Appendicitis: zimayambitsa

matenda ndi kutukusira kwa zakumapeto zakumapeto (cecum). Ndi zachilendo mu dziko lathu. Ndipo anthu akuganiza kuti matenda ambiri zonse m'mimba. Nthawi zambiri amafuna mwamsanga alowererepo pa opaleshoni. Pamene akuthamanga mawonekedwe a mwina masiku opitirira awiri akale zakumapeto akhoza kuphulika. Zikatero amapezeka amapha. Choncho n'kofunika kwambiri kuti matenda ndi kuchita ntchito.

Appendicitis: Zizindikiro, amayambitsa matenda

Ndiye n'chifukwa chiyani poipa? Tiyeni tione momwe appendicitis akuwonekera. Zimayambitsa lero motsimikiza komabe akhazikitsidwa. N'zovuta kunena chifukwa ena, amakhala chofuna. Koma kafukufuku matenda amasonyeza kuti zinthu ziwiri zofunika chitukuko. The choyamba - pamaso mabakiteriya mu matumbo zofunika, wachiwiri - blockage wa zakumapeto lumen chopondapo, mbewu zosiyana kapena maenje. Nthawi zina, kumapeto, ndi kupeza matupi ena, monga ngati mbali yaing'ono kuchokera ku zidole.

Matendawa amayamba ndi ululu, koma paokha kudziwa malo ake enieni ndi zambiri sizingatheke. Munthu amaganiza kuti ali m'mimba mukupweteka, koma Patadutsa maola asanu ululu akuyamba kuganizira mu lamanja iliac dera la thupi. kumapeto n'zotheka kukhala pabwino m'njira zosiyanasiyana, malingana ndi munthu dongosolo thupi.

Mu malo yachibadwa ululu zakumapeto akupezeka pane bwino. Ngati zakumapeto ndi pang'ono apamwamba, zikuoneka pansi pa nthiti kumanja. Ngati ndondomeko ndi pansi, ndiye ululu kudzachitika m'dera m'chiuno. Komanso, inu mukhoza kuyamba kusanza ndi zina m'mimba.

Pali zizindikiro zina, amene angathe kudziwa aggravation: mdima mkodzo, pakamwa youma (makamaka chinenero), malungo (zambiri mpaka 40 madigiri). Woyembekezera, pamene mkazi alibe udindo supine, zikuoneka ululu wa thupi nawonso kuchokera kumanzere kwa kumanja.

diagnostics

Zimayambitsa appendicitis adakali bwinobwino, ndi kutifotokozera iwo si mophweka. Zizindikiro ikhoza kusintha kutengera malo zakumapeto chofuna. Matendawa amapangidwa pa maziko a MAGAZI (limene pali zambiri woyera achiyesa maselo a magazi) ndi mkodzo (kuchuluka kwa mapuloteni ndi kuchuluka). X-ray ikuchitika mwachilungamo osowa, monga zilibe kudziwa matenda enieni. Kudzera zithunzi kuwululidwa kokha fecal mwala kuononga ndondomeko ija.

Kudziwa appendicitis pachimake ndi zina ultrasound. Nthawi zina - aone pa kompyuta. Atatero, fano la kumapeto wakulitsidwa. Pa nthawi yomweyo akhoza mophweka ndi matumbo minofu, kuti wasintha.

zosokonezeka

Chimodzi mwa mavuto zambiri - perforation. Zimenezi zingachititse kuti abscess periappendikulyarnomu (kudzikundikira mafinya kachilombo) kapena akakufunsani peritonitis (matenda limapezeka pa nthawi yomweyo mu zinthu zonse m'mimba). Zimayambitsa appendicitis kutupa mu mawonekedwe pachimake: pachithunzichi matenda ndi kuchedwa mankhwala.

Matumbo kutsekeka ndi n'kukhala kwambiri. Iwo angayambe ngati kutupa padziko ndondomeko mabasi minofu m'mimba zoletsa kuti ndime ya ndowe pa izo. Pamimba ndi mpweya, ndipo pali kusanza ndi nseru. Part wa intestine, amene anakonza pamwamba pamalo kupitiriza wosweka, wodzazidwa ndi mpweya ndi madzi.

Koma chofunika kwambiri ndi woopsa vuto - ndi matenda magazi (ayi - sepsis). Mavutowa zopweteka kwambiri tizilombo kulowa kufala magazi thupi lonse. Vuto zingachititse kuti imfa.

chithandizo

Kodi kuchitira appendicitis? zimayambitsa akhoza kukhala osiyana kwambiri. Mwachitsanzo, nthawi zina akuchuluka limawonekera pa vuto la matenda chapamimba kapena m'mimba. Koma chabe kudya nthangala makoko akhoza kuyambitsa appendicitis. Ngati kukhazikika bwino kuti anaonekera, ndiye, panalibe chowawa zochitika chowawa sitingakhoze kutenga mankhwala ofewetsa tuvi kapena mankhwala othetsa ululu, ndipo makamaka kuika mabotolo ndi madzi otentha. Ndi bwino kuika mu malo kuti umapweteka, chinachake ozizira ndipo pomwepo itanani ambulansi. Ngati appendicitis zikutsimikiziridwa, ndiye ndondomeko atachotsedwa umodzi m'njira zinayi: lililonse retrograde, laparoscopic ndi transluminal.

