Appendicitis xuki: Oonobangela, Iimpawu, Diagnosis

appendicitis xuki - yinto ngezifo ukuba luphawulwa kwezihlunu necrosis ye isihlomelo yabantu abangakwaziyo kunye umfanekiso onyango ekuqhelekileyo evumela ukuba yokuzohlula kwezinye iintlobo ukudumba ngqo kwisihlomelo. Kaninzi kwenzeka wayibona Uxhokonxwa ngokwaneleyo kuphuhliswa emibi kakhulu. Yiyo loo nto kubalulekile ukuba ngokukhawuleza kufuna uncedo ugqirha, oya kuqinisekisa ezibangela ukuba inkqubo zophendlo lwezifo kwaye zibeka unyango.

Overview

appendicitis xuki - uhlobo lwe ubovu inkqubo ukudumba lobeko, ngokusekelwe ukufihla intshabalalo vuhlayiseki. Kaninzi utshintsho kwindalo necrotic kuvandlakanywa kwiindawo ezincinane isihlomelo. ukudumba xuki luhlobo lobeko zale sifo yaye kubonakala kuphela kwinqanaba elithile wophuhliso lwawo (iintsuku 2-3 nokudumba).

Eyona eziphambili ezibangela wophuhliso izifo

appendicitis Acute xuki olubakho xa inkqubo yokukrala kwinkqubo anayenza ngexesha ngosuku lokuqala. Ke ukuphela ubuntununtunu okuqhelekileyo kwalapho, ngoko ntlungu shwaka. Izigulane ezininzi isigqibo ukuba ingozi sele idlule, oko luhlehliswe ixesha elithile ukubona ugqirha. Ezo indiva impilo yabo kunokukhokelela peritonitis.

The main ubungozi ngenxa kukuvela izifo ezifana ziquka ziingcali kulandelayo:

• ubudala nangaphezulu.
• Ukwenziwa egazi.
• Yamafutha kwemithambo yethumbu.

Zonke ezi zinto zibonisa ukuba oonobangela olukhawulezileyo nezifo ezibangelwa ekuthiwa-microcirculatory. Bona zithathwa ukuba ibe ziziphumo ukuphazamiseka nokuhamba kwegazi, njengesiphumo - necrosis ithambo. Ezinye iziqalelo ze-Pathogenesis (usulelo autoaggression omzimba) zihlangene kuphela xa ijika yesibini, kuba kuphela idale ngezifo.

Ziziphi iimpawu zibonisa ukuba zokugula?

Kwisigaba etsolo kukho iyaphindwa ukugabha, nto leyo rhoqo kokugqiba nomonde aze engazisi isiqabu kudala elindelwe. Ngenxa kunxilwe ngenxa kuphuhliso inkqubo yokukrala lobushushu putrefactive zihlale eqhelekileyo okanye lincitshiswe.

appendicitis xuki esizibonakalisa ekwimo onaso of "isikere ezinetyhefu." Isigulane uye wavakalisa tachycardia (umyinge intliziyo malunga 100 ibetha ngomzuzu), kodwa izinga lingaphumi.

ulwimi yomguli owomileyo kunye ukutyabeka kuphawu elityheli. Kwimeko yokuqala xuki mpawu appendicitis zinokwahluka ngandlel:

• kabi Ebuhlungu kummandla ekunene iliac, leyo ngesiquphe kubonakala kwaye ngokukhawuleza kudambe.
• Esiswini nzima, buhlungu.
• imeko yomguli ithathwa njengenkulu.

Ukuba umntu akafumani unyango ngokwaneleyo kwaye ngexesha elifanelekileyo, ngoko olu hlobo sifo iphuhlisa sele xuki, isihlomelo tubing. Le ngezifo luphawulwa perforation udonga ngqo isihlomelo. Ngexesha lekhefu yakhe umntu uba buhlungu kakhulu, nto leyo ekuhambeni kwexesha saa ngcembe kulo esiswini. Ngenxa yokwanda lobushushu ukunxila siyenyuka, kukho tachycardia ecacileyo. Ulwimi luthe eyome kakhulu, ukutyabeka unenxaxheba ithinti sinombala. Isigulane ophethwe ukugabha kakhulu.

amanyathelo zokuxilonga

Ukuba unayo ezi mpawu zingasentla, kufuneka ngaphandle kokulibazisa ukuya kufuna uncedo evela kugqirha. Ukuba ukrokrela ukuba le ingcali ngezifo ekuqaleni liqhuba uviwo yesigulana. Ngokucofa baye bajongwe ukuqina kodonga esiswini, isisu aphakathi mbile. Koko babelwa uthotho lweemvavanyo elebhu, kuquka igazi kunye nocazululo nomchamo. Ukongezelela, kusenokufuneka ultrasound X-reyi kwaye Itomography ngekhompyutha. Ngokusekelwe kwiziphumo wohlalutyo ugqirha angakwazi ukuqinisekisa lokufunyaniswa appendicitis ezililize.

ayini

Therapy kubandakanya ukususwa zoqhaqho isihlomelo. Appendectomy lwenziwa ngendlela yemveli, okanye laparoscopy.

