Appendicitis: iimpawu abadala. Iimpawu appendicitis ahlekise kubantu abadala

Appendicitis (appendicitis) - yinkqubo yokukrala appendix encinane cecum, esibizwa. Igama elithi "isihlomelo", yaguqulelwa isuka kwisiLatini lithetha "khala" kunye nesiphelo "itis" libhekisela komtshiso oko.

Ngokutsho manani, ezintlangeni zonke appendicitis zoqhaqho kwi-frequency ukusasazeka kwezifo kuthatha malunga ne 89% amatyala yaye kwindawo yokuqala. Kaninzi kwenzeka ulutsha zomsebenzi yobudala phakathi kwe-18 ne-35 leminyaka ubudala. Yokwanda kwalo sifo phakathi kwabafazi ngamaxesha-2 ngaphezu koko babantu.

ngezigaba

Appendicitis angenzeka iintlobo oyingozi futhi ezigulo ezondeleyo. Le fom etsolo yahlulahlulwe Kakade nezonakalisayo isifo catarrhal, nto leyo, iza ngeendlela ezininzi:

• ithumba;
• phlegmonous-isilonda;
• apostematoznuyu;
• ezililize.

appendicitis Chronic nayo yahlulwe ngeendlela eziliqela. Kungaba:

• residual;
• okuqhubekayo yokuqala;
• yomhla nezolo.

Zonke ezi ntlobo appendicitis esingapheliyo ezahlukeneyo iinkqubo sclerotic kwaye atrophic kwisihlomelo. Ngaba kwenzeka imithana granulation izitho eludongeni isihlomelo kunye sayo yayo, ukuyilwa azikhuli phakathi inwebu serous eziyingqongileyo. Kwimeko sokuzuza le mithambo ye isihlomelo of serous cyst fluid Ukwakheka kwenzeka.

Appendicitis abantwana kunye nabantu abadala: Oonobangela, Iimpawu kunye Treatment

Amaxesha amaninzi, iintlungu esiswini izigulane ukuya kufuna ingqalelo ngoko nangoko, kodwa emva kweeyure ezimbalwa okanye iintsuku. Oku kungenxa yokuba iimpawu zokuqala appendicitis abadala kancane kwaye ungaqinisekanga. Kukho ubunzima ekumiseleni kwindawo ethile eyendawo intlungu. Xa ufumana intlungu iintlungu iyeza kupheliswe ngokupheleleyo yaye waziva kuphela xa iintshukumo ngesiquphe nokuphefumla enzulu okanye ekhohlela.

Appendicitis: nemiqondiso abadala

• ubuhlungu, nto leyo yenzelwe iiyure yokuqala Nokuqina, bese yehla ngasekunene.
• Isicaphucaphu kunye nokugabha olulodwa.
• Ukunyuka lobushushu emzimbeni ukuba subfebrile.

Ukuba iimpawu ezinjalo (iimpawu) of appendicitis abadala lubonise ukuba akukho mfuneko yokuba ithemba ukuba yonke into aya ukucombulula ngokwayo. Kufuneka ubize inqwelo yezigulana. Iqela abanamava oogqirha lula ukumisela imeko eyingozi kangangokuba ufuna esibhedlele ekhawulezileyo, njengoko appendicitis. Iimpawu e abadala, njengokuba sele kukhankanyiwe, kungenziwa lubricated. Ukucacisa lokufunyaniswa phambi kokufika medical self-Uxilongo kwenziwe.

Oku kwenziwa ngolu hlobo lulandelayo: kummandla ekunene asezantsi esiswini kuyimfuneko cofa ngamandla ngeminwe ezimbini (index kunye ophakathi), iintlungu kufuneka ukungavakali. Ke iminwe ezihlambulukileyo, kwakunye nokwanda iintlungu kabukhali. Ukuba uvavanyo enjalo HIV, oko kukuthi, yonke into isebenza njengoko kuchaziwe, nabo babe isicaphucaphu langoku, kwaye kwezinye iimeko ukugabha kunye, uninzi zonke, ezi Iimpawu zokuqala appendicitis abadala. Ngoku ukuchaza ngokweenkcukacha ezingakumbi.

symptomatology

Ukuba uphethwe "appendicitis" nemiqondiso abadala kungaba ngake luzizi, kodwa ke zezi zilandelayo:

1. Okokuqala, kukho iintlungu esiswini, nto leyo yaba ngokucacileyo. Kunokuzibonakalisa Nokuqina, epigastric okanye umlinganiswa ehlasela (malunga kumazantsi esisu). Buhlungu rhoqo, mhlawumbi maxa wambi ibe cramping. Emva kweyure enye okanye ngaphezulu kancinane, oko buzinze esisu kwi ekunene. Le uphawu kuthiwa intlungu ukubana Kocher-Volchkov. Zokukhanya ubuhlungu kuvame ulandelwe. Oku kunokwenzeka kuphela xa indawo belungafani isihlomelo. Kulo mzekelo, loo ntlungu anikwe kwi nasemiphakathweni okanye kummandla empontshwa.
2. Izigulane ngokuqhelekileyo uthando. Le uphawu kuthiwa anorexia.
3. Emva iintlungu iphuhlisa isicaphucaphu, kwaye inokuba ukugabha eyodwa. Ezi iimpawu appendicitis xa abadala zochazo ngokwendalo zaphuhliswa ngenxa aphazamiseke le peritoneum.
4. It uvuke fever ephantsi-grade, kodwa akusoloko kwenzeka. Ezo iimpawu appendicitis etsolo abadala njengoko ifiva, ukugabha kunye uphawu unesifo ekuthiwa Murphy.

