Appendicitis: Zviratidzo nedzevakuru. Zviratidzo chenjera appendicitis nedzevakuru

Appendicitis (appendicitis) - iri kushoma duku okuwedzera pamusoro cecum, okuwedzera kunzi. Shoko "okuwedzera", rakashandurwa kubva muchiLatin rinoreva "manda" uye kuzviuraya "itis" rinoreva kuzvimba.

Maererano nenhamba, pakati zvose kuvhiya appendicitis pamusoro kakawanda kupararira chirwere zvinotora vanenge 89% nyaya uye ari panzvimbo yokutanga. Kakawanda richiwanika munyika muduku anoshanda zera vanhu pakati 18 uye 35 nemakore. Kuwanda chirwere ichi muvakadzi dzakakwirira 2 nguva kupfuura vanhu.

kupatsanura

Appendicitis munogona chakasimba uye chirwere siyana. The chenjera chimiro rakakamurwa kuva kosi catarrhal chirwere uye dzinoparadza, izvo zvaizoitawo anogona kutora dzakawanda:

• pute;
• phlegmonous-urikanwi;
• apostematoznuyu;
• gangrenous.

Chirwere appendicitis zvakare rakakamurwa dzakawanda. Zvinogona kuva:

• residual;
• chikuru refu;
• idzokororo.

All siyana izvi echirwere appendicitis akasiyana sclerotic uye atrophic pezvakaitwa ari okuwedzera. Anogona kuitika overgrowth kuti granulation rinenge riri parusvingo okuwedzera wayo lumen, nokuumbwa adhesions pakati serous Kamudzira dzakapoteredza. Kana kuunganidza ari lumen pamusoro okuwedzera pamusoro serous mvura chikofu inotungamirwa kunoitika.

Appendicitis muvana uye vakuru: Zvinokonzera, Zviratidzo neMarapirwo

Kakawanda, marwadzo mudumbu wevarwere kutsvaka kufarirwa pakarepo, asi pashure pemaawa mashomanana kana mazuva. Izvi imhaka yokuti zviratidzo chokutanga appendicitis nedzevakuru kuva zvishoma uye harinyatsozivikanwi. Pane matambudziko kuziva chaiyo nzvimbo kurwadziwa localization. Kana kugamuchira marwadzo mishonga marwadzo zvigume zvachose uye ainzwa chete kana kamwe kufamba uye kufema yakadzika kana vangakosora.

Appendicitis: Zviratidzo nedzevakuru

• Constant marwadzo, riri vemunyika pakutanga maawa ari guvhu, uye ipapo kunotangira kurudyi.
• Svoto uye kurutsa chete.
• Kuwedzera tembiricha muviri kuti subfebrile.

Kana zviratidzo zvakadaro (zviratidzo) kuti appendicitis nedzevakuru dzakaratidza kuti hazvina zvakakodzera kutarisira kuti zvinhu zvose zvichaita kugadzirisa pacharo. Unofanira kushevedzera amburenzi. An ruzivo chikwata vanachiremba vanogona kuona nyore ezvinhu akadaro ane ngozi kuti kunoda pakarepo muchipatara, sezvo appendicitis. Zviratidzo zviri vakuru, sezvo kare ambotaurwa, zvinogona lubricated. Kujekesa nechirwere vasati vasvika zvokurapa kuzvidzora chirwere chinogona kuitwa.

Izvi zvinoitwa sezvinotevera: zvakarurama yepazasi nzvimbo mudumbu zvaanofanira zvakasimba kumanikidza nezvigunwe zviviri (indekisi uye pakati), marwadzo rirege akanzwa. Ipapo minwe dzakachena, uye marwadzo inowedzerawo nehasha. Kana bvunzo yakadaro yakanga yakanaka, kureva, zvose anoita sezvinorondedzerwa, muvepowo varipo kuda kurutsa, uye dzimwe nguva kurutsa uye, kupfuura zvose, izvi ndizvo zviratidzo zvokutanga appendicitis nedzevakuru. zvino isu tsanangura navo zvizere.

symptomatology

Kana nechirwere "appendicitis" zviratidzo zviri vakuru vanogona kuva zvishoma Blurred, asi sezvinotevera vari:

1. Chokutanga, pane abdominal marwadzo, usina vemunyika zvakajeka. Kungazviratidza ari guvhu, epigastric kana kuva diffuse hunhu (kumativi mudumbu). Kurwadziwa kugara, zvinogona dzimwe nguva kuva cramping. Shure kweawa kana zvishoma, zviri kusimbiswa mudumbu kurudyi. chiratidzo ichi anonzi misha marwadzo Kocher-Volchkov. Irradiation kurwadziwa inowanzopiwa kwete kuchengetwa. Izvi zvinogoneka chete kana atypical nzvimbo yacho okuwedzera. Panyaya iyi, marwadzo anogona kupiwa ari muhudyu kana lumbar nharaunda.
2. Varwere kazhinji hapana kudya. chiratidzo ichi inonzi neanorexia.
3. Zvichitevera marwadzo hwapedyo kuda kurutsa, uye zvingava kuroorwa kurutsa. Zviratidzo izvi zviri appendicitis mune vakuru reflexivo zvakasikwa uye dzakabudirira somugumisiro kuzvinetsa pamusoro peritoneum.
4. Inogona simuka nefivha yakaderera-sosaiti, asi haugari kuitika. zviratidzo dzakadai rikwanise appendicitis nedzevakuru sezvo fivha, kurutsa uye neanorexia chiratidzo inonzi Murphy.

