Appendicitis and Appendectomy Ngaphambi, Ngesikhathi nangemva kokuhlinzwa

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Kuyini Ukuhlinzwa Kwe-Appendectomy?

I-appendectomy yinkqubo yokuhlinzeka ngokuphuthumayo ukususa isithasiselo esiphelele noma esinegciwane, isimo esibizwa ngokuthi i-appendicitis. Ngaphandle kokuhlinzekwa, isithasiselo singaphula, sichitha izinto ezithathelwanayo ezingeni legazi kanye nesisu, okungasongela ukuphila.

Ayikho enye indlela yokwelapha; ukuhlinzwa kubhekwa njengendlela kuphela yokwelapha i-appendicitis, nakuba ezinye izakhiwo zenza ucwaningo lwezokwelapha ekwelapheni i-appendicitis nge-antibiotics.

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Ngaphambi kokuhlinzwa kwe-Appendectomy: Ukubona i-Appendicitis

Uma kutholakala ukuhlolwa kwe-appendicitis, ngokuvamile ngokuhlolwa kwegazi kanye ne- CT scan , udokotela ohlinzayo uzochaza ngokuhlinzwa ngokuningiliziwe, kufaka phakathi incazelo yenqubo, izingozi zokuhlinza , nokuvuselelwa okuvamile kusuka ekuhlinzekeni. Abasebenzi nabo bazoqala i-IV futhi bangase bahlambe isisu seziguli zesilisa ukuze bavumele ukuhlanzwa okuhlanzekile.

Uma isiguli sibhekene nesicanucanu nokuhlanza, esivame ukufakwa kwesisu, imithi izonikezwa ukuphatha izimpawu. Imithi yokuhlunguphaza nayo inganikezwa, kanye ne-IV fluids uma isiguli siphelelwa amanzi. Ama-antibiotic angase aqaliswe ngaphambi kokuhlinzwa noma angase aqaliswe ekupheleni kwenqubo.

Isiguli siyobe sesithunyelwa ekamelweni lokusebenza futhi sisize etafuleni lokusebenza, lapho abasebenzi bezokwenza khona isikhumba sesiguli sokuhlinzwa. Isikhumba siphethwe ngesisombululo esibulala amagciwane ukuze kusize ukuvimbela ukutheleleka ngokuhambisana nokucubungula. Lapho isikhumba silungiselelwe ukuhlinzeka, abasebenzi bazogubungela isiguli nge-drapes oyinyumba ukuze kugcinwe indawo ehlanzekile ngangokunokwenzeka ngesikhathi senqubo.

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I-Anesthesia ye-Appendectomy

Umhlinzeki we-anesthesia , ngokuvamile umhlinzeki we- anesthesiologist noma umhlengikazi wezifo eziphuthumayo, uzoqala ukuhlinzeka ngokunikeza i-IV sedative ukuze aphumule isiguli. Lapho isiguli sikhululekile, ithubhu yokuphefumula, noma i- endotracheal tube , isetshenziswe emlonyeni nasemgqonyeni ngaphambi kokuba ixhunywe ku- ventilator .

I-tube yokuphefumula iyadingeka ngoba i-anesthesia ejwayelekile ibangela ukukhubazeka ngaphezu kokunikeza isiguli singenalutho. Ngenkathi ekhubazekile, isiguli asikwazi ukuphefumula ngaphandle kosizo futhi sincike emoyeni ukuze umoya unikeze emaphashini.

Uma i-anesthesia isifake kahle, udokotela ohlinzayo angase aqale ukwenza ukuchotshozwa, ngaphandle kokuba isiguli sizwe ubuhlungu noma siphakamise. Phakathi nokuhlinzwa, isiguli sizoqapha ngokucophelela yi-anesthesiologist, izibonakaliso ezibalulekile ezibonakalayo kulo lonke ukuhlinzwa kanye nemithi enikeziwe njengoba kudingeka.

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Uhlelo lwe-Appendectomy

Ngesikhathi senqubo yendabuko, noma evulekile, i-appendectomy, i-incision ezimbili kuya kwamasentimitha ubude ubude isenziwa esiswini esingaphansi kwesisindo ngamasentimitha ambalwa ngaphezulu kwethambo le-hip. Umshini uvula isikhumba futhi uhlukanise izicubu zomzimba zesisu, uvumele udokotela ohlinzayo ukuba abone isithasiselo futhi asondeza phezulu ukuze uthole ukufinyelela okungcono.

Uma isithasiselo sibonekile, sinqunywe kude nezicubu ezizungezile, kuhlanganise nesisu, kanti izicubu ezinesifo zisusiwe. Ukuvula okushiywe ngemuva kokuthi isithasiselo kususiwe kuvaliwe yizinsiza zokudla noma ngokuthunga indawo ivaliwe.

I-appendix kanye nezicubu ezizungezile zihlolwe ngokucophelela ukuze kuqinisekiswe ukuthi ukutheleleka kuhlangene nezicubu ezisusiwe. Uma kunesidingo, udokotela ohlinzayo angasebenzisa uketshezi oluyinyumba ukuze ahlanze indawo bese eshaya noma yibuphi ubufakazi bokubamba . Uma izicubu ezizungezile ziphilile, udokotela ohlinzayo angase aqale ukuvala ukuchotshozwa ngokuqala ukuthunga izingxube zomzimba ndawonye, ​​bese evala isikhumba ngeziqu noma iziqu.

