I-cecum iphelela kwintsimbi encinci. Le nxalenye yomzimba ihlaziye kwaye ibizwa ngokuba yi-appendicitis, injongo yayo yokusebenza ayikacaciswanga. Isihlomelo sithinteka kwiinkqubo ezivuthayo ezenzeka nanini na ubudala, kuquka nexesha lesana.
Ingaba kukho i-appendicitis kumntwana?
Isimo sokuhlolwa kwesifo se-pathological diagnostic diagnostic diagnostic diagnostic diagnostic diagnostic diagnostic diagnostic diagnosis. Abanye abazali beintsana, ukujonga izibonakaliso zesifo, ukungathandabuzeki ukuba ingaba ne-appendicitis kumntwana oneminyaka elilodwa. Impendulo yalo mbuzo ifanelekile. Ngamanye amaxesha isihlomelo sitshatyalaliswa nakwiintsana.
I-Appendicitis kubantwana - kubangele
Akunakho ugqirha onokuchaza izinto ezichanekileyo ezivusa izifo ezichazwe. Kucetyiswa ukuba, izizathu zokuvuvukala kwesihlomelo zibandakanya iziganeko ezifanayo ngexesha elifanayo:
- ukukhutshwa kwesihlomelo;
- ubukho be-microflora ye-pathogenic kwi-caecum.
I-appendicitis enobuchule kubantwana
Ukuvalwa kwesigqeba se-vestigi kungenziwa ngezizathu ezininzi. I-appendicitis kubantwana yenza i-start yayo nge:
- amazwe angaphandle kwi-caecum;
- izifo ezithintekayo;
- hyperplasia of follicles lymphoid;
- ukungabikho kokuzalwa komntwana kwisakhiwo okanye indawo yelungu;
- ngamatye.
Ukuvuvukala kwesithasiselo se-cecum kuqala emva kokufakela kwi-flora. Oku kuqhutywa ngolu hlobo:
- tshintshelwe izifo;
- imisebenzi ephantsi ye-immune system;
- iinkqubo ezivuthayo kwiindawo ezikufuphi.
I-appendicitis engapheliyo kubantwana
Iingqikithi, kukho uhlobo oluzimeleyo nolunesibini lwolu hlobo lwesifo sengqondo. Uninzi oogqirha abaphika ukuvuvukala okungapheliyo kwesihlomelo, kuba uhlobo olunzulu lwesifo luhlala luquka ukukhutshwa kwelungu elityebileyo. Izindlela zokononophelo zonyango kunye neemeko zokunceda ngokungenakudityaniswa kwenkqubo yokukhubazeka azikho.
Ngokuqhelekileyo abantwana banokuvutha kwesibini okuqhubekayo kwesihlomelo - iimpawu zesifo zivela emva kweenyanga eziliqela emva kokusebenza. Iimpawu zesifo zifana nesimo esibuhlungu, kodwa esingaphantsi, "siphumelele". Ukuphuhliswa kwale fom ye-pathology, kuyimfuneko ukuba ube nesiphuphu ukususela ekugqibeleni kwesihlomelo, malunga no-2 cm ubude.
I-Appendicitis kwimpawu zezingane
Kunzima ukukrokra ukugula kubantwana, ingakumbi ngexesha lokuqala, xa umntwana engakwazi ukuchaza ngokucacileyo ukuvakalelwa kwakhe. Imiqondiso yokuvuvukala kwesithasiselo kumntwana ingaphantsi kancinci kunomntu omdala. Inkqubo enjenge-Worm kubantwana ngokuqhelekileyo ayihlali kwindawo engumzekelo, esifundeni sase-Iliac esifanelekileyo. Unakho amanye amalungiselelo:
- i-retrocecal - emva kwe-cecum;
- i-hepatic - kufuphi ne-gallbladder;
- i-pelvic - kwindawo yesinqe.
Ngenxa yezinto ezinjalo, abaninzi abazali ababazi indlela yokubeka i-appendicitis kumntwana , kunye nokudibanisa iimpawu ezivela kubantwana abanezifo ezinomfanekiso ofanayo weklinikhi. Ngenxa yoko, kubalulekile ukuba ungazami ukwenza ukuxilonga ngokwakho kwaye uphendule kwiindlela zokwelapha ekhaya. Xa kukho nayiphina impawu ephazamisayo, kufuneka uqhagamshelane nangoko nongcali.
