Appendicitis: zizindikiro akuluakulu. Zizindikiro za pachimake appendicitis akuluakulu

Appendicitis (appendicitis) - ndi yotupa ndondomeko ya zakumapeto ka cecum ndi, zakumapeto otchedwa. Mawu "zakumapeto", lotembenuzidwa kuchokera Latin amatanthauza "mafuta" ndi kutha "itis" amatanthauza kutupa.

Malinga ndi kafukufuku, mwa appendicitis onse opaleshoni pafupipafupi kufala kwa matenda limatenga 89% milandu ndipo mu malo oyamba. Nthawi zambiri kumachitika mu achinyamata ntchito anthu akale pakati pa 18 ndi 35 zakubadwa. Kuchuluka kwa nthendayi pakati pa akazi m'nthawi 2 kuposa anthu.

Gawo

Appendicitis angayambe mitundu pachimake ndi aakulu. Mawonekedwe pachimake lagawidwa Inde matenda catarrhal ndi zowononga zimene pamapeto, akhoza kutenga njira zosiyanasiyana:

• abscess;
• phlegmonous-chilonda;
• apostematoznuyu;
• gangrenous.

Aakulu appendicitis ndi anagawa mu njira zosiyanasiyana. Zimakhala:

• yotsalira;
• aakulu chachikulu;
• kobwereza.

mitundu onsewa appendicitis aakulu amasiyana njira sclerotic ndi atrophic kumapeto. Angayambe overgrowth wa granulation minofu mpanda wa zakumapeto ndi lumen ake, mapangidwe adhesions pakati pa Kakhungu serous ozungulira. Pankhani ya kudzikundikira mu lumen wa zowonjezera ya serous madzimadzi chotupa mapangidwe amapezeka.

Appendicitis ana ndi akulu: Zoyambitsa, Zizindikiro ndi Chithandizo

Nthawi zambiri, ululu pamimba odwala kufunafuna tcheru nthawi yomweyo, koma pambuyo maola ochepa mwinanso masiku. Ichi ndi chifukwa chakuti zizindikiro loyamba appendicitis akuluakulu kukhala pang'onopang'ono ndipo chosadziwika. Pali zovuta kudziwa malo enieni ululu kutanthauzira. Pamene kulandira ululu mankhwala ululu zilekeke palimodzi ndi ankangotsatira pamene magulu mwadzidzidzi kwambiri kupuma kapena kukhosomola.

Appendicitis: zizindikiro akuluakulu

• Zonse ululu, omwe isanafalikire maola woyamba mu m'michombo, ndiyeno akutsika kumanja.
• Kunyansidwa ndi kusanza umodzi.
• Chulukitsani thupi kutentha kwa subfebrile.

Ngati zizindikiro zotere (zizindikiro) a appendicitis akuluakulu asonyeza kuti si koyenera kuyembekezera kuti zonse kuthetsa yokha. Muyenera itanani ambulansi. Gulu odziwa madokotala mosavuta kudziwa chikhalidwe loipalo kuti amafuna hospitalization mwamsanga ndipo appendicitis. Zizindikiro akuluakulu, monga tanenera kale, akhoza afewetsedwa. Kulongosolerana matenda isanafike mankhwala kudziletsa matenda angathe kuchitidwa.

Izi zachitika motere: m'dera bwino m'munsi mwa mimba ndi kofunika kwambiri tilimbikire ndi zala ziwiri (index ndi pakati), ululu sayenera anamvera. Ndiye zala woyera, ndi ululu umachuluka zikuchepa. Ngati mayeso anali wotsimikiza, ie, zonse ntchito monga tafotokozeramu, iwonso akhale pano nseru, ndi zina kusanza, koposa zonse, izi ndi zizindikiro loyamba appendicitis akuluakulu. Ife tsopano akufotokoza zambiri za iwo.

symptomatology

Ngati matenda "appendicitis" Zizindikiro akuluakulu zimakhala khungu, koma iwo ali motere:

1. Choyamba, pali ululu m'mimba, amene si bwino isanafalikire. Izo zikhoza kuonekera Mchombo, epigastric kapena ndi khalidwe akakufunsani (padziko pamimba). Kupweteka nthawi zonse, nthawi zina cramping. Pambuyo ola limodzi kapena pang'ono, iwo ankaganiza pamimba kumanja. Chizindikiro chimenechi amatchedwa kusamutsidwa ululu Kocher-Volchkov. Walitsa ululu nthawi mwaonapo. Izi zimatheka pamene malo atypical ya kumapeto. Pankhaniyi, ululu, akhonza kupatsidwa mu groin kapena dera lumbar.
2. Odwala zambiri kudya. Chizindikiro chimenechi amatchedwa matenda a anorexia.
3. Zotsatirazi ululu akufotokozera nseru, ndipo akhale wosakwatiwa kusanza. zizindikiro za appendicitis akuluakulu ndi reflexive m'chilengedwe ndipo anayamba chifukwa cha mkwiyo wa peritoneum lapansi.
4. Iwo akhoza adzauka malungo otsika kalasi, koma sikuti kuchitika. Chotero zizindikiro za appendicitis pachimake akuluakulu monga malungo, kusanza ndi matenda a anorexia chizindikiro otchedwa Murphy.

