Izimpawu yokuqala appendicitis e ingane iminyaka engu-10

izingane ezikhubazekile zihlale isenzakalo ukuzwa. Ikakhulukazi uma kuziwa pathologies kuhlinzwa ukusebenza okudingekayo lapho umntwana. Ngeshwa, lezi zifo zenzeka ezinganeni nakubantu abadala nge imvamisa efanayo. I zokugula ezivamile kuhlinzwa - kungcono appendicitis. Kungenzeka ngasiphi yobudala. Uma ingane iminyaka engu-10 yesisu ubuhlungu, kufanele uwuphuze ngokucophelela. Phela, imbangela ukungakhululeki bangaba isithasiselo avuvukele. Eqinisweni, appendicitis akubhekwa ukugula okungathí sina. Nokho ngasekupheleni lokhu usizo kungaholela ukuxakeka.

Kuyini lokhu sifo?

Wonke umzali idinga ukwazi izimpawu of appendicitis e ingane iminyaka engu-10. Phela, sonke sibhekana kusukela lesi sifo. Ngaphezu kwalokho, kule nkathi kuvamile impela. Appendicitis kubhekwa ukuba isifo ukuvuvukala. Kwenzeka ngenxa ukuthuthukiswa impendulo sokugembula emnyangweni we cecum - isithasiselo saleli Bhayibheli. Ngokuvamile, leli gunya akazibandakanyi umsebenzi wokugaya ukudla, ngakho kususwe akufanele iyayithusa abazali bengane. Noma kunjalo, ngesikhathi izinsolo kancane ukuvuvukala isithasiselo kufanele kuqashwe, shayela i-ambulense. Izimpawu eyinhloko appendicitis e ingane iminyaka engu-10 - kungcono ubuhlungu esiswini kanye nemfiva. Umonakalo obangelwa nendawo ukungakhululeki ingase yehluke kuye ngesistimu izimfanelo umzimba. Ngakho-ke, isithombe atypical emitholampilo akusho ukuthi ingane kungekho ukuvuvukala isithasiselo saleli Bhayibheli.

Izimbangela appendicitis ezinganeni iminyaka engu-10

Mshini nesenzakalo of appendicitis kubhekwa sokufundwa akuyona ukuqeda. Kuyaziwa ukuthi isithasiselo ngezinye ingxenye yayo le lymphoid, ngakho ingress amagciwane noma igciwane emzimbeni yezimbangela liphinyiselwe ukusabela ukuvuvukala.

appendicitis olunamandla ezinganeni engu-10 ubudala ezimweni eziningi lihlotshaniswa ukungondleki. Kukholakala ukuthi ukusetshenziswa kwemikhiqizo kuholela "ukungcoliswa" emathunjini, e isithasiselo ethile. Lokhu kubhekisela yokwamukela imbewu ukudla namantongomane ne amagobolondo, chips, ama-crackers usawoti, nokunye. D. Njengoba sazi ukuthi izingane zisebenzisa mikhiqizo kaningi, izimpawu appendicitis e ingane iminyaka engu-10 kayimangazi.

Esinye isizathu siwukuthi kwema- ejenti eziyingozi ekusakazeni igazi. Ivame ukutholakala waphawula uma kukhona foci ezingamahlalakhona ukutheleleka. Lezi zihlanganisa izifo ezifana caries zamazinyo, namathansela, sinusitis. Ngokunciphisa amabutho mzimba izinhlayiya microbial angangena igazi. Ngokwemvelo, kulesi simo-ke aphendvule isithasiselo saleli Bhayibheli. Ngempela, kule umzimba kukhona lymphocyte eziningi ama-macrophage.

Kungakhathaliseki ukuthi iyini imbangela ukuvuvukala (ukunqwabelana kwamagciwane ayingozi noma izinsalela zokudla) ukuthuthukiswa appendicitis efanayo. I kwaphumela lymph izicubu hypertrophy isithasiselo inyuka ngobukhulu, kukhona engalulami uketshezi, edema nokuvuvukala.

Indlela ukuqaphela izimpawu appendicitis ezinganeni eminyakeni 10-11?

