Zizindikiro zoyambirira za appendicitis mwana zaka 10

ana olumala amakhala nthawi nazo. Makamaka pankhani pathologies opaleshoni ntchito chofunika limene mwana. Mwatsoka, matenda awa zimachitika ana ndi akulu ndi pafupipafupi chomwecho. The kudwala ambiri opaleshoni - ndi appendicitis. Iwo angayambe pa m'badwo uliwonse. Ngati mwana zaka 10 m'mimba mukupweteka, mutengepo mosamala kwambiri. Ndipotu, chifukwa cha kusapeza bwino kukhala chofuna zakumapeto. Ndipotu, appendicitis si nthenda yoopsa. Komabe mochedwa thandizo zimenezi zingapangitse mavuto.

Kodi matenda?

Lililonse makolo ayenera kudziwa zizindikiro za appendicitis mu mwana zaka 10. Ndipotu, palibe amene sangayesedwe ku matenda. Komanso, mu m'badwo uno sizachilendo. Appendicitis amati nthendayi yotupa. Kumachitika chifukwa cha chitukuko cha zimene pathological mu dipatimenti ya cecum ndi - Zolumikiza. Mwachibadwa, ulamuliro umenewu si nawo ntchito ya m'mimba, kotero kuchotsa ake sayenera mantha makolo a mwanayo. Komabe, pa kukayikirana pang'ono kutupa kumapeto ayenera asungika ndipo itanani ambulansi. Zizindikiro zazikulu za appendicitis mu mwana wa zaka 10 - ndi ululu pamimba ndi malungo. The mwamphamvu ndi malo kusapeza zingasiyane malingana ndi makhalidwe a chamoyo. Motero, atypical matenda chithunzi sizikutanthauza kuti mwana palibe kutupa kumapeto.

Zimayambitsa appendicitis ana zaka 10

Limagwirira wa zosayembekezereka ya appendicitis imatengedwa kuti anaphunzira si kutha. Amadziwika kuti zakumapeto ali pa mbali ya lymphoid minofu, kotero ingress wa tizilombo kapena HIV mu thupi la zoyambitsa kutchulidwa yotupa anachita.

Pachimake appendicitis ana zaka 10 nthawi zambiri amagwirizana ndi kuperewera kwa zakudya m'thupi. Akukhulupirira kuti kugwiritsa ntchito mankhwala ena kumabweretsa "kuipitsidwa" wa intestine, mu zakumapeto makamaka. Amenewa amanena za phwando mbewu chakudya ndi mtedza ndi zipolopolo, tchipisi, crackers mchere, ndi zina zotero. D. Popeza kuti ana ntchito mankhwala amenewa nthawi zambiri zizindikiro za appendicitis mu mwana wa zaka 10 ndi n'zosadabwitsa.

Chifukwa china ndi malowedwe a wothandizila zoipa mu mtsempha wa magazi. Nthawi zambiri iwo anati ngati pali aakulu foci matenda. Zikuphatikizapo matenda monga caries mano, zilonda zapakhosi, sinusitis. Ndi kuchepetsa mphamvu m'thupi la tinthu tating'onoting'ono angakhoze kulowamo magazi. Mwachibadwa, mu nkhani iyi izi kuyankha kumapeto. Ndithudi, mu thupi ili pali lymphocytes ambiri ndi macrophages.

Kaya chifukwa cha kutupa (kudzikundikira tizilombo zoipa kapena zatsalira chakudya) chitukuko appendicitis chomwecho. Chifukwa lymphoid minofu hypertrophy zakumapeto umachuluka kukula, pali stagnation wa madzimadzi, edema ndi kutupa.

Kodi kuzindikira zizindikiro za appendicitis ana zaka 10-11?

Zizindikiro za kutupa kumapeto angakhale osiyana. Komabe, pali zizindikiro zina mmene zimachitika kawirikawiri. Kusiyanitsa zotsatirazi zizindikiro za appendicitis ana zaka 10 zakubadwa:

1. ululu m'mimba. Kutanthauzira zimadalira malo kumapeto. Nthawi zambiri, ziri mu lamanja iliac dera. Koma izi sizichitika nthawi zonse. Kuonetsetsa ena kutanthauzira atypical ya kumapeto. Pakati pawo - M'mimbamo m'chiuno, impso, m'munsi pamimba. Choncho, malo ululu zingasiyane.
2. Kuchuluka thupi kutentha. Mu wopepuka appendicitis ndi madigiri 37-38.
3. Nseru. Chizindikiro chimenechi kumachitika ngakhale pamaso pa zikamera wa ululu ndipo zimathera magawo onse a kutupa kumapeto.
4. Kusanza. Ena mwaonapo. Nthawi zambiri kusanza amapezeka palibe nthawi zoposa 1-2.

Zizindikiro zoyambirira za appendicitis mu mwana wa zaka 10 - kusafuna kudya, ndi ululu m'dera m'mimba. Zizindikiro zimenezi kuoneka kale kuposa ena. Mu maola lakuwatsata m'malo mmene matenda chithunzi. Ululu ndi anasamukira ku dzanja lamanja iliac dera, kutentha thupi kukacha.

Mlingo wa kukula kwa appendicitis

3 kuonetsetsa kukula kwa kutupa kumapeto. Akudalira pa chithunzi morphological wa zakumapeto akhudzidwa. Aliyense wa iwo zizigwirizana mawonetseredwe enieni matenda. Wofatsa appendicitis amapezeka catarrh. Iwo amakhala ndi ululu si owopsa kwambiri, malungo mpaka subfebrile. The chikhalidwe ambiri a mwanayo ndi zogwira mtima, pali kunyansidwa ndi kukana kudya.

The mwamphamvu avareji purulent ndi abscess appendicitis. Iwo amatchuka zizindikiro zotsatirazi: malungo mpaka 38 ° C, amveke ululu (paroxysmal m'chilengedwe) kuwonongeka.

A siteji molimba amapezeka inflammations pamene gangrenous. Mtundu wa appendicitis amakhala ndi necrosis a kumapeto. Pankhaniyi, nthawi zambiri perforation ndi malowedwe a zimakhala anakhudzidwa kuti patsekeke peritoneal. Zizindikiro za appendicitis mwana wa zaka 10 pa siteji imeneyi anafotokoza mu ululu mumamva mu pamimba, kuwonjezera thupi kutentha kwa madigiri 39-40. Chotero boma kumabweretsa chitukuko cha matendawo.

zizindikiro zosonyeza kutupa kumapeto

Kuwonjezera mawonetseredwe matenda a kuchuluka kwa zizindikiro zenizeni, kuthandiza oterewa pachimake appendicitis. Mukudziwa iwo ayenera madokotala osati kokha, komanso makolo. Inde, chifukwa kuyendera osachepera 1-2 zizindikiro akhoza amaganiziridwa kutupa kumapeto. Ndipotu, zizindikiro zenizeni za appendicitis ndife oposa 100. Zochita opaleshoni ntchito ochepa mwaiwo (za 5-7). Kuonetsetsa zotsatirazi zizindikiro zenizeni za appendicitis:

1. Zizindikiro Kuuka. Iye ndi maonekedwe a ululu zala za m'dera epigastric kuti pamimba m'munsi. Kupita akuwafanizira ndi kutambasula cha malaya.
2. Zizindikiro Bartome-Michelson. Wodwala kutchera kumanzere. Mawondo mwana ayenera ndichotse. Pa palpation wa cecum anaona soreness.
3. Zizindikiro Sitkovskiy. Iwo anati yapita umboni enieni appendicitis. kusiyana ndi kuti palibe ululu kwa palpation wa pamimba (pamene inu kuyatsa mbali lako lamanzere).
4. Psoas chizindikiro. Mwanayo ayenera kugona pa nsana wanu ndi miyendo ndichotse pa mfundo bondo. Pamene kukweza pa mwendo ndi zonse za palpation wa cecum ndi kuchuluka odwala amapezeka.
5. Zizindikiro Rovzinga. Yodziwika ndi intensification ululu pa palpation ya kumanzere iliac dera (sigmoid m'matumbo). Komanso, dokotala anachita kayendedwe chala, ngati akukankha mipweya anasonkhanitsa oposa.
6. The chizindikiro chachikulu imatengedwa SHCHetkina-Blumberg. Iye ndi minofu yomangika ya zapambuyo khoma m'mimba kwa palpation bwino iliac dera chala. Lakuthwa amasulidwe zimayambitsa chinawonjezeka ululu. Chizindikiro chimenechi sikawirikawiri anati mu wofatsa zikuwonjezera zolimbitsa a appendicitis. Nthawi zambiri kumachitika, ngati pali chitukuko cha mavuto (gangrenous kutukusira, peritonitis).

Appendicitis: Zizindikiro ana zithunzi zaka 10 wodwalayo mwana

Makolo ambiri ayamba kuchita magwero Intaneti mu kuwonongeka kwa chikhalidwe mwana. Information anaika pa malo zachipatala nthawi zambiri anaona odalirika, koma Mulimonsemo ndikofunika posachedwapa kupempha thandizo dokotala. Only dokotala kuti zizindikiro 100% atsimikizire kudwala, ngati aliyense. Photo ana odwala, anaika mu nkhani ndikhoza kungopereka maganizo yovuta vuto.

diagnostics

Makolo ndi zothandiza kudziwa mmene tingadziwire appendicitis ana. Kuwonjezera mawonetseredwe matenda a matenda ndipo fufuzani zizindikiro zenizeni n'kofunika zasayansi diagnostics. Popeza kuti zizindikiro za appendicitis amakhala ngati matenda ena (gastritis, adnexitis, pyelonephritis), zochokera yekha pa madandaulo ndi kuyendera ndi zosatheka.

Ngati mukukayikira kuti kutupa kumapeto n'kofunika kuchita KLA ndi urinalysis. Chizindikiro chofunika kwambiri imatengedwa leukocytosis. Ngati alipo mu magazi wodwalayo, matenda "appendicitis" imatengedwa kukhala odalirika. The OAM zingaoneke leucocyturia mabakiteriya. Ngati dotolo ali kukayikira matenda, anachita ultrasound m'mimba.

mankhwala ntchito

Mankhwalawa okha appendicitis imatengedwa kukhala opaleshoni. Mu zina, ikuchitika laparoscopically. zambiri kuposa opaleshoni yotsegula imagwiridwa ntchito ang'ambe thupilo oblique mu lamanja iliac dera. Vermiform zakumapeto wachotsedwa ndi kudulidwa pa maziko a. Ziwiya coagulate. Chitsa otsala kumapeto mosamala sutured kwa intestine lapansi.

Kupewa kutupa kumapeto

Kupewa kutupa kumapeto, muyenera kudya bwino, kukhalabe chitetezo chokwanira. Ana tikulimbikitsidwa kuti asadye mbewu ndi mtedza, kudya chakudya. Kuyenera yake kwa sanitize foci opatsirana kutupa.