Impawu zokuqala ze-appendicitis kubantwana
Umfanekiso wekliniki wangaphambili we-pathology uyabonakala kwizinto zokuziphatha kunye nentlalo enhle yentsana. Iimpawu zokuqala nge-appendicitis ziquka:
- ukungakhathaleli;
- kulala;
- ukucaphuka;
- ukuphazamiseka kokutya;
- ukuqonda;
- iziphazamiso zesitopu;
- isicefe
- ukuhlanza;
- ukupheliswa kwamanzi ;
- ukwanda kweqondo lomzimba;
- intlungu kwisisu, ephantsi.
Kwiintsana kunzima ukukrokra i-appendicitis - iimpawu kwiintsana:
- bekhala njalo;
- u buqhetseba;
- ukujikela kwicala lasekhohlo;
- ukungabi nesidlo;
- ukuhlanza;
- ukumelana nokuthinta;
- uzama ukukhupha imilenze yakhe, eguqa ngamadolo, kwisisu.
Ubuhlungu kwi-appendicitis
Isibonakaliso esichazwe kwisifo sinokuthi sibekwe kwiindawo ezahlukeneyo zomzimba, ngokuxhomekeka kwindawo ekuthiwa yi-appendage yesiqhelo. Iimpawu ze-appendicitis kubantwana ziquka intlungu yesifo, evezwa kwimihlaba elandelayo:
- epigastrium;
- ji kelele;
- ummandla we-aliac;
- esiswini esiswini;
- ngasemva;
- ngaphezu kwe-pubis okanye kwi-groin;
- kufuphi nesibindi.
Ngokuqhelekileyo umntwana akakwazi ukuchaza ngokuchanekileyo apho aziva khona intlungu, kwaye ubhekisela kwisisu sonke. Imvakalelo engathandekiyo kubantwana maxa wambi ixilisa kwezinye iindawo zomzimba:
- perineum;
- buyela;
- izitho zomzimba;
- esiswini;
- iinyawo;
- urereter;
- i rectum.
Ukushisa nge-appendicitis
Ukushisa akubheki njengempawu ethile yokuvuvukala kwenkqubo yokwahlula kubantwana. Ukulinganiswa kobushushu bomzimba akuyona indlela enokwethenjelwa yokujonga i-appendicitis kumntwana. Inkqubo yokugulisa i-pathological in early in advance is swiftly, ngoko isistim somzimba asisoloko sichaphazela kuso ngokufana nomkhuhlane okanye umkhuhlane. Ukushisa okuqhelekileyo kuhamba ngokuhamba nge-appendicitis - iimpawu kubantwana ziphelelwe yintlungu kunye neengxaki zesifo se-dyspeptic. Ukufudumeka kwenzeka kwiimigangatho kamva, xa isihlomelo siphuhliwe.
Imiqondiso ye-peritonitis ene-appendicitis
Ngenxa yobunzima obucacileyo ekuhloleni i-pathology evezwe, abaninzi abantwana bangena kwikliniki sele sele benqanaba elibi le sifo. I-Peritonitis ene-appendicitis esemncinci (iminyaka emi-2 ukuya ku-5) ikhula ngokukhawuleza, ngamanye amaxesha ukususela kumzuzwana wokuvuvukala kwenkqubo yokwenza iindleko kuthatha iiyure ezimbalwa nje. Izimpawu ezicacileyo zalo mqathango:
- ukushisa komzimba ophezulu kakhulu, kufika kuma-40 degrees;
- isisu esiswini;
- ukugqithisa kwesikhumba;
- ukugcinwa kwesigxina;
- intlungu yokubandezeleka kuzo zonke iindawo zesisu;
- ukuhlanza okukhulu.
Iingxaki ze-appendicitis kubantwana
Esi sifo sifunde ngokugqithisileyo ngabagqirha kwaye siyiqela le pathologies kunye nesichengululo esihle. Isizathu sokuthi i-appendicitis ingaba nzima kukuba iimpawu ezingabantwana zinyanzelwanga okanye zifunyenwe kakhulu. Kwiimeko ezinjalo, inkqubo yokuvuvukala iqhubela phambili ngokukhawuleza kwaye ikhokelela kwimiphumo eyingozi. I-Appendicitis kumntwana inokukhupha iingxaki ezilandelayo:
- Ukungabikho - i-abscess kwisigxina esiswini;
- ukungena kwigazi leebhaktheriya ze-pathogenic, umonakalo jikelele;
- ukuchithwa kwesihlomelo - peritonitis;
- ukukhutshwa kwesisu - isithintelo ;
- ukufakelwa kwesalathisi - ukutshabalala kwe-peritoneum;
- ukubambelela kokunamathela - ukwandiswa kwezicubu ezinxibelelwano.
