Lapho I-Belly Yakho Ukulimala, Ukuxilongwa Kungaba Inselele
Ubuhlungu besisu kuyinto inkinga yezokwelapha ejwayelekile, futhi ubukhulu benkinga buyinkinga ukusuka ekucaseni okuncane kuya kokusongela ukuphila. Lokhu kungenxa yokuthi izikhalazo zangasese zingase zilula njengengane enomsindo emntwaneni oye waba ne-candy kakhulu ngemuva kokukhohlisa noma ukuphatha nge-Halloween noma enzima njengegulane edinga ukwelashwa okuphuthumayo ukususa ingxenye yamathumbu ayenenkinga yomoya-mpilo .
Nakuba ubuhlungu besisu buvamile, isimo ngasinye siyingqayizivele-njengoba nje nesiguli ngasinye sihlukile. Umlando wakho wezempilo, uhlobo lobuhlungu, ubudala, ubulili, ubuhlungu bubude kangakanani, buzwa bunjani futhi buzosiza kanjani ukuthola ukuthi yiziphi izivivinyo eziyalwe ukuxilonga inkinga.
Ingabe Ubuhlungu Bomzimba Obuhlungu Noma Obuhlungu?
Ukugula okunzima yilapho iqala ngokungazelelwe futhi evame kakhulu. Isibonelo sobuhlungu obukhulu besisu kungaba lapho isiguli sibhekene nesimo esinzima se-appendicitis, lapho ukutheleleka kubangela ukuthi isithasiselo sivule futhi sibe sibuhlungu kakhulu. Ngenkathi ukugula okunzima ngokuvamile kuqala ngokushesha, ukugula noma ubuhlungu kungase kuphele amasonto noma ngisho nezinyanga. Isibonelo, umlenze ophukile uyinkinga enzima, kodwa umlenze ungaqhubeka ulimaza isikhathi esithile eside.
Isifo esingapheli sinye esingapheli izinyanga eziyisithupha noma ngaphezulu. Ubuhlungu besisu obungokomzimba ubuhlungu besisu obuye kwaphela okungenani izinyanga eziyisithupha futhi kulindeleke ukuthi kuhlale isikhathi eside kakhulu, mhlawumbe ngisho nangesikhathi sokuphila uma imbangela ingenakwelashwa noma ikhambi.
Ubuhlungu obungapheli bangabangela izinkinga eziqhubekayo ezingenakwelashwa, njenge-cirrhosis yesibindi.
Ubuhlungu besisu obungasemuva bungaba nombangela owaziwayo kanye nokwelashwa okuhleliwe, lapho ubuhlungu obukhulu besisu bungadingeka ukuthi bufunzwe kuqala ukuze uphathwe ngendlela efanele.
Umlando Ukuthatha Ubuhlungu Bomzimba
Uma ubhekana nobuhlungu obukhulu besisu, ungamangali uma kubonakala sengathi umhlinzeki ubuza imibuzo eminingi.
Ukuthola umlando wokugula, kanye nomlando wezokwelashwa wesiguli, ngokuvamile kuyindlela esheshayo futhi elula yokunciphisa izimbangela ezingase zibangele ubuhlungu besisu.
Isibonelo, isiguli esibonisa ukuthi besiphuzile kakhulu amashumi eminyaka kuyoba nethuba lokuba nenkinga yesibindi, kanti owesifazane osemncane okhulelwe ingane osebenza ngokocansi futhi engasebenzisi ukulawula ukubeletha cishe uyobe ehlangabezana nesifo inkinga yokukhulelwa.
Eminye yale mibuzo ingase ibonakale iyintandokazi, kodwa kubaluleke kakhulu ukuthi uphendule le mibuzo ngokusemandleni akho, njengoba izimpendulo zakho zizonquma ukuthi yiziphi izivivinyo ezifanele isimo sakho.
Ukuhlolwa Kwemvelo
Enye yezindlela ezingcono kakhulu zokuthola ubuhlungu besisu ukuhlolwa ngokomzimba kwesisu esenziwa ngumtholampilo owaziyo. Ukuhlolwa okujwayelekile ngokomzimba kwenziwe ngendlela elandelayo.
- Ukuhlolwa: Isisu sitholwe futhi sihlolwe nganoma yiziphi izinkomba zangaphandle eziyinkinga yenkinga. Ukudumaza, izibazi, nezinye izimpawu esikhumbeni kungasiza ukusikisela izinkinga ezingenzeka.
- Ukuhlaziya: Ukulalela izindawo ezahlukene zesisu nge-stethoscope kungasiza kakhulu. Izwakala amathumbu enza-noma angenzi-angasiza ukulawula izinkinga ezahlukene noma eziphuma.
- Ukucubungula: Ngalesikhatsi umtholampilo atfola ngekulandzela tintfo letisemtfombeni. Le nqubo ingasiza ekunqumeni usayizi wesitho ngaphandle kocwaningo lwe-x noma i-imaging.
