Zowonjezera

Appendectomy ndi opaleshoni yochotsa zakumapeto.

Zowonjezerazi ndi chiwalo chaching'ono chokhala ndi chala chomwe chimachokera mbali yoyamba ya matumbo akulu. Ikatupa (yotupa) kapena kutenga kachilomboka, vutolo limatchedwa appendicitis. Mukakhala ndi appendicitis, zowonjezera zanu zimayenera kuchotsedwa. Zowonjezera zomwe zili ndi bowo zimatha kutuluka ndikudwala gawo lonse la pamimba. Izi zitha kupha moyo.

Appendectomy yachitika pogwiritsa ntchito:

• Anesthesia ya msana - Mankhwala amayikidwa kumbuyo kwanu kuti musowe m'chiuno. Mupezanso mankhwala okuthandizani kugona.
• General anesthesia - Mudzakhala mukugona ndipo simumva kuwawa kulikonse pa nthawi ya opaleshoniyi.

Dokotalayo amadula pang'ono kumunsi kumanja kwa dera lanu la m'mimba ndipo amachotsa zakumapeto.

Zowonjezerazi zitha kuchotsedwanso pogwiritsa ntchito mabala ang'onoang'ono opangira opaleshoni ndi kamera. Izi zimatchedwa laparoscopic appendectomy.

Zakumapeto zikavunduka kapena thumba la matenda (abscess) litapangidwa, mimba yanu idzatsukidwa panthawi yochita opareshoni. Tepu yaying'ono imatsalira m'mimba kuti muthane ndi madzi kapena mafinya.

Appendectomy yachitidwa kwa appendicitis. Vutoli limatha kukhala lovuta kulizindikira, makamaka kwa ana, okalamba, komanso azimayi azaka zobereka.

Nthawi zambiri, chizindikiro choyamba chimakhala chowawa kuzungulira batani lanu la m'mimba:

• Ululu ukhoza kukhala wofatsa poyamba, koma umakhala wolimba komanso wolimba.
• Ululu nthawi zambiri umasunthira m'mimba mwanu chakumanja ndikukhazikika mderali.

Zizindikiro zina ndizo:

• Kutsekula m'mimba kapena kudzimbidwa
• Malungo (nthawi zambiri samakhala okwera kwambiri)
• Nseru ndi kusanza
• Kuchepetsa kudya

Ngati muli ndi zizindikiro za appendicitis, pitani kuchipatala nthawi yomweyo. OGWIRITSA ntchito mapiritsi otenthetsera, zotsekemera, mankhwala otsegulitsa m'mimba, kapena mankhwala ena apanyumba kuti muchepetse matenda.

Wothandizira zaumoyo wanu amayang'ana m'mimba mwanu ndi m'matumbo. Mayesero ena atha kuchitika:

• Kuyezetsa magazi, kuphatikizapo kuchuluka kwa maselo oyera a magazi (WBC), kungachitike kuti muwone ngati alibe matenda.
• Ngati matendawa sakudziwika bwinobwino, wothandizira akhoza kuyitanitsa CT scan kapena ultrasound kuti awonetsetse kuti zakumapeto ndiye zomwe zimayambitsa vutoli.

Palibe mayeso enieni otsimikizira kuti muli ndi appendicitis. Matenda ena amatha kuyambitsa chimodzimodzi kapena zofananira.

Cholinga ndikutulutsa zowonjezera zowonjezera musanatseguke. Pambuyo pofufuza zizindikiro zanu ndi zotsatira za kuyezetsa thupi ndi kuyezetsa mankhwala, dokotala wanu adzasankha ngati mukufuna opaleshoni.

Zowopsa za anesthesia ndi maopareshoni ambiri ndi monga:

• Zomwe zimachitika ndi mankhwala
• Mavuto kupuma
• Kukhetsa magazi, magazi kuundana, kapena matenda

Zowopsa za appendectomy pambuyo poti zowonjezera zakuphatikizira ndi izi:

• Kuchuluka kwa mafinya (abscess), omwe angafunike kukhetsa ndi maantibayotiki
• Kutenga kachipangizo

Anthu ambiri amatuluka mchipatala pakatha masiku 1 kapena 2 atachitidwa opaleshoni. Mutha kubwereranso ku zomwe mumachita mkati mwa milungu iwiri kapena 4 mutachoka kuchipatala.

Mukadachitidwa opareshoni ya laparoscopic, mutha kuchira msanga. Kuchira kumachedwa pang'onopang'ono komanso kumakhala kovuta ngati zakumapeto zanu zatseguka kapena chotupa chayamba.

Kukhala popanda chowonjezera sikumabweretsa mavuto aliwonse azaumoyo.

Zowonjezera zowonjezera; Opaleshoni - appendectomy; Appendicitis - appendectomy

• Zizindikiro zanyengo wamkulu - kuwonera kutsogolo
• Appendectomy - mndandanda
• Dongosolo m'mimba

Mofulumira CRG, Biers SM, Arulampalam THA. Zowonjezera. Mu: Quick CRG, Biers SM, Arulampalam THA. Opaleshoni Yofunikira: Mavuto Kuzindikira ndi Kuwongolera. Lachisanu ndi chimodzi. Philadelphia, PA: Elsevier; 2020: mutu 26.

Richmond B. Zowonjezera. Mu: Townsend CM, Beauchamp RD, Evers BM, Mattox KL, eds. Sabiston Buku Lopanga Opaleshoni: Maziko Achilengedwe Amachitidwe Opangira Opaleshoni Amakono. Wolemba 20th. Philadelphia, PA: Elsevier; 2017: chap 50.

[Adasankhidwa] Rosenthal MD, Sarosi GS. Zowonjezera. Mu: Feldman M, Friedman LS, Brandt LJ, olemba. Sleisenger ndi Fordtran's Mimba ndi Matenda a Chiwindi: Pathophysiology / Diagnosis / Management. 11th ed. Philadelphia, PA: Elsevier; 2021: chaputala 120.