Appendicitis: izinto

Esi sifo kukukrala isihlomelo isihlomelo (cecum). Kuyinto eqhelekileyo kwilizwe lethu. Yaye kucingwa isifo uqhelekileyo kwisisu. Amaxesha amaninzi ezidinga engxamisekileyo yotyando. Xa usebenzisa uhlobo nokuba ngaphezulu kweentsuku ezimbini isihlomelo ezindala iintsuba. Kwimeko enjalo kwenzeka ebulalayo. Ngoko ke kubaluleke kakhulu ukuba ukuxilonga ukwenza loo msebenzi.

Appendicitis: Iimpawu, ebangela kwezifo

Ngoko kutheni na kokuba? Makhe sihlolisise indlela appendicitis ibonakala. Izinto ezibangela namhlanje ngokuqinisekileyo nangoku isekiwe. Kunzima ukutsho, ngasizathu sithile, iba ebushushwini babo. Kodwa ke uphando sifo abonisa ukuba iimeko ezimbini eziyimfuneko kuphuhliso lwayo. Lokuqala - ubukho iintsholongwane emathunjini ezifunekayo, okwesibini - ukuvaleka isihlomelo sayo isitulo, iimbewu ezahlukeneyo okanye mihadi. Ngamanye amaxesha, kwisihlomelo, baze bafumane imizimba amazwe, ezifana namalungu amancinane evela zokudlala.

Isifo iqala ziintlungu, kodwa ngokuzimeleyo eyona ndawo ngqo yayo Kudla ngokungabikho kunokwenzeka. Umntu ucinga ukuba unalo eyethisa isisu, kodwa iiyure ezintlanu kamva iintlungu eqala ukugxila kwi ekunene kummandla iliac komzimba. Isihlomelo sikwazi zibekwa ngeendlela ezahlukeneyo, ngokuxhomekeke kubume umzimba ngamnye.

Kwindawo eqhelekileyo intlungu isihlomelo kwenzeka kwisahlulo esisekunene. Ukuba appendix ingaphezulu kancinci, kubonakala phantsi ezimbanjeni kwi ekunene. Ukuba le nkqubo emazantsi, ngoko intlungu iya kwenzeka kummandla zangasese. Ukongezelela, ukuze uqale ukugabha kunye ngamanye amaxesha urhudo.

Kukho ezinye iimpawu, nto leyo ukubona okubi: umchamo mnyama, umlomo owomileyo (ingakumbi ngolwimi), ifiva (izidanga ngokufuthi ukuya ku-40). Ngexa lokukhulelwa, xa umfazi kwindawo lisalele, ivela intlungu Ekuveleni umzimba ukusuka ekhohlo ukuya ngasekunene.

ekuxilongweni

Izinto ezibangela appendicitis awukacaci, kwaye ukuchaza ukuba akukho lula. Iimpawu iyohluka, ngokuxhomekeke indawo isihlomelo ebushushwini babo. Uxilongo senziwa ngenxa yegazi (apho kukho okuninzi emhlophe ngakumbi legazi count) kunye nomchamo (isixa leeprothini inyuswe). -X-reyi lwenziwe ngokufanelekileyo inqabile, njengoko ayinazigqibo uxilongo ngqo. Ngokusebenzisa imifanekiso lwabonisa ilitye ilindle kuphela ucingo inkqubo lokuvula.

Ukuze ubone appendicitis etsolo yi ultrasound ngakumbi. Ngamanye amaxesha - scan kwi computer. Ngayo, umfanekiso we isihlomelo banzi. Kwangaxeshanye oko ekulula ukuyibona izihlunu isisu, eye yatshintsha.

ukungaphili

Enye iingxaki ezininzi rhoqo - perforation. Oko kungakhokelela ekubeni ithumba periappendikulyarnomu (ukuqokelelana ubofu owosulelekileyo) okanye kuyenye peritonitis (usulelo kwenzeka ngelo xesha kulo lonke kwisisu). Oonobangela appendicitis ukudumba kwifomu ludlule: sifo ezingachanekanga kunye nokubambezeleka unyango.

emathunjini na anqabe kakhulu. Oko kunokuthi kwenzeke ukuba ukudumba emhlabeni inkqubo eyeka umsipha wamathumbu ethintela ukuhamba endleni kuwo. Umnqe olunyuswe, kwaye kukho ukugabha isicaphucaphu. Inxalenye emathunjini, nto leyo amalungiselelo ngaphezu indawo apho ekuqhubekekeni ezaphukileyo, ezele irhasi kunye ulwelo.

