Wannan wordcum yana da rubutun kalmomin vermiform wanda ke yin aikin tsaro. Ƙididdiga yana aiki ne da irin "gona" da kuma ajiyar microorganisms wanda ya zama microflora mai amfani. Kumburi na wannan fashin shine mafi yawan al'amuran yau da kullum na tsarin narkewa, yana buƙatar gaggawa don yin aiki.
Appendicitis - haddasawa
Abubuwan da ke haifar da cutar a cikin tambaya basu riga sun kafa ba. Masana sunyi bayanin dalilin da yasa appendicitis ta tashi - an kawo asali zuwa ƙungiyoyi 4 bisa ga irin abubuwan da ake ciki na tsarin ƙwayar cuta:
- Na'ura;
- hadari;
- na jijiyoyin jini;
- endocrine.
Dalilin m appendicitis
Babban ka'idar ci gaba da maganganun da aka kwatanta shi ne occlusion (obturation) na shafi. Wannan yana haifar da haɗuwa da ƙananan ƙwayoyin cuta da kuma microorganisms a cikin appendix. Yana ƙara girman, matsa lamba a ciki yana ci gaba da ƙumburi farawa. Ƙwararrayi mai tsabta zai iya faruwa a bango na farfadowa na shinge na linzami (giraben dutse), ya kwashe mambobin waje, helminths da tumocin.
Wani lokaci mawuyacin tsari shine ya fara zama na farko saboda matsalar jigilar kwayoyin ta hanyar cicatricial fusion saboda wasu pathologies a cikin rami na ciki:
- Koma ;
- colitis;
- adnexitis;
- cholecystitis;
- perfillita;
- da samuwar adhesions.
Bisa ga sauran abubuwan da suka rage game da bayyanar appendicitis, yana tasowa a ƙarƙashin rinjayar waɗannan abubuwa:
- kamuwa da cututtuka na vermiform tare da microbes;
- tsarin tsarin jiki;
- Kwayar kyawawan kwayoyin ne na serotonin hormone.
Binciken na zamani - haddasawa
Wannan nau'i na cututtuka yana da jinkirin ƙonewa na shafukan yanar gizo, ba tare da takamaiman bayyanar cututtuka ba. Yawancin likitoci sun ƙaryata game da abin da ake kira likitancin jiki kamar abin mamaki. Wasu likitoci sun kafa irin wannan ganewar asali, suna rarraba shi a matsayin na farko da sakandare. Sakamakon wannan tsari na ƙwayar cuta shine:
- Sluggish cututtuka a cikin ɓangaren kasa;
- canje-canje na gaggawa bayan mummunan cututtuka ba tare da cirewa daga shafi ba.
Alamun appendicitis
Daga bayanin da aka gano a lokacin tambaya, nasarar nasarar ta ya dogara. Kowane mutum dole ne ya tuna abin da alamun appendicitis ke lura da farko. Wannan zai taimaka nan da nan don ɗaukar kumburi da neman taimako mai taimako. In ba haka ba, za a yi amfani da aikace-aikace mai rikitarwa - bayyanar cututtuka na irin mummunar cutar zai kara da haifar da sakamakon haɗari. Rashin samun taimakon likita a irin wannan yanayi yana fama da matsanancin wahala, wani lokaci har ma mutuwa ta yiwu.
Alamun farko na appendicitis
Hoto na asibiti na cututtuka yana farawa tare da jin dadin rashin jin daɗi a cikin ciki, musamman a maraice ko daren. Alamar farko na appendicitis shine mummunar zafi mai kama da gastritis. Saboda rashin ƙarfi na wannan bayyanar, mutum baya gaggauta zuwa asibiti. Akwai wasu alamu da ke tare da appendicitis - farkon bayyanar cututtuka:
- Nausea;
- vomiting (1-2 sau);
- rashin ƙarfi;
- malaise;
- bushe baki.
Alamomin m appendicitis
Bayan mataki na farko, ilimin lissafi na ci gaba, kuma hoton hoton yana nunawa a fili. Pain tare da appendicitis ya zama m, pulsating ko latsa. Wannan rashin jin daɗi yana ji ba kawai a tsakiyar ba, har ma a cikin ƙananan ƙananan ciki. Appendicitis, bayyanar cututtuka, ya zama mafi bayyana a cikin 'yan sa'o'i na gaba:
- karuwa a cikin jiki a cikin jiki 37-38 digiri;
- Cikakken rashin ci (anorexia);
- mawuyacin hali mai tsanani;
- Zuciyar zuciya (tachycardia), har zuwa 90 ta cikin minti daya;
- Tsarewa;
- farar fata a kan harshe.
