I-Appendicitis ne-Appendectomy Ngaphambi, Ngexesha nangemva kokuPiliswa

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Yintoni i-Appendectomy yokuhlinzwa?

I-appendectomy yinkqubo yokuhlinzwa yongxamiseko yokususa isihlomelo esipheleleyo okanye esinesifo, imeko ebizwa ngokuba yi-appendicitis. Ngaphandle kokuhlinzwa, isihlomelo singaphula, sichithe izinto eziphathekayo kwigazi kunye nesisu, ezinokubangela ukongela ubomi.

Ayikho enye indlela yokwenza unyango; Utyando lubhekwa njengendlela kuphela yokuphatha i-appendicitis, nangona ezinye izakhiwo zenza uphando lwezokwelapha ekwenzeni unyango lwe-appendicitis kunye neyeza-antibiotic.

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Ngaphambi koPilisi lwe-Appendectomy: Ukuchonga i-Appendicitis

Emva kokuxilongwa kwe-appendicitis, ngokuqhelekileyo ngokuhlolwa kwegazi kunye ne- CT scan , ugqirha uya kuchazela ukuhlinzwa ngokubanzi, kubandakanywa inkcazo yenkqubo, ingozi yokuhlinzwa , kunye nokubuya okuvela kwi-operesheni. Abasebenzi baya kuqalisa i-IV kwaye banokugcoba isisu sesigulane sabantu ukuba bavumele ukucoceka okucoca.

Ukuba isigulane siye sahlanjululwa yisicupunu kunye nokuhlanza, okuqhelekileyo kunye ne-appendicitis, unyango luya kunikwa ukuphatha iimpawu. Iyeza zonyango ziyakunikwa kwakhona, kunye ne-IV ukuhambisa xa isigulane sitshatyalaliswa. I-antibiotics ingaqaliswa phambi kokuhlinzwa okanye ingaqaliswa ekupheleni kwenkqubo.

Isigulane siya kuthi sihanjiswe kwigumbi lokusebenza kwaye sincediswe kwitheyibhile yokusebenza, apho abasebenzi baya kulungiselela isikhumba isiguli sokuhlinzwa. Ulusu litshintshwe ngesisombululo esibulala iintsholongwane ukuze sincede ukukhusela izifo kunye ne-incision. Xa isikhumba silungiselelwe utyando, abasebenzi baya kugubungela isigulane ngamatye angenakumba ukuze kugcinwe ukuba indawo ihlambuluke ngendlela enokwenzeka ngexesha le nkqubo.

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I-Anesthesia ye-Appendectomy

Umnikezeli we-anesthesia , ngokuqhelekileyo unesi- anesthesiologist okanye umongikazi onesi-antiesthetist, uya kuqala utyando ngokunika i-IV sedative ukuze aphumle isigulane. Emva kokuba isigulane sikhululekile, ityhubhu yokuphefumula, okanye i- endotracheal tube , ifakwe emlonyeni nasemlonyeni womoya ngaphambi kokuba ixhunywe kwi- ventilator .

Ibhubhu yokuphefumula iyimfuneko kuba i-anesthesia jikelele ibangela ukukhubazeka ngaphezu kokunikezela isigulane. Ngexa ekhubazekile, isiguli asikwazi ukuphefumula ngaphandle koncediso kwaye kuxhomekeke kwiphini lokuhambisa umoya kwimiphunga.

Emva kokuba i-anesthesia ithathe isiphumo esipheleleyo, ugqirha unokuqala ukwenza isisombululo, ngaphandle kwesigulane uvakalelwa intlungu okanye ukuvuka. Ngexesha lotyando, isigulane siya kuhlolisiswa i-anesthesiologist, kunye neempawu ezibalulekileyo ezibonwa kulo lonke uphando kunye nemichiza enikwe njengoko ifunekayo.

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Inkqubo yeAppendectomy

Ngethuba lenkqubo yemveli, okanye evulekileyo, i-appendectomy, i-incision two to three inches long iyenziwe kwisisu esisezantsi phantsi kweesentimitha ezimbalwa ngaphezu kwethambo le-hip. Isixhobo sivula intlaba kwaye sihlula izicubu zesisu esiswini, ukuvumela ukuba ugqirha ukuba abone isihlomelo aze awusondeza kummandla wokufikelela okungcono.

Emva kokuba isihlomelo sichazwa, sinqunyulwa kwiimpawu ezijikelezileyo, kubandakanywa nesisu, kunye nezicubu ezinegciwane. Ukuvulwa okusele emva kokuba isilathisi sisuswe kuvaliwe ngama-staples okanye ngokuthunga indawo evaliweyo.

Isihlomelo kunye nezicubu ezijikelezayo zihlolisiswa ngokukhawuleza ukuqinisekisa ukuba usulelo luye lwahlukana nezicubu ezisuswe. Ukuba kuyimfuneko, ugqirha unokusebenzisa umthamo ongenamanzi ukuhlamba ummandla uze ulandele naluphi na ubungqina bombhobho . Ukuba izicubu ezijikelezileyo ziphilile, ugqirha unokuqala ukuvala isicatshulwa ngokuqala ukuthunga izihlunu ze-muscle kunye, kwaye uvale ulusu ngeentonga okanye kwi-staples.