Kodwa bunzima kakhulu kwaye iyingozi - a usulelo igazi (ngenye indlela - nokudumba). Le meko buhlungu xa iintsholongwane ukuba ungene igazi ukunwenwa wonke umzimba. Kama unokude kukhokelela ekufeni.

unyango

Indlela yokuphatha appendicitis? kubangelwa yahluke kakhulu. Ngokomzekelo, maxa wambi mandundu livela kwi ingxaki kwezifo esiswini okanye emathunjini. Kodwa imbewu ukudla ngenxa nje ukusuka ngeengxam ezabe nako kunokubangela appendicitis. Ukuba kuzinza kakuhle ukuba wabonakala, ngoko, ukuba akukho iziganeko ezibi ezibi asikwazi ukuthatha naziphi laxatives okanye izibulala-ntlungu, yaye ngakumbi ke ukubeka ibhotile-amanzi ashushu. Kungcono ukubeka endaweni sibuhlungu, into opholileyo yaye ngoko nangoko ubize inqwelo yezigulana. Ukuba appendicitis kuqinisekisiwe, ngoko le nkqubo isuswe komnye ngeendlela ezine: esiveza retrograde, laparoscopy transluminal.

Ithuba postoperative

Xa uhlobo elula yobusi sifo isigulane ngokuhlwa ngosuku lokuqala emva kotyando ingaqala kancinci kuqengqeleka ebhedini, elinesibini - mazingqengqe phantsi ngomhla wesithathu okanye lesine - up. Ukudla kungaba kuphela ngomhla wesithathu, kwaye kufuneka sibe lulwelo okanye mushy. Kakade ke ngomhla wesithandathu akholisa ekutyeni yokudla.

abantwana appendicitis

Kwiminyaka yokuqala yobomi inqabile kakhulu. Ngokuqhelekileyo oku kwenzeka emva kweminyaka 7. Kunye neempawu okokuqala ibe buhlungu esiswini. Ayizi ukuthetha ngqo malunga nesifo, ekubeni le uphawu kunokwenzeka ezinye izizathu. Noko ke, ubone ugqirha wakho khangela kusenjalo kuyimfuneko. Kwakutheni ukuze kube appendicitis? ezibangela bayo kulala slagging ka iphecana zesisu okanye usuleleko ungena emzimbeni.

Le ukudumba ingaba ezinganyangekiyo okanye bukhali. Le fom yokugqibela sifo kakhulu ebantwaneni. Kulo mzekelo, kwenzeka intlungu umntwana ngesiquphe, kwaoko luqala isicaphucaphu kunye nokugabha. Emva kweeyure ezimbalwa kamva iintlungu uhamba phantsi nesisu aze aqalise kunjani kufuphi cecum. Xa ukhohlela okanye azame kulala phantsi kwicala lasekhohlo, kuba ngcono. Xa oku eqala zome emlonyeni, kubonakale ukuqhina okanye ukurhuda.

Nabantwana abancinane kwiminyaka ukuya ku-7 ubudala kufuneka silumke kakhulu iimpawu ezifana ukuchonga appendicitis jikelele kunzima. Ngenxa bakuxelele okokuba ungaya phi na buhlungu, nokuba abakwazi nje.

Oonobangela appendicitis ebantwaneni nakulutsha. Kutheni na apho?

Xa elivisayo, esi sifo kuqhelekile kakhulu. Obuza jikelele entwasahlobo okanye ukuwa. Oonobangela appendicitis abantwana abafikisayo: kwiimeko ezininzi, esi sifo kwenzeka ngenxa ukwehlisa nezifo. Ngenxa yoko, umzimba awukwazi ukuxhathisa iintsholongwane neebhaktiriya kwisihlomelo sele osulelekile, ingqondo komtshiso oko.