Indlela yokufumanisa ukuvuvukala kwesihlomelo?
Cinezela, crumple kwaye uzive isisu kubantwana abanokusola ngesifo esichazwe ngokuchanekileyo. Ukuvuvukala kwenkqubo ye-cecum kufuneka kufunyaniswe ngutitshala, ngoko ke, kwizona nto zibonakaliswa kakhulu kwiimpawu zesifo, kubalulekile ukuba uqhagamshelane nekliniki ngokukhawuleza. Kunokwenzeka ukuba ucinge le pathology ngempawu ezithile ezibonakalayo.
Indlela yokujonga ukuvuvukala kwesithasiselo kubantwana - iimvavanyo ezilula:
- Przewalski. Kunzima okanye kubuhlungu ukuba umntwana akhulise umlenze wakhe osekunene.
- Rizvan. Ngefuthe elincinci, ukungathandabuzeki kommandla we-aliac kuqinisa.
- Sitkovsky. Ukuqiniswa kweentlungu kwisimo se-supine kwicala lasekhohlo.
- Karavaeva. Ukuphuka kakhudlwana ngexesha lokukhwehlela.
- Zatler. Ukusika intlungu kwimiba ye-aliac xa umlenze wokulungisa olungisiweyo uphakanyiswa kwindawo yokuhlala.
Ukongezelela, i-appendicitis iyaqinisekiswa yimpawu ezicacileyo kubantwana abakhankanywe ngasentla. Ukuba umntwana unayo okanye enye yale mpawu, kubalulekile ukubiza ngokukhawuleza iqela lezonyango. Ngaphandle kwonyango elaneleyo, inkqubo yokuvuvukala iya kutshintsha ngokukhawuleza, iqhube i-peritonitis nezinye iingxaki eziyingozi.
Isibhedlele isebenzisa iindlela zokwenza i-appendicitis kubantwana:
- uvavanyo lwe-ultrasound;
- i radiography;
- Irrigoscopy ;
- ikhompyutheni okanye imifanekiso yokuhlaziya yamagnetic;
- uhlalutyo lwe-radionuclide.
Xa ukuxilongwa okungafaniyo okungafaniyo kungasungulwa, kwaye ukuphila komntwana kuhlahloka ngokukhawuleza, i-laparoscopy iyacetyiswa. Ukungenelela kokungenelela okuncinci kweminye kubangela ukuba sihlolisise imeko yesihlomelo ngekhamera encinane. Ngokuqhelekileyo i-laparoscopy yokuxilonga iyajika ibe yindlela yokunyanga.
Uphando lwe-appendicitis
Ukususwa kwesihlomelo kumiselwe emva kwekhosi emfutshane ye-antibiotics. Izidakamizwa zokulwa nezidakamizwa zinceda ukukhusela ukutshabalala kwesihlomelo kunye nokwenza lula ukukhawuleza, ukunciphisa iimpawu zesifo. Ingenelelo yokuphanda ingenziwa ngeendlela ezimbini:
- Indlela evuliwe (yeklasi). Kwinqanaba elincinane lesisu isisombululo esincinci senziwa nge-scalpel, apho isithasiselo esichaphazelekayo isuswe. Inxeba i-sutured, ngamanye amajelo afakwe kuwo ukukhulula izihlunu ezixhamlayo kunye nokusetyenziswa kwamanzi. Emva kokuphelisa ngokupheleleyo iimpawu zentsholongwane, ityhubhu isuswe, kwaye ukugqoka okungekho nto kunye namachiza kusetyenziswa ukunyanzelisa.
- Indlela yeLaparoscopic. Ugqirha ufumana ukufikelela kwisihlomelo nge-2-4 punctures. Omnye wabo uzisa ikhamera encinane, ezinye - izixhobo ezikhethekileyo eziguquguqukayo. Le ndlela yokuhlinzwa ayibuhlungu kakhulu kwaye ibonakala ngexesha elifutshane lokuvuselela, kodwa lifanelekileyo kuphela kwiimeko ezilula ze-appendicitis kubantwana, xa kungekho zibonakaliso ze-peritonitis kunye nokuphulwa kwesihlomelo.