Ukuvuvukala Kolunzwane: Izimpawu, Izimbangela, Nokwelashwa

Ukuvuvukala kolunzwane kuyinkinga yokuvuvukala kolunzwane, oluyisitho esincane esifana nepayipi oluxhunyiwe ekuqaleni komthambo omkhulu. Leli xesha liholela ebuhlungwini obukhulu besisu futhi kudingeka ukunakekelwa ngokushesha kwezokwelapha ngoba i-appendix ingase iqubuke uma ingalashwa.

Nakuba ukuvuvukala kolunzwane kungase kuzwakale kuyesabekayo, empeleni ingenye yezimo eziphuthumayo zokutholwa kwemisebenzi yokuhlinzwa abagqwetha abayiphatha nsuku zonke. Ngokwelashwa okusheshayo, abantu abaningi bayaphila ngokuphelele futhi baqhubeka bephila impilo evamile, enempilo.

Ukuvuvukala Kolunzwane Kuyini?

Ukuvuvukala kolunzwane kwenzeka lapho i-appendix yakho ivuvukala futhi ibe nzima. I-appendix yakho iyisikhwama esincane, esifana nomunwe esikhona ngakwesokudla phansi kwesisu sakho, lapho amabele amancane namakhulu ahlangana khona.

Uma i-appendix ivinjelwe, amabhaktheriya angakhula ngaphakathi kwayo, abangele ukutheleleka nokuvuvukala. Lokhu kudala uxinzelelo oluqeda ukugcwala kwegazi odongeni lwe-appendix, okuholela ekufeni kwezicubu uma kungelashwa ngokushesha.

Leli xesha lilimaza abantu bazo zonke izigaba, kodwa livame kakhulu phakathi kweminyaka engu-10 no-30. Cishe umuntu omunye kwabangu-20 uzothola ukuvuvukala kolunzwane phakathi nokuphila kwakhe, okwenza kube yingozi yempilo evamile.

Ziyini Izimpawu Zokuvuvukala Kolunzwane?

Isici esibaluleke kakhulu sokuvuvukala kolunzwane yibuhlungu lesisu eliqala eduze nombhobho wakho wesisu bese liya ngakwesokudla phansi kwesisu sakho. Leli buhlungu livame ukuba libi kakhulu ngamahora ambalwa futhi libe nzima uma uthuthuka, ukhokha, noma uthatha umoya ojulile.

Nazi izimpawu eziyinhloko ongazihlangabezana nazo:

• Ubuhlungu obukhulu oqala eduze nombhobho wesisu bese buya ngakwesokudla phansi kwesisu
• Ubuhlungu obukhulu ngokunyakaza, ukukhokha, noma ukuthimula
• Ukuphefumula nokugabha
• Ukwehluleka kokudla
• Ukuvuvukala okuncane okungase kukhule njengoba isimo siqhubeka
• I-constipation noma isifo sohudo
• Ukuvuvukala kwesisu noma ukuvuvukala
• Ukungenakukwazi ukukhishwa kwegesi

Ngezinye izikhathi ukuvuvukala kolunzwane kungase kubonakale ngezimpawu ezingavamile, ikakhulukazi kubantwana, abadala, nabesifazane abakhulelwe. Lezi zimo ezingavamile zingase zibonise ubuhlungu ezindaweni ezahlukene noma izimpawu ezilula, okwenza ukuxilongwa kube nzima kakhulu.

Iphethini yobuhlungu ngokuvamile iyisibonakaliso esithembekile kunazo zonke. Livame ukuqala njengokuhlungu okuthambile eduze nombhobho wesisu, bese liba likhulu futhi libe sehlukaniswe ngakwesokudla phansi ngamahora angu-12 kuya kwangu-24.

Yini Ebangele Ukuvuvukala Kolunzwane?