Xa iimpawu ezinjalo isigulane kufuneka okukrokrelwayo appendicitis oyingozi. Ngamanye amaxesha ezi mpawu eziphambili appendicitis abadala kunye Ukuchama rhoqo, ukuphazamiseka isitulo (sorhudo), ukubetha kwentliziyo ngokukhawuleza , yaye kwiimeko ezinqabileyo, ukwanda koxinzelelo. Ezinye Iimpawu uncharacteristic kwesi sifo kungenzeka abadala, abantwana kunye nabasetyhini abakhulelweyo, kwakunye nendawo belungafani isihlomelo le cecum. Ziintoni iimpawu appendicitis abadala zenzeka rhoqo, esiye sakuphonononga. Ngoku makhe sithethe awohluke kuphuhliso sifo abafazi, kwakunye cinga ingozi ewuthweleyo ngexesha lokukhulelwa.

Awohluke of isifo appendicitis kwabasetyhini

Kwisiqingatha elifanelekileyo uluntu ithuba lempazamo uxilongo kwesi sifo ngaphezulu ebantwini. Oku kungenxa yokuba imvakalelo ngexesha kuphuhliso sifo kubhidaniswe ubuhlungu xa esexesheni okanye iintlungu asabela xa kukukrala kwizigqeba gynecologic zangasese. Le mpazamo kunokwenzeka xa kukho indawo belungafani isihlomelo.

Moshilongo lokugqibela echanileyo ngakumbi esibhedlele umfazi ngaphandle kokuba ugqirha kufuneka ahlole olunye ugqirha. Uphawu uphawu ukudumba isihlomelo le ngezifo yamanina kukuba kwimeko yokugqibela, lo ukugabha, isicaphucaphu kunye isitulo aziqhelekanga.

Iimpawu appendicitis amabhinqa akhulelweyo

Iimpawu appendicitis amabhinqa abadala ngokufanayo abantu. Le Okungumahluko manenekazi abakhulelweyo. Ngokutsho manani, izehlo appendicitis ngexesha lokukhulelwa imalunga-5%. Kwisiqingatha efanelekileyo yoluntu, nto leyo eza kuba unina, ifomu Nedlac (kwimeko ukubana of isihlomelo) ibonakala kwesi sifo.

Uxilongo lwe appendicitis ngexesha lokukhulelwa ngokuqhelekileyo akubangeli iingxaki. Iimpawu ziyafana nezo ezinye abadala. Ubunzima ezinokuvela kule ezintathu zokugqibela zokukhulelwa, ukuba uhlobo ntlungu cramping kwindalo. Izigulane badla ukuthatha ngendlela ethile ngenkani elele ngomqolo imilenze igotywe amadolo kunye nsinya ukuya emilenzeni esiswini. Le ntlungu yenzelwe kakhulu kwi ekunene kummandla iliac, kodwa zigaba kamva yokukhulelwa angavela ngasentla. Kwakhona kule nyanga zokugqibela zokumitha Okuyinkxalabo unyango zoqhaqho appendicitis kunye postoperative kwimeko yesiqhelo. Ngoko ke kubaluleke kakhulu ukuba, ukuhlola ngokuchanekileyo.

Izinto ezibangela appendicitis ngexesha lokukhulelwa

Esi sifo kuvela ngenxa yokuba ngexesha sokukhulelwa baby wesibeleko enkulu kakhulu zingachaphazela indlela cecum kwaye ukutshintsha indawo yayo. Kwakhona, i appendix unako ukubandlululwa wesibeleko ezandisiweyo, kubangele ukuhamba kwegazi ukuphazamisa kuyo. Maxa wambi oku kukhokelela ukudumba kunye ukubola. Unobangela appendicitis amabhinqa ukhulelwe kwakhona utshintsho kumanqanaba hormone. Ngexesha ukuba nomntwana nabafazi badla zenzeka ukunyhashwa esitulweni, oko kukuthi ukuqhina, leyo angangunobangela wokuhlaselwa le ngezifo.

Njani yingozi appendicitis ngexa lokukhulelwa?

Kucacile ukuba naluphi na ungenelelo ngotyando, ingakumbi xa wenza esiswini yomfazi okhulelweyo kunokubangela ukuzalwa kwesisu okanye kwexesha. Kodwa ngaphandle ukuba kuyingozi kwale miqathango ilandelayo:

• uphuhliso hypoxia foetal;
• wona ngaphambi ngumkhaya kunye mbungu ukuguga;
• isahlakalo kwimiqobo ahlekise amathumbu akhe;
• usuleleko postoperative;
• iphula izishunqulelo zesibeleko ngexesha zabasebenzi;
• ukopha kwithuba Kukudandatheka.