Kana zviratidzo zvakadaro murwere anogona vanofungidzirwa rikwanise appendicitis. Dzimwe ndivo vanonyanya zviratidzo appendicitis nedzevakuru achiperekedzwa kuita weti kakawanda, chetsoka zvirwere (manyoka), kukurumidza kupomba , uye mune zvisingawanzoitiki nguva kuwedzera kumanikidza. Other uncharacteristic zviratidzo zviri chirwere kunogona kuitika munguva vakwegura, vana nevakadzi pamuviri, uyewo atypical nzvimbo yacho okuwedzera pamusoro cecum. Ndezvipi zviratidzo appendicitis nedzevakuru kuitika kakawanda, hatina akaongororwa. Ikozvino ngatitaurei pamusoro peculiarities pakati kukura hosha vakadzi, uyewo kufunga ngozi izvozvo anotakura panguva yepamuviri.

Peculiarities ose nechirwere kuti appendicitis vakadzi

Panguva akanaka hafu yevanhu mukana ndakakanganisa nechirwere chirwere ichi wakakwirira kupfuura vanhu. Izvi imhaka yokuti manzwiro panguva kukura chirwere chinogona kuvhiringidzwa marwadzo panguva yekutevera kana marwadzo maitiro kana kuzvimba mu gynecologic pelvic nhengo. Kukanganisa uku kunogona kuitika kana ane atypical nzvimbo yacho okuwedzera.

Nokuti neyakarurama rwokupedzisira chirwere muchipatara mukadzi asiri chiremba anofanira kuongorora mberi uye gayinakorojisiti. The pakuva chiratidzo kuzvimba okuwedzera ari gynecological zvokurwara ndechokuti mukupera zvazvingava, kurutsa, kuda kurutsa uye chetsoka havasi zvemo.

Zviratidzo appendicitis vakadzi vane pamuviri

Zviratidzo appendicitis vakadzi vakura kufanana nevarume. Kunze iri Vakadzi pamuviri. Maererano nenhamba, kuitika appendicitis panguva pamuviri anenge 5%. Panguva akanaka hafu yevanhu, izvo achava amai, atypical chimiro (panyaya misha iri okuwedzera) anogona kuonekwa chirwere ichi.

Chirwere kuti appendicitis panguva pamuviri kazhinji haakonzeri zvinetso. Zviratidzo zvakafanana nokuti vamwe vakura. Matambudziko angamuka pakupedzisira trimester pamuviri, kana hunhu kurwadziwa iri cramping zvakasikwa. Varwere vanowanzotevedzera kutora chibharo mamiriro akarara shure kwako makumbo hwakakungwa pamabvi nekusunga kuti makumbo dumbu. The kurwadziwa vemunyika kunyanya zvakarurama iliac nharaunda, asi gare gare nzendo pamuviri kuonekwe kumusoro. Uyewo mumwedzi mishoma pamuviri hanya ndiko kuvhiya dambudziko appendicitis uye postoperative vapore. Saka zviri zvikuru rokuongorora nemazvo.

VaBennett appendicitis panguva pamuviri

chirwere ichi kuchimuka nokuti kuti panguva gestation mwana rakawedzerwa zvikuru dumbu zvaanochinja cecum ndokuchinja nzvimbo yaro. Uyewo, mashoko okuwedzera zvinogona rusarura chakawedzerwa dumbu, zvichiguma ropa riyerere kwakakanganiswa mairi. dzimwe nguva izvi zvinotungamirira anogumbura uye kunyange neronda rinonyenga. Chinokonzera appendicitis vakadzi vane pamuviri zvakare nokuchinja kwemakemikari omuviri siyana. Panguva mukubereka vana vakadzi zvinowanzoitika kutyorwa rwecheya, zvinoti kupatirwa, izvo zvinogona kukonzera zvokurwara ichi.

appendicitis sei ngozi panguva pamuviri?

Zviri pachena kuti chero kuvhiya kupindira, kunyanya kana kuita mudumbu romukadzi ane pamuviri kunogona kukonzera nokupfupfudzika kana rokusamhanyira pakuberekwa. Asi zvimwe pane kuti zvine ngozi zvinotevera ezvinhu:

• Kugadzirwa fetus hypoxia;
• vakurumidze yokuzviparadzanisa of placenta uye mudumbu kubudikidza kuchembera;
• panowanikwa chenjera intestinal mhingaidzo;
• postoperative chirwere;
• zvaipesana uterine sunga panguva basa;
• ropa ari postpartum nguva.

Saka, zvatakurukura zvose zvinobvira zviratidzo appendicitis, uye zviratidzo chirwere nedzevakuru. Zvino ngatitarise zvaidiwa kukura chirwere muvana.

Zviratidzo appendicitis muvana vakura

Zviratidzo zviri vana pasi kuchikoro zera akafanana zviratidzo chirwere nedzevakuru. Unogona chete kuwedzera kuti varwere dzakadaro kakawanda kutora kumanikidzwa mamiriro, umo kusimba marwadzo ipfupi. Ivo arara musana wake kana divi rworudyi. Uyezve, tembiricha inokwira kusvika 38 madhigirii kana yakatokura. The kupomba hazvirevi kuenzana kuwedzera kupisa muviri uye speeded kwazvo.

Kana ukatarira dzaiita zvokutaurwa mhango yakaratidza rurimi nyoro, chena unhani riri aripo. Bad chiratidzo ane rurimi yakaoma. Izvi zvingaratidza kukura chirwere uye gangrenous peritonitis. Vana zera ichi vanogona kuva kunonoka kuti Pachigaro chirwere ichi.

Zviratidzo appendicitis muvana vaduku

Nendumure vaiona zviratidzo chirwere chinogona vanofungidzirwa zvinotevera nyaya:

• Mwana anochema uye asingauyi kuzoongorora.
• Right gumbo mbudzana racho rose ringakweva kuti dumbu uye curls kumusoro.
• Tembiricha muvarwere vaduku vane appendicitis chirwere kazhinji hunopfuura 38 madhigirii, zvinogona kusvika 40.
• Pulse kugara uye anoenderana kumutsa tembiricha.
• Liquid zvituru, kakawanda.
• Weti inogona kurwadza uye palpitations. Kana vanhurume mwana anochema.
• In vana vaduku, kurutsa inogona kudzokororwa.
• A mwana fidgety, anoramba kudya, kurara, Ndaigara kunwa.

Ndezvipi zviratidzo appendicitis mune vakuru nevana ikoko, zvino tinoziva. Funga pezvingazoitika chirwere ichi ngozi.

yematambudziko

Mune zvimwe zviitiko, chirwere rakaoma kubudikidza anotevera pezvakaitwa:

• abdominal pute, izvo zvinogona appendicular, subdiaphragmatic, Douglas mezhkishechny kana zvichienderana localization;
• pelvic thrombophlebitis kana iliac mutsinga, zvinogona kukonzera dzakakomba zvikuru mamiriro - pulmonary embolism;
• peritonitis, panyaya atsamwira of okuwedzera;
• inotungamirwa postoperative infiltration;
• kukura adhesions ari postoperative nguva, izvo zvinogona kukonzera intestinal mhingaidzo.

mabatiro

Kana pane zviratidzo appendicitis kuzvimba mune vakuru kana vana, izvozvo kunoratidzwa appendectomy zvinogona kuitwa nokukurumidza, kureva sezvo kubviswa okuwedzera, kuitira kudzivisa zvakakomba yematambudziko ari chirwere. oparesheni ichi rinoitwa pasi pakaita hwaro - mukati maawa pashure yakarurama kuongorora chirwere.

Panguva padariro pre-chipatara kutarisirwa inokurudzirwa mubhedha zororo. Zvinonzi zvaisambobvumirwa kugamuchira chero zvokudya kana zvokunwa. Musatora marwadzo relievers, laxatives uye zvimwe zvinodhaka kujekesa kwokupedzisira nechirwere, tikashandisa kutonhora kana kupisa.

Kamwe kuongororwa zvakarurama wakaiswa "appendicitis" (Zviratidzo zviri vakuru nevana zvatsanangurwa pamusoro), murwere anoiswa mukati kuvhiya chikwata uye akatakura appendectomy. Izvi kuvhiyiwa mu nyore kuita laparoscopically.

Pashure izvo murwere kwemaawa anoverengeka hwakatamisirwa yevanenge, apo ari pasi rusingaperi zvokurapa achitarisirwa. Kana murwere pakupedzisira kubva yokutindivadza, zviri hwakatamisirwa kuvhiya dhipatimendi. Pazuva 5th zuva kazhinji kubvisa stitches uye varwere tama kuti outpatient kurapwa.

Mune yakaoma weboka chirwere murwere anoramba ari muchipatara, uye mashoko ake vachaitwa yanonoka kusvikira kuchaitwa varwadziwe uye Kudzikamiswa zviri zvayo ezvinhu.

mataridzikiro

In nyore nzira chirwere uye nenguva nounyanzvi akaita nokushanda upenyu haisi appendicitis. Full kushanda vanokwanisa murwere kufefemuka pashure 4 mavhiki.

The zvinokonzera matambudziko anoitika appendicitis, sezvinoita mutemo, muri kunonoka kubvuma uye kunonoka kuvhiyiwa. In kwazvo kacho kungatoita kuti rufu.