I-appendicitis enobuchule ivela kwizigaba ezine. Omnye wabo u-phlegmonous. Iza emva kwesigaba se-purulent kwaye igubungela ilungu lonke, xa iipokotshi ze-pus zidibanisana nomnye. Ukuba inkqubo yokugqirha ayenziwanga ngexesha, i-appendicitis ye-phlegmonous acute ingabangela ukuphumelela nge-serous peritonitis yengingqi kunye nezinye iingxaki, ukuya kwisiphumo esibulalayo.
Izibonakaliso ze-appendicitis eziphambili
Ukuba isigulane senza i-appendicitis ye-phlegmonous acute, ezi zilandelayo zibonakaliswa:
- ubuhlungu, ubuhlungu kunye nosizi (ubuninzi bekuninzi kwicala lesisu);
- isicupunu (ukuhlanza kudla njalo);
- ukuphakama okukhawulezayo kubushushu ngaphezu kwama-38 degrees;
- buthathaka;
- ukukhupha;
- i-tachycardia engaphezu kwama-90 ukubetha ngomzuzu.
Ukuba i-appendicitis inendawo ye-pelvic okanye i-retrocecal, i-dysuria iyakhula. Oku kukuphula umthetho wokungcwina, oku kubangelwa ukucima i-urethra. Kwakhona kwizigulane ezinokukhubazeka, udonga lwe-muscular lwesisu luqina kakhulu kwaye ubuhlungu bunzima kakhulu xa intendelezo igxininiswe kwisisu.
Ukuxilongwa kwe-appendicitis ye-phlegmonous acute
Ukuxilongwa kwangaphambili kwenzelwa isigulane ngesiseko soviwo. Kubalulekile kude kube le ngongoma ukuba ingathathi naluphi na unyango lwamazi. Oku kunokubangela iingxaki ngexesha lokuxilongwa kwaye kuza kubangela ukuphuhliswa kweengxaki zesifo. Kwakhona kule nkcitho yexesha kubalulekile ukukhuphela ukusetyenziswa kokutya kunye ne-liquid.
Emva koviwo, iimvavanyo zelabhoratri zenziwa. Umkhiqizo omncinci wegazi nge-appendicitis ye-phlegmon iqulethe inani elongezelelweyo lama-leukocytes. Ingakumbi kubo, obunzima ukuvuvukala. Ezinye izigulane zichazwe i- ultrasound yesigxina kunye ne-X-ray. Zinceda ukuchonga ubukho bezilonda kwi-mucosa yesihlomelo nge-applecitis ye-phlegmonous-ulcerative.
Unyango lwe-appendicitis enobuchule
Ukuthintela ukuvuvukala kweemvini zesibindi, isisu esiswini okanye i-serous peritonitis yendawo, i-appendicitis ye-phlegmon ifanele iphathwe kuphela yindlela yokusebenza. I-appendectomy yangaphambili isenziwa, ubunzima obungaphantsi kwesigulane buya kubakho kwaye kulula ukuba ixesha lokuvuselela liza kuhamba. Ngokuhlinzwa okwangoku, i-appendicitis idityaniswe ngeendlela ezininzi:
- I-appendectomy ye-Laparoscopic yenziwa kuphela kwizigaba zokuqala zokuvuvukala.
- Umsebenzi wokuguqulela - ukususwa ngeendlela eziguquguqukayo nezicatshulwa ngokuzifaka kwisisu okanye ngesiswini.
- Ugqirha lwenziwa ngokunqunyulwa kwesisu.
- I-Appendectomy kwizigulane ezingenaso ukugqithisa zenziwa phantsi kwe-anesthesia yendawo. Kubantwana nakubantu abanesisindo esikhulu somzimba, olo msebenzi luqhutywa phantsi kwe-anesthesia jikelele. Ukuba akukho zixazululo, ukususwa akupheli ngaphezu kwemizuzu engama-40.
Ukubuyiselwa emva kwe-appendicitis ye-phlegmonous acute
Kwithuba lokugqibela emva kokususwa kwe-appendicitis ye-phlegmon kuyimfuneko:
- Gcina ukulala okulalayo.
- Gcina ixesha lokukhupha intlungu.
- Ukuhlamba izitho ngeenqwelwana zokuzilolonga umzimba okhuthazwa ngugqirha.
Kwakhona, emva kokususwa kwe-appendicitis ye-phlegmonous, ukutya okukhethekileyo kufuneka kugcinwe kwiiveki ezimbalwa. Kubalulekile ukuba ungabandakanyi amafutha amaninzi, avulekileyo, ahlambulukileyo kunye nemveliso yokutshaya. Udinga amacandelo amancinci. Awukwazi ukusela iziphuzo ze-carbonate, udle ubhontshisi kunye nezinye iimveliso ezibangela ukunyaniseka.
Ukungahambisani nokutya emva kokusetyenziswa kwe-appendicitis ekhuni kuya kubangela ukucaphuka kwamathumbu. Ngenxa yoko, ukutya kuya kutsalwa kakubi, kwaye umntu uya kuba neentlungu zentlungu kunye nentlungu enzima kwintsimi yokuhlinzwa.