Xa Ububele Bakho Buhlungu, Ukuxilongwa Kwimibuzo Kungabomngeni
Intlungu yomzimba yinkinga yezobugqirha ngokuqhelekileyo, kwaye ubunzima benkxalabo kubangelwa ukukhathazeka okuncinci kubomi besongela ubomi. Oku kungenxa yokuba izikhalazo zangasese zingabonakala zilula njengomzimba okhungathekileyo emntwaneni oye waba ne-candy kakhulu emva kokukhohlisa okanye ukuphatha ngeHalloween okanye enzima njengegulane efuna ukuhlinzwa ngokukhawulezileyo ukususa inxalenye yamathumbu aphethwe yindlala ye-oksijini .
Nangona ubuhlungu besisu buqhelekileyo, nganye imeko iyingqayizivele-njengoko isigulane ngasinye sisodwa. Imbali yakho yempilo, uhlobo lweentlungu, ubudala, ubulili, ubude bubude kangakanani, buya kuthini na kwaye uvakalelwa kukuba kuya kunceda njani ukuba zonke iimvavanyo ziyalelwe ukuba zixilonge ingxaki.
Ngaba Lubuhlungu okanye Ubunzima Bomzimba?
Ukugula okukodwa ngumntu oqala ngokukhawuleza kwaye onzima. Umzekelo wesifo esiswini esisisigxina siza kuba xa isigulane sibhekene nesimo esinzima se-appendicitis, apho ukusuleleka kubangela ukuba isihlomelo sihluthe kwaye sibe nzima kakhulu. Nangona isifo esibucayi siqala ngokukhawuleza, ukugula okanye intlungu inokuhlala iiveki okanye iinyanga. Umzekelo, umlenze ophukile ngumngeni omkhulu, kodwa umlenze unokuqhubeka nokulimaza ixesha elide.
Isifo esingapheliyo sihlala sisithuba seenyanga ezintandathu okanye ngaphezulu. Intlungu engaphantsi kwimizimba yintlungu isisu esiye sagqiba ubuncinane kwiinyanga ezintandathu kwaye kunokulindeleke ukuba siphele ixesha elide, mhlawumbi nangenxa yokuphila ukuba isizathu asikwazi ukunyangwa okanye ukuphiliswa.
Ubuhlungu obungapheliyo bubangelwa ziziingxaki eziqhubekayo ezingenakuphiliswa, ezifana ne-cirrhosis yesibindi.
Iintlungu zesisu ezingapheliyo zinezizathu ezizaziyo kunye nenkqubo yokucwangciswa kwonyango, apho ubuhlungu besisu obusemlonyeni bunokufuna ukufunyaniswa kuqala ukuze ufumane unyango ngokufanelekileyo.
Imbali ethatha ubuhlungu besisu
Ukuba ufumana ubunzima besisu, ungamangaliswa ukuba kubonakala ngathi umniki-mbuzo ucela imibuzo emininzi.
Ukufumanisa imbali yesifo, kunye nomlando wezonyango uluntu, ngokuqhelekileyo yindlela esheshayo kwaye elula kakhulu yokunciphisa iimeko ezibangela ukuba iintlungu zesisu.
Ngokomzekelo, isigulane esibonisa ukuba sele siphuza kakhulu iminyaka emininzi iya kuba neengxaki zesibindi, ngelixa umfazi osemdala okhulelwe umntwana osebenza ngokwesondo kwaye engasebenzisi ulawulo lokuzalwa uza kuba ingxaki yokukhulelwa.
Ezinye zeembuzo zingabonakala zibuqu kakhulu, kodwa kubaluleke kakhulu ukuba uphendule le mibuzo ngokusemandleni akho, njengoko iimpendulo zakho ziza kuqinisekisa ukuba zeziphi iimvavanyo ezifanelekileyo kwiimeko zakho.
Ukuhlolwa kweMpilo
Enye yezindlela ezifanelekileyo zokufumanisa intlungu yesisu ngumvavanyo lwesimo somzimba esenziwa ngumgulane onolwazi. Uvavanyo olusemgangathweni lomzimba lwenziwa ngolu hlobo lulandelayo.
- Ukuhlolwa: Isisu sisicacisiwe kwaye sihlolwe ngazo naziphi na iingqinamba zangaphandle kwiimeko zengxaki. Iziqhumane, amanxeba kunye namanye amanqaku ekhumbeni anokunceda ukubonisa iingxaki.
- Ukuhlaziya: Ukuphulaphula kwiindawo ezahlukeneyo zesisu nge stethoscope kunokunceda kakhulu. Izandi amathambo azenza-okanye azenzi-anokunceda ukulawula iingxaki ezahlukeneyo okanye ngaphandle.
- Iingxaki: Yilapho i-klinikhi idonsa kwiindawo ezahlukeneyo zesisu. Le nkqubo inokukunceda ukunquma ubungakanani bombutho ngaphandle kovavanyo lwe-x okanye i-imaging.