Ukuvuvukala kolunzwane kwenzeka lapho okuthile kuvimbela ngaphakathi kwe-appendix yakho, kudala indawo efanelekile yamabhaktheriya ukukhula nokubangela ukutheleleka. Ukuvinjwa kubopha amabhaktheriya ngaphakathi, okuholela ekuvuvukaleni, ekuvuvukaleni, futhi ekugcineni ekubhujisweni kwezicubu.

Izinto eziningi zingabangela leli banga:

• Ukuqina komthamo noma izinto eziyisisu ezibambekele ekusunguleni kwe-appendix
• I-lymph tissue enkulu odongeni lwe-appendix, ngokuvamile ngenxa yokutheleleka kwama-viral noma amabhaktheriya
• Izinambuzane zezisu noma izinambuzane (zivame kakhulu ezindaweni ezithile)
• Imbewu encane, amantongomane, noma ezinye izingcezu zokudla (nakuba lokhu kungavamile kunokuba kwakukholelwa)
• Iziphumu noma ukukhula, nakuba lokhu kungavamile
• Ukulimala noma ukulimala esiswini

Ezimeni eziningi, odokotela abakwazi ukukhomba imbangela eqondile yokuvinjwa. Okubaluleke kakhulu ukuqaphela izimpawu ngokushesha futhi uthole ukwelashwa ngaphambi kokuba kube nezingxaki.

Abanye abantu bazalwa be-appendices enezikhala ezincinyane, okwenza ukuvinjwa kube lula. Noma kunjalo, izimo eziningi zokuvuvukala kolunzwane zenzeka ngaphandle kwanoma yiziphi izici ezibalulekile.

Nini Okufanele Ubone Udokotela Ngemuva Kokuqala Kokuhlupheka Kolunzwane?

Kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha uma uhlangabezana nobuhlungu obukhulu besisu, ikakhulukazi uma luqala eduze nombhobho wakho wesisu bese luya ngakwesokudla phansi kwesisu sakho. Ungalindi ukubona uma ubuhlungu buphulukana ngokwalo.

Shaya i-emergency services noma uye e-emergency room ngokushesha uma una:

• Ubuhlungu obukhulu besisu obukuvimbela ekuhlaleni ukhulu noma ukufumana indawo ephumule
• Ubuhlungu obukhulu ngokushesha
• Ukuvuvukala kanye nobuhlungu besisu
• Ukugabha okukuvimbela ekuhlaleni amanzi
• Izimpawu zokulahlekelwa amanzi njengokukhathazeka noma umlomo owomile
• Ubuhlungu besisu ngesisu esiqinile, esifana nebhodi

Isikhathi sibalulekile ngokuvuvukala kolunzwane. I-appendix ephukile ingabangela izinkinga ezinzima, ngakho-ke kuhlale kungcono ukuba ubuhlungu besisu buhlolwe ngumuntu wezokwelapha kunokulinda futhi ube nezingozi.

Uma ungaqiniseki ukuthi izimpawu zakho zidinga ukunakekelwa okusheshayo, ungangabazi ukubiza udokotela wakho noma i-hotline yezokunakekelwa kwezempilo ukuze uthole isiqondiso. Bangakusiza unqume ukuthi udinga ukunakekelwa okusheshayo.

Ziyini Izingozi Zokuvuvukala Kolunzwane?

Nakuba ukuvuvukala kolunzwane kungase kwenzeke kunoma ubani, izici ezithile zingase zikhulise amathuba akho okukhula kwalesi simo. Ukuqonda lezi zici zengozi kungakusiza uhlale uqaphile, nakuba izimo eziningi zisazenzeka ngaphandle kwesaziso esicacile.

Izingozi eziyinhloko zihlanganisa:

• Iminyaka phakathi kweminyaka engu-10 no-30 (ukwanda okukhulu kwenzeka eminyakeni yobusha)
• Umlando womndeni wokuvuvukala kolunzwane
• Ukutheleleka kwesisu kwangaphambili noma izimo zokuvuvukala komthambo
• Ubulili bobulili (ingozi encane kunabesifazane)
• I-cystic fibrosis, engabangela i-mucus ehlala ihlala ivinya i-appendix
• Ukutheleleka kwamuva kwama-viral noma amabhaktheriya endleleni yokugaya ukudla

Ezinye izingozi ezingavamile zihlanganisa izimo ezithile zezofuzo nezifo zesimiso somzimba. Abantu abanesimiso somzimba esibuthakathaka bangase babe sengozini enkulu ngoba imizimba yabo inenkinga yokulwa nokutheleleka.

