EzempiloIzifo Nezimo

I-Appendicitis: izimbangela

Lesi sifo ukuvuvukala kwesithasiselo (caecum). Kuvame ukutholakala ezweni lethu. Futhi kubhekwa njengesifo esivame kakhulu kwesiguli esiswini. Ngokuvamile kudinga ukungenelela kokuphuthumayo okuphuthumayo. Ngefomu elisebenzayo noma umuthi odokotela wezinsuku ezinsukwini ezingaphezu kwezinsuku ezimbili, isithasiselo singasakazeka. Kulesi simo, kukhona umphumela obulalayo. Ngakho-ke, kubaluleke kakhulu ukuyihlolisisa ngesikhathi futhi usebenze.

Appendicitis: izimpawu, izimbangela zesifo

Ngakho-ke, kungani kuqhubeka nakakhulu? Sizohlaziya ukuthi i-appendicitis ivela kanjani. Izimbangela zenzeka namuhla aziqinisekisi kahle. Kunzima ukusho ukuthi kungani ukuvuvukala kuqala. Kodwa ucwaningo lwesifo lubonisa ukuthi ukuthuthukiswa kwalo kudinga izimo ezimbili. Okwokuqala kuba khona kwama-bacterium adingekayo emathunjini, okwesibili kungukuvala kwe-lumen ye-appendage ngamakholori, imbewu noma amathambo ahlukahlukene. Ngezinye izikhathi izilinganiso zangaphandle zitholakala kusihlomelo, isibonelo izingxenye ezincane ezivela kumathoyizi.

Lesi sifo siqala ngobuhlungu, kodwa ngokuvamile akunakwenzeka ukucacisa isikhundla sawo esihlukile. Kubonakala kumuntu ukuthi isisu sakhe sagula, kodwa ngemva kwamahora amahlanu ubuhlungu buqala ukugxila esifundeni se-aliac esihlahleni esifanele. I-appendix ingavame ukufakwa ngezindlela ezahlukene, kuxhomeke kwisakhiwo ngasinye somzimba.

Esikhundleni esivamile se-appendage, ubuhlungu bubonakala esifundeni esifanele. Uma isithasiselo siphakeme kakhulu, khona-ke sibonakala ngaphansi kwezimbambo, ngakwesokudla. Uma inqubo isezansi, ubuhlungu buzobonakala endaweni yesigodi. Ngaphezu kwalokho, ukuhlanza futhi ngezinye izikhathi ngisho nesifo sohudo singenzeka.

Kunezinye izimpawu ongazinqume ngazo ukucindezela: umchamo omnyama, umlomo owomile (ikakhulukazi ulimi), izinga lokushisa likhuphuka (ngokuvamile kuya kuma-degrees angu-40). Ngesikhathi sokukhulelwa, lapho owesifazane elele, uzwa ubuhlungu lapho eguqula umzimba ukusuka kwesobunxele kuya kwesokudla.

Izifo

Izimbangela ze-appendicitis azikacaci, futhi akulula ukuzinquma. Izimpawu ziyahlukahluka kuye ngokuthi indawo yenqubo evuthayo. Ukuxilongwa kwenziwa ngesisekelo sokuhlolwa kwegazi (iqukethe amangqamuzana amaningi amhlophe egazi) kanye nomchamo (inani lamaprotheni landa). I-X-ray ayenziwanga kaningi, ngoba ayinqumi ukuhlolisiswa okuqondile. Ngenxa yesithombe, itshe elilodwa kuphela elivaliwe ukuvulwa kwe-appendage livezwe.

Ukuze unqume ukuthi i-appendicitis ephikisayo, i-ultrasound yenziwe ngokungeziwe. Ngezinye izikhathi - i-tomography kukhompyutha. Ngosizo lwaso, isithombe sesithasiselo siyanwetshwa. Kulokhu, izicubu zamathumbu ezishintshile nazo zibonakala ngokucacile.

Izinkinga

Enye yezinkinga ezivame ukwedlula zonke ukuguqulwa. Ingaholela ekutheni i-pendicular abscess (ukuqoqwa kwe-pus) noma ukusabalalisa i-peritonitis (ngokutheleleka kwesigxobo sonke somzimba). Izimbangela zokuvuvukala kwe-appendicitis kwifomu eliyinkimbinkimbi: ukutholakala okungelahlekile nokuphuza ukwelashwa.