Nthawi postoperative

Pamene yosavuta madzi mawonekedwe a matenda a mtima ngakhale pa tsiku loyamba pambuyo opaleshoni akhoza kuyamba pang'onopang'ono falitsani pa bedi, lachiwiri - pansi pa lachitatu kapena wachinayi - kumtunda. Kudya kungakhale kokha tsiku lachitatu, ayenera kukhala madzi kapena mushy. Kale tsiku lachisanu ndi chimodzi zambiri kupita pa chakudya zakudya.

ana appendicitis

Mu zaka zoyambirira za moyo n'kovuta kwambiri. Ndichachidziwikire kuti zikadzatha zaka 7. Ndipo zizindikiro koyamba kungakhale ululu m'mimba. Zilibe kulankhula makamaka za matendawa kuyambira chizindikiro ichi zikhonza kukhalapo pa zifukwa zina. Komabe, kukaonana ndi dokotala kuti fufuzani akadali zofunika. Chifukwa nkukhalabe appendicitis? zimayambitsa angagone mu slagging pa mundawo m'mimba kapena matenda afika mu thupi.

kutupa Zimenezi zingakhale aakulu kapena pachimake. Mawonekedwe yamasika amawapeza nthawi zambiri ana. Pankhaniyi, kupweteka mwana umafika mwadzidzidzi, nthawi yomweyo akuyamba kunyansidwa komanso ngakhale kusanza. Patapita maola angapo ululu amayenda pansi m'mimba ndi kuyamba throb pafupi cecum ndi. Pamene kutsokomola kapena kuyesa pogona kumanzere, izo kumatheka. Pamene limayamba kuti ziume pa kamwa, angaoneke kudzimbidwa kapena m'mimba.

Ndi ana aang'ono asanakwanitse zaka 7 ayenera kukhala osamala ndi zizindikiro monga kuzindikira appendicitis ambiri n'zovuta. Chifukwa kukuuzani komwe chibaba, ndipo iwo sangakwanitse.

Zimayambitsa appendicitis ana ndi achinyamata. N'chifukwa chiyani kumeneko?

Mu unyamata, matenda sizachilendo. Ambiri aggravation m'chaka kapena kugwa. Zimayambitsa appendicitis ana ndi achinyamata: nthawi zambiri, matenda kumachitika chifukwa chitetezo chokwanira kuchepetsa. Motero, thupi silingathe kulimbana mavairasi ndi mabakiteriya kumapeto zimakhala matenda, n'zothandiza kutupa.

Zina mwa appendicitis ana: izo zikhoza kusintha zakudya ndi kuphwanya ntchito muzituluka. Nthawi zambiri umagwira yofunika osasamalira ntchito mbewu, mtedza ndi zipatso. Nthawi zambiri ana kumeza gaga, zipolopolo, mafupa ang'ono, makolo ayenera kuwunika iwo. Komanso zimachititsa matenda ngakhale mphutsi wamba.

Thupi la mwanayo ndi zisanathe kupangidwa, ndi matenda zolondola kungakhale kovuta kwambiri. The mwana ali chitukuko matenda ndi zambiri mofulumira kuposa munthu wamkulu kwambiri. Ana chidwi, pali kuchepa lakuthwa mu chilakolako, kuzizira, nseru, kudzimbidwa ndi ululu waukulu m'mimba. kutentha akhoza anakwezedwa madigiri 40.

akuluakulu

Nthawi zambiri pachimake zimachitika zaka zapakati pa zaka 20 mpaka 30. Appendicitis nthawi zambiri azimayi oyembekezera ndi kutengera za matenda pa mundawo m'mimba ndipo amavutika ndi kudzimbidwa. Ngakhale kudwala kugonana sikudalira. Anthu amene amakonda limapezeka appendicitis? The zifukwa zake ziri chomwecho pa msinkhu uliwonse. Komabe, njira ya ana underdeveloped ndi mosavuta konse, ndipo akuluakulu - pa mwake. Choncho, zotsiriza amadwala matenda kwambiri.

Zimayambitsa appendicitis akuluakulu: zingakhale aliyense matenda matumbo, zoopsa m'mimba, kutupa kwa m'mimba thirakiti kapena nyongolotsi infestation. Komanso, madokotala ndikukhulupirira kuti chifukwa zingakhale nkhanza chakudya mapuloteni.

Mawonekedwe pachimake

Kodi akapsa pachimake appendicitis? Zimayambitsa mitundu ina: choyamba - ndondomeko occlusion, wachiwiri - staphylococci pakulowamo, Escherichia coli, streptococci ndi enterococci. Iwo ndi zogwirizana kuyambira mu nthawi zonsezi amalenga abwino kwafalikira mabakiteriya. Mbali yoyamba, zili zonse kumabweretsa kuchulukana ndi kutupa makoma a kumapeto, pamene iwowa kumayambika ndi pakutchulidwa wa Kukweza mawu ndi matumbo kutaya sizilephereka.

