Ukuvimbeka Kwesisu: Izimpawu, Izimbangela, Nokwelashwa

Ukuvimbeka kwesisu kwenzeka lapho kukhona okuvimba amabele akho, ukuvimba ukudla, amanzi, negesi ekuhambeni ngokujwayelekile. Cabanga ngakho njengokuvimba emgwaqweni wesisu lakho - konke kuya kuvimbeka futhi akukwazi ukuhamba lapho kufanele kuye khona.

Lesi simo singase senzeke esiswini sakho esincane noma esikhulu (ikholoni). Nakuba kuzwakala kuyesabekayo, odokotela banezindlela eziphumelelayo zokuxilonga nokuphatha ukuvimbeka kwesisu. Okubalulekile ukuqaphela izimpawu ekuqaleni nokufuna usizo lobuchwepheshe ngokushesha.

Ziyini izimpawu zokuvimba kwesisu?

Isilwane sokuqala esivamile yilutho olukhulu olukhulu oluza futhi luye ngamaza. Ungase futhi uqaphele isisu sakho siqala ukukhula futhi sibuhlungu uma ulithinta.

Nazi izimpawu eziyinhloko okufanele uzilinde, uqale ngezivamile kakhulu:

• Ubuhlungu besisu obukhulu obukhulu obukhulu ngokuhamba kwesikhathi
• Ukukhula nokukhula kwesisu sakho
• Ukuphefumula nokugabha
• Ukungaqondi ukuphuma igesi noma ukuya esikhumulweni
• Ukwehliswa kukho ukudla
• Imizwa enkulu yokuqhuma esiswini sakho

Ezimweni ezinzima kakhulu, ungase uhlushwe yiphunga, izinga lenhliziyo eliphakeme, noma ukuphelelwa amanzi. Abanye abantu futhi baqaphela ukuthi ukugabha kwabo kunuka kabi, ikakhulukazi uma ukuvimbeka bekukhona isikhathi eside.

Izimpawu zingase zivele ngokushesha noma kancane kancane, kuye ngokuthi ukuvimbeka kuphelele kangakanani. Ukuvimbeka okungaphelile kungase kubangele izimpawu ezilula eziya futhi ziye, kuyilapho ukuvimbeka okuphelele kuvame ukubangela ukungakhululeki okukhulu, okuqhubekayo.

Ziyini izinhlobo zokuvimba kwesisu?

Odokotela bahlukanisa ukuvimbeka kwesisu ngokusekelwe lapho kwenzeka khona nokuthi yini okubangela. Ukuqonda lezi zinhlobo kusiza ekuchazeni ukuthi kungani izimpawu nokuphathwa kungase kuhluke.

Izindawo ezimbili eziyinhloko zokuvimba kwesisu esincane nokuvimbeka kwesisu esikhulu. Ukuvimbeka kwesisu esincane kuvame kakhulu futhi kuvame ukubangela izimpawu ezinzima njengokugabha okuvamile. Ukuvimbeka kwesisu esikhulu kuvame ukuvela kancane kancane futhi kubangele ukuboshwa nokuqina.

Ukuvimbeka kungase kube yimishini noma okusebenza. Ukuvimbeka ngemishini kwenzeka lapho kukhona okuvimba isisu ngokomzimba, njengoba kunjalo ngezivivinyo noma ithusi. Ukuvimbeka okusebenza kwenzeka lapho imisipha yesisu iyeka ukusebenza kahle, ngisho noma kungekho ukuvimbeka ngokomzimba.

Yini ebangela ukuvimbeka kwesisu?

Izimo eziningi ezahlukene zingabangela amabele akho ukuthi avimbeke. Imbangela evamile kubantu abadala yizici ezivela ngemva kokuhlinzwa kwesisu.

Ake sibheke izimbangela eziyinhloko, siqale ngezivamile kakhulu:

• Ukuhlanganiswa (izici) evela ekuhlinzweni kwesisu kwangaphambili
• I-hernia ebanjwa ingxenye yesisu
• I-tumors, kokubili ezinomdlavuza nezingenaso umdlavuza
• Isifo sesisu esibuhlungu esibangela ukukhula okukhulu
• Ukuphenduka kwamabele (volvulus)
• Ukuboshwa okukhulu nge-stool ehlanganisiwe

Izimbangela ezingavamile zihlanganisa amatshe e-gallstone avimba isisu, izinto zangaphandle ezingcolile, noma imithi ethile ehambisa ukunyakaza kwesisu. Ezinganeni, isimo esibizwa nge-intussusception singase senzeke lapho ingxenye yesisu ingena kwenye ingxenye.