Ukuvimbela emathunjini akuvamile kakhulu. Kungenzeka uma ukuvuvukala kuleyo nqubo kuvimba imisipha yamathumbu, okuyinto evimbela ukuhamba kwesikhumba. Isisu sivuthwa, futhi ukuhlanza nokuhlushwa yisifo senzosi kwenzeka. Ingxenye yamathumbu, etholakala ngaphezu kwendawo lapho ukubola kuphukile khona, igcwele igesi kanye ne-liquid.

Kodwa inkinga ebaluleke kakhulu futhi eyingozi iyisifo segazi (ngaphandle kwalokho - sepsis). Lesi isimo esibuhlungu, lapho amabhaktheriya, ukungena egazini, asakazeka kuwo wonke umzimba. Ukuphikisana nakho kungaholela ekufeni.

Ukwelapha

I-appendicitis iphathwe kanjani? Izizathu zalokho kwenzeka khona zingahluka kakhulu. Isibonelo, ukucindezela ngezinye izikhathi kwenzeka lapho kunenkinga yezifo zamathumbu noma isisu. Kodwa ukudla okulula ukudla ngezinhlanzi kungaholela ekufakweni kwe-appendicitis. Uma kusungulwe ngokunembile ukuthi kubonakale, ngakho-ke, ukuze kungabikho izenzakalo ezimbi ezihlangene, akufanele uthathe noma yiziphi izidakamizwa noma imithi yokwelashwa, nokunye okuningi ngakho-ke faka ama-heaters. Kungcono ukufaka endaweni ebuhlungu, into epholile futhi ngokushesha ibiza i-ambulensi. Uma i-appendicitis iqinisekisiwe, inqubo isusiwe ngenye yezindlela ezine: ejwayelekile, kabusha, laparoscopic nokuhumusha.

Isikhathi se-Postoperative

Ngendlela elula yezifo eziqhubekayo, isiguli, ngisho nangosuku lokuqala emva kokusebenza, singaqala ukuvula kancane embhedeni, okwesibili - ukuhlala phansi, okwesithathu noma yesine - ukuvuka. Ungathatha ukudla kuphela ngosuku lwesithathu, futhi kumele kube yi-liquid noma i-mushy. Kusukela ngosuku lwesithupha kuya phambili, bavame ukushintshela ekudleni kokudla.

Appendicitis yezingane

Eminyakeni yokuqala yokuphila kwakhe kunesidingo kakhulu. Ngokuyinhloko kwenzeka ngemva kweminyaka engu-7. Futhi isibonakaliso sokuqala singaba ubuhlungu esiswini. Lokhu akusho ngokuqondile ngalesi sifo, ngoba lesi sibonakaliso singavela kwezinye izizathu. Noma kunjalo, ukuvakashela kudokotela ukuqinisekiswa kusadingeka. Kungani kungenjalo ukufakwa kwe-appendicitis kwenzeka? Izimbangela zokubukeka kwazo zingase zihlabe umuthi wokugoma noma ukutheleleka emzimbeni.

Lokhu ukuvuvukala kungaba okungapheli noma okunamandla. Ifomu lokugcina ezinganeni lixilongwa kaningi. Kulesi simo, ubuhlungu bomntwana bubonakala ngokuzumayo, ngokushesha kuqala ukusikhipha isisu nokuhlanza. Ngemuva kwamahora ambalwa, ubuhlungu buhamba phansi esiswini bese buqala ukudubula eduze kwe-cecum. Uma ukhwehlela noma uzama ukulala phansi ngakwesokunxele sakho, kuba namandla. Ngakho-ke emlonyeni uqala ukoma, kungaba nokuqotshwa noma isifo sohudo.

Njengoba unabantwana abancane abangaphansi kweminyaka engu-7, kufanele uqaphele kakhulu ngalezi zimpawu, ngoba uhlelo lokusebenza olujwayelekile luyinkimbinkimbi. Ngoba abakwazi ukutshela ukuthi kuphi nokuthi yini ebuhlungu ngempela.

Izimbangela ze-appendicitis ezinganeni nasezingane. Kungani kuphakama?

Lapho usakhula, lesi sifo sivame kakhulu. Ngokuyinhloko, ukucindezeleka kwenzeka entwasahlobo noma ekwindla. Izimbangela ze-appendicitis ezinganeni nasebancane: ezimweni eziningi, lesi sifo senziwa ngenxa yokwehla kokuzivikela. Ngenxa yalokho, umzimba awukwazi ukumelana namagciwane nama-bacteria, i-vermiform appendage ithola ukutheleleka okubangela ukuvuvukala.

