Aakulu appendicitis: Zizindikiro ndi akazi, matenda, mankhwala

Aakulu appendicitis amawapeza makamaka akazi ndi matenda osowa kwambiri. Matendawa akufotokozera pothandiza pachimake appendicitis mwa njira iliyonse, kupatula appendectomy ndi. Anthu ndi matenda uyu ali pachiopsezo ndi asungike moyang'aniridwa ndi dokotala.

Zimayambitsa appendicitis aakulu

Zakumapeto - matenda ndi kutukusira m'makoma zakumapeto kwa cecum ndi. Malinga ndi ziwerengero akazi kukhala kudwala ichi zambiri kuposa abambo. Pali mitundu iwiri ya appendicitis:

1. Pulayimale aakulu ndondomeko - indolent kutupa kumapeto, kuchititsa palibe mawonetseredwe pachimake. Matendawa ngati komwe kulibe chitsimikiziro experimental kapena malangizo a matenda, imene pali zizindikiro za ululu pamimba bwino.
2. Secondary aakulu ndondomeko - amapezeka kobwereza pachimake maphunziro a appendicitis. Chifukwa chachikulu cha matenda bwino anathandiza imene minofu zikumera kuoneka zipsera ndi kukhala kuchulukana. Mu yachiwiri aakulu Inde wa Moyo Wonse wozunzikirapo ululu kobwereza anthu.

Aakulu appendicitis, zizindikiro za nthawi zambiri anawathetsa akuyambiranso, ndi bwino kuchotsa pasadakhale. zinthu Kulanga zokhudza thupi, angachititse pachimake, Izi zidzapangitsa kuti chitukuko cha pachimake appendicitis zofuna opaleshoni.

symptomatology kudwala

Matenda ambiri m'mimba ndi genitourinary ndi zizindikiro zofanana monga appendicitis aakulu. Zizindikiro mu akazi angayambe mawonekedwe wofatsa ndipo amayambitsa tcheru. Zizindikiro zikuluzikulu za appendicitis:

• zovuta ndi ululu kulongolola mu mbali lake lamanja - pambuyo kudya, zakudya mafuta ndi ululu zolimbitsa thupi kumadalira;
• linaphwanya njira m'mimba - zonse zimathera munthu bloating, nseru, kusanza, kudzimbidwa kapena m'mimba;
• pali ululu mu chikhodzodzo, ureters, kupweteka m'munsi mmbuyo akazi akhoza anagawira m'dera la thumba losunga mazira ndi nyini ndi kusapeza amuna amapezeka mu rectum;
• pokodza amafulumizitsa ndipo chowawa;
• hyperthermia akufotokozera - madzulo kutentha thupi kukacha digiri 37.5-38.

Ngati mtundu uliwonse cha ululu mu lamanja iliac dera ndi zikamera matenda a m'mimba ayenera kupeza thandizo ngozi zachipatala kupewa mavuto.

Aakulu appendicitis: Zizindikiro ndi akazi

Pa exacerbation kutupa wodwala akumva kukoka kapena kupweteka ululu isanafalikire mu umbilical ndi ufulu iliac pamimba. Iye sanganame mbali lako lamanzere, pali mavuto ndi kayendedwe. Nthawi zambiri, zizindikiro zimenezi amakula usiku kapena m'mawa nthawi.

Matenda Kupenda pali ululu, monga mmene kwa palpation wa pamimba. Akazi amene ali ndi matenda adnexal, simungathe kuzindikira aggravation wa yake, zikubweretsa mavuto aakulu.

Features ya kapangidwe anatomical wa thupi wamkazi imfayo ululu pamimba pa msambo ndi kugonana. Izi ndi chifukwa umakhala pafupi ya urogenital ndi machitidwe m'mimba. Choncho, appendicitis aliyense amaganiziridwa Tisanyalanyaze.

Matenda a appendicitis aakulu

Kupeza aakulu kutupa kumapeto ndi kovuta. Kudwala si kutchulidwa zizindikiro ndi angathe kusiyanitsa kuti matenda ambiri m'mimba ndi genitourinary.

Patapita kafukufuku zambiri zoona koyamba wodwala ayenera kukayezetsa akamuyezenso. Pachimake appendicitis, matenda ikuchitika yake, sadzachititsa mavuto aakulu wodwalayo.

Mu appendicitis aakulu, adokotala akhoza mankhwala zotsatirazi miyeso matenda:

1. X-ray mosamala zonse m'mimba - amasonyeza blockage wa cecal zakumapeto chopondapo zimene zimalimbikitsa citukuko ca aakulu yotupa ndondomeko. Nthawi zambiri zodabwitsazi amapezeka ana.
2. Analysis magazi - wofunikila kudziwa chiwerengero cha leukocytes mu magazi, chifukwa maselo amenewa akusonyeza chitukuko cha matenda yotupa mu chamoyo chilichonse.
3. Urinalysis - pa appendicitis aakulu, zizindikiro zonse ayenera kukhala zachibadwa. Maonekedwe mu ya mkodzo wofiira maselo oyera a m'magazi akusonyeza pamaso pa matenda ndi matenda, ndi matenda a impso.
4. Ultrasound appendicitis - limakupatsani msanga molondola kudziwa kutupa kapena abscess ya kumapeto. Ultrasound Kupenda limakupatsani kuchotsa pamaso pa matenda a dongosolo genitourinary, ndi zizindikiro zofanana ndi kutupa aakulu a zakumapeto kwa cecum ndi.
5. Yopangidwa tomography - amakonda matenda onse okhudzana amene ali ndi zizindikiro zofanana.