Ngezinye izikhathi izinto eziningi zisebenza ndawonye ukudala ukuvimbeka. Isibonelo, umuntu ophethe ukuhlinzwa kwangaphambili angase athuthukise izici eziyinkinga ngesikhathi sesifo esibangela ukukhula kwesisu.

Nini kufanele ubone udokotela ngokuvimba kwesisu?

Kufanele ufuna usizo lobuchwepheshe ngokushesha uma unebuhlungu besisu obukhulu kanye nokugabha nokungakwazi ukuphuma igesi noma ukuya esikhumulweni. Lezi zimpawu ndawonye zibonisa ukuthi kungenzeka ukuthi kukhona ukuvimbeka.

Ungalindi ukubona ukuthi izimpawu ziyathuthuka ngokwazo. Ukuvimbeka kwesisu kungase kube nzima ngokushesha, futhi ukwelashwa ekuqaleni kuholela emiphumeleni emihle. Shaya udokotela wakho noma uye endaweni yokwelapha ephuthumayo uma uhlushwa yilolu hlobo lwezimpawu.

Kufanele futhi ufuna ukunakekelwa okusheshayo uma unezimpawu ezilula eziqhubeka amahora ambalwa, ikakhulukazi uma unembali yokuhlinzwa kwesisu, i-hernia, noma isifo sesisu esibuhlungu. Themba izinzwa zakho - uyazi umzimba wakho kangcono.

Ziyini izici ezingozi zokuvimba kwesisu?

Izici ezithile zikwenza kube lula ukuthuthukisa ukuvimbeka kwesisu. Ukuba nokuhlinzwa kwesisu kwangaphambili yiyona nto enkulu engozi ngoba kuvame ukubangela ukwakheka kwezici.

Nazi izici eziyinhloko ezingozi okufanele uzazi:

• Ukuhlinzwa kwesisu noma kwesibalo kwangaphambili
• Umbali we-hernia
• Isifo sesisu esibuhlungu (isi-Crohn noma isifo se-ulcerative colitis)
• Umbali wokwelashwa ngomgogodla wesibalo noma kwesisu
• Umdlavuza othile, ikakhulukazi oluthinta isisu
• Ukuboshwa okuqhubekayo

Ubudala bungase futhi bube nomthelela, nakuba ukuvimbeka kungase kwenzeke nganoma yisiphi isikhathi sokuphila. Abantu abadala bangase babe sengozini encane ngenxa yezimo zempilo eziqoqekile nezinqubo zezokwelapha ezidlule.

Ukuba nezici ezingozi akusho ukuthi uzokuthuthukisa ukuvimbeka. Abantu abaningi abanezi zimo abazange babe nezinkinga. Noma kunjalo, ukuqaphela ingozi yakho kungakusiza ukuthi uqaphele izimpawu ekuqaleni uma zivele.

Ziyini izinhlanganisela ezingase zenzeke ngokuvimba kwesisu?

Uma kushiywa kungaphathwa, ukuvimbeka kwesisu kungase kube nezinkinga ezinzima. Isisu esivimbekile singase silimale ngenxa yokucindezela okukhulu nokungaqondi kwegazi.

Ukuqonda lezi zinkinga ezingase zenzeke kusiza ekuchazeni ukuthi kungani ukwelashwa okusheshayo kubalulekile kangaka:

• Ukuphelelwa amanzi nokungaqondi kwe-electrolyte evela ekugebeni
• Ukuqhekeka (ukuqhekeka) odongeni lwesisu
• Ukutheleleka esiswini
• Ukufa kwesisu ngenxa yokungabi khona kwegazi
• I-pneumonia yokugabha evela ekugebeni

Ezimweni ezingavamile, ukuvimbeka okuphelele kungabangela isisu ukuthi liqhekeke, likhiphe okuqukethwe kwalo esiswini. Lokhu kudala ukutheleleka okubulalayo okubizwa nge-peritonitis okudinga ukuhlinzwa okusheshayo.

Izindaba ezinhle ukuthi ngokunakekelwa kwezokwelapha okusheshayo, abantu abaningi bayaphila ngokuphelele ngaphandle kokuba nalezi zinkinga. Ukwelashwa kwezokwelapha kwamanje kuphumelela kakhulu ekuqondiseni ukuvimbeka ngokuphepha.

Ukuvimbeka kwesisu kuphikiswa kanjani?

Udokotela wakho uzoqala ngokubuza ngezimpawu zakho nembali yakho yezokwelapha, bese enza ukuhlolwa komzimba. Uzolalela isisu sakho nge-stethoscope futhi acindezele ngobumnene ezindaweni ezahlukene ukuhlola ubuhlungu nokukhula.

