Yisiqeshana samathumbu okuthi uma silinganise amasentimitha ambalwa kuphela, senze umonakalo omkhulu. Isithasiselo sitholakala engxenyeni engezansi yesisu esiswini. Lapho ivinjelwa kaningi ngoba ihlaselwa yizinsalela zezinto ezingcolile, iholela ekukhuleni kwamagciwane. Ngokuzumayo iyasha: ukuhlaselwa kwe-appendicitis.

“Kuyimbangela evamile yobuhlungu besisu ezinganeni,” kuchaza uProfesa Jean Breaud, udokotela ohlinzayo ohlola izingane.

Bonke abazali bayamesaba. Kepha wehlukanisa kanjani ubuhlungu besisu obujwayelekile ku-appendicitis?

Ziyini izimpawu zokuqala?

Uphawu lokuqala ubuhlungu, obunamandla futhi benziwe bube bendawo. "Iqala enkabeni, futhi iphume ize iye ezansi kwesisu", kuchaza uSolwazi Breaud. “Ngaphezu kwakho konke, kuhlala njalo, kungashiyi kuphumula enganeni. Futhi kuyanda kuphela. Kungase futhi kube nemfiva elinganiselayo, cishe ngama-38º. Lokhu kungubufakazi bokuthi amasosha omzimba ayazivikela ekuhlaselweni, ukutheleleka ngamagciwane. Ingane nayo ingahle ibe nesicanucanu nokuhlanza, ukulahlekelwa isifiso sokudla.

Isexwayiso: kungenzeka ukuthi ukuhlaselwa kwe-appendicitis akuhambisani nanoma yibuphi ubuhlungu, noma ukuthi abukho endaweni engezansi kwesisu. Isizathu ? Isithasiselo ngokuvamile sitholakala ezansi kwesokudla… kepha hhayi njalo. Kungaba, ngokwesibonelo, ngaphansi kwesibindi, noma maphakathi nesisu.

“Imvamisa ye-appendicitis iphezulu kakhulu phakathi kweminyaka engu-7 nengu-13, yize lesi sifo singathinta noma yibuphi ubudala. “Kwezinsana, okungajwayelekile ukuthi kuhlaselwe i-appendicitis, izimpawu azifani nezabantu abadala. "Ezinganeni ezingaphansi kweminyaka emithathu ubudala, ukuqwasha, ukungahlaliseki, isifo sohudo, ukulahlekelwa isifiso sokudla kanye nomkhuhlane omkhulu kwesinye isikhathi kuphambili", imininingwane ye-Health Insurance esizeni sayo ameli.fr.

Uma ubuhlungu bungapheli masinyane, kufanele uye kudokotela ojwayelekile noma kudokotela wezingane ngokushesha. Kungcono ungaboniseli lutho kunokulinda bese ugcina usesimweni esibucayi.

Ukuxilongwa akulula ukwenza. Lokhu kuchaza ukuthi kungani ngaphambi kokuthuthuka kokucabanga ngezokwelapha, isikhumba sasekhanda sasikhishwa kalula kakhulu… kuphela ukubona kaningi ukuthi isithasiselo esisusiwe sasiphilile. 

Kusuka kuma-appendectomies ayi-162.700 ngonyaka we-1997, sakhuphukela ku-83.400 ngo-2012. Futhi ngo-2015, uMshwalense Wezempilo uqophe ukuhlala kwezibhedlela ezingama-72.000 nge-appendicitis. “Ukuxilongwa okokuqala ngqa kusekelwe ekubuzeni imibuzo.

Ukulandelana kobuhlungu kuyasungulwa. Ukuhlolwa kwegazi kungathathwa ukubheka izimpawu zokuvuvukala, njengokunyuka kwenani lamaseli amhlophe egazi. Uma ungabaza, kwenziwa i-ultrasound ukuqinisekisa ukuxilongwa. Isithwebuli siqondile futhi sithembeke kakhulu kune-ultrasound, kepha sichayeka kuma-X-ray, okuchaza ukuthi kungani sisetshenziswa kancane kakhulu ezinganeni. “Intuthuko ekucabangeni ngezokwelapha yenze ukuthi kube nokwenzeka ukunciphisa kakhulu inani lama-appendectomies”, kujabula uSolwazi Breaud.

Lapho kutholakala ukuxilongwa kwe-appendicitis, asikho isikhathi sokuchitha. Ingane iya ku-OR ngosuku olufanayo, noma ngosuku olulandelayo kamuva. Ngempela kufanele abe esiswini esingenalutho. “Lo msebenzi uhilela ukususa isithasiselo nokuhlanza umgodi wesisu. Kuvame ukwenziwa ngaphansi kwe-laparoscopy ”. Udokotela ohlinzayo wenza ukusikeka okuncane okuthathu ezingeni lenkaba nangaphansi kwesisu ukudlulisa ikhamera nezinsimbi ezivumela ukusika isithasiselo nokusikhipha.

Kwenziwa kanjani ukuhlinzwa?

Ukuhlinzwa kwenziwa ngaphansi kwe-anesthesia ejwayelekile. Ihlala phakathi kwemizuzu engama-20 no-1h30. Ubuhlungu be-postoperative buthuliswa yi-paracetamol, okungenzeka ukuthi yimithi yokulwa nokuvuvukala. Ingane izolulama ngokujwayelekile emahoreni angama-24 kuye kwangama-48. Izibazi ezishiywe yilo msebenzi zizocishe zingabonakali. Futhi bonke labo abahlinzekiwe bazokuqinisekisa: siphila kahle kakhulu ngaphandle kwalesi sitho, akubalulekile nakancane.

Phatha i-appendicitis ngama-antibiotic kuphela, ukugwema ukuhlinzwa? Abanye odokotela bayayincoma ngamafomu angenzima uma izilonda zokuvuvukala zihlala zikhawulelwe odongeni lwesithasiselo - i-acute appendicitis. Kepha okwamanje, i-Haute Autorité de santé ibheka ukuthi “ukusebenza kwayo akukakhonjiswa ngendlela ephawulekayo yokuvumela ukufaka esikhundleni se-appendectomy namuhla. "

Uma i-appendicitis ingelashwa ngesikhathi, ingahle ibe yi-peritonitis. Lesi simo esiphuthumayo esisongela impilo sisho ukuthi isithasiselo siqhubeke nokutheleleka, saze sagcina sibolile. “I-pus bese isakazeka emgodini wesisu, okuyinto ebucayi kakhulu. Ubuhlungu bukhulu, isisu sinzima futhi sithambile ekuthinteni.

Abangu-15 kumele bathintwe ngokushesha. Isiguli esincane sizobe sesithola umthamo omkhulu wama-antibiotic ukumelana nokutheleleka, futhi sizohlinzwa kususwe isithasiselo. Futhi kuzofanele afake izikhwama zakhe esibhedlela okungenani isonto elilodwa.