Ezinye izinto ezibangela appendicitis ebantwaneni: inokuba i utshintsho kwizidlo kuchasene imisebenzi esiswini. Ngokufuthi idlala indima ukusetyenziswa ebalulekileyo Ozidelayo iimbewu, neenkozo zepistasi, amaqunube. Abantwana badla ukuginya ngeengxam ezabe zidliwa, amaqokobhe, amathambo ezincinane, ngoko abazali kufuneka esweni ngenyameko kubo. Ubangele lesi sifo nokuba ntshulube zesiqhelo.

Njengoko umzimba yomntwana angekayazi eyona nto ngokupheleleyo, ukuxilongwa kunokuba nzima kakhulu. Umntwana lowo uphuhliso sifo ngokukhawuleza kakhulu umntu omdala. Abantwana nenkolo, kukho ukuhla elibukhali ukutya, kuthibaza, isicaphucaphu, ukuqhina kunye ahlekise esiswini. Iqondo lobushushu ukuze waphakanyiselwa degrees 40.

abadala

Amatyala amaninzi etsolo kwenzeka phakathi kweminyaka engama-20 ukuya kuma-30. Appendicitis njalo abasetyhini abakhulelweyo kunye ukuthambekela zezifo iphecana zesisu kwaye uphethwe kwesisu. Nangona ngezifo ngesondo akuxhomekekanga. Abo njalo kubonakala appendicitis? Izizathu zakhe kalukhuni, ndoxelelwa ngubani na enye kuyo nayiphi na ubudala. Nangona kunjalo, inkqubo yabantwana ngokwaneleyo kwaye ngokulula kuqongqothwa, yaye abantu abadala - phezu koko. Ngenxa yoko, ngabokugqibela ubunzima futhi, kuseloko sifo ngakumbi.

Oonobangela appendicitis abadala: isenokuba nasiphi na isifo kwesisu, iintlungu esiswini, ukudumba wokugaya phecana okanye ziintshulube. Ukongeza, oogqirha bakholelwa ukuba unobangela isenokuba kakubi a ukutya protein.

Ifomu yayiyazi

Yintoni ekwenza appendicitis oyingozi? Oonobangela kweendlela: kuqala - inkqubo occlusion, okwesibini - staphylococci ningena kuwo, Escherichia coli, streptococci kunye enterococci. Bathi zihlobene, ekubeni kuzo zombini ezi meko, kudala iimeko ezifanele ukukhula ngokukhawuleza iintsholongwane. Kwimeko yokuqala, yonke umxholo kukhokelela kwingxinano kunye nokudumba kweendonga isihlomelo, lo gama i-yokugqibela kuxhokonxwa kukuvela inflection kunye namathumbu uchithe ingenakwenzeka.

Kwi-West, oogqirha baye bafumana unobangela olunye okubi - xa inkqubo wokuwa fuzobakterii ezibangela necrosis ezintweni zayo. Usulelo kuphuhliswa ngokukhawuleza kwaye ibangela ububomvu kunye nokudumba. Kwi-West, unyango eqhelekileyo elondoloza, kodwa kunqabile kusetyenziswa eRashiya.

Ezinye izinto ezibangela appendicitis ludlule: .. Yersiniosis, icesina, isifo sephepha, amoebiasis, njl Ukongeza, le nkqubo yaququzelela yi ukuyilwa ngokugqithisileyo iiproteni emzimbeni, oko kukhokelela wokuqhekeka kobudlelwane zazo ngokukhawuleza kwi emathunjini kunye phezulu inkqubo ezibolayo. Kwakhona zodwa njengonobangela elahlukileyo ithambekele ukuqhina, ngenxa apho akukho ukuhamba kwesisu ngexesha, yaye wadala iimeko ukukhula amagciwane ngokukhawuleza.