Izivivinyo zegazi zisiza ekuhlolweni kwezimpawu zokutheleleka, ukuphelelwa amanzi, nezinye izinkinga. Lezi zivivinyo zingabonisa ukuthi ikhemikhali yomzimba wakho ayilingani ngenxa yokugabha noma ukungondliwe okungafanele.

Izivivinyo zokuthola izithombe zinikeza isithombe esicacile salokho okwenzekayo ngaphakathi kwamabele akho. I-CT scans ivame ukusetshenziswa ngoba ingabonisa indawo nembangela yokuvimbeka. I-X-rays ingase futhi ithathwe ukubuka ama-gas patterns abonisa ukuvimbeka.

Ngezinye izikhathi odokotela basebenzisa izifundo zokuphikisana, lapho uphuza khona ulwimi oluhlukile oluvela kwi-X-rays. Lokhu kubasiza ukubona ukuthi izinto zihamba kanjani ngesisu sakho futhi zibonise lapho ukuvimbeka kwenzeka khona.

Ukuphathwa kokuvimba kwesisu kuyini?

Ukuphathwa kuncike ekuthambeni nasembangelweni yokuvimbeka kwakho. Ukuvimbeka okuningi okungaphelile kungaphathwa ngaphandle kokuhlinzwa, kuyilapho ukuvimbeka okuphelele kuvame ukudinga ukungenelela ngokushesha kwezokwelapha.

Ngokuvimbeka okungaphelile, udokotela wakho angase akukhuthaze ukuphumula kwesisu, okusho ukuthi uqede ukudla nokuphila emlonyeni. Uzothola amanzi nokudla nge-IV ngenkathi amabele akho ethola ithuba lokuphulukisa. I-nasogastric tube ingase ifakwe ngaphansi kwesilebe lakho ukususa igesi elingaphezulu namanzi esiswini sakho.

Ukuvimbeka okuphelele kuvame ukudinga ukuhlinzwa ukususa ukuvimbeka. Inqubo ethile incike kulokho okubangela inkinga. Odokotela bangase basuse izici, bahlanganise i-hernia, noma basuse izingxenye zesisu ezilimele.

Ukuphathwa kobuhlungu kuyiyingxenye ebalulekile yokwelashwa. Iqembu lakho lezokwelapha lizozama ukukugcina ukhululekile ngenkathi liqondisa inkinga ephambili. Bazokugcina futhi belandela izimpawu zezinkinga.

Ungaphatha kanjani ukuvimbeka kwesisu ekhaya?

Ukuvimbeka kwesisu kudinga ukwelashwa kwezokwelapha futhi akukwazi ukuphathwa ngokuphepha ekhaya. Uma ucindezela ukuthi unekuvimbeka, kufanele ufuna ukunakekelwa kwezokwelapha ngokushesha kunokuzame ukwelashwa ekhaya.

Kodwa-ke, uma usuphumule esibhedlela, udokotela wakho angase akunikeze imiyalo ethile yokubuyela esimweni esijwayelekile. Lokhu kuvame ukufaka ukubuyela kancane kancane ekudleni okujwayelekile, uqale ngamanzi acacile bese uqhubekela ekudleni okuthambile njengoba kukhuthazwa.

Ngemva kokwelashwa, ungasiza ukuvimbela ukuvimbeka kwesisu kwesikhathi esizayo ngokuhlala unamanzi, ukudla ukudla okulinganiselayo okune-fiber, nokuhlala usebenza ngokomzimba njengoba kunconywe udokotela wakho. Uma unezimo ezingapheli ezikhuphula ingozi yakho, sebenza neqembu lakho lezokwelapha ukuze liqondwe kahle.

Kufanele uzilungiselele kanjani i-aphoyintimenti yakho yodokotela?

Uma uhlushwa izimpawu ezingase zibonise ukuvimbeka kwesisu, lungiselela ukunikeza ulwazi oluqondile mayelana nokuthi izimpawu zaqala nini nokuthi ziye zaqhubeka kanjani. Bhala phansi ngokuqondile lokho okuye kwakwenzeka futhi nini.

Letha uhlu lwemithi yonke oyithathayo, kufaka phakathi imithi yokuthengwa ngaphandle kwesikripthi kanye nezinye izinto. Lungiselela futhi ulwazi mayelana nembali yakho yezokwelapha, ikakhulukazi noma yikuphi ukuhlinzwa kwesisu kwangaphambili, i-hernia, noma izinkinga zesisu.

Cabanga ukuletha ilungu lomndeni noma umngani ongakusiza ukukhumbula ulwazi nokukunikeza ukwesekwa. Isimo esiphuthumayo singase sibe nzima, futhi ukuba nomuntu nawe kungase kube okududuzayo nokusiza.

