Impawu zonyango
Ininzi (95%) yezigulane ezine-appendicitis zinempawu ezilandelayo:
• intlungu-yokuqala ixhaphake, kwaye yendawo;
• ukulahleka kwesidlo.
Nangona kunjalo, malunga nesiqingatha sezigulane, izibonakaliso "eziqhelekileyo" ze-appendicitis zingafanisa ezinye izifo ezinzima zesisu esiswini. Kubantwana abancinci kunye nabalupheleyo, kubakho ubunzima beempawu ezingabonakaliyo eziphuhliswayo kwinqanaba elisemva kwenkqubo ye-pathological, eyandisa ingozi yeengxaki. Isihlomelo siqhelekile kwisigxina esingaphantsi kwesisu, esinqumle ukuhlala kwintlungu kwi-appendicitis. Xa i-appendix ikhona emva kwececum okanye kwi-pelvic cavity, intlungu iyakubonakala kuphela xa i-rectum ihlolwa. Ngokuphambene noko, ngexesha lokukhulelwa, ukufuduka kwesihlomelo sesihlomelo nge-uterus ekhulelwe phezulu kukuphendula kwindawo ephakamileyo yentlungu.
I-Classic Appendicitis Symptoms
• Ukubonakala kwintlungu kwisisu esiswini okanye kwintonga, ehamba kunye neentlanzi, ukuhlanza nokulahleka kwesidlo.
• Ukugqithiswa kweentlungu kwi-quadrant engezantsi kwesisu (ukuya kwindawo kaMcBurney), ukunyuka kwentlungu kunye noxinzelelo kwi-peritoneum kunye nokubuthaka
uxinzelelo (uphawu lweSkchetkin-Blumberg).
• Uxinzelelo lweengxaki zomzimba zesigulane ngexesha lomlenze okanye ukukhwehlela.
• Umkhuhlane omncinci: ubushushu bomzimba kwi-37.7-38.3 ° C.
Ukunyuka okungcolileyo kwinani lama-leukocytes egazini (leukocytosis).
Ukuxilongwa ngokuqhelekileyo kwenziwa ngokusekelwe kwimbali kunye nemiqondiso yeklinikhi yesifo. Umfanekiso oqhelekileyo we-appendicitis okhulayo ukhula ngokukhawuleza, ngokuqhelekileyo ungaphantsi kweeyure ezingama-24. Izimpawu zakhe zingaphaya kwamahora angama-48, ukuxilongwa kwe-appendicitis akunakwenzeka. Imivavanyo ecacileyo ukuqinisekisa ukuba i-appendicitis ayikho, iimvavanyo ezongeziweyo zithathwa ngokungathandabuzeki ekuxilweni.
Iindlela zokuphanda
Iimvavanyo zelabhu kunye nobuchwephesha bezobugcisa zisetyenziselwa ukukhuphela ezinye izizathu zentlungu ebuhlungu kunokuba ziqinisekise ukusetyenziswa kwe-appendicitis.
• I-Laparoscopy - ukuhlolwa kwesigxina esiswini usebenzisa i-endoscopic instrument enekhamera yevidiyo.
• I-ultrasonography ihlala isiluncedo ekuxilongeni ngokuhlukileyo kwe-appendicitis kunye ne-gynecology pathology (umzekelo, ukuvuvukala kwamalungu ensimbi).
Ugqirha onamava uyakwazi ukuxilonga i-appendicitis kuphela ngesiseko sembali kunye nekliniki yesifo, kodwa ngexesha le-15% yemisebenzi ye-appendicitis ebonakalayo kukuba imbangela "yesisu esisisigxina" yeso sifo, okanye akukho naluphi uhlobo lwegazi olufunyenweyo. Ukungaphumeleli ukubonelela ngokufanelekileyo i-appendicitis enobungozi obunzima, ngoko kwimeko enokungabaza, oogqirha banqwenela ukuhlinzwa. Ukuvalwa (ukucinywa) kwesihlomelo i-lumen kukhokelela ekunyuseni kwixinzelelo kuyo kunye nokulimala kwi-membrane. Ngaphantsi kwezi meko, iibhaktheriya ezihlala emathunjini ziwela kalula kumdonga wesihlomelo kwaye zibangele ukuvuvukala. Ngenxa yokuqokelela kwi-lumen ye-appendectomy ye-mucus, uxinzelelo lwangaphakathi luya kwanda ngokunyanzelwa kweemithwalo yegazi. Ngokuphuhliswa kwengqungquthela, ukugqithwa kwodonga lokudubula kunokwenzeka.