- Ukulinganisa: Lena yinkqubo lapho izindawo ezihlukene zesisu ziqhutshwa ngokucophelela ukuze zithole ukuthi zithenda noma zibuhlungu. Lokhu kuvumela indawo okukhathazeka ngayo ukuthi ihliswe phansi, futhi ingenza kube lula ukuxilonga inkinga.
Isibonelo, uma ubuhlungu buvame kakhulu esiswini esiphansi kwesiguli, esaziwa nangokuthi i-quadrant ephansi, ithenda isithasiselo singase sibe imbangela yobuhlungu. Uma i-quadrant engaphezulu kwesobunzima ibuhlungu ngemva kwengozi yemoto engathà sina, imbangela yobuhlungu ingase ibe yipeni.
Izivivinyo ze-Lab for Pain Abdominal
Enye indlela yokuhlonza inkinga enkulu emzimbeni ukuhlola amanzi omzimba. Lokhu kungase kusho ukudweba igazi, ukuthatha isampula esitokisini, noma ukuqoqa isampula samathe, phakathi kwezinye izinketho. Ukuhlolwa kwegazi nokuhlolwa komchamo kuphakathi kwezivivinyo ezivame kakhulu ezenzelwe ubuhlungu besisu, futhi kuvame ukulandelwa ukuhlolwa okungeziwe ngemva kokuba imiphumela itholakale.
I-CBC: Inani eliphelele legazi, noma i-CBC, lihlolwa ngegazi elingasiza ekunqumeni ukuthi ukutheleleka kukhona emzimbeni. Izinhlobo ezithile zamangqamuzana egazi zanda uma ukutheleleka kukhona, futhi ukutholakala kokutheleleka kungasiza ekunqumeni isimo senkinga. Uma ukutheleleka kutholakala egazini, isiko nokuzwela kuvamise kwenziwa ukuthi kunqume uhlobo lokutheleleka nokuphathwa kangcono.
I-Enzyme ye-Liver / I-Hepatic Function Test: Ama- enzyme ye-fover ahlolwa ukuthi, uma ephakanyisiwe, ubonisa inkinga ngomsebenzi wesibindi. Ezinye izivivinyo zesibindi zingabonisa ukuthi isibindi senza ngempumelelo umsebenzi wawo susa amakhemikhali abonakala emzimbeni. Isibindi singonakaliswa ngezindlela eziningi, kufaka phakathi ukuthatha imithi eminingi kakhulu eyingozi esibindi, ukuphuza utshwala ngokweqile, noma inqubo yesifo semvelo - futhi lezi zimo zivama ubuhlungu.
Ukuhlaziywa komzimba: Lokhu kubheka umchamo ukucacisa ukuthi ngabe igazi noma ukutheleleka kukhona emaphethini omchamo. Ukutheleleka kwe-urinary kungabangela ubuhlungu ezintsheni, ureters, isambatho noma i-urethra, noma inhlanganisela yazo zonke. Lokhu kungaholela ebuhlungu obuzwa ngemuva, isisu noma isikhumba.
U-Amylase no-Lipase: Lezi zivivinyo zegazi zibuka amazinga e-enzyme akhiqizwa ama-pancreas. Amazinga aphakanyisiwe angabonisa ukutheleleka kuma-pancreas okuthiwa i-pancreatitis, okungaba buhlungu kakhulu futhi kungaholela esibhedlela.
Ukuhlolwa kwe-Occult Stool / Hemoccult: Lokhu yisivivinyo esibheka igazi esitokisini , okuyinto engeyona into ejwayelekile yokuthola. Igazi elisesitokisini elingenakubonwa ngamehlo angabonakali lingabonisa inkinga engxenyeni engenhla yokugaya.
Isivivinyo sokukhulelwa: Kwabesifazane abaneminyaka yobudala ababelethwe ubuhlungu besisu, ukuhlolwa kokukhulelwa kungenye yezivivinyo zokuqala ezivame ukwenziwa. Ukuhlolwa kokukhulelwa okuhle kungachaza izimpawu eziningi, futhi ukuba khona kobuhlungu kungabonisa ukukhulelwa kwe-ectopic.
Ukucatshangelwa Ukuhlolwa Kwezinhlungu Zomzimba
I-CT: Ucwaningo lwe- CT , noma i-Computed Tomography yokucwaninga izithombe, ngokuvamile libizwa ngokuthi "i-cat scan". Lokhu kuvivinywa akuyona ingavamile, kubheka ngaphakathi komzimba womuntu ngaphandle kokuthinta umzimba. Lokhu kuhlolwa kusebenzisa izithombe eziningi ze-x-ray ukudala isithombe sangaphakathi lomzimba womuntu, okungafundwa yi-radiologist enekhono. Izithombe zokuhlola zingase zithuthukiswe ngokusebenzisa ukungafani, okungahlinzeka ngemifanekiso eningiliziwe kodwa ngeke isetshenziswe ngokuphepha ezigulini eziningi ezinenkinga eyaziwa kwezinso.