Zizindikiro ngati wodwalayo akhoza amaganiziridwa pachimake appendicitis. Nthawi zina ndi zizindikiro zazikulu za appendicitis akuluakulu limodzi ndi madzi pafupipafupi matenda chopondapo (m'mimba), zimachitika mofulumira , ndipo nthawi zina, kuwonjezeka mu chipsyinjo. Other zizindikiro uncharacteristic matendawa kumachitika okalamba, ana ndi amayi apakati, komanso malo atypical ya zowonjezera ya cecum ndi. Kodi zizindikiro za appendicitis akuluakulu zimachitika kawirikawiri, ife akufotokozedwa. Tsopano tiyeni tikambirane za peculiarities wa chitukuko cha matenda akazi, komanso kuganizira kuopsa izo amanyamula pa mimba.

Peculiarities wa matenda a appendicitis mu akazi

Pa hafu chilungamo anthu mwayi wa kulakwitsa mu matenda a matenda ndi apamwamba kuposa anthu. Ichi ndi chifukwa chakuti kumverera pa chitukuko cha matenda akhoza kusokonezedwa ndi ululu msambo kapena ululu anatani kutukusira ziwalo gynecologic m'chiuno. cholakwa kumachitika pamene pamalo atypical ya kumapeto.

Pakuti zolondola matenda yomaliza kuchipatala mkazi zina kuposa dokotala ayenera tione ndi gynecologist. Wakuti chizindikiro cha kutupa zakumapeto wa kudwala matenda n'chakuti mu Zikatero, kusanza ndi chopondapo sizionekaoneka.

Zizindikiro za appendicitis mu amayi apakati

Zizindikiro za appendicitis mu akazi wamkulu chimodzimodzi monga amuna. Kupatulapo ndi madona pakati. Malinga ndi kafukufuku, mkhalidwe wa appendicitis pa mimba ndi za 5%. Pa hafu chilungamo cha anthu, amene adzakhala mayi, mawonekedwe atypical (mu nkhani ya kusamutsidwa kwa kumapeto) zingaoneke mu matenda.

Matenda a appendicitis pa mimba zambiri sayambitsa mavuto. Zizindikiro ndi amodzi kwa anthu ena. Mavuto angabuke trimester wotsiriza wa mimba, ngati chikhalidwe cha ululu ndi cramping m'chilengedwe. Odwala amakonda kutenga kaimidwe amakakamizidwa atagona pa nsana wanu ndi miyendo wopindidwa pa mawondo ndi kumangitsa miyendo pamimba. ululu isanafalikire makamaka ufulu iliac dera, koma magawo ina ya mimba angaoneke pamwamba. Komanso mu miyezi yomaliza ya mimba nkhawa ndi chithandizo opaleshoni ya appendicitis ndi postoperative konzanso. Choncho n'kofunika kwambiri kuti matenda molondola.

Zimayambitsa appendicitis pa mimba

matenda zimachitika chifukwa chakuti m'nthawi ya gestation mwana kwambiri yatupa chiberekero zingakhudze cecum ndi kusintha malo ake. Komanso, nkhani zakumapeto akhoza kusankhidwa zikuluzikulu chiberekero, chifukwa m'menemo mu akusokoneza magazi. Izi nthawi zina zimabweretsa kutupa ndipo ngakhale chilonda. Chifukwa cha appendicitis mu akazi apakati ndi kusintha madzi a m'thupi. Pa wobereka akazi amayambira kuyan'anila za mpando, ndicho kudzimbidwa, zomwe zimachititsa kudwala izi.

oopsa bwanji appendicitis pa mimba?

N'zoonekeratu kuti alowererepo aliyense opaleshoni, makamaka ngati akukwaniritsa pamimba za mkazi wa pakati kungachititse padera kapena msanga kubadwa. Koma ena kuposa kuti ndi ngozi zinthu zotsatirazi:

• chitukuko cha hypoxia yoopsa;
• msanga detachment za nsengwa ndi mwana wosabadwayo ndi ukalamba;
• yatsoka cha kutsekeka pachimake matumbo;
• postoperative matenda;
• kuphwanya contractions uterine pa ntchito;
• magazi mu nyengo ya postpartum.

Choncho, tafotokoza zizindikiro zonse n'zotheka kwa appendicitis, ndi zizindikiro za matenda akuluakulu. Tsopano tiyeni tiyang'ane pa mbali ya chitukuko cha matenda ana.