Kubalulekile ukukhumbula ukuthi ukuba nezici zengozi akusho ukuthi uzokuthola ukuvuvukala kolunzwane. Abantu abaningi abanezici eziningi zengozi abazange bahlangabezane nalesi simo, kanti abanye abangenazo izici ezibonakalayo bayakwenza.

Ziyini Izingozi Ezingase Zenzeke Ngemuva Kokuqala Kokuhlupheka Kolunzwane?

Uma ukuvuvukala kolunzwane kubanjwe ngokushesha futhi kulashwe ngokushesha, izingozi zingaqala futhi abantu abaningi bayaphila ngokuphelele. Noma kunjalo, ukwelashwa okulile kungabangela izinkinga ezinzima ezidinga ukusebenzisana okubanzi kwezokwelapha.

Izingozi ezivamile zihlanganisa:

• I-appendix ephukile, engase isakaze ukutheleleka kulo lonke isikhwama sesisu
• I-Peritonitis (ukutheleleka komgca wesisu), isimo esiyingozi impilo
• Ukwenziwa kwe-abscess, lapho ama-pocket okutholakala okutholakala esiswini
• Ukuvinjwa komthambo ngenxa yokwakheka kwezicubu
• I-sepsis, ukutheleleka okukhulu komzimba lonke okungabulala
• Ubuhlungu besisu obuhlala njalo ezimweni ezingavamile

I-appendix ephukile yingozi enkulu kakhulu. Uma lokhu kwenzeka, izinto ezitholakala ziyakhishwa esiswini sakho, okungenzeka kube ukutheleleka okubanzi okudingayo ukuhlinzwa okusheshayo nokuphathwa kwama-antibiotic okuqina.

Izindaba ezinhle ukuthi lezi zingozi zivimbeka kakhulu ngokunakekelwa kwezokwelapha okusheshayo. Kungakho ukuqaphela izimpawu ngokushesha nokufuna ukwelashwa okusheshayo kubaluleke kangaka.

Ukuvuvukala Kolunzwane Kuhlolwa Kanjani?

Ukuhlolwa kokuvuvukala kolunzwane kuqala ngodokotela wakho ebuza ngezimpawu zakho futhi ahlole isisu sakho. Bazocindezela kancane ezindaweni ezahlukene ukuhlola ukuthambile, ukuvuvukala, nokuvikela imisipha.

Udokotela wakho uzokwenza ukuhlolwa okuthile ukuqinisekisa ukuxilongwa:

• Ukuhlolwa kwegazi ukuhlola izimpawu zokutheleleka nokuvuvukala
• Ukuhlolwa komchamo ukuvimbela amatshe ezinso noma ukutheleleka kwezinso
• I-CT scan yesisu, enikeza izithombe ezinemininingwane ye-appendix
• I-ultrasound, ikakhulukazi isebenziseka kubantwana nabesifazane abakhulelwe
• I-MRI ezimweni ezikhethekile lapho i-CT scans ingafaneleki

Ngezinye izikhathi odokotela basebenzisa uhlelo lokuthola amaphuzu olucabanga ngezimpawu zakho, imiphumela yokuhlolwa komzimba, nemiphumela yokuhlolwa ukuze baqonde amathuba okuvuvukala kolunzwane. Lokhu kubasiza benze izinqumo ezinhle zokwelashwa zesimo sakho esithile.

Ezimweni ezithile, ukuxilongwa akucace kakhulu, futhi udokotela wakho angase akukhuthaze ukubuka esibhedlela ngenkathi uqapha izimpawu zakho. Le ndlela ikusiza uqinisekise ukuthi uthola ukwelashwa okulungile ngesikhathi esifanele.