I-MRI: Imagination Magnetic Resonance isebenzisa amasimu omangalisayo ukuze kuvezwe izithombe ngaphakathi komzimba womuntu. Njenge-CT scan, akuyona ingavamile futhi ivumela izithombe zomzimba zenziwe ngaphandle kokuthinta umzimba ngokuqondile. I-MRI ayinakwenziwa kumuntu onamahlobo athile ensimbi emzimbeni wakhe, njengoba ukuhlolwa kusebenzisa amakhompi amakhulu kakhulu angalimaza iziguli ezinezimpande ezithile. Ukungafani kungase kusetshenziselwe ukuthuthukisa izithombe, kepha futhi ngeke isetshenziswe ngokuphepha kwezinye iziguli ezinenkinga zezinso.
Ukuhlolwa kwePelvic: Lokhu kuhlola kubheka izitho zokubeletha zowesifazane ngokuhlola ama-genitalia kanye nangaphakathi kwesifazane. Lokhu kuhlolwa, kanye nokuthola ama-swabs avela esibelethweni noma ukuhlola noma yikuphi ukugeleza okungenzeka kube khona, kunganquma ukuthi ukutheleleka noma inqubo yesifo kubangela ubuhlungu.
Ukuhlolwa okubhekayo: Ukuhlolwa kwe- digital rectal, noma i-DRE, ukuhlolwa kwe-rectum ngomunwe. Ngalesi sivivinyo umhloli uzobeka umunwe ogqwetshiwe futhi oqoshiwe ku-rectum. Bafuna ithoni ye-rectal, okuyiwona amandla amandla omzimba owenziwa ngayo ovalweni ovaliwe uvaliwe. Bazohlola futhi igazi elibonakalayo, izixuku emgodleni, futhi zingase zihlolisise i-prostate ezigulini zesilisa. Isampuli esincane esitholakala ngaso sonke isikhathi sivame ukuhlolwa ngesikhathi sokuhlolwa kwe-rectal ukuze kuvivinywe ukuvivinya umzimba. Ukuqokwa kungase kutholakale nokuthi kusetshenziswa lolu hlobo lokuhlolwa, njengoba isitembu ngokuvamile sinomuzwa wokuthi amancane, ama-pellets aqinile ngesikhathi sokuhlolwa kwe-rectal.
I-EGD: Eyaziwa njenge-Upper GI, i-Esophagogastroduodenoscopy, i-panendoscopy noma i-endoscopy engenhla, lokhu kuhlolwa kusetshenziselwa ukuhlola ipheshana eliphezulu lokugaya ngaphakathi. Ukusebenzisa i- endoscope ekhanyisiwe ngekhamera, i-endoscope ifakwe emlonyeni ukuze ngaphakathi ngaphakathi kwesisu, isisu kanye ne-duodenum (ingxenye yokuqala yamathumbu amancane) kungahlolwa. Lokhu kuhlolwa kuzokusiza ukuthi ubone ukuthi ubuhlungu besisu bubangelwa yi-acid reflux noma izilonda zesisu. Lokhu kuhlolwa kudinga i- anesthesia , njengoba isiguli sibhekwa isikhathi eside senqubo, eyenziwa udokotela oqeqeshiwe.
I-Colonoscopy: Lokhu kuvivinywa okuvumela udokotela ukuba ahlole ngaphakathi kwekoloni (amathumbu amakhulu) ngethuluzi elinokukhanya kanye nekhamera, enezithombe eziboniswe kumqapha. Phakathi nalolu vavanyo umhloli angahlola wonke amathumbu amakhulu emithonjeni yobuhlungu noma aphume, futhi angathatha amasampuli e-biopsy futhi enze ezinye izinqubo ezincane phakathi nokuhlolwa. Lokhu kuhlolwa kudinga i-anesthesia ukuze isiguli sigqoke ngokusebenzisa ukuhlolwa futhi senziwe udokotela oqeqeshiwe.
UKUB: Lena i-x-ray yesisu esibheka izinso, ureters kanye nesinye nesibindi namathambo we-pelvis nomgogodla. Lokhu kuhlolwa kuyasiza kakhulu ekunqumeni ukuthi ngabe igesi emgqatshini weGI noma ukuqotshwa kudlala indima ebuhlungu isiguli esibhekene nayo, noma uma kukhona amatshe wezinso angabangela ubuhlungu.
I-Ultrasound: Le vivinyo isebenzisa amagagasi omsindo aphezulu kunendlebe yomuntu angayibona ukuze adale izithombe ngaphakathi komzimba womuntu. Nakuba lesi sivivinyo sivame ukubizwa ngokuthi ukuhlolwa okusetshenziselwa ngesikhathi sokukhulelwa ukubona isisu futhi kunqume ubulili, i-ultrasound ingasetshenziswa ukuhlola isisu futhi inqume ukuthi kunezinkinga ezitholakale nezicubu nezitho lapho. I-ultrasound ingakwazi ukubona izinkinga nge-gallbladder, futhi ijwayele ukusetshenziselwa ukuhlola izinso.
> Imithombo:
> Umhlahlandlela Owusizo Wezokwelapha Emtholampilo. Ukuhlolwa kwesisu. I-University of California San Diego.
> Ukufanisa Ubuhlungu Bomzimba Abangakapheli Abadala.