- Uhlobo: Le yinkqubo apho imimandla eyahlukeneyo yesisu iqhutyelwa ngokunyanisekileyo ukuze kuqinisekiswe ukuba ithe ithenda okanye ibuhlungu. Oku kuvumela indawo ekufuneka ixhalabe ngayo, kwaye ingenza kube lula ukuxilonga imbambano.
Ngokomzekelo, ukuba intlungu ininzi kwisiguli esezantsi kwesiguli, esaziwayo njengesiqulatho esisezantsi, sinesihlomelo isingenokuba yintlungu yentlungu. Ukuba i-quadrant ephezulu ekhohlo ibuhlungu emva kwengozi embi yemoto, imbangela yentlungu ingaba yintente.
Iimvavanyo zeLeb yePilly Brein
Enye indlela yokufumanisa ingxaki ebalulekileyo emzimbeni kukuhlola izixhobo zomzimba. Oku kunokuthetha ukudweba igazi, ukuthatha isampuli yesitampu, okanye ukuqokelela isampuli samathe, phakathi kwezinye iindlela. Iimvavanyo zegazi kunye neemvavanyo zomchamo ziphakathi kweemvavanyo eziqhelekileyo ezenzelwe iintlungu zesisu, kwaye zilandelwa ziimvavanyo ezongezelelweyo emva kokuba iziphumo zifumaneke.
I-CBC: Inani elipheleleyo legazi, okanye i-CBC, luvavanyo lwegazi olunokukunceda ukuba kuqinisekiswe ukuba usulelo lukhona emzimbeni. Ezinye iintlobo zeeseli zegazi zanda xa usulelekileyo, kwaye ubukho bentsholongwane bunokukunceda ukucacisa uhlobo lwengxaki. Ukuba usulelo lukhoyo egazini, inkcubeko kunye nobutyebi bahlala besenziwa ukuze bachaze uhlobo losulelo kunye nophatho olululo.
Uvavanyo lwe-Enzymes / Umsebenzi weHepatic: Ii-enzyme zesibindi zivavanyo apho, xa ziphakanyisiwe, zibonisa ingxaki ngomsebenzi wesibindi. Ezinye iimvavanyo zesibindi zingabonisa ukuba isibindi senza ngempumelelo umsebenzi walo ukususa i-toxins eyingozi emzimbeni. Isibindi singonakaliswa ngeendlela ezininzi, kubandakanywa ukuthatha amayeza amaninzi anobungozi kwisibindi, ukusela utywala kakhulu, okanye inkqubo yesifo sengqondo - kwaye le miqathango ihlala ibuhlungu.
I-Urinalysis: Oku kubhekisela kumchamo ukufumanisa ukuba igazi okanye usulelo lukhona kwiphepha le-urinary. Usulelo lwe-urinary lwe-urinary lunokubangela intlungu ezintsheni, ureters, bladder okanye urethra, okanye udibaniso lwazo ezine. Oku kunokukhokelela entlungu evezwa ngasemva, isisu okanye i-pelvis.
U-Amylase noLipase: Olu vavanyo lwegazi lubonakala kumazinga e-enzyme aveliswa yi-pancreas. Amanqanaba aphakamileyo angabonisa intsholongwane kwi-pancreas ebizwa ngokuba yi-pancreatitis, enokuba yinto ebuhlungu kakhulu kwaye ingakhokelela ekubhedlele esibhedlele.
Uhlolo lweMimoya / Uvavanyo lweHemoccult: Olu luvavanyo olujonga igazi kwi-stool , elingenalo ukufumana okuqhelekileyo. Igazi kwisitulo esingenakubonwa ngeaso iso lingabonakalisa ingxaki kwi-digestive tract tract.
Uvavanyo lokukhulelwa: Kwabesetyhini abanokuzala abantwana abanesifo esiswini, ukuhlolwa kokukhulelwa ngenye yeemvavanyo zokuqala eziye zenziwa. Uvavanyo lokukhulelwa olufanelekileyo lunokuchaza impawu ezininzi, kwaye ubukho beentlungu zingabonisa ukukhulelwa kwe-ectopic.
UkuCatshulwa kweZifundo zoBuhlungu besisu
I-CT: I- CT scan , okanye i-Computed Tomography yokufunda i-imaging, idlalwa ngokuba yi-"scan scan". Olu vavanyo aluyiyo intsha, lujonge ngaphakathi ngaphakathi komzimba womntu ngaphandle kokuchaphazela umzimba. Olu vavanyo lusebenzisa imifanekiso eninzi ye-x-ray ukudala umfanekiso wangaphakathi lomzimba womntu, oya kuthi ufundwe yi-radiologist enezakhono. Imifanekiso yokuvavanya ingaphakanyiswa ngokusetyenziswa kokuthelekiswa, enokubonelela ngemifanekiso epheleleyo kodwa ayikwazi ukusetyenziswa ngokukhuselekileyo kwizigulane ezininzi ezineengxaki zeengtso.