Izizathu eziqhelekileyo
Kukholelwa ukuba imbangela ebalulekileyo ye-appendicitis isilonda esiswini se-mucosa, mhlawumbi ngenxa yosulelo lwe-Yersinia microbe. Ukuvalwa kwesihlomelo kudla ngokubangelwa yi-coprolitis (ukudibanisa kwamanqwanqwa emigqabini yezityalo). Ezinye izizathu ziquka:
• amathambo emathumbu emathunjini;
• Izidumbu;
• I-edema yamathambo e-lymphatic kwindonga yamathumbu emathambo.
Iimpawu zonyango kwiprogram ye-appendicitis ngokukhawuleza. Ngokuxilongwa ngokukhawuleza, le nkqubo inokudiliza udonga lwenkqubo kunye nokuphuma kwezinto eziqulethwe ngaphakathi kwisisu esiswini (ukugqithisa).
Iziphumo
• Ngokuphuphuma ngokukhawuleza kwesihlomelo, umfanekiso wesimbolo sokuvuvukala kwisisu esiswini (peritonitis) siphula, esinokubangelwa yingozi.
• Ngokunyuka kwenyathelo elincinci, kunokwenzeka ukufihla indawo ye-perforation nge-site enkulu yegland ngokubunjwa kwe-abscess.
Ukuxhatshazwa
• I-appendicitis efanelekileyo ibhekisela kwizifo eziqhelekileyo ebuntwaneni kunye nobudala; iziganeko phakathi kwamadoda ziphezulu kunezo zabasetyhini (umlinganiselo wesi-3: 2).
• I-appendicitis encinane ingaphantsi kwe-childhood kunye nokuguga, kunye nobungozi obuninzi beengxaki ezahlukeneyo.
• Ngokubanzi, iziganeko ze-appendicitis ehlabathini ziyancipha. Isizathu esicacileyo salokhu asiyazi, kodwa izinga elincinci lokukhubazeka kumazwe asakhulayo (ngokukodwa kwezinye iindawo zaseAsia) lisikisela inxaxheba enokubakho yokutya.
Indlela yonyango yokwenza i-appendicitis enzima kukukhutshwa kwe-appendectomy (i-anendectomy). Namhlanje, imisebenzi evela kwi-laparoscopic ukufinyelela iye yazeka.
Ukubuya ngokukhawuleza
Emva kokuhlinzwa, izigulane zidla ngokukhawuleza. Umngcipheko wokusasazeka usulelo uncitshiswe ngokulawulwa kwe-antibiotics. Ukuba kukho i-abscess, kufuneka ifakwe. Isilonda esikhulu esibandakanya i-cecum okanye intsimbi encinci yamathumbu idinga ukususwa kwezinto zonke ezingenayo kwi-abscess elandelwa ukubekwa kwe-eleostomy (ukususwa kwe-lumen yesisu esincinci phezu kwesikhumba).
Amanyathelo okukhusela
Ngethuba lo msebenzi, isisu esiswini kunye nesisu sahlolisiswa ngokucophelela kwimeko yokukhubazeka. Ngokomzekelo, ugqirha unokwazi ukubona i-anomaly engaqhelekanga-into ebizwa ngokuba yi-Meckel diverticulum (into encinci yodonga lwesisu esincinci). Ngaphandle kokungabikho kwempawu yokuvuvukala, kuyimfuneko ukusususa ukuze ukhusele iingxaki ezinokwenzeka.