I-incision izohlanganiswa nge- bandage oyinyumba ukuvikela isikhumba nokuvimbela ukutheleleka . Inqubo, kusukela ekuqalisweni kwe-anesthesia kuya ekubambiseleni, ithatha ngaphansi kwehora uma kungekho izinkinga.

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Appendectomy Laparoscopic: Inqubo

I-appendectomy ye- laparoscopic ifana kakhulu nenqubo evulekile yendabuko ngenye umehluko omkhulu: Esikhundleni se-incision eyodwa 3-5 amasentimitha ubude, kunezincazelo eziningana kwengxenye intshi ende. Kungenxa yalezi zicatshangwana ezincane lapho udokotela ohlinzayo esebenza, ufaka ikhamera ngokusebenzisa ukufakwa okukodwa kanye nezinsimbi ezincane ngokusebenzisa imibono emibili noma ngaphezulu eyengeziwe. Udokotela ohlinzayo usebenza ngokubuka ividiyo ethathwe ikhamera encane.

Udokotela ohlinzayo uveza isithasiselo bese ehlukanisa izicubu ezinhle ezimbi ngokukhipha isithasiselo kude, ukudala umugqa noma i-sutures noma ngokusebenzisa umugqa wezinto eziyisisekelo. I-appendix ifakwa esikhwameni esiyimpofu esicindezelwa ngenye yezinkolelo ngaphambi kokususwa. Lokhu ukuvimbela noma yikuphi ukuqhuma kwezinto ezithathelwanayo ngaphakathi kwesithasiselo ukungena ngaphakathi esiswini.

Isithasiselo nezicubu ezizungezile zizohlolwa ngokucophelela. Lokhu kuzokuqinisekisa ukuthi izicubu ezinempilo kuphela ezishiywe ngemuva futhi ukuqinisekisa ukuthi umugqa we-suture / oyisisekelo uphelele. Uma kunesidingo, njengokungathi uma kwenzeka isithasiselo esiphundukile, udokotela ohlinzayo angasebenzisa uketshezi oluyinyumba ukuze ahlanze indawo bese esiphuthumayo izinto ezithathelwanayo.

Khona-ke, uma izicubu ezizungezile ziphilile, udokotela ohlinzayo angakwazi ukuvala lokho okufakiwe, ngokuvamile ngezingubo ezincane ezinamathele okuthiwa i-ster-strips noma i- bandage oyinyumba ukuvikela isikhumba nokuvimbela ukutheleleka.

Inqubo yonke, uma kungekho izinkinga ezingalindelekile, ngokuvamile ihlala phakathi kwemizuzu engu-45 nehora.

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Ukwamukela Ngemva Kokuhlinzwa Kwe-Appendectomy

Lapho ukugcoba kuhlanganiswa, i-anesthesia izomiswa, ivumele isiguli ukuba siphume kancane kancane futhi ithubhu lokuphefumula lisuswe. Isiguli siyodluliselwa ku-Post-Anesthesia Care Unit ukuze ihlolwe ngabasebenzi abahlengikazi. Isiguli siyoba groggy ekuqaleni, futhi kancane kancane sibe uqaphile njengoba i-anesthesia igxuma ngokuphelele.

Ngesikhathi sesigaba se-post-anesthesia, izimpawu ezibalulekile zizohlolwa ngokucophelela kunoma yikuphi ukucindezeleka kanye nemithi yokwelashwa enikezwa uma kunesidingo. Uma isiguli siphapheme ngokuphelele, siyodluliselwa egumbini lesibhedlela ukuze siqale ukuphulukiswa. Iningi leziguli zinciphisa ngokuphawulekayo ebuhlungu ngemuva kokuhlinzwa, ngisho nangenxa yobuhlungu bokungcola.

Ngosuku olulandelayo, isiguli singase siqale ukuthatha ama-sips amancane we-fluids ecacile bese sithuthuka ekudleni okujwayelekile uma uketshezi lubekezelela. Ukuhlala emaphethelweni ombhede, bese uhamba amabanga amancane kuzokukhuthazwa izikhathi eziningana ngosuku. Imithi izotholakala ukuhambisa ukuhamba kancane.

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Ukuya Ekhaya Ngemva kwe-Appendectomy

Iziguli eziningi zikhishwa ngaphakathi kokuhlinzwa kwamahora angu-24 ukuze ziqhubeke zilulame kusukela ekuhlinzekeni . Ukuvuthwa kuvame ukuvaliwe ngezingxube ezincane zokubambelela ezizokwehla kancane njengoba izikhukhula zesiguli bese zihamba ngemisebenzi yazo evamile. I- sutures yangaphakathi izoqeda kancane kancane futhi akudingeki isuswe.

Ezinye iziguli zingadinga imishanguzo yobunzima phakathi nalesi sigaba sokubuyiselwa, futhi iningi lizoqhubeka lithatha ama-antibiotic kuze kube sekupheleni kwesonto emva kokuhlinzwa. Iningi leziguli liyakwazi ukubuyela emisebenzini evamile ngaphakathi kwamasonto ambalwa; imisebenzi enzima kakhulu ingathatha isonto noma amabili isikhathi eside.

_Umthombo:

_{I-Appendectomy Brochure. I-American College of Surgeons. 2006. http://www.facs.org/public_info/operation/brochures/app.pdf}