I-MRI: Ukubonakalisa i-Magnetic Resonance isebenzisa izixhobo zamagnetic ukuvelisa imifanekiso yomzimba womntu. Njenga-CT scan, akusiyo intsha kwaye ivumela imifanekiso yomzimba ukuba yenziwe ngaphandle kokuchukumisa umzimba ngokuthe ngqo. I-MRI ayikwazi ukuqhutyelwa kumntu onentlobo ezithile zetsimbi emzimbeni wazo, njengoko uvavanyo lisebenzisa amatshini afanelekileyo angonakalisa izigulane ezinezimpembelelo ezithile. Ukwahlula kunokusetyenziselwa ukukhulisa imifanekiso, kodwa kwakhona ayikwazi ukusetyenziswa ngokukhuselekileyo kwezinye izigulane ezineengxaki zeengtso.
Uhlolo lwePelvic: Olu vavanyo lubhekise kwizitho zokuzala zowesifazane ngokuhlola i-genitalia kunye ngaphakathi ngaphakathi kwesini. Olu vavanyo, kunye nokufumana ama-swabs avela kwisibeleko okanye ukuvavanya nayiphi na umjelo onokuba khona, unokubona ukuba intsholongwane okanye inkqubo yesifo kubangela intlungu.
Uvavanyo oluqhelekileyo: Uvavanyo lwe-digital rectal, okanye i-DRE, luhlolisiso lwe-rectum ngomunwe. Ngethuba lo vavanyo umhloli uya kufaka umlenze ogcotyiweyo kunye nococekileyo kwi-rectum. Bakhangele ithoni ye-rectal, yindlela enamandla ngayo i-sphincter muscle evuliwe. Baya kuphinda bahlolisise igazi elibonakalayo, izixuku kwi-rectum, kwaye ziyakwazi ukuhlola i-prostate kwizigulane zesilisa. Isampuli esincinci isoloko ifunyenwe ngexesha lokuhlolwa kwetekisi ukwenzela ukuba uvavanyo lwemoya lwama-occult lwenziwa. Ukugqithwa nako kunokukwazi ukufumanisa ukuba usebenzisa lolu hlobo loviwo, njengoko isitofu sivakalelwa njengezinto ezincinci, iipelisi ezinzima ngexesha lokuhlolwa kwemirhumo.
I-EGD: Eyaziwa njenge-Upper GI, i-Esophagogroduodenoscopy, i-panendoscopy okanye i-endoscopy ephezulu, olu vavanyo lisetyenziselwa ukuhlola iphetshana eliphezulu lokugaya ngaphakathi. Ukusebenzisa i- endoscope ekhanyisiweyo kunye nekhamera, i-endoscope ifakwe emlonyeni ukuze ngaphakathi kwisisu, isisu kunye ne-duodenum (inxalenye yokuqala yesisu esincinci) ingahlolwa. Olu vavanyo luya kuncedisa ukuba ubuhlungu besisu bubangelwa yi-acid reflux okanye izilonda zesisu. Olu vavanyo ludinga i- aneshesia , njengoko isigulane sibhekiselwe ixesha lokusebenza, esenziwa ngugqirha oqeqeshiwe.
I-Colonoscopy: Olu lu vavanyo oluvumela ugqirha ukuba ahlole ngaphakathi kwekoloni (intloko enkulu) ngesitya esinokukhanya kunye nekhamera, kunye nemifanekiso eboniswe kwisobe. Ngethuba lo vavanyo umhloli angayihlola intlaba enkulu emithonjeni yeentlungu okanye aze aphuluke, kwaye angathatha iisampulu ze-biopsy aze enze ezinye iinkqubo ezincinane ngexesha loviwo. Olu vavanyo ludinga i-anesthesia ukuze isigulane silale ngophando kwaye senziwa ngugqirha oqeqeshiwe.
KUB: Le x-ray yesisu esibheke kwiintso, i-ureters kunye nesisu kunye namathumbu kunye namathambo epilvis kunye nomgudu. Olu vavanyo luncedo kakhulu ekufumaneni ukuba igesi kwiphepha le-GI okanye ukuqhenqetha lidlala indima kwintlungu isigulane esibhekene nayo, okanye ukuba kukho amatye eentso ezinokubangela intlungu.
I-ultrasound: Olu vavanyo lusetyenziswa amagagasi asandi aphezulu kunokuba indlebe yomuntu ingayifumana ukudala imifanekiso yomzimba womntu. Nangona lo vavanyo lubizwa ngokubanzi njengolu vavanyo olusetyenziswa ngexesha lokukhulelwa ukuze lubone umntwana kunye nokucacisa ubulili, i-ultrasound ingasetyenziselwa ukuhlola isisu kwaye iqinisekise ukuba kukho imicimbi ekhoyo neengcuba kunye nezitho apho. I-ultrasound iyakwazi ukufumana iingxaki nge-gallbladder, kwaye isetyenziswa ngokubanzi ukuvavanya iintso.
> Imithombo:
> Isikhokelo esiSebenzayo kwiMicrotherapy Clinic. Ukuhlolwa kweBisu. KwiYunivesithi yaseCalifornia eSan Diego.
> Ukucingela Ubuhlungu Bomzimba Abangapheliyo Abadala.