appendicism

Xa abadala, kubhaliwe kunqabile, akukho ngaphezu kwesinye ekhulwini zonke iimeko appendicitis. Umntu uba intlungu nezolo, kubi xa uhamba okanye ekhohlela. Xa ubuya Iimpawu ziyafana appendicitis oyingozi. Xa lobushushu umzimba grade eqhelekileyo okanye ezisezantsi. Amaxesha amaninzi oku igqalwa pyelonephritis appendicitis, isifo isilonda Peptic, isifo esinganyangekiyo le kwisisu.

ubovu appendix

Oku ukudumba isihlomelo, edibanisa iintlobo eziliqela lokugula ahlekise. Kutheni kukho appendicitis ubovu? Kusenokwenzeka kuba ngolu hlobo lulandelayo: intabalala nkovu, igazi amahlwempu, ubukho sayo crimped emxinwa, indawo Ukwahluka. Kulo mzekelo, ezi ntsholongwane zingene kwinkqubo ye hematogenous, lymphogenous okanye (rhoqo) indlela enterogenous. Kule hlobo ukudumba izihluma polymicrobial.

Inqanaba lesi sifo

Ezininzi ngqi eziphawulekayo:

1. Endoappendicitis (lokuqala iiyure ezili-12). iimpawu eziye - ubuhlungu kunye neentlungu esiswini, ngokufuthi ngokuhlwa kunye ebusuku. Ukufana kunye iimpawu gastritis. Ngeli xesha, kukho bubuthathaka, umkhuhlane, kodwa isisu ihlala ithambile, nangona ntlungu uxinzelelo phezu kwakhe ngasekunene.
2. appendicitis Phlegmonous (ekupheleni kosuku lokuqala). Le ntlungu yenzelwe ngokucacileyo ukuya ekunene, kummandla iliac. Yena throbbing kunye pretty namandla. Isicaphucaphu, tachycardia, nomkhuhlane. Isisu kwisihlomelo asha eladlulayo.
3. appendicitis xuki (yesibini kunye neentsuku wesithathu). Oku kwenzeka inkqubo ukuphela yokuyeka, kwandisa zinetyhefu jikelele emzimbeni, tachycardia libizwe. Ubushushu liyancipha, isisu kutyhobozela, kukho ukunqongophala peristalsis.
4. appendix tubing (ekupheleni kosuku lwesithathu). ahlekise kwaye kakhulu kwi ekunene osesiswini, ubunzulu indyebo yalo. Ukungabikho lamathuba isiqabu, ukuqumba kunye uxinzelelo, ukugabha rhoqo iqala. Enamathela phezu ulwimi endaweni emhlophe iba brawuni. Le ubushushu kwinqanaba ezibalulekileyo. IEksodus - appendicitis ubovu okanye ithumba zasekuhlaleni.

ubuxhakaxhaka diagnostic

Kutheni ngamanye amaxesha kunzima ukubona appendicitis? izinto zayo, oogqirha kusekho bakufumanisa kunzima igama kanye. inkqubo abakuso eyahlukileyo. Amaninzi ibekwe esiswini - kwindawo efanelekileyo, kodwa abe mesentery. Olu xwebhu film-ezifana uyanamathela inkqubo kwizakhiwo ukuba em- esiswini. Xa ingalo elide mesentery ngamanye amaxesha ngokuphawulekayo ngomdla. Ngaphezu koko, maxa wambi ibe ngaphezu kwesiqhelo.

Kwezinye iimeko, isihlomelo esehlela isinqe, nangenxa labafazi phakathi knuckles bakhe. Kwakhona kungaba kwaye ngasemva ikholoni. Kwiimeko ezinjalo, iimpawu ezifana nezilonda amalungu ezahlukeneyo (umz zangasese).

Appendicitis kunzima ukuchaza, kwaye kwezi meko, xa umntu kunye nezinye iinkqubo kwiintetho ezikralayo, ukuba unako ukuvelisa iimpawu ezifanayo. Ngoko ke, ekuqaleni isigulane ixesha umkhanya xa ukwenzela ukufumanisa ngokuchanekileyo, njengoko iimpawu appendicitis ukuze babonakale ivamile emva komzuzwana.