Ezinye izimbangela ze-appendicitis ezinganeni: zingabangela ukudla okushintshiwe nokungajwayelekile kwesisu. Ngokuvamile indima ebalulekile idlalwe ukusetshenziswa okungaqondakali kwembewu, amantongomane, amajikijolo. Izingane zivame ukugwinya ama-husk, amagobolondo, amathambo amancane, ngakho abazali kufanele bawaqaphe ngokucophelela. Futhi, ngisho nezibungu ezivamile zingasusa lesi sifo.

Njengoba umzimba wezingane ungakakhiwa ngokugcwele, kunzima kakhulu ukuthola ukuxilongwa okunembile. Ingane idala isifo ngokushesha kunomuntu omdala. Izingane zithandeka, kunciphisa okujulile ekudleni, ekukhukhuleni, nasezintweni ezincelisayo, ekuqotheni nasekuhluphekeni okubuhlungu esiswini. Ukushisa kungakhuphuka kuma-degrees angu-40.

Kubantu abadala

Amacala amaningi okukhushulwa kwenzeka phakathi kweminyaka engama-20 no-30. Ngokuvamile ukufakelwa kwesisu kutholakala kwabesifazane abakhulelwe abafakwe izifo ezisezintweni zamathumbu futhi abahlukunyezwa. Nakuba ukukhubazeka akuxhomeki ocansini. Ubani ovame ukuba ne-appendicitis? Izimbangela zayo zifana cishe nanoma yikuphi ubudala. Kodwa-ke, ezinganeni inqubo ingathuthuki futhi ichithe kalula, futhi kubantu abadala kuyinto efanayo. Ngenxa yalokho, lesi sigaba sibhekene nalesi sifo ngaphezulu.

Izimbangela ze-appendicitis kubantu abadala: kungaba noma yiziphi izifo zamathumbu, ukuhlukunyezwa kwesisu, ukuvuvukala kwegciwane lokugaya noma ukuhlasela kwe-helminthic. Ngaphezu kwalokho, odokotela bakholelwa ukuthi isizathu singase kube ukuhlukunyezwa kokudla kwamaprotheni.

Ifomu elihle

Yini eyenza i-appendicitis enzima? Izimbangela zalolu fomu: ukuvalwa kokuqala kwenqubo, okwesibili - ukungena kuwo staphylococci, Escherichia coli, streptococci kanye ne-enterococci. Zithintana, ngoba kuzo zombili izimo ezimnandi zenzelwe ukuphindaphinda okusheshayo kwamabhaktheriya. Esikhathini sokuqala, konke kuholela ekujuleni kokuqukethwe nokuvuvukala kwezindonga zesithasiselo, futhi okwesibili, ukubonakala kokuguqa kwamathumbu nokungabikho kokuthutha kuyashukunyiswa.

ENtshonalanga, odokotela baye baveza imbangela ehlukile yokucindezela - uma i-fusobacterium ingena emkhunjini, okubangela i-necrosis ezingxenyeni zayo. Ukutheleleka kukhula ngokushesha futhi kubangele izinqubo ze-purulent nezokuvuvukala. EmaNtshonalanga, ukwelashwa okulindelekile kuvamile, kepha eRussia akuvamile ukusetshenziswa.

Ezinye izimbangela ze-appendicitis ezinzima: i-yersiniosis, umkhuhlane we-typhoid, isifo sofuba, i-amoebiasis, njll. Ngaphezu kwalokho, le nqubo ihlinzekwa ngokubunjwa ngokweqile kwamaprotheni emzimbeni, iholela ekutheni ukuhlakazeka kwazo ngokushesha emathunjini nokuqala kwenqubo yokubola. Futhi, ukuthambekela kokuqothulwa kunikezwa njengesisusa esihlukile, ngenxa yalokho kungekho ukukhishwa kwesikhashana ngesikhathi esiswini, futhi izimo zenzelwe ukukhula okusheshayo kwama-bacteria.

