ebangela i-appendicitis ezinganeni?

Izimbangela ze-appendicitis ezinganeni zivame ukuvela ekuvinjweni kwe-appendix. Lokhu kuvinjelwa kungabangelwa izici ezihlukahlukene: 

• Impahla yendle eqinile, eyaziwa ngokuthi i-fecalith, ingase inqwabelane futhi ivimbe ukuvuleka kwe-appendix. 
• Ukuvuvukala kwama-lymph nodes emathunjini kungenzeka ngenxa yezifo. Futhi zingaba nomthelela ekuthuthukisweni kwe-appendicitis. 
• Kwezinye izimo, i-mucus buildup noma ama-parasites anomthelela ekuvinjweni. 
• Ukuvimbela kuholela ekukhuleni kwebhaktheriya ngaphakathi kwe-appendix, okubangela ukuvuvukala nokuvuvukala. Njengoba isimo siba sibi, ukutholakala kwegazi esithasiselweni kuncipha, okungase kubangele ukufa kwezicubu. 
• Uma ingelashwa, i-appendix ingase iqhume, isakaze amagciwane esiswini sonke futhi ibangele ukutheleleka okubi okubizwa ngokuthi i-peritonitis. 
• Ezinye izimbangela ezingajwayelekile kakhulu zihlanganisa izinto zangaphandle ezigwinywe kanye nezinhlobo ezithile zomdlavuza. Ukuqaphela izimpawu ze-appendicitis ezinganeni kubalulekile ukuze kutholakale usizo lwezokwelapha ngokushesha.

Izimpawu ze-Appendicitis Ezinganeni

Lokhu okulandelayo yizimpawu ze-appendicitis ezivamile ezinganeni:

• Ubuhlungu Besisu: Lesi simo ngokuvamile siqala ngokuphatheka kabi okungacacile eduze kwenkinobho yesisu, okube sekuya kwesokudla esingezansi kwesisu. Lobu buhlungu buvame ukuba nzima kakhulu ngokunyakaza noma umsebenzi. 
• Umkhuhlane: Izingane zingase zibe nakho isicanucanu, ukuhlanza, kanye nomkhuhlane wezinga eliphansi (100 kuya ku-101°F). 
• Ukushintsha Umkhuba Wamathumbu: izingane zingase zingakuthandi ukudla, kanti ezinye zingaba nesifo sohudo, ikakhulukazi amafinyila amancane. 
• Izinguquko Zokuziphatha: Abazali kufanele babheke izinguquko zokuziphatha, njengokucasuka noma ukungabi nasithakazelo ekudleni, ikakhulukazi ezinganeni ezincane ezingase zibe nzima ukuveza izimpawu zazo ngokuphumelelayo. 
• Ubumnene: Isisu sengane singase sithambile lapho sithintwa, ikakhulukazi engxenyeni engezansi yesokudla. Ngezinye izikhathi, izingane zingase zizwe ubuhlungu obukhulu lapho ingcindezi ikhishwa esiswini, okuwuphawu oluphelele lwe-appendicitis ezinganeni.
• 'Ukuhlolwa kwe-jump' kungasiza; uma ukugxuma kuqinisa ubuhlungu, kungase kubonise i-appendicitis. 
• Ezimweni ezingavamile, umkhuhlane ophezulu ofinyelela ku-104°F ungase ubonise isithasiselo esiqhumayo, esidinga ukunakekelwa kwezokwelapha ngokushesha.