Kwimeko yokuqala, ugqirha lususa appendix nge imbobo eludongeni esiswini. Ngokuqhelekileyo, le nkqubo iya kwenziwa ngokusebenzisa Ukubulawa jikelele.

Ukusetyenziswa yokuba appendicitis ngu laparoscopy ezibuhlungu ezahlukeneyo amancinci. Ugqirha yenza ukuhlatywa eziliqela omncinane eludongeni esiswini ekuthe ukubeka izixhobo ukuze zisetyenziswe. Eyona ibalulekileyo kwezi yi- laparoscope - ityhubhu ikhamera kwi ekupheleni. Ngexesha lo msebenzi, ugqirha ifumana umfanekiso kwi computer yakhe, elikuvumela ukuba enze imigaqo echanekileyo yotyando.

Ithuba postoperative

Ithuba postoperative kwizigulane kunye kwesifo eliqhelekileyo inemisebenzi ezininzi:

• Ukusetyenziswa kweziyobisi antibacterial kunye analgesics.
• Nokubandakanywa detoxification therapy usebenzisa refortane izisombululo ityuwa, iswekile, kunye albumin.
• iimvavanyo zegazi ngemihla.
• Uthintelo izilonda kunye nezigulo thromboembolic. Kweli xesha postoperative zezigulane ezilawulwa secretion blocker esiswini ( "Kvamatel", "Omez"), anticoagulants ( "Clexane").
• tubal Daily nokuhlanjwa amanxeba.
• unyango Physical, yokuthanjiswa ezizodwa, imithambo yokuphefumla.

Operation appendicitis - yinto utyando olukhulu. Ukuthintela uphuhliso iingxaki kwixesha elizayo, kufuneka usebenzise izikhokelo enikwe ngasezantsi.

Makhe sithethe ngokudla

Ngokuba lo ngezifo luphawulwa iingxaki peristalsis isisu, ngoko emva kotyando ukutya kufuneka banikwe ingqwalasela eyodwa.

Ngosuku lokuqala wavumela ukusetyenziswa nonfat iyogurt, amanzi izimbiwa ngaphandle iigesi nenkuku umhluzi ukukhanya. Ngosuku lwesibini, ukuba ixesha post-operative akukho nzima nangakumbi iimpembelelo ezingalunganga kwi ekutyeni ungadibanisa iitapile ezicujiweyo, amanzi ulwelo isidudu kunye cottage samasi casserole. Kusuku olulandelayo emva kokuba amandla diversify ngaphakathi kwizidlo №5. Kulungile ukuba bayeke, ukutya okunamafutha okuneziqholo kunye nokutshaya.

iingxaki bha

Le ngezifo ithathwa yingozi kakhulu njengoko kunokukhokelela anobungozi kubunzima zempilo. inkqubo Ingakumbi ezibalulekileyo ezifana kwizigulane abaselula.

ukuba kuhambisane Yiyiphi imiphumo negative appendicitis xuki?

1. peritonitis ubovu. Le yimeko esiyingozi esifuna ukungenelela yotyando. Ukuba aid na ukubonelela ngexesha, netyhefu igazi zinokwenzeka.
2. infiltrate Appendicular. In isihlomelo asha ngcembe bakha yeMetro yendawo eliquka lusa lwa Amalungu nezihlunu. Lo mba usoloko ufuna unyango endala ixesha elide.
3. thrombophlebitis septic. Le nkqubo yokukrala iyakhula eludongeni lwemithambo. Ngenxa yoko, oku kukhokelela ukuyilwa egazi igazi le mithambo ye Kwangale.
4. ithumba ubovu Local. Iziseko ezinjalo advantageously ukuphuhlisa kwindawo uvalo.

Ukuba Akusayi kusala appendicitis ebumnandini. Ubovu lobeko xuki kwesi sifo kufuna unyango ngoko nangoko. Kungenjalo, kwenyusa amathuba iingxaki kunye nokufa. Eyona nto iyingozi kukukrala yabantwana, bonke iinkqubo zophendlo lwezifo amaxesha amaninzi ngokukhawuleza.