Mu West, madokotala apeza chifukwa umodzi wa aggravation - pamene mu ndondomeko ya kugwa fuzobakterii kuti chifukwa necrosis mu minofu yake. Infection akufotokozera kwambiri ndipo amachititsa mafinya ndi kutupa. Mu West, wamba ndiwofatsa chithandizo, koma sikawirikawiri ntchito mu Russia.

Zina mwa appendicitis pachimake: .. Yersiniosis, typhoid, TB amoebiasis, etc. Komanso, ndondomeko ndi ntchito mwa mapangidwe kwambiri zomanga thupi mu thupi, tidzapeza azingokhala mofulumira mu intestine ndi pamwamba pa ndondomeko lawola. Komanso olekanitsidwa ndi chinthu chochititsa osiyana ndi chizolowezi kudzimbidwa, chifukwa chimene palibe yake matumbo kayendedwe, ndipo analenga zinthu kwafalikira bakiteriya.

appendicism

Akuluakulu, izo kawirikawiri olembedwa, mosachuluka kuposa gawo limodzi la milandu onse a appendicitis. Munthu amakhala ululu kobwereza, zoipa poyenda kapena kukhosomola. Pa muyambirenso zizindikiro ndi amodzi mwa appendicitis pachimake. Pamene thupi kutentha yachibadwa kapena otsika kalasi. Nthawi zambiri izi zimagawidwa monga pyelonephritis appendicitis, zilonda matenda chilonda, matenda a zonse m'mimba aakulu.

purulent zakumapeto

Ichi ndi kutupa kumapeto, kaphatikizidwe mitundu ingapo ya matenda pachimake. Chifukwa pali purulent appendicitis? zifukwa motere: chochuluka lymph, osauka magazi, pamaso pa lumen crimped yopapatiza, malo masiyanidwe. Pankhaniyi, tizilomboto kudutsa mu ndondomeko ya hematogenous, lymphogenous kapena (zambiri) enterogenous njira. Mu mtundu uwu wa kutupa zomera polymicrobial.

siteji ya matenda

nthawi zingapo osiyana:

1. Endoappendicitis (maola 12 oyambirira). Chitsanzo zizindikiro - ululu komanso kupweteka m'mimba, nthawi zambiri madzulo ndi usiku. Kufanana ndi zizindikiro za gastritis. Nthawi imeneyi, pali kufooka, malaise, koma pamimba ikhalebe yofewa, ngakhale kupweteka ndi kuthamanga pa iye.
2. Phlegmonous appendicitis (kumapeto kwa tsiku loyamba). ululu ali bwino isanafalikire kumanja, m'dera iliac. Iye throbbing ndi wokongola kwambiri. Nseru, tachycardia, malungo. Belly mu zakumapeto chofuna mantha.
3. Gangrenous appendicitis (wachiwiri ndi wachitatu masiku). Zimachitika ikutha ndondomeko n'kukathera, kumaonjezera kawopsedwe chonse thupi, kutchulidwa tachycardia. Kutentha plummets, mimba amawonjezereka, pali chosowa peristalsis.
4. Perforated zakumapeto (kumapeto kwa tsiku lachitatu). Pachimake ndi kupweteka pomwe pamimba m'munsi, mphamvu ya kuchuluka kwake. Pakalibe nthawi mpumulo, bloating ndi nkhawa, zonse kusanza akuyamba. Wokutira pa lilime m'malo woyera ndi akutembenukira bulauni. Kutentha limatuluka mlingo yovuta. Eksodo - purulent appendicitis kapena abscess m'deralo.

matenda Kuvuta

N'chifukwa chiyani nthawi zovuta matenda appendicitis? zimayambitsa, madokotala zimawavuta dzina ndendende. ndondomeko malo ndi osiyana. Nthawi zambiri izo aikidwa mu pamimba - m'dera lamanja, koma mwina ndi mesentery. Izi pepala filimu ngati amamangirira za ndondomeko nyumba zimene zili zonse m'mimba. Pamene dzanja yaitali mesentery nthawi zina chimaonekadi ankatembenukira. Komanso, nthawi zina yaitali kuposa masiku.

Nthawi zina, zakumapeto akutsika mu mafupa a chiuno, ndi akazi ndi pakati lotanthauza wake. Komanso akhoza kukhala ndi kumbuyo kwa m'matumbo. Zikatero, zizindikiro ofanana ndi kutukusira kwa ziwalo zosiyanasiyana (mwachitsanzo m'chiuno).

Appendicitis n'zovuta kufotokoza, ndipo mu zochitika, pamene munthu ali ndi njira zina yotupa kuti zingabweretse zizindikiro zofanana. Choncho, poyamba wodwala nthawi kuona kuti molondola oterewa, monga zizindikiro za appendicitis angaoneke lililonse kwambiri pakapita kanthawi.