I-appendicitis engapheli

Kubantu abadala, kubhalwe ngokungajwayelekile, hhayi amaphesenti angaphezu kweyodwa kuwo wonke amacala okufaka isicelo. Lo muntu uhlangabezana nezinhlungu zesikhashana ezanda ngokuhamba nokukhwehlela. Ngokuphindaphindiwe, izimpawu ziyafana ne-appendicitis enzima. Ukushisa komzimba kuyinto evamile noma i-subfebrile. Ngokuvamile uhlelo olunjalo lwe-appendicitis luhlukaniswa njenge-pyelonephritis, i-peptic isilonda, isifo esingavamile esiswini.

Isithasiselo esiphuthumayo

Kuyinto ukuvuvukala kwesithasiselo, okuhlanganisa izinhlobo eziningana zezifo ezinzima. Kungani i-appendicitis ehlanzekile isenzeka? Izimbangela zingaba kanje: ubuningi be-lymph, ukunikezwa kwegazi okubuthakathaka, ukutholakala kwe-lumen encane encane, ukuhlukahluka endaweni. Kulesi simo, ama-microbes angena enqubo nge-hematogenous, lymphogenic noma (evame kakhulu) yokungena. Ngalolu hlobo lokuvuvukala, i-flora i-polymicrobial.

Izigaba zesifo

Kunezinkathi eziningana:

  1. I-Catarrhal appendicitis (amahora angu-12 wokuqala). Izimpawu ezivamile azizwa kahle futhi ubuhlungu esiswini, ngokuvamile kusihlwa nasebusuku. Ukufana nezibonakaliso zesifo sangasese. Phakathi nalesi sikhathi, kunobuthakathaka, i-malaise, kodwa isisu sisalula, naphezu kobuhlungu lapho ucindezela khona ngakwesokudla.
  2. I-appendicitis ye-phlegmonous (ekupheleni kosuku lokuqala). Ubuhlungu bubonakala ngokucacile ngakwesokudla, ku-ileum. It is pulsating futhi okukhulu kakhulu. Kukhona isicashu, i-tachycardia, ukushisa kwezinga lokushisa. Isisu endaweni yenkambiso evuliwe ishintshiwe.
  3. I-gangrenous appendicitis (usuku lwesibili nolwesithathu). Kukhona ukuphela kwezingxenye ze-appendages, ukudakwa okuvamile emzimbeni, i-tachycardia ebizwa ngokuthi i-tachycardia. Ukushisa kwehla ngamandla, isisu sithula, kukhona ukungabi khona kwe-peristalsis.
  4. Uhlelo lokusebenza lwe-appendicitis (ekupheleni kosuku lwesithathu). Ubuhlungu obukhulu nobuhlungu obukhulu esiswini esiphansi, ukukhula okunamandla. Ukungabikho kwezikhathi zokuphumula, isisu sithukuthele futhi siphelile, ukuhlanza njalo kuqala. I-plaque ngolimi esikhundleni somhlophe iba mnyama. Ukushisa kuphakama kuya ezingeni elibucayi. Umphumela - appendicitis purulent noma abscess yendawo.

Izinkinga ekutholeni

Kungani ngezinye izikhathi kunzima ukuhlolisisa ukufakwa kwesisu? Izizathu zezidakamizwa ezenzekayo zithola kunzima ukubiza ngokunembile. Isikhundla se-appendage sihlukahluka. Ngokuvamile itholakala esiswini esingaphansi - endaweni efanele, kodwa ingaba nomama. Ifilimu ebukeka sengathi ishidi, ihlanganisa uhlaka lwezakhiwo ezisemgodini wesisu. Ngomama omude, inqubo ngezinye izikhathi iyashintsha ngokuphawulekayo. Ngaphezu kwalokho, ngezinye izikhathi kungase kube isikhathi eside kunokujwayelekile.

Kwezinye izimo, isithasiselo siya phansi esifundeni sezintambo, futhi kwabesifazane kulala phakathi kwamalungu ayo. Kungabuye ibekwe ngemuva kolononi. Ezimweni ezinjalo, izimpawu zifana nokuvuvukala kwezitho ezihlukahlukene (isibonelo, izitho zangasese).

Kunzima ukucacisa uhlelo lokusebenza kulezi zimo lapho umuntu eneminye izinqubo zokuvuvukala ezinganikeza izimpawu ezifanayo. Ngakho-ke, okokuqala isiguli sigcinwa isikhathi esithile ukuze kutholakale ngokunembile, ngoba izimpawu zokufaka i-appendicitis zingabonakala ngokujwayelekile emva kwesikhathi.

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