Ngenxa yoko, siye ingqalelo zonke iimpawu kunokwenzeka of appendicitis, kunye kweempawu zesi sifo abadala. Ngoku makhe sijonge iimpawu kuphuhliso sifo ebantwaneni.

Iimpawu appendicitis kubantwana abadala

Iimpawu kubantwana abangaphantsi kweminyaka isikolo ezifanayo iimpawu zesi sifo abadala. Ungadibanisa kuphela ukuba izigulane enjalo aphela rhoqo ukuthatha ukuma ngenkani, apho ngobunzulu intlungu lifinyele. Bona walala ngomqolo okanye kwicala lasekunene. Ngaphezu koko, ubushushu degrees-38 okanye ngaphezulu. Ubume ayifani ukunyuka kwamaqondo obushushu emzimbeni kunye nabo buzakukhawuleziswa kakhulu.

Xa usibona kwisisu zomlomo babonise ulwimi efumileyo, ukutyabeka emhlophe zikhoyo. uphawu embi ulwimi elomileyo. Oku kubonisa uphuhliso sifo kunye peritonitis ezililize. Abantwana le ubudala inokuba ukulibaziseka esitulweni kule sifo.

Iimpawu appendicitis kubantwana abancinane

Abasafunda ukuhamba ingqalelo zimpawu isifo ukuze kurhanelwa kwezi meko zilandelayo:

• Umntwana uyakhala akabi ahlole.
• Ekunene umlenze kid siyakrazula ukuba isisu kwaye curls phezulu.
• Ubushushu kubaguli abaselula appendicitis kwesifo kudla liphuma ngaphezu degrees 38, kunokuba ukuya ku-40.
• Ukubetha kwentliziyo rhoqo elungelelene ukuphakamisa iqondo lobushushu.
• ilindle ulwelo, rhoqo.
• Echama kungaba buhlungu iyangongoza. Xa uchama umntwana ekhala.
• Xa abantwana abaselula, ukugabha ingaphinda-phindwa.
• Umntwana bha બુલેટવાળી, uyala ukuba adle, akalali, rhoqo wacela ukuba basele.

Ziintoni iimpawu appendicitis abadala kunye nabantwana apho, ngoku siyazi. Uhlole imiphumo eyingozi kwesi sifo.

ukungaphili

Kwezinye iimeko, esi sifo nzima le nkqubo ilandelayo:

• ithumba esiswini, esenokuba appendicular, subdiaphragmatic, Douglas mezhkishechny okanye ngokuxhomekeke lizwe lethu;
• thrombophlebitis zangasese okanye imithambo iliac, oko kunokubangela imeko embi kakhulu - Embolism pulmonary;
• peritonitis, kwimeko komsipha ye isihlomelo;
• ekumisweni nokungena postoperative;
• uphuhliso azikhuli kwixesha postoperative, nto leyo ibangela emathunjini.

unyango

Ukuba kukho iimpawu appendicitis ukudumba abadala okanye abantwana, oko kuboniswa njengoko appendectomy kunokwenziwa ngokukhawuleza, ie ukususwa isihlomelo, ukwenzela ukuthintela iingxaki kakhulu kwesi sifo. Olu sebenziso eyenziwa qho likaxakeka - kwisithuba seeyure emva ukuxilongwa.

Kwinqanaba lokhathalelo pre-esibhedlele kucetyiswa alale. Akuvunyelwe ngokungqongqo ofumana naluphi ukutya okanye isiselo. Musa ukuthatha amayeza okuphelisa iintlungu, laxatives kunye namanye amachiza ukucacisa uxilongo lokugqibela, ukusebenzisa ezibandayo okanye ubushushu.

Xa ukuxilongwa umiselwe "appendicitis" (iimpawu abadala kunye nabantwana njengoko kuchaziwe apha ngasentla), isigulane ibekwe kwiyunithi inxeba, kunye appendectomy kwenziwa. Lo msebenzi ngo-gingxi ukwenza laparoscopically.

Emva koko sesigulane iiyure eziliqela yadluliselwa kwicandelo labagula kakhulu, apho yena phantsi kweliso unyango rhoqo. Xa isigulane ekugqibeleni kumka zomzimba, loo nto idluliselwa kwisebe yotyando. Ngosuku 5 ngokuqhelekileyo ukususa izitishi izigulane abatshintshela unyango kwesibhedlele.

Xa ikhondo elinzima esi sifo isigulane sihlala esibhedlele, kwaye ingxelo sakhe siya kulibaziseka kude ngokupheliswa nemiphumo engathandekiyo nokuzinziswa imeko jikelele.

Outlook

Xa indlela lula sesi sifo yaye ngobuchule wenza ngexesha ukusebenza isoyikiso kubomi ayikho appendicitis. Full umthamo ukusebenza ze isigulane isazama emva kweeveki ezi-4.

Izinto ezibangela iingxaki appendicitis, njengoko umthetho, ukuba ukwamkelwa ezilibazisekileyo kwaye ibambezele nokusebenza. Kwiimeko kakhulu kulo nokuba kukhokelela ekufeni.