Ukwelashwa Kokuqala Kokuhlupheka Kolunzwane Kuyini?

Ukwelashwa okuyinhloko kokuvuvukala kolunzwane ukususa i-appendix ngokuhlinzwa, okuthiwa yi-appendectomy. Lokhu ngokuvamile kwenziwa ngokushesha nje ngemuva kokuxilongwa ukuvimbela i-appendix ekuqhekekeni.

Kunezindlela ezimbili eziyinhloko zokuhlinzwa:

• I-Laparoscopic appendectomy: Ukuhlinzwa okuncane okuhlanganisa izikhala ezincane nekhamera
• I-Open appendectomy: Ukuhlinzwa okuvamile ngokusika okukhulu ngakwesokudla phansi kwesisu
• Ama-antibiotic ngaphambi nangemva kokuhlinzwa ukuvimbela ukutheleleka
• Amanzi e-IV ukuvimbela ukuphelelwa amanzi
• Imithi yokuhlunguza ukuze uhlale ukhululekile

Ukuhlinzwa kwe-laparoscopic kuvame ukukhethwa ngoba ngokuvamile kuholela ebuhlungwini obuncane, izikhafu ezincane, nokubuyiselwa okusheshayo. Noma kunjalo, udokotela wakho uzokhetha indlela engcono kakhulu ngesimo sakho esithile.

Ezimweni ezithile, ikakhulukazi lapho i-abscess isenziwe, udokotela wakho angase akhuthaze ukwelashwa kwama-antibiotic kuqala ukuze unciphise ukuvuvukala ngaphambi kokuhlinzwa. Le ndlela idinga ukuqapha ngokucophelela esibhedlela.

Ucwaningo lwakamuva luye lwacwaninga ukwelashwa kwezimo ezithile zokuvuvukala kolunzwane ngama-antibiotic kuphela, kodwa ukuhlinzwa kusala ukwelashwa okuyisisekelo kwabantu abaningi.

Ungazinakekela Kanjani Ngesikhathi Sokubuyiselwa?

Ukubuyiselwa ngemuva kwe-appendectomy ngokuvamile kulula, ngabantu abaningi ababuyela emisebenzini evamile ngaphakathi kwamasonto ambalwa. Ukulandela imiyalo yodokotela wakho ngokucophelela kuzosiza uqinisekise inqubo yokwelapha elula.

Nanku ongalindela ngesikhathi sokubuyiselwa:

• Phumula izinsuku ezimbalwa zokuqala ngemuva kokuhlinzwa
• Thatha imithi ehlungelwe njengoba iyalwe
• Qala ngemisebenzi elula bese ukhula njengoba uzizwa ukhulu
• Gcina izindawo zakho zokusika zicocekile futhi zomile
• Gwema ukuphakamisa okukhulu (ngaphezulu kwamapounds angu-10) amasonto angu-2-4
• Landela udokotela wakho njengoba kuhlelwe

Abantu abaningi bangabuyela emsebenzini noma esikoleni ngaphakathi nesonto uma benomsebenzi wedeski, nakuba umsebenzi womzimba ungase udinga isikhathi eside sokubuyiselwa. Lalela umzimba wakho futhi ungaphuthumi ukubuyela emisebenzini enzima ngokushesha kakhulu.

Qaphela izimpawu zezingozi njengokuhlungu okukhulu, ukuvuvukala, ubomvu ezindaweni zokusika, noma ubunzima bokuthimba. Xhumana nodokotela wakho ngokushesha uma uhlangabezana nanoma yiziphi izimpawu ezinkulu ngesikhathi sokubuyiselwa.

Kufanele Uzilungiselele Kanjani Ukuya Kulo Dokotela?

Uma ucabanga ukuthi ungase ube nokuvuvukala kolunzwane, ukulungiselela ukuvakashela kwakho kwezokwelapha kungasiza uqinisekise ukuthi uthola ukunakekelwa okuhle kakhulu okungenzeka. Noma kunjalo, uma uhlangabezana nobuhlungu obukhulu, ungalihli ukufuna ukunakekelwa okusheshayo ukulungiselela.