Izimpawu ukuvuvukala isithasiselo zingase zihluke. Noma kunjalo, kukhona ezinye izimpawu ejwayelekile ukuthi kwenzakala kanengi. Hlukanisa okulandelayo izimpawu of appendicitis ezinganeni engu-10 ubudala:

1. Ubuhlungu besisu. Kwasendaweni incike indawo isithasiselo saleli Bhayibheli. Ezimweni eziningi, kuba ilungelo iliac esifundeni. Kodwa lokhu akulona njalo kunjalo. Ukunikeza ezinye kwasendaweni atypical of isithasiselo saleli Bhayibheli. Phakathi kwabo - ngalo ingaphakathi okhalo, izinso, isisu aphansi. Ngakho-ke, indawo ubuhlungu zingahluka.
2. Ukwandiswa nezinga lokushisa komzimba. Ngo appendicitis ayinzima kuba 37-38 degrees.
3. Isicanucanu. Lokhu uphawu kungenzeka ngisho nangaphambi ukuvela ubuhlungu kanye esihambisana zonke izigaba ukuvuvukala isithasiselo saleli Bhayibheli.
4. Ukuhlanza. Abanye ningagcini. Ngokuvamile ukuhlanza kwenzeka kungekho izikhathi ezingaphezu kuka-1-2.

Izimpawu yokuqala appendicitis e ingane iminyaka engu-10 - ukungakuthandi ukudla, kanye nobuhlungu endaweni esiswini. Lezi izimpawu zibonakala ngaphambili kunabanye. Esikhathini amahora elalibalandela ubuyisela ejwayelekile isithombe emtholampilo. Ubuhlungu is waya kwesokunene esifundeni iliac, izinga lokushisa emzimbeni liphuma khona.

I degree of kobukhulu appendicitis

3 Ukwabela kobukhulu ukuvuvukala isithasiselo saleli Bhayibheli. Bathembele isithombe morphological isithasiselo ethintekile. Ngamunye wabo zivumelana ukubonakaliswa ethile yomtholampilo. appendicitis Ezintsha kwenzeka catarrh. It libhekene ubuhlungu ngeke kakhulu ezinzima, imfiva up subfebrile. Isimo jikelele ingane eyanelisayo, kukhona isicanucanu futhi angafuni kudla.

Umonakalo obangelwa isilinganiso ubovu ithumba appendicitis. Kuyaqapheleka zimpawu ezilandelayo: imfiva-38 ° C, yokukhulisa ubuhlungu (paroxysmal ngokwemvelo) ukuwohloka.

A esigabeni esinzima kwenzeka inflammations lapho gangrenous. Lolu hlobo lwe-appendicitis libhekene necrosis of isithasiselo saleli Bhayibheli. Kulokhu, ngokuvamile perforation futhi Ukungena kwezicubu abathintekayo phakathi komgodi peritoneal. Izimpawu ze-appendicitis e ingane iminyaka engu-10 ubudala kulesigaba eshiwo ku ubuhlungu babulawa kulo esiswini, ukwandisa izinga lokushisa emzimbeni ukuze 39-40 degrees. Okunjalo isimo kuholela ukuthuthukiswa yezinkinga.

izimpawu ezithile okufanele ukuvuvukala isithasiselo

Ngaphezu ukubonakaliswa basemtholampilo sebuningini izimpawu ezithile, ukuze usize ekutholweni appendicitis oyingozi. Yazi kubo kufanele odokotela hhayi kuphela, kodwa futhi abazali. Ngempela, sibonga ukuhlolwa okungenani 1-2 izimpawu zingase esolwa ukuvuvukala isithasiselo saleli Bhayibheli. Eqinisweni, izimpawu ezithile appendicitis zingaphezu 100 Ekusebenteni kuhlinzwa usebenzisa ezimbalwa (mayelana 5-7). Ukwabela izimpawu ezilandelayo ezithile appendicitis:

1. Uphawu Vuko. He is ukubukeka ubuhlungu ngesikhathi iminwe esifundeni epigastric esiswini ephansi. Lokhu ukuhamba uqhathaniswa esisuka the ihembe.
2. Uphawu Bartome-Michelson. Isiguli kubeka ohlangothini lwesobunxele. Amadolo ingane kufanele insaliwe. On palpation we cecum waphawula soreness.
3. Uphawu Sitkovskiy. It uyakhumbula inkomba odlule ezithile appendicitis. Umehluko wukuthi akukho ubuhlungu ukuze palpation esiswini (lapho uvula ngohlangothi lwakho ngakwesokunxele).
4. uphawu Psoas. Ingane kumele baqambe amanga ngomhlane imilenze ibheke at emalungeni kwedolo. Lapho ephakamisa umlenze wesokunene futhi zombili palpation we cecum, abagulela ukufa kukhuphuke kwenzeka.
5. Uphawu Rovzinga. Libhekene i ukwanda ubuhlungu palpation kwesokunxele iliac esifundeni (ikholoni sigmoid). Ngaphezu kwalokho, udokotela wenza umunwe ukunyakaza, sengathi baphokophelele amagesi zanqwabelana phezulu.
6. Uphawu oyinhloko kubhekwa SHCHetkina-Blumberg. He is imisipha esishubile we anterior udonga besisu ukuba palpation kwesokudla iliac esifundeni isithupha. Ukukhululwa abukhali ngezimbangela zako anda ubuhlungu. Lokhu uphawu kuyaqabukela ebonwe imnene kobukhulu ngokulinganisela appendicitis. Ngokuvamile-ke kwenzeka, uma kukhona ukuthuthukiswa yezinkinga (ukuvuvukala gangrenous, peritonitis).

Appendicitis: Izimpawu ezinganeni izithombe engu-10 ubudala isiguli ingane

Abazali abaningi abaphendukela imithombo inthanethi ngendlela Ukuwohloka isimo ingane. Imininingwane ibekwe kumasayithi yezokwelapha zivame uthathwa okuthembekile, kodwa noma kunjalo kubalulekile kakhulu ngokushesha ngangokunokwenzeka bafune usizo lochwepheshe bezokwelapha. Kuphela udokotela izimpawu 100% ukuqinisekisa zokugula, uma ikhona. Photo of zinakekela izingane ezigulayo, afakwe isihloko ungakwazi kuphela ukunikeza umqondo anolaka yenkinga.

ukuhlola

Abazali kuyasiza ukwazi ukuthi ukukhomba appendicitis ezinganeni. Ngaphezu ukubonakaliswa emitholampilo ye isifo bese uhlole izimpawu ezithile kuba ukuhlola laboratory ezibalulekile. Njengoba sazi ukuthi izimpawu appendicitis zingase zifane nezinye izifo (kolwelwesi, adnexitis, pyelonephritis), ngokusekelwe kuphela izikhalazo kanye nokuhlolwa akunakwenzeka.

Uma usola ukuthi ukuvuvukala isithasiselo kuyadingeka ukwenza Kla futhi urinalysis. Kuyinkomba ebaluleke kakhulu kubhekwa leukocytosis. Uma elikhona umthamo wegazi lesiguli, uphethwe "appendicitis" ubhekwa okuthembekile. I OAM kungabonakala nasemkhakheni leucocyturia amagciwane. Uma udokotela ine ukungabaza mayelana uphethwe, wenziwa ultrasound besisu.

ukwelashwa op

Le nqubo yokwelapha kuphela appendicitis ubhekwa ukuhlinzwa. Kwezinye izimo, kuba Kwenziwa laparoscopically. Kaningi kuna Ukuhlinzwa okukhulu kuyenziwa usebenzisa imbobo etshekile ngakwesokudla esifundeni iliac. isithasiselo Vermiform exoshwa anqunywe at the base. Imikhumbi coagulate. Isiqu esele okuvela kuyo le isithasiselo sutured ngokucophelela ukuze emathunjini.

Ukuvimbela ukuvuvukala isithasiselo

Ukuze ugweme ukuvuvukala isithasiselo, kumelwe udle kwesokudla, ukunakekela. Izingane is hhayi Kunconywa ukuba adle imbewu kanye nati, ukudla okusheshayo. Kufanele futhi ngesikhathi esifanele ukuze sanitize foci ukuvuvukala ezithathelwanayo.