Ukugxeka kwe-appendicitis emntwaneni kunokubakho ngetyhefu, ukutya ngokutya kunye nezinye iingxaki ngesondlo sesisu. Indlela yokufumanisa oko kuphazamisa umntwana, nokuba ngaba oogqirha badibanisa iimpawu? Ukuxilonga ukuvuvukala kwesihlomelo kwabantwana kumazinga okuqala akusebenzi, ngakumbi abantwana abangaphantsi kweminyaka emithathu ubudala. Iimpawu zesongezelelo kubantwana zibonakaliswa ngokufana neempawu nezinye izifo.
Izizathu zokuvuvukala kwesithasiselo kubantwana
Kukho okungalunganga, kwaye kwaneyingozi, imbono yokuba abantwana abakwazi ukuhlakulela i-appendicitis. Enyanisweni, kwenzeka nakumncinci wenyanga yokuqala yobomi.
Izizathu zi nokuba:
- ukuvala isithasiselo, ngelixa iibhaktheriya zinkqubo zodwa kwaye zivuthayo;
- izifo ezahlukahlukeneyo (tonsillitis, SARS, otitis, njl);
- ukukhulelwa komzimba. Ekubeni umzimba ubuthathaka, awukwazi ukuchasana neentsholongwane. Ngoko ke, isifo sisenokungena ngokukhawuleza kwisihlomelo, esibangela ukuvuvukala kwayo.
Iimpawu kunye neengxaki
Impawu zokuqala ze-appendicitis kubantwana, ezibonakalisa ngokukhawuleza - ukuhlanza, isifo sohudo, njengoko intlungu ingakwazi ukusebenza ngokuqhelekileyo. Iingxaki zibonakaliswa yintlungu ebuhlungu kwisisu, kwaye emva kweeyure eziyi-12 ukuya kweye-24 ukuya kwintlungu, iyanceda ugqirha ukuba aqaphele i-appendicitis ebonakalayo kubantwana.
Ukuba isihlomelo asibonakali, umntwana uya kukhalaza ngentlungu emva, kwi-rectum. Uhla lwe-Urine luhlala luhlala luhlala kwindawo ye-pelvic yesihlomelo. Zihamba neentlungu ezinzima esiswini. Kwindawo ephantsi kwesidima, intlungu iya kubonakala kwingingqi yesisu, kamva iya kudlula ngakwesokudla kwesisu.
Kubantwana ukuya kwiminyaka emithathu yentlungu, ngokuqhelekileyo, ayigxininiswe kwindawo ethile. Ukuvuvukala kunokuthathwa kuphela ngokutshintsha indlela yokuziphatha kwengane - ibonakaliswa ukulila ngokugqithiseleyo, ukungavumi kokutya, kunokuhamba kunye nokuhlanza, isifo sohudo kunye nomkhuhlane ukuya kwii-39-39.5 degrees. Iimeko ziya kuhlahloka, umntwana akayi kukuvumela ukuba uthinte isisu. Iimbumba zomlomo zomlomo nolwimi zomile. Ukunyuka kwamanzi komzimba kuza.
Kubantwana abavela kwiminyaka emithathu ukuya kweyisixhenxe yokuziphatha bahluke: banokwazi ukukhalazela intlungu kwintonga. Emva koko iya kwiphondo elungileyo le-aliac. Intlungu iya kuhlala ikhona, ingabi namandla, ingabangela ukuhlaselwa okulodwa kokuhlanza. Iqondo lokushisa liphakama akukho phezulu kwama-37.5 degrees, kwaye li no kuhlala kwinqanaba eliqhelekileyo.
Ukuba iinkqubo eziphuhliswayo ziphuhliswa kwisihlomelo, umntwana uya kuphazamiseka ngokukhawuleza, imeko yakhe iya kuhlahloka ngokukhawuleza: ukoma, kubonakala ukuba ulusu luqala ukuba luhlaza, imilomo kunye nomlenze womlenze womlomo owomileyo. Iqondo lokushisa linokungena kwiiyure ezingama-38-39. Isihlunu, ukuhlanza kunye nesitulo esikhululekile kuya kubakho.
Ukuba awungeneleli ngexesha kwi-25-50% yabantwana, iindonga zesihlomelo ziphukile kwaye zonke iibhaktheriya zamathumbu, i-muscus, iifesi ezizalisa isisu esiswini, zenza iimeko zokuphuhliswa kosulelo. Ezinye iingxaki ezinjengokuphuhliswa kwamathumbu emathumbu, isifo se-abscess, nezifo ezithathelwanayo ziya kwenzeka.
Xa ukubetha i-alamu?
Ngokukhawuleza xa iisethi ze-syndromes ezinje, ezifana nokuntuleka kwesidlo,
Unyango lwe-appendicitis kubantwana
Ukwenza i-diagnostic echanekileyo, umntwana uthatha igazi eminwe, uhlola ukukhutshwa kwaye uqikelele indawo yentlungu. Ukuze ubenze ukhangele ngempumelelo, ubude obuvela kwiiyure eziyi-6 ukuya kwe-12, usibhedlele.
Emva koko oogqirha banquma ngesidingo sokuhlinzwa. Emva kokuhlinzwa, umntwana uya kukhutshwa ekhaya emva kweentsuku ezingama-4-8.