Nanku ukuthi ungazilungiselela kanjani i-appointment yakho:

• Bhala phansi ukuthi izimpawu zakho zaqala nini nokuthi ziye zaqhubeka kanjani
• Bala yonke imithi oyithatha njengamanje
• Qaphela noma yiziphi izifo noma ukutheleleka kwamuva
• Letha uhlu lwemibuzo ofuna ukuyibuza
• Yiba nomuntu ohambisana nawe uma kungenzeka
• Letha ulwazi lwakho lokuqinisekisa ne-ID

Zama ukukhumbula imininingwane ethile mayelana nobuhlungu bakho, njengokuthi yaqala nini, kuphi lapho ihlungu kakhulu, nokuthi yini eyenza ibe ngcono noma ibe mbi. Lolu lwazi lusiza odokotela benze ukuxilongwa okulungile.

Ungadli noma uphuze lutho ngaphambi kwe-appointment yakho, njengoba ungase udinga ukuhlinzwa ngokushesha. Uma uthatha imithi evamile, buza abasebenzi bezokwelapha uma kufanele uqhubeke uyithatha.

Ukuvuvukala Kolunzwane Kungavimbeka Yini?

Ngeshwa, ayikho indlela eyiqiniso yokuvimbela ukuvuvukala kolunzwane ngoba imbangela eqondile ngokuvamile ayaziwa. Noma kunjalo, ukugcina impilo enhle yonke ingasiza ukunciphisa ingozi yakho yokukhula kokutheleleka okungase kuholele ekuvuvukaleni kolunzwane.

Ezinye izindlela zempilo ezijwayelekile ezingasiza zihlanganisa:

• Ukudla ukudla okunamafutha amaningi ukuze kukhuthazwe ukugaya ukudla okunempilo
• Ukugcina umzimba ugcwele amanzi
• Ukuzivocavoca njalo
• Ukwenza ukuhlanzeka okuhle ukuvimbela ukutheleleka
• Ukulawula amazinga engcindezi

Nakuba lezi zindlela zisekela impilo yonke, azikwazi ukuqinisekisa ukuthi ngeke uthole ukuvuvukala kolunzwane. Okubaluleke kakhulu ukuqaphela izimpawu nokuthola ukunakekelwa kwezokwelapha okusheshayo uma kwenzeka.

Ezinye izifundo ziye zasikisela ukuthi abantu abadla amafutha amaningi banesilinganiso esincane sokuvuvukala kolunzwane, kodwa lobu buhlobo abubonakali ngokucacile. Gxila ekuhlaleni impilo enempilo ngenxa yempilo yakho yonke kunokuzimisela ngokukhethekile ukuvimbela ukuvuvukala kolunzwane.

Iyini Iphuzu Eliyinhloko Mayelana Nokuqala Kokuhlupheka Kolunzwane?

Ukuvuvukala kolunzwane kuyingozi yempilo evamile edinga ukwelashwa okusheshayo, kodwa futhi kuyaphatheka kakhulu uma kubanjwa ngokushesha. Okubalulekile ukuqaphela izimpawu zezexwayiso nokungahoxi ukunakekelwa kwezokwelapha uma ubuhlungu obukhulu besisu buvela.

Khumbula ukuthi ubuhlungu besisu oqala eduze nombhobho wesisu bese buya ngakwesokudla phansi kwesisu yisibonakaliso esivamile. Uma kuhlanganiswa nokuphefumula, ukuvuvukala, noma ukugabha, lezi zimpawu zidinga ukunakekelwa kwezokwelapha okusheshayo.

Ngezobuchwepheshe bokuhlinzwa banamuhla nokukhathalelwa kwezokwelapha okufanele, iningi labantu abano-appendicitis bayaphila ngokuphelele futhi babuyele empilweni yabo evamile. Ungavumeli ukwesaba kukuvimbele ekuthola usizo uma uhlangabezana nezimpawu ezinkulu.