Sifo

Ukuxilongwa kwe-appendicitis ezinganeni kuhlanganisa inhlanganisela yokuhlolwa komtholampilo kanye nokuhlolwa kokuxilonga:

• Umlando Wezokwelapha Nokuhlolwa Komzimba: Udokotela uzobuza mayelana nezimpawu zengane, okuhlanganisa indawo nobude besikhathi sobuhlungu besisu, ukushintsha kwesifiso sokudla, nomlando wezokwelapha. Odokotela bazohlola umzimba, bagxile ebuhlungu besisu kanye nezimpawu zesisa. 
• Ukuhlolwa Kwaselabhorethri: Ukuhlolwa kwegazi nomchamo kuvame ukunqunywa ukuze kuhlolwe ukutheleleka noma ukuvuvukala.
• Ukuhlolwa Kwezithombe: I-Ultrasound iyindlela ethandwayo yokuqala yokuthwebula ezinganeni, njengoba ingazibeki obala emisebeni. Odokotela bangase bacele i-CT scan noma i-MRI uma imiphumela ye-ultrasound ingaqondile. Phakathi nenqubo yokuxilonga, izingane zivame ukucelwa ukuba zigweme ukudla noma ukuphuza uma kwenzeka ukuhlinzwa kudingekile.

Ukwelashwa kwe-Appendicitis Ezinganeni

Ukwelashwa okuyinhloko kwe-appendicitis ezinganeni ukususwa ngokuhlinzwa kwe-appendix noma i-appendectomy. Le nqubo ngokuvamile yenziwa ngokushesha ngangokunokwenzeka ukuze kuvinjelwe izinkinga. Odokotela abahlinzayo bangasebenzisa enye yezindlela ezimbili: i-laparoscopic noma ukuhlinzwa okuvulekile.

Ngesikhathi sokuhlinzwa kwe-laparoscopic, udokotela ohlinzayo wenza izimbotshana ezincane futhi enze inqubo, okuholela esikhathini esifushane sokululama kanye nezinga lokutheleleka eliphansi. Ukuhlinzwa okuvulekile kudinga ukusika okukhulu futhi kuvame ukusetshenziselwa izimo eziyinkimbinkimbi. 

Kwezinye izimo, ikakhulukazi nge-appendicitis yangaphambi kwesikhathi noma ethambile, odokotela bangakhetha ukusebenzisa ukwelashwa okungahlinzeki kwemithi elwa namagciwane yedwa. Le ndlela ivumela izingane ukuba zigweme ukuhlinzwa futhi zibuyele emisebenzini evamile ngokushesha. 

Izinkinga

I-appendicitis ezinganeni ingaholela ezinkingeni ezinzima uma ishiywe ingalashwa. 

Inkinga ebucayi kakhulu i-appendix ephukile, engenzeka phakathi namahora wezimpawu zokuqala. Lesi simo esiphuthumayo sinamandla okuba sibulale. Lapho i-appendix iqhuma, amagciwane asakazeka kuwo wonke umgodi wesisu, okubangela i-peritonitis, ukutheleleka kwebhaktheriya okungathi sína okungathuthuka ngokushesha futhi kube inselele ukuyelapha uma kubambezeleka ukuxilongwa.

Ezinye izinkinga zihlanganisa: 

• Ukugcotshwa
• Ukushaywa kwe-Septic
• Amathumba e-pelvic
• Ukutheleleka kwamanxeba 
• Ukuvinjwa kwamathumbu 

Kwezinye izimo, i-appendicitis engapheli ingakhula, iveze njengobuhlungu besisu obuhlala isikhathi eside noma obuphakathi. Lesi simo singaholela ekuthelelekeni kwangaphakathi kwesisu noma ukuvaleka kwamathumbu uma singatholakali kahle futhi zelashwa.

Uzoyibona Nini Udokotela

I-Appendicitis yisimo esiphuthumayo sezokwelapha esidinga ukunakekelwa ngokushesha. Abazali kufanele bafune usizo lwezokwelapha ngokushesha uma besola ukuthi ingane yabo ine-appendicitis. Uma isheshe yatholakala, kuba lula ukuyelapha. Kubalulekile ukubheka izimpawu ze-appendicitis ezinganeni, ezifana nobuhlungu besisu kuquadrant engezansi kwesokudla okuba kubi ngokuhamba kwesikhathi. Ezinye izimpawu zihlanganisa isicanucanu, imfiva, nokuthamba kwesisu. Ukushisa okuphezulu okufinyelela ku-104°F (40°C) kungase kubonise isithasiselo esiqhumayo, esidinga ukunakekelwa kwezokwelapha okuphuthumayo. 