Zizindikiro za appendicitis ana okulirapo

Zizindikiro ana osakwanitsa zaka sukulu ofanana ndi zizindikiro za matenda akuluakulu. Mukhonza kuwonjezera odwala zimenezi nthawi kutenga kaimidwe yokakamiza, imene mphamvu ya ululu yafupika. Iwo pansi pa nsana wake kapena kumanja. Komanso, kutentha limatuluka digiri 38 kapena ngakhale apamwamba. The zimachitika sakugwirizana kuwonjezeka thupi kutentha ndi speeded kwambiri.

Kuwaona ku M'mimbamo m'kamwa anasonyeza lonyowa lilime, woyera ❖ kuyanika amene ali pano. Bad chizindikiro ndi lilime youma. Zimenezi zikusonyeza chitukuko cha matenda ndi peritonitis gangrenous. Ana a zaka zimenezi zingakhale akuchedwa wa mpando matenda.

Zizindikiro za appendicitis ana

Ana ankaona zizindikiro za matenda akhoza amaganiziridwa milandu zotsatirazi:

• The mwana amalira ndipo alibe kuyendera.
• Kumanja mwendo mwana chimakakamiza kwa m'mimba ndi mapini mmwamba.
• Kutentha odwala wamng'ono ndi appendicitis matenda zambiri kukacha kuposa madigiri 38, zingakhale mpaka 40.
• Kugunda pafupipafupi ndipo limafanana ndi kukweza kutentha.
• Phula chimbudzi, kawirikawiri.
• Pokodza zingakhale zopweteka ndi palpitations. Pamene akukodza mwana kulira.
• Ana, kusanza Mungathe kubwereza.
• mwana A fidgety, akukana kudya, sangathe kugona, zonse anafunsa kumwa.

Kodi zizindikiro za appendicitis akuluakulu ndi ana uko, ife tikudziwa tsopano. Taganizirani zotheka zoopsa ndi zotsatira za matenda.

zosokonezeka

Nthawi zina, nthendayo ndi kobvuta mwa njira zotsatirazi:

• m'mimba abscess, kumene kungakhale appendicular, subdiaphragmatic, Douglas mezhkishechny kapena malingana ndi kutanthauzira ndi;
• m'chiuno thrombophlebitis kapena mitsempha iliac, zingayambitse chikhalidwe kwambiri - embolism m'mapapo mwanga;
• peritonitis, mu nkhani ya chotupa cha kumapeto;
• mapangidwe kusalola postoperative;
• chitukuko cha adhesions mu nthawi postoperative, amene zingakubweretsereni kutsekeka m'matumbo.

chithandizo

Ngati pali zizindikiro za appendicitis kutupa akuluakulu kapena ana, akuonetsedwa ngati appendectomy zikhoza kuchitika mofulumira, mwachitsanzo kuchotsa kumapeto, pofuna kupewa mavuto aakulu a matenda. Opaleshoni imeneyi imagwiridwa pa maziko mwadzidzidzi - pasanathe maola pambuyo matenda zolondola.

Pa siteji ya chisamaliro chisanadze kuchipatala tikulimbikitsidwa bedi zina. Izo kutiletsa kulandira chilichonse chakudya kapena chakumwa. Musamalandire ululu relievers, Mankhwalawa ndi mankhwala ena kulongosola bwino matenda komaliza, kugwiritsa ozizira kapena kutentha.

Kamodzi ndi matenda molondola anapereka "appendicitis" (zizindikiro akuluakulu ndi ana monga tafotokozazi), mtima aikidwa mu unit opaleshoni ndipo anagwira appendectomy. Opaleshoni imeneyi mu wopepuka kuchita laparoscopically.

Kenako wodwalayo kwa maola angapo kunditumiza ku odwala mwakayakaya, kumene moyang'aniridwa nthawi zonse zachipatala. Pamene wodwala potsiriza achoke mankhwala, ndi kunditumiza ku dipatimenti opaleshoni. Pa tsiku 5 zambiri kuchotsa stitches ndi posamutsa odwala mankhwala outpatient.

Mu njira zovuta za matenda a mtima amakhalabe mu chipatala, ndi mawu ake adzakhala anachedwa mpaka pothetsa mavuto osafunika ndi olimba chikhalidwe ambiri.

kaonedwe

Mu wopepuka njira ya matenda yake mwaluso anachita ntchito kungasokoneze moyo si appendicitis. Full ntchito mphamvu ya wodwala akuchira pambuyo masabata 4.

Zimayambitsa mavuto a appendicitis, monga ulamuliro, ndi mochedwa chikuonetseratu ndi kuchedwa ntchito. Zikavuta zikhoza kuyambitsa imfa.