Themba izinzwa zakho mayelana nomzimba wakho. Uma kukhona okuzwakala kungalungile kakhulu, kuhlale kungcono ukuba kuhlolwe ngumuntu wezokwelapha kunokulinda futhi ube nezingozi.

Imibuzo Evamile Ebuzwa Mayelana Nokuqala Kokuhlupheka Kolunzwane

Ungaphila impilo evamile ngaphandle kwe-appendix?

Yebo, ungaphila impilo evamile ngokuphelele ngaphandle kwe-appendix yakho. Nakuba ososayensi bekholelwa ukuthi i-appendix ingase ibe nendima encane ekusebenzeni kwe-immune, ukususa ayikubangeli noma yiziphi izinkinga zempilo zesikhathi eside. Izigidi zabantu baye basusa i-appendix yabo futhi baqhubeka bephila impilo enempilo, esebenzayo ngaphandle kwanoma yiziphi izikhawu zokudla noma ukushintsha kwesitayela sempilo.

Ubuhlungu bokuvuvukala kolunzwane buhlala isikhathi esingakanani ngaphambi kokuba i-appendix iqubuke?

Izimpawu zokuvuvukala kolunzwane ngokuvamile zithuthuka ngamahora angu-12 kuya kwangu-24, nakuba lokhu kungase kuhluke. I-appendix ingase iqubuke noma kuphi kusuka kumahora angu-48 kuya kwangu-72 ngemuva kokuba izimpawu ziqale, kodwa leli xesha alibikiwe. I-appendix yabanye abantu ingase iqubuke ngokushesha, kanti abanye bangase babe nezimpawu izinsuku ezimbalwa ngaphambi kokuba iqubuke. Kungakho ukunakekelwa kwezokwelapha okusheshayo kubalulekile kungakhathaliseki ukuthi ube nezimpawu isikhathi esingakanani.

Ukuvuvukala kolunzwane kungase kuye futhi kuye, noma kuhlale kuba mbi?

Ukuvuvukala kolunzwane okuyiqiniso ngokuvamile akuyi futhi akuyi - ubuhlungu ngokuvamile buya bube mbi ngokuhamba kwesikhathi. Uma ubuhlungu besisu bakho bukhanya kakhulu bese buyabuya, kungase kube yisimo esihlukile. Noma kunjalo, abanye abantu bahlangabezana nalokho okuthiwa yi-“grumbling appendix” ngezimpawu ezilula, ezingapheli ezingase zihlale amasonto noma izinyanga ngaphambi kokuba ukuvuvukala kolunzwane okuqina kuvele.

Ukuvuvukala kolunzwane kuyingozi kakhulu kubantwana noma kubantu abadala?

Ukuvuvukala kolunzwane kungase kube nzima ukuxilongwa kubantwana abancane kakhulu nabantu abadala ngoba abangase bangabonisi izimpawu ezivamile. Abantwana abancane bangase bangakwazi ukucacisa ubuhlungu babo ngokucacile, kanti abadala bangase babe nezimpawu ezilula. Noma kunjalo, ngokunakekelwa kwezokwelapha okufanele, imiphumela ngokuvamile ilungile kuzo zonke izigaba, nakuba izingozi zingase zibe nzima kakhulu kubantwana abancane kakhulu noma abadala.

Ungase udide ukuvuvukala kolunzwane ngokuthile okuhlukile?

Yebo, ukuvuvukala kolunzwane ngezinye izikhathi kungase kudidwe nezinye izimo njengamathe ezinso, ukutheleleka kwezinso, ama-ovarian cysts, noma isifo sokuvuvukala komthambo. Kungakho odokotela benza ukuhlolwa okuningi nokuhlolwa ukuqinisekisa ukuxilongwa. Uma uhlangabezana nobuhlungu obukhulu besisu, vumela ochwepheshe bezokwelapha banqume imbangela kunokuzizama ukuxilongwa.