Appendicitis

I-Appendicitis ukuvuvukala kwesihlomelo se-cecum, ebizwa ngokuba yi-appendicitis. Esi sifo sibhekisela kwizifo eziqhelekileyo ezikhulayo ezikhulayo kwisisu esiswini, kwaye zingenzeka kumadoda, abafazi kunye nabantwana.

Imingcipheko ephezulu yokuphuhliswa kwabantu abavela kwiminyaka engama-20 ukuya kwe-40, kodwa i-appendicitis enzima kwabasetyhini ikhula kangangezihlandlo eziphindwe kabini kunamadoda.

Yintoni i-appendicitis ye-phlegmonous?

I-appendicitis ye-Phlegmon ingenye yezigaba zokuphuhliswa kwesifo. Oogqirha bahlula izigaba ezi-3 zokuvuvukala kwesihlomelo:

Iimbangela ze-appendicitis

I-appendicitis ye-Phlegmon ingenye yezigaba zesifo, kwaye ngenxa yoko izizathu zokuphuhliswa kwayo zikho ukungabikho kwonyango lwezigaba zokuqala, kwaye ngenxa yoko, ekuphuhlisweni kweengxaki.

Okokuqala, ukuphuhliswa kwe-appendicitis ye-phlegmon kuchatshazelwa yi-thrombosis yeenqwelo zezihlomelo. Oku kwenzeka ngokusuka kwimvelaphi yokuvuvukala okwandayo kule ndawo kunye nokuxhaswa, okwenzeka emva koko ngenxa yokunyanzeliswa kwemiva. Ngaloo ndlela, imbangela ebalulekileyo yefomu ye-phlegmonous ubukho benkqubo yokuvuvukala, ukubambelela kwinqanaba le-purulent, ekungabikho kwonyango, kwaye kuqhube ngakumbi ukuvelisa ifomu ye-phlegmonous esongela ukuphulwa kwenkqubo.

Kutheni i-appendicitis ivela, oogqirha abangeke bakwazi ukuphendula ngokuchanekileyo - abanye bakholelwa ukuba isizathu sokwenza i-bacterial flora, abanye babone isizathu sokukhutshwa kwe-lumen - oku kubizwa kuthiwa yi-mechanical theory. Ngokutsho kwakhe, i-bacterial flora yamathumbu (ezinama-500 iintlobo zebhakteria kunye nefungi) ithintela isihlomelo ngenxa ye-necrosis, ephuma ngenxa yokuxinwa kwemivumba ye-intraorganic, kwaye ngenxa yoko, iibhaktheriya zithintela imimandla engathandekiyo, ekugqibeleni iholele kwisigaba se-phlegmonous. Kananjalo, oogqirha abaninzi bathi kukho ezinye izizathu ezibangelwayo - umzekelo, i-helminthiasis, i-tumors, iginyile amazwe angaphandle.

Iimpawu ze-appendicitis

I-appendicitis ye-Phlegmonous ingakhokelela kwi-serous peritonitis yendawo apho inkqubo iyahlukana. Yingakho kukhuthazwa ukuba ususe ekuqaleni kweso sifo.

Okokuqala, i-appendicitis ibonakalisa intlungu enzima kwicala lesisu. Ekugqibeleni uyakha, kwaye ngenxa yenkqubo yokuvuvukala, ngokukodwa ihamba kunye nokuxhaswa, umntu unomkhuhlane, kukho ubuthathaka obuninzi kunye nentloko. Ukongezelela, isigulane sinokuvelisa isicupulu kunye nokuhlanza.

Kwisibonakaliso sokuqala sesifo omele usibize i-ambulensi yokubhedlelelwa esibhedlele.

Unyango lwe-appendicitis ye-phlegmonous

I-appendicitis ye-Phlegmon ifuna ukususwa kwe-appendage. Le nqanaba elinzima, elinika ingozi nangokubonelela ngononophelo lwentsebenziswano ngexesha elifanelekileyo ngaphambi kokuphuhliswa kwe- peritonitis . Ukusebenza kwenziwa phantsi kwe-anesthesia jikelele kwaye ihlala malunga nemizuzu engama-40. Ukuba uphumelele, isigulane sibuyiselwe ngokupheleleyo.

Ixesha elidlulileyo kunye ne-appendicitis ye-phlegmonous

Isigulane sibuyiselwe ngokupheleleyo ngenyanga. Ukuba usebenze ngokuqhelekileyo, u-10 cm- suture unombala we-burgundy kwisithuba seenyanga ezintandathu. Ukuba yenziwa i-laparoscopy, ugqirha onogqirha unesisindo se-1-centimeter esaphilisa kakhulu ngaphambili.

Yidla nge-appendicitis enobucayi

Emva kokugqitywa kwe-appendicitis, isigulane akufanele singeniswe:

Ukutya kufuneka kuvela kwimveliso ecinezelekileyo, iisobho, iifatata ezigcotyiweyo, ukutya okutyiwayo, izithelo ezigayiweyo kunye nemifuno.