Uma kungenzeka, gwema ukudla noma ukuphila ngaphambi kwe-aphoyintimenti yakho, njengoba ungase udinga izivivinyo zokuthola izithombe noma izinqubo. Noma kunjalo, uma uphuma amanzi kakhulu noma sekudlule amahora amaningi kusukela ekudleni kwakho okugcina, khuluma neqembu lakho lezokwelapha.

Iyini into ebalulekile mayelana nokuvimbeka kwesisu?

Ukuvimbeka kwesisu kuyisimo esinzima esidinga ukunakekelwa kwezokwelapha okusheshayo, kodwa ngokwelashwa okufanele, abantu abaningi bayaphila ngokuphelele. Okubalulekile ukuqaphela izimpawu ekuqaleni nokufuna usizo ngaphandle kokulibala.

Khumbula ukuthi ubuhlungu besisu obukhulu obuhlangene nokugabha nokungakwazi ukuphuma igesi noma ukuya esikhumulweni kufanele kukhuthaze ukuhlolwa kwezokwelapha okusheshayo. Ungazami ukulinda noma ukuziphatha - lezi zimpawu zidinga ukuhlolwa kobuchwepheshe.

Uma unezici ezingozi njengokuhlinzwa kwesisu kwangaphambili noma isifo sesisu esibuhlungu, qaphela izimpawu ezingase zenzeke futhi ugcine uxhumano oluhle neqembu lakho lezokwelapha. Ukunakekelwa okujwayelekile kwezokwelapha kungasiza ekutholeni nasekulungiseni izinkinga ngaphambi kokuba zibe nzima.

Imibuzo evame ukubuzwa mayelana nokuvimbeka kwesisu

Ingabe ukuvimbeka kwesisu kungazilungisa ngokwalo?

Ukuvimbeka okungaphelile ngezinye izikhathi kuya kulungisa ngokwelashwa kwezokwelapha okungafaki ukuhlinzwa, njengokuphumula kwesisu namanzi e-IV. Noma kunjalo, ukuvimbeka okuphelele kuvame ukudinga ukungenelela kwezokwelapha futhi ngeke kuzilungise ngokwalo. Ngisho nokuvimbeka okungaphelile kudinga ukunakekelwa kwezokwelapha ngoba kungase kube nzima ngokushesha.

Kuthatha isikhathi esingakanani ukubuyela esimweni esijwayelekile ngemva kokwelashwa?

Isikhathi sokubuyela esimweni esijwayelekile sihluka kuye ngembangela nendlela yokwelashwa. Uma kuphathwa ngaphandle kokuhlinzwa, ungase uzizwe ukhululekile ezinsukwini ezimbalwa. Ngemva kokwelashwa ngokuhlinzwa, ukubuyela esimweni esijwayelekile kuvame ukuthatha amasonto angu-1-2, nakuba kungase kube isikhathi eside uma kwenzeke izinkinga. Udokotela wakho uzokunikeza izilinganiso ezithile ngokusekelwe esimweni sakho.

Ingabe ngizodinga ukushintsha ukudla kwami ngokuhlala njalo ngemva kokuvimba kwesisu?

Abantu abaningi bangabuyela ekudleni kwabo okujwayelekile ngemva kokubuyela esimweni esijwayelekile. Noma kunjalo, udokotela wakho angase akukhuthaze ukwenza utshintsho oluthile, ikakhulukazi uma ukudla okuthile kuye kwaba nomthelela ekuvimbekeni kwakho. Uma unezimo ezingapheli njengesi-inflammatory bowel disease, ungase udinga ukuphathwa kokudla okuqhubekayo.

Ingabe ukuvimbeka kwesisu kungase kwenzeke futhi?

Ukubuyela kungenzeka, ikakhulukazi uma unezici ezingozi njengezici ezivela ekuhlinzweni noma izimo ze-inflammatory ezingapheli. Noma kunjalo, abantu abaningi abazange babe nokuvimbeka okunye. Ukulandela izincomo zedokotela wakho mayelana nokudla, umsebenzi, nokuphathwa kwezimo ezingapheli kungasiza ekuthuthukiseni ingozi yakho.

Ingabe ukuvimbeka kwesisu kufana nokuboshwa?

Cha, lezi yizimo ezahlukene. Ukuboshwa kuhilela ubunzima bokuphuma i-stool kodwa akukuvimbi ngokuphelele amabele. Ukuvimbeka kwesisu kuyisimo esinzima lapho isisu sivimbekile ngokuphelele noma ngokuphelele, ukuvimbela ukudlula kokudla, amanzi, negesi. Noma kunjalo, ukuboshwa okukhulu ngezinye izikhathi kungase kube nomthelela noma kufane nokuvimbeka.