Kubhekwa njengesiqhelo se-appendicitis - ilungu elingenalusizo, elidlulayo kuthi ngelifa kwizasekudala. Kodwa kwiminyaka yakutshanje, isimo sengqondo samagqirha ekungabikho komsebenzi wokusetyenziswa kwesantya saqala ukutshintsha. Amagqirha aseMerika afumanisa ukuba inkqubo engaboniyo ayinayo indima encinci kumsebenzi wesistim somzimba womntu, yenza iibhaktheriya ezifaka isandla ekusebenzeni ngokuqhelekileyo kwamathumbu.
I-appendicitis kunye nembonakalo yayo iqala ukuphazamisa umntu ngezizathu ezininzi. Ukuvuvukala kubangelwa ngokuvala i-lumen yesithasiselo kunye neendwangu zamanzi; ekuvalweni komgodi kunokukhokelela ekugqithisweni kwesihlomelo, ukuxubusha kweempahla, ezinika ukutya okunomsoco, i-dysbiosis, i-trauma kwisisu.
I-appendicitis ingaba nzima kwaye ingapheliyo. Ngokugqithisa okukhulu, ubuhlungu obuqhubekayo obuqalayo buqala kwingxenyeni ephezulu yesisu, esekelwe kwindawo esezantsi kwesisu, kodwa ingagxininiswa kwingingqi yomnatha, kwaye inikwe ngasemva. Intlungu ibuhlungu ngakumbi xa uthe walala ngakwesokunxele sakho. Kukhona isicupunu, ukuhlanza, umlomo owomileyo, ngokukhawuleza kuphakama ubushushu bomzimba. Ukubonakalisa ukuvuvukala kubandakanya ukuhanjiswa (kubantwana) kunye nokugcinwa kwesitore (kubantu abadala).
Kwangexesha elide, oogqirha bafumanisa ukuba ukuvuvukala kwenkqubo eyimfama, ngokubonakala ngokubonakalayo kwentlungu. Ukuba ucinezela kwicala elingezantsi lesisu kwaye ukhululeke ngokukhawuleza, intlungu iya kuqinisa. Ukusebenzisa le ndlela, kulula ukubeka ukuxilongwa okungafanelekanga. Nangona kunjalo kukholelwa ukuba ngokususa i-appendicitis enempilo, ingozi kwimpilo iya kuba ngaphantsi kokuba isiguli singasuswanga.
Kodwa kwakukho neendlela ezininzi ezinokuthenjwa. Uphando lwe-radiography, oludla ngokuphindaphindiweyo kubantwana, ukwenzela ukuchonga ukugqitywa kwe-appendix engxenyeni yamatye. Ukubonakala kwenkqubo yokuqina okanye yokuguqula, kunye nenkqubo yokuvuvukala, ifunyanwa ngokusebenzisa i-ultrasound. Umfanekiso wenkqubo evuyiweyo, kunye neenguqu kwiisisu zomathumbu kunye ne-peritoneum, ziya kufumaneka nge-tomography. Ukuhlolwa kwesigxina sonke esisisu sisenziwa nge laparoscopy.
Nangona ukuba i-appendicitis ibhekisele kwimisebenzi ethile engeyinkimbinkimbi, ukulungiswa emva koko oku kudlulayo ngokukhawuleza kwaye iingxaki aziyi kubangela, kodwa ukuba awuyikususa i-appendicitis eqaqambileyo ngexesha, oku kuya kuba nemiphumo emibi kakhulu kwisiphumo esibulalayo. Ukuba awuyi kusebenza, i-appendicitis iyakwazi ukuya kufomathi okanye ifomu elifanayo.
Kwi-appendicitis engapheliyo, umntu ufumana iintlungu ezidityanisiweyo, kwaye ukuvutha okungazelelwe kwenzeka. Ngefomu ehlanjululwayo, intlungu ayifuni ukunyamezela, kule meko, ukulibaziseka kwintsebenzo yeemeko kungabikho nemiphumo emibi kakhulu, ukuya kwi-peritonitis (ukuvuvukala komlenze obandakanya umda wangaphakathi lwesigumbi kunye nezitho zayo).
Kodwa eyona yingozi (kodwa inqabile) yeengxaki ze-appendicitis i-sepsis, i.e. usulelo lwegazi, xa ibhaktheriya ingena egazini kwaye idluliselwa kwezinye izitho.
Ngokubhekiselele ekusebenziseni ukususa i-appendicitis evuliwe, iindlela ezimbini ezisetyenziswa ngoku. Iyokuqala, i-classical, isebenza, iqhutywe phantsi kwe-anesthesia jikelele okanye i-anesthesia yendawo, ngoxa ugqirha efumana isiqalo nokuphela kwesihlomelo aze asuse. Ukusebenza kuqhubeka malunga nemizuzu eyi-15-20, kunokunciphisa ukungenelela okunjalo-inqabana ehlala emzimbeni. Uhlobo lwesibini, i-endoscopy, apho ayiyi kubakho inqabana enkulu. Isihlomelo siyakususwa usebenzisa i-endoscope, kwaye yonke into iyahlolwa ngugqirha kwisikrini.
Kucacile ukuba, i-appendicitis evuthayo idinga ukususwa. Ukubonakaliswa kwesi sifo kuya kuqhubeka kunye neyure, intlungu iya kwanda. Nangona isifo sifana nesimo esingapheliyo, inkqubo eyimfama eyake ikhulile iya kuba yenzekile emva kwexeshana. Ukuba ucinga ukuba ukuvuvukala kwe-appendicitis kuqale kwaye ukubonakaliswa kwayo kubonakala, musa ukuchitha ixesha kwithemba lokuziphilisa, oku akuyi kwenzeka! Ngokukhawuleza kubiza i-ambulensi. Xa ulindele ugqirha, ungazami ukuzonyango. Ubuninzi obunokwenziwa yinto yokuchukumisa ebandayo kwisisu, ukuba intlungu ibuhlungu kakhulu. Awukwazi ukusela isa-shpa kunye ne-analgesics, tk. oku kuya kunzima ukuchonga umzekelo wesifo. Akunjalo nantoni na inokufudumala indawo enobungozi, kuyingozi kwaye kunokukhokelela ekuphukeni kwemfama. Ngaphambi kokuba ugqirha akakwazi ukutywala aze adle.