Isiphetho

I-appendicitis ezinganeni isalokhu iyinkinga enkulu yezempilo enomthelela ezinkulungwaneni zeziguli ezisencane minyaka yonke. Ukuhlonzwa ngokushesha kwezimpawu nokungenelela kwezokwelapha okufika ngesikhathi kungavimbela izinkinga futhi kuqinisekise imiphumela emihle. Abazali nabanakekeli badlala indima ebalulekile ekuhlonzeni izimpawu zokuqala ze-appendicitis, njengobuhlungu besisu, isicanucanu, nomkhuhlane. Bangakwazi ukwenza izinqumo ezinolwazi oluningi mayelana nempilo yengane yabo ngokuhlala benolwazi ngezimbangela, izici eziyingozi, nezindlela zokwelashwa.

FAQ sika

1. Ngazi kanjani uma ingane yami ine appendicitis?

Ubuhlungu be-appendicitis ezinganeni ngokuvamile buqala ngokuphatheka kabi okungacacile eduze kwenkinobho yesisu, okube sekuya ngezansi kwesokudla sesisu. Ubuhlungu ngokuvamile buya ngokuya bukhula ngokuhamba. Ezinye izimpawu zihlanganisa isicanucanu, ukuhlanza, umkhuhlane wezinga eliphansi, kanye ukulahlekelwa ukudla. Abazali kufanele babheke izinguquko zokuziphatha, njengokucasuka noma ukungabi nandaba nokudla, ikakhulukazi ezinganeni ezincane ezingase zibe nzima ukuveza izimpawu zazo ngokuphumelelayo.

2. Ingabe i-appendicitis ingelashwa ngaphandle kokuhlinzwa?

Kwezinye izimo, odokotela bangakwazi ukuphatha i-appendicitis engavamile ezinganeni besebenzisa ama-antibiotics kuphela. Kodwa-ke, kunethuba lokuphinda kwenzeke phakathi neminyaka eyishumi ezayo, ngakho-ke abazali abaningi bakhetha ukususwa ngokuhlinzwa kwe-appendectomy (appendectomy).

3. Kuthatha isikhathi esingakanani ingane ukuthi ilulame ku-appendicitis?

Ngemva kokuhlinzwa kwe-appendectomy, izingane eziningi zingabuyela esikoleni phakathi no-1 kuya kwezingu-2 futhi ziqhubeke nemisebenzi evamile phakathi kwamaviki angu-2 kuya kwangu-3. Kodwa-ke, ukuphakamisa izinsimbi ezingaphezu kwamakhilogremu angu-10 nokubamba iqhaza emidlalweni yokuncintisana kufanele kugwenywe okungenani amasonto amabili ngemva kokuhlinzwa.

4. Ungakanani usayizi ojwayelekile wesithasiselo enganeni?

Ubukhulu obujwayelekile be-appendix ezinganeni buhluka ngokuya ngeminyaka. Ucwaningo lwakamuva luphakamisa ukuthi izithasiselo ezijwayelekile zezingane zingafinyelela kumamilimitha angu-8.7, kuze kufike ku-39% okulinganisa ngaphezu kwamamilimitha angu-6 ububanzi. Ububanzi be-appendix bukhuphuka cishe ngo-0.4 mm ngonyaka kuze kube yiminyaka engu-6-7 ubudala, emva kwalokho buhlala buzinzile.

UDkt. Kumbham Shiva Reddy

I-MBBS, MD (Izifo zezingane)
I-CARE Hospitals Outpatient Centre, Banjara Hills, Hyderabad, CARE Hospitals, Banjara Hills, Hyderabad

Ukuze Ubhukhe Isikhathi, shayela:

+ 91 40-68106529

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