Kwiintsana ezisandul 'ukuzalwa, i-appendicitis enqabileyo ayiqhelekanga. Ngokwezibalo, ukuhamba kwesi sifo kukhula emva kweminyaka emi-2. Ukuphakama kwesi sifo kuyiminyaka eyi-15-19. I-appendicitis enobuchule ayivuli ngokukhawuleza kwe-cecum, okanye kunoko, ye-appendim ye-vermiform. Olu hlobo lwe-appendicitis kubantwana lubonakalisa ngokuxhomekeke kwisigqibo shintsho kwinkqubo, kwindawo yaso, kwiingxaki ezidibeneyo, ngexesha lomntwana.
Isibonakaliso sokuqala sesi sifo senzeke emntwaneni weentlungu eziphazamisayo kwintsimbi okanye kwisiqingatha esiphezulu sesisu. Le ntlungu ayikho indawo ecacileyo. Emva kwexesha elithile intlungu iyakwazi ukufudukela kummandla oqhelekileyo we-aliac, obonisa ukuba ukuvutha kuye kwanda kwaye kuthatha zonke iindonga zodonga lwesihlomelo.
Ubume bentlungu buxhomekeke kwindlela inkqubo ekhoyo ngayo. Xa isikhundla sale nkqubo siphakamileyo, intlungu inokuthi ivezwe kwingingqi ye-hypochondrium. Kwimeko yayo eqhelekileyo, umntwana uvakalelwa intlungu kwisithili se-aliac, kunye ne-retrocostal isikhundla - kwingingqi ye-lumbar okanye kwicala lesisu, kwimeko ye-pelvic intlungu ibekwe apha ngaphezu kwe-pubis.
Ekuqaleni kwesi sifo, ulwimi lomntwana lumanzi, iingubo ezimhlophe zivame ukubonwa, umlomo owomileyo uvela kancane kancane. Kwabantwana, rhoqo i-appendicitis enzima ihamba kunye nokuhlanza. Kwezinye iimeko, ukuba le nkqubo ikhona ecaleni kweritum okanye phakathi kweengcambu zesisu esincinci, kunye nokuvuvukala kuyachaphazela udonga lwamathumbu, umntwana usenokuba nesifo sohudo. Ukushisa komzimba komntwana kuphakama kakhulu.
Kubantwana abancinane, i-appendicitis ekhulayo ikhula ngokukhawuleza kwaye inempawu zayo ezithile. Uphuhliso olukhawulezayo lwenkqubo yokuvuvukala kunye nokuqhubela phambili kwenkqubo, ukusabalalisa kweempawu eziqhelekileyo kwendawo, ukungabikho kwenkqubo yokumisa, ukuphuhliswa kwangoko kwe-peritonitis.
Isifo siqala ngokuxhalabisa umntwana, wenqaba ukutya. Ubushushu bomzimba bufikelela kuma-38-40 degrees. Umntwana usebenza. Izibonakaliso zengingqi zesifo zilukhuni ukuzibona kubantwana abancinci, ngenxa yokuxhalaba kwabo udonga lwamathumbu luye lugxininisa. Unokwazi ukubona i-appendicitis enzima xa ulele umntwana, ngezinye izihlandlo.
Indlela abantwana abafumana ngayo ukuba bane-appendicitis ephawulekayo
Ngokuqinisekileyo, kulula ukuyifumanisa i-appendicitis enzima, xa umntwana engachaza apho ibuhlungu khona, kunzima xa umntwana engakwazi ukuthetha. Ukuze uqaphele i-appendicitis ebonakalayo kumntwana, ezi zinto zilandelayo zenziwa. Kumele ibekwe emva okanye ngakwesokudla. Xa utshintshe isikhundla somzimba, xa ukhwehlela kwaye uhleka, kukho intlungu ebuhlungu. Oku kuya kubonwa ngokusabela komntwana. Emva koko, isisu siyahlolwa. Xa ehlolwa ngexesha lokuphefumla, i-lag kwi-quadrant engezantsi yesalathisi ingabonwa. Xa kufunyenwe i-palpation, ukuxhatshazwa kwemisipha kunye nentlungu ebuhlungu kwinqanaba le-leal elifanelekileyo. Intlungu yomntwana ibuhlungu ngakumbi, ukuba uyayifaka kwicala lakho lesobunxele, ngakumbi xa uziva isisu sakho ngeminwe yakho. Kwakhona, intlungu inokukhushulwa ngokuphakamisa umlenze wokunene wengane. Ezi zimpawu kufuneka zihlolwe ngenyameko, ukuze kungabangeli ukuphulwa kwenkqubo.
Kwiimeko ezinjalo, akunzima ukufumanisa ukuxilongwa kwe-appendicitis. Kodwa ngamanye amaxesha kunzima ukuxilongwa kwe-appendicitis kubantwana beempawu zenkqubo yokuvutha.
Yintoni abazali abafuna ukuyazi
Ukuba iimpawu zokuqala ze-appendicitis ebonakalayo, umntwana kufuneka abekwe embhedeni kwaye ngokukhawuleza abizwe ngokuba yi-ambulensi. Awukwazi ukubeka i-pad yokufudumala kwisisu somntwana - inyusela inkqubo yokuvuvukala, eyingozi. Musa ukunika unyango lwamayeza, kuba isenzo sabo singatshintsha umfanekiso wekliniki kwaye ukuxilongwa kuya kuba nzima kakhulu ukubeka. Awukwazi ukuyondla umntwana kwaye uphuze, njengokuba, kunokwenzeka ukuba uya kulufuna usebenze. Unyango lwe-appendicitis oluyingozi kuphela. Ukuba umntwana unempawu ze-appendicitis enzima, biza i-ambulensi, kwaye ngokukhawuleza.