Alamun da ake kira appendicitis
Bayanin asibiti na mummunan yanayin ƙonewa ba shi da ƙari, suna iya zama halayyar cututtukan cututtuka da dama na gastrointestinal tract. Cutar cututtuka na likitancin appendicitis:
- rikitarwa, kamar maƙarƙashiya, da zawo;
- motsa jiki, musamman ma bayan aikin jiki da rashin daidaito a cikin abincin;
- rashin ci;
- irritability;
- matsanancin matsanancin zafi na ciki.
Yadda za a ƙayyade appendicitis?
Kwararren likita ne kawai zai iya tabbatar da kasancewa da wani tsari mai ƙin ƙonewa a cikin shafukan. Ko da sanin ko wane gefen appendix (ƙananan ƙananan ciki), da kuma inda za a latsa don samfurori na jiki, ba zai taimaka wajen bincikar cutar ba. A wasu mutane, ɓangaren da yake ƙarƙashin wuri yana samuwa a wuri mai mahimmanci, kuma kuskuren kuskure yakan haifar da lalacewa ko rushewa na bango na shafi.
Akwai hanyoyi masu fasaha da yawa don gane appendicitis:
- Mendel ta bayyanar. Yayinda aka yi amfani da yatsa na bango na ciki na gaba, ciwon da ke cikin yanki na hagu yana ƙaruwa.
- Symptom Sitkovsky. Jin tausayi yana da tsanani idan mutum ya juya a gefen hagu.
- Symptom of Pshevalsky. Zai yi wuya ga mai haƙuri ya ɗaga kafafunsa na dama.
- Symptom na Shchetkin-Blumberg. Ƙara yawan ciwo tare da yin juyayi mai karfi bayan matsa lamba.
- Bayyana hangen nesa na peritoneum. Babban rashin jin daɗi a lokacin sneezing, dariya, coughing, tafiya da bouncing.
Domin tabbatarwa ta ƙarshe game da ganewar da ake zargin, ana gudanar da wasu ayyuka:
- gwajin jini (asibiti, biochemical), feces, fitsari;
- Kwamfuta;
- duban dan tayi.
- radiyo;
- Irrigoscopy;
- lissafin rubutu;
- electrocardiogram.
Taimako na farko tare da appendicitis
Idan an yi mummunan kumburi na abin da ake kira cecum, dole ne a kira wani sashen lafiya a nan da nan. A wayar yana da mahimmanci a bayar da rahoto cewa mai haƙuri ya kamata a sami appendicitis - kwatanta alamun bayyanar a cikin mafi cikakken bayani, don bayyana yanayin da jin daɗin mutum. Kafin zuwan kwararru, ba za a yi ƙoƙarin yin ƙoƙari na yin gwaji ba.
Taimakon gaggawa tare da appendicitis:
- Sanya wanda aka azabtar da shi a sararin samaniya.
- Don samar da zaman lafiya na kwanciyar hankali.
- Kada ku ba da ruwa, abinci, magani.
- An haramta sanya enemas, sanya warmers a cikin ciki.
Appendicitis - aiki
Hanyar da za a bi da maganin da aka bayyana shi ne don haɗakar da kwayar cutar. An cire magungunan shafukan da aka yi tare da yin amfani da maganin rigakafi kuma yana buƙatar shiri na farko na mai haƙuri. A tsakar rana na aiki, an yi wa mai yin haƙuri allura tare da salin kwayoyin salin da kwayoyin cutar. Wannan wajibi ne don rage ƙananan kumburi da kuma hana kamuwa da cuta a lokacin da kuma bayan tiyata. Bugu da ƙari, an yi amfani da wanka na ciki da na tsarkakewa na ciki.
Daidaitaccen ɓangaren cirewa daga cikin shafukan yanar gizo shine ilimin lissafi. An yi shi ne a mafi yawan maganin rigakafi da kuma samar da damar kai tsaye zuwa gawar da ke ƙasa ta hanyar yankan bango na ciki a hannun dama. Na gode wa nasarori na likita na zamani, akwai wani, rashin tsattsauran ra'ayi, hanya na ban mamaki na shafi.
Ana cire kayan aiki ta hanyar laparoscopic hanya
Wannan hanyar jiyya yana ba da rashin jinin jini, yana hana samuwar manyan scars da adhesions a cikin rami na ciki. Laparoscopic cire daga cikin appendix tabbatar da kadan rauni zuwa kayan taushi da fata, ta rage tsawon lokacin dawowa. Bisa ga nazarin zamani, irin wannan hanya bata haifar da rikitarwa ba.
Irin wannan motsa jiki shi ne gabatarwa a cikin rami na ciki na carbon dioxide (don ƙunshi cikakken isasshen sararin samaniya da samun kyauta ga jiki) da kuma kayan aiki mai tsabta tare da ɗakunan microscopic ta hanyoyi masu yawa. Dikita yana ganin kundin shafi daga ciki a kan saka idanu na kwamfutar, sa'annan ya cire hanya ta fyade ta hanyar amfani da manipulators. An samu kwayar da aka samu ta hanyar daya daga cikin ramukan da aka yi.