I-incision iya kuhlanganiswa nge- bandage eyinyumba ukukhusela ulusu nokukhusela usulelo . Inkqubo, ukusuka ekuqalisweni kwe-anesthesia ukuya kumathambo, kuthatha ngaphantsi kweyure ukuba akukho zixazululo.

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Appendectomy yeLaparoscopic: Inkqubo

I-appendectomy ye- laparoscopic ifana kakhulu nenkqubo evulekileyo yemveli kunye nohlobo olulodwa olukhulu: Esikhundleni se-incision eyodwa-3-5 intshi ende, kukho izihlandlo eziliqela kwisiqingatha sesentimitha ubude. Kungenxa yezi ngcamango ezincinane ezenziwa ngudokotela ogqirha, ukufaka ikhamera ngokuchaneka kunye kunye nezixhobo ezincinci ngokubhekiselele kwimibono emibini okanye ngaphezulu. Ugqirha usebenza ngokubukela ividyo ethathwe ikhamera encinane.

Ugqirha uchaza isithasiselo aze ahlule izicubu ezilungileyo kwizinto ezimbi ngokucoca isihlomelo, ukudala umgca okanye i-sutures okanye ngokusebenzisa umgca wezinto ezisisiseko. Isihlomelo sifakwa kwisibhakabhaka esingummanga esicatshulwa ngesinye sezigqibo ngaphambi kokususwa. Oku kukuthintela naluphi na umthamo wesifo esithathelwanayo ngaphakathi kwesihlomelo ukusuka kwisisu.

Isihlomelo kunye nezicubu ezijikelezayo zihlolisiswa ngokukhawuleza. Oku kukuqinisekisa ukuba kuphela izicubu ezinempilo ezishiywe ngasemva kwaye uqinisekise ukuba umgca we-suture / u-staple umgca. Ukuba kuyimfuneko, njengokwimeko yesiphakamiso esiqhekekileyo, ugqirha ungasebenzisa umthamo ongenamanzi ukuhlamba ummandla uze ulandele into echaphazelekayo.

Emva koko, ukuba izicubu ezijikelezileyo ziphilile, ugqirha unokuvala izibhengezo, ngokuqhelekileyo ezinama-bandage amancinci abizwa ngokuthi i-steri-strips okanye ibhanti engumzimba ukukhusela ulusu kwaye ukhusele ukhuseleko.

Yonke inkqubo, ukuba akukho zixazululo ezingalindelekanga, ngokuqhelekileyo ihlala phakathi kwemizuzu engama-45 kunye neyure.

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Ukubuyisela emva koPilisi lwe-Appendectomy

Xa isixhobo eso sihlanganisiwe, i-anesthesia iya kugcinwa, ivumele isigulane ukuba iqale ngokukhawuleza ukuvuka kunye nefuthe lokuphefumula lisuswe. Isigulane siya kudluliselwa kwiNyunithi yoLondolozo lwe-Post-Anesthesia ukuba ihlolwe ngabahlengikazi. Isigulane siya kuba groggy ekuqaleni, kwaye ngokukhawuleza sibe sisilumkiso xa i-anesthesia igqithisa ngokupheleleyo.

Ngexesha le-post-anesthesia isigaba, iimpawu ezibalulekileyo ziza kujongwa ngokuthe ngqo kuzo nayiphi na ingxaki kunye neziyobisi ezibuhlungu xa kunesidingo. Xa isiguli sigqamile, baya kuthunyelwa esibhedlele esibhedlele ukuze baqale ukuphilisa. Uninzi lwezigulane luncipha ngokuphawulekayo kwintlungu emva kokuhlinzwa, kwintlungu yesicatshulwa.

Ngomso olandelayo, isigulane sinokuqala ukuthabatha amancinci amancinci ngokucacileyo uze uqhubele phambili ekudleni okuqhelekileyo ukuba umbane ubekezela. Ukuhlala emaphethelweni embhedeni, ngoko ukuhamba amabanga amfutshane kuya kukhuthazwa ngamaxesha amaninzi ngosuku. Amachiza aya kufumaneka ukuba enze ukunyakaza okungaphantsi kancinci.

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Ukuya Kwindlu Emva kwe-Appendectomy

Uninzi lwezigulane zikhutshwe kwiiyure ezingama-24 zonyango ukuze ziqhubeke nokuphulukana nokuhlinzwa . Isibambiso sivame ukuvaliwe ngeentambo ezincinci zokubambelela eziya kuhla ngephanyazi njengoko isigulane sinezigulane kwaye sihamba ngemisebenzi yazo eqhelekileyo. I- sutures yangaphakathi iya kutshabalalisa ngokukhawuleza kwaye akufuneki isuswe.

Ezinye izigulane zingadinga unyango olunzima ngethuba lokubuyisela, kwaye ininzi iya kuqhubeka ithatha ii-antibiotics ukuya kwiiveki emva kokuhlinzwa. Uninzi lwezigulane ziyakwazi ukubuyela kwimisebenzi eqhelekileyo kwiiveki ezimbalwa; Imisebenzi enzima ngakumbi ingathatha iiveki okanye ezimbini ezinde.

_Umthombo:

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