Pakuti matenda lolondola ndi zofunika kuchita kufufuza zonse za thupi ndi kuthetsa kudwala ofanana. Aliyense appendicitis amaganiziridwa ayenera anatsimikizira kapena limatsutsa dokotala wodziwa bwino.

Njira zochepetsera pathologies

The njira waukulu wa mankhwala appendectomy, kumene anachita ntchito njira lotseguka kapena laparoscopic. kusankha kuchotsa nkhani zakumapeto chofuna amatenga dokotala pa maziko a zotsatira kafukufuku, popereka zizindikiro ndi wodwala matenda ambiri.

Nthawi zina, mungathe kukana kuchotsa ndondomeko, pamene mkulu chiopsezo cha mavuto a appendicitis. Komabe, madokotala amafunika kupereka zofunika ndiwofatsa chithandizo (ngati Kupha matenda n'zotheka popanda opaleshoni).

mankhwala ndiwofatsa kumafuna kumwa mankhwala antispasmodic, physiotherapy ndi njira neutralizing matenda matumbo.

Laparoscopy appendectomy

Laparoscopy - anayendera yomwe ikuchitika ndi kugwiritsira kwa intestine ndi chubu woonda ndi kamera pa mapeto. Njira imeneyi zimathandiza kudziwika matenda aliwonse mu intestine lapansi. Laparoscopy ndi njira yamakono ya appendectomy.

Chifukwa opaleshoni mpanda m'mimba kupanga mabala atatu. Mmodzi wa iwo anaikapo laparoscope. Chimathandiza madokotala kuona chilichonse chimene chimachitika zonse m'mimba ndi kusintha malangizo a zochita zawo.

Laparoscopy appendectomy kwambiri facilitates nthawi postoperative - wodwala patangotha maola ochepa okha, mungathe kudzuka pabedi. Konzanso nthawi atuluka mosavuta kuposa ndi appendectomy lotseguka, ndi zipsera ndi pafupifupi wosaoneka.

Kudya konzanso ndi chithandizo ndiwofatsa

Mofanana ndi matenda aliwonse, aakulu appendicitis ndikofunikira kusunga zakudya zapadera:

• ku menyu tsiku Tisawasale lakuthwa, mchere, yokazinga ndi mafuta chakudya;
• menyu ayenera kugawidwa chakudya 5-6 mu chakudya chochepa;
• Black tiyi ndi khofi mukufuna kuti achotse, ndi kupereka mmalo zakumwa zipatso, zipatso compote ndi tiyi zobiriwira;
• wokoma koloko, kusamala, nyama ndi condiments amafunika kuthetsa ku menyu anu;
• zakudya ayenera kukhala anzeru ndi monga magawo onse a mankhwala.

Only ndi kumvera malangizo onse dokotala kungachepetse ululu komanso ululu exacerbations pachimake kutupa aakulu a kumapeto.

Zovuta za appendicitis aakulu

The owopsa Vuto - pamene akufotokozera mu mawonekedwe wokonda appendicitis aakulu. Zizindikiro mu akazi nthawi yomweyo kukula, pali kupweteka, kusanza, kuchuluka kutentha thupi.

Mwina chitukuko cha appendicular adzalowerera - kusintha yotupa wa matishu, mwamphamvu soldered pamodzi. Pamafunika mankhwala othetsa ululu, odana inflammatories ndi mankhwala, komanso physiotherapy. Pambuyo thandizo zizindikiro pachimake (pafupifupi 2-4 miyezi) Ndi bwino kuchita appendectomy.

Aakulu kutupa zingachititse adhesions, umene hule kusintha kwa kudwala wa mawonekedwe pachimake. Zovuta za appendicitis chifukwa cha adhesions kumapeto, kuletsedwa njira physiotherapy kapena kugwiritsa ntchito opaleshoni.

Aakulu appendicitis mimba

Pamene kukula pang'onopang'ono wa mwana wosabadwayo zimayambitsa kusamuka kwa zonse m'mimba ndipo umalimbikitsa ziwalo dongosolo urogenital, kutupa kumapeto zikhoza kukhala mtundu pachimake oopsa kwa mayi komanso mwana. Nkofunika kuti aziona kwambiri chikhalidwe chawo pamaso pa akudwala matenda monga appendicitis aakulu.

Zizindikiro mu akazi angakhale ofanana matenda ambiri matenda ndi Urological, ndipo amafuna chisamaliro ndi udindo madokotala kusiyanitsa nthawi aggravation. Kupewa zinachitikira ndi kuopsa kugwirizana ndi kutupa kumapeto, Ndi bwino kuchotsa izo pa siteji ya mapulani a mimba.