Gyarawa bayan cire daga cikin shafukan
A cikin kwanaki 1-2 daga lokacin aikin tiyata ya dace da gado mai tsanani, ba a yarda da barci daga ranar 3rd kawai ba. Yana da muhimmanci cewa ginin bayan appendicitis ba ya watsa. Kwanan makon 6 na gaba, ƙuƙwalwar za ta ƙuƙule, a kan abin da haɗarin adhesions da hernias ke ƙaruwa. Don hana rikitarwa, aikin jiki yana ƙaruwa hankali, ɗaukar nauyi, wasanni masu aiki da kuma aiki mai banƙyama an cire. Yin gyaran maganin warkaswa da kuma hana bambancin sutures yana taimakawa ta saka takalma na musamman.
Baya ga iyakancewa na jiki, mai haƙuri yana bukatar:
- Ku ziyarci likita da likitan likitancin yau da kullum don gwaji na yau da kullum.
- Saka idanu kan raunuka marasa aiki.
- Don aiwatar da sassan, don tafiya a kan dressings.
- Bayan an lalacewa, man shafawa ya shafe tare da shirye-shiryen da aka tanada.
Abinci bayan appendicitis
Ana yin amfani da abinci na musamman daga ranar 3 na aiki. A cikin sa'o'i 72 na gaba, cin abincin bayan an cire kayan aiki ya hada da abin da ke cikin ruwa da abinci na mushy. Bayar da abincin da abin sha:
- kayan lambu, ba mai karfi kaza mai kaza ba;
- madara jelly;
- puree daga kayan lambu;
- juices diluted tare da ruwa;
- Semi-ruwa porridge;
- daɗin zubar da jini;
- ganye, rauni baki shayi.
Daga ranar 6th ranar menu ya fadada, zaka iya amfani da:
- rubbed soups;
- kayayyakin kiwo da ƙananan abun ciki;
- jingina iri iri na nama ko kifi, steamed ko Boiled, a cikin takaddun tsari;
- porridge a kan ruwa;
- kayan lambu da 'ya'yan itace purees;
- Ayaba;
- gurasa;
- jelly.
A cikin watanni 2-4 bayan appendicitis, yana da muhimmanci mu bi nauyin kuma ku bi shawarwari don tsari na tunani:
- Akwai sau da yawa kuma kadan kadan.
- Yi amfani kawai da abinci mai dumi, ba sanyi kuma ba zafi ba.
- Yi watsi da duk wani kayan da ke taimakawa wajen haɗuwa a cikin hanji - legumes, kabeji, marinades, pickles, kayan kyafaffen.
- Hada "abinci mai nauyi" - nama marar kifi, kifi, abinci mai soyayyen abinci, kayan daji da soups bisa garesu.
- Kada ku sha barasa, soda.
Komawa zuwa menu da aka sani don mutumin ya kasance mai hankali kuma jinkirin. Masana sun ba da shawara su ci gaba da bin ka'idodin abinci mai gina jiki, don kula da abincin abincin da ke daidai. Wannan zai taimaka wajen ƙarfafa tsarin rigakafin da sake mayar da ma'auni na microflora a cikin hanji, wanda tsarin mai kumburi ya shafi.
Appendicitis - matsalolin
Abubuwa masu tasiri sun haifar da rashin lafiya ko rashin lafiya. Ana yin la'akari da matsalolin idan an gano appendicitis a ƙarshen - bayyanar cututtukan da aka kula da su a farkon matakan ci gaba da kumburi da kuma haifar da yaduwa. A sakamakon haka, tsarin ilimin lissafi yana wucewa zuwa gabobin da ke kusa da kullun, ƙwayar cuta ta jiki zai iya faruwa.
Bayan kawar da appendicitis wadannan abubuwa masu haɗari sune:
- peritonitis (ƙumburi na rami na ciki);
- cuta mai ciwo ;
- zubar da ciki;
- peryapendicular ƙurar daga cikin rami na ciki (ƙuntataccen ƙonewa a cikin wani capsule cika da tura);
- sepsis - shigar azzakari cikin farji na kwayoyin pathogenic cikin jini;
- rupture daga cikin shafuka tare da fitar da abubuwan ciki, ciki har da feces da exudate, a cikin sararin samaniya;
- kumburi na portal ganji na hanta, zai iya zama purulent (pylephlebitis);
- thromboembolism - clotting wani jirgi jini tare da thrombus;
- samfurori na sarari retroperitoneal;
- Ƙasantarwa ta haɗawa (fuska na shafuka da ɓangarorin da ke kewaye);
- thrombophlebitis na veins na kananan ƙwararru;
- suppuration na m rauni;
- rabuwa;